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The newly formed Parkinson's Association of Louisiana PAL ; announced that Mrs. Grace Benson has agreed to accept the position of Honorary Chairperson on the group's Board of Directors. Other board members include Jefferson Parish President, Aaron Broussard, Mr. Alex Chachere, President, Tony Chachere's Creole Foods, Dr. Peter DeBlieux, Director of the Emergency Residence Program at LSU Medical Center, and Dr. Michael Hunter, Medical Doctor, Family Practice. Additional board members will be announced in the near future. The Parkinson's Association of Volume 1, Issue 9 October 2003 Louisiana is a non-profit organization committed to providing support, education and funding for the Parkinson's community of Louisiana with the ultimate goal of helping to find a cure for the disease that affects thousands of Louisiana citizens.
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Secondary role in dream plot instigation. a. The PET Imaging Findings of the Maquet Group Maquet et al. 1996 ; used an H2150 positron source to study REM sleep activation in their subjects who were then awakened for the solicitation of dream reports. In addition to the pontine tegmentum, significant activation was seen in both amygdalae and the anterior cingulate cortex Table 2 ; . Significantly, despite the general deactivation in much of the parietal cortex, Maquet et al. 1996 ; reported activation of the right parietal operculum - a brain region thought to be important for spatial imagery construction, an important aspect of dream cognition. The authors interpreted their data in terms of the selective processing, in REM, of emotionally influenced memories see also Braun et al. 1997; Maquet & Franck 1997 ; . b. The PET Imaging Findings of the Braun Group In another H2150 PET study, Braun et al. 1997 ; largely replicated the Maquet group's findings of a consistent REM-related brainstem, limbic and paralimbic activation. In REM compared individually to delta NREM and to pre- and post-sleep waking see Table 2 ; , these authors showed relative activation of the pons, midbrain, anterior hypothalamus, hippocampus, caudate, and medial prefrontal, caudal orbital, anterior cingulate, parahippocampal and inferior temporal cortices Braun et al. 1997 ; . Based on their observations, the Braun group then offered the following speculations which are relevant to the neurology of dreaming: 1 ; Ascending reticular activation during REM as compared to waking may favor a more ventral cholinergic route leading from the brainstem to the basal forebrain over a more dorsal route via the thalamus. 2 ; Activation of the cerebellar vermis in REM may reflect input to this structure from the brainstem vestibular nuclei. We note that these nuclei also constitute an important potential source of neuronal activation causing the unique vestibular features of fictive movement in dreams Hobson et al. 1997; Leslie & Ogilvie 1996; Sauvageau et al. 1998 and finasteride.
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Advise all patients to obtain an adequate intake of dietary calcium at least 1200 Mg D, including supplements if necessary ; and vitamin D 400 to 800 IU per day for individuals at risk of deficiency ; . Emphasize regular weightbearing and musclestrengthening exercise to reduce the risk of falls and fractures. Discuss possible Bone Mineral Density BMD ; testing for: - Perimenopausal women who are deciding to initiate estrogen replacement therapy, or - Postmenopausal women under 65 who have one or more risk factors besides menopause ; for osteoporotic fracture and who would consider treatment. Note: some sources recommend BMD screening for all women over age 65 this is not intended to imply benefits or coverage for BMD testing. Individual member coverage and benefits must be verified with IBC ; . Perform evaluation for osteoporosis on all postmenopausal women who present with non-traumatic fractures, using BMD testing to confirm the diagnosis and determine the severity of the disease. Initiate therapy to reduce fracture risk in women with BMD T-scores below 2 in the absence of risk factors and in women with T-scores below 1.5 if other risk factors are present. BMD testing may be necessary to establish whether therapy is appropriate for your patients. There are several methods used for bone density measurement, including single and dual photon absorptionmetry, dual-energy X-ray absorptionmetry, quantitative computed tomography, and peripheral bone density testing devices. Take caution when using peripheral machines to test patients. Only one site is tested and low bone density in the hip or spine may not be detected. Discordance in BMD among various skeletal sites is common in the years following menopause. The American Academy of Orthopedic Surgeons AAOS ; recommends that the most accurate site to measure is the spine until the age 65. Bone density at various skeletal sites begins to coincide at approximately age 70. In general, BMD testing at intervals less than 12 months is not required. Although there is no cure for osteoporosis, the following pharmacological options for osteoporosis prevention and or treatment for postmenopausal women have been suggested by the NIH ORBD-NRC and approved by the FDA Note: this information is not a statement of insurance benefits, but offered for informational purposes only ; : Estrogens brand names such as Premarin, Ogen, Estrace, Estraderm, Estratab, Prempro, and others ; . Alendronate brand name Fosamax ; is approved for treatment of osteoporosis in men and women and prevention in women. Calcitonin brand name Miacalcin ; is approved for treatment of osteoporosis in women only. Raloxifene brand name Evista ; , prevention and treatment of osteoporosis in women. Risedronate brand name Actonel ; is approved for the prevention and treatment of glucocorticoid-induced osteoporosis in men and women and prevention and treatment in post-menopausal women. We encourage you to share these tips and statistics with your patients and use the information presented as a resource when assessing patients. For more information on the prevention and treatment of osteoporosis, please visit the NIH ORBDNRC at osteo or the NOF at nof.
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