Category Archives: Neurology

06-03-2012 21:23 Quantum Neurology® Testimonial: Dr. Edward Chauvin, DC,QN Abbeville, Louisiana, USA http://www.QuantumNeurology.com

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My life has been worth more because I do Quantum Neurology®! - Video

Gabriella Szatmry, M.D., Ph.D., a physician in Hattiesburg Clinics Neurology department, has been elected to serve as a board member of the American Society of Neuroimaging. Szatmry currently practices general neurology, neuro-ophthalmology and neuroimaging of the brain and spine. Her experience includes postgraduate training in ophthalmology, internal medicine and neurology residencies, as well as a fellowship in neuro-ophthalmology and neuroimaging. In addition, she has participated and assisted in medical research at facilities such as the First Institute of Pathology and Experimental Cancer Research in Budapest, Hungary, State University of New York at Buffalo in Buffalo, N.Y., and Emory University School of Medicine in Atlanta. She has also been recognized and published in several books, magazines and medical reference journals.

Szatmry earned her medical degree from Semmelweis Medical School in Hungary and holds a doctorate on role of functional MRI in neuro-ophthalmology from Semmelweis University Clinical Medicine Doctoral School in Hungary. She is board certified by the American Board of Psychiatry and Neurology and the American Board of Medical Specialties in Neuroimaging and Hungarian Board of Neurology. Szatmry holds several professional memberships including the American Academy of Neurology, North American Neuro-Ophthalmology Society, European Neuro-Ophthalmology Society and is the founder of Hungarian Ophthalmology Societys neuro-ophthalmology section. Additionally, she serves as president of the first European Neuro-Ophthalmology update course.

Szatmry was selected and recognized as a board member of the American Society of Neuroimaging at its 35th annual meeting held in Miami, Fla. In this role she serves in an advisory capacity to help promote the highest standards of neuroimaging in clinical practice, thereby improving the quality of medical care of patients with diseases of the nervous system.

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Szatmçry elected to board

Idiopathic pulmonary fibrosis (IPF) is a devastating, age-related lung disease of unknown cause that has few treatment options.

IPF was once thought to be a chronic inflammatory process, but current evidence indicates that the fibrotic response is driven by abnormally activated alveolar epithelial cells (AECs).

Interstitial Lung Diseases (ILD) (click to enlarge the image).

Alveolar epithelial cells (AECs) produce mediators that induce the formation of fibroblast and myofibroblast foci through:

- proliferation of mesenchymal cells
- attraction of circulating fibrocytes
- stimulation of the epithelial to mesenchymal transition

The fibroblast and myofibroblast foci secrete excessive amounts of extracellular matrix (collagen), resulting in scarring and destruction of the lung architecture.

Mechanisms of IPF (click to enlarge the image). Image source: PLoS Medicine, Creative Commons license.

References:

Idiopathic pulmonary fibrosis. The Lancet, Volume 378, Issue 9807, Pages 1949 - 1961, 3 December 2011.

Interstitial Lung Diseases (ILD)

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Antibiotics are commonly prescribed for children with conditions for which they provide no benefit, including viral respiratory infections.

The researchers used the National Ambulatory and National Hospital Ambulatory Medical Care surveys from 2006 to 2008, which are representative of ambulatory care visits in the United States.

Antibiotics were prescribed during 21% of pediatric ambulatory visits; 50% were broad-spectrum, most commonly macrolides. Respiratory conditions accounted for >70% of visits in which antibiotics were prescribed.

The authors concluded that broad-spectrum antibiotic prescribing in ambulatory pediatrics is extremely common and frequently inappropriate.

Cough is one of the common reasons for unnecessary antibiotic prescription. As you can see from the diagram below, the differential diagnosis of chronic cough is broad and includes asthma and other conditions in which antibiotics are ineffective:

Differential diagnosis of cough, a simple mnemonic is GREAT BAD CAT TOM. Click here to enlarge the image: (GERD (reflux), Laryngopharyngeal Reflux (LPR), Rhinitis (both allergic and non-allergic) with post-nasal drip (upper airway cough syndrome), Embolism, e.g. PE in adults, Asthma, TB (tuberculosis), Bronchitis, pneumonia, pertussis, Aspiration, e.g foreign body in children, Drugs, e.g. ACE inhibitor, CF in children, Cardiogenic, e.g. mitral stenosis in adults, Achalasia in adults, Thyroid enlargement, e.g. goiter, "Thoughts" (psychogenic), Other causes, Malignancy, e.g. lung cancer in adults).

References:

Antibiotic Prescribing in Ambulatory Pediatrics in the United States. Adam L. Hersh, MD, PhDa, Daniel J. Shapiro, BAb, Andrew T. Pavia, MDa, Samir S. Shah, MD, MSCE. Pediatrics Vol. 128 No. 6 December 1, 2011, pp. 1053 -1061, (doi: 10.1542/peds.2011-1337).

Image source: Wikipedia, GNU Free Documentation License.

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The founder of East Penn Manufacturing and his wife have given $2 million to Lehigh Valley Health Network to develop the hospital system's 13th endowed chair.

Interest generated from the Timothy M. Breidegam Endowed Chair in Neurology will support research and education, LVHN said in a statement announcing the gift from Helen and DeLight Breidegam Jr.

The chair honors the couple's son, Timothy, who died at age 21 in 1978 during his last semester at Moravian College.

When the chair was announced Thursday during an event at the Lehigh Country Club, Timothy was remembered as a generous young man who led many clubs, teams and organizations and donated his time teaching English to Spanish-speaking residents of Allentown.

"Our endowed chairs allow us to improve patient care, thereby creating a healthier community," said Ronald W. Swinfard, president and chief executive officer of Lehigh Valley Health Network. "These endowed chairs are made possible by very generous donors such as the Breidegams. Their philanthropy helps us take that extra step from great to excellent."

Health network neurologist John Castaldo has been named the chair holder.

The chair "will live on in perpetuity, providing funds to advance the diagnosis, treatment and research for neurological care in our region," Castaldo said. "It is truly an awesome privilege and a profound responsibility to accept this gift, and to know that it will propel us from regional to national excellence."

In 1946, DeLight Breidegam founded East Penn Manufacturing Company, the world's largest independent battery manufacturer and producer of Deka batteries.

East Penn is the largest employer in Berks County. The company has remained a family businessdaughter Sally Miksiewicz is the chief executive officer and son Daniel Breidegam serves as vice president of metals.

Daniel Patrick Sheehan

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Couple gives $2 million to honor late son, create chair in neurology at LVHM

27-10-2011 16:10 University of Colorado School of Medicine Neurology Grand Rounds SEPT 14 2011

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University of Colorado School of Medicine Neurology Grand Rounds SEPT 14 2011 - Video