Medical Advisor Journals

Thursday, January 22, 2015

Most common diseases of 50 plus - Diseases of Central Nervous system - The Symptoms and Complications of Dementia

By Kyle J. Norton Health article writer and researcher; Over 10.000 articles and research papers have been written and published on line, including world wide health, ezine articles, article base, healthblogs, selfgrowth, best before it's news, the karate GB daily, etc.,.
Named TOP 50 MEDICAL ESSAYS FOR ARTISTS & AUTHORS TO READ by Disilgold.com Named 50 of the best health Tweeters Canada - Huffington Post
Nominated for shorty award over last 4 years
Some articles have been used as references in medical research, such as international journal Pharma and Bio science, ISSN 0975-6299.

Diseases of Central Nervous system

Dementia

About 5-8% of all people over the age of 65 have some form of dementia, and this number doubles every five years above that age. Dementia is the loss of mental ability, severe enough to interfere with people's every life and Alzheimer's disease is the most common type of dementia in aging people.

IV. Symptoms and Complications of Dementia
Dementia is a neuropsychiatric disorder induced of cognitive impairment and behavioral disturbances. The behavioral and psychological symptoms of dementia (BPSD) are common, with a progressive loss of memory and other mental abilities, affecting a person's ability to perform usual tasks in everyday life.
A. Symptoms
A.1. Symptoms of Alzheimer's disease
Alzheimer's disease is a brain disorder, affecting over 1 million people in US alone with well known symptoms of lack of concentration (56%), tremors (56%), depression (44%), lack of cooperation (36%), and delusions (32%), psychotic symptoms (delusions, hallucinations, and delirium) and tremors, and emotional symptoms (tearfulness and apathy, lack of concentration and appetite change), according to Hospital de Cruces, Plaza de Cruces s/n, Barakaldo in a study of total of 1014 patients(177) and other symptoms of

1. Increasing forgetfulness(178)
2. Communication difficulty(179)
3. Anxiety(180)
4. Mood and personal change(181)
5. Delay recall(183)
6. Repeat question(183)
7. Memory loss(182)
8 Aberrant motor behavior (184)
9. Sleep problems (184)
10. Eating problems (184) and
11. Agitation/aggression (184)
10. Etc.

A.2. Symptoms of Diminished quality of acetylcholine
If the nerves located in front of the brain perish, diminished quality of acetylcholine, it can cause language difficulty, memory loss, concentration problem and reduce mobile skills because of lacking reaction in muscular activity and refection.
Symptoms of deficiency of acetylcholine include(185)
1. Difficulty remembering names and faces after meeting people
2. Difficulty remembering peoples birthdays and numbers
3. Difficulty remembering lists, directions or instructions
4. Forgetting common facts
5. Trouble understanding spoken or written language
6. Forget where I put things
7. Slowed and/or confused thinking
8. Difficulty finding the right words before speaking
9. Disorientation
10. Prefer to do things alone than in groups / social withdrawal
11. Rarely feel passionate
12. Feel despair and lack joy
13. Lost some of my creativity / lack imagination
14 Dry mouth
15. Etc.

A.3. Dementia due to long-term alcohol abuse
Dementia is common in patients with alcoholism. Most symptoms of alcohol dementia are also presented in other types of dementia, with a few qualitative differences(186) involved both cortical and subcortical pathology. According to the article, "What's alcohol-related dementia?" Alcohol dementia induced deterioration in intellectual function with memory not being specifically affected, such as disinhibition, loss of planning, and executive functions and a blithe disregard for the consequences of their behaviour, affecting mostly of women in the ages between 30 - 70 with the better rates better than for Korsakoff's Psychosis(187).
Other symptoms in deficits are most frequently observed on tasks of visuospatial function, memory(188) and higher-order (executive) tasks(189)

A.4. Multi-infarct dementia
Also known as vascular dementia, is the second most common form of dementia after Alzheimer's disease in older adults, caused by different mechanisms, affecting the vascular lesions in the brain.with major neurovegetative symptoms of depression unaccompanied by depressed mood/anhedonia in patients with clinically-diagnosed Alzheimer's disease (AD) and multi-infarct dementia (MID)(190).
Symptoms include memory deficits(192) such as
1. Confusion
2. Memory problems
3. Wandering Getting lost
and
4. At least one of behavioural or psychological symptom, such as appetite disturbances irritability and anxiety and emotional suppresion(such as laughing inappropriately, crying inappropriately)
(193), and
5. Difficulty following instructions, and
6. Bladder incontinence
7. Bowel incontinence(191)

A.5. Dementia associated with Parkinson's disease
Parkinson disease (PD) is a disabling, progressive condition cause of cognitive deficits due to the interruption of frontal-subcortical loops that facilitate cognition and that parallel the motor loop, affecting motor function. These include olfactory deficit, sleep problems such as rapid eye movement behaviour disorder, constipation and male erectile dysfunction.(194).
Other symptoms due to to dopamine (DA) deficiency, include, dysexecutive behaviors(196), such as planning, abstract thinking, flexibility and behavioural control and postural disabilities(197) and
1. Constipation
2. Difficulty swallowing
3. Choking, coughing, or drooling
4. Excessive salivation
5. Excessive sweating
6. Loss of bowel and/or bladder control(195)

A.6. Creutzfeldt-Jakob disease (CJD)
People who have eaten contaminated beef in many years, may be infected with Creutzfeldt-Jakob disease (CJD) without even knowing it. Creutzfeldt-Jakob disease is a quickly progressing and fatal disease, characterized by rapidly progressive dementia. Initially, individuals experience problems with muscular coordination, personality changes, including impaired memory, judgment, and thinking and impaired vision. People with the disease also may experience insomnia, depression, or unusual sensations.(198).

A.7. Subdural hematoma
Subdural hemorrhages, the accumulation of blood beneath the outer covering of the brain resulted from the rupture of blood vessel may cause an increase in tracranial pressure, leading compression and damage to delicate brain tissue. Acute subdural hematoma has a high mortality rate.
Other symptoms include
1. Intermittent numbness and weakness of extremity(199) and
2. Loss of consciousnes(201)
3. Irritability
4. Seizures
5. Pain
6. Headache
7. Dizziness
8. Disorientation
9. Weakness
10. Weakness or lethargy
11. Nausea or vomiting
12. Loss of appetite
13. Personality changes
14. Confused speech
15. Difficulty with balance or walking
16. Altered breathing patterns
17. Hearing loss or hearing ringing (tinnitus)
18. Blurred Vision
19. Deviated gaze, or abnormal movement of the eyes(200)
^{20. Etc.}

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^References
(177) http://www.ncbi.nlm.nih.gov/pubmed/20920205
(178) http://www.ncbi.nlm.nih.gov/pubmed/21315756
(179) http://www.ncbi.nlm.nih.gov/pubmed/25356002
(180) http://www.ncbi.nlm.nih.gov/pubmed/16166409
(181) http://www.ncbi.nlm.nih.gov/pubmed/10796526
(182) http://www.ncbi.nlm.nih.gov/pubmed/25481271
(183) http://www.ncbi.nlm.nih.gov/pubmed/22122408
(184) http://www.ncbi.nlm.nih.gov/pubmed/25065098
(185) http://www.ncbi.nlm.nih.gov/pubmed/18849899
(186) http://www.nutritional-healing.com.au/content/articles-content.php?heading=Acetylcholine%20deficiency
(187) http://neurology.health-cares.net/alcohol-related-dementia.php
(188) http://www.ncbi.nlm.nih.gov/pubmed/25119654
(189) http://www.ncbi.nlm.nih.gov/pubmed/23347747
(190) http://www.ncbi.nlm.nih.gov/pubmed/22164676
(191) http://www.rightdiagnosis.com/m/multi_infarct_dementia/symptoms.htm
(192) http://www.ncbi.nlm.nih.gov/pubmed/24685627
(193) http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4006603/
(194) http://www.ncbi.nlm.nih.gov/pubmed/20642073
(195) http://www.helpguide.org/elder/parkinsons_disease.htm
(196) http://www.ncbi.nlm.nih.gov/pubmed/25511521
(197) http://www.ncbi.nlm.nih.gov/pubmed/25510818
(198) http://www.ninds.nih.gov/disorders/cjd/detail_cjd.htm#186463058
(199) http://www.ncbi.nlm.nih.gov/pubmed/11558288
(200) http://www.nlm.nih.gov/medlineplus/ency/article/000713.htm

Wednesday, January 21, 2015

Most common diseases of 50 plus - Diseases of Central Nervous system(CNS): Dementia - The Preventive Phytochemicals Tyrosol and Silymarin

Tuesday, January 20, 2015

Most common diseases of 50 plus - Nutrients Requirements for age of 50 and Over

III. Nutrients Requirements for age of 50 and Over For health and the normal functioning of the body, consuming foods and drinks, containing protein and a specific range of vitamins, minerals and trace elements is necessary to provide sources of energy (calories). Especially plant food phytochemicals with various groups of structure include 3000-4000 individual compounds with possession of a number of different properties(175).

Daily intakes for micro nutrients recommended by the Department of Health DRVs (Dietary Reference Values)(176)A. Nutrient and                 Recommended daily intake for 50+ years
1. Calcium (mg)                        700
2. Phosphorus (mg)                  550
3. Magnesium (mg)                   270
4. Sodium (mg)                       1600
5. Potassium (mg)                   3500
6. Chloride (mg)       2500
7. Iron (mg)                               14.8
8. Zinc (mg)                                 9
9. Copper (mg)                            1.2
10. Selenium (μg)            60
11. Iodine (μg)                         140
12. Vitamin A (μg)       600
13. Thiamin (mg)                        0.8
14. Riboflavin (mg)                   1.1
15. Niacin (mg)                       12
16. Vitamin B6 (mg)                  1.2
17. Vitamin B12 (μg)                 1.5
18. Folate (μg)                      200
19. Vitamin C (mg)                 40
20. Vitamin D* (μg)                10

B. Estimated Average Requirements (EARs) for energy
Age (years), Estimated energy requirement for males (kcals per day), Estimated energy requirement for females (kcals per day)
51-59                      2550                                                                        1900
60-64                      2380                                                                        1900
65-74        2330                                                                        1900
75+                      2100                                                                        1810

C. Proteins
Age (years) Estimated protein requirement for males (kcals per day)   For females
51+                                            53.3    46.5

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For over 100 healthy recipes, http://diseases-researches.blogspot.ca/p/blog-page_17.html
References
(175) http://bmb.oxfordjournals.org/content/56/1/18.full.pdf
(176) http://www.milk.co.uk/page.aspx?intPageID=116

Monday, January 19, 2015

Most common diseases of 50 plus - Diseases of Central Nervous system - Genetic mutation Causes of Dementia

Friday, January 16, 2015

Most common diseases of 50 plus - Diseases of Central Nervous system(CNS): Dementia - Treatments of Alzheimer's disease and Diminished quality of acetylcholine

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By Kyle J. Norton Health article writer and researcher; Over 10.000 articles and research papers have been written and published on line, including world wide health, ezine articles, article base, healthblogs, selfgrowth, best before it's news, the karate GB daily, etc.,.
Named TOP 50 MEDICAL ESSAYS FOR ARTISTS & AUTHORS TO READ by Disilgold.com Named 50 of the best health Tweeters Canada - Huffington Post
Nominated for shorty award over last 4 years
Some articles have been used as references in medical research, such as international journal Pharma and Bio science, ISSN 0975-6299.

Diseases of Central Nervous system

Dementia

About 5-8% of all people over the age of 65 have some form of dementia, and this number doubles every five years above that age. Dementia is the loss of mental ability, severe enough to interfere with people's every life and Alzheimer's disease is the most common type of dementia in aging people.

VI. Treatments
Depending to the causes of disease, most medication are to control the symptoms
A. Alzheimer's disease and Diminished quality of acetylcholine
A.1. Treatments of mild and moderate Alzheimer's disease and Diminished quality of acetylcholine
1. Cholinesterase inhibitors
a. Cholinesterase inhibitors are the primary treatment, including tacrine(409)(410)(Cognex), donepezil(411)(412)(Aricept), rivastigmine(407)(408)(Exelon), and galantamine (Reminyl) for reductions in acetylcholine and acetyltransferase activity(406) induced cognitive symptoms of Alzheimer disease (AD).
According to Dr. Trinh NH and the research team at the Massachusetts General Hospital, there was no difference in efficacy among various cholinesterase inhibitors(413). Persistent drug treatment had a positive impact on AD progression in advanced disease(414).
In the article, Cholinesterase Inhibitors, posted in the Minister of health, the inhibitors, improved the effectiveness of acetylcholine either by increasing the levels in the brain or strengthening the way nerve cells response in communication between nerve cells, may temporarily promote or stabilize the symptoms of Alzheimer's disease(415).

b. Side effects are not limit to(416)(417)
b.1. Nausea
b.2. Diarrhea
b.3. Vomiting
b.4. Indigestion.
b.5. Abdominal pain
b.6. Loss of appetite
b.7. Fatigue
b.8. Weight loss
b.9. Etc.

A.2. Treatment of moderate and Severe Alzheimer's disease and Diminished quality of acetylcholine
1. Namenda®(418)(419)(memantine), an N-methyl D-aspartate (NMDA) antagonist(420) are the most common medication used to moderate and severe Alzheimer's disease, through it's therapeutic action in uncompetitive binding to the NMDAR for preservance of the physiological function of the receptor(421). But, according to other in 2 out of 3 six month studies, memantine showed only a small beneficial effect but not in patients with vascular dementia(422).

2. Side effects are not limit to(423)(424)
b.1. Confusion
b.2. Dizziness
b.3. Drowsiness
b.4. Headache
b.5. Insomnia,
b.6. Agitation
b.7. Vomiting
b.8. Anxiety
b.9. Etc.

3. Other medications
3.1. Anticonvulsants
a. Anticonvulsants are a diverse group of pharmaceuticals used in the treatment of seizures(425), chronic neuropathic pain(426), and the clinical syndrome of Alzheimer's disease(427) by suppressing the rapid and excessive firing of neurons(428). Some researchers suggested that seizure pathophysiology may relate to increased amyloid beta-peptide production(429), causing cytoskeletal dysfunction, cerebrovascular changes, neurotransmitter dysfunction or combinations(430). By modification of these pathophysiological pathways, anti-epileptic drugs such as sodium valproate and lacosamide may be useful in the treatment of Alzheimer's disease(431)

b. Side effects are not limit to(432)(433)
b.1. Dizziness
b.2. Drowsiness
b.3. Unsteadiness
b.4. Nausea
b.5. Vomiting
b.6. Skin rashes
b.7. Etc.

3.2. Sedatives
a. A sedative or tranquilizer is a drug that calms patients(434), reduced irritability and excitement by modulating signals within the central nervous system for neuroprotection(436). The medication are highly addictive. Benzodiazepine, one of the sedative has shown to reduce Aβ plaques through its activation on Aβ-related synaptic and behavioral impairment in AD(437).

b. Side effects are not limit to(438)
b.1. Stomach upset
b.2. Blurred vision
b.3. Headache
b.4. Impaired coordination
b.5. Depression
b.6. Memory loss
b.7. Drowsiness
b.8. Risk of fractures and falls(435)
b.9 Etc.

3.3. Antidepressants
a. Antidepressant is a type of psychiatric medication used to treat depression(443), including mood disorder(439), dysthymia(440)(441) and anxiety disorders(442)(443). According to Purpan-Casselardit Hospital, 34.8% of patients with AD are prescribed antidepressant foe daily use in AD(444).

b. Side effects are not limit to(445)
b.1. Dry mouth,
b.2. Blurred vision
b.5. Drowsiness,
b.4. Dizziness
b.5. Tremors
b.6. Sexual problems
b.7. Etc.

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References
(406) http://www.ncbi.nlm.nih.gov/pubmed/23862185
(407) http://www.ncbi.nlm.nih.gov/pubmed/23728651
(408) http://www.ncbi.nlm.nih.gov/pubmed/19370562
(409) http://www.ncbi.nlm.nih.gov/pubmed/17636619
(410) http://www.ncbi.nlm.nih.gov/pubmed/10796507
(411) http://www.ncbi.nlm.nih.gov/pubmed/16856114
(412) http://www.ncbi.nlm.nih.gov/pubmed/16437430
(413) http://www.ncbi.nlm.nih.gov/pubmed/12517232
(414) http://www.ncbi.nlm.nih.gov/pubmed/19845950
(415) http://www.health.gov.bc.ca/pharmacare/adti/clinician/cholinesterase.html
(416) http://alzonline.phhp.ufl.edu/en/reading/mmi_cholinesterase.php
(417) http://en.wikipedia.org/wiki/Acetylcholinesterase_inhibitor
(418) http://www.ncbi.nlm.nih.gov/pubmed/25523430
(419) http://www.ncbi.nlm.nih.gov/pubmed/25523285
(420) http://www.ncbi.nlm.nih.gov/pubmed/10465680
(421) http://www.ncbi.nlm.nih.gov/pubmed/21875407
(422) http://onlinelibrary.wiley.com/doi/10.1002/14651858.CD003154.pub4/abstract;jsessionid=81B82BC5B10FAB9959A92CF39D439C21.d02t02
(423) http://www.medicinenet.com/memantine-oral/page2.htm
(424) http://en.wikipedia.org/wiki/Memantine
(425) http://www.ncbi.nlm.nih.gov/pubmed/23996793
(426) http://www.ncbi.nlm.nih.gov/pubmed/25479151
(427) http://www.ncbi.nlm.nih.gov/pubmed/20096151
(428) http://www.ncbi.nlm.nih.gov/pubmed/24565570
(429) http://www.ncbi.nlm.nih.gov/pubmed/23926248
(430) http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3385944/
(431) http://www.ncbi.nlm.nih.gov/pubmed/19557550
(432) http://www.webmd.com/bipolar-disorder/anticonvulsant-medication
(433) http://en.wikipedia.org/wiki/Anticonvulsant
(434) http://www.ncbi.nlm.nih.gov/pubmed/24552479
(435) http://www.ncbi.nlm.nih.gov/pubmed/18690999
(436) http://www.ncbi.nlm.nih.gov/pubmed/18311185
(437) http://www.ncbi.nlm.nih.gov/pubmed/20980585
(438) http://en.wikipedia.org/wiki/Sedative
(439) http://www.ncbi.nlm.nih.gov/pubmed/19192442
(440) http://www.ncbi.nlm.nih.gov/pubmed/15738743
(441) http://www.ncbi.nlm.nih.gov/pubmed/25177490
(442) http://www.ncbi.nlm.nih.gov/pubmed/24497254
(443) http://www.ncbi.nlm.nih.gov/pubmed/23737423
(444) http://www.ncbi.nlm.nih.gov/pubmed/19735591
(445) http://www.webmd.com/depression/features/coping-with-side-effects-of-depression-treatment

Wednesday, January 14, 2015

Most common diseases of 50 plus - Diseases of Central Nervous system(CNS): Dementia - Treatments of Dementia associated with Multi-infarct dementia

By Kyle J. Norton Health article writer and researcher; Over 10.000 articles and research papers have been written and published on line, including world wide health, ezine articles, article base, healthblogs, selfgrowth, best before it's news, the karate GB daily, etc.,.
Named TOP 50 MEDICAL ESSAYS FOR ARTISTS & AUTHORS TO READ by Disilgold.com Named 50 of the best health Tweeters Canada - Huffington Post
Nominated for shorty award over last 4 years
Some articles have been used as references in medical research, such as international journal Pharma and Bio science, ISSN 0975-6299.

Diseases of Central Nervous system

Dementia

About 5-8% of all people over the age of 65 have some form of dementia, and this number doubles every five years above that age. Dementia is the loss of mental ability that is severe enough to interfere with people's every life and Alzheimer's disease is the most common type of dementia in aging people. American typical diet contains high amount of saturated and trans fat, artificial ingredients with less fruits and vegetable which can lead to dementia and other kind of diseases.

VI. Treatments
Depending to the causes of disease, most medication are to control the symptoms
B. Multi-infarct dementia
Also known as vascular dementia, is the second most common form of dementia after Alzheimer's disease in older adults between ages of 60 and 75(571), caused by different mechanisms all resulting in vascular lesions in the brain(572)(573) with prevalence of major depression, depressed mood/anhedonia, and subjective and neurovegetative symptoms of depression(574).

II. Treatments of Multi-infarct dementia
There are no treatments which can reverse the damage to the brain caused by small strokes(575), but the goal of the treatment is to control the symptoms and reduce the risk factors to prevent future strokes(576) by prescribed medicine to make the blood thinner to reduce the risk blood clot causes of future stroke.
A. Medication
1. Plavix
Plavix tablets is rescription-only medicine with function of keeping blood platelets from sticking together and forming clots(577) to prevent blood clotted causes of future stroke(579). In some cases, it is used conjunction with aspirin(578).

b. Side effects are not limit to
The most common side effects of Plavix (occurring in more than 2 percent of people and more often in the group taking Plavix) include:
b.1. Constipation
b.2. Diarrhea
b.3. Dizziness
b.4. Headache
b.5. Heartburn
b.6. Joint or muscle pain
b.7. Nausea and vomiting
b.8. Etc.
A sudden choking feeling, sore throat, difficulty swallowing and itchy mouth had been reported in patient taking clopidogrel 75 mg combined with 100 mg acetylsalicylic acid once daily, and metoprolol tartrate 50 mg twice daily(580)

2. Antipsychotics (olanzapine, quetiapine)
a. Antipsychotic drugs effectively treat psychosis caused by a variety of conditions including dementia(581). Psychotic symptoms are classified as either positive or negative. Positive symptoms include hallucinations, delusions, thought disorders, bizarre or disorganized behavior(582). Negative symptoms include anhedonia, flattened affect, apathy, and social withdrawal(583).

b. Side effects are not limit to
In most cases, adverse effects are usually dose dependent and influenced by patient characteristics, including age and gender(584).
b.1. Constipation,
b.2. Dry mouth and
b.3. Blurred vision
b.4. Sleepiness and slowness
b.5. Weight gain
b.6. Stiffness and shakines
b.7. Hormone change
b.8. Diabetes
b.9. Etc.

3. Serotonin-affecting drugs (trazodone, buspirone, or fluoxetine)
a. Precursor amino acids (PAA)of the neurotransmitters serotonin and dopamine showed clinical and psychologic improvement with conflict results(585)

b. Side effects are not limit to
b.1. Diarrhea
b.2. Drowsiness
b.3. Nausea,
b.4. Vomiting and agitation(585)

4. Anti anticonvulsant
Anti anticonvulsant, clonazepam has shown to control logorrhea, hyperactivity, agitation, intrusiveness, and impulsive violence and to promote cooperation in patient with multi-infarct dementia, according to East Carolina University School of Medicine(586).

b. Side effects are not limit to
b.1. Dizziness
b.2. Drowsiness
b.3. Unsteadiness
b.4. Nausea
b.5. Vomiting
b.6. Skin rashes
b.7. Etc.

5. Rivastigmine, is a cholinergic agent used for the treatment of mild to moderate dementia(587)
a. On cognitive function, rivastigmine, at dosages approved for therapeutic use showed to improve all behavioral symptoms in 2 forms of VaD, MID and sVaD(590), except delusions, according to University of Trieste(588). The medicine, unfortunately, has been reported to induce side effects that lead to withdrawal in a significant proportion of patients(589).

b. Side effects are not limit to
b.1. Nausea and vomiting
b.2. Loss of appetite
b.3. Weight loss
b.4. Diarrhea
b.4. Dizziness
b.5. Drowsiness
b.6. Trembling
b.7. Etc.

B. Surgery
In case of sensory problems, surgery can be helpful.

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For over 100 healthy recipes, http://diseases-researches.blogspot.ca/p/blog-page_17.html
Back to General health http://kylejnorton.blogspot.ca/p/general-health.html

Back to Kyle J. Norton Home page http://kylejnorton.blogspot.ca

References
(571) http://www.ninds.nih.gov/disorders/multi_infarct_dementia/multi_infarct_dementia.htm
(572) http://www.ncbi.nlm.nih.gov/pubmed/22705146
(573) http://www.ncbi.nlm.nih.gov/pubmed/22164676
(574) http://jgp.sagepub.com/content/8/2/96.abstract
(575) http://www.ncbi.nlm.nih.gov/pubmed/3046450
(576) http://www.ncbi.nlm.nih.gov/pubmed/21365068
(577) http://www.aafp.org/afp/2003/0601/p2335.html
(578) http://www.ncbi.nlm.nih.gov/pubmed/25547900
(579) http://www.ncbi.nlm.nih.gov/pubmed/25507889
(580) http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4203606/
(581) http://www.ncbi.nlm.nih.gov/pubmed/23896958
(582) http://www.ncbi.nlm.nih.gov/pubmed/21543954
(583) http://www.ncbi.nlm.nih.gov/pubmed/23472837
(584) http://www.ncbi.nlm.nih.gov/pubmed/17927296
(585) http://www.ncbi.nlm.nih.gov/pubmed/301148
(586) http://www.ncbi.nlm.nih.gov/pubmed/3252876
(587) http://www.ncbi.nlm.nih.gov/pubmed/23684446
(588) http://www.ncbi.nlm.nih.gov/pubmed/18184948
(589) http://www.ncbi.nlm.nih.gov/pubmed/23728651
(590) http://www.ncbi.nlm.nih.gov/pubmed/15846730

Most common diseases of 50 plus - Diseases of Central Nervous system(CNS): Dementia - Treatments of Dementia associated with Subdural hematoma

By Kyle J. Norton Health article writer and researcher; Over 10.000 articles and research papers have been written and published on line, including world wide health, ezine articles, article base, healthblogs, selfgrowth, best before it's news, the karate GB daily, etc.,.
Named TOP 50 MEDICAL ESSAYS FOR ARTISTS & AUTHORS TO READ by Disilgold.com Named 50 of the best health Tweeters Canada - Huffington Post
Nominated for shorty award over last 4 years
Some articles have been used as references in medical research, such as international journal Pharma and Bio science, ISSN 0975-6299.

Diseases of Central Nervous system

Dementia

About 5-8% of all people over the age of 65 have some form of dementia, and this number doubles every five years above that age. Dementia is the loss of mental ability that is severe enough to interfere with people's every life and Alzheimer's disease is the most common type of dementia in aging people. American typical diet contains high amount of saturated and trans fat, artificial ingredients with less fruits and vegetable which can lead to dementia and other kind of diseases.

B. Subdural hematoma
Subdural hematoma is the accumulation of blood beneath the outer covering of the brain resulted from the rupture of blood vessel(545)(546). Subdural hemorrhages may cause an increase intracranial pressure(545), which can cause compression of and damage to delicate brain tissue(547). Acute subdural hematoma has a high mortality rate(546). The diseases are most prevalent among elderly individuals(544).

II. Treatments of Subdural hematoma
1. Emergency treatment
An acute subdural hematoma (SDH) is a rapidly clotting blood collection(548) below the inner layer of the dura but external to the brain and arachnoid membrane(549). Two further stages, subacute and chronic, may develop with untreated acute subdural hematoma (SDH)(549). There is always important to maintain survival of the patient with acute subdural hematomas(550)(551) because of its an unfavorable outcome in the majority of cases(551). Emergency treatment be necessary to reduce pressure and to allow blood to drain by drilling a small hole in the skull and inserting a temporary small catheter through a hole drilled through the skull and sucking out the hematoma(552)(564). Although hematoma resolution has been reported, it cannot be reliably predicted, and no medical therapy has been shown to be effective in expediting the resolution of acute or chronic subdural hematomas(552)(553).

2. Medication
Inn case of chronic subdural hematomas, Mannitol may be used to reduce intracranial pressure (ICP)(554)(555) as it produced a significant reduction in ICP and improved cerebral perfusion pressure(556).
a. Corticosteroids for brain oedema
Methylprednisolone is a synthetic glucocorticoid or corticosteroid drug(557). Researchers that Methylprednisolone can effectively reduce myelin changes(559) accompanying brain oedema(558) induced by blood-brain barrier opening with an osmotic insult(559).

b. Anticonvulsants for patient with seizures
In some cases, patients with chronic subdural haematoma mau be treated with anticonvulsants for seizures prevention(560). According to , risk of seizures is reduced(562) to none and 1.8% in 73 patients given prophylactic antiepileptic drug treatment in Tokyo Medical and Dental University study(561) and Beilinson Medical Center(562) studies, respectively.

c. Rifampicin for bacterial infection
Rifampicin is a naturally made, non-peptide antibiotic(563). It is bactericidal, killing agent by disabling the protein expression system universally conserved by all bacterial causes of infection(567), but it can induce thrombocytopenia(565)(566) in acute subdural hematoma treatment.

3. Surgery
Large or symptomatic hematomas require a craniotomy, as a bone flap is temporarily removed from the skull to access the brain for removal of blood clot with suction or irrigation(568). According University of Cambridge, Cambridge, the use of a drain after burr-hole drainage of chronic subdural haematoma and minimized the incidence of significant recollection(570) is safe and associated with reduced recurrence and mortality at 6 months(569).

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References
(544) http://www.ncbi.nlm.nih.gov/pubmed/25224156
(545) http://www.ncbi.nlm.nih.gov/pubmed/24313607
(546) http://www.ncbi.nlm.nih.gov/pubmed/19139303
(546) http://www.ncbi.nlm.nih.gov/pubmed/25367584
(547) http://www.ncbi.nlm.nih.gov/pubmed/24049555
(548) http://www.ncbi.nlm.nih.gov/pubmed/24784316
(549) http://emedicine.medscape.com/article/828005-overview
(550) http://www.ncbi.nlm.nih.gov/pubmed/25142860
(551) http://www.ncbi.nlm.nih.gov/pubmed/19570326
(552) http://www.ncbi.nlm.nih.gov/pubmed/23066609
(553) http://emedicine.medscape.com/article/1137207-treatment
(554) http://www.ncbi.nlm.nih.gov/pubmed/4817809
(555) http://www.ncbi.nlm.nih.gov/pubmed/12020522
(556) http://www.ncbi.nlm.nih.gov/pubmed/7936130
(557) http://en.wikipedia.org/wiki/Methylprednisolone
(558) http://www.ncbi.nlm.nih.gov/pubmed/15782554
(559) http://www.ncbi.nlm.nih.gov/pubmed/22286794
(560) http://www.ncbi.nlm.nih.gov/pubmed/23744552
(561) http://www.ncbi.nlm.nih.gov/pubmed/8229039
(562) http://www.ncbi.nlm.nih.gov/pubmed/8213276
(563) http://en.wikipedia.org/wiki/Rifampicin
(564) http://www.ncbi.nlm.nih.gov/pubmed/19782872
(565) http://www.ncbi.nlm.nih.gov/pubmed/19960218
(566) http://www.ncbi.nlm.nih.gov/pubmed/20827562
(567) http://ijpr.sbmu.ac.ir/?_action=articleInfo&article=1112
(568) http://en.wikipedia.org/wiki/Craniotomy
(569) http://www.ncbi.nlm.nih.gov/pubmed/19960218
(570) http://www.ncbi.nlm.nih.gov/pubmed/14565521