Academic literature on the topic 'Difficult to Control Epilepsy'

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Journal articles on the topic "Difficult to Control Epilepsy"

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Gupta, Vineet Bhushan. "Difficult to Control Epilepsy." Apollo Medicine 4, no. 2 (2007): 135–39. http://dx.doi.org/10.1016/s0976-0016(11)60122-1.

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Kelso, Andrew. "The challenge of managing difficult-to-control epilepsy." Prescriber 21, no. 10 (2010): 17–22. http://dx.doi.org/10.1002/psb.630.

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Alves Gusmão, Walter Leonardo, and Antonio Marcos da Silva Catharino. "Tuberous Sclerosis as a cause of difficult-to-control Epilepsy - Case report." Gazette of Medical Sciences 1, no. 5 (2020): 73–77. http://dx.doi.org/10.46766/thegms.neuro.20102304.

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Tuberous Sclerosis Complex or Bourneville’s disease is an autosomal dominant disease with high penetrance and variability characterized by multisystem involvement by benign lesions, originally defined by the classic triad of Vogt: sebaceous adenoma, epilepsy and mental retardation. The involvement of the brain is responsible for a significant proportion of the morbidity and mortality of this disease and skin lesions are the most common manifestations. The authors report 31-year-old patient case referred to the service by intractable epilepsy with definitive clinical criteria for tuberous sclerosis.
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Sion, Gisele N. M., Aline C. Moraes, Barbara M. R. Sousa, et al. "A case of choreiform movement presentation in a difficult to control epilepsy." Neurophysiologie Clinique 48, no. 3 (2018): 138. http://dx.doi.org/10.1016/j.neucli.2018.05.029.

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Smith, Nicola, and Divya Tiwari. "Epilepsy in older people." Reviews in Clinical Gerontology 25, no. 1 (2015): 53–59. http://dx.doi.org/10.1017/s0959259815000052.

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SummaryEpilepsy is the third most common neurological disorder of older adults, with huge functional and psychological implications. It is often difficult to diagnose in the presence of cognitive impairment and lack of a witness account. The most common identifiable causes of epilepsy in old age are cerebrovascular disease and dementia. New guidelines recommend starting treatment after first unprovoked seizure. If there is any doubt about the diagnosis, electroencephalography (EEG) should be considered, or ‘wait and watch’. The aim of treatment should be to fully control seizure activity with the most effective monotherapy and fewest possible side-effects. Drug compliance is often difficult to achieve in older adults.
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Kerrigan, John F. "New Medications for Epilepsy." CNS Spectrums 2, no. 7 (1997): 43–58. http://dx.doi.org/10.1017/s1092852900010944.

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AbstractThe last 4 years have seen a rapid burst of development of medications used to treat epileptic seizures. While none of these medications has replaced the “standards” in the field, they collectively offer additional treatment options for patients, particularly for those with difficult-to-control seizures. As experience with these novel medications grows, each will occupy its own niche in the treatment strategy for patients with epilepsy.
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Pratesi, R., I. C. Modelli, R. C. Martins, P. L. Almeida, and L. Gandolfi. "Celiac disease and epilepsy: favorable outcome in a child with difficult to control seizures." Acta Neurologica Scandinavica 108, no. 4 (2003): 290–93. http://dx.doi.org/10.1034/j.1600-0404.2003.00082.x.

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Morrell, Martha J., Kerry L. Flynn, Cairn G. Seale, et al. "Reproductive Dysfunction in Women With Epilepsy: Antiepileptic Drug Effects on Sex-Steroid Hormones." CNS Spectrums 6, no. 9 (2001): 771–86. http://dx.doi.org/10.1017/s1092852900001528.

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ABSTRACTWomen with epilepsy are at risk for reproductive health dysfunction. Sex-steroid hormone abnormalities have been reported in women with epilepsy, but it has been difficult to determine whether these abnormalities are due to epilepsy-related hypothalamic-pituitary axis dysfunction, or to pharmacokinetic actions of antiepileptic drugs (AEDs). Sex-steroid hormones were evaluated in 84 reproductive-aged women with epilepsy receiving an AED in monotherapy, and in 20 nonepileptic controls. Estrone, free testosterone, and androstenedione were significantly lower in subjects receiving enzyme-inducing AEDs than in nonepileptic controls. Free testosterone was significantly elevated in subjects receiving valproate compared to nonepileptic controls. Subjects with epilepsy receiving gabapentin or lamotrigine were no different from the nonepileptic controls in any of the endocrine variables. Subjects with epilepsy who are receiving AEDs that alter cytochrome P450 enzymes are at risk for significant abnormalities in sex-steroid hormones. In contrast, subjects receiving AEDs that do not alter cytochrome P450 enzymes show no differences in sex-steroid hormones compared with nonepileptic controls. With new AEDs available that do not alter cytochrome P450 enzymes, physician selection of therapy should consider not only seizure control, but also potential effects on reproductive physiology.
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Subakti, Charles, Madarina Julia, and Agung Triono. "Duration of active epilepsy as a predictor of seizure control after relapse in child epilepsy." Paediatrica Indonesiana 60, no. 4 (2020): 202–7. http://dx.doi.org/10.14238/pi60.4.2020.202-7.

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Background Epilepsy is a chronic illness that may affect childhood growth and development. Some epilepsy cases are easy to control, either with monotherapy or politherapy antiepilepticdrugs, but many cases are difficult to control. Several factors influence the risk of relapse, but information is limited on factors predictive of seizure control after relapse. Our study investigate patient with epilepsy relaps and see whether the duration of active epilepsy prior to initial remission can be use as a predictor of seizure control after relaps.
 Objective To assess whether duration of active epilepsy was predictive of seizure control after relapse.
 Methods This retrospective cohort study was performed in Dr Sardjito Hospital, Yogyakarta, on epileptic relapse patients aged 2 to 18 years , who had achieved remission for at least a 2-year seizure-free interval, and relapsed after antiepileptic drud (AED) discontinuation. We excluded patients with progressive neurological diseases, inborn errors of metabolism, febrile seizures, and those who could not be followed up for at least 2 years, or those with incomplete medical records. Subjects were divided into those who had a duration of active epilepsy prior to initial remission within 6 months and ≥6 months. Time to seizure control after relapse was analysed by Kaplan-Meier survival analysis.
 Results A total of 80 patients were included in the study. Overall median for seizure control after relapse was 3.6 (95%CI 1.1 to 6.0) months. Median for seizure control after relapse for those who had a duration of active epilepsy prior to initial remission within 6 months and ≥ 6 months were 3 (95%CI 0.1 to 5.8) months and 12 (95%CI 4.4 to 19.5) months, respectively. Log-rank test revealed no significant difference between groups (P=0.12).
 Conclusion Duration of active epilepsy prior to initial remission was not a predictor for seizure control after relapse.
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Walker, Matthew C., and Sofia H. Eriksson. "Epilepsy and Sleep Disorders." US Neurology 07, no. 01 (2011): 60. http://dx.doi.org/10.17925/usn.2011.07.01.60.

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There is a close association between sleep and epilepsy. In some epilepsy syndromes, seizures occur predominantly (or even exclusively) during sleep or on awakening. Excessive daytime sleepiness is common in patients with epilepsy and may be due not only to medication but also to nocturnal seizures or concomitant sleep disorders. Sleep disorders such as obstructive sleep apnea can worsen epilepsy, with improvement of seizure control following appropriate treatment of the sleep disorder. Conversely, epilepsy and antiepileptic medication can worsen sleep disorders. Nocturnal epileptic seizures may be difficult to differentiate from parasomnias, in particular non-rapid eye movement parasomnias such as night terrors, sleepwalking and confusional arousals, on history alone since there are semiologic similarities between the two disorders. Schemes have been developed to facilitate differential diagnosis, although this remains a challenge even using the gold standard, video-electroencephalography telemetry.
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Dissertations / Theses on the topic "Difficult to Control Epilepsy"

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Figueiredo, Lucia da Rocha Uchôa. "O impacto da doença na vida cotidiana dos cuidadores de crianças com epilepsia de difícil controle." Universidade de São Paulo, 2009. http://www.teses.usp.br/teses/disponiveis/59/59137/tde-04102009-221341/.

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Resumo UCHÔA-FIGUEIREDO, L. R. O impacto da doença na vida cotidiana dos cuidadores de crianças com epilepsia de dificil controle. 2009. 260f. Tese (Doutorado) Faculdade de Filosofia, Ciências e Letras de Ribeirão Preto, Universidade de São Paulo, São Paulo, 2009. A notícia de que o filho tem uma doença crônica remete os pais a uma crise em relação às expectativas decorrentes do desejo do filho idealizado. A família sofre pela incerteza da evolução da doença e suas possíveis consequências. A mãe, comumente, torna-se a cuidadora principal, ajudando a suprir necessidades, apresentando uma vida ocupacional deficitária, pois despende tempo, energia física e emocional, sofrendo perdas, sobrecarga de atividades e comprometendo a sua qualidade de vida. O objetivo desta pesquisa foi conhecer as mudanças que ocorrem na vida cotidiana do cuidador primário de pacientes, com diagnóstico de Epilepsia de Difícil Controle Infantil associado à encefalopatia crônica não evolutiva, avaliar a qualidade de vida e a sobrecarga em função da situação de adoecimento e verificar a relação desta sobrecarga emocional com a percepção dos cuidadores, sobre sua qualidade de vida. Avaliaram-se 50 cuidadores de crianças entre 7 e 12 anos, de ambos os sexos, com diagnóstico confirmado há cinco anos, e que estavam nesta função há pelo menos dois anos. A pesquisa foi aprovada pelo Comitê de Ética em Pesquisa Envolvendo Seres Humanos do HCFMRP e foi realizada no Serviço de Epilepsia Infantil do mesmo hospital. Foram utilizados: prontuários médicos das crianças, entrevista semi-estruturada enfocando o adoecimento, o cuidar e a vida cotidiana, os questionários de sobrecarga, Caregiver Burden Scale e de Qualidade de Vida, WHOQOL-bref. Os dados obtidos na entrevista foram analisados segundo o Sistema Quantitativo Interpretativo. Os dados do WHOQOL-bref e da Caregiver Burden Scale foram submetidos à análise estatística, de acordo com as normas do instrumento. Posteriormente, através da técnica dos quadrantes e da análise de coeficiente não paramétrica de Spearman, os dados foram correlacionados, no sentido de verificar possíveis relações entre aspectos da vida cotidiana, sobrecarga e percepção, por parte dos cuidadores, de sua qualidade de vida. Os resultados possibilitaram conhecer que houve mudança, diminuição do convívio social, alteração na vida profissional e estresse na vida do cuidador em decorrência do ato de cuidar. Em relação à qualidade de vida, pôde-se constatar que o domínio meio ambiente apresentou maior satisfação, enquanto que o menor índice ficou com as relações sociais, indicando assim a importância da rede de apoio social para o cuidador. A variável tempo de cuidado indicou que, quanto maior este for, maior a satisfação com relação ao bem-estar psicológico, meio ambiente e relações sociais. Identificaram-se dois tipos de sobrecarga, a velada e a declarada. Conclui-se que o impacto do adoecimento da criança interfere diretamente na vida cotidiana e nas relações dos cuidadores, assim como na qualidade de vida, porém, percebe-se que recursos estruturais e emocionais contribuem para minimizar os efeitos negativos sobre os cuidadores. Neste sentido ressalta-se a importância da equipe multidisciplinar oferecendo amparo informativo, técnico, troca de experiência e suporte aos cuidadores.<br>UCHÔA-FIGUEIREDO, L. R. Disease impact on the daily lives of caretakers of children with Difficult to Control Epilepsy. 2009. 260p. Thesis (PhD) Faculty of Philosophy, Science and Humanities of Ribeirao Preto, University of Sao Paulo, São Paulo, 2009. Acknowledging that a child has a chronic disease throws parents into a crisis related to expectations of a desired idealized descendant. The family is uncertain about disease evolution and possible consequences. However, it is the mother, who as a rule, becomes the main caretaker, helping to supply all necessities but showing a occupational life full of short-comings caused by spent time and physical and emotional energy. Her quality of life is further compromised by the suffered losses and work burden. This study aimed to investigate changes in the daily life of primary caretakers of patients diagnosed with Difficult to Control Child Epilepsy associated to non-evolutive chronic encephalopathy , and to evaluate effects of the overload as a function of disease onset on the quality of life. Perception by caretakers of disturbances in their own quality of life by the emotional burden was also verified. The fifty caretakers evaluated were taking care, for at least two years, of children 7 to 12 years old, from both sexes and with a confirmed diagnosis of five years. The study was approved by the Ethics Committee on Research with Human Beings of the University Hospital, Faculty of Medicine of Ribeirao Preto, University of Sao Paulo (HCFMRP) and was conducted at the Child Epilepsy Service of the same Hospital. Data were obtained through the children medical records, half-structured interviews addressing onset of the disease and daily care, and completion of the overload questionnaires ,Caregiver Burden Scale and Quality of Life, WHOQOL-bref. Data from interviews were analyzed by the Interpretation Quantitative System and the ones from WHOQOL-bref and Caregiver Burden Scale submitted to statistical analysis according to the rules of the instruments. Using the quadrant technique and analysis of the non-parametric Spearman coefficient, the data were further correlated to verify the existence of a relationship between aspects of burdened daily life and perception of their quality of life by caretakers. Results showed that the act of care did produce changes in the life of the caretaker, characterized by decreased socializing , disturbed professional life and stress . Considering quality of life, environmental factors were more satisfying than the ones of social relations, emphasizing the importance of social support in the life of a caretaker. As to the variable related to care duration, the longer it lasted the higher satisfaction in psychological well being, environment and social interchange were achieved . Two types of burdens were identified, one concealed and one declared. It is concluded that onset of disease in children does directly interfere in the daily life and relationships of caretakers, thus in their quality of life. However, by showing the contribution of structural and emotional resources to minimize the negative effects on caretakers, the importance of supportive information, techniques and exchange of experiences provided by a multi-professional team is also emphasized.
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Bruzzo, Angela <1979&gt. "Seizure prediction and control in epilepsy." Doctoral thesis, Alma Mater Studiorum - Università di Bologna, 2008. http://amsdottorato.unibo.it/1010/.

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The first part of my thesis presents an overview of the different approaches used in the past two decades in the attempt to forecast epileptic seizure on the basis of intracranial and scalp EEG. Past research could reveal some value of linear and nonlinear algorithms to detect EEG features changing over different phases of the epileptic cycle. However, their exact value for seizure prediction, in terms of sensitivity and specificity, is still discussed and has to be evaluated. In particular, the monitored EEG features may fluctuate with the vigilance state and lead to false alarms. Recently, such a dependency on vigilance states has been reported for some seizure prediction methods, suggesting a reduced reliability. An additional factor limiting application and validation of most seizure-prediction techniques is their computational load. For the first time, the reliability of permutation entropy [PE] was verified in seizure prediction on scalp EEG data, contemporarily controlling for its dependency on different vigilance states. PE was recently introduced as an extremely fast and robust complexity measure for chaotic time series and thus suitable for online application even in portable systems. The capability of PE to distinguish between preictal and interictal state has been demonstrated using Receiver Operating Characteristics (ROC) analysis. Correlation analysis was used to assess dependency of PE on vigilance states. Scalp EEG-Data from two right temporal epileptic lobe (RTLE) patients and from one patient with right frontal lobe epilepsy were analysed. The last patient was included only in the correlation analysis, since no datasets including seizures have been available for him. The ROC analysis showed a good separability of interictal and preictal phases for both RTLE patients, suggesting that PE could be sensitive to EEG modifications, not visible on visual inspection, that might occur well in advance respect to the EEG and clinical onset of seizures. However, the simultaneous assessment of the changes in vigilance showed that: a) all seizures occurred in association with the transition of vigilance states; b) PE was sensitive in detecting different vigilance states, independently of seizure occurrences. Due to the limitations of the datasets, these results cannot rule out the capability of PE to detect preictal states. However, the good separability between pre- and interictal phases might depend exclusively on the coincidence of epileptic seizure onset with a transition from a state of low vigilance to a state of increased vigilance. The finding of a dependency of PE on vigilance state is an original finding, not reported in literature, and suggesting the possibility to classify vigilance states by means of PE in an authomatic and objectic way. The second part of my thesis provides the description of a novel behavioral task based on motor imagery skills, firstly introduced (Bruzzo et al. 2007), in order to study mental simulation of biological and non-biological movement in paranoid schizophrenics (PS). Immediately after the presentation of a real movement, participants had to imagine or re-enact the very same movement. By key release and key press respectively, participants had to indicate when they started and ended the mental simulation or the re-enactment, making it feasible to measure the duration of the simulated or re-enacted movements. The proportional error between duration of the re-enacted/simulated movement and the template movement were compared between different conditions, as well as between PS and healthy subjects. Results revealed a double dissociation between the mechanisms of mental simulation involved in biological and non-biologial movement simulation. While for PS were found large errors for simulation of biological movements, while being more acurate than healthy subjects during simulation of non-biological movements. Healthy subjects showed the opposite relationship, making errors during simulation of non-biological movements, but being most accurate during simulation of non-biological movements. However, the good timing precision during re-enactment of the movements in all conditions and in both groups of participants suggests that perception, memory and attention, as well as motor control processes were not affected. Based upon a long history of literature reporting the existence of psychotic episodes in epileptic patients, a longitudinal study, using a slightly modified behavioral paradigm, was carried out with two RTLE patients, one patient with idiopathic generalized epilepsy and one patient with extratemporal lobe epilepsy. Results provide strong evidence for a possibility to predict upcoming seizures in RTLE patients behaviorally. In the last part of the thesis it has been validated a behavioural strategy based on neurobiofeedback training, to voluntarily control seizures and to reduce there frequency. Three epileptic patients were included in this study. The biofeedback was based on monitoring of slow cortical potentials (SCPs) extracted online from scalp EEG. Patients were trained to produce positive shifts of SCPs. After a training phase patients were monitored for 6 months in order to validate the ability of the learned strategy to reduce seizure frequency. Two of the three refractory epileptic patients recruited for this study showed improvements in self-management and reduction of ictal episodes, even six months after the last training session.
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Pal, Deb Kumar. "Control of childhood epilepsy in rural India." Thesis, University College London (University of London), 1998. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.298246.

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Elwes, R. D. C. "The early prognosis of epilepsy." Thesis, University of Edinburgh, 1988. http://hdl.handle.net/1842/18865.

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Vincent, Robert Durham. "Detection, simulation and control in models of epilepsy." Thesis, McGill University, 2008. http://digitool.Library.McGill.CA:80/R/?func=dbin-jump-full&object_id=18684.

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We investigate the application of machine learning methods for the detection and control of seizure-like behavior in in vitro models of epilepsy. This research will form the basis for a new class of adaptive neurostimulation devices for the treatment of drug-resistant cases of epilepsy in humans. There are many technical obstacles to creating an adaptive control algorithm for these devices. At present, science has an incomplete understanding of the mechanisms and dynamics underlying both epilepsy and its treatments. This is reflected both in the long-standing problem of the detection or prediction of seizures and in the lack of clear criteria for optimizing an adaptive control algorithm. As in many medical problems, clinical data is sparse, expensive, and highly variable. We address the detection of epileptic states using boosted ensemble methods with a set of simple frequency spectrum features derived from electrophysiological recordings. While typical boosting methods are not designed for use with time series data, we present a recurrent boosting method that improves classification accuracy in our application domain. We also present an implementation of a biologically plausible model of epileptic neural tissue using a network of integrate and fire neurons with partially stochastic inputs and two time scales of refractory behavior. Finally, we train a reinforcement learning agent to control the dynamics of this network, reducing the occurrence of seizure-like events. This agent is intended to be a component of a closed-loop electrical stimulation device with a set of sensors and an adaptive stimulation strategy.<br>Nous étudions l'application des méthodes d'apprentissage automatique pour la détection et le contrôle d'activité semblable à une crise convulsive dans les modèles d'épilepsie in vitro. Cette recherche formera la base d'une nouvelle classe de dispositifs de neurostimulation auto-adaptatifs pour le traitement des patients qui ne répondent pas aux drogues antiépileptiques. Il y a beaucoup d'obstacles techniques pour créer un algorithme adaptatif pour ces dispositifs. Actuellement, la science n'a pas encore expliqué entièrement les mécanismes définissant l'épilepsie et ses traitements. Ceci est important à deux niveaux: Pour le problème de la détection ou de la prévision des crises, et pour établir des critères clairs pour optimiser un algorithme de contrôle adaptatif. Comme beaucoup de problèmes médicaux, les données cliniques sont rares, chères, et fortement variables. Nous adressons la détection des états épileptiques en utilisant les méthodes “boosting” avec un groupe de traits simples de spectre de fréquences dérivés des enregistrements électrophysiologiques. Tandis que les méthodes boosting typiques n'ont pas été conçues pour utiliser l'information disponible avec des données de séries chronologiques, nous présentons une méthode boosting récurrente qui améliore le taux de classification dans notre domaine d'application. Nous présentons également une exécution d'un modèle biologiquement plausible d'un système neural épileptique employant un réseau de neurones intègre-et tire ayant les signals d'entrées partiellement stochastiques et ayant deux échelles de temps de comportement réfractaire. En conclusion, nous formons un agent d'apprentissage par renforcement pour réduire l'occurrence d'activité semblable à une crise. Cet agent est prévu pour être une composante d'un dispositif en boucle fermée de stimulation électrique ayant un ensemble de capteurs et un algorithme adaptatif.
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Spector-Oron, Shiri. "Self-control of seizures in adults with epilepsy." Thesis, King's College London (University of London), 1997. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.267517.

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Sadgrove, Matthew Paul. "Glial control of neurogenesis in rodent models of epilepsy." Thesis, University of Southampton, 2004. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.400542.

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Otoum, Safa. "Sensor Medium Access Control Protocol-Based Epilepsy Patients Monitoring System." Thesis, Université d'Ottawa / University of Ottawa, 2015. http://hdl.handle.net/10393/31999.

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This thesis focuses on using Wireless Sensor Networks (WSNs) for monitoring applications on epilepsy patients (EPs). With the increase of these types of patients and the necessity of continuous daily monitoring and the need for an immediate response to their seizures, the main objective of this thesis is to decrease the response time in order to save them from severe consequences, as well as to make them comfortable with the monitoring procedure. Our proposed Epilepsy Patients Monitoring System (EPMS) consists of five ordinary nodes distributed over the patient’s body, as well as a coordinator node and a receive node. These nodes detect the seizures and forward the data to the coordinator, which, in turn, collects the data and transmits it to the receiver, triggering an alarm concerning the seizure occurrence. We focus on the Medium Access Control (MAC) protocol, using the Sensor Medium Access Control (SMAC) protocol to decrease the generated delay, and the Carrier Sense Multiple Access/ Collision Avoidance (CSMA/CA) scheme to prevent collisions that can prolong the response time.
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Tatulian, Lucine. "Sodium and potassium ion channels as targets for the control of epilepsy." Thesis, University College London (University of London), 2002. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.252275.

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Persson, Håkan. "Autonomic cardiac control in patients with epilepsy : spectral analysis of heart rate variability /." Stockholm, 2006. http://diss.kib.ki.se/2006/91-7140-963-7/.

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Books on the topic "Difficult to Control Epilepsy"

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Reiter, Joel. Taking control of your epilepsy: A workbook for patients and professionals. Basics Pub. Co., 1987.

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California. Legislature. Senate. Select Committee on Tourism and Aviation. Crowded airspace over southern California: Difficult choices for the future. The Committee, 1989.

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Managing anger: Positive strategies for dealing with difficult emotions. Thorsons, 1993.

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Difficult mothers: Understanding and overcoming their power. W.W. Norton & Co., 2012.

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Yates, John. Survival tactics: How to make profits in difficult times. Mercury, 1992.

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Cooperman, Avram M. Laparoscopic cholecystectomy: Difficult cases & creative solutions. Quality Medical Pub., 1992.

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Bailey, Rebecca Anne. Easy To Love, Difficult To Discipline. HarperCollins, 2007.

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Dunay, Pál. CFE and the CIS: The difficult road to ratification. Peace Research Institute Frankfurt, 1993.

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Popay, Ian. Aerial spraying of pampas grass in difficult conservation sites. Dept. of Conservation, 2003.

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Epilepsy: The intersection of neurosciences, biology, mathematics, engineering and physics. CRC Press, 2011.

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Book chapters on the topic "Difficult to Control Epilepsy"

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Anne, Sabers. "Seizure Control During Pregnancy." In Epilepsy in Women. John Wiley & Sons, 2013. http://dx.doi.org/10.1002/9781118531037.ch8.

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Moshé, S. L., and E. F. Sperber. "Substantia Nigra-Mediated Control of Generalized Seizures." In Generalized Epilepsy. Birkhäuser Boston, 1990. http://dx.doi.org/10.1007/978-1-4684-6767-3_25.

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Gluckman, B. J., and S. J. Schiff. "Seizure Control using Feedback and Electric Fields." In Epilepsy as a Dynamic Disease. Springer Berlin Heidelberg, 2003. http://dx.doi.org/10.1007/978-3-662-05048-4_15.

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Holtzman, Jeffrey. "The Integrity of Attentional Control Following Commissural Section." In Epilepsy and the Corpus Callosum. Springer US, 1985. http://dx.doi.org/10.1007/978-1-4613-2419-5_19.

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Reeves, Alexander G., and Patrick M. O’Leary. "Total Corpus Callosotomy for Control of Medically Intractable Epilepsy." In Epilepsy and the Corpus Callosum. Springer US, 1985. http://dx.doi.org/10.1007/978-1-4613-2419-5_12.

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Spano, M. L., W. L. Ditto, K. Dolan, and F. Moss. "Unstable Periodic Orbits (UPOs) and Chaos Control in Neural Systems." In Epilepsy as a Dynamic Disease. Springer Berlin Heidelberg, 2003. http://dx.doi.org/10.1007/978-3-662-05048-4_17.

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Polkey, C. E. "The Place of Hemispherectomy and Major Cortical Resection in the Control of Drug Resistant Epilepsy." In Neurosurgical Aspects of Epilepsy. Springer Vienna, 1990. http://dx.doi.org/10.1007/978-3-7091-9104-0_26.

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Chkhenkeli, S. A. "Direct Deep-Brain Stimulation: First Steps Towards the Feedback Control of Seizures." In Epilepsy as a Dynamic Disease. Springer Berlin Heidelberg, 2003. http://dx.doi.org/10.1007/978-3-662-05048-4_14.

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Ferguson, Shirley M., Mark Rayport, and W. Stephen Corrie. "Neuropsychiatric Observations on Behavioral Consequences of Corpus Callosum Section for Seizure Control." In Epilepsy and the Corpus Callosum. Springer US, 1985. http://dx.doi.org/10.1007/978-1-4613-2419-5_28.

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Volpe, Bruce T. "Observation of Motor Control in Patients with Partial and Complete Callosal Section." In Epilepsy and the Corpus Callosum. Springer US, 1985. http://dx.doi.org/10.1007/978-1-4613-2419-5_21.

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Conference papers on the topic "Difficult to Control Epilepsy"

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Gupta, Swapan, Neera Chaudhry, and Vinod Puri. "Bilateral Rassmussen's Encephalitis: A Rare and Difficult Entity—Case Report." In 20th Joint Annual Conference of Indian Epilepsy Society and Indian Epilepsy Association. Thieme Medical and Scientific Publishers Private Ltd., 2018. http://dx.doi.org/10.1055/s-0039-1694901.

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Ungerath, Kristina, Grischa Lischetzki, Birgit Schipper, and Stefanie Beck-Wödl. "P 1155. Focal Epilepsy Difficult to Treat in Hermann–Pallister’s Syndrome (KBG Syndrome)." In Abstracts of the 44th Annual Meeting of the Society for Neuropediatrics. Georg Thieme Verlag KG, 2018. http://dx.doi.org/10.1055/s-0038-1676008.

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Joshi, Hemant, Chaturbhuj Rathore, and Sanjay Prakash. "Association between Epilepsy and Headache: A Case Control Study." In 20th Joint Annual Conference of Indian Epilepsy Society and Indian Epilepsy Association. Thieme Medical and Scientific Publishers Private Ltd., 2018. http://dx.doi.org/10.1055/s-0039-1694872.

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Khan, Nawsher, Noraziah Ahmad, A. H. Beg, Elrasheed I. Ismail, Ahmed N. Abd Alla, and Muhammad Nubli. "Epilepsy Control by Prayer Type Yoga Exercise." In 2010 Second International Conference on Computer Research and Development. IEEE, 2010. http://dx.doi.org/10.1109/iccrd.2010.61.

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Santaniello, S., S. P. Burns, and S. V. Sarma. "Quickest seizure onset detection in drug-resistant epilepsy." In 2012 American Control Conference - ACC 2012. IEEE, 2012. http://dx.doi.org/10.1109/acc.2012.6314753.

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Enriquez-Rodriguez, Brenda, Blanca Tovar-Corona, Carlos A. Ramirez-Fuentes, and Martin Arturo Silva Ramirez. "Typical Absence Epilepsy Identification on EEG." In 2020 17th International Conference on Electrical Engineering, Computing Science and Automatic Control (CCE). IEEE, 2020. http://dx.doi.org/10.1109/cce50788.2020.9299164.

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Sargolzaei, Saman, Mercedes Cabrerizo, Arman Sargolzaei, Shirin Noei, and Malek Adjouadi. "Epilepsy, a Cyberattack on Brains’ Networked Control System." In 2016 15th IEEE International Conference on Machine Learning and Applications (ICMLA). IEEE, 2016. http://dx.doi.org/10.1109/icmla.2016.0109.

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Deva, Anshuj, Sharmila Nageswaran, and S. Vidhya. "Assistive Device for Patients Having Spondylitis and Spondylosis." In 2017 Design of Medical Devices Conference. American Society of Mechanical Engineers, 2017. http://dx.doi.org/10.1115/dmd2017-3428.

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Spondylitis is a very common back and neck ailment that is reported to account for one-third of social problems causing difficulty at work. It is caused due to the inflammation in vertebral joints. Its condition goes undetected until the symptoms, such as that of severe pain, develops. It causes stinging pain which is focused around cervical region of vertebra, the shoulders and the lumbar region of the spine. Accordingly, it is classified into three types: cervical, thoracic and lumbosacral spondylosis. This is different from spondylitis which causes pain due to inflammation. Many existing devices use electric current to bring relief from pain. Transcutaneous electrical nerve stimulation (TENS) is one of the most commonly used devices in this aspect. However, though this has been able to bring effective results to its patients, there is a whole lot of controversy in conditions it should be used to treat. Studies have shown these devices to bring relief by suppressing the signals from the brain. They are not advised for patients with pacemakers or any kind of electronically powered implantable devices. They are less effective where the skin is numb or in places where there is decreased sensation. It depends entirely on the working of the nerve beneath the surface and may cause irritation on the skin if the current is too high. Moreover, these devices need to be avoided in area where infection is present. High precaution needs to be taken when working with epilepsy patients and pregnant women; the electrical stimulation can interfere with the fetus development. With such a wide range of drawbacks, there is a need for a mechanical solution which can redress these problems and provide an effective and ergonomic solution. Along with overcoming the present barriers, research has been done to demonstrate the positive effects of vibration in increase of bone density, increase of muscle mass, increase of blood circulation, reduced back pain, reduced joint pain and boost in metabolism. The given paper discusses a device wherein vibrational motors have been incorporated, under the control of a microcontroller, to generate the requisite g-force needed for the purpose of pain alleviation and increase of bone density.
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Kumar, S. Selvin Pradeep, and L. Ajitha. "Early detection of epilepsy using EEG signals." In 2014 International Conference on Control, Instrumentation, Communication and Computational Technologies (ICCICCT). IEEE, 2014. http://dx.doi.org/10.1109/iccicct.2014.6993198.

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O'Sullivan-Greene, Elma, Iven Mareels, Anthony Burkitt, and Levin Kulhmann. "Observability issues in networked clocks with applications to epilepsy." In 2009 Joint 48th IEEE Conference on Decision and Control (CDC) and 28th Chinese Control Conference (CCC). IEEE, 2009. http://dx.doi.org/10.1109/cdc.2009.5400545.

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Reports on the topic "Difficult to Control Epilepsy"

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Smith, LaCurtise, and George W. Bohnert. Biotelemetry system for Epilepsy Seizure Control. Office of Scientific and Technical Information (OSTI), 2009. http://dx.doi.org/10.2172/959046.

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Berndt, Christian. RV SONNE Fahrtbericht / Cruise Report SO277 OMAX: Offshore Malta Aquifer Exploration, Emden (Germany) – Emden (Germany), 14.08. – 03.10.2020. GEOMAR Helmholtz Centre for Ocean Research Kiel, 2021. http://dx.doi.org/10.3289/geomar_rep_ns_57_20.

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SO277 OMAX served two scientific projects. The objectives of the first project, SMART, were to develop multi-disciplinary methodologies to detect, quantify, and model offshore groundwater reservoirs in regions dominated by carbonate geology such as the Mediterranean Sea. To this end we acquired controlled-source electromagnetic, seismic, hydroacoustic, geochemical, seafloor imagery data off Malta. Preliminary evaluation of the geophysical data show that there are resisitivity anomalies that may represent offshore freshwater aquifers. The absence of evidence for offshore springs means that these aquifers would be confined and that it will be difficult to use them in a sustainable manner. The objective of the second project, MAPACT-ETNA, is to monitor the flank of Etna volcano on Sicily which is slowly deforming seaward. Here, we deployed six seafloor geodesy stations and six ocean bottom seismometers for long-term observation (1-3 years). In addition, we mapped the seafloor off Mt. Etna and off the island of Stromboli to constrain the geological processes that control volcanic flank stability.
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Keefer, Philip, and Benjamin Roseth. Grand Corruption in the Contracting Out of Public Services: Lessons from a Pilot Study in Colombia. Inter-American Development Bank, 2021. http://dx.doi.org/10.18235/0003335.

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Do targeted transparency interventions reduce corrupt behavior when corrupt actors are few and politically influential; their behavior imposes small costs on numerous individuals; and corrupt behavior is difficult to observe? Results from a study of informal audits and text messages to parents, meant to curb corruption in the School Meals Program of Colombia, suggests that they can. Theory is pessimistic that transparency interventions can change the behavior of actors who exert significant influence over supervisory authorities. Moreover, inherent methodological obstacles impede the identification of treatment effects. Results substantiate the presence of these obstacles, especially considerable spillovers from treated to control groups. Despite spillovers, we find that parental and operator behavior are significantly different between treatment and control groups. Additional evidence explains why operator behavior changed: out of concern that systematic evidence of corrupt behavior would trigger enforcement actions by high-level enforcement agencies outside of the political jurisdictions where they are most influential.
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Howard, Heidi, Chad Helmle, Raina Dwivedi, and Daniel Gambill. Stormwater Management and Optimization Toolbox. Engineer Research and Development Center (U.S.), 2021. http://dx.doi.org/10.21079/11681/39480.

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As stormwater regulations for hydrologic and water quality control become increasingly stringent, Department of Defense (DoD) facilities are faced with the daunting task of complying with multiple laws and regulations. This often requires facilities to plan, design, and implement structural best management practices (BMPs) to capture, filter, and/or infiltrate runoff—requirements that can be complicated, contradictory, and difficult to plan. This project demonstrated the Stormwater Management Optimization Toolbox (SMOT), a spreadsheet-based tool that effectively analyzes and plans for compliance to the Energy Independence and Security Act (EISA) of 2007 pre-hydrologic conditions through BMP implementation, resulting in potential cost savings by reducing BMP sizes while simultaneously achieving compliance with multiple objectives. SMOT identifies the most cost-effective modeling method based on an installation’s local conditions (soils, rainfall patterns, drainage network, and regulatory requirements). The work first demonstrated that the Model Selection Tool (MST) recommendation accurately results in the minimum BMP cost for 45 facilities of widely varying climatic and regional conditions, and then demonstrated SMOT at two facilities.
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Lagutin, Andrey, and Tatyana Sidorina. SYSTEM OF FORMATION OF PROFESSIONAL AND PERSONAL SELF-GOVERNMENT AMONG CADETS OF MILITARY INSTITUTES. Science and Innovation Center Publishing House, 2020. http://dx.doi.org/10.12731/self-government.

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When carrying out professional activities, officers of the VNG of the Russian Federation are often in difficult, stressful, emotionally stressful situations associated with the use of weapons as a particularly dangerous means of destruction. The right to use a weapon by an officer makes him responsible for its use. And therefore requires the officer to make a balanced optimal decision, which is associated with the risk and transience of events, and in which no mistake can be made, since the price of it can be someone's life. It is at such a moment that it is important that the officer has stable skills in making a decision on the use of weapons, and this requires skills not only in managing subordinates or the situation,but in managing himself. The complication of the military-professional activity, manifested in the need to develop the ability to quickly and accurately make command decisions, exacerbating the problem of social responsibility of an officer who has the management of unit that leads to an understanding of his singular personal and professional responsibility, as the ability to govern themselves makes it possible to achieve a positive result of the Department for the DBA. This characterizes the need for a commander to have the ability to manage himself, as a "system" that manages others. Forming skills of self-control, patience, compassion, having mastered algorithms of making managerial decisions, the cycle of implementing managerial functions, etc., a person comes to the belief: "before effectively managing others, it is necessary to learn how to manage yourself." The required level of personal and professional maturity can be formed in a person as a result of purposeful self-management, which determines the special role of professional and personal self-management in the training of future officers.
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Wright, Kirsten. Collecting Plant Phenology Data In Imperiled Oregon White Oak Ecosystems: Analysis and Recommendations for Metro. Portland State University, 2020. http://dx.doi.org/10.15760/mem.64.

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Highly imperiled Oregon white oak ecosystems are a regional conservation priority of numerous organizations, including Oregon Metro, a regional government serving over one million people in the Portland area. Previously dominant systems in the Pacific Northwest, upland prairie and oak woodlands are now experiencing significant threat, with only 2% remaining in the Willamette Valley in small fragments (Hulse et al. 2002). These fragments are of high conservation value because of the rich biodiversity they support, including rare and endemic species, such as Delphinium leucophaeum (Oregon Department of Agriculture, 2020). Since 2010, Metro scientists and volunteers have collected phenology data on approximately 140 species of forbs and graminoids in regional oak prairie and woodlands. Phenology is the study of life-stage events in plants and animals, such as budbreak and senescence in flowering plants, and widely acknowledged as a sensitive indicator of environmental change (Parmesan 2007). Indeed, shifts in plant phenology have been observed over the last few decades as a result of climate change (Parmesan 2006). In oak systems, these changes have profound implications for plant community composition and diversity, as well as trophic interactions and general ecosystem function (Willis 2008). While the original intent of Metro’s phenology data-collection was to track long-term phenology trends, limitations in data collection methods have made such analysis difficult. Rather, these data are currently used to inform seasonal management decisions on Metro properties, such as when to collect seed for propagation and when to spray herbicide to control invasive species. Metro is now interested in fine-tuning their data-collection methods to better capture long-term phenology trends to guide future conservation strategies. Addressing the regional and global conservation issues of our time will require unprecedented collaboration. Phenology data collected on Metro properties is not only an important asset for Metro’s conservation plan, but holds potential to support broader research on a larger scale. As a leader in urban conservation, Metro is poised to make a meaningful scientific contribution by sharing phenology data with regional and national organizations. Data-sharing will benefit the common goal of conservation and create avenues for collaboration with other scientists and conservation practitioners (Rosemartin 2013). In order to support Metro’s ongoing conservation efforts in Oregon white oak systems, I have implemented a three-part master’s project. Part one of the project examines Metro’s previously collected phenology data, providing descriptive statistics and assessing the strengths and weaknesses of the methods by which the data were collected. Part two makes recommendations for improving future phenology data-collection methods, and includes recommendations for datasharing with regional and national organizations. Part three is a collection of scientific vouchers documenting key plant species in varying phases of phenology for Metro’s teaching herbarium. The purpose of these vouchers is to provide a visual tool for Metro staff and volunteers who rely on plant identification to carry out aspects of their job in plant conservation. Each component of this project addresses specific aspects of Metro’s conservation program, from day-to-day management concerns to long-term scientific inquiry.
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