Explaining Freezing of Gait in Parkinson’s Disease: Motor and Cognitive Determinants.

Explaining freezing of gait in Parkinson’s disease: Motor and cognitive determinants.

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Mov Disord. 2012 Oct 31;
Vercruysse S, Devos H, Munks L, Spildooren J, Vandenbossche J, Vandenberghe W, Nieuwboer A, Heremans E

Freezing of gait (FOG) is part of a complex clinical picture in Parkinson’s disease (PD) and is largely refractory to standard care. Diverging hypotheses exist about its origins, but a consolidated view on what determines FOG is lacking. The aim of this study was to develop an integrative model of FOG in people with PD. This cross-sectional study included 51 Parkinson subjects: 24 patients without FOG and 27 with FOG matched for age, gender, and disease severity. Subjects underwent an extensive clinical test battery evaluating general disease characteristics, gait and balance, nongait freezing, and cognitive functions. The relative contribution of these outcomes to FOG was determined using logistic regression analysis. The combination of the following four independent contributors provided the best explanatory model of FOG (R(2) = 0.49): nongait freezing; levodopa equivalent dose (LED); cognitive impairment; and falls and balance problems. The model yields a high-risk profile for FOG (P > 95%) when Parkinson patients are affected by at least one type of nongait freezing (e.g., freezing of other repetitive movements), falls or balance problems during the last 3 months, and a Scales for Outcomes in Parkinson’s Disease-Cognition score below 28. A high LED further increases the risk of FOG to 99%. Nongait freezing, increased dopaminergic drug dose, cognitive deficits, and falls and balance problems are independent determinants of FOG in people with PD and may play a synergistic role in its manifestation. © 2012 Movement Disorder Society.
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Topographic Analysis of Maxillary Premolars and Molars and Maxillary Sinus Using Cone Beam Computed Tomography.

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Implant Dent. 2012 Oct 30;
Yoshimine SI, Nishihara K, Nozoe E, Yoshimine M, Nakamura N

PURPOSE:: This study evaluated the anatomical characteristics of the maxillary premolars and molars and the maxillary sinus using cone beam computed tomography (CBCT) for dental implant treatment. MATERIALS AND METHODS:: Ten linear items and 1 angular item on 30 sites in 30 patients were measured on 3-dimensional computed tomography images using CBCT. The vertical relationship between the maxillary sinus and the maxillary molars was classified into 5 categories. RESULTS:: The horizontal thickness of the buccal alveolar bone was thinnest on the maxillary first premolars, and the horizontal thickness of the palatal alveolar bone was thickest on the maxillary second molars. Type II was most common on the maxillary first molars. The internal angle at the maxillary premolars was significantly greater than that at the maxillary molars. The internal angle and vertical distance between the apex of the roots and the maxillary sinus floor showed a positive correlation on the maxillary first premolars (P = 0.003). CONCLUSION:: For the selection of an appropriate approach on dental implant treatment, the evaluation of maxillary premolars and molars using of CBCT can be recommended.
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Recovery – reshaping our clinical and scientific responsibilities.

Filed under: Rehab Centers

Psychiatr Danub. 2012 Oct; 24 Suppl 3: 291-7
Amering M

Advocacy for Recovery has been joined by research offering new perspectives on mental health policy, treatment, rehabilitation and anti-discrimination efforts.Chances and challenges of a Recovery model for the mental health field will be presented and discussed. KEY MESSAGES: Recovery is currently widely endorsed as a guiding principle of mental health policy. New rules for services, e.g. user involvement and person-centred care, as well as new tools for clinical collaborations, e.g. shared decision making and psychiatric advance directives, are being complemented by new proposals regarding more ethically consistent anti-discrimination and involuntary treatment legislation as well as participatory approaches to evidence-based medicine and policy. Recovery advocacy has been joined by research on recovery and resilience resulting in new data on the long-term perspectives of people experiencing common as well as severe mental health problems. Definitions of remission and recovery as well as the concept of chronicity are under debate. Research questions regarding recovery as a process as well as an outcome warrant scientific efforts enabling the integration of different perspectives as well as different methodologies.Consequences and challenges of the Recovery model need to be tackled from different perspectives by clinicians, researchers, policy makers and – essentially – users and carers and their representatives in order to be fully explored and brought to life.
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Dr Laudadio’s Health Tip Video from County Line Chiropractic Medical & Rehab Centers – WWW.COUNTYLINECHIRO.COM Meet Dr Laudadio from County Line Chiropractic Medical & Rehab Centers. Dr Laudadio is sharing a quick health tip. This health tip is about exercises for sciatica. Our mission is to serve South Florida’s community with outstanding chiropractic care. Our friendly staff is experienced and ready to serve you. We are committed to your health and we want to make you one of the success stories. Wehave five locations in South Florida. If you have back pain, had a injury, or have been in a car accident. Please give us a call to schedule an appointment 1-800-811-1231 For all of our locations log on to our website at WWW.COUNTYLINECHIRO.COM The video was produced by ALLIN1PRODUCTIONS.


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