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https://www.readbyqxmd.com/read/29769252/frequency-of-non-motor-symptoms-in-parkinson-s-disease-presenting-to-tertiary-care-centre-in-pakistan-an-observational-cross-sectional-study
#1
Shahid Mukhtar, Rashid Imran, Mohsin Zaheer, Huma Tariq
OBJECTIVE: To determine the frequency of non-motor symptoms (NMS) in patients of Parkinson's disease (PD) presenting to a movement disorder clinic at a tertiary care centre in Pakistan, and how frequency of NMS is different in male and female patients. STUDY DESIGN: Observational, cross-sectional study. SETTING: Tertiary care centre. PARTICIPANTS: Out of 102 patients, 85 were included. Inclusion criteria were patients with PD diagnosed according to the UK Parkinson's Disease Society Brain Bank Clinical Diagnostic Criteria, age ≥18 years, able to give consent and have no difficulty in answering questions...
May 16, 2018: BMJ Open
https://www.readbyqxmd.com/read/29764271/effect-of-intratympanic-steroid-injection-in-light-cupula
#2
Jin Su Park, So Yean Kim, Min-Beom Kim
OBJECTIVE: To evaluate the effects of intratympanic steroid injection (ITS) in light cupula. METHODS: A total of 47 patients showing persistent geotropic direction-changing positional nystagmus with null point (light cupula) were randomly classified into three groups: ITS (n = 15), vestibular suppressant (VS, n = 16) and canalith repositioning procedure (CRP, n = 16). Positional nystagmus and dizziness severity by dizziness handicap inventory (DHI) and visual analogue scale (VAS) were conducted before and 3 d and 1 week after first treatment to compare the effect of each treatment...
May 15, 2018: Acta Oto-laryngologica
https://www.readbyqxmd.com/read/29684032/pseudo-spontaneous-nystagmus-in-patients-with-geotropic-direction-changing-positional-nystagmus
#3
Seok Min Hong, Sung Kyun Kim, Il-Seok Park, Min Gyeong Shim
BACKGROUND: Pseudo-spontaneous nystagmus has been reported in patients with direction-changing positional nystagmus (DCPN). Recently, the concept of a "light cupula" has been introduced as a pathophysiology that can exhibit persistent geotropic DCPN. Patients with persistent DCPN could have different characteristics of nystagmus. Therefore, we investigated the pseudo-spontaneous nystagmus in patients with transient (canalolithiasis) and persistent (belong to light cupula theory) geotropic DCPN...
2018: PloS One
https://www.readbyqxmd.com/read/29401681/deep-learning-based-gaze-detection-system-for-automobile-drivers-using-a-nir-camera-sensor
#4
Rizwan Ali Naqvi, Muhammad Arsalan, Ganbayar Batchuluun, Hyo Sik Yoon, Kang Ryoung Park
A paradigm shift is required to prevent the increasing automobile accident deaths that are mostly due to the inattentive behavior of drivers. Knowledge of gaze region can provide valuable information regarding a driver's point of attention. Accurate and inexpensive gaze classification systems in cars can improve safe driving. However, monitoring real-time driving behaviors and conditions presents some challenges: dizziness due to long drives, extreme lighting variations, glasses reflections, and occlusions...
February 3, 2018: Sensors
https://www.readbyqxmd.com/read/29060793/a-low-cost-video-oculography-system-for-vestibular-function-testing
#5
Jihwan Park, Youngsun Kong, Yunyoung Nam
In order to remain in focus during head movements, vestibular-ocular reflex causes eyes to move in the opposite direction to head movement. Disorders of vestibular system decrease vision, causing abnormal nystagmus and dizziness. To diagnose abnormal nystagmus, various studies have been reported including the use of rotating chair tests and videonystagmography. However, these tests are unsuitable for home use due to their high costs. Thus, a low-cost video-oculography system is necessary to obtain clinical features at home...
July 2017: Conference Proceedings: Annual International Conference of the IEEE Engineering in Medicine and Biology Society
https://www.readbyqxmd.com/read/28145669/dizziness-approach-to-evaluation-and-management
#6
Herbert L Muncie, Susan M Sirmans, Ernest James
Dizziness is a common yet imprecise symptom. It was traditionally divided into four categories based on the patient's history: vertigo, presyncope, disequilibrium, and light-headedness. However, the distinction between these symptoms is of limited clinical usefulness. Patients have difficulty describing the quality of their symptoms but can more consistently identify the timing and triggers. Episodic vertigo triggered by head motion may be due to benign paroxysmal positional vertigo. Vertigo with unilateral hearing loss suggests Meniere disease...
February 1, 2017: American Family Physician
https://www.readbyqxmd.com/read/27797657/self-reported-benefits-and-adverse-outcomes-of-hot-yoga-participation
#7
Casey Mace, Brandon Eggleston
BACKGROUND: There is little to no scientific data about the health benefits or risks to participating in hot yoga, in particular distinguishing it from the practice of non-hot yoga. AIMS: This study aims to provide some preliminary evidence about the risks and benefits of participating in hot yoga. Future studies will be able to build off the findings herein. METHODS: This study utilized online survey software (Qualtrics) and recruited participants through convenience sampling (n = 157) by targeting yoga websites and online forums...
January 2016: International Journal of Yoga Therapy
https://www.readbyqxmd.com/read/27753982/sy-08-2-hypertension-management-for-secondary-prevention-of-stroke
#8
Kazuyuki Shimada
Stroke is known to frequently recur in patients with a history of cerebrovascular disease, and the control of hypertension is extremely important for the treatment of those patients. The robust relationship between the recurrent cerebrovascular disease and blood pressure control has been demonstrated in large-scale clinical studies. The antihypertensive drug therapy significantly reduces the recurrence rate of all types of cerebrovascular disease, incidences of myocardial infarction and all vascular events...
September 2016: Journal of Hypertension
https://www.readbyqxmd.com/read/27642893/sy-08-2-hypertension-management-for-secondary-prevention-of-stroke
#9
Kazuyuki Shimada
Stroke is known to frequently recur in patients with a history of cerebrovascular disease, and the control of hypertension is extremely important for the treatment of those patients. The robust relationship between the recurrent cerebrovascular disease and blood pressure control has been demonstrated in large-scale clinical studies. The antihypertensive drug therapy significantly reduces the recurrence rate of all types of cerebrovascular disease, incidences of myocardial infarction and all vascular events...
September 2016: Journal of Hypertension
https://www.readbyqxmd.com/read/27526271/self-reported-benefits-and-adverse-outcomes-of-hot-yoga-participation
#10
Casey Mace, Brandon Eggleston
BACKGROUND: There is little to no scientific data about the health benefits or risks to participating in hot yoga, in particular distinguishing it from the practice of non-hot yoga. AIMS: This study aims to provide some preliminary evidence about the risks and benefits of participating in hot yoga. Future studies will be able to build off the findings herein. METHODS: This study utilized online survey software (Qualtrics) and recruited participants through convenience sampling (n = 157) by targeting yoga websites and online forums...
August 15, 2016: International Journal of Yoga Therapy
https://www.readbyqxmd.com/read/27412362/oral-non-steroidal-anti-inflammatory-drugs-single-dose-for-perineal-pain-in-the-early-postpartum-period
#11
REVIEW
Francesca Wuytack, Valerie Smith, Brian J Cleary
BACKGROUND: Many women experience perineal pain after childbirth, especially after having sustained perineal trauma. Perineal pain-management strategies are thus an important part of postnatal care. Non-steroidal anti-inflammatory drugs (NSAIDs) are a commonly used type of medication in the management of postpartum pain and their effectiveness and safety should be assessed. OBJECTIVES: To determine the effectiveness of a single dose of an oral NSAID for relief of acute perineal pain in the early postpartum period...
July 14, 2016: Cochrane Database of Systematic Reviews
https://www.readbyqxmd.com/read/26834697/synaptic-mechanisms-of-blast-induced-brain-injury
#12
REVIEW
Andrzej Przekwas, Mahadevabharath R Somayaji, Raj K Gupta
Blast wave-induced traumatic brain injury (TBI) is one of the most common injuries to military personnel. Brain tissue compression/tension due to blast-induced cranial deformations and shear waves due to head rotation may generate diffuse micro-damage to neuro-axonal structures and trigger a cascade of neurobiological events culminating in cognitive and neurodegenerative disorders. Although diffuse axonal injury is regarded as a signature wound of mild TBI (mTBI), blast loads may also cause synaptic injury wherein neuronal synapses are stretched and sheared...
2016: Frontiers in Neurology
https://www.readbyqxmd.com/read/26109273/migraine-features-in-patients-with-meniere-s-disease
#13
Yaser Ghavami, Hossein Mahboubi, Amy Y Yau, Marlon Maducdoc, Hamid R Djalilian
OBJECTIVES/HYPOTHESIS: To better understand the features of migraine in Meniere's disease (MD). STUDY DESIGN: Retrospective review of prospectively obtained surveys in an outpatient clinic of a tertiary medical center. METHODS: Detailed questionnaires on headaches and dizziness were given to consecutive patients presenting with dizziness. The responses were verified by the clinician with the patient. The data, in addition to the clinical history and audiogram, were used to diagnose patients with migraine headaches and MD using criteria set by the International Headache Society (IHS) and the American Academy of Otolaryngology-Head and Neck Surgery, respectively...
January 2016: Laryngoscope
https://www.readbyqxmd.com/read/25687529/orthostatic-hypotension-orthostatic-intolerance-and-frailty-the-irish-longitudinal-study-on-aging-tilda
#14
Matthew D L O'Connell, George M Savva, Chie Wei Fan, Rose Anne Kenny
Because frailty may represent impaired response to physiological stress we explored the associations between frailty and orthostatic hypotension (OH), and orthostatic intolerance (OI). This study was based on a cross-sectional analysis of 5692 community dwelling adults aged 50 years and older included in wave 1 of the Irish Longitudinal Study on Aging. Frailty was assessed using both the phenotypic (FP) and frailty index (FI) models. OH was defined as a drop of ≥20 mmHg in systolic blood pressure or a drop of ≥10 mmHg diastolic pressure on standing from a seated position...
May 2015: Archives of Gerontology and Geriatrics
https://www.readbyqxmd.com/read/25546915/-return-to-physical-activity-and-duration-of-exemption-from-physical-education-classes-after-mild-and-moderate-head-injury-in-children-at-school-age
#15
Karina Rozek, Stanisław Kwiatkowski, Maciej Tęsiorowski
GOAL: An attempt to explain the correlation between exemption from physical education classes at school, the length of their duration and the return to physical activity of children with mild and moderate head injury. MATERIAL AND THE METHOD: 55 patients the age of 7 to 17 years treated in two hospital centers due to mild and moderate head injury. The results were interpreted basing on an author's survey conducted among respondents in 1-2 weeks after the injury and after 12 weeks from sustained head injury...
2014: Przegla̧d Lekarski
https://www.readbyqxmd.com/read/25118579/a-united-kingdom-survey-of-concerns-needs-and-priorities-reported-by-patients-diagnosed-with-acoustic-neuroma
#16
Samuel C Leong, Tristram H Lesser
INTRODUCTION: The Patient Concerns Inventory-Acoustic Neuroma (PCI-AN) was developed to explore specifically the concerns that patients would like to discuss during their clinic consultation. The PCI covers a range of issues including hearing, intimacy, fatigue, financial/benefits, relationships, regret, and support for family. It also lists multidisciplinary team (MDT) members that patients would like to see or be referred on to. METHOD: The PCI-AN was emailed to members of the British Acoustic Neuroma Association...
March 2015: Otology & Neurotology
https://www.readbyqxmd.com/read/24682359/nocturnal-journey-of-body-and-mind-in-parkinson-s-disease-the-manifestations-risk-factors-and-their-relationship-to-daytime-symptoms-evidence-from-the-night-pd-study
#17
MULTICENTER STUDY
Roongroj Bhidayasiri, Pawut Mekawichai, Onanong Jitkritsadakul, Pattamon Panyakaew, Lalita Kaewwilai, Nonglak Boonrod, Sitthi Petchrutchatachart, Priya Jagota, Kamolwan Boonpeng, Surat Singmaneesakulchai, Suwanna Setthawatcharawanich
Nocturnal manifestations of Parkinson's disease (PD) are myriad, have diverse etiologies and include motor, sleep, urinary, and neuropsychiatric symptoms which are often associated with daytime somnolence. While most patients perceive these symptoms as troublesome, the recognition of nocturnal problems related to PD is still low in clinical practice. We conducted a survey using semi-structured interviews and self-rated questionnaires of 215 consecutive patients with PD enrolled in three centers in Thailand to determine the prevalence and risk factors of nocturnal disabilities and their relationship to daytime symptoms...
August 2014: Journal of Neural Transmission
https://www.readbyqxmd.com/read/24138959/oscillometric-measure-of-blood-pressure-detects-association-between-orthostatic-hypotension-and-depression-in-population-based-study-of-older-adults
#18
Claire O Regan, Patricia M Kearney, Hilary Cronin, George M Savva, Brian A Lawlor, Roseanne Kenny
BACKGROUND: White matter hyperintensities may contribute to depression by disrupting neural connections among brain regions that regulate mood. Orthostatic hypotension (OH) may be a risk factor for white matter hyperintensities and accumulating evidence, although limited suggests it may play a role in the development of late-life depression. The aim of this study was to examine the relationship between an oscillometric measure of orthostatic hypotension and depression in population based sample of older adults...
2013: BMC Psychiatry
https://www.readbyqxmd.com/read/23728158/three-dimensional-vestibular-ocular-reflex-testing-using-a-six-degrees-of-freedom-motion-platform
#19
Joyce Dits, Mark M J Houben, Johannes van der Steen
UNLABELLED: The vestibular organ is a sensor that measures angular and linear accelerations with six degrees of freedom (6DF). Complete or partial defects in the vestibular organ results in mild to severe equilibrium problems, such as vertigo, dizziness, oscillopsia, gait unsteadiness nausea and/or vomiting. A good and frequently used measure to quantify gaze stabilization is the gain, which is defined as the magnitude of compensatory eye movements with respect to imposed head movements...
May 23, 2013: Journal of Visualized Experiments: JoVE
https://www.readbyqxmd.com/read/23483469/-orthostatic-hypotension-in-the-elderly
#20
REVIEW
Teresa Ferrer-Gila, Cristian Rízea
Orthostatic hypotension (OH) is defined as a decrease in systolic blood pressure of 20 mmHg, or a decrease in diastolic blood pressure of 10 mmHg within three minutes of standing. It results from an inadequate response to postural changes in blood pressure. Common symptoms include dizziness, light-headedness, blurred vision, weakness, fatigue, nausea, palpitations, sweating, head and neck ache, slow cognitive performance and transient loss of conscientiousness. OH is a common problem among elderly patients and its aetiology is diverse, including autonomic nervous system dysfunction, cardiac problems, medication side effects, ageing changes or transitory deregulation of blood volume...
March 16, 2013: Revista de Neurologia
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