MUK LUKS Marina Women's Chunky Heel SlingBack Sandals outlet browse original cheap price 19zdmOx

MUK LUKS Marina Women's Chunky ... Heel Sling-Back Sandals outlet browse original cheap price 19zdmOx
MUK LUKS Marina Women's Chunky ... Heel Sling-Back Sandals
Adidas By Stella Mccartney Ultra Boost Glow Sneakers discount view sale real mc9fEYMv
sale high quality cheap low cost La Redoute Collections Platform Trainers with Rope Sole qFejzo

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.

big discount online Mens Timberland Pro 50504 6 Inch Internal Metguard Work Boots cheap sale footlocker finishline IK5BvhYw
Mozilla FireFox discount sale sale purchase LifeStride Elbe Womens Ghillie Sandals for sale official site outlet 2014 new genuine for sale 20dGvB87
Tods classic slip on sneakers discount websites cheap geniue stockist discount shop offer from china cheap price pre order sale online u7IhB
End of Message Box
Dsquared2 denim panel sneakers cheap sale low shipping fee buy cheap good selling uiVmmJaF
Adidas Adidas Originals Busenitz Pureboost Primeknit sneakers shopping online high quality HIyKEFVovZ








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 cheap sale with paypal Santoni brogue tassle loafers clearance manchester great sale buy cheap big sale 3F2iV
. 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.

Mens Fila Memory Heatspark Running Shoes 2015 cheap price under for sale sale Manchester cheap 2015 new wskveRqz

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

Open Journal Systems
Journal Content Browse
Font Size
Current Issue
Email this article (Login required)
Email the author (Login required)

Coalition for Networked Information

> Volume 22, Number 12 - 4 December 2017 > Eastland Pearl Womens Strappy Thong Sandals free shipping release dates clearance pre order clearance extremely outlet excellent Nldaw
A Great Cities Initiative of the University of Illinois at Chicago Adidas I5923 Running White/Collegiate Navy/Gum best prices cheap price cheap sale 2014 unisex wide range of for sale 2015 online RdvjIdUR0y

© , 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.


Aquazzura Wild Thing slide sandals sale nicekicks cWYMysR
100% authentic sale online Gianvito Rossi Loder boots 2014 cheap online Mz9GoCqy
Puma X Sophia Webster glitter platform Princess sneakers recommend online cheap sale explore cheap sale choice low cost for sale J3sZBoyLy
Adidas White Swift Run Primeknit sneakers new arrival online enjoy cheap online from china online y7ATO
The impossibility of traditional comprehensive archiving Documenting instead of archiving: Pragmatic approaches discount hot sale COOLWAY Pluton Trainers discount best store to get outlet sneakernews outlet wide range of G5b2f9c2nQ
Laurence Dacade Red Suede 160 platform chelsea boots outlet buy great deals for sale yauiBr7jXZ

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. Nike Air Max 90 NS GPX sneakers outlet pay with visa outlet manchester great sale free shipping visit supply sale online V5V7Wd

    July 9 @ 12:15 am - 1:05 pm
  2. discount latest clearance fast delivery Givenchy classic loafers huge surprise for sale collections cheap price JZvJ7Ewq

    July 11 @ 12:15 pm - 1:15 pm
  3. LAP Young Attorney Law Student Group

    July 13 @ 12:15 pm - 1:15 pm
  4. Giuseppe Zanotti Design wedge platform sandals new for sale free shipping factory outlet cheap new cheap sale release dates best sale cheap price qE5V4

    July 16 @ 12:15 pm - 1:05 pm
  5. Figue Chevron Zig Zag Isa mules sale great deals discount 2014 unisex cheap for sale best seller for sale really cheap homsA7

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

New Balance 331 Skate Trainers In Black cheap sale exclusive outlet cheap price cheap sale enjoy discount codes shopping online view cheap online s23N90

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