74 Matching Annotations
  1. Dec 2019
  2. Nov 2019
    1. Therefore, not all NPH patients may be able to benefit from this treatment plan

      One of your limitations is that not all the patients with NPH will benefit, because there are some patients with worst motor impairment than others. Do you have exclusion criteria ?

    1. . This is important as the participants should learn the correct gait technique rather than the modified version they will have with the cart which is the assistive walking device

      Which one is the correct gait technique? How do they will learn which one is it?

    2. Even though there have been documented improvements of this parameter following shunt placement

      how does it improve? what changes can we see in the patients gait after the shunt placement? how long does this changes lasts?

    1. . Additionally, arterial hypertension and type 2 diabetes are seen in many patients with NPH and are thought to be two of the most prevalent comorbidities

      Is this correlated to NPH? Maybe its just findings of the disease, but not necessarily has to do with the prognosis of NPH.

    1. The prevalence of peripheral neuropathy among people with diabetes is 50% within 10 years of initial diagnosis (Bril, Breiner, Perkins, & Zochodne, 2018).

      I think maybe this sentence can be in another part of the paper. Because in this part of introduction you are talking about PN in general, not specific to diabetes.

    1. When using a live horse weighing several hundred kilograms. It is vital that the hippotherapy treatment team guarantee the suitability, behaviour, and fitness of the horse; however, these variables can be variable and leave an element of risk

      rephrase, it seems that the first sentence its not related to the second sentence because of the punctuation marks.

    1. McDonald, 2000)

      Can you place the link of your image reference? In this part you talked about the different forms of MS, but this slide talks about prognosis. What about life expectancy prognosis in this patients? What about the disability prognosis? Is the MS related to their death or is their death related to other complications because of MS?

    1. Diagnosis of MS is made based on both pathological and clinical indicators of the disease. Magnetic resonance imaging (MRI) and magnetic resonance spectrometry (MRS) are commonly used to examine the brain and spinal cord in order to identify active plaques (Froham et al., 2006). Clinical recognition of exacerbations of  common MS symptoms are also considered in the diagnosis. 

      You should have a section for diagnosis, this are only 5 sentences for a big disease as MS, it is too short. You can include pictures of a MRI health brain and one with a MS brain and point what are the differences between both of them? What can you see in and MRI of a MS patient?

  3. Oct 2019
    1. Impairments in the executive system occur in the sensorimotor cortex, the superior frontal cortex, and the anterior cingulate gyrus and the reticular formation of the brain stem and can contribute to the gait disorder

      Rephrase

    1. what does the life of the patient look after diagnosis of the disease?

      Where is the answer of that question? Even though this slide is about prognosis, you did not talk about it at all.

    1. Tests the efficiency of the hair cells and cochlea in the ear

      Please try to describe more about the diagnostic tests. I know they are several, but just explain a bit more how is it important for the diagnosis.

    1. 35% of US adults aged 40 years and older showed evidence of balance dysfunction. The odds of balance dysfunction increased significantly with age, such that 85% of individuals aged 80 and above showed evidence of balance dysfunction. Additionally, the odds of balance dysfunction were found to be 70% higher among individuals with diabetes mellitus (Agrawal, Ward & Minor, 2013)

      Rephrase, you used balance dysfunction several times in 4 lines of paragraph.

    1. Meanwhile, the increased muscle and joint pain experienced by individuals with PPS has been quantified using questionnaires as shown in a study by Kay et al. (2018) demonstrating that muscle and joint pain was experienced by over 50% of a cohort of individuals with PPS compared to only 25-33% of controls.

      Maybe you can write this in symptoms and signs

    1. aralytic PoliomyelitisDuring the paralytic manifestation of acute poliomyelitis, the virus reaches the cells of the brain and spinal cord (particularly the cells of the anterior horn).

      Reference of your image?

    2. Meninges of the Spinal CordDuring the non-paralytic manifestation of acute poliomyelitis, the virus reaches the meninges of the spinal cord and the brain causing aseptic meningitis.

      Reference of your image?

    1. Since there is no cure for dyspraxia, treatments and interventions are available that provide ways to improve activities of daily living (Hendrickx, 2009). The outlook for dyspraxia depends on how severe the condition is and what forms of interventions are done. Some individuals adopt skills that ease their difficulties and allows them to lead normal lives (Boon, 2010). The sooner children are diagnosed with DCD, the faster treatment can begin, which ensures a greater chance of improvement in their lives.

      This can be in the treatment section

    1. It is said to occur after a prenatal, perinatal or neonatal insult or after neuronal damage at the cellular level in the neurotransmitter or receptor systems. It is believed that the problems experienced by children with DCD are due to abnormalities in neurotransmitter or receptor systems rather than from damage to specific groups of neurons or brain regions (Banhart et al., 2003). It has also been said that DCD is due to parts of the brain having undergone immature development, leading to decreased nerve cells connections (Hendrickx, 2009). It is implied that minor neurological dysfunction is the cause of movement difficulties (Missiuna et al., 2006).

      Please rephrase. I know you are exposing several causes but try to be concise.

    1. heartbeat auscultation (allowing to determine if a blood impairment is present in the arteries)

      rephrase, I don't see the correlation between heartbeat and blood impairment in arteries, does not makes any sense.

    1. the acronym FAST

      This acronym is more for the general population, it is ok the figure but you should focus more in medical terminology because you are talking to health related professionals.

    1. It is characterized by an increase in ankle and knee extension during stance phase (Vasco et al., 2016). This compensatory knee joint stiffening helps to stabilize the lower limb through knee hyperextension (Vasco et al., 2016)

      You can add figures here to see how is the knee hyperextension, and the ankle extension in stance phase.

    1. Patients may be able to live several decades longer if they are carefully assisted and treated for related cardiac symptoms (i.e. arrhythmias) using anti-diabetic treatment

      what does the diabetic treatment has todo with cardiac symptoms?? you. have to explain that better. It does not make any sense.

    1.  In addition to experienced symptoms, scoliosis and pes cavus are common skeletal deformities also found in the disease (Harding, 1981). Principal non-neurological features found in FA patients were cardiac impairments and diabetes mellitus (Brusse et al., 2007). Cardiomyopathies are an essential non-neurological diagnostic feature in FA patients (Wood, 1998).  However, the exact proportion of patients that show this feature is unclea

      You can use figures for the examples of diagnosis. Even though the diagnosis is by genetic, you talked about some physical features and diseases of other organs that you can put into figures.

    1. Patients with FA typically show symptoms between the ages of 5 and 15 years old, but can appear in adulthood (Delatycki & Corben, 2012). The most common clinical features are difficulty walking and imbalance (Delatycki & Corben, 2012). Over the course of the disease, muscles progressively weaken, predominantly in the lower limbs as well as a loss of tendon reflexes occurs in the knees and ankles (Delatycki & Corben, 2012). FA patients exhibit dysarthria, dysmetria, fatigue, nystagmus, and most develop scoliosis. Other symptoms include chest pain, shortness of breath, and heart palpitations (Delatycki & Corben, 2012).

      Even tough you have the symptoms written you make maybe a chart, a diagram or a timeline with the symptoms. You can also use pictures or it will be a good idea to use a video from the web, you can find lots of videos in the web with person with ataxia.