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"Swallow, D. A"
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POMD02 Degree and clinical correlates of cerebral small vessel vascular disease in incident parkinsonian patients
BackgroundParkinsonian disorders and cerebral small vessel disease (CSVD) both become more common with advancing age. Whether the degree of CSVD is greater in parkinsonian patients than nonparkinsonian controls is unclear, as is its role in the presentation and prognosis of parkinsonian disorders.MethodsBaseline MRIs in incident patients with Parkinson's disease (PD) (n=20), vascular parkinsonism (VP) (n=7) and age-sex matched controls (n=21) were scored for CSVD, blinded to clinical status, using Scheltens' visual rating scale. Scheltens' scores were correlated with baseline and follow-up assessments of motor impairment, cognition, mood and functional disability in patients with PD.ResultsTotal Scheltens' scores were significantly greater in patients with VP than PD or controls (p=0.011), with no difference between the latter two groups. Subgroup analyses showed white matter hyperintensities (WMH), infratentorial hyperintensities (ITF) and periventricular hyperintensities (PVH), but not grey matter hyperintensities (GMH), to be greater in patients with VP than PD or controls. In patients with PD no significant associations between CSVD and baseline or 1-year clinical assessments were found but the latter were confounded by treatment effects.ConclusionsAs expected the degree of CSVD was greater in VP patients than PD patients or controls. Additionally, CSVD in PD patients did not significantly affect either the clinical presentation or prognosis at 1 year.
Journal Article
Ashes and Powers: Myth, Rite and Miracle in an Indian God-Man's Cult
Guru cults are an increasingly prominent feature of Indian religious life today, especially in the towns and cities, and among the urban middle classes. Many of these gurus are actually worshipped by their followers, who believe that they have magical powers; and in most cults the devotional element is strong. Since independence there seem to be more gurus in India; more of them have a more than local following; their followings are growing rapidly, and the cults are receiving more publicity, which reflects their discernible impact on the Indian scene. The godmen, as they are called, are often somewhat ostentatious; their travels, by air, road or rail, are widely reported in the press, and their followings are known to include numerous high ranking and well known figures in the worlds of politics, business, the professions and academia. Courted and feted, they preside over anniversary functions, commemorations, and installations, and their pictures and books are to be found on bookstalls throughout the subcontinent. In part, the publicity given to the gurus and godmen of India reflects the growing popular interest in them among western followers: the antics of the International Society of Krishna Consciousness, in Oxford Street or in Berkeley, California; the Transcendental Meditation Movement of the Maharishi Mahesh Yogi, with a following of as many as four hundred thousand in the west; the powerful vogue in America for the boy Guru Maharaj; and the ecstatic cult of Bhagwan Rajneesh, which attracts hundreds to Poona, are just a few of the more notorious examples.
Journal Article
Oriental art and the popular fancy: Otto Samson, ethnographer, collector and museum director
I would like to thank the Royal Asiatic Society warmly for allowing me the privilege of giving today's lecture on Dr Otto Samson. It is both an honour and a responsibility to speak of a person whom one has never known and whom others knew so much better, and I should perhaps explain why I of all people should be standing here today.
Journal Article
Tobacco Cessation at Greenwich Hospital
Information on the tobacco-dependence treatment services of Greenwich Hospital in Greenwich CT is presented. The system guidelines that were implemented into the nurses' daily practice there identifies tobacco users and promotes smoking cessation for patients.
Journal Article
