The latest research, published in the journal Neurology, has investigated over 20,000 cases of hospitalization for stroke or stroke, and identified the same pattern: those who went to the hospital on Saturday or Sunday had a 8.1% risk of dying, compared with 7% of the remaining affected after taking other risk factors such as age, severity of urgency and other conditions.

“We wanted to determine whether the severity of stroke on weekends compared to weekdays, could explain the lower survival rate,” says Dr. Moira K. Kapral, author of the study from the University of Toronto in Ontario (Canada). “Our results suggest that the severity of infarction is not necessarily the reason for this discrepancy.”

Which means you should look for other reasons, such as the fact that the sole wage personnel on weekends. Not that attending physicians on call Saturday and Sunday are worse, but they are forced to respond to any emergency and any specialty, while a weekday the patient is more likely to meet with the specialist, the which, moreover, know his history and background of the emergency if their usual doctor.

Just a few months, published a similar study in the UK computing the risk of dying in a 7% more revenue generated during the weekend. The authors, from Imperial College in London, calculated that only in the region, 3,369 more deaths occurred in the circumstances of which would be expected statistically. “Staffing levels are often reduced during the weekend, with fewer doctors veterans, and some specialties are less available,” explained Dr Paul Aylin then, one of the authors of the research.

In Spain, a study by Dr. Javier Marco, Hospital Clínico San Carlos in Madrid, and colleagues reached a similar conclusion. “The weekend earnings are associated with in-hospital mortality significantly higher,” concluded the report, published in the American Journal of Medical Quality. ” “Once the problem has been detected, the next step would be to adopt new strategies designed to ensure sufficient hospital staff working in the wards of internal medicine at the weekend.”

These structures (located one in each hemisphere of the brain) are formed by thousands of cores, as part of the limbic system, involved in regulating emotions. Among them, the fear. Animal studies from rats to monkeys, have shown that the amygdala is crucial to terror, from processing to recognition and induction of a response. “But little is known about its role in inducing aware of behaviors related to fear,” the authors write in the journal Current Biology.

But the team led by Justin Feinstein, University of Iowa (USA), was for this purpose with the cooperation of Mrs. SM, who underwent several situations that frighten them the most, said in the course of three years numerous questionnaires about their phobias and how she felt every day and said past experiences with them. No sign of fear.

Double-edged sword

“In daily life, His Majesty has met with numerous traumatic events [armed robbery, death threats, domestic violence] that have endangered his life and, as we noted, did not cause her fear,” said Feinstein . “In essence, these experiences leave an imprint in your brain.”

Neither the ‘evidence’ to which it was submitted. She was taken to an exotic pet store that had spiders and snakes, animals “had for years been saying that ‘hate’ and ‘trying to avoid,’” says the researcher. And when was there picked up, stroked and watched carefully how he wanted, sometimes even against the warnings of the employees. Why? “Curiosity.”

The reaction to the ‘house of terror’, where he led the group shouting “here guys, follow me” and for the viewing of 10 video clips of terror, one of the most effective ways to induce emotions a laboratory, were identical. “Overall, these results suggest that the amygdala is a key area of the brain to provoke a state of fear in humans,” says the study, but not other emotions.

The downside is that being unable to feel fear drives you off guard. The brain does not warn you of situations, people or things that you should stay away if you want to survive, just as happens to the protagonist of this study, at 44 years, “it is quite surprising that it is still alive” Feinstein warns.

But the example of SM, one of the most studied people in the world, has allowed researchers to see that our fears are woven into the amygdala and to learn to control or ‘off’ in a selective manner could help people with syndrome PTSD whose lives are ruled by terror.

As explained by the principal author of this work, Robert Wilson, “Our results suggest that the benefit of delaying the signs of cognitive decline could lead to more rapid evolution of dementia in later years, but the question is why this happens.”

According to the experts argue over the article, the activities that stimulate the mind can protect and slow cognitive decline, but will not prevent neurodegenerative lesions associated with dementia. Is, they manage to increase the brain’s ability to function relatively normally, despite the brain damage that occur. This occurs until it is diagnosed dementia. From this moment, “observed a more rapid decline in people who had an active lifestyle mentally.”

Researchers at Rush University Medical Center (Chicago) assessed the mental activity of 1,157 people aged 65 years without dementia. At three and six, these people responded to a questionnaire on cognitive habits: listening to the radio, watch TV, read, play games and visit museums. The higher the score, the greater was also the brain stimulation. Over the next six years, found the rate of decline, which incidentally was more rapid among those who had delayed.

“This is not due directly to brain stimulation exercises, which in fact are still highly recommended,” said Jose Carlos Garcia Moncada, chief of Neurology, Hospital of Vizcaia Galdácano. “What happens is that by delaying the onset of dementia, patients who suffer from them is less. Let us note the more rapid deterioration in a shorter time. “

- Loss of strength in the face, arm or leg on one side of the body.
- Disorders of sensation, feeling “tingling” of the face, arm or leg on one side of the body.
- Sudden loss of vision, partial or total, in one or both eyes.
- Slurred speech, difficulty in speaking, it costs us to articulate and be understood by those who hear us.
- Feelings of extreme dizziness, unsteadiness, imbalance or sudden unexplained falls, together with any of the symptoms described above.
- Headache of sudden onset, intensity unusual and unexplained.

You can have a stroke and its consequences can be death or disabling sequel do so dependent on another person or caregiver.

What should you do?

1. Tell a relative, friend or neighbor to join you
2. Rushed to the hospital or call the Integrated System of Emergency.

What Not To Do

- Wait until it passes
- Aspirin
- Do not tell anyone not to bother
- Warn your family doctor to come to your house to visit when you can

Do not waste time, every minute counts

Diseases is a neurologist
The most common neurological diseases are migraine and other headaches, memory loss, dementia and Alzheimer’s disease, sleep disorders, Parkinson’s disease and tremor, gait disorders, epilepsy and unconscious, the pains and neuralgia, muscle weakness and neurological impact of general diseases, stress and depression.

Diagnostic tools which employs
The most important diagnostic tool is the history, during which the patient exhibits symptoms, allowing deduction of injured nervous system. The fundus examination of the cranial nerves, gait and station, reflections, sensitivities and cerebellum to confirm the injury. Finally, if necessary, use additional powerful diagnostic tools to confirm the clinical impression, such as brain MRI, Angio-Reosnancia the brain, and EEG mapping studies, electromyographic studies and conduction velocity, genetic studies , etc.

Treatments that are used
Neurological treatments are usually pharmacological, ie with drugs. On special occasions it is necessary to resort to physical therapy and other physical therapy or psychotherapy that is administered by psychologists and physiotherapists. Generally, medications are prescribed for three to six months and after this time is often convenient to make a review to monitor the effects of treatments.

Other fields of neurology
One area of particular interest is the Forensic Nurses, as the source of neurological disability, with corresponding legal consequences. One of the most important aspects is to determine the ability to make the person insane.

Contact in special situations
In an emergency you can phone at any time. During the holiday season includes an answering calls and answered at least weekly to patients who leave their name and phone number.

The nervous system consists of the central nervous system (brain and spinal cord), peripheral nervous system (nerve roots, nerves, union muscle and nerve and muscles) and autonomic nervous system (responsible for regulating blood pressure, heart rate, sweating, etc.).

Neurological diseases are many, some common (migraine, stress and depression, stroke and cerebral hemorrhage, etc.). And not so common (multiple sclerosis, Parkinson’s disease, Guillain Barre syndrome, etc.)..

The diagnosis of these diseases is first of all clinical, ie, based on history and patient history and physical examination. Then, when the neurologist sees fit, request more specific examinations such as computed tomography, MRI, EEG, EMG, transcranial Doppler, etc.

Once the diagnosis, the neurologist will find the most effective treatment for the patient. As every patient is different each other, the physician should indicate the drug that creates more appropriate for your patient.

Once the treatment, the patient must go to his neurologist checks prompted. Some diseases require a few checks (eg attacks of vertigo or dizziness) and others require more controls (epilepsy, cerebral vascular attacks, etc.)..

Finally, the main objective is to solve the problem the patient, and if there is no definitive treatment for their disease and find ways to best manage the symptoms the patient may have.

A group of Spanish researchers has identified the areas in the brain that are impaired when a neurodegenerative process is initiated and appears mild cognitive impairment. “The findings are relevant because they give us clues about the brain areas that we should look to in future make an early diagnosis of Alzheimer’s disease,” said Juan Antonio Hernandez Tamames, director of the Laboratory of Medical Image Analysis and Biometrics URJC center where images were analyzed in the study.

The research, carried out by the Universidad Rey Juan Carlos (URJC), in collaboration with Queen Sofia Foundation Alzheimer’s Project and the Department of Basic Psychology, National University of Distance Education (UNED), analyzed a total of 40 patients -18 and 22 healthy subjects with mild cognitive impairment-selected sample of 140 individuals used in the study, three-year Early detection of MCI and progression to Alzheimer’s Disease. Analysis of MCI subtype, markers, and Risk Factors. Patients with cognitive impairment were classified as amnestic, amnestic and multidomain not, ie those with amnesia problems and problems in the execution of daily tasks.

The work, which has received the first prize at the III World Congress on Controversies in Neurology held in the Czech Republic last October, shows that in subjects with mild cognitive impairment amnestic begins turning parahippocampal damage the brain – an area close to the memory and memories in the brain.

However, in patients with non-amnestic mild cognitive impairment deteriorates first thing is the anterior cingulated. Finally, in patients with impaired both areas are damaged multidomain-turn parahippocampal and cingulated. The three findings are consistent with each other and with clinical symptoms.

According to research, this could be due to the fact that multidomain cognitive impairment is a more advanced stage of Alzheimer’s that can occur after a mild cognitive impairment, either amnesia or amnesia. These findings also can be easily distinguished from other dementias that present with symptoms similar to Alzheimer’s, such as vascular dementia or Lewy body dementia.

Unfortunately, it is a situation difficult to control medically, which affects the quality of life in general, and especially in big cities today, with so many people stressed, where interpersonal contact is very difficult.

Stress can often go unnoticed. Some people are very sensitive, low stress tolerance, which develops symptoms as a little sweating, dizziness, sometimes can be a high blood pressure, gastritis, depends on what the regular expression that has that personal.

The doctor has to talk a lot with the patient to know if you’re stressed, find out what is happening if the symptoms are transient, if there are other causes that produce stress.

Many times, the experts conclude that someone is suffering stress through directed questioning and in sufficient time to do it.

Stress is a more specific field of psychiatry to neurology, but what is clear is that a painting can become prolonged depression and panic attacks.

Many times you have to prescribe antidepressant medication. There are new medications that are antidepressants last generation, very tolerated, very effective for panic crisis that usually come after prolonged stress.

Childhood neurological cause much distress in the family. However, thanks to scientific advances, most young patients can enjoy a full life today.

What would be the most common conditions in this specialty.

There are two sets of conditions which by their frequency in childhood and adolescence, would represent the main reasons for consultation at the neurological specialty: developmental disorders and so encompass the paroxysms.

A not insignificant percentage of children has a developmental disorder of sufficient magnitude to require an expert assessment. The reasons for consultation vary by age:

• In infants: is manifested in the acquisition of maturational patterns, especially motor.

• At stage Kindergarten disorders in language development.

• At school age and adolescence in learning disorders and behavior.

A lower percentage or something similar at some time transient paroxysmal episode. These manifest as change at the level of motor behavior (convulsions, tics, etc..) Perceptual (headache, vertigo) of impaired breathing (apneas, sobbing spasms) or level of consciousness (syncope).

Within the spectrum of seizures, which may have different ways of presenting stand-febrile seizures.