Dipti Gupta

Abstract

Cognitive disorders are common in elderly population and are becoming an increasingly important public health problem, partly because of the rapid aging of the population. This study was conducted to find out the differences between cognitive ability between normal adults and healthy elders of north region. The mild cognitive impairment (MCI) resulting in limitations and delayed treatment of dementia, should be considered an entry point for researching recent changes in the lives of healthy elderly. In this study we have applied MoCA test on the 36 normal healthy elders belonging to high socioeconomic status and normal young adults. Results have shown that there was no significant difference amongst the young normal adults; all the participants had normal MoCA scores. The MoCA scores were significantly impaired in all the healthy elders and there was a significant difference between the normal young adults and healthy elders. Age has a significant influence on MOCA score in older adults. Hence there is a need for age specific stratification in cut-off scores. Keywords: Hippocampus, Dementia, Wilcoxon

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Abstract

Sudden hearing loss has been seen developing after introduction of rabies vaccine. Rabies is however a viral disease showing encephalitis and death. The treatment is done by active and passive immunization. Neurologic complications occur showing Guillain –Barre syndrome or facial paralysis seen in literature as side effects after dosages of vaccine. Hearing loss occurs which was detected in 11-year-old male patient who took medicines for rabies immunization. This present study reports about sudden hearing loss which develops after immunization, however no aetiological factors were seen and clinical management was discussed by literature.   Keywords: Hearing loss, Rabies, Vaccination Introduction

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Abstract

In order to characterise the extensive effects of a variety of health disorders on people, the International Classification of Functioning Disability and health (ICF) is frequently used in the disability and health sectors. The biopsychosocial model can be employed to explain how an individual interacts with their body’s structure, functions and involvement in daily activities. The ICF is also a way to facilitate patient centred care. By applying ICF in audiology, healthcare professionals can interact with one another in both clinical and research contexts. This research mainly focuses on ICF’s relevance and application to audiology and provides examples of how it should be used clinically to evaluate and treat adults with hearing loss. Keywords: ICF, Hearing impaired, Disability, Biopsychosocial model, Patient centred care, Audiological rehabilitation

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Abstract

Parkinson’s disease is one of the leading causes of dysphagia. Based on the disease stage, disease duration and the assessing method, the prevalence varies between 11% and 87%. One or all of the stages of swallowing can be impaired in Parkinson’s disease. This case study presents a case of 72 years old patient who developed dysphagia, aspiration and feeding problems subsequent to experiencing Parkinson’s disease. This article follows patient along as his post Parkinson’s swallowing status changed and various therapeutic techniques were used and emphasis was given on the use of swallowing maneuvers. This case report highlights the importance of a comprehensive assessment and individualized intervention plan for managing dysphagia. The management involved interprofessional dysphagia team however, the speech language pathologist was fundamental in making of these decisions. Keywords: Dysphagia, Parkinson's disease, MASA, Masako maneuver, Mendelsohn maneuver

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