This document reviews research on quantitatively assessing, detecting, and suppressing Parkinson's disease (PD) hand tremor. Several studies are discussed that use devices and sensors to measure grip force, wrist movement, and hand tremors in PD patients performing various motor tasks. Assessment results are often compared to standard PD rating scales. The goal of this research is to develop more objective, accurate methods of assessing PD severity and motor function to improve diagnosis and treatment.
Randomized controlled trial of 12-week yoga therapy as lifestyle intervention...Yogacharya AB Bhavanani
Background: In the Indian subcontinent, 118 million people are with hypertension, and this figure is anticipated to double by 2025. Yoga has been widely claimed to play a role in the prevention and management of psychosomatic, stress-induced, and lifestyle disorders such as hypertension. Aims and Objective: To study the effect of 12 weeks of yoga therapy as a lifestyle intervention on cardiac autonomic functions in patients of essential hypertension. Materials and Methods: Subjects with hypertension from the Medicine Outpatient Department of the Jawaharlal Institute of Postgraduate Medical Education and Research were randomized into control and yoga groups. The control group was treated only with the allopathic medicines. The yoga group was given 12 weeks of yoga therapy module designed by JIPMER Institute Advanced Center for Yoga Therapy Education and Research along with the routine medical treatment. The participants’ blood pressure and cardiac autonomic function were recorded before and after the 12 weeks of the study period. Result: No significant change was observed in the body weight (BW), body mass index (BMI), abdominal circumference, and waist–hip ratio (WHR) in both the control and yoga groups at the end of the 12 week-study period. There was a significant decrease in the resting systolic pressure (SP), diastolic pressure (DP), rate pressure product (RPP), and mean arterial pressure (MAP) in the yoga group. In contrast, there was no significant change in the SP, DP, RPP, and MAP of the control group. High frequency (HF) power, total spectral power, and HF normalized units (nu) showed a significant increase in the yoga group. Low frequency (LF) power, HF power, and LF (nu) showed a significant (p o 0.05) decrease in the yoga group at the end of the 12-week yoga therapy. Conclusion: Twelve weeks of yoga therapy reduced both the SP and DP in the yoga group. Furthermore, yoga therapy increased the heart rate variability and vagal tone and decreased the sympathetic tone in the subjects with hypertension. At the same time, it increased both the parasympathetic and sympathetic reactivity
Who needs a swan ? : An evidence based approachdrucsamal
1) The document discusses guidelines for using invasive hemodynamic monitoring in heart failure patients, reviewing the evidence for both routine and selective use.
2) Meta-analyses have found no survival benefit to routine use in normotensive patients responding to diuretics. However, monitoring may be useful for carefully selected patients with persistent symptoms.
3) There are still open questions around identifying persistent congestion and whether combining inpatient with outpatient monitoring could improve outcomes. More research is needed that spans both inpatient and outpatient settings.
Randomized controlled trial of 12-week yoga therapy as lifestyle intervention...Yogacharya AB Bhavanani
Randomized controlled trial of 12-week yoga therapy as lifestyle intervention in patients of essential hypertension and cardiac autonomic function tests
This document provides an introduction to a review article about the clinical approach to diagnosing movement disorders. It discusses the prevalence of common movement disorders like Parkinson's disease and essential tremor. The key to diagnosis is accurately classifying the type of movement disorder present based on the clinical presentation. This involves defining the dominant abnormal movement as well as any associated neurological or non-neurological features. Once classified, the movement disorder can guide further diagnostic testing and help establish a differential diagnosis. The review will cover approaches to diagnosing akinetic-rigid syndromes and hyperkinetic disorders like tics, chorea, dystonia and tremor.
The document discusses recent advances in managing upper limb impairments after stroke. It describes studies that evaluated the long-term use of static hand-wrist orthoses, the use of table-top exergames to improve arm function, and a pilot study combining virtual reality and a myoelectric limb orthosis to restore movement. It also summarizes a controlled trial finding that non-immersive virtual reality treatment can effectively restore upper limb motor function and impact daily living activities when combined with conventional upper limb therapy.
Autonomic neuropathy is the most common complication of diabetes. Various studies showed that cardiac autonomic
neuropathy (CAN) in diabetes is strongly associated with microvascular complications. Cardiac autonomic neuropathy in Type 2 diabetics is detected by various autonomic function tests. The scope of the present study is to compare the sensitivity of sympathetic and parasympathetic function tests in the early detection of autonomic dysfunction in Type 2 diabetics. The Autonomic function tests which
are used to test the parasympathetic activity are deep breathing i.e., E: I ratio, valsalva ratio and Heart rate response to standing. The Sympathetic activity can be tested by using simple tests like blood pressure responses to standing, isometric handgrip test and cold pressure test. All the tests are capable for early detection of cardiovascular autonomic dysfunction. Results in our study showed that both Parasympathetic and sympathetic neuropathy was found in diabetics but parasympathetic cardiac autonomic function tests are more sensitive for the detection of cardiac autonomic neuropathy in type 2 diabetics than sympathetic cardiac autonomic function tests. Ultimately this study indicates that autonomic dysfunction occurs in diabetes Mellitus and Parasympathetic functional tests are highly sensitive in the early detection of Autonomic neuropathy.
Economic And Humanistic Outcomes Of Post Acs In Cardiac Rehabilitation Progra...guestaf1e4
The study evaluated a modified cardiac rehabilitation program (MCRP) compared to a conventional program in patients after acute coronary syndrome. Quality of life was measured using SF-36 at baseline and 12 months. MCRP showed improved physical and mental health scores compared to baseline and controls. MCRP was found to be highly cost-effective with minimal incremental cost ratios compared to usual care without rehabilitation. The study demonstrated that MCRP can improve patient outcomes and is a low-cost intervention that should be implemented more widely.
1) The document discusses risk stratification and prevention of sudden cardiac death (SCD) after ST-elevation myocardial infarction (STEMI). It reviews literature on the incidence of SCD in the early, subacute, and remote phases after MI.
2) EPS guided ICD implantation in the early phase limited to patients with inducible VT over 10s resulted in low mortality at 12 months follow up. However, larger studies found no benefit and possibly harm from routine early ICD implantation.
3) Current guidelines recommend ICD placement at least 40 days post-MI for those with LVEF 30-40% and symptoms, though risk stratification with EPS and biomarkers may help identify those most likely to benefit
Randomized controlled trial of 12-week yoga therapy as lifestyle intervention...Yogacharya AB Bhavanani
Background: In the Indian subcontinent, 118 million people are with hypertension, and this figure is anticipated to double by 2025. Yoga has been widely claimed to play a role in the prevention and management of psychosomatic, stress-induced, and lifestyle disorders such as hypertension. Aims and Objective: To study the effect of 12 weeks of yoga therapy as a lifestyle intervention on cardiac autonomic functions in patients of essential hypertension. Materials and Methods: Subjects with hypertension from the Medicine Outpatient Department of the Jawaharlal Institute of Postgraduate Medical Education and Research were randomized into control and yoga groups. The control group was treated only with the allopathic medicines. The yoga group was given 12 weeks of yoga therapy module designed by JIPMER Institute Advanced Center for Yoga Therapy Education and Research along with the routine medical treatment. The participants’ blood pressure and cardiac autonomic function were recorded before and after the 12 weeks of the study period. Result: No significant change was observed in the body weight (BW), body mass index (BMI), abdominal circumference, and waist–hip ratio (WHR) in both the control and yoga groups at the end of the 12 week-study period. There was a significant decrease in the resting systolic pressure (SP), diastolic pressure (DP), rate pressure product (RPP), and mean arterial pressure (MAP) in the yoga group. In contrast, there was no significant change in the SP, DP, RPP, and MAP of the control group. High frequency (HF) power, total spectral power, and HF normalized units (nu) showed a significant increase in the yoga group. Low frequency (LF) power, HF power, and LF (nu) showed a significant (p o 0.05) decrease in the yoga group at the end of the 12-week yoga therapy. Conclusion: Twelve weeks of yoga therapy reduced both the SP and DP in the yoga group. Furthermore, yoga therapy increased the heart rate variability and vagal tone and decreased the sympathetic tone in the subjects with hypertension. At the same time, it increased both the parasympathetic and sympathetic reactivity
Who needs a swan ? : An evidence based approachdrucsamal
1) The document discusses guidelines for using invasive hemodynamic monitoring in heart failure patients, reviewing the evidence for both routine and selective use.
2) Meta-analyses have found no survival benefit to routine use in normotensive patients responding to diuretics. However, monitoring may be useful for carefully selected patients with persistent symptoms.
3) There are still open questions around identifying persistent congestion and whether combining inpatient with outpatient monitoring could improve outcomes. More research is needed that spans both inpatient and outpatient settings.
Randomized controlled trial of 12-week yoga therapy as lifestyle intervention...Yogacharya AB Bhavanani
Randomized controlled trial of 12-week yoga therapy as lifestyle intervention in patients of essential hypertension and cardiac autonomic function tests
This document provides an introduction to a review article about the clinical approach to diagnosing movement disorders. It discusses the prevalence of common movement disorders like Parkinson's disease and essential tremor. The key to diagnosis is accurately classifying the type of movement disorder present based on the clinical presentation. This involves defining the dominant abnormal movement as well as any associated neurological or non-neurological features. Once classified, the movement disorder can guide further diagnostic testing and help establish a differential diagnosis. The review will cover approaches to diagnosing akinetic-rigid syndromes and hyperkinetic disorders like tics, chorea, dystonia and tremor.
The document discusses recent advances in managing upper limb impairments after stroke. It describes studies that evaluated the long-term use of static hand-wrist orthoses, the use of table-top exergames to improve arm function, and a pilot study combining virtual reality and a myoelectric limb orthosis to restore movement. It also summarizes a controlled trial finding that non-immersive virtual reality treatment can effectively restore upper limb motor function and impact daily living activities when combined with conventional upper limb therapy.
Autonomic neuropathy is the most common complication of diabetes. Various studies showed that cardiac autonomic
neuropathy (CAN) in diabetes is strongly associated with microvascular complications. Cardiac autonomic neuropathy in Type 2 diabetics is detected by various autonomic function tests. The scope of the present study is to compare the sensitivity of sympathetic and parasympathetic function tests in the early detection of autonomic dysfunction in Type 2 diabetics. The Autonomic function tests which
are used to test the parasympathetic activity are deep breathing i.e., E: I ratio, valsalva ratio and Heart rate response to standing. The Sympathetic activity can be tested by using simple tests like blood pressure responses to standing, isometric handgrip test and cold pressure test. All the tests are capable for early detection of cardiovascular autonomic dysfunction. Results in our study showed that both Parasympathetic and sympathetic neuropathy was found in diabetics but parasympathetic cardiac autonomic function tests are more sensitive for the detection of cardiac autonomic neuropathy in type 2 diabetics than sympathetic cardiac autonomic function tests. Ultimately this study indicates that autonomic dysfunction occurs in diabetes Mellitus and Parasympathetic functional tests are highly sensitive in the early detection of Autonomic neuropathy.
Economic And Humanistic Outcomes Of Post Acs In Cardiac Rehabilitation Progra...guestaf1e4
The study evaluated a modified cardiac rehabilitation program (MCRP) compared to a conventional program in patients after acute coronary syndrome. Quality of life was measured using SF-36 at baseline and 12 months. MCRP showed improved physical and mental health scores compared to baseline and controls. MCRP was found to be highly cost-effective with minimal incremental cost ratios compared to usual care without rehabilitation. The study demonstrated that MCRP can improve patient outcomes and is a low-cost intervention that should be implemented more widely.
1) The document discusses risk stratification and prevention of sudden cardiac death (SCD) after ST-elevation myocardial infarction (STEMI). It reviews literature on the incidence of SCD in the early, subacute, and remote phases after MI.
2) EPS guided ICD implantation in the early phase limited to patients with inducible VT over 10s resulted in low mortality at 12 months follow up. However, larger studies found no benefit and possibly harm from routine early ICD implantation.
3) Current guidelines recommend ICD placement at least 40 days post-MI for those with LVEF 30-40% and symptoms, though risk stratification with EPS and biomarkers may help identify those most likely to benefit
The document discusses several techniques used to evaluate cardiac arrhythmias, including the implantable loop recorder (ILR), upright tilt table testing, and signal-averaged electrocardiography (SAECG). The ILR can detect arrhythmias over long periods of time to help diagnose cryptogenic syncope. Tilt table testing aims to reproduce syncope but has low specificity. SAECG enhances small cardiac signals to detect late potentials associated with arrhythmia risk.
1) This study compared intravenous procainamide to intravenous amiodarone for the acute treatment of tolerated wide QRS tachycardia. 62 patients were randomized to receive either procainamide or amiodarone over 20 minutes.
2) The primary outcome was incidence of major cardiac adverse events within 40 minutes. Procainamide had a significantly lower rate of cardiac events (9% vs 41%). Secondary outcomes found procainamide more effective at terminating tachycardia episodes (67% vs 38%).
3) In conclusions, for acute treatment of wide QRS tachycardia, intravenous procainamide resulted in fewer major cardiac adverse events and was more effective at terminating tachycardia episodes compared
2010 Guidelines on Thoracic Aortic DiseaseSun Yai-Cheng
2010 ACCF/AHA/AATS/ACR/ASA/SCA/SCAI/SIR/STS/SVM Guidelines for the Diagnosis and Management of Patients With Thoracic Aortic Disease
Circulation 2010;121;e266-e369
This document outlines a stroke management protocol to standardize and expedite treatment for acute ischemic stroke patients. It discusses the importance of minimizing delays from symptom onset to treatment administration given the time-sensitive nature of stroke. The protocol details steps in the pre-hospital, emergency department, and in-hospital phases including rapid neurological assessment, imaging, criteria evaluation, and intravenous thrombolysis administration if eligible, with a goal of completing the entire process within 60 minutes or less. Adhering closely to established guidelines and protocols is emphasized to optimize outcomes for stroke patients.
Nursing management of critically ill patient in intensive care unitsANILKUMAR BR
Critical care nursing: it is the field of nursing with a focus on the utmost care of the critically ill (or) unstable patients.
Critically ill patients : critically ill patients are those who are at risk for actual (or) potential life threatening health problems.
Admission QGeneral appearance (consciousness)
Airway: Patency Position of artificial airway (if present)
Breathing: Quantity and quality of respirations (rate, depth, pattern, symmetry, effort, use of accessory muscles) Breath sounds Presence of spontaneous breathing.
Circulation and Cerebral Perfusion: ECG (rate, rhythm, and presence of ectopy) Blood pressure Peripheral pulses and capillary refill Skin, color, temperature, moisture Presence of bleeding Level of consciousness, responsiveness.
quick Check Assessment in CCU.
The document summarizes the student's observation of the trauma center at Abilene Regional Hospital. It describes various medical cases seen including abdominal pain, chest pain, and injuries from an automobile accident. It discusses the goals of triage in the trauma center to prioritize patients based on need. It also outlines safety guidelines followed in the trauma center including security protocols and monitoring systems. Finally, it describes the critical role of trauma nurses in providing fast, knowledgeable care under stressful conditions to stabilize patients and prevent further health deterioration.
The secondary assessment completes the full patient evaluation and identifies both life-threatening and non-life threatening injuries. It includes reassessing vital signs, taking a history, conducting a physical exam, monitoring the patient, providing treatment, making transport decisions, communicating with the receiving facility, and documenting findings. For critical patients, the secondary assessment may be abbreviated or postponed to focus on primary assessment and stabilization. The extent of the secondary assessment depends on the situation and patient condition.
Practice guidelines for the management electricalanestesiahsb
1. This document reviews guidelines for managing cardiac monitoring and upper extremity treatment for electrical injuries.
2. It recommends an ECG for all patients and admission for those with loss of consciousness, ECG abnormalities, or other injuries requiring admission.
3. While high-voltage injury patients are routinely admitted, the guidelines question if this is always necessary given most cardiac issues present within hours. More research is needed to determine optimal cardiac monitoring duration and disposition criteria.
The document provides guidelines for perioperative cardiovascular evaluation and management of patients undergoing noncardiac surgery. It was developed by an expert panel representing multiple medical societies. The guidelines include recommendations on preoperative risk assessment, management of valvular heart disease and pulmonary hypertension, use of cardiovascular implantable electronic devices, and approaches to predicting and reducing perioperative cardiac risk. A stepwise approach to preoperative cardiac assessment and management is presented based on urgency of surgery and estimated risk of major adverse cardiac events.
The document discusses the benefits of exercise for mental health. Regular physical activity can help reduce anxiety and depression and improve mood and cognitive functioning. Exercise causes chemical changes in the brain that may help protect against mental illness and improve symptoms.
This document provides information about various microphones and audio equipment for sale, including headset microphones, earset microphones, drum microphone kits, wireless microphone systems, headphones, and in-ear monitors. It highlights certain products that are part of a "40 Deals for 40 Years" promotion and lists mail-in rebates available on select Shure and Heil Audio products. The document contains product descriptions and pricing to help customers choose the right equipment for their needs.
O documento explica termos gramaticais encontrados em uma tira do cartunista Dik Browne. No primeiro quadrinho, Hagar chama sua esposa Helga de "menina" demonstrando romantismo. A expressão "você e eu" é um "aposto" que identifica quem forma uma boa dupla. O "vocativo" é o termo usado para chamar ou interpelar o interlocutor.
O documento apresenta uma lista de 60 adjetivos em grau normal e seu respectivo superlativo absoluto sintético formado através de sufixos como -íssimo, -rimo e -imo. A lista inclui adjetivos como ágil, agradável, alto e seus superlativos agilíssimo, agradabilíssimo e altíssimo respectivamente, mostrando exemplos da formação desse grau no português.
This document provides an overview of project management methodologies and certifications. It discusses how less than 1 in 3 software projects are completed on time and on budget, with communication issues often to blame for failures. It then summarizes several approaches that have been developed to improve project outcomes, including PRINCE2, Agile, PMBOK, Six Sigma, and ITIL. The document also lists certifications available in PRINCE2, Agile, and from PMI, and provides brief descriptions of PRINCE2 and Agile frameworks and principles.
El documento explica el uso del superlativo relativo en comparación con el superlativo normal. El superlativo relativo se utiliza para dar el grado máximo o mínimo de una cualidad a algo en relación con otras cosas dentro de un grupo, usando un artículo, adverbio de cantidad y adjetivo, y opcionalmente un complemento que empieza con "de" para especificar el grupo.
Parkinson's disease motor symptoms in machine learning a reviewhiij
This paper reviews related work and state-of-the-ar
t publications for recognizing motor symptoms of
Parkinson's Disease (PD). It presents research effo
rts that were undertaken to inform on how well
traditional machine learning algorithms can handle
this task. In particular, four PD related motor
symptoms are highlighted (i.e. tremor, bradykinesia
, freezing of gait and dyskinesia) and their detail
s
summarized. Thus the primary objective of this rese
arch is to provide a literary foundation for develo
pment
and improvement of algorithms for detecting PD rela
ted motor symptoms.
PARKINSON'S DISEASE MOTOR SYMPTOMS IN MACHINE LEARNING: A REVIEWhiij
This paper reviews related work and state-of-the-art publications for recognizing motor symptoms of
Parkinson's Disease (PD). It presents research efforts that were undertaken to inform on how well
traditional machine learning algorithms can handle this task. In particular, four PD related motor
symptoms are highlighted (i.e. tremor, bradykinesia, freezing of gait and dyskinesia) and their details
summarized. Thus the primary objective of this research is to provide a literary foundation for development
and improvement of algorithms for detecting PD related motor symptoms.
This study explored the relationship between heart rate variability (HRV) and cognitive performance in 13 patients after a first ischemic stroke and 15 age-matched healthy controls. Patients post-stroke had lower HRV at rest and during cognitive tasks compared to controls. HRV in stroke patients was less sensitive to changes in testing conditions and did not correlate with cognitive performance like it did in controls. The results suggest autonomic nervous system dysfunction in stroke patients is linked to their motor and cognitive impairments. Further research is needed but focusing clinical attention on autonomic function may help enhance rehabilitation outcomes.
This document discusses using machine learning algorithms to classify Parkinson's disease and compare parametric and nonparametric models. It analyzes a Parkinson's disease dataset using logistic regression as the parametric model and random forest and k-means algorithms as nonparametric models. The accuracy of each model is evaluated to determine which performs best at classifying the training and test data. Both motor and non-motor Parkinson's symptoms are considered. Three performance metrics - accuracy, sensitivity, and specificity - are used to evaluate the machine learning algorithms and models.
The document discusses several techniques used to evaluate cardiac arrhythmias, including the implantable loop recorder (ILR), upright tilt table testing, and signal-averaged electrocardiography (SAECG). The ILR can detect arrhythmias over long periods of time to help diagnose cryptogenic syncope. Tilt table testing aims to reproduce syncope but has low specificity. SAECG enhances small cardiac signals to detect late potentials associated with arrhythmia risk.
1) This study compared intravenous procainamide to intravenous amiodarone for the acute treatment of tolerated wide QRS tachycardia. 62 patients were randomized to receive either procainamide or amiodarone over 20 minutes.
2) The primary outcome was incidence of major cardiac adverse events within 40 minutes. Procainamide had a significantly lower rate of cardiac events (9% vs 41%). Secondary outcomes found procainamide more effective at terminating tachycardia episodes (67% vs 38%).
3) In conclusions, for acute treatment of wide QRS tachycardia, intravenous procainamide resulted in fewer major cardiac adverse events and was more effective at terminating tachycardia episodes compared
2010 Guidelines on Thoracic Aortic DiseaseSun Yai-Cheng
2010 ACCF/AHA/AATS/ACR/ASA/SCA/SCAI/SIR/STS/SVM Guidelines for the Diagnosis and Management of Patients With Thoracic Aortic Disease
Circulation 2010;121;e266-e369
This document outlines a stroke management protocol to standardize and expedite treatment for acute ischemic stroke patients. It discusses the importance of minimizing delays from symptom onset to treatment administration given the time-sensitive nature of stroke. The protocol details steps in the pre-hospital, emergency department, and in-hospital phases including rapid neurological assessment, imaging, criteria evaluation, and intravenous thrombolysis administration if eligible, with a goal of completing the entire process within 60 minutes or less. Adhering closely to established guidelines and protocols is emphasized to optimize outcomes for stroke patients.
Nursing management of critically ill patient in intensive care unitsANILKUMAR BR
Critical care nursing: it is the field of nursing with a focus on the utmost care of the critically ill (or) unstable patients.
Critically ill patients : critically ill patients are those who are at risk for actual (or) potential life threatening health problems.
Admission QGeneral appearance (consciousness)
Airway: Patency Position of artificial airway (if present)
Breathing: Quantity and quality of respirations (rate, depth, pattern, symmetry, effort, use of accessory muscles) Breath sounds Presence of spontaneous breathing.
Circulation and Cerebral Perfusion: ECG (rate, rhythm, and presence of ectopy) Blood pressure Peripheral pulses and capillary refill Skin, color, temperature, moisture Presence of bleeding Level of consciousness, responsiveness.
quick Check Assessment in CCU.
The document summarizes the student's observation of the trauma center at Abilene Regional Hospital. It describes various medical cases seen including abdominal pain, chest pain, and injuries from an automobile accident. It discusses the goals of triage in the trauma center to prioritize patients based on need. It also outlines safety guidelines followed in the trauma center including security protocols and monitoring systems. Finally, it describes the critical role of trauma nurses in providing fast, knowledgeable care under stressful conditions to stabilize patients and prevent further health deterioration.
The secondary assessment completes the full patient evaluation and identifies both life-threatening and non-life threatening injuries. It includes reassessing vital signs, taking a history, conducting a physical exam, monitoring the patient, providing treatment, making transport decisions, communicating with the receiving facility, and documenting findings. For critical patients, the secondary assessment may be abbreviated or postponed to focus on primary assessment and stabilization. The extent of the secondary assessment depends on the situation and patient condition.
Practice guidelines for the management electricalanestesiahsb
1. This document reviews guidelines for managing cardiac monitoring and upper extremity treatment for electrical injuries.
2. It recommends an ECG for all patients and admission for those with loss of consciousness, ECG abnormalities, or other injuries requiring admission.
3. While high-voltage injury patients are routinely admitted, the guidelines question if this is always necessary given most cardiac issues present within hours. More research is needed to determine optimal cardiac monitoring duration and disposition criteria.
The document provides guidelines for perioperative cardiovascular evaluation and management of patients undergoing noncardiac surgery. It was developed by an expert panel representing multiple medical societies. The guidelines include recommendations on preoperative risk assessment, management of valvular heart disease and pulmonary hypertension, use of cardiovascular implantable electronic devices, and approaches to predicting and reducing perioperative cardiac risk. A stepwise approach to preoperative cardiac assessment and management is presented based on urgency of surgery and estimated risk of major adverse cardiac events.
The document discusses the benefits of exercise for mental health. Regular physical activity can help reduce anxiety and depression and improve mood and cognitive functioning. Exercise causes chemical changes in the brain that may help protect against mental illness and improve symptoms.
This document provides information about various microphones and audio equipment for sale, including headset microphones, earset microphones, drum microphone kits, wireless microphone systems, headphones, and in-ear monitors. It highlights certain products that are part of a "40 Deals for 40 Years" promotion and lists mail-in rebates available on select Shure and Heil Audio products. The document contains product descriptions and pricing to help customers choose the right equipment for their needs.
O documento explica termos gramaticais encontrados em uma tira do cartunista Dik Browne. No primeiro quadrinho, Hagar chama sua esposa Helga de "menina" demonstrando romantismo. A expressão "você e eu" é um "aposto" que identifica quem forma uma boa dupla. O "vocativo" é o termo usado para chamar ou interpelar o interlocutor.
O documento apresenta uma lista de 60 adjetivos em grau normal e seu respectivo superlativo absoluto sintético formado através de sufixos como -íssimo, -rimo e -imo. A lista inclui adjetivos como ágil, agradável, alto e seus superlativos agilíssimo, agradabilíssimo e altíssimo respectivamente, mostrando exemplos da formação desse grau no português.
This document provides an overview of project management methodologies and certifications. It discusses how less than 1 in 3 software projects are completed on time and on budget, with communication issues often to blame for failures. It then summarizes several approaches that have been developed to improve project outcomes, including PRINCE2, Agile, PMBOK, Six Sigma, and ITIL. The document also lists certifications available in PRINCE2, Agile, and from PMI, and provides brief descriptions of PRINCE2 and Agile frameworks and principles.
El documento explica el uso del superlativo relativo en comparación con el superlativo normal. El superlativo relativo se utiliza para dar el grado máximo o mínimo de una cualidad a algo en relación con otras cosas dentro de un grupo, usando un artículo, adverbio de cantidad y adjetivo, y opcionalmente un complemento que empieza con "de" para especificar el grupo.
Parkinson's disease motor symptoms in machine learning a reviewhiij
This paper reviews related work and state-of-the-ar
t publications for recognizing motor symptoms of
Parkinson's Disease (PD). It presents research effo
rts that were undertaken to inform on how well
traditional machine learning algorithms can handle
this task. In particular, four PD related motor
symptoms are highlighted (i.e. tremor, bradykinesia
, freezing of gait and dyskinesia) and their detail
s
summarized. Thus the primary objective of this rese
arch is to provide a literary foundation for develo
pment
and improvement of algorithms for detecting PD rela
ted motor symptoms.
PARKINSON'S DISEASE MOTOR SYMPTOMS IN MACHINE LEARNING: A REVIEWhiij
This paper reviews related work and state-of-the-art publications for recognizing motor symptoms of
Parkinson's Disease (PD). It presents research efforts that were undertaken to inform on how well
traditional machine learning algorithms can handle this task. In particular, four PD related motor
symptoms are highlighted (i.e. tremor, bradykinesia, freezing of gait and dyskinesia) and their details
summarized. Thus the primary objective of this research is to provide a literary foundation for development
and improvement of algorithms for detecting PD related motor symptoms.
This study explored the relationship between heart rate variability (HRV) and cognitive performance in 13 patients after a first ischemic stroke and 15 age-matched healthy controls. Patients post-stroke had lower HRV at rest and during cognitive tasks compared to controls. HRV in stroke patients was less sensitive to changes in testing conditions and did not correlate with cognitive performance like it did in controls. The results suggest autonomic nervous system dysfunction in stroke patients is linked to their motor and cognitive impairments. Further research is needed but focusing clinical attention on autonomic function may help enhance rehabilitation outcomes.
This document discusses using machine learning algorithms to classify Parkinson's disease and compare parametric and nonparametric models. It analyzes a Parkinson's disease dataset using logistic regression as the parametric model and random forest and k-means algorithms as nonparametric models. The accuracy of each model is evaluated to determine which performs best at classifying the training and test data. Both motor and non-motor Parkinson's symptoms are considered. Three performance metrics - accuracy, sensitivity, and specificity - are used to evaluate the machine learning algorithms and models.
This study analyzed different methods of re-imaging handwritten signatures from patients with Parkinson's disease to determine which methods produced samples most similar to the original. The signatures were analyzed using MATLAB to measure metrics like area, ink deposit, and density. Statistical analysis showed that high quality scans, photocopies, and double photocopies produced samples most similar to the original, while techniques like photos and faxes significantly altered the signature quality. Maintaining high quality samples is important for accurately tracking disease progression and assessing treatment effectiveness.
This meta-analysis reviewed 16 randomized controlled trials comparing the effectiveness of motor control exercises (MCE) to other treatments for chronic or recurrent low back pain. The analysis found that MCE was superior to general exercise in reducing both disability in the short, intermediate, and long term, and pain in the short and intermediate term. MCE was also superior to minimal interventions like advice or placebo for both pain and disability outcomes at all time periods. Compared to spinal manual therapy, MCE demonstrated superior results for reducing disability but not pain. The studies varied in quality but provided evidence that MCE can better improve pain and disability for low back pain over the short to long term compared to other common treatments.
Acupuncture and/or moxibustion for the treatment of lumbar disc herniation: q...LucyPi1
This document summarizes a systematic review that assesses the quality of 18 systematic reviews on the use of acupuncture and/or moxibustion for treating lumbar disc herniation. It finds that acupuncture and moxibustion show some advantages in efficacy and safety for lumbar disc herniation treatment. However, the quality of evidence is generally low according to GRADE assessments. While the methodological quality of the reviews was moderate and report quality was good, the original research had poor quality, which was reflected in the low quality of evidence ratings. More high-quality studies are still needed to determine if acupuncture is more effective than other treatments.
This document proposes a randomized controlled study to investigate the effects of bright light therapy on sleep and mood disorders in Parkinson's disease. 80 Parkinson's patients will be included and randomized to either real or placebo light therapy groups. Primary outcomes will be mood measures, and sleep parameters, motor symptoms, physiological markers, and biological rhythms will also be assessed if additional funding is obtained. The goal is to develop an effective non-pharmacological therapy to improve sleep, mood, and quality of life for Parkinson's patients.
The document summarizes a randomized controlled trial that assessed the effectiveness of arm ergometer training for improving spasticity, range of motion, and motor control in patients with sub-acute and chronic stroke. 40 patients were divided into two groups - one that received conventional therapy alone and one that received conventional therapy plus arm ergometer training. The results showed that the group receiving arm ergometer training in addition to conventional therapy had significantly greater reductions in spasticity, as well as greater improvements in range of motion and gross motor function compared to the conventional therapy alone group. The study concluded that conventional therapy combined with arm ergometer treatment was effective for reducing spasticity and improving motor outcomes in sub-acute and chronic stroke
Computers have become integral tools in the medical field, helping doctors discover, test, and apply new techniques while also providing an infrastructure to share medical knowledge globally. Computers are used extensively in areas like CT scans, heart rate monitoring, surgery, research, and spectroscopy, creating new opportunities to save lives and advance human health. In particular, technologies like CT scans and MRI machines use computer processing to generate detailed images of the inside of the body.
Occupational Therapy Management for Parkinson's Disease - Webinar 2024Phinoj K Abraham
In this presentation, you'll learn:
- Impact of PD on daily life: Understand how PD affects a person's occupational performance and quality of life through the WHO's ICF (International Classification of Functioning, Disability, and Health) model.
- Current practice gaps in OT for PD: identify areas where occupational therapy management for PD can be improved based on current research.
- Comprehensive OT interventions: Discover evidence-based occupational therapy approaches for managing PD symptoms, including "what," "when," and "how" to implement them.
- Formulating PD rehab services: Gain insights on developing comprehensive PD rehabilitation programs tailored to your specific context.
- Extensive references: Access a complete list of references cited in the presentation for further exploration.
Parkinson’s Disease is the second most common progressive neurodegenerative disorder affecting older American adults and is predicted to increase in prevalence as the United States population ages. Resulting from a pathophysiologic loss or degeneration of dopaminergic neurons in the substantia nigra of the midbrain and the development of neuronal Lewy Bodies, idiopathic Parkinson’s Disease is associated with risk factors including aging, family history, pesticide exposure and environmental chemicals (e.g., synthetic heroin use). Its ultimate cause(s) is (are) unknown. Characterized by both motor and non-motor symptoms, PD patients classically display rest tremor, rigidity, bradykinesia, and stooping posture. PD can also be associated with neurobehavioral disorders (depression, anxiety), cognitive impairment (dementia), and autonomic dysfunction (e.g., orthostasis and hyperhidrosis). Recent decades have witnessed a proliferation of medical pharmacologic therapies and innovative surgical interventions like deep brain stimulation (DBS). However, definitive disease-modifying therapy is still lacking. Experimental therapies are being developed and tested with limited results. Knowledge of strategies to promote optimal quality of life for PD patients is of paramount importance for caregivers, health providers and patients themselves.
Diagnoses from an on-line expert system for chronic pain confirmed by intra-o...Nelson Hendler
The Diagnostic Paradigm from www.MarylandClinicalDiagnostics.com is an on-line expert system, which gives diagnoses with a 96% correlation with diagnoses of Johns Hopkins Hospital doctors. To further confirm the accuracy of the Diagnostic Paradigm, a professor of neurosurgery from the University of Rome found 100% of the time, his intra-operative findings confirmed the diagnoses of the Diagnostic Paradigm. The Diagnostic Paradigm can be used to get pre-authorization for surgery from insurance companies, since it documents medical necessity
Depression in Parkinson’s disease- diagnosis and treatment.pdfLthJean1
Depression is highly prevalent in Parkinson's disease (PD), affecting 20-50% of patients. It is associated with worse disability and quality of life. The key symptoms are depressed mood and anhedonia. Scales recommended for screening include HAM-D, BDI, HADS, MADRS, and GDS. For mild depression, non-pharmacological interventions are preferred, but for moderate depression antidepressants are indicated. Evidence supports amitriptyline and nortriptyline effectiveness, though they require caution in elderly patients. Other options include SSRIs like citalopram, escitalopram, sertraline, as well as bupropion, trazodone,
Activity and emotion recognition to support diagnosis of psychiatric diseasesCoRehab
The document discusses using pervasive computing to support early diagnosis of bipolar disorder. It proposes monitoring specific behaviors and symptoms related to mania and depression, such as insomnia, verbal and motor activity, contacts, and mood, using sensors. A system architecture is proposed that collects context data from sensors, recognizes activities and emotions, and provides feedback to help doctors diagnose bipolar disorder episodes earlier through remote monitoring of patients. Future work includes implementing the system and testing it with patients and doctors.
No association between prepulse inhibition of the startle reflex and neuropsyc...Benjamin Cortes
Abstract: Sensorimotor gating deficits are relevant in schizophrenia and can be measured using prepulse inhibition (PPI) of the startle reflex. It is conceivable that such deficits may hinder the cognitive functions in schizophrenia patients. In this study, using PPI and a neuropsychological battery, we studied this possibility in a group of 23 acute, neuroleptic-free schizophrenia patients and 16 controls. A non-significant decrease in PPI was found in the patients as compared to the controls, as well as significant differences in the performance of Trail A and B in Wisconsin
Card Sorting and Digit/Symbol Tests. No statistically significant correlations between PPI and neuropsychological performance were found after the correction for multiple comparisons in any group. Our results suggest that PPI deficits in schizophrenia patients may not contribute to the cognitive deficits typical of that illness, at least in patients with a non-significant PPI decrease.
This white paper discusses Innoception Technologies' new integrated health platform that combines various technologies to allow customers to track their health online in a dynamic and accurate way. The platform aims to go beyond traditional medicine by revealing a person's optimal physiological baseline and supporting personalized healthcare. A unique collaboration between existing businesses and their proprietary technologies will allow for comprehensive analysis of bio-signals and medical data to better understand health issues and enable early intervention.
This document provides a critical evaluation of the new DSM-5 diagnosis of somatic symptom disorder (SSD) and proposes modifications. It discusses problems with the previous DSM-IV somatoform disorder diagnoses and evaluates the validity of the new SSD criteria in DSM-5. While recognizing improvements made in DSM-5, it identifies several shortcomings of the SSD diagnosis and argues that more research is needed on similarities and differences between medically explained and unexplained conditions. The document proposes a modification to the DSM-5 criteria for somatic symptom disorders to allow continuing successful research lines while using the new system.
Comparison of 3 d shoulder complex kinematic part 1Satoshi Kajiyama
This study compared shoulder complex kinematics between individuals with and without shoulder pain. Transcortical bone pins were inserted into the clavicle, scapula, and humerus of 12 asymptomatic and 10 symptomatic individuals. Angular positions of the sternoclavicular, acromioclavicular, and scapulothoracic joints were measured during shoulder motions. Differences were found between groups for sternoclavicular and scapulothoracic joint positions, with symptomatic individuals demonstrating less sternoclavicular posterior rotation and scapulothoracic upward rotation. However, the magnitude of differences was small and clinical implications are not fully understood.