discount best prices ASOS DESIGN espadrilles in orange with embroidery outlet authentic manchester great sale sale online BnGkrT

discount best prices ASOS DESIGN espadrilles in orange with embroidery outlet authentic manchester great sale sale online BnGkrT
ASOS DESIGN espadrilles in orange with embroidery
clearance for sale River Island Leather Loafers With Tassels In Stone discount hot sale discount cheapest price SK9A2y
Dolce amp; Gabbana Black Embellished Leather Mary Jane 70 pumps sast cheap online footlocker for sale o0qkn

It seems you're using a browser version we no longer support. To get the best online experience, please consider upgrading to one of the following newer browsers.

Marsèll round flat slippers discount choice discount many kinds of outlet finishline ac3VK
Hogan contrast sole brogues free shipping looking for 3nFD5
wide range of sale online cheap sale top quality Guidi distressed hiking style boots pick a best cheap online clearance cost xdZ75Np3cj
Glamorous Gold Block Heel Sandals sale shopping online clearance wiki outlet official site fake online sneakernews cheap price Mv5clP
wiki sale online Ash Majestic sneakers sale new styles from china free shipping low price cheap sale discounts Lm8nH
Florida Blue
Giorgio Armani zigzag stitch loafers cheap purchase looking for online cheap sale Inexpensive LG8Dl








Speech therapist

Neurosurgical consultation may be appropriate in patients with tremor, dyskinesias, motor fluctuations, or dystonia refractory to medical treatment. However, patients with dementia or significant psychiatric or behavioral problems are not candidates for current neurosurgical treatments for Parkinson disease.

Psychiatric consultation may be required to control mood disorders and psychiatric symptoms, especially in patients with refractory depression or psychosis.

A urologist is consulted for evaluation and treatment of urinary frequency, urgency, incontinence, or erectile dysfunction.

A physiatrist, physical therapist, or occupational therapist may be able to improve the patient's ability to perform activities of daily living, reduce pain, and avoid fractures and compression neuropathies from falls. Botulinum injections for limb dystonia can be very helpful and are administered by specially trained physiatrists or neurologists.

A nutritionist can help ensure adequate energy intake, particularly when low-protein diets are needed to avoid adverse effects of levodopa.

An otolaryngologist can offer vocal fold bulking procedures in the form of vocal fold injection or Gore-Tex thyroplasty as a possibility in treating refractory true vocal fold bowing. Bilateral injections to medialize the vocal fold can offer improvement, unless the patient is already aphonic due to advanced disease. Bilateral collagen, gel, fat, and hydroxyapatite injections have been used for this purpose. [] Articulatory problems can persist, and the result of surgery can be disappointing.

A gastroenterologist and a speech therapist may be needed to evaluate dysphagia, a common complication in patients with more advanced Parkinson disease. Excessive sialorrhea can be treated with botulinum toxin injections into the salivary glands, usually administered by neurologists or otolaryngologists. In some patients, a gastrostomy may be needed to maintain adequate nutrition.


Patients with Parkinson disease must have regular follow-up care to ensure adequate treatment of motor and behavioral abnormalities. Once patients are stable on a medication regimen, provide follow-up care at least every 3-6 months, and periodically adjust medication dosages as necessary. Patients also need to be monitored for adverse events, including somnolence, sudden-onset sleep, impulse control disorders, and psychosis. In addition, patients should be evaluated and treated for emergence of clinically relevant nonmotor symptoms, including dementia, psychosis, sleep disorders, and mood disorders.


Future treatments for Parkinson disease are covered in Baldinini heeled pumps latest collections xTgiiAbL3P
. This article provides a discussion of new therapies in clinical development that may alleviate motor features or slow disease progression, including A2a antagonists, levodopa formulations, other antiparkinsonian medications, antidyskinesia medications, and gene therapy.


Hauser RA, Grosset DG. [(123) I]FP-CIT (DaTscan) SPECT Brain Imaging in Patients with Suspected Parkinsonian Syndromes. . 2011 Mar 16. .

cheap sale the cheapest discount sale MUK LUKS Gianna Womens Boat Shoes clearance store sale online SinoGx
Journal Content Browse
Font Size
Current Issue
sale order buy cheap online Dsquared2 laceup espadrille sandals discount footlocker pictures clearance store hkVk7si
Email this article (Login required)
Email the author (Login required)

Coalition for Networked Information

> Volume 22, Number 12 - 4 December 2017 > Spring Step Karmel Womens Wedge Sandals outlet buy excellent cheap price buy discount purchase cheap price P27aATOf
A Great Cities Initiative of the University of Illinois at Chicago Enfants Riches Déprimés hitop patch sneakers 2014 unisex discount ebay explore WYu98u9G

© , 1995-2018. ISSN1396-0466.

This paper explores pragmatic approaches that might be employed to document the behavior of large, complex socio-technical systems (often today shorthanded as “algorithms”) that centrally involve some mixture of personalization, opaque rules, and machine learning components. Thinking rooted in traditional archival methodology — focusing on the preservation of physical and digital objects, and perhaps the accompanying preservation of their environments to permit subsequent interpretation or performance of the objects — has been a total failure for many reasons, and we must address this problem. The approaches presented here are clearly imperfect, unproven, labor-intensive, and sensitive to the often hidden factors that the target systems use for decision-making (including personalization of results, where relevant); but they are a place to begin, and their limitations are at least outlined. Numerous research questions must be explored before we can fully understand the strengths and limitations of what is proposed here. But it represents a way forward. This is essentially the first paper I am aware of which tries to effectively make progress on the stewardship challenges facing our society in the so-called “Age of Algorithms;” the paper concludes with some discussion of the failure to address these challenges to date, and the implications for the roles of archivists as opposed to other players in the broader enterprise of stewardship — that is, the capture of a record of the present and the transmission of this record, and the records bequeathed by the past, into the future. It may well be that we see the emergence of a new group of creators of documentation, perhaps predominantly social scientists and humanists, taking the front lines in dealing with the “Age of Algorithms,” with their materials then destined for our memory organizations to be cared for into the future.


Womens Oklahoma State Cowboys Striped Boot Slippers cheap sale clearance store buy cheap 2014 100% original cheap online newest PkoohUGD
shopping online cheap online visit new Tods Gommino Driving Shoes sale 2015 new outlet affordable websites cheap price oobjT3UZ6w
DARLINGTON Sock Trainers discount codes shopping online authentic sale online 2014 cheap sale buy online new outlet pictures hSAKB
Puma X Fenty Creepers In Crackled Leather excellent cheap price buy cheap low price sale store outlet best prices CjKWhtUXdI
Womens Solanz Katie Dress Sandals outlet sneakernews gQuWDHi
Documenting instead of archiving: Pragmatic approaches discount new styles buy cheap official site Officine Creative Doillon boots free shipping popular RcHnt0bZ
LIBRA Wide Fit Ballet Flats tumblr for sale cheap sale sale cheap low shipping rYuzF

Chicago Office 9-4:30PM (other hours available by appointment)

  • Address: 20 S. Clark St., Suite 450
  • Phone: 312-635-4003

Park Ridge Office

  • Phone: 312-635-4003


  • Phone: 312-635-4003


  • Phone: 312-635-4003


  • Phone: 312-635-4003


  • Phone: 312-635-4003

Blog Post Calendar

  1. Adidas UltraBOOST sneakers wiki online IjVvWv

    July 9 @ 12:15 am - 1:05 pm
  2. LAP Women’s Group

    July 11 @ 12:15 pm - 1:15 pm
  3. sale popular Rochas cross strap embellished heel sandals pay with paypal sale online factory outlet sale websites UDTM25o

    July 13 @ 12:15 pm - 1:15 pm
  4. Giuseppe Zanotti Design hitop sneakers clearance Inexpensive buy cheap pick a best cheap Inexpensive buy cheap pictures MKij7fi

    July 16 @ 12:15 pm - 1:05 pm
  5. LAP Women’s Group

    July 18 @ 12:15 pm - 1:15 pm

Prada panelled lowtop sneakers buy cheap clearance visit new online E11n8mlni

Lawyers’ Assistance Program, Inc. is a registered not-for-profit 501 c (3) organization.