This book provides essential information from neurology, otolaryngology and psychiatry to diagnose and treat dizzy patients, summarized by two world experts.
The diagnosis and treatment of the patient with critically impaired walking abilities present the busy physician with a formidable challenge. This book provides a comprehensive account of the various balance, posture and gait disorders, and of the methods for Their effective Read More ...management. The text is divided into five sections dealing wi
This book provides essential information from neurology, otolaryngology and psychiatry to diagnose and treat dizzy patients, summarized by two world experts.
This chapter addresses the important and undertreated problem of balance disorders. The chapter has a simplified summary of the physiology of balance problems in order to set the scene. The issue of assessment is next addressed with discussion of important tests including the Berg Balance Scale and the Get Up and Go Test, and others. Posturography is discussed as well as assessment of the gravitional vertical. The assessment of vestibular function is of key importance and discussed in some detail. The focus of the chapter is on balance rehabilitation. Re-training of postural alignment and of sensory strategies are key but adaptation of the environment and re-training of cognitive strategies are also helpful in individual cases. Vestibular exercises can also be used. The chapter then critically analyses the efficacy of these treatments in specific balance disorders such as in stroke, Parkinson disease, polyneuropathies, multiple sclerosis, and vestibular disorders. Overall, there is a growing body of evidence that balance rehabilitation improves symptoms, function, and quality of life for those troubled by these disabling problems.
Dizzy patients are notoriously difficult to diagnose as doctors require knowledge spanning several subspecialties, including neurology, otolaryngology, internal medicine and psychiatry. This updated second edition integrates the essential information from these fields, providing advice that is both practical and accessible. Beginning with two jargon-free chapters on anatomy, physiology and examination techniques, the book follows a coherent structure organized according to clinical presentations, such as recurrent vertigo, positional vertigo and chronic dizziness. Each chapter is summarized with a table showing diagnoses and their key features, ensuring that the relevant differential diagnoses are readily available. Access to more than sixty online video clips is included, illustrating bedside findings from pathological nystagmus to specific balance problems. With practical advice offered for a range of difficult clinical situations, this comprehensive guide will enable any doctor to feel confident when confronted with dizzy patients.
Analyzing the history of the Jews of Spain from the time of the Visigoths to the present, this study investigates periods of discrimination against converted Jews that went beyond the merely religious, finding similarities to the racial and secular anti-Semitism of modernity. Some scholars have drawn parallels between the Spanish castizo ethnicism embodied in the "cleanliness of blood" statutes and the German volkisch (anti-Semitic) beliefs that sustained Nazism. Others have found Inquisition-like parallels in post-inquisitorial Spain--including during the Spanish Civil War and the Francoist era--a result of the survival of ethno-religious prejudices in a country where there were no Jews. The singularities of Spanish anti-Semitism are revealed in the "Spanish Paradox" of anti-Semitism coexisting with philo-Sephardism and also in the Spanish sensitivity to being viewed as a nation of Jews (the Black Legend). The author examines a historiographical controversy that went beyond scholarship, spilling onto the columns of newspaper polemic.
The diagnosis and treatment of the patient with critically impaired walking abilities present the busy physician with a formidable challenge. This book provides a comprehensive account of the various balance, posture and gait disorders, and of the methods for Their effective Read More ...management. The text is divided into five sections dealing wi
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