Appl Radiol. J Neurol Neurosurg Psychiatry. Diabetic Neuropathies Aaron Izenberg, et al. Semin Neurol.
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Appl Radiol. J Neurol Neurosurg Psychiatry. Diabetic Neuropathies Aaron Izenberg, et al. Semin Neurol. Diabetes mellitus is a common condition and diabetics are prone to develop a spectrum of neuropathic complications ranging from symmetric and diffuse to asymmetric and focal neuropathies that may be associated with significant morbidity….
In this review, the authors discuss the wide variety of neuropathies that can present in the context of diabetes, including the clinical manifestations, diagnostic features, and approach to management. Lang, et al. Curr Opin Neurol. This review explores the concept of dose and reviews the most recent findings in the field of neurorehabilitation, with a focus on relearning motor skills after stroke. Appropriate dosing involves the prescription of a specific amount of an active ingredient, at a specific frequency and duration.
Dosing parameters, particularly amount, are not well defined or quantified in most studies. Compiling data across studies indicates a positive, moderate dose—response relationship, indicating that more movement practice results in better outcomes. Br J Sports Med. Current recommendations for physical activity in children overlook the critical importance of motor skill acquisition early in life. Instead, they focus on the quantitative aspects of physical activity eg, accumulate 60 min of daily moderate to vigorous physical activity and selected health-related components of physical fitness eg, aerobic fitness, muscular strength, muscular endurance, flexibility and body composition.
This focus on exercise quantity in youth may limit considerations of qualitative aspects of programme design which include 1 skill development, 2 socialisation and 3 enjoyment of exercise. The timing of brain development and associated neuroplasticity for motor skill learning makes the preadolescence period a critical time to develop and reinforce fundamental movement skills in boys and girls.
Children who do not participate regularly in structured motor skill-enriched activities during physical education classes or diverse youth sports programmes may never reach their genetic potential for motor skill control which underlies sustainable physical fitness later in life. The goals of this review are twofold: 1 challenge current dogma that is currently focused on the quantitative rather than qualitative aspects of physical activity recommendations for youth and 2 synthesise the latest evidence regarding the brain and motor control that will provide the foundation for integrative exercise programming that provide a framework sustainable activity for life.
There are many ways to stay healthy, but nutrition will always be at the foundation of good health. The guidelines are published every 5 years and aim to reflect the latest science-based evidence about what we eat. Morbidity and Mortality Weekly Report. Seizures in children and adolescents vary by cause, severity, and impact. The risk for some seizures can be prevented or reduced by eliminating their causes, such as ensuring proper prenatal and perinatal care and preventing head injuries.
Although most children and adolescents with seizures had recently seen a general doctor, they frequently require the care of a specialist, such as a neurologist, and parents of approximately one third of those with seizures reported that they had not recently seen or talked to a medical specialist. Parents reported delays in obtaining care associated with cost and other factors, such as lack of transportation.
Higher rates of home care might be associated with severity of co-occurring conditions or transportation barriers. Higher rates of emergency department use might reflect seizure severity, or associated conditions, barriers to routine health care, or other unmet caregiver needs. Overall, parents of children and adolescents with seizures reported higher prevalences of co-occurring conditions; these and the health care utilization patterns and social disadvantages reported by parents of children and adolescents with seizures highlight unmet needs and gaps in care.
DASH dietary approaches to stop hypertension was developed by the National Heart, Lung, and Blood Institute to help people prevent high blood pressure. The plan focuses on eating plenty of fruits, vegetables, and whole grains while lowering salt. An intracranial tumour should be considered in patients with relevant symptoms that do not resolve or that progress rapidly.
Healthy Diet May Improve Sleep Quality Sue Hughes Medscape January 22, A diet low in fiber and high in saturated fat and sugar is associated with lighter, less restorative sleep with more arousals, a new study has found. We had assumed that this would be the same for second strokes, but to our great surprise we found that the advantage of the white population is lost when it comes to second strokes.
We had thought that because the risk factors cause a pathway such as atherosclerosis to be put in place that leads to a stroke, then once the pathway was present the original risk factor might not be so important.
But that is not what we found. This document, which is intended to be a companion to the acute stroke management guidelines, was drawn up to help clinicians make decisions on who to treat and to identify key areas that should be prioritized for further research. Sue Hughes Medscape January 27, Wilner, MD Medscape January 19, Debilitating brain disorders are on the rise-from children diagnosed with autism and ADHD to adults developing dementia at younger ages than ever before.
But a medical revolution is underway that can solve this problem: Astonishing new research is revealing that the health of your brain is, to an extraordinary degree, dictated by the state of your microbiome — the vast population of organisms that live in your body and outnumber your own cells ten to one. In Adventures in Human Being, Gavin Francis leads the reader on a journey through health and illness, offering insights on everything from the ribbed surface of the brain to the secret workings of the heart and the womb; from the pulse of life at the wrist to the unique engineering of the foot.
Drawing on his own experiences as a doctor and GP, he blends first-hand case studies with reflections on the way the body has been imagined and portrayed over the millennia. If the body is a foreign country, then to practise medicine is to explore new territory: Francis leads the reader on an adventure through what it means to be human.
The present volume brings together contributions from more than thirty of the most important scholars working in these fields in the United States and Europe in honor of the eminent historian of ancient science and medicine Heinrich von Staden. Early studies of the human brain used a simple method: wait for misfortune to strike — strokes, seizures, infectious diseases, horrendous accidents — and see how victims coped. In many cases their survival was miraculous, if puzzling. Pillars of the community became pathological liars.
Overnight his life changed from that of a rising professor with a research career in artificial intelligence to a humbled man struggling to get through a single day. Doctors told him he would never fully recover. After eight years, the cognitive demands of his job, and of being a single parent, finally became more than he could manage. As a result of one final effort to recover, he crossed paths with two brilliant Chicago-area research-clinicians — one a specialized optometrist, the other a cognitive psychologist — working on the leading edge of brain plasticity.
Within weeks the ghost of who he had been started to re-emerge. Remarkably, Elliott kept detailed notes throughout his experience, from the moment of impact to the final stages of his recovery, astounding documentation that is the basis of this fascinating book. Caren Haines, with renowned behavioral child neurologist Nancy Minshew, MD, is determined to change that. By the time he was 18, his out-of-control behavior mirrored a mood disorder with psychotic features. Intersecting at two medical sub-specialties, neurology and psychiatry, the child who has autism and partial seizures is at a serious disadvantage.
When treated early with anti-seizure medications, many children show amazing gains in expressive language and comprehension. Many begin to speak and learn as many troubling behaviors begin to disappear. Even more important, many children lose their diagnosis of autism. Extensive in-depth interviews venture into the lives of individuals who offer perspectives that will change how you think about who you are.
These individuals all lost some part of what we think of as our self, but they then offer remarkable, sometimes heart-wrenching insights into what remains. One man cut off his own leg. Another became one with the universe. Corballis University of Chicago Press, Apr 15, — Science — pages …as much as fifty percent of our waking hours find us failing to focus on the task at hand represent a problem?
Drawing on the latest research from cognitive science and evolutionary biology, Corballis shows us how mind-wandering not only frees us from moment-to-moment drudgery, but also from the limitations of our immediate selves. Mind-wandering strengthens our imagination, fueling the flights of invention, storytelling, and empathy that underlie our shared humanity; furthermore, he explains, our tendency to wander back and forth through the timeline of our lives is fundamental to our very sense of ourselves as coherent, continuing personalities.
Asia-Pacific Journal of Public Health.. Pullen, PhD Medscape December 28, Children with epilepsy should have a plan in place at school for how best to respond to medical emergencies. The American Academy of Pediatrics AAP has released guidance suggesting prescribing providers, families, and schools collaborate develop such plans detailing the use of seizure rescue medications. Clinical research in patients with cryptogenic stroke has been hampered by the lack of standardized, widely accepted diagnostic criteria.
The new concept of embolic stroke of undetermined etiology enabled three ongoing randomized controlled trials which investigate oral anticoagulation versus aspirin for secondary stroke prevention. Western societies are aging due to an increasing life span, decreased birth rates, and improving social and health conditions.
On the other hand, the prevalence of cardiovascular CV and cerebrovascular CBV diseases rises with age. Thus, in view of the ongoing aging pandemic, it is appropriate to better understand the molecular pathways of aging as well as age-associated CV and CBV diseases. Oxidative stress contributes to aging of organs and the whole body by an accumulation of reactive oxygen species promoting oxidative damage.
Indeed, increased oxidative stress produced in the mitochondria and cytosol of heart and brain is a common denominator to almost all CV and CBV diseases. The mitochondrial adaptor protein p66Shc and the family of deacetylase enzymes, the sirtuins, regulate the aging process, determine lifespan of many species and are involved in CV diseases. Finally, telomere length is also involved in aging and the development of age-related CV dysfunction.
This review focuses on the latest scientific advances in understanding age-related changes of the CV and CBV system, as well as delineating potential novel therapeutic targets derived from aging research for CV and CBV diseases.
Unclear-onset stroke: Daytime-unwitnessed stroke vs. Clinical and imaging characteristics of daytime-unwitnessed strokesignificantly differ from those of wake-up stroke. Daytime-unwitnessed stroke patients are more likely to receive reperfusion therapy, as they arrive at the hospital earlier after symptom recognition, compared to wake-up stroke patients.
International Journal of Cardiology Feb 3. Identification of high risk population for atrial fibrillation among acute stroke patients is a center of attention…we selected data of patients who were admitted within 24 h after the onset of symptoms.
Using a dataset of acute ischemic stroke patients,.. Seven factors were selected as constituents of the model including age, left atrial size, free fatty acid level, triglyceride level, susceptibility vessel sign, hemorrhagic transformation, and cortical involvement… According to risk group, true positivity for atrial fibrillation was 4. Google Trends can provide both researchers and clinicians with data on realities and contexts that are generally overlooked and underexplored by classic epidemiology.
In this way, GT can foster new epidemiological studies in the field and can complement traditional epidemiological tools. Epilepsy and art: Windows into complexity and comorbidities Steven C. Available online 13 January The views of artists with epilepsy as expressed through their art provide unique opportunities to gain understanding of the experiences of living with epilepsy and related comorbidities.
This paper provides a glimpse into art collected from an international group of artists with epilepsy, focusing on ictal and postictal experiences, psychiatric comorbidities, and social aspects of epilepsy.
The art serves to enhance understanding among clinicians and neuroscientists of what it means to have epilepsy as well as to reduce misunderstanding and stigma among the public. It may also inspire neuroscientists to further explore the underlying neurological basis to the rich tapestries of ictal, postictal, and interictal experiences of persons with epilepsy. The RR for both sexes combined was 1. The risks were higher in women than in men for all three outcomes.
The results indicate the high relevance of public health campaigns and legislation to protect non-smokers from the adverse health effects attributable to SHS exposure. In early childhood, especially in the first couple of years of life, feeding early and often the flavors and textures that you want kids to learn to love can have a profound trajectory on what kids learn to like and is the key to building good food habits from the start.
We need to encourage family meals from the beginning, tell parents to not give up on vegetables, introduce a lot of variety, and serve something green at every lunch and every dinner.
DIAGNOSIS AND MANAGEMENT OF NONCONVULSIVE STATUS EPILEPTICUS (NCSE)
Skip to search form Skip to main content You are currently offline. Some features of the site may not work correctly. DOI: Status epilepticus is an emergency condition in the field of neurology are often undiagnosed and are associated with high mortality and long-term disability. One type of status epilepticus is nonconvulsive status epilepticus NCSE in which the diagnosis of NCSE is very difficult because the clinical manifestations appear is agitation or confusion, nystagmus or bizarre behavior such as lip smacking or take goods in the air. View PDF. Save to Library.
Buku Konsensus Status Epileptikus.pdf
Batasan Definisi Status Epileptikus SE menurut International League Against Epilepsy adalah suatu serangan menetap dalam periode yang cukup lama atau serangan yang berulang-ulang tanpa periode pemulihan di antara serangan-serangan tersebut. Tidak adanya batasan waktu yang jelas membuat definisi ini sulit digunakan. Dari studi klinik dan eksperimen terakhir menggunakan batasan minimum 30 menit. Definisi Status Epileptikus SE menurut Epilepsy Foundation of Americas Working Group on Status Epilepticus adalah dua serangan atau lebih yang berurutan tanpa pulihnya kesadaran di antara serangan, atau adanya aktivitas serangan yang berlangsung terus-menerus lebih dari 30 menit. Status epilepticus confined to early childhood Neonatal status epilepticus Status epilepticus in specific neonatal epilepsy syndromes Infantile spasms Status epilepticus confined to later childhood and adult life Febrile status epilepticus Status inchildhood partial epilepsy syndromes Status epilepticus in myoclonic-astatic epilepsy Electrical status epilepticus during slow wave sleep Landau-kleffner syndrome Status epilepticus occuring in childhood and adult life Tonic-clonic status epilepticus Absence status epilepticus Epilepsia partialis continua Status epilepticus in coma Specific forms of status epilepticus in learning difficulty Syndromes of myoclonic status epilepticus Simple partial status epilepticus Complex partial status epilepticus Status epilepticus confined to adult life De novo absence status and late onset.
Definition & Classification
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