Depression in Parkinson's disease: diagnosis and management.
ABSTRACT Parkinson's disease has a high prevalence of psychiatric comorbidity including depression. This review highlights the epidemiology, aetiology and diagnosis of depression in patients with Parkinson's disease. Recommendations are made on treatment and a closer partnership between neurology and psychiatry.
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ABSTRACT: Thirty patients with cerebellar ataxia and 40 healthy volunteers underwent 7 days of mood monitoring using a new device requiring a low motor load. Its convergent validity and compliance were tested. The measurements resulted consistent with validated scale scores. Patients׳ motor impairment did not affect the compliance.Psychiatry Research 08/2014; DOI:10.1016/j.psychres.2014.07.051 · 2.68 Impact Factor
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ABSTRACT: Interest in improving care for the growing number of individuals with chronic conditions is rising. However, access to care is limited by distance, disability, and distribution of doctors. Small-scale studies in Parkinson disease, a prototypical chronic condition, have suggested that delivering care using video house calls is feasible, offers similar clinical outcomes to in-person care, and reduces travel burden. We are conducting a randomized comparative effectiveness study (Connect.Parkinson) comparing usual care in the community to usual care augmented by virtual house calls with a Parkinson disease specialist. Recruitment is completed centrally using online advertisements and emails and by contacting physicians, support groups, and allied health professionals. Efforts target areas with a high proportion of individuals not receiving care from neurologists. Approximately 200 individuals with Parkinson disease and their care partners will be enrolled at 20 centers throughout the United States and followed for one year. Participants receive educational materials, then are randomized in a 1:1 ratio to continue their usual care (control arm) or usual care and specialty care delivered virtually (intervention arm). Care partners are surveyed about their time and travel burden and their perceived caregiver burden. Participants are evaluated via electronic survey forms and videoconferencing with a blinded independent rater at baseline and at 12 months. All study activities are completed remotely.The primary outcomes are: (1) feasibility, as measured by the proportion of visits completed, and (2) quality of life, as measured by the 39-item Parkinson's Disease Questionnaire. Secondary outcomes include measures of clinical benefit, quality of care, time and travel burden, and caregiver burden. Connect.Parkinson will evaluate the feasibility and effectiveness of using technology to deliver care into the homes of individuals with Parkinson disease. The trial may serve as a model for increasing access and delivering patient-centered care at home for individuals with chronic conditions.Trial registration: This trial was registered on clinicaltrials.gov on January 8, 2014 [NCT02038959].Trials 11/2014; 15(1):465. DOI:10.1186/1745-6215-15-465 · 2.12 Impact Factor
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ABSTRACT: The wireless communication has undergone a revolution due to advancements in technology. For each new user or application to be a part of communication network, the preliminary requirement is the allocation of frequency spectrum band. This frequency band is a limited resource and it is impossible to expand its boundaries. So the need is to employ intelligent, adaptive and reconfigurable communication systems which can investigate the requirements of the end user and assign the requisite resources in contrast to the traditional communication systems which allocate a fixed amount of resource to the user under adaptive, autonomic and opportunistic cognitive radio environment. Cognitive Radio (CR) Technology has emerged from software defined radios wherein the key parameters of interest are frequency, power and modulation technique adopted. The Role of Cognitive Radio is to alter these parameters under ubiquitous situations. The Spectrum Sensing is an important task to determine the availability of the vacant channels to be utilized by the secondary users without posing any harmful interference to the primary users. In Multicarrier Communication System using Digital Signal Processing Techniques, Filter Bank Multi Carrier has an edge over other technologies in terms of Bandwidth and Spectral Efficiency. The present paper deals with Computational Complexity Analysis of FBMC-OQAM under different Strategic Conditions. The study comprises of the effect of variation of overlapping factor and the number of sub-carriers used in Filter Bank Multicarrier approach with Orthogonal Quadrature Amplitude Modulation pre and post processing techniques for the physical layer of Cognitive Radio under AWGN fading channel environment.2014 Recent Advances in Engineering and Computational Sciences (RAECS); 03/2014