The longevity of a rock singer

Here is Ian Gillan (age 67) from Deep Purple in a recent interview:

You have been screaming rock music for over 40 years. How do you do it?

I think it’s quite natural, I do a lot of it, and so I keep myself fairly fit. My mates who were singers they quit to enjoy their success or raise families and they didn’t continue. Then they tried to come back years later but it was very difficult because vocal cords, unlike guitar strings, are unforgiving, you can’t change them. So I think I’ve been singing all my life, and therefore I’m pretty much fit, so to speak. Most things are within my scope, I sing pretty naturally so it’s not a strain, never has been.

Here is Deep Purple with Maybe I'm a Leo, Mainz, Germany, July 2011:

This is the same band 40 years ago, in 1972:

I have been to two concerts of Deep Purple, the last one was in June 2011 and it was quite impressive. The audience age ranged from 5 to 75 and everyone rose to their feet to the sound of Smoke on the Water.

Here is Mick Jagger on staying fit: "You watch what you eat, you exercise, you have a bit of fun. You keep on going forward. Don’t stop. Do what makes you happy. Don’t look at the clouds of tomorrow through the sunshine of today. That’s it."

References:

Deep Purple but no blues: US legends top Dubai jazz festival line-up | Al Bawaba http://buff.ly/V520RZ

Mick Jagger's new supergroup with Joss Stone and Dave Stewart. DailyMail.

Redefining age 65 - when your job description is "rockstar"

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Top medicine articles for November/December 2012

Here are my suggestions for some of the top articles in medicine for November/December 2012:

The Smartphone in Medicine: A Review of Current and Potential Use Among Physicians and Students http://buff.ly/THrvOA

Shocking News: Intraaortic Balloon Pumps May Not Help in Myocardial Infarction with Cardiogenic Shock http://buff.ly/QVzggF

What Your Breath Reveals: Each Patient Has a Unique Breath 'Fingerprint' That Doctors Could Use to Diagnose http://buff.ly/Ravmkd

Rilonacept for Colchicine-Resistant or -Intolerant Familial Mediterranean Fever http://buff.ly/QWJV76

Lowering LDL levels with statin reduces major vascular events regardless of baseline risk http://buff.ly/QWKuxU

Radical prostatectomy and observation did not differ for mortality in localized prostate cancer http://buff.ly/QWLbqM

The Mini-Cog had sensitivity similar to the longer 3MS for detecting cognitive impairment or dementia http://buff.ly/PQkDwL

Risk stratification schemes predict ischemic stroke and bleeding in AF - CHA2DS2-VASc score had 100% sensitivity but only 6% specificty http://buff.ly/QWLu4Z

Deep-Brain Stimulation for Parkinson’s Disease - NEJM summary http://buff.ly/QWNIkR

Update on the management of chronic kidney disease - AFP 2012 http://buff.ly/PQlEol

Chronic fatigue syndrome: diagnosis and treatment - 2012 update from AFP http://buff.ly/QWOePV

Diagnosis and treatment of acne - 2012 AFP update http://buff.ly/QWOmit

Why Some Physician Practices Are Wildly Successful - Medscape http://buff.ly/RFD3Nc

"End-run" lawsuits can blindside physicians. Administrative claims against doctors are likely to rise under the Affordable Care Act - amednews http://buff.ly/S6KU9a

Patients who read doctor notes feel more in control of their health http://buff.ly/RgGPPg

Older patients join crowd consulting "Dr. Internet" http://buff.ly/PNeD7Y

Doctors follow own advice for healthy living http://buff.ly/QYHPDY

The articles were selected from my Twitter and Google Reader streams. Please feel free to send suggestions for articles to clinicalcases@gmail.com and you will receive acknowledgement in the next edition of this publication.

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Bell’s palsy – NHS video

Bell’s palsy is the abrupt paralysis of the facial nerve (cranial nerve 7, CN7), resulting in an inability to control facial muscles on the affected side. A common condition, Bell’s palsy has an annual incidence of 11-40 cases per 100?,000 population. Many patients recover without intervention; however, up to 30% have poor recovery of facial muscle control and experience facial disfigurement, psychological trauma, and facial pain.

From the NHS Choices YouTube channel: Bell's palsy is the temporary weakness or paralysis of the muscles in one side of the face. In this video, a speech therapist explains who is most at risk and describes common causes and treatment options available. Helen explains how she dealt with the condition and recovered from it:

Remember:

U MN damage
U pper face is OK (the patient is able to wrinkle his forehead)

LMN damage = patient is unable to wrinkle his forehead (our patient)

The examination of CN 7 palsy can be remembered by the mnemonic COWS:

C lose your eyes
O pen (the examining physician tries to open the patient's eyes)
W rinkle your forehead
S mile

Two main types of pharmacological treatment have been used to improve outcomes from Bell’s palsy:

- steroids
- antivirals.

The rationale for these treatments is based on the presumed pathophysiology of Bell’s palsy, namely inflammation and viral infection.

In a 2009 study published in the BMJ antivirals did not provide an added benefit in achieving at least partial facial muscle recovery compared with steroids alone in patients with Bell’s palsy.

References:

The benefits of steroids versus steroids plus antivirals for treatment of Bell’s palsy: a meta-analysis | BMJ http://bit.ly/YD3iLG

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The Role of Genetics in Alzheimer’s – Video


The Role of Genetics in Alzheimer #39;s
An in-depth discussion of the role of genetics in Alzheimer #39;s. Panel included -William Fisher, Chief Executive Officer, Alzheimer #39;s Association -Stef Heylen, MD, Head of Janssen Alzheimer Immunotherapy -Elizabeth Edgerly, PhD, Chief Program Officer, Alzheimer #39;s Association -Geoffrey A. Kerchner, MD, PhD, Assistant Professor of Neurology and Neurological Sciences, Stanford Center for Memory Disorders, Stanford University School of Medicine -Jamie C. Fong, MS, LGC, Genetic Counselor, UCSF Memory and Aging CenterFrom:AlzheimersNVCAViews:2 0ratingsTime:01:29:10More inNonprofits Activism

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ALS Disease-Specific Care Certification – Video


ALS Disease-Specific Care Certification
Nicole Lucas RN reports at 23rd International ALS MND Symposium in Chicago 6 December 2012 on ALS Disease-Specific Care Certification process using The Joint Commission Plan-Do-Study-Act protocol ongoing at Carolina #39;s Neuromuscular/ALS-MDA Center in the Carolinas Medical Center Department of Neurology located in Charlotte, North Carolina.From:Benjamin Rix BrooksViews:0 0ratingsTime:13:58More inComedy

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Prof. Raymond Tallis – "Aping Mankind? Neuromania, Darwinitis and the Misrepresentation of Humanity" – Video


Prof. Raymond Tallis - "Aping Mankind? Neuromania, Darwinitis and the Misrepresentation of Humanity"
Increasingly, it is assumed that human beings are best understood in biological terms; that, notwithstanding the apparent differences between humans and their nearest animal kin, people are, at bottom, organisms; that individual persons are their brains, and that societies are best understood as collections of brains ("Neuromania"); and that we should look to evolutionary theory to understand what we are now ("Darwinitis"); that our biological #39;roots #39; explain our cultural #39;leaves #39;. I will argue that we are not just our brains; rather we belong to a community of minds that has grown up over the hundreds of thousands of years since we parted company from the other primates. The gap between our nearest animal kin and ourselves is too wide to read across from the one to the other. RAYMOND TALLIS is Professor of Geriatric Medicine at the University of Manchester and a consultant physician in Health Care of the Elderly in Salford 1988-2006. He has 200 research publications in the neurology of old age (epilepsy and stroke) and neurological rehabilitation and is a Fellow of the Academy of Medical Sciences. He has also published fiction, three volumes of poetry, and 22 books on the philosophy of mind, philosophical anthropology, literary theory, the nature of art and cultural criticism. He was awarded a DLitt, University of Hull, 1997; and LittD, University of Manchester 2002. He is an Honorary Visiting Professor in the Department of English at the University of Liverpool. His ...From:IanRamseyCentreViews:0 0ratingsTime:01:18:17More inEducation

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Prof. Raymond Tallis - "Aping Mankind? Neuromania, Darwinitis and the Misrepresentation of Humanity" - Video

TMS cafe sci talk Anna Kuppuswamy – Video


TMS cafe sci talk Anna Kuppuswamy
Monday, 3rd December 2012 at 7pm in the bar of The Showroom #39;Transcranial Magnetic Stimulation: a powerful technique to understand brain function #39; Dr. Annapoorna Kuppuswamy Senior Research Fellow, Institute of Neurology, UCL, London Towards the end of 19th century British and German neurologists showed that by electrically stimulating targeted areas in the brain, one can elicit movements in the limbs of an animal. Since then, stimulation of the brain to study its function has been a popular technique although not widely used in humans. In 1985 Dr Barker and colleagues from the University of Sheffield demonstrated for the first time the ability to painlessly stimulate discrete areas of the human motor cortex using a non-invasive brain stimulation technique called Transcranial Magnetic Stimulation. Today TMS is one of the most used techniques to study human brain function and it has moved on to become a technique that can also alter brain function. I will be tracing the history and summarising the advances in our understanding of brain function as a result of using TMS. A practical demonstration of the technique will be shown.From:Chamu KuppuswamyViews:10 1ratingsTime:35:37More inPeople Blogs

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History of the REP: Half a Century of Medical Records Linkage in a US Population. – Video


History of the REP: Half a Century of Medical Records Linkage in a US Population.
Dr. Walter Rocca, an Epidemiologist from the Department of Health Sciences Research and the Department of Neurology at Mayo Clinic in Rochester, MN, discusses an article appearing in the December 2012 issue of Mayo Clinic Proceedings, where he outlined the history and current activities of a unique and growing research infrastructure known as the Rochester Epidemiology Project. This project maintains a medical records-linkage system for the entire population of Olmsted County in Southeastern Minnesota that has been used to conduct clinical and epidemiological studies for almost half a century. Available at: http://www.mayoclinicproceedings.orgFrom:Mayo ProceedingsViews:7 0ratingsTime:05:48More inScience Technology

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History of the REP: Half a Century of Medical Records Linkage in a US Population. - Video

Forbes Norris Award 2012 – Video


Forbes Norris Award 2012
The International Alliance of ALS-MND Association presented the 2012 Forbes Norris Award to Benjamin Rix Brooks MD, Medical Director of Carolinas Neuromuscular / ALS - MDA Center at Carolinas Medical Center - Department of Neurology in Charlotte North Carolina. Dee Norris RN presented the award in Chicago Illinois at the 23rd International ALS-MND Symposium.From:Benjamin Rix BrooksViews:0 0ratingsTime:06:29More inScience Technology

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Forbes Norris Award 2012 - Video

Golf performance balance – Video


Golf performance balance
Dr. Joseph DuChene DC Your Wellness Minute duchenenaturalhealth.com Golf performance balance and golf performance This is a big topic in many communities. I am going to explain a little about the neurology involved. One area that every golfer can improve upon is balance. There are two types of balance problems. The first one is technique related. If you have this then go to your golf instructor and have them look at your swing. The type of balance I am talking about today involves your vestibular system: your eyes, ears, joints and brain. The basic balance test: Get into a door jam or someplace safe and stand on one leg with your eyes open. Do this on both sides. You should be able to do this for 10 seconds without excessive movement or losing your balance. If you cannot do this then stop here because you have a real balance problem. Next do the same one legged standing with your eyes closed. The PGA norms for this test is about 15 seconds. But, you can shoot for a higher number because it is pretty easy to fix this. If you find that you have excessive movement or you are out of balance with your eyes closed then you are developing a balance problem and it is affecting your game. You cannot have the golf game you want with bad balance. The best way to fix your balance is to test it and practice it. The best thing about this test is that it is also the fix. When you stand there with your eyes open you are training your brain. So, the more you do this test the better your ...From:Joseph DuCheneViews:0 0ratingsTime:01:56More inEducation

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Golf performance balance - Video

Reema Maindiratta, MD, Leading Physicians of the World – Video


Reema Maindiratta, MD, Leading Physicians of the World
Reema Maindiratta, MD, has a private practice in Dix Hills, NY. Dr. Maindiratta specializes in the complex pathways of the neurosystem, treating various disorders, diseases, and injury. During her neurology residency at Albert Einstein College of Medicine, she was voted Chief Resident, and later on one of America #39;s Top Physicians. Being a physician is a privilege. It gave her the chance to work with people and their families who were sick and in pain, to listen and learn from each one of them, and with what she had learned academically, to diagnose and hopefully provide relief and a cure.From:Doc FinderViews:0 0ratingsTime:02:00More inScience Technology

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Reema Maindiratta, MD, Leading Physicians of the World - Video

Crowell Dubstep Compilation (HQ) – Video


Crowell Dubstep Compilation (HQ)
If you don #39;t know Crowell, then you #39;re missing out. Emmanuel Perez (Crowell) is a dubstep producer from Concord, and makes sick dubstep. He #39;s known for his dark, crunchy sound. He #39;s extremely underrated, and only has 500 followers on Soundcloud, but he #39;s still a great producer and I wanted to make a mix with all of the free tunes he has released (Sorry, no "Cover Up". I tried running the MP3 file on WMM, but there #39;s an error and it can #39;t be accessed from WMM), and it will eventually be a free download on my backup Soundcloud. So sit back and enjoy! (don #39;t listen while playing WoW!) - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 1. Joedan b2b Styn - Sumo Riddim (Crowell VIP) (00:00) 2. Crowell - Trippin #39; (02:44) 3. Crowell - Trippin #39; VIP (05:30) 4. Crowell - Shiver (07:47) 5. Crowell - Creepin #39; On Crowell (10:05) 6. Crowell - Blood Boil (12:22) 7. Crowell - Free Skank (15:06) 8. Crowell - Neurology (17:51) 9. Crowell - The Realness (21:03) 10. Crowell - Ok (23:20) 11. Crowell - Shiver (Vileside Remix) (26:32) 12. Crowell - Love Safari (30:11) 13. Crowell - I Don #39;t Care Anymore (32:08) 14. Frank Ocean - Thinking About You (Crowell Remix) (34:53) - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - All tracks are downloaded from Crowell #39;s Soundcloud (except for Shiver, which is part of TheDuplocDealer compilation). - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - Crowell: http://www.facebook.com soundcloud.com ...From:ThedubcriticViews:30 1ratingsTime:38:40More inMusic

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Crowell Dubstep Compilation (HQ) - Video

Surgical Skills Competition Neurosurgery Update Course – Video


Surgical Skills Competition Neurosurgery Update Course
Students Surgical Skills Competition West Midlands Regional Training University Hospital, Coventry, United Kingdom The Royal College of surgeons of Edinburgh Neurosurgery Update Course 7th -- 15th September 2013 University Hospital Coventry United Kingdom In keeping with the proverb that "wisdom comes from the counsel of many,: this neurosurgery update course assembles contributions of over 100 national and international speakers, 300 lectures and 30 participating neurosurgical units and hospitals. For the young neurosurgeons, this course offers a wealth of clinical experience. It exposes the diversity of opinions and a spectrum of approaches to any one clinical problem. To the experienced neurosurgeons, it reflects the rapid changes that are occurring in both the art and science of modern neurosurgery. It serves to remind even the masters that today #39;s answers will be challenged by tomorrow #39;s neurosurgeons. This nine-day Update Course in neurosurgery will provide Education, Inspiration and Continuing Learning Development for doctors in neurosurgery who want to ensure that their diagnostic and surgical skills are current and evidence-based. This course uniquely blends coverage of the relevant basic science with in-depth lectures on all areas of Neurosurgery and all other relevant topics in Neuroradiology, Neurology, Neuro-anesthesia, etc. The course syllabus will follow the Intercollegiate Surgical Curriculum Programme (ISCP). Lectures content reflect the ongoing clinical ...From:NeurosurgeryupdateViews:0 0ratingsTime:03:27More inPeople Blogs

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Surgical Skills Competition Neurosurgery Update Course - Video

Sam Harris On The Incompatibility Of Free Will And Conscious Experience – Video


Sam Harris On The Incompatibility Of Free Will And Conscious Experience
In this excerpt from Harris #39; lecture at Cal Tech in May of 2012, Harris, in his usual clever and witty style, explains how an account of free will is not only incompatible with findings in neurology and psychology, it #39;s incompatible with our every day conscious experience. You #39;ll never think about Cairo the same way again!From:Liam DevlinViews:7 2ratingsTime:07:30More inNews Politics

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Sam Harris On The Incompatibility Of Free Will And Conscious Experience - Video

KNES370 Final Project VRT – Video


KNES370 Final Project VRT
KNES 370 Final Project: Pediatric Vestibular Rehabilitation Therapy References Cronin, GW, Rine, RM (nd). Pediatric vestibular disorders. Retrieved November 15, 2012, from Vestibular Disorders Association website: vestibular.org Hoffer, ME, Balaban, CD, Whitney, SL, Sparto, PJ (2011). Principles of vestibular physical therapy rehabilitation. Neurorehabilitation, 29(2), 157-166. Horak, FB (2010). Postural compensation for vestibular loss and implications for rehabilitation. Restorative Neurology Neuroscience, 28(1), 57-68. doi:10.3233/RNN-2010-0515 Wiener-Vacher, SR (2008). Vestibular disorders in children. International Journal Of Audiology, 47(9), 578-583. doi:10.1080/14992020802334358 Zachry, A. (2011, February 11). Pediatric occupational therapy tips. Retrieved November 15, 2012, from drzachryspedsottips.blogspot.comFrom:Carlos CuellarViews:0 0ratingsTime:05:11More inPeople Blogs

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KNES370 Final Project VRT - Video