Writing better MCQs and fight against the ‘test takers’: We have always come across students (and peers) who have amazing test scores and we wonder what is unique about them. We also come across questions in tests we take where we make a ‘guess’ but why we pick one option over the other when we really don’t know the answer. Why we ‘feel’ one options seems to be truer than others. There is actually reason for that and Test Wise-ness …
Category: Education
The Office of the Senior Vice Chancellor for Academic Affairs created seven Impact in Education Awards to recognize the dedication and ingenuity of our educators. Award categories include innovation, leadership, mentorship, service, interprofessional, and research. Recipients receive award funds, recognition at the annual award ceremony, and their name displayed on a plaque in the Academic Affairs office. Award funds are to be used for professional development within two years after being awarded. The ceremony is facilitated by the Interprofessional Academy …
Danish Bhatti, M.D., is one of the recipients of an Office of Academic Affairs 2018-19 Impact in Education Award. He will receive the Innovative Practices in Education Award. Name:Danish Bhatti, M.D. Title: Assistant professor, UNMC Department of Neurological Sciences; director of International Neurology Program; co-director of Comprehensive Parkinson’s Disease Clinic; associate program director, Movement Disorders Fellowship Joined UNMC: 2009 (as resident) and stayed on as faculty after fellowship. Hometown: Islamabad, Pakistan Innovative Practices in Education Award This award recognizes an …
Phenomenology of abnormal ocular and eyelid movements may appear complex and difficult to describe at first but recognition of an overall pattern is helpful in characterization: Ocular flutter comprises bursts of saccades in one plane, typically horizontal, during forward fixation. There are no intervals between saccades. Opsoclonus is a continuous succession of multidirectional conjugate saccadic eye movements with no inter-saccadic interval, sometimes aptly called ‘saccadomania’. Patients can manifest ocular flutter when developing or recovering from opsoclonus, and both disorders probably …
Structure: BTX is synthesized as a single-chain peptide with a molecular mass of 150 kilodaltons. This form has relatively little potency as a neuromuscular blocking agent, and activation requires a 2-step modification in the tertiary structure of the protein. This process converts the single-chain neurotoxin to a di-chain neurotoxin comprising a 100,000-dalton heavy chain (HC) linked by a disulfide bond to a 50,000-dalton light chain (LC). BTX acts at the neuromuscular junction where it exerts its effect by inhibiting the …
HFS: Involuntary, irregular, clonic or tonic contractions of muscles innervated by the facial nerve. Usually start from the eyelid and spreads to involve all ipsilateral muscles of the facial nerve including platysma. All muscles involved contract synchronously. PAradoxical synkinesis: In 1905, Babinski described paradoxical synkinesis in HFS ‘‘when orbicularis oculi contracts and the eye closes, the internal part of the frontalis contracts at the same time, the eyebrow rises during eye occlusion.’’ This ‘‘other Babinski’s sign’’ is typically present in …
Indications for supplementation in atypical presentations either movement disorder or others: Pyridoxine for mild ataxia. Pyridoxine for some cases autism. Folinic acid and PLP may interestingly help in pyridoxine dependent epilepsy cases. Pyridoxine will NOT help PNPO mutations (that’s PLP) but PLP would help in Pyridoxine dependency (ALDH7A1). Biotin B7 may help in spastic paraplegia and ataxia (myelopathy presentation in adolescence). Biotinidase deficiency should be ruled out in all dyskinesias as it may cause BG calcification. Can ne treated by …
A movement disorder neurologist has to see lots of strange unusual movement phenomena in their practice. Key is to isolate the individual movement fragments and assess their temporal and spatial relationships to make a sense of overall gestalt. Over years, lots of unusual movement phenomena have been reported which do not readily fit into the common types hypo-kinetic and hyper-kinetic movement phenomenologies. Some of these exotic patterns are mentioned below: The dancing larynx: This has been described as complex arrhythmical …
For Registration please visit: http://appna.org/2018-global-healthcare-summit/ A Practical Everyday Neurology, Hands-on Review for Bedside practice. A collaboration between: APPNA MERIT Committee Pakistan International NeuroScience Society (PINS) Pakistan Society of Neurology (PSN) Course Directors: International: Drs Danish Bhatti and Shahid Rafiq National:Drs Athar Javed and Sarwar Siddiqui Course Introduction: Up to 10% of patients seen by family practitioners present with neurologic symptoms. Only 16% are ever evaluated by neurologists in US and is likely even less, given significant lack of Neurologist …
Danish’s 9 Step of Life Simplification: 1. Do I Really NEED it! a. Does it add value to my life? (love, happiness, content, satisfaction, success) b. Will I survive without it. c. Will I miss its Loss. 2. Do I really WANT it! a. Will I regret not doing it. b. Will I sacrifice something for it. c. How Bad do I want it. 3. Can I really GET it! a. Is it ever achievable. b. Will I still do …
