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Thursday, December 25, 2014

Comments & Messages: Use Emails Please

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Friday, October 3, 2014

TBI or Sports Brain Injuries-Diagnosis without Opening the Skull?

My Editorial and Review on Recent Trends in Brain Damage is next, in the mean time, this is the latest news about Traumatic Brain Injruy (TBI) and how Spreading Depolarization can be tapped using neuromonitoring and how that can be used to understand and interpret the brain damage without opening the skull, what I meant is without a neurosurgery?.

Saturday, September 13, 2014

LLIF-Lateral Lumbar Interbody Fusion Procedure

This particular video taken during the Lateral Lumbar Interbody Fusion procedure at UPMC by Dr.Kanter and his team is a treat to watch the intricacy of surgical steps during lateral Spine procedure, you might have been into the OR or  probably done neuromonitoring for procedures including various lumbar level fusion procedures, but if there is no live camera equipped in the OR,  it is often difficult to know where exactly is the surgeon is and what is he/she is doing at a particular stage of the procedure, it will be just a guess work and that is not acceptable in the medical/health care field (all the stakeholders inside the OR must know exactly about the procedure) and that is not how things can go inside the Operating Room. Every team member from Anesthesiologist to Neurophysiologist to nurses must know every step of the way what exactly the surgeon is doing in order to help or figure out if there is any issue arise during surgical procedure. Unfortunately, most ORs are not equipped with the video transmission inside the OR or if there is one they normally do not use it (but in most neurosurgery ORs they do use). Those professionals who work inside the OR must acquaint themselves with surgical  steps of the surgeons, one way to do is watch it live or recorded one, or a demo before participating in such surgical procedure. It will provide a deeper understanding and realistic perception of how a particular procedure is done, with that knowledge handy, it will be more appropriate to provide feed back to the surgeon on neurophysiology or anesthesia or other relevant modalities to be monitored inside the OR. Even the X-Ray tech's must know the basics (most often that is not the case), ironically the cell saver and other tech's who come inside the OR have no clue about anything in the OR except that little machine collecting the blood?. Knowing exactly what the surgeon is doing every step of the way inside the OR provides a lot more close to a  realistic perception than reading it from a book or listening someone describe it. For those graduates or tech's who have not seen the details of this procedure, this is a good one to watch. Thanks to Dr.Kanter and his colleagues from UPMC for presenting this procedure so well.

Wednesday, July 30, 2014

Epilepsy, what is going on in the Epilepsy Research and is there any Advancement?. Nature Journals Special Issue..

http://www.nature.com/nature/outlook/epilepsy/images/cover_large.jpgNature Publishing Group (the owner and publisher of worlds popular "Nature") has just published a special issue, featuring the story of Epilepsy covering aspects why this disease is still not well understood and what do the worlds govt's and funding agencies must do, meaning why there is not much funding is allocated to Epilepsy research considering more than 50Million people world wide are affected by more than a dozen types of Epilepsy?. Yes, that is certainly a valid question and reasonable expectation from various govts and funding agencies. That is just the beginning of this special issue, named under the category "Outlook". To run this special issue and program, Nature has been awarded a special "Independent Education Grant by Sunovion Pharmaceuticals Inc.
There is also another recent Special issue on Neuroscience published somewhere in late 2013, about which I will write later. This Editorial is to provide some idea to researchers, clinicians and people who are working in the field of Epilepsy that this might be the best issue to update yourself about the field and the recent developments in Epilepsy. Ofcourse, those patients and relatives who can understand the science behind Epilepsy, who are wondering what is really going on and what are the possible treatments available, might be a good place to check.

Mike May, the contributing Editor has given a brief summary of the entire issue, a good place to start reading this issue: http://www.nature.com/nature/journal/v511/n7508_supp/full/511S1a.html

Note: This special is issue is only open to public or non subscribers upto October, so better read before it will be taken of the shelf or go get a copy of it.

Interesting research reports presented by the field's top scientists/researchers, clinicians and more.  I will go through the entire issue pretty much cover to cover, but before I spend time, I thought to share this for those who may not have heard about this special issue. The first Chapter or section begins with the background information about the basics of Epilepsy the origin of Excitation or Excitement, and there are sections on genetic basis, drug treatment modalities as well as technologies that can detect the types and details of the epilepsy. Other sections regarding the Epidemiology and types of this disease, management and social issues including the misunderstanding and  tabo's of epilepsy, sociology of it, and the issue ends with what is food got to do with Epilepsy or what food intake might be the best for people with seizure or epileptic episodes. Overall, seems like a great issue with a comprehensive knowledge about the disease, complexities and its future. I hope I can write a real Editorial with scientific temperament when I am done reading the whole issue.......
From Nature's Cover Image Content:
  • Epilepsy is a common neurological condition that affects 50 million people worldwide. For many patients, medication helps reduce seizure frequency; for drug-resistant epilepsy, treatments include diet therapy and neurosurgery. Although discussed and feared for millennia, progress towards understanding epilepsy has been slow — even with help from modern genetic and neurological analysis. Stigmatization of people with epilepsy continues in certain parts of the world and though lack of funding limits epilepsy research, new ways to treat and manage seizures are on the horizon.
    Free full access
    Cover Art: Nik Spencer