Do you know that Huntington s disease is an inherited disease? This condition leads to the progressive degeneration of the nerve cells present in your brain. Huntington's disease has severe impact on several functional abilities of an affected person and results in psychiatric, thinking and movement disorders.

Causes
Huntington s disease occurs from an inherited defect present in a single gene. It is a form of autosomal dominant disorder, which indicates that a person requires just one copy of the defective gene for developing the disorder. Except the genes on the chromosomes, two copies of every gene are inherited by a person. The affected parent may pass along the defective gene copy or the healthy copy.

Symptoms
Commonly, the symptoms of Huntington s disease start appearing during midlife. It may also affect a person during childhood. The symptoms of this disease vary from person to person. Abnormal movement and weight loss are common symptoms, which occur in all stages.

Early stage

The usual early stage symptoms include the following:

Slight coordination changes, which affect balance and make you clumsy
Uncontrollable fidgety movement
Stiffness and slowing
Irritability and depression
Problems with thinking in difficult situations
Middle stage
With passing time, the symptoms start interfering more with the patient s daily life and activities. You may start dropping things, face trouble with swallowing, and talking. Staying organized may get tough. Certain emotional changes are indicated.

Later stage
In the later stage of Huntington s disease, a patient becomes dependent on others for taking care of them. A patient cannot walk or speak, and fidgety movements are likely to become more severe or may subside.

Treatment
Huntington s disease has no fixed cure. Several measures are followed for managing the symptoms. They are as follows:

Medications are used to manage fidgety movements. Other medicines are also used for controlling any other side effect experienced.
Speech or language therapy may be beneficial in case of speech and swallowing problems.
Physical therapy may help you in improving your control movements. Assistive devices like handrails can be used for managing your changing physical abilities.
Nutritional support is used in which special utensils are used to focus on a nutrient-rich diet.
Exercise is also important for patients with Huntington s disease as it enables them to stay active and fit.
In case you experience any symptom of Huntington s disease, it is important for you to consult a doctor immediately. This is a severe disease and early diagnosis and treatment will prevent the condition from worsening.

Huntington's Disease - Understanding the Stages of Symptoms!

Injuries are very common, especially head injuries are one of the leading causes of death and disability in adults. As per surveys conducted, 1.7 million people suffer from head injuries every year and this estimation is increasing day by day.

Head Injury is any trauma to head other than superficial injuries to face. It results in high morbidity & mortality. Head injuries are an important cause of loss of young people at their productive age.

Causes of Head Injury-

A head injury can occur due to many reasons. Some common causes of these head injuries are:

Vehicle accidents

Street fights

Fall from height

Child abuse

Symptoms of Head Injury-

A head injury is followed by various symptoms depending upon the intensity of the injury. Here is a list of the possible symptoms of brain injuries:  

Nausea and vomiting, fatigue or sleepiness, severe headache, confusion, amnesia,  loss of consciousness, seizures, loss of muscle control or paralysis in the part of the body controlled by the part of the brain that is affected, coma, dilation of the pupils and disturbance of vision, Cerebrospinal fluids might come out of the ears and nose, sometimes accompanied by blood, difficulty in breathing, low pulse rate, increase in blood pressure, difficulty in swallowing, loss of hearing, problems in cognitive functions.

Brain damage is a process, not an event. 80% are minor head injuries, 10% are moderate head injuries and 10% are major head injuries.

Management of Head Injury-

Diagnosis of a brain injury has to be detailed and very quick at the same time. It always comes under emergency cases. Some of the steps involved are:

Glasgow Coma Scale

Pupillary reaction to light

Brain stem reflex tests

Head to toe examination

CT scan of head is the initial study of choice. MRI Brain is helpful in cases of non-haemorrhagic contusions, diffuse axonal injury and deep lesions.

Surgical Indications

Head injuries with intracranial hematomas causing significant mass effect

Massive cerebral edema

Hydrocephalus

Infection

Precautions for Head Injury

Use Helmets- both riders

Use Seat Belts

Keep vehicle speed under control

Follow traffic rules

Take adequate precautions during trekking, diving

Take Away-

No head injury is minor enough to be neglected nor severe enough to be given up.

Head injuries take time to heal, but medical treatment along with neurosurgery can aid the process of recovery and also help a person to lead a healthy life in the future. Most young patients recover fully, while some older patients or patients with preexisting neurological conditions live with a degree of disability.



Head Injuries - All You Must Know!

Women are not really sure about frozen embryos  ability to result in pregnancy. Ironically, the success of Frozen Embryo Transfer has dramatically improved over the last few years. In the days gone by, the chance of women getting pregnant through the use of frozen embryos seemed to be on the lower side compared to that from the transfer of fresh embryos. Recent data related to this suggests that this is no longer the case.

Reasons behind the low success rate of frozen embryo transfer in the past
Previously during the frozen embryo transfer process, the embryos which had to get frozen were the ones that did not get chosen for the fresh embryo transfer initially. The reason being that the embryologist had gone ahead to choose the best possible embryos for getting them transferred initially. As far as the fresh embryo transfer is concerned, quality of embryo has got a major effect on the chance of a woman getting pregnant. On the other hand, if quality of embryos frozen is not good, the rate of survival after it gets thawed along with the rate of pregnancy would be on the lower side.

The second important reason is the amount of embryos that got transferred. Let us consider a couple who produce four very good quality embryos. Two of them are transferred during fresh In Vitro Fertilization Process and the remaining two are frozen. This leads to pregnancy and the woman gives birth to a baby. Later on, the couple once again decides to go for pregnancy by using the frozen embryos. Though only one embryo survives after getting thawed. The frozen embryo transfer is that of a single embryo. The success rate of a frozen embryo transfer through a single embryo is always going to be on the lower side than what it will be when multiple embryo transfer is involved.

Finally the method of freezing embryos has seen a sea change quite a number of years ago. Nowadays the freezing of embryos takes place by a fast method, known as vitrification. This process has got a much better survival rate when embryos get thawed along with good rates of pregnancy when those particular embryos are transferred in a much better manner.

Studies about high success rate of frozen embryo transfer
There have been studies performed in women, who have had quite a vigorous stimulation of their ovaries and were considered to be at high risk for Ovarian Hyperstimulation Syndrome. The physicians took the decision of skipping the process of embryo transfer and instead go ahead to freeze all the embryos for use at a later stage.

This tends to significantly decrease the risk of having serious Ovarian Hyperstimulation Syndrome along with decrease in complications. Other cases involved, physicians deciding to move on with a fresh embryo transfer depite the risk of Ovarian Hyperstimulation Syndrome. In both the scenarios the couples have quite a large number of embryos and the embryos selected for transfer were the best embryos.

The studies have shown no difference in the rates of pregnancy between fresh or frozen embryos or for that matter higher rate of pregnancy with frozen embryos.

How Successful Is Frozen Embryo Transfer?

Asperger's Syndrome or Asperger's Disorder is a neurotypical condition that affects the development of the child the effects of which continue into adulthood. This condition typically shows up as difficulties faced by the patient when it comes to social interactions as well as other nonverbal means of communication. It should not be confused with autism as the patient has no speech and cognitive development delay. 

Asperger's syndrome can show up as restricted and repetitive patterns in the behaviour of the patient. It lies at the higher end of the autism spectrum and the signs are usually less obvious. Here are a few ways with which you can effectively deal with someone who is suffering from this disorder.

1. Routine: The patient suffering from this condition will need a certain kind of stability as it is very difficult to predict what will happen in the near future or to even plan for it. The best way to tackle this scenario is with the help of a proper routine that can help the patient achieve some kind of control over the situation surrounding him or her so that he or she is better equipped and more capable of handling normal functioning and social situations as well.

2. Information: It is also a good idea to help these patients in looking at and in processing information. While normal people may easily be able to discard insignificant or unimportant information, the brain of the patient suffering from asperger's syndrome does not allow him or her to do so. In many cases, the patient is not able to filter the important and the unimportant information. This can debilitate many functions. So, it is important to be present to help the patient in making decisions and processing information that is actually relevant to his or her functioning.

3. Learning: One of the most crucial things to remember with the Asperger's patient is that they tend to understand and process things when they have a visual presentation rather than being told verbally. So showing them things practically in the proper manner is the right way to help them learn and process situations in a correct way. This will prevent them from doing things in the same old way even when their brains tell them that it will lead to wrong results.

4. Physical Abilities: Poor motor skills as well as lack of proper organisation skills are traits that usually characterise these patients. It is important to make them aware of this during games and activities that require management as well as use of social skills. For example, football and other such activities can be introduced in the routine. This will promote interaction with the team in order to play and enjoy the game.

How to Deal With a Patient Suffering From Asperger's Syndrome?

Dementia is the declining condition of the brain to function that interferes with daily life. It is not a disease but rather various symptoms. In such a condition, the communicative skills, as well as cognitive functions of the patient, compromised. Dementia is knowns to affect the functioning of memory, visual perception, and attention. These symptoms often cause disorientation, impaired judgment, and depression.

Speech therapy in Dementia is a way in which a speech-language pathologist can help the patients in maintaining a certain level of independence in themselves. Speech therapy helps in stimulating the cognitive abilities of the patient by engaging and practicing certain activities.

There are certain ways in which the cognitive functioning of the brain can be stimulated:

Spaced Retrieval errorless learning

Memory books and other Memory Aids

The speech therapists determine the changes in how a person is eating, swallowing, and drinking. The changes, if directed towards the improper cognitive abilities, are managed by certain strategies.

Other than normal activities, the person with Dementia also faces difficulty in communication aspects. It can either be verbal or non-verbal or both which includes gesturing, speaking, writing, and reading. The major areas that get affected by Dementia include social interaction, behavioral self-regulation, academic performance, as well as vocational performance.

It can get difficult to communicate with the person showing symptoms of Dementia. Hence, there are certain ways to help such situations.

Speaking Way

Speak calmly and clearly

Speak at a slower pace, so that the person processes the information and respond accordingly

Avoid speaking in sharp or loud voices

It is advisable to use simple and short sentences

Try speaking in a humorous way

You can also try to indulge them in conversations with others

Include them in a social group. Doing this can help in maintaining a sense of identity for the person with Dementia

Apart from this, speech therapists suggest that there are certain things you can talk about with the person of Dementia.

Whatever you are saying, say in a positive way

Try and avoid the direct questions

If you re asking questions, ask one at a time and try framing them in  yes  or  no  category

Try another way if the person cannot understand too complicated information. Don t repeat the same sentences.

Try to break down too much information in simpler explanations and sentences

A person with Dementia may have difficulty in determining particular information to be true or false. In such a case, try not to contradict them directly rather try to steer the conversation around the topic.

Take Away
A person showing symptoms of Dementia may have difficulty in carrying out simpler tasks of everyday life. Moreover, the patient may show certain behavioral, social, and physical imbalance. Such imbalance is caused by the declining cognitive abilities of the person. A speech therapist can help to overcome these disabilities through persistent training and practice.

Dementia - Know Speech Therapy For It!

Getting a good night s sleep is needed not only to remove dark circles but to improve your overall health as well. Ideally, adults need 7 to 9 hours of sleep every night. This helps you stay physically and mentally healthy. However, getting a good night s sleep is easier said than done, as sleep apnea is one of the factors that could affect the quality of your sleep. This can cause a number of health issues including heart disease.

What is sleep apnea?
Sleep Apnea is a sleep disorder that can make your breathing start and stop repeatedly while you are asleep. These pauses can range from 5 times an hour to 30 times in one hour. Waking up tired after a long sleep and snoring are characteristic symptoms of this condition. This can be annoying for others, but for you, it could be life-threatening. When your breathing stops; your airways get blocked. 

This is characteristic of obstructive sleep apnea, as every time this happens, you wake up. This can increase the risk of high blood pressure. High blood pressure, in turn, can cause arrhythmia, heart failure, and strokes. This can increase the risk of a fatal heart attack by up to 5 times.

Heart disease and central sleep apnea have a cyclic relationship. In this case, heart disease causes the person to retain water and salts. At night, this excess fluid can enter the lungs making the person wake up feeling short of breath. This is not necessarily because the airways get blocked but because the brain does not send the diaphragm a signal to expand and contract. This is not as common as obstructive sleep apnea.

Reducing your risk of heart disease caused by sleep apnea
There are ways to treat sleep apnea so as to reduce the chances of heart diseases. To treat it, it must first be diagnosed. Thus, if your roommate notices you snoring, consult a doctor immediately. For a diagnosis, you will need to undergo a sleep study. This involves staying overnight in the hospital where they will monitor your sleep. Treatment for sleep apnea is known as continuous positive airway pressure or CPAP. 

This form of treatment involves wearing a mask that regulates the air pressure as you breathe thus ensuring that the air passages do not close down. In case of obstructive sleep apnea, losing weight if you are obese, can also help treat the condition and keep the airways open. 

Sleep Apnea - How It Can Increase The Risk Of Heart Disease?

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