Individual Treatment Effects and Randomized Controlled Trials – Video


Individual Treatment Effects and Randomized Controlled Trials
David M. Kent, MD, MSc, associate professor of Medicine, Neurology, and Clinical and Translational Science at Tufts Medical Center, describes the limitations of randomized control trials in identifying individual treatment effects. To offset these limitations, he recommends researchers routinely risk stratify their trial populations since risk modeling is a fundamental determinant of the opportunity for treatment benefit. We spoke with Dr. Kent during "The Myth of Average: Why Individual Patient Differences Matter," a conference focusing on issues related to individual treatment effects.From:npcnowViews:0 0ratingsTime:02:05More inScience Technology

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2012 Fall Commencement Exercises at Northwestern Oklahoma State University, 12-9-12 – Video


2012 Fall Commencement Exercises at Northwestern Oklahoma State University, 12-9-12
Fall 2012 commencement at Northwestern Oklahoma State University took place Sunday, Dec. 9, 2012, in Percefull Fieldhouse. Dr. Peggy Wisdom, 1968 alumna, gave the commencement speech. Wisdom is professor of neurology at the University of Oklahoma Health Sciences Center. She currently is chief of Neurology/ Rehabilitation at the Oklahoma City Veterans #39; Affairs Medical Center. Ninety-five students were candidates to receive bachelor #39;s degrees, and six earned master of education degrees. Eleven of those receiving bachelor #39;s degrees graduated with honors. Students with cumulative grade point averages between 3.70 and 3.79 are designated cum laude, those with GPAs between 3.80-3.89 are magna cum laude and those above 3.90 are summa cum laude. A list of graduates is available at bit.ly .From:nwOKstViews:0 0ratingsTime:43:40More inEducation

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2012 Fall Commencement Exercises at Northwestern Oklahoma State University, 12-9-12 - Video

Emergency Vet San Antonio | 210-245-7215 | 24hour Emergency San Antonio – Video


Emergency Vet San Antonio | 210-245-7215 | 24hour Emergency San Antonio
Emergency Vet San Antonio | sanantonioemergencyvet.net | 210-245-7215 Is your special friend hurt or simply not feeling well? Maybe you even need emergency care. Is is after normal working hours? No problem! Emergency Animal Care Specialists is available 24 hours 7 days a week ready to help you and yours. Our staff of experienced veterinarians and animal care specialists will take care of your loved ones for you. With modern equipment and specialized emergency care facilities, we are ready to provide surgery, rehabilitation, internal medicine, and neurology. We are just a call away! Call 210-245-7215 for immediate assistance. Your pet is a part of your family and you should only trust your animal with Emergency Animal Care Specialists. We Are Open Call Now 210-245-7215! Emergency Pet Care Specialists 1777 NE Loop 410, San Antonio, TX 78217 210-245-7215 http Emergency Vet San AntonioFrom:EvetSanAntonioViews:3 0ratingsTime:01:01More inPets Animals

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Emergency Vet San Antonio | 210-245-7215 | 24hour Emergency San Antonio - Video

!st QN in Australia! – Dr. Adam Arnold, DC – Video


!st QN in Australia! - Dr. Adam Arnold, DC
Congratulations to Dr. Adam Arnold DC on being the first doctor in Australia to become certified in Quantum Neurology® Nervous System Rehabilitation. Doctors for information on learning Quantum Neurology visit our websites doctor area and start with DVD or live seminar training. for more information or to find a Quantum Neurology trained practitioner visit our website and use our find a doctor feature http://www.QuantumNeurology.comFrom:Quantum NeurologyViews:1 0ratingsTime:02:53More inPeople Blogs

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!st QN in Australia! - Dr. Adam Arnold, DC - Video

Emergency Vet Chicago | 312-600-4149 | 24hour Emergency Hospital – Video


Emergency Vet Chicago | 312-600-4149 | 24hour Emergency Hospital
Emergency Vet Chicago | http://www.chicagoemergencyvet.net | 312-600-4149 Is your special friend hurt or simply not feeling well? Maybe you even need emergency care. Is is after normal working hours? No problem! Emergency Animal Care Specialists is available 24 hours 7 days a week ready to help you and yours. Our staff of experienced veterinarians and animal care specialists will take care of your loved ones for you. With modern equipment and specialized emergency care facilities, we are ready to provide surgery, rehabilitation, internal medicine, and neurology. We are just a call away! Call 312-600-4149 for immediate assistance. Your pet is a part of your family and you should only trust your animal with Emergency Animal Care Specialists. We Are Open Call Now 312-600-4149! Emergency Pet Care Specialists 500 N Michigan Ave Chicago, IL 60611 312-600-4149 http Emergency Vet ChicagoFrom:EmergencyVetChicagoViews:4 0ratingsTime:01:01More inPets Animals

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Emergency Vet Chicago | 312-600-4149 | 24hour Emergency Hospital - Video

Your Financial Path Introduction – Video


Your Financial Path Introduction
Your relationship with money maybe deeper than you think. The recent development of the Neuroeconomic field (the melding of psychology, neurology, and finances) leaves little doubt that our perspective of money is deeply ingrained within us and is often tied to our past. Whether you have a hard time sticking with a budget, find it difficult to ask for competitive pay or pursue money incessantly, an unhealthy attachment to money can be very painful and damaging to you and your loved ones.From:Alex MelkumianViews:1 1ratingsTime:00:59More inHowto Style

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Your Financial Path Introduction - Video

Venue Neurosurgery Update Course University Hospital Coventry – Video


Venue Neurosurgery Update Course University Hospital Coventry
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 developments in the field and what constitute optimal care in diagnostic and therapeutic approaches, as well as the management of complications. Course ...From:NeurosurgeryupdateViews:0 0ratingsTime:04:41More inPeople Blogs

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Venue Neurosurgery Update Course University Hospital Coventry - Video

About Your Financial Path – Video


About Your Financial Path
Your relationship with money maybe deeper than you think. The recent development of the Neuroeconomic field (the melding of psychology, neurology, and finances) leaves little doubt that our perspective of money is deeply ingrained within us and is often tied to our past. Whether you have a hard time sticking with a budget, find it difficult to ask for competitive pay or pursue money incessantly, an unhealthy attachment to money can be very painful and damaging to you and your loved ones. Financial psychotherapy helps to uncover behavior patterns that have been keeping you stuck and suffering.From:Alex MelkumianViews:2 0ratingsTime:00:59More inHowto Style

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About Your Financial Path - Video

Hari Sharma’s Guest Lecture Neurology, Univ Miami School of Medicine Nov 16, 2012 – Video


Hari Sharma #39;s Guest Lecture Neurology, Univ Miami School of Medicine Nov 16, 2012
Hari Sharma together with Aruna Sharma from Uppsala University, Sweden visited Miller School of Medicine, University of Miami to meet Dr Dileep R Yavagal. He organized a Special Guest Lecture for Hari Sharma on Nanomedicine in the department of Neurology that was attended by key experts including Stroke Research Pioneer Prof. Myron Ginsberg. The lecture was highly appreciated. Although one scientist has some personal problems and he tried to knockout the basics of neurotoxicology due to perhaps personal psychological problems. But these things are common in some places so this was fun for Hari Sharma to answer him even he appeared not convincing on facts but continue to argue. Finally when he saw that we are actively co-operating with Chinese Govt and Military organization he left the room hurriedly and escaped. This was a unique experience for Hari Aruna Sharma in this lecture at Miami. Speaker: Prof.HS Sharma Ph.D, Dr Med Sci (UU), DDG(Cambridge); Director Research,CNS Injury and Repair Division,Uppsala University,Sweden Title: Blood-brain Barrier and Brain Edema in CNS Injury. New Perspectives of Neuroprotection and nanodrug delivery. Time: 3 -- 4 PM Location: TSL second floor conference room Date: Friday 11/16/2012 Synopsis: Blood-brain Barrier (BBB) strictly regulates the fluid environment of the brain to maintain homeostasis. Any breach of this barrier leads to neurological disorders. Breakdown of the BBB to large molecules eg, proteins lead to edema formation and ...From:Hari SharmaViews:3 0ratingsTime:46:45More inScience Technology

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Hari Sharma's Guest Lecture Neurology, Univ Miami School of Medicine Nov 16, 2012 - Video

12/08/2012 The Selfless Aspirations of Medical Personnel – Video


12/08/2012 The Selfless Aspirations of Medical Personnel
His name is Taso Wen-Long, director of Neurology at Dalin Tzu Chi Hospital. I usually call him "Papa Taso". He dedicates his whole life to medical services, medical education, and Tzu Chi.From:ustzuchiViews:1 0ratingsTime:12:01More inNonprofits Activism

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12/08/2012 The Selfless Aspirations of Medical Personnel - Video

Surgical Training Centre Neurosurgery Update Course – Video


Surgical Training Centre Neurosurgery Update Course
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 developments in the field and what constitute optimal care in diagnostic and therapeutic approaches, as well as the management of complications. Course ...From:NeurosurgeryupdateViews:0 0ratingsTime:03:41More inPeople Blogs

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Surgical Training Centre Neurosurgery Update Course - Video

Neurology


Neurology Me | Evolution of Human Behaviour | Prof. Mark Thomas
Movement for Hope (www.movementforhope.org) and UCL Department of Brain Repair and Rehabilitation (http present Neurology and Me at the Bloomsbury Theatre. Talk by Prof. Mark Thomas Filmed by Your Frontier (www.yourfrontier.co.uk)From:MovementForHopeViews:10 1ratingsTime:15:24More inNonprofits Activism

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Neurology

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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The Role of Genetics in Alzheimer's - Video

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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ALS Disease-Specific Care Certification - Video

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