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Category Archives: Neurology

With topics like Immunization, HIV and STDs, Hypertension, Depression, PNL, and Influenza, Audio-Digest Foundation …

Audio-Digest Foundation, the largest independent publisher of Continuing Medical Education in the world, is releasing free written summaries of its anesthesiology, emergency medicine, family practice, gastroenterology, general surgery, internal medicine, neurology, obstetrics/gynecology, oncology, ophthalmology, orthopaedics, otolaryngology, pediatrics, psychology, and urology programs via Amazon Kindle.

Glendale, CA (PRWEB) October 03, 2012

Anesthesiology Continuing Medical Education: Guidelines For 2010 to improve management of anesthesia through adherence to guidelines and protocols for noncardiac surgery and perioperative care.

Emergency Medicine Continuing Medical Education: Chest Pain to improve the management of chest pain in adults and children.

Family Medicine Continuing Medical Education: Immunization Update: What's New, What's True? to improve management of influenza and infections in older adults.

Family Practice Continuing Medical Education: Family Practice 2009: All Issues to improve screening for and treatment of HIV and other sexually transmitted diseases (STDs) in primary care settings.

Audio-Digest Gastroenterology Continuing Medical Education: Pediatric Liver Disease to improve the management of gastrointestinal (GI) cancers.

Audio-Digest General Surgery Continuing Medical Education: General Surgery to improve the surgical management of gastrointestinal cancers.

Audio-Digest Internal Medicine Continuing Medical Education: Gastroenterology Update to improve the management of hypertension (HTN) and to improve the prevention of stroke.

Internal Medicine Continuing Medical Education: Law And Order For The Internist to improve the management and prevention of pressure sores and the treatment of sepsis.

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With topics like Immunization, HIV and STDs, Hypertension, Depression, PNL, and Influenza, Audio-Digest Foundation ...

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With topics like Celiac Disease, Obesity Hypoventilation Syndrome, Lung Cancer, and PTSD, Audio-Digest Foundation …

Audio-Digest Foundation, the largest independent publisher of Continuing Medical Education in the world, is releasing free written summaries of its anesthesiology, emergency medicine, family practice, gastroenterology, general surgery, internal medicine, neurology, obstetrics/gynecology, oncology, ophthalmology, orthopaedics, otolaryngology, pediatrics, psychology, and urology programs via Amazon Kindle.

Glendale, CA (PRWEB) October 03, 2012

Anesthesiology Continuing Medical Education: Endocrine Management/Perioperative Heart Failure to improve the management of stress-induced adrenal insufficiency and hyperglycemia, and perioperative heart failure.

Emergency Medicine Continuing Medical Education: Hiv Update to improve the management of HIV-associated conditions and side effects of highly active antiretroviral therapy (HAART).

Family Medicine Continuing Medical Education: Critical Care Issues In Older Adults to improve diabetes education and management.

Family Practice Continuing Medical Education: Fyi On Stds to improve management of common gastrointestinal (GI) disorders.

Gastroenterology Continuing Medical Education: Gastrointestinal Cancer: Part I to improve the management of celiac disease (CD).

General Surgery Continuing Medical Education: Ethical And Legal Conflicts In Medicine to improve management of bowel injuries, and to review medical and legal issues in the determination of brain death.

Audio-Digest Internal Medicine Continuing Medical Education: Issues In Neurology to improve the management of sleep-disordered breathing and treatment of the patient with obesity hypoventilation syndrome (OHS).

Internal Medicine Continuing Medical Education: Diagnostic Imaging to improve the management of the patient with abnormal liver tests, and the evaluation and treatment of patients with hepatitis B virus (HBV) infection.

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With topics like Celiac Disease, Obesity Hypoventilation Syndrome, Lung Cancer, and PTSD, Audio-Digest Foundation ...

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Mainz University Medical Center searches for treatment for posttraumatic pain syndrome

02.10.2012 - (idw) Universittsmedizin der Johannes Gutenberg-Universitt Mainz

German Research Foundation funds a three-year joint project of the Mainz University Medical Center and the University of Mnster to the tune of about EUR 460,000

The work group "Pain Autonomic Nervous System" headed by Professor Dr. Frank Birklein of the Department of Neurology at the Mainz University Medical Center and the collaborating research team of bioanalyst Professor Dr. Simone Knig of the University of Mnster have been granted funding of approximately EUR 460,000 by the German Research Foundation (DFG) to conduct research into the complex regional pain syndrome (CRPS). This syndrome is a posttraumatic pain disorder that some 5 percent of patients develop after an injury, such as a bone fracture. These patients exhibit exacerbated inflammatory reactions in the affected limbs, the symptoms of which include hyperthermia, edema, excessive sweating, and pain on movement. The aim of this three-year joint research project is to study the inflammatory processes in the tissue and thus develop a rapid, targeted, and individually tailored treatment for CRPS.

If, several weeks after suffering an injury or an accident or undergoing surgery to arms or legs, the patient continues to have severe and persistent pain coupled with vegetative symptoms in the affected extremities for which there is no apparent cause, it is often the case that this individual is suffering from what is known as the complex regional pain syndrome (CPRS, also called Sudeck's atrophy). In such cases, the pain does not subside as expected after a relatively minor injury such as bruising or a sprained ankle or following surgery. Instead, the pain becomes more severe and other symptoms develop, such as swelling, temperature changes of the skin, increased hair and nail growth, and restriction of movement and functions. If there are nerves that were damaged by the original injury, the condition is called complex regional pain syndrome type II (CRPS II). It is estimated that about 5,000 to 10,000 patients in Germany are affected annually, among them significantly more women than men. Most patients are in the age range of 40 to 60 years. The mechanisms underlying this disorder are still not understood so treatment is fairly non-specific. The diagnosis can often only be made by the process of elimination. On the other hand, if CRPS is detected at an early stage it can be cured. The earlier treatment begins, the better the chances of recovery. The illness is currently treated by a multimodal treatment approach, which usually involves a combination of drug treatment, physiotherapy, and psychotherapy. During the research project, the researchers at the Medical Center of Johannes Gutenberg University Mainz will be studying how and why the inflammatory processes occur in the tissue in CRPS and in particular why they do not disappear when the wound has physically healed. The researchers of Birklein's work group in the Department of Neurology at the Mainz University Medical Center along with their national and international cooperation partners around the world have published most of the medical articles on the topic of CRPS so far and have already made important progress towards describing and detecting the inflammation associated with CRPS. "If we want to be able to develop targeted individual treatments, we first need to find the answer to the question of 'Why?'. We hope that we will obtain the necessary information in this research project," said Professor Dr. Frank Birklein.

Press Office Barbara Reinke Press and Public Relations University Medical Center of Johannes Gutenberg University Mainz Langenbeckstr. 1 D 55131 Mainz, GERMANY phone +49 6131 17-7428 fax +49 6131 17-3496 e-mail: pr@unimedizin-mainz.de http://www.unimedizin-mainz.de

About the University Medical Center of Johannes Gutenberg University Mainz The University Medical Center of Johannes Gutenberg University Mainz is the only facility of its kind in Rhineland-Palatinate. It consists of more than 60 clinics, institutes, and departments. Research and teaching are inextricably linked with medical treatment. Approximately 3,500 students of medicine and dentistry are trained in Mainz on a continuous basis. More information can be found at http://www.unimedizin-mainz.de/index.php?L=1 function fbs_click() {u=location.href;t=document.title;window.open('http://www.facebook.com/sharer.php?u='+encodeURIComponent(u)+'&t='+encodeURIComponent(t),'sharer','toolbar=0,status=0,width=626,height=436');return false;} html .fb_share_link { padding:2px 0 0 20px; height:16px; background:url(http://static.ak.facebook.com/images/share/facebook_share_icon.gif?6:26981) no-repeat top left; } Share on Facebook

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Mainz University Medical Center searches for treatment for posttraumatic pain syndrome

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Infertility treatments may significantly increase multiple sclerosis activity

Public release date: 3-Oct-2012 [ | E-mail | Share ]

Contact: Dawn Peters sciencenewsroom@wiley.com 781-388-8408 Wiley

Researchers in Argentina report that women with multiple sclerosis (MS) who undergo assisted reproduction technology (ART) infertility treatment are at risk for increased disease activity. Study findings published in Annals of Neurology, a journal of the American Neurological Association and Child Neurology Society, suggest reproductive hormones contribute to regulation of immune responses in autoimmune diseases such as MS.

According to a 2006 report from the World Health Organization (WHO), MS affects 2.5 million individuals worldwide and is more common among women than men. While previous research found that up to 20% of couples in Western countries experience infertility, women with MS typically do not have diminished fertility except in those treated with cyclophosphamide or high-dose corticosteroids. Medical evidence shows sex hormones and those involved in ovulation (gonadotrophin-releasing hormone (GnRH)) play an important role in the development of autoimmune disorders.

"When MS and infertility coincide, patients seek ART to achieve pregnancy," explains Dr. Jorge Correale with the Ral Carrea Institute for Neurological Research in Buenos Aires. "Given the role of some reproductive hormones in autoimmune diseases, those with MS receiving infertility treatments are at particular risk of exacerbating their disease."

To further understand the impact of infertility treatment on MS disease activity, researchers analyzed clinical, radiological, and immune response data in 16 MS patients who were subject to 26 ART cycles. The team recruited 15 healthy volunteers and 15 MS patients in remission not receiving ART to serve as controls.

Results show that 75% of MS patients experienced disease exacerbation following infertility treatment. MS relapses were reported in 58% of the cycles during the three month period following ART treatment. Furthermore, ART was associated with a seven-fold increase in risk of MS exacerbation and a nine-fold increase of greater MS disease activity on magnetic resonance imaging (MRI). The authors noted that 73% of exacerbations were new symptoms and 27% were attributed to a worsening of pre-existing symptoms.

Worsening was associated with three different mechanisms: 1) increase in the production of certain pro-inflammatory molecules known as cytokines (IL-8, IL-12, IFN-, and TGF- by CD4+ T a GnRH-mediated effect); 2) increase in the production of antibodies against de myelin protein MOG, as well as B cell survival factor BAFF and antiapoptotic molecule Bcl-2 levels from purified B cells, these effects were a consequences of the rise of 17- estradiol production induced by ART; and 3) authors demonstrated using an in vitro model of the blood-brain-barrier that ART facilitated the penetration of deleterious peripheral blood cells into the central nervous system, an effect mediated by the induction of the molecules IL-8, VEGF and CXCL-12.

"Our findings indicate a significant increase in MS disease activity following infertility treatment," concludes Dr. Correale. "Neurologists should be aware of possible disease exacerbation so they may discuss the benefits and risks of ART with MS patients."

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Infertility treatments may significantly increase multiple sclerosis activity

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Robots let Ariz. Mayo Clinic doctors care remotely

TUCSON -- Starting in October, Phoenix-based neurology specialist Dr. Bart Demaerschalk will be able to roam the halls of Casa Grande Regional Medical Center, look into the eyes of stroke patients, diagnose conditions and consult with colleagues.

And he'll do it all from Phoenix using a joystick-like tool while looking at his computer monitor. His patients will be looking right back at him.

"I use a joystick device," he said. "It's much like a video game. It allows me to drive the robot in another environment."

Demaerschalk is medical director of the Mayo Clinic's telestroke system, which consists of a mobile robot doctors can control, adjust and speak through. ER doctors in Casa Grande will be able to contact the Mayo Clinic staff on a telestroke hotline.

The hospital, at 1800 E. Florence Blvd., in Casa Grande, is 43 miles from Marana.

Using telestroke, doctors can travel with other members of the health-care team throughout the hospital, moving from room to room and through elevators.

The Mayo Clinic developed the technology to care for stroke patients in rural settings. Demaerschalk said stroke neurologists and doctors working at the remote sites have used telestroke together to diagnose strokes with 96 percent accuracy in 1,000 cases.

The Casa Grande hospital is one of 11 in the network. The Mayo Clinic started the program in 2005.

The technology is already in hospitals in Bisbee, Cottonwood, Flagstaff, Globe, Kingman, Parker, Phoenix, Show Low, Yuma and Phoenix, as well as St. Joseph, Mo.

In addition to seeing patients himself, Demaerschalk and six other doctors in a rotation will have access to patients' brain scans to look for damage from blocked arteries or hemorrhages.

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Robots let Ariz. Mayo Clinic doctors care remotely

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With topics like Transvaginal Mesh, ADHD, Asthma, Irritable Bowel, Diabetes, DVT, and GERD, Audio-Digest Foundation …

Audio-Digest Foundation, the largest independent publisher of Continuing Medical Education in the world, is releasing free written summaries of its anesthesiology, emergency medicine, family practice, gastroenterology, general surgery, internal medicine, neurology, obstetrics/gynecology, oncology, ophthalmology, orthopaedics, otolaryngology, pediatrics, psychology, and urology programs via Amazon Kindle.

Glendale, CA (PRWEB) September 27, 2012

Anesthesiology Continuing Medical Education: What's Old And What's New In Pediatric Anesthesiology to improve the management of anesthesia for children with sleep disorders and sickle cell disease.

Emergency Medicine Continuing Medical Education: Malpractice Prophylaxis to prevent malpractice and related lawsuits.

Family Medicine Continuing Medical Education: Common Concerns In Women to improve management of asthma in children.

Family Practice Continuing Medical Education: Treating Gi Disease: Minimizing Risks And Enhancing Benefits to improve management of acute and chronic kidney disease.

Gastroenterology Continuing Medical Education: Endoscopy Review to improve the medical, surgical, and nutritional management of inflammatory bowel disease (IBD).

General Surgery Continuing Medical Education: Medical Errors/The Future Of Surgery to improve management of conditions affecting the gastrointestinal tract, including perforated and nonperforated peptic ulcers, nonerosive reflux disease, and disorders of gastric empyting.

Audio-Digest Internal Medicine Continuing Medical Education: Current Concepts In Infectious Disease Management to improve the diagnosis and management of ophthalmic conditions and the prevention of microvascular complications in patients with diabetes mellitus (DM).

Internal Medicine Continuing Medical Education: Update On Asthma to improve prevention, diagnosis, and treatment of deep venous thrombosis (DVT) and pulmonary embolism (PE).

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With topics like Transvaginal Mesh, ADHD, Asthma, Irritable Bowel, Diabetes, DVT, and GERD, Audio-Digest Foundation ...

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