World Parkinson Day – 11th April 

Written by Italian Physiotherapy student Sara Giovanardi

April 11th is the birthday of Dr. James Parkinson, the first physician to recognise Parkinson’s as a medical condition. 

In 2005 the tulip was adopted as the official symbol of Parkinson’s during the 9th World Parkinson’s disease day conference. However, the flower had been informally associated with the disease for more than 20 years prior to that. 

In fact in 1980, a Dutch horticulturalist named J. W. S Van del Wereld, who was living with Parkinson’s, developed a new red and white variant of the tulip and he named it the dr. James Parkinson tulip, in honour of the doctor. 

Today wearing the red tulip raises awareness and shows support for people living with Parkinson’s and their family globally. 

About Parkinson’s disease 

It’s a progressive disorder that affects the nervous system and causes unintended or uncontrollable movements. Symptoms usually begin gradually and they may be barely noticeable but they worsen over time.  

Anyone could be at risk for developing Parkinson’s but some research suggest this disease affects more men than women even though it’s unclear why. 

One clear risk is age: most people with Parkinson’s develop the first symptoms after age 60, about 5-10% experience onset before age 50. 

Early-onset of Parkinson’s are often inherited and some forms are linked to specific genes alterations. 

Many researchers now believe that Parkinson’s results from a combination of genetic and environmental factors. 

Common symptoms 

Certain nerve cells (neurons) in the brain gradually break down or die. Many of the symptoms are due to a loss of neurons that produce a chemical messenger in our brain called dopamine. When the dopamine levels decrease, it causes atypical brain activity, leading to impaired movement and other symptoms of Parkinson’s disease. 

Early symptoms of this disease are subtle and occur gradually. They are usually divide in Motor and Non-Motor symptoms. 

  • Tremor in hands, arms, legs, jaw, or head 
  • Muscle stiffness, where muscle remains contracted for a long time 
  • Slowness of movement 
  • Impaired balance and coordination, sometimes leading to falls 
  • Depression and other emotional changes 
  • Difficulty swallowing, chewing, and speaking 
  • Urinary problems or constipation  
  • Skin problems 

An interesting fact is that many people with Parkinson’s desease notes that prior to experience all this symptoms they had problem sleeping, constipation and loss of smell! 

Although there is no cure for Parkinson’s disease, medicine, surgical treatment and other therapies can often relieve some symptoms, and if the symptoms improve after starting to take the medication, it’s a very solid indicator that the person has Parkinson’s. The most common medicine is Levodopa, it helps the brain cells to release dopamine. 

For the people who do not respond well to medication, one surgical treatment that was found to be very successful is deep brain stimulation. A doctor implant electrodes into part of the brain and connects them to a small electrical device implanted in the chest. The device stimulates specific areas in the brain that control movement in a way that may help stop many of the movement-related symptoms of Parkinson’s. 

Prevention and interesting facts 

Because the cause of Parkinson’s is unknown, there are no proven ways to prevent the disease. 

Some research has shown that people who consume caffeine – which is found in coffee, tea and cola – get Parkinson disease less often than those who don’t drink it. Green tea is also related to a reduced risk of developing Parkinson’s disease. However, it is still not known whether caffeine protects against getting Parkinson’s or is related in some other way. Currently there is not enough evidence to suggest that drinking caffeinated beverages protects against Parkinson’s. 

It is however possible to have a good to great quality of life with PD. You have to work with your doctor to create a plan to stay healthy. This might include a referral to a neurologist, care from an occupational therapist, physical therapist or speech therapist, meeting with a medical social worker to talk about how Parkinson’s will affect your life, start a regular exercise program to delay further symptoms! Another very important thing to do is talk with family and friends who can provide you with the psychological and emotional support you need. 

A story about Parkinson  

Mags’s diagnosis coincided with the life-changing events of relocating, retirement and her mum passing away. 

“Looking back, I almost felt worse before I found out about Parkinson’s than I did afterwards,” says Mags. “I was definitely not very buoyant at points - that’s probably the best way to put it.” 

Since then, Mags has been quietly determined. “I’ve achieved more than I expected and Parkinson’s has almost been irrelevant in that. 

“Of course, a day without it would be quite nice to experience,” she concedes. “I’m stiffer than I used to be – I used to skip over stiles, but I now take things a bit more slowly and steady. 

“I also don’t sleep as well as I did. Although lots of people I know don’t sleep too well, so that may just be an age thing! 

“But my family is a huge support and I have some lovely friends I’ve made through the running community – all people I never knew 10 years ago. 

“My aim has always been to keep control of the condition. For me, when it comes to Parkinson’s, there are no barriers.” 

https://www.parkinsons.org.uk/information-and-support/your-magazine/stories/when-it-comes-parkinsons-there-are-no-barriers

https://www.nia.nih.gov/health/parkinsons-disease

https://www.nia.nih.gov/health/parkinsons-disease

https://www.mayoclinic.org/diseases-conditions/parkinsons-disease/symptoms-causes/syc-20376055

Down Syndrome Day – 21st March

“With us not for us”

About Down syndrome

Down syndrome or Trysomy 21 is a condition in which a person has an extra 21st chromosome in each body cell.

A very small percentage of people with Down syndrome have an extra copy of chromosome 21 in only some of the body’s cells and this particular condition is called mosaic Down syndrome.

Chromosome are “packages” of genes and information contained in all the body cells. They carry information, DNA, that controls what you look like and how your body and brain work and develop.

Around 1 in 700/800 babies are born with this syndrome; it occurs naturally, there is no known cause, it is a random event. Although women of any age can have a child with Down syndrome, one factor that is known to increase the risk is the age of the mother. In fact, women ages 35 and older are more likely to have a baby with Down syndrome.

Down syndrome usually causes varying degrees of intellectual and physical disability and associated medical issues, the symptoms are different in each person, and they may have different problems at different times in their lives.

People with Down syndrome often have a characteristic facial appearance that includes a flattened appearance to the face, outside corners of the eyes that point upward (upslanting palpebral fissures), small ears, a short neck, and a tongue that tends to stick out of the mouth. Many have small hands and feet and a single crease across the palms of the hands. About half of all affected children are born with a heart defect.

Their speech and language develop later and more slowly than in children without Down syndrome. Additionally, speech may be also difficult to understand.

Behavioral issues can include attention problems, obsessive/compulsive behavior, and stubbornness or tantrums. A small percentage of people with Down syndrome are also diagnosed with developmental conditions called autism spectrum disorders, which affect communication and social interaction. In addition, they often experience a gradual decline in thinking ability (cognition) as they age, usually starting around age 50. In fact down syndrome is associated with an increased risk of developing Alzheimer disease, a brain disorder that results in a gradual loss of memory, judgment, and ability to function. Approximately half of adults with Down syndrome develop Alzheimer disease.

What is World Down Syndrome Day – WDSD

World Down syndrome Day (WDSD) is a global awareness day which has been officially observed by the United Nations since 2012. The date for WDSD being the 21st day of the 3rd month, was selected to signify the uniqueness of the triplication (trisomy) of the 21st chromosome which causes Down syndrome.

The message of this year campaign “With Us Not For Us” is key to Human rights-based approach to disability. The campaign is committed to moving on from the outdated charity model of disability, where people were treated as objects of charity, deserving of pity and relying on others for support. This approach views people with disabilities as having the right to be treated fairly and have the same opportunities as everyone else, working WITH others to improve their lives.

The United Nations Convention on the Rights of Persons with Disabilities calls for full and effective participation of persons with disabilities but many organisations still exclude people with Down syndrome from taking part in their work. They take decisions For them not With them. All around the world, people with Down syndrome are treated badly. They are denied education, good health care, the chance to work and earn their own money and they are not allowed to make decisions about their own lives: their voices are not heard!

So on the 21st of March this organisation tries to create a single global voice advocating for the rights, inclusion and well being of people with Down Syndrome.

The Lots Of Socks Campaign

People around the world since 2013 are wearing colourful or striking mismatched socks to raise awareness for World Down Syndrome Day on the 21st of March. On this day, two different socks are worn to celebrate human uniqueness. Socks were selected because it’s an easy way to get people involved.

The aim of the challenge is to spread awareness about Down Syndrome, sparking a conversation with people who don’t know about this particular day and asks about the socks.

The acceptance of people with Down Syndrome by society and their opportunity to be able to meaningfully partecipate in decision-making issues affecting their lives is still not a matter of course. It is thanks to sharing information and a positive example from personal experience that each of us can break down prejudices, help others become equal members of society, and realise their dreams – to live a full life.

All you have to do is put on two mismatched socks on 21st March, take a photo, and share it on your social media with the hashtag #SockChallenge.

In this way we can spread understanding and respect for diversity together.

Please share your photos and videos on Facebook, Twitter, Instagram and TikTok using the official WDSD hashtags in your social media posts to help spread awareness this World Down Syndrome Day– #LotsOfSocks#WorldDownSyndromeDay #WithUsNotForUs #WDSD2023 #ShareTheJourney

There is also a film called “chromosomes R us” which is a short film by actors with Down syndrome explaining how trisomy 21 occurs if anyone is interested to know more about it!

https://medlineplus.gov/genetics/condition/down-syndrome/#frequency

https://www.worlddownsyndromeday.org/what-is-down-syndrome

https://pubmed.ncbi.nlm.nih.gov/32029743/

https://medlineplus.gov/genetics/condition/down-syndrome/#description

https://sockschallenge.com

https://www.foxnews.com/lifestyle/world-down-syndrome-day-sock-tradition

https://www.awarenessdays.com/awareness-days-calendar/world-down-syndrome-day-2023/

In the case of a Transient Ischemic Attack every minute counts 

Written by nursingstudents Roosa Erkkilä, Minttu Marila & Jutta Hautamäki

On Worlds TIA Day, October 29th, we need to be paying more attention to prevention, treatment and rehabilitation of cerebrovascular disorders. Worlds Stroke Organization, WSO, and Aivoliito ry want to affect that fewer and fewer people would suffer from cerebrovascular disease and for all of whom suffer from TIA can receive professional and high-quality care. Approximately 25 000 suffer from transient ischemic attack every year. 

“This year HUS Neurocenter and Finnish Neurological Society’s cerebrovascular division is organizing a social media campaign directed especially for young adults. The campaign is aiming to raise awareness that cerebrovascular disorder can occur at any age. It’s vital to recognize the symptoms of it and to call for help immediately because every minute is precious when a transient ischemic attack occurs.  During the week, the 16 social media influencers selected for the campaign will share information and stories about cerebrovascular disorders. On the campaign pages in Terveyskylä Aivotalossa you can take part in TIA quiz, in which prizes will be drawn between participants. The prizes are Oura- rings, activity bracelets and storytell gift cards. At the campaign pages you can also find experience reports from those who have suffered from TIA from a young age. You can also find information about cerebrovascular disorders, their symptoms and how to act if you recognise symptoms in yourself or others. In addition to HUS Neurokeskus and the Finnish Neurological Society, Pfizer, Boehringer Ingelheim, Abbott, Storytel and Polar acted as supporters of the campaign.” 

https://www.hus.fi/maailman-aivoverenkiertohairio-avh-paivaa-vietetaan-29-lokakuuta

(Photo: Word image bank)

So what is cerebrovascular disorder? 

TIA causes brain dysfunction, which can result for example speak and motor difficulties. Dysfunctions in the brain can also be caused by a brain injury, a brain tumor or brain inflammation. The tissue damage caused by TIAs affects the patients ability to function in many ways. The consequences are individual and they depend on the location and extent of the damaged area. TIA can cause either permanent or transient body paralysis symptoms, sensory deficits, disturbances on speak function and other mental performance. One in two TIA patients will have a permanent disability and the other half will have a sever degree of disability. One in four recovers completely, more than half recover on their own and one in seven will need institutional care. 

Cerebrovascular embolism, or stroke 

Stroke is a disease in which the area of a suddenly blocked artery, the brain tissue is deprived of blood flow and oxygen. Because of this, a local part of the brain tissue goes into permanent necrosis. A blockage is often caused by a blood clot in a narrowed artery. The symptoms of a stroke can be: limb dysfunction or numbness usually on one side, symptoms of paralysis, difficulty to produce speech, slurred speech, various visual disturbances and dizziness. 

Cerebral haemorrhage 

In a cerebral haemorrhage, an artery ruptures, causing blood to leak either into the brain matter or into the space under the subarachnoid mater. SAH, or subarachnoid haemorrhage, is most often caused by the rupture of a congenital bulging of an artery on the surface of the brain. Paralysis symptoms usually develop a little slower in cerebral haemorrhage than in stroke. Depending on the size and location of the leak, symptoms range from mild to severe. In the early stages of bleeding, headaches often occur, but not always. 

TIA or transient ischemic attack 

In a Transient Ischemic Attack or TIA for short, the symptoms will pass after 24 hours at the latest. Usually, a TIA symptom will pass within an hour. The first TIA is usually a good warning sign to start looking into what risk factors are behind the attack and hopefully this way an actual stroke can be avoided. The situation is still not flawless even when symptoms might go away, as almost one out of ten patients still experience a stroke within a week after the TIA symptoms. 

IIThe symptoms of a TIA usually depends on which artery in the brain the vascular disorder develops. Headache and pain are not associated with the symptoms, and they usually start completely unexpectedly and suddenly. Most common momentary symptoms include weakness of the upper or lower limbs on one side of the body, paralysis on one side of the face (mouth is drooping?), difficulty to understand speech or speaking, blurred vision in one eye, difficulty to form words, difficulty swallowing, or dizziness accompanied with seeing everything in two. It is to be noted that sudden dizziness only does not signal a vascular disorder. 

(Photo: PixaBay)

Who can be at risk of getting sick? 

Risk factors for cerebrovascular disorders are largely similar to those for cardiovascular diseases. The risk of getting sick doubles after the age of 55 for each decade. The more risk factors a person has, the greater the risk of developing cerebrovascular disorders. However, some of the risk factors are such that you cannot influence them yourself, for example hereditary factors, age and male gender. However, most of the risk factors are treatable and preventable. It is important to pay attention to healthy lifestyles and to take good care of diseases that increase the risk. High blood pressure, diabetes and cardiovascular diseases have been linked to risk factors for cerebrovascular disorders. Smoking, heavy alcohol use and little exercise have also been found to be a risk factor to cerebrovascular disorders. 

In cerebrovascular disorders, prevention plays a major role, as it reduces the risk of developing cerebrovascular disorders and prevents their recurrence. Risk factors must be mapped out and treated. Some diseases are treated with medication, but you can also reduce the risk with your own lifestyle. Healthy lifestyles include regular exercise and eating nutritious food. The diet should include a lot of vegetables, berries, fruits, whole grains, fish and saturated fats. Quitting smoking and using alcohol in moderation are also positive factors. However, don’t try to change everything at once, but make small, sustainable changes in your everyday life. 

Sources:

https://www.aivoliitto.fi/ajankohtaista/maailman-avh-paiva-29.10/

https://www.aivoliitto.fi/aivoverenkiertohairio/faktat/#a1a5514f

https://www.aivoliitto.fi/aivoverenkiertohairio/sairastumisen-jalkeen/sairastunko-uudelleen/#694bb1b4

https://www.hus.fi/maailman-aivoverenkiertohairio-avh-paivaa-vietetaan-29-lokakuuta

https://www.tays.fi/fi-FI/Ohjeet/Hoitoohjeet/Aivoverenkiertohairiopotilaan_ohjaus/Aivoverenkiertohairioiden_yleisimmat_ris(76709)

https://www.terveystalo.com/fi/tietopaketit/aivoinfarkti-ja-aivoverenvuoto/#Aivoinfarkti

https://www.terveyskirjasto.fi/dlk00591 https://www.terveyskirjasto.fi/dlk00001

A bone-week brings with it important info about Osteoporosis

Written by nursingstudents Roosa Erkkilä, Minttu Marila & Jutta Hautamäki

On last week 17.10-23.10.2022 was the celebration of bone week and it´s every year in October. On this year, the theme of the bone week is” No Sooner Said Than Done – your choices matter”. The meaning of that week is to advance recognizing of osteoporosis and to support advancing of the bone health and self-treatment of osteoporosis. Especially the impacts of nutrition and exercising are brought into relief on this year´s bone week. The international osteoporosis day and the white shirt day are part of the bone week. 

Every year the World Osteoporosis Day (WOD) is being celebrated on 20th of October. It´s dedicated to raising awareness of the prevention, diagnosis and treatment of osteoporosis, as well as metabolic bone disease. Bone fractures from osteoporosis are to be taken seriously. Especially hip- and vertebral fractures leads to spiral of more fractures, that can cause chronic pain, immobility, and permanent disability. The world osteoporosis foundation has been arranging worldwide campaign since 1997. 

What does the osteoporosis then mean? 

 “Osteoporosis means that the bone´s mineral density has decreased and bone´s structure has changed so that the bone´s strength weakens. Then the bone can be fractured from a minor injury. 

The bone tissue ’lives’ entire time, old bones are decaying and new are formed to replace. Until the 30th year of age, bones are being form more than it decays, so the bone strength increases. After that, more bones are decaying than being formed, so when getting older, bone strength slowly decreases. Osteoporosis is clearly more common with women than men.” 

Who can get osteoporosis? 

Although osteoporosis is most common in the elderly, osteoporosis can also occur in women of all ages and in men. 

The greatest risk of developing osteoporosis is in postmenopausal women, because the decrease in estrogen production during menopause increase the loss of bone mass. 

In men, bone decreases more slowly. Osteoporosis can be divided into primary and secondary osteoporosis. 

Primary osteoporosis (no single clear cause) 

  • Postmenopausal osteoporosis 
  • Age-related osteoporosis 
  • Genetic vulnerability 

Secondary osteoporosis (indications of some clear cause) 

  • A disease e.g., hormonal disorder, celiac disease, rheumatism, disease of thyroid and diabetes 
  • Medication e.g., long-term treatment of cortisone and cancer treatments 

Sources: 

https://www.suomenosteoporoosiyhdistys.fi/rakasta-luitasi-turvaa-tulevaisuutesi/

https://luustoliitto.fi/luustoliitto/luustoviikko/

https://www.terveyskirjasto.fi/dlk00053

https://luustoliitto.fi/osteoporoosi/mita-osteoporoosi-on/