Neurofeedback for the treatment of chronic tinnitus : Review and future perspectives.
[Neurofeedback for the treatment of chronic tinnitus : Review and future perspectives]. HNO. 2017 Nov 15;: Authors: Kleinjung T, Thüring C, Güntensperger D, Neff P, Meyer M Abstract Neurofeedback is a noninvasive neuromodulation technique employing real-time display of brain activity in terms of electroencephalography (EEG) signals to teach self-regulation of distinct patterns of brain activity or influence brain activity in a targeted manner. The benefit of this approach for control of symptoms in attention deficit disorders, hyperactivity, depression, and migraine has been proven. Studies in recent years have also repeatedly shown this treatment to improve tinnitus symptoms, although it has not become established as routine therapy. The primary focus of this review is the rational of EEG neurofeedback for tinnitus treatment and the currently available data from published studies. Furthermore, alternative neurofeedback protocols using real-time functional magnetic resonance imaging (fMRI) measurements for tinnitus control are considered. Finally, this article highlights how modern EEG analysis (source localization, connectivity) and the improving understanding of tinnitus pathology can contribute to development of more focused neurofeedback protocols for more sustainable control of tinnitus. PMID: 29143096 [PubMed - as supplied by publisher]
Conclusions: RDLs are frequently observed in high-risk patients for gastric cancer after eradication. M-NBI demonstrated significantly superior diagnostic efficacy with respect to RDL.Digestion 2018;98:48 –55
HAY FEVER symptoms can include sneezing, coughing, a runny nosy, itchy eyes, a headache and tiredness. They can have a big impact on how you go about your day-to-day life, and while the NHS recommends a number of treatments, such as tablets and nasal sprays, Dr Ranj Singh says applying a £1 skincare product to your nose can help.
Conclusions: The sustained effort to self-manage chronic pain could be exhausting, and motivation could wane over time following intervention. Providing intermittent support in the form of booster sessions and peer support groups may be important. Person-centered care via shared decision making and guided problem solving is essential to facilitating ongoing self-management. PMID: 29669089 [PubMed - in process]
Alopecia areata (AA) is a common autoimmune condition of the skin that causes hair loss from the scalp and body. Recent studies have proposed a relationship between AA and comorbid psychiatric conditions including anxiety and depression. Our aim was to explore the association between depression and AA prospectively. A cohort of 56,079 female nurses from Nurses Health Study (NHS) were followed up from 2002 to 2012 to investigate whether a previous diagnosis of depression (n=36,083) was associated with the risk of self-reported new-onset AA (n=130).
Atopic dermatitis (AD) has been associated with multiple comorbid diseases. However, the relationship between AD severity and disease comorbidities is complex. A cross-sectional US population-based study of 8,217 adult was performed using a structured questionnaire. A diagnosis of AD was determined using UK Diagnostic Criteria for AD (n=602). AD severity was assessed using PO-SCORAD, POEM, DLQI and self-reported global AD severity. Logistic regression and structural equation models (SEM) were used to explore associations of AD with allergic, cardiometabolic, anxiety/depression and autoimmune disease.
BACKGROUND: Despite high survival rates of non-melanoma skin cancer (NMSC), many patients report unmet supportive care needs, increased cancer-specific and general distress, and higher levels of anxious and depressive symptoms. Virtual reality (VR) has experienced tremendous growth in recent years with rapidly expanding applications. Proof of concept using VR to mitigate stressful healthcare experiences has already been demonstrated in various settings.OBJECTIVE: To assess the utility of a VR experience in the context of the Mohs surgical day as a means to ameliorate patient anxiety and pain.
Acne vulgaris is one of the most common dermatologic disorders and may result in profound negative physical and psychosocial side effects including scarring, low self-esteem, depression and suicidal ideation. This intervention aimed to improve child and adolescent acne care given by primary care pediatricians through intensive education of clinicians and implementation of an electronic medical record (EMR) tool. Pediatricians associated with a tertiary-care children ’s hospital healthcare system in San Diego (n=116) underwent intensive, case-based education on acne assessment and treatment based on published acne treatment guidelines.
Androgenic Alopecia (AGA) commonly affects both men and women. Men are afflicted at rates as high as 80%, while 13% of premenopausal and close to 50% of postmenopausal women also demonstrate this form of hair loss. Available treatments include Minoxidil, a vasodilator, Finasteride, an androgen steroid hormone analogue, and hair transplantation. Minoxidil can cause headaches and weight gain and Finasteride can cause sexual dysfunction. Hair transplantation, although effective, has a very high cost and thus, is not a highly accessible treatment.
The objective of this study was to investigate coping strategies used by patients with HS and the associations of the strategies with HRQOL. A cross-sectional survey was issued to patients with HS at four different sites. The survey included a demographics and disease activity scale, the Brief COPE, the Hospital Anxiety and Depression Scale (HADS), and the Dermatology Life Quality Index (DLQI).
We present a patient who developed DILE twice on separate occasions from paroxetine and fluoxetine. Objective: A 45-year-old man with depression presents with itchy, spreading bumps on his upper torso, back, and arms for the past month, three months after starting fluoxetine.