James F Zender is a clinical and forensic psychologist and psychotherapist whose practice focus is evaluating and treating patients recovering from auto and occupational injuries involving PTSD, TBI, depression and chronic pain.
This presentation will highlight some recent advances in the role of belief in chronic pain from the mind-body-trauma perspective. Topics of placebo (or remembered wellness), flow studies and polyvagal theory and their implications for chronic pain management will be emphasized.
Richard Klein, DDS exclusively treats OSA and TMD.Â He has not practiced routine dentistry for 24 years.Â He has been teaching St. John Hospital residents monthly lectures for 15 years and is a Clinical Professor at Michigan State Osteopathic Medical School.Â He has Diplomat status in Obstructive Sleep Apnea from the American Sleep and Breathing Academy and the American Academy of Craniofacial of Pain Management, with TMD Mastership from both ICCMO and AACP and Fellowship in the Royal Society of Health (England).Â He has lectured in 14 countries, is published in multiple journals and has authored a chapter on TMD in the Anthology of Craniomandibular Orthopedics Vol IV.Â He served as Clinical Investigator, a study utilizing lasers for dentistry and pain management in 1988 and has been asked to speak in Washington DC to the Department of Transportation, the Federal Motor Carrier Safety Association as well as to US Senators and the US Congress.
Understanding the Relation of neurology and musculoskeletal diagnosis; the human nervous system is described as one of the most complex systems in all of nature. It is responsible for coordinating thousands of processes, from muscle contraction while cutting wood to smiling and crying. Over 100 billion specialized neurons are found in the human brain. This lecture will discuss the multiple eye and ear symptoms that may be causally related to neurologic, musculoskeletal, otologic, ophthalmologic, or termpormandibular diagnoses, and it will differentially discuss the non-neurological causations that can confuse doctors or specialized fields. Anatomical consideration regarding blurred vision, retro-orbital pain, lacrimation photophobia, otalgia, ear congestion, itchy ear, subjective hearing loss, phonophobia, vertigo and tinnitus will be discussed with explanations of a cause that does not initiate neurologically.
Sergey Suchkov was born in the City of Astrakhan, Russia, in a dynasty of medical doctors, graduated from Astra-khan State Medical University and was awarded with MD. Then maintained his PhD and Doctor’s Degree. And later was working for Helmholtz Eye Research Institute and Moscow Regional Clinical Research Institute (MONIKI). Dr Suchkov was a Secretary-in-Chief of the Editorial Board, Biomedical Science, an international journal published jointly by the USSR Academy of Sciences and the Royal Society of Chemistry, UK. At present, Dr Sergey Suchkov is: (i) a Director, Center for Personalized Medicine, Sechenov University, (ii) Chair, Dept for Translational Medicine, Moscow Engineering Physical University (MAPhI), and (iii) Secretary General, United Cultural Convention (UCC), Cambridge, UK. A Member of the: New York Academy of Sciences, American Chemical Society (ACS), American Heart Association (AHA), AMEE, Dundee, UK; EPMA, Brussels, EU; PMC, Washington, DC, USA and ISPM, Tokyo, Japan.
Prasanna Udupi Bidkar is practicing Neuroanaesthesiology for more than 15 years. He has completed his DM Neuroanaesthesiology from prestigious AIIMS, New Delhi, India. He is presently the treasurer of Indian Society of Neuroanaesthesiology and critical care (ISNACC). He is in editorial board of Journal of Neuroanaesthesiology and critical care. He has more than 30 publications. He is a reviewer of many national and International Journals.
The use of sitting position craniotomy in Neurosurgical procedures provides several advantages to Neurosurgeons. This patient position provides optimum access to midline lesions, improves cerebral venous decompression, decreases intracranial pressure (ICP), and promotes gravity drainage of blood and cerebrospinal fluid (CSF). These advantages provide an optimum visualization of structures to the neurosurgeon. However, it comes with unique challenges to Neuroanaesthesiologists. Complications related to the use of this position include hemodynamic instability, venous air embolism (VAE), with possibility of paradoxical air embolism, pneumocephalus, quadriplegia and compressive peripheral neuropathy. The gravity assisted drainage of blood into lower limbs increases the risk of hypotension during intraoperative period. The incidence of venous air embolism is high (40-70%) in this position due to valveless, noncollapsible venous structures which allow entrainment of air. Though the use of sitting position has decreased in the last three decades, mainly due to the fear of VAE, there is a rejuvenated interest in the use of sitting position in recent times owing to better understanding of the physiology and availability of sensitive monitors for the early detection of VAE.
Shu G Chen has received his PhD in 1992 from the State University of New York at Buffalo, New York, USA. He is an Associate Professor of Pathology and Neurology at Case Western Reserve University School of Medicine. His research centers on the pathogenesis of Parkinson’s disease, Alzheimer’s disease and other neurodegenerative disorders. He has published more than 80 papers in scientific journals.
Synucleinopathies such as Parkinson's disease (PD), dementia with Lewy bodies (DLB) are characterized by the deposition of misfolded protein aggregates consisted of alpha-synuclein in the central nervous system (CNS). Previous efforts have focused on the development of CNS-proximal clinical biomarkers, including cerebrospinal fluid measures of alpha-synuclein, and tau. However, these diagnostic techniques are often used in clinical studies on patients with advanced disease state, and are invasive. Therefore, there remains an urgent need for reliable, inexpensive and minimally invasive peripheral biomarkers. Recent studies have revealed widespread peripheral involvement of Lewy body-like pathology, often prior to clinical manifestations of the diseases. Indeed, alpha-synuclein deposits have been observed in peripheral tissues in PD and DLB. A formidable challenge is that the levels of the amyloidogenic protein aggregates in peripheral tissues are extremely low and thus only variably detectable using immunological methods. Therefore, highly sensitive analytical platforms are required as the new generation of biomarker assays specific for protein aggregates and amyloid fibrils. The real-time quaking induced conversion (RT-QuIC) has emerged as a robust, rapid and ultrasensitive technology for template-assisted amplification of misfolded protein aggregates in neurodegenerative diseases. Using the RT-QuIC technique, our recent studies have shown that disease-associated protein aggregates are readily detectable in peripheral tissues of patients affected by PD, and dementia with Lewy bodies. Validation of peripheral protein biomarkers will enable sensitive premortem diagnostic tests for PD, DLB, and other related disorders, and accelerate clinical trials for disease-modifying therapies.
Denise Oâ€™Dwyer is a Chartered Psychologist and has been working with Rehab Group for over ten years.Â Based in the West of Ireland, Denise works in Quest Brain Injury Services, Galway, and also covers Adult Mental Health as well as Generalised and Specific Learning Disabilities with The National Learning Network, Mayo. She has completed her Doctorate in 2015 on Twenty First Century Recovery and Wellness Recovery Action Planning (WRAP), within the contexts of Acquired Brain Injury (ABI) and Adult Mental Health.Â She is a proponent of the application of simple, daily and functional activity, to improve and maintain mental health and wellbeing. Her research, involving 105 service users of The Rehab Group, showed the depression and anxiety levels of participants in a WRAP programme, significantly lowered, by comparison with their respective wait list counterparts. Her research has been widely received, most recently at Neuro Rehabilitation Conferences in Saudi Arabia, and Prague.Â Denise is currently in the process of writing her first book, rooted mainly in the area of Humanistic Psychology, as well as drawing from other relevant fields in making Psychology applicable for everyone.
The concept of Recovery has taken on new meanings in recent years. Traditional emphasis on diagnosis and repair, has been steadily replaced with the notion of developing and maintaining psychological wellness. This study examined Wellness Recovery Action Planning (WRAP), as a possible intervention in mental health management. Â A between groups case cohort design was employed to examine the effects of WRAP with Mental Health and ABI populations, as well as their respective wait list control counterparts. Cohenâ€™s d showed large effect sizes in the difference between treatment and respective control groups in the reduction of Anxiety and Depression, measured by the HADS, for both the ABI ( Cohenâ€™s d for AnxietyÂ 1.03; Cohenâ€™s d for DepressionÂ 1.73 ) and Mental Health cohorts ( Cohenâ€™s d for Anxiety 1.29; Cohenâ€™s d Â for Depression 1.13) . Results demonstrate the potential of WRAP in offering a fresh, twenty-first century perspective, in the functional management of mental health.Â Prior to this study, there was no evidence of WRAP having been trialled within the context of ABI, and based on the results indicated, it may indeed be a worthy contender in the everyday management of mental health across populations.
Ivete Contieri Ferraz is a medical Psychiatrist, with expertise in clinical practice, with passion to improve the health and well-being of her patients. Her model of care, with an important technical foundation but open and contextual basis, it is quite divergent from the biomedical model. Based on the absolute protagonism of the human being, her model of care is a source of encouragement to understand the influence of multidisciplinary factors in the response to the patient's treatment, converging to a model similar to the Holistic of Health. She sediment this model in her clinical practice after 15 years of experience in hospital institutions, being currently in research, builds its theoretical foundation, seeking increasingly to understand pluralism in Health and the purification of the physician-patient relationship and its therapeutic function.
Spatial aesthetics in health settings remain a challenge due to the difficulty in balancing disease prevention, such as the aseptic and ergometric protective needs of clinical hospital design, with health promotion through exposure to beauty. The objective of this work is to identify the importance of the aesthetics of the environment in the treatment of Mental Health, through bibliographic research of qualitative character using Pubmed and Scielo databases, between the years 1996 to 2018, with the key words: Design, Architecture, Art, Mental Health, Humanization, Psychiatry and Aesthetics. It is having as an indication that the aspects that make up the design were extremely important as attributes of humanization because they produce belongingness, respect and specially dignity in the patient. The main variables influencing the aesthetic environment highlighted in this article are: light, sound, color, aroma, texture and shape. The design belongs to the aesthetic-artistic perspective, reinforces the protagonism of the sick human being in detriment of the disease, reinforces the expansion of the concept of care and enhances the patient's response to treatment. The conclusion reiterates that the multiaxial aspects brought about by the design of environments within hospitals, is in line with the Holistic model of Health, producing Health promotion and positive responses to patients.
In the recent years Ultrasounography (USG) has emerged as a valuable tool in intensive care. It has moved successfully from radiological suite to operation theatre and intensive care unit. The main advantages of USG are as a point of care (bed-side) tool which provides vital information. It has many diagnostic and therapeutic applications in the Neurointensive care unit. The main applications of USG in Neurocritical care are as follows. In diagnosis of intracranial hypertension: Increased Optic nerve sheath diameter is a qualitative marker of raised intracranial pressure. A linear high frequency probe can be used for visualization of optic nerve. Trancranial Doppler: TCD has been used in recognition of cerebral autoregulation, diagnosis of cerebral vasospasm and as an ancillary tool in the diagnosis of brain death. USG have been found to be useful in dissolution of clot in cerebral vessels when used in conjunction with thrombolytic agents. Many patients with subarachnoid hemorrhage have cardiac dysfunction. Bed side echocardiography can be used to diagnose cardiac dysfunction. In sitting position craniotomy: Transesophageal echocardiography can be used for the detection of patent foramen ovale and monitoring of venous air embolism. Traumatic brain injury and other associated injuries: USG can be used for detection of pupillary reaction to light in patients with orbital edema. These patients can have associated injuries like pneumothorax, which can be detected by USG. Deep veinous thrombosis (DVT) monitoring: Critically ill neurological patients are at high risk of DVT. USG can be used for monitoring of DVT.
Debendra Kumar Tripathy has completed his under graduation from Sambalpur University and has completed his post-graduation in anaesthesiology from National Board of Examination, New Delhi. He is working as additional Professor at AIIMS Rishikesh a premier Medical Institute. He has published more than 18 papers in reputed journals and has been faculty in more than 60 conference and workshops. He has also served as vice president, secretary and treasurer of Indian Society of Anaesthesiology, Pondicherry State.
The aim of fluid administration in neurosurgery patients is to maintain adequate cerebral flow and oxygenation. Too much or too less fluid infusion can be detrimental for the patient outcome. The goal directed fluid management in major surgery and critically patient has been extensively studied and generally guided by haemodynamic monitoring. The same principles may not be applicable to in all neurosurgery patients, as cerebral perfusion physiology depends on many factors. With this background we did a concise review of neurophysiology, guidelines and recent clinical trials for goal directed fluid therapy in neurosurgery patients. In this review, we found current understanding of neurophysiology suggests normovolumia approach for most of the neurosurgery patients. But the evedence are inconclusive for the measurable end points against which fluid can be titrated.
Hadi Eltonsi a medical graduate trained in group psychotherapy, hypnosis, silva mind control, NLP, Reiki Master, Pranic Healing, Life Coach, Mantra Yuga meditation among others courses for psychic powers, family constellation thru his medical study and practice then as a diplomat and Ambassador. He performed many TV, Radio interviews and seminars apart of two short American films about his work or inspired by his skills which were shown in international film festivals; the second got an award in Venice 2017.
Purpose of the treatment: Achieving immediate non medicinal effortless painless healing without complications. For personality development, relief of neurotic disease, psychosomatic symptoms and diseases, treating emotional obesity and smoking.
Method: After joint analysis with Client and definition of psychological and physical goals of treatment, the healer as a trained behavioral, cognitive and logo psychotherapist arrives with client to a new corrected understanding of the case and roots of conflicts in childhood, taking around 2 hours, then in less than an hour performs non-verbal interpersonal hypnosis with transfer of energy and telepathy to client till deep sleep when he implants the required personality, ideas, emotions, motives and attitudes into the subconscious embodying the required state. The subconscious and conscious mind will have same agreed upon analysis and targets for immediate results in that session of 3 hours.
Results: The healer got patent in Egypt 2016 for his discovery of The immediate healing for personality development and for mentioned purposes. Up till now treating more than 700 cases aging between 12 and 80 years with relief of more than 80% of cases either totally or mostly.
Conclusion: immediate non medicinal revolutionary life transforming healing for a wide spectrum of cases achieving higher grades of maturity, insight, harmony and efficiency saving client time, effort, interests and complications. Also used to maturate community leaders to be a trouble shooter model efficient leaders with team spirit.
Javier Fiz Perez is the Psychotherapist and Professor of Psychology at the European University of Rome, where he cooperates also as Delegate for the International Research Development. He is Co-Director of the Laboratory of Applied (Business and Health Lab). Graduated in Philosophy, Psychology and Social Bioethics, getting also a specialization in Executive Business Administration (EMBA) after the PhD He’s a Member of the Advisory Board of the Academic Senate of the Academia Tiberina. He is the Coordinator of the Scientific Committee of The International School of Economics and Ethics (Italy) and collaborates with the International Academy for Economic and Social Development (AISES) of which he has been Vice President for Spain and Latin America. He is also the Scientific Research Director of the European Institute of Positive Psychology at Madrid (IEPP) being also a Member of the Scientific Committee of International Institute Jacques Maritain. He is also a Member of several Committees of Scientific Journals and the Director of the International Network for Social and Integrated Development (INSID). He has more than 150 national and international publications.
Stress is no longer a phenomenon that concerns adults exclusively. For this reason, we have decided to include teenage stress in our research. We have been submitting a survey on stress to a group of 671 teenagers with an average age of 16 years and 7 months. The survey was focused on two different aspects: stress perception and stress causes. Family Support Coping Questionnaire was also submitted. The main finding of this study is that 38% of the sample defines them as stressed, with no gender related differences. Subjects that consider themselves stressed indicate as causes lack of time (31%) and excessive commitments (23%). Almost all the subjects say school (48%), family (21%) and sentimental relationships (8%) are the main sources of stress. From the analysis of the open answers, it is clear that family and school expectations are the greatest sources of stress – even if significantly more so for females than for males. Subjects were asked to assess the level of stressed originated by finishing school and the need of choosing and planning their future. This finding is meaningful when measured up to the percentage of subjects that has stated to have already made the decision of what to do when they finish studying. As it is seen in the graphic (we asked the subjects to state if they had already decided what to do after school) the greatest levels of uncertainty are found in year IV. The intersection of these data does not seem, however, enough to explain levels of stress, as the high percentage of students who have decided should cause a significant reduction of stress in year V. Most likely, stress concerning the post high school choice is the nonlinear combination of two factors: on one hand, uncertainty regarding the choice, on the other hand, the immediacy of the event. Comparing stress levels amongst subjects that count on strong family support and subjects that count on scant family support there are significant differences. The subjects that count on strong family support seem to register lower average stress levels, regarding their post high school choices. Furthermore, this kind of support seems to reduce stress as the event comes nearer, facilitating the decision-making.
Afaf El Ansary has graduated from biochemistry department, Ain Shams University, Egypt in 1974. She worked in the National Research Centre, Egypt from 1976-2000. Since 2016-till now, she joined the Central laboratory as senior scientist to supervise the Biochemistry, Proteomic and biomarkers units. She is member in number of national and international societies and she is recorded as reviewer in many international journals.
Autism is a complex neurodevelopmental condition that includes impairments in social interaction poor language and communication skills together with repetitive behaviors. Synapses are essential components of neurons that needed for the travel of information throughout the nervous system to adjust different behaviors. Thus, optimal synaptic communication is required for proper brain physiology, and slight deviation of synapse function early in life can lead to neurodevelopmental disorders among which is autism. Synaptopathy arises from alterations that affecting the integrity and/or functionality of synapses, can contribute to synaptic pathologies as etiological mechanism of autism. Based upon the blood biomarkers of autism, increased platelet serotonin (5-HT), suggest that increased 5-HT uptake or storage in the presynaptic neuron would lead to decreased brain 5-HT. A relationship between autistic behavior and dysfunctions in the midbrain dopaminergic system was also hypothesized. While dysfunction of the nigrostriatal circuit leads to stereotyped behaviors, a dysfunction in mesocorticolimbic circuit leads to social deficits. Additionally, imbalanced GABAergic/glutamatergic neurotransmissions in plasma of autistic children demonstrates glutamate excitotoxicity as etiological mechanism of this disorder. Our most recent study proved that GABA synaptopathy promotes caspase 3 and caspase 9 as pro-apoptotic markers. In this talk, relationship between synaptopathies, apoptosis, mitochondrial dysfunction, and impaired gut microbiota as etiological mechanisms of autism will be discussed. Understanding common causes and mechanisms of autism associated synaptic dysfunction could offer novel clues toward synapse based treatment strategy and early intervention of autism.