global issues for the practicing neurologist

... Clinical Neurology EPILEPSY: GLOBAL ISSUES FOR THE PRACTICING NEUROLOGIST World Federation of Neurology Seminars in Clinical Neurology Epilepsy: Global Issues for the Practicing Neurologist Jerome Engel, ... EPILEPSY: GLOBAL ISSUES FOR THE PRACTICING NEUROLOGIST KEYPOINTS I The Global Campaign against Epilepsy, a joint program of the WHO, ILAE, and IBE, was launched in 1997 to “bring epilepsy out of the ... generated at a subcortical level Thus, the distinction between epileptic seizures and some subcortical positive symp- EPILEPSY: GLOBAL ISSUES FOR THE PRACTICING NEUROLOGIST KEYPOINTS I When diagnosis...

Ngày tải lên: 09/08/2014, 20:22

... useful in the workup of patients presenting with paroxys- 19 EPILEPSY: GLOBAL ISSUES FOR THE PRACTICING NEUROLOGIST KEYPOINTS I Unless the EEG is performed correctly and interpreted by someone formally ... Consciousness is retained during the episodes, and except for the sleep-related form, the other types of paroxysmal dyskinesias tend to disappear during sleep Hyperekplexia is another form of paroxysmal movement ... Adolescents There is a strong, but by no means absolute, correlation between the occurrence of interictal EEG epileptiform discharges and the predisposition for epileptic seizures Therefore, the EEG...

Ngày tải lên: 09/08/2014, 20:22

... CI data for epilepsy in the developing world are available In developed countries, the CI is 35 EPILEPSY: GLOBAL ISSUES FOR THE PRACTICING NEUROLOGIST KEYPOINTS I In many regions of the developing ... by the ILAE Commission on Classification and Terminology in 1989 Epilepsies are defined based on the seizure types and their possible etiology 33 EPILEPSY: GLOBAL ISSUES FOR THE PRACTICING NEUROLOGIST ... of AED therapy has not been defined, but most physicians would treat such patients with AEDs for about to years 29 EPILEPSY: GLOBAL ISSUES FOR THE PRACTICING NEUROLOGIST KEYPOINTS I If there is...

Ngày tải lên: 09/08/2014, 20:22

... open wards with other patients and families nearby, the discussion should take place outside of the ward 47 EPILEPSY: GLOBAL ISSUES FOR THE PRACTICING NEUROLOGIST KEYPOINTS I The dread of a generalized ... of epilepsy Refer to Chapter for a detailed discussion of the differential diagnosis of 45 EPILEPSY: GLOBAL ISSUES FOR THE PRACTICING NEUROLOGIST KEYPOINTS I I I The possibility that epileptic ... developing coun- 39 EPILEPSY: GLOBAL ISSUES FOR THE PRACTICING NEUROLOGIST tries, mainly due to the relatively younger age of the population However, an increase in the average life span in some...

Ngày tải lên: 09/08/2014, 20:22

... countermand the overriding recommendation to discontinue medication when possible 63 EPILEPSY: GLOBAL ISSUES FOR THE PRACTICING NEUROLOGIST KEYPOINTS I The percentage of the drug within the various ... epileptiform discharges may be present in persons who not have epilepsy Therefore, a clear diagnostic hypothesis should be in the physician’s mind before the EEG is ordered, to avoid the simplistic ... EPILEPSY: GLOBAL ISSUES FOR THE PRACTICING NEUROLOGIST CASE STUDY Presentation: An 18-year-old woman suffers from headaches, which are often diffuse, but from time to time lateralized to either the...

Ngày tải lên: 09/08/2014, 20:22

... years apart, and there would seem to be even more justification for foregoing treatment in such patients in developing countries 71 EPILEPSY: GLOBAL ISSUES FOR THE PRACTICING NEUROLOGIST CASE ... malaria risks decline The mother was instructed to bring the child back for review when the rains started the following year, so the medication could be reinitiated for the months of peak seasonal ... driving 69 EPILEPSY: GLOBAL ISSUES FOR THE PRACTICING NEUROLOGIST KEYPOINTS I The best preventive measure against burns is not to be exposed to fire This is not an easy undertaking for women in developing...

Ngày tải lên: 09/08/2014, 20:22

... on multiple other drugs, par- 85 EPILEPSY: GLOBAL ISSUES FOR THE PRACTICING NEUROLOGIST ticularly the elderly Because GBP is not metabolized in the liver and depends on the kidneys for elimination, ... 95 EPILEPSY: GLOBAL ISSUES FOR THE PRACTICING NEUROLOGIST KEYPOINTS I The prototype of a surgically remediable epilepsy syndrome is mesial temporal lobe epilepsy, the most common form of epilepsy, ... clonazepam) are the commonly used AEDs that are effective against different seizure types ACTH and 89 EPILEPSY: GLOBAL ISSUES FOR THE PRACTICING NEUROLOGIST KEYPOINTS I In developing countries, the management...

Ngày tải lên: 09/08/2014, 20:22

... Issues formed, or forbidden, depending on their supposed benefit or their disadvantages for the patient If they are diagnosed as positive forces for the patient, they will be worn in different forms ... 109 EPILEPSY: GLOBAL ISSUES FOR THE PRACTICING NEUROLOGIST KEYPOINTS I Ridiculing the traditional beliefs of patients and their families is not the solution because it can offend their cultural ... evaluation with the need to make epilepsy surgery widely available 99 EPILEPSY: GLOBAL ISSUES FOR THE PRACTICING NEUROLOGIST KEYPOINTS I For patients with pharmacoresistant seizures, who are the greatest...

Ngày tải lên: 09/08/2014, 20:22

... EPILEPSY: GLOBAL ISSUES FOR THE PRACTICING NEUROLOGIST KEYPOINTS I Although novel AEDs have been developed, the high cost of these new agents dictates that older AEDs will figure prominently in the ... Global Health Forum for Health Research for a review of the evidence base for priority setting in epilepsy research Furthermore, the applicability to epilepsy of the common format for priority setting ... among others CONCLUSIONS As highly trained physicians, neurologists in developing countries carry substantial “social capital.” Because there are too few 121 EPILEPSY: GLOBAL ISSUES FOR THE PRACTICING...

Ngày tải lên: 09/08/2014, 20:22

... organizathe project meets its outcome measures is tions, other nongovernmental organizations central to their work on neurology and neuroscience, WHO 129 EPILEPSY: GLOBAL ISSUES FOR THE PRACTICING NEUROLOGIST ... Patients and their families will be educated about: 131 EPILEPSY: GLOBAL ISSUES FOR THE PRACTICING NEUROLOGIST – the nature of epilepsy and its characteristics, causes, and prognosis; – the nature ... representative; for the Demonstration Project in the country • Presence of an IBE and an ILAE member where it is held They are responsible for organization, or groups that have the constructing the project’s...

Ngày tải lên: 09/08/2014, 20:22

... however, little changed for the next couple of decades The passage of the Organic Foods Production Act in 1990 mandated the development by the USDA of national rules for organic certification ... supports The EU does not set specific targets for market share, but: “intends to provide the conditions that will allow the sector to develop and thereby make the most of its market potential.” The ... programs and enhance the educational opportunities for industry participants, with the expectation that these activities will have the returns to research historically seen for other agriculture...

Ngày tải lên: 14/02/2014, 03:20

... provides state-ofthe-art information about COPD for pulmonary specialists and other interested physicians The document serves as a source for the production of various communications for other audiences, ... regulators The Committee does not make recommendations for therapies that have not been approved by at least one regulatory agency HT E D As an example of the workload of the Committee, for the * ... with state-of -the- art information about COPD management and prevention strategies The GOLD report, Global Strategy for the Diagnosis, Management, and Prevention of COPD, is based on the best-validated...

Ngày tải lên: 21/02/2014, 12:20

... while the patient walks Normally with each step, the patient plants the heel with the foot dorsiflexed and then rocks the foot forward to push off with the ball of the foot Weakness of the feet ... affecting half the body) usually point to the brain rather than the spinal cord as the origin of the deficits This is clearly the case if the face or head is involved If the hemisyndrome spares the face, ... immobilize all but the distal phalanx, asking the patient to relax the finger With the other hand, the Chapter / Patients With Movement Disorders 15 examiner grasps the tip of the patient’s finger,...

Ngày tải lên: 05/03/2014, 23:20

... exacerbate the magnitude of the downturns that caused them The extent of adverse spillover from the banking sector to other sectors depends on the degree of leverage elsewhere The higher the leverage ... ceteris paribus, the more leveraged are the banks or other institutions, the smaller is the adverse shock required to drive a bank or other institution into insolvency, and the greater is the likelihood ... passed along the transmission chain In addition, the faster the transmission occurs, the more difficult it is for units to develop their protection after the shock has occurred, and the more important...

Ngày tải lên: 06/03/2014, 10:20

... 2008-2013 Action Plan for the Global Strategy for the Prevention and Control of Noncommunicable Diseases Foreword 05 Introduction 07 01 02 03 04 Action Plan for the Global Strategy for the Prevention ... development This document: - makes the case for urgent action between 2008-2013 which, when performed collectively in accordance with the Action Plan for the Global Strategy for the Prevention and Control ... requesting the Director-General to formulate a global strategy for the prevention and control of noncommunicable diseases and to submit the proposed global strategy and a plan for implementation to the...

Ngày tải lên: 07/03/2014, 04:20

... from that paper Before the development of kinetic theory in the middle of the 19th century, the transfer of heat was explained by the “caloric” theory This theory was introduced by the French chemist ... calculating the power requirements for heating liquids in open tanks The obvious variables would be the depth of liquid in the tank, the density and viscosity of the liquid, the speed of the agitator, the ... exchangers The trap is usually attached at the bottom of the exchanger When condensate enters the steam trap, the liquid fills the entire body of the trap A small hole in the top of the trap permits...

Ngày tải lên: 08/03/2014, 17:20

... health professions workforce strategy I will direct you to the recent report of the World Health Organization (WHO) The following statement of the WHO Global Health Workforce Alliance supports ... testimony will be provided without the benefit of accompanying graphs and charts Information regarding the pharmacist workforce, as well as any other health professions workforce, is readily accessible ... the health professions workforce [3] Today we should remove ourselves from the issue of quantity and discuss our next steps in the area of a health professions workforce in terms of quality The...

Ngày tải lên: 14/03/2014, 21:20

... morale Legislation is another force that drives the need for network security Governments recognize both the importance of the Internet and the fact that substantial portions of the world’s economic ... available in versions suitable for home use The firewall creates a protective layer between the network and the outside world In effect, the firewall replicates the network at the point of entry so that ... deploy them without much understanding of how they work or their effects Unaware Staff As employees focus on their specific job duties, they often overlook standard network security rules For example,...

Ngày tải lên: 14/03/2014, 22:20

... at a therapeutic level for the patient blood pressure That tension exerted upon any vessel wall by the circulation The higher sphygmomanometer number is the systolic reading, and the lower, the ... incest The insidious practice of sexual demands within the family (The child is never responsible.) These youngsters may yield to the parents' demand to protect the family by keeping their secret ... of the mouth opening to another part of the body, in the absence of the head acephalothoracia Congenital absence of the chest and head acephalus Acephalism, acephalia — congenital absence of the...

Ngày tải lên: 15/03/2014, 13:20

... density and viscosity of the liquid, the speed of the agitator, the geometry of the agitator, and the diameter of the tank There are therefore six variables that affect the power, or a total of ... forces Bodyforces therefore act on the bulk of the object from a distance and are proportional to its mass; the most common examples are the aforementioned gravitational and electromagnetic forces ... Stress is a force per unit area If the force is parallel to the surface, the force per unit area is called shear stress When the force is perpendicular (normal) to a surface, the force per unit...

Ngày tải lên: 02/04/2014, 14:45