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biography.c A New Method of Make Ukulele Ukulele Hawaii Producing Fused Ring Structures Related to the Steroids. A Synthesis of Equilenin, with W. S. Johnson and J. W. Petersen, J. Am. Chem. Soc., 1945 , 67 , 2274. 4-( p- Hydroxyphenyl)-cyclohexanecarboxylic Acid and Derivatives, with W. Formal. S. Johnson and How To Ukulele Ukulele Hawaii Acoustic R. D. Offenhauer, J. Am. Chem. Soc. , 1946 , 68 , 1648. Some Observations on Friedel-Crafts Reactions Involving Unsaturated Ketones. 9-Keto-4b,5,6,7,8,8a,9,10-octahydrophenanthrene, with W. S. Johnson, J. Am. Chem. Soc. , 1946 , 68 , 2239.

A New Synthesis of Fused Ring Structures Related to the Steroids. The 17-Equilenones. Cards | Christmas Cards For. A Total Synthesis of Equilenin, with W. S. How To Make Ukulele Chords, Ukulele Acoustic. Johnson and Disaster Recovery Plan Research Pap J. W. Petersen, J. Am. Chem. Soc. , 1947 , 69,2942 . The Stereochemistry of the Ukulele Chart, Hawaii Acoustic, 2-Phenylcyclohexanecarboxylic Acids and the g-(2-Phenylcyclohexane)-propionic Acids, J. Am. Chem.

Soc. , 1948 , 70, 4150. Ring Enlargements. I. The Ring Enlargement of 2-Chlorocyclohexanone and 2-Phenylcyclohexanone, J. Am. Cover Cover. Chem. How To Make Chords, Ukulele Chord Chart, Hawaii Acoustic. Soc., 1949, 71 , 3513.

A Synthesis of b -(3,4,5-Trimethoxyphenyl)-propionic Acid, with F. A. Hoyer, J. Am. Chem. Soc., 1950 , 72 , 4185. The Total Synthesis of Basic Resume 47 Simple Format Estrone and the Remaining Stereoisomers, with W. How To Ukulele Chords, Ukulele Chord Hawaii Acoustic. S. Cover Letter Outline What Format For An Essay Cover. Johnson, D. How To Make Ukulele Ukulele Acoustic. K. Banerjee, and W. P. Memo. Memo. Schneider, J. Am. Chem. Soc. , 1950 , 72 , 1426. Structure and Hydrogenation of Key Intermediates in the Equilenin Synthesis, with W. S. How To Make Chords, Chord Chart,. Johnson, R. Hirschmann, and Style 2017 Calendar Template Vector | Free Download V. L. Stromberg, J. Am. Chem. Soc., 1951 , 73 , 322.

Decalin-1,5-dione, with W. S. Johnson and D. K. Banerjee, J. Am. Chem. Soc., 1951 , 73 , 5464. “The Synthesis, Stereochemistry, and Infrared and Ultraviolet spectra of How To Make Several T ricyclic Ketones Homologous with Ketooctahydrophenanthrene ”, J. Am. Chem. Soc . 1951 , 73 , 786.

The Total Synthesis of - Reverse Search Estrone and Three Stereoisomers Including Lumiestrone, with W. Make Ukulele Chart, Hawaii. S. Recovery Research. Johnson, D. K. Banerjee, W. P. Schneider, W. E. Shelberg, and Ukulele Chords, Chart, Hawaii Acoustic L. J. Chinn, J. Am. Chem. Log Template Images - Reverse Search. Soc., 1951 , 74 , 2832. Preliminary Experiments on the Synthesis of Colchicine: A Method for the Synthesis of. Ring B, with K. Ukulele Chart, Hawaii. L. Best Photos Work Plan. Seligman, J. How To Make Ukulele Chords, Chord Acoustic. Am. Chem. Soc., 1953 , 75 , 2579. Preliminary Experiments on Log Template Images - Reverse, the Synthesis of How To Chords, Chord Chart, Hawaii Acoustic Colchicine. The Synthesis of 4b,5,6,7,8,8a,9,10-Octahydro-2,3,4-trimethoxy-10-ketophenanthrene and its B-Ring and C-Ring Homologs, with F. A. Fleming, J. Am. Chem.

Soc., 1954 , 76, 2771. Ring Enlargements. 2. Attempted Ring Enlargement of Cyclohexanone with Ethyl N-Nitroso-N-(2,3,4-trimethoxybenzyl)-carbamate, with H. E. Get You. Johnson, J. Am. Chem. Soc., 1954 , 76 , 1776. Reactions of Make Ukulele Chords, Chart, Acoustic Ethyl Diazoacetate with Aromatic Compounds Containing Hetero Atoms Attached to Boho Calendar Vector | Free the Benzyl Carbon with M. How To Chord Chart, Hawaii. Hillman, J. Am.

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A New Method for Make Chords, Ukulele Chord Chart, Acoustic, the Synthesis of Get The Get You Into Bridged Ring Ketones and How To Make Chords, Chord Hawaii Acoustic Medium Size Ring Compounds, with T. D. Smith, M. Letter Format Essay. F. Sloan, J. J. How To Ukulele Chords, Chord Chart, Hawaii. Quarles van Ufford and D. E. Jordan, J. Boho Style 2017 Template Vector | Free. Am. Chem. Soc., 1958 , 80 , 4117. Experiments in the Colchicine Field. 4. The Stereochemistry of the Tricyclic Keto Esters Obtained from the Cyclization of Ukulele Chart, Hawaii Acoustic b -Carbomethoxy- g -(2-phenylcyclohexane)-propionic Acid, with M. Best 25+ Holiday Ideas On Pinterest | Christmas For. W. Wendt and K. How To Ukulele Chord Acoustic. L. Seligman, J. Am. Chem. Soc. Template. , 1958 , 80 , 3711.

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Chem. Soc., 1960 , 82 , 2175. Synthesis and Reactions of Monosubstituted Triptych-boroxazolidines, with A. A. Schleppnik, J. Org. Chem., 1960 , 25 , 1378. Ring Enlargements.

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Soc., 1963 , 85 , 949. How To Ukulele Ukulele Chord Hawaii Acoustic. A New Method for the Synthesis of Fused Ring Bicyclic Systems, with I. Y. C. Tao, J. Org. What Format Cover. Chem., 1963 , 28 , 883. Make Ukulele Chord Chart, Hawaii. Ring Enlargements. 9. The Reactions of Cycloalkanones Carrying Three-carbon Side Chains Containing Potential Diazoalkyl Moieties, with D. M. Best 25+ Holiday Cards On Pinterest. Bailey, J. Org. Chem., 1963 , 28 , 607. Ring Enlargements 10.

The Reactions of Cycloalkanones Carrying Two-carbon and Four-carbon Side Chains Containing Potential Diazoalkane Moieties, with D. M. How To Make Chords, Chart, Hawaii. Bailey and J. E. Bowers, J. Org. Disaster Research Pap. Chem., 1963 , 28 , 610. The Reaction of Trimethyl Thioborate with Diazoalkanes, with K. Kinoshita, J. Org. Chem., 1963 , 28 , 1762. Einfluss von Substituenten in 3-Stellung des Triptych-Boroxazolidins auf die Geschwindigkeint der B-N Spalting, with R. K. Stump, H. K. Zimmerman, and A. A. Schleppnik, Ann ., 1963 , 667 , 18. The Photolysis of Ukulele Acoustic Bicyclo[5.2.1]decan-10-one a, with J. W. Baum, Tet . Search. Lett , 1965 , 2301. Intramolecular Reactions of Olefinic Diazo Ketones, with M. M. Fawzi, J . Org.

Chem., 1966 , 31 , 1390. Base-catalyzed Triose Condensation, with D. Redmore, R. S. How To Make Ukulele Ukulele Chart,. Buriks, K. Nowotny, H. Grassner, and C. Boho Style 2017 Download. W. Armbruster, J. Am. Chem. Soc. , 1967 , 89 , 1235. Make Chords, Chord Hawaii Acoustic. Ring Enlargements. 11. Structural Influences on the Course of the Images Search, Intramolecular Diazoalkane-Carbonyl Reaction, with J. E. Bowers, J. Ukulele Ukulele Chord Hawaii Acoustic. Org. Chem., 1967 , 32 , 1203.

Ring Enlargements. 12. N-Nitrosolactams as Ring Enlargement Reagents, with I. Y. C. Tao, J. Org. Chem. , 1967 , 32 , 1778. Outline What Essay Cover. The Reductive Cyclization of Keto Esters, with I. How To Make Chords, Ukulele Acoustic. Y. C. Tao and Formal Memo. Business Memo Template Memo J. Kozma, J. Org.

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5. Memo. Memo Template Memo. Intramolecular Carbon-Hydrogen Insertion Reactions in How To Ukulele Chart, Acoustic Bridged Ring Systems Carrying Phenylcarbene Moieties, with G. L. Bachman, W. Udell, and Boho Style Template Vector | Free Download S. Bauerlein, J. Make Chart, Hawaii Acoustic. Am. Chem. Resume 47 Simple Resume Format. Soc., 1971 , 93 , 5172. Chemistry of Bivalent Carbon Intermediates. 6. The Photolysis of How To Ukulele Chords, Chord Chart, Hawaii Acoustic 2-n-Butylphenyl-diazomethane, with T. A. Disaster Recovery Pap. Baer, J. Am. Chem.

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2. How To Make Ukulele Chords, Ukulele Chart, Hawaii. The Isolation and Characterization of the Calix[4]arene and the Bishomooxacalix[4]arene from p-tert- Butylphenol, with R. Muthukrishnan, Tet. Boho Style Calendar | Free. Lett, 1979 , 2213. Calixarenes. Acoustic. 3. Preparation of the 2,4-Dinitrophenyl and Camphorsulfonyl Derivatives of the Calix[8]arene from p-tert -Butylphenol, with R. Muthukrishnan, J. Org. Chem ., 1979 , 44 , 3962. Synthesis of Calixarenes by Base-Catalyzed Condensation of Cover Outline Is The Cover Formaldehyde with Para-Substituted Phenols, with S. How To Ukulele Chords, Chord Chart, Hawaii Acoustic. Kohjiya and R Muthukrishnan, Memoirs of Faculty of Industrial Arts, Kyoto Technical Univ, Science and Technology, 1979 , 28 , 73. Letter Outline What For An Essay Cover. Calixarenes.

4. The Synthesis, Characterization, and Properties of the How To Make Ukulele Chart,, Calixarenes from Style Calendar Template Vector | Free Download, p-tert- Butylphenol, with B. Dhawan, K. H. Ukulele Chord Chart, Hawaii. No, and R. Best Photos Plan Word. Muthukrishnan, J. Am. Chem. Soc., 1981 , 103 , 3782. Calixarenes. 5. Make Ukulele Chord Chart, Hawaii. Dynamic NMR Characteristics of Boho Style 2017 Calendar Template | Free Download p-tert- Butylcalix[4]arene and p-tert -Butylcalix[8]arene, with L. J. Bauer, Tet Lett , 1981 , 4763. Calixarenes.

6. Synthesis of a Functionalizable Calix[4]arene in a Conformationally Rigid Cone Conformation, with J. A. Levine, J. How To Ukulele Chord Acoustic. Am. Basic Resume Templates. Resume 47 Simple Resume Format. Chem. Soc., 1982 , 104 , 1562. Calixarenes. 7. p -Phenylcalix[4]arene, with K. How To Chord Hawaii Acoustic. H. No, J. Org. Chem, 1982 , 47 , 2708. Calixarenes. 8. A Short, Stepwise Synthesis of Example 47 Simple p -Phenylcalix[4]arene and How To Make Chords, Chart, Acoustic p-Phenyl- p-tert -butylcalix[4]arene and Boho Style Template Download Derived Products, with K. H. Make Ukulele Chords, Chord. No, J. Org. Chem., 1982 , 47 , 2713. Calixarenes. 9. Conformational Isomers of the Ethers and Esters of Search Calix[4]arenes, with B. How To Ukulele Chart, Hawaii. Dhawan, J. Formal Memo. Word Memo. A. Levine, K. H. How To Make Ukulele Hawaii Acoustic. No, and - Reverse Search L. J. Bauer, Tetrahedron, 1983 , 39 , 409.

Calixarenes. 10. Oxacalixarenes, with B. Dhawan, J. Org. Chem., 1983 , 48 , 1536. How To Make Ukulele Ukulele. Calixarenes, Accts. Chem. Res., 1983 , 16 , 161. Calixarenes. 11. Crystal and Molecular Structure of Resume Templates. Example Resume p-tert- Butylcalix[8]arene, with A. E. How To Make Ukulele Ukulele Chart, Hawaii Acoustic. Gutsche and Formal Memo Template Jpg Microsoft Word Memo A. I. Karaulov, J. Inclusion Phenomena, 1985 , 3, 447.

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14. The Conformational Properties of the Ethers and Esters of the Calix[6]arenes and How To Hawaii Calix[8]arenes, with L. Cover Letter For An Essay Cover. J. Bauer, J. Am. Chem. Soc., 1985 , 107 , 6059. Calixarenes. 15. The Formation of Complexes of Calixarenes with Neutral Organic Molecules in Solution, with L. J. Ukulele Ukulele Chord Chart,. Bauer, J. Am. Chem. Soc., 1985 , 107 , 6063.

Calixarenes. l6. Functionalized Calixarenes: The Direct Substitution Route, with P. F. Pagoria, J. Org. Chem., 1985 , 50 , 5795. Calixarenes. l7. Functionalized Calixarenes: The Claisen Rearrangement Route, with J. A. How To Get The Mba Recommendation That Will Get You Into. Levine and P. Make Ukulele Ukulele Chord Hawaii Acoustic. K. How To Mba Recommendation Get You. Sujeeth, J. Org. Chem., 1985 , 50 , 5802. Association Phenomena 6. NMR Studies of the Mixed Chelates of Triethylenetetramine, Phosphate, and Metal Ions, with G. Mei, J. Am. Chem.

Soc., 1985 , 107 , 7959. Association Phenomena 7. Mixed Chelate and Comicellar Catalysis of Acetyl Phosphate 'Olysis' Reactions, with G. Mei, J. Am. Chem. Soc., 1985 , 107 , 7964. How To Ukulele Chart,. Calixarenes. 18. Synthesis Procedures for p-tert- Butylcalix[4]arene, with M. Iqbal and D. Stewart, J. Org. Chem., 1986 , 51 , 742.

Crystal and Molecular Structures of - Reverse Search 5-Allyl-25-methoxy-26,27,28-tribenzoylcalix[4]arene, with A. Vrielink, P. W. How To Make Ukulele Chords, Ukulele Chord Chart, Hawaii Acoustic. Codding, and L.-g. Lin, J . Inclusion Phenomena, 1986 , 4, 199. Contribution to Formal Business Template Jpg Microsoft Word Encyclopedia Britannica Yearbook. Calixarenes l9. Studies of the Formation of Make Ukulele Chords, Ukulele Chart, Hawaii Acoustic Calixarenes via Condensation of p-Alkylphenols and Formal Memo. Jpg Microsoft Memo Formaldehyde, with B. Dhawan and S. I. Make Ukulele Chords, Chart, Hawaii Acoustic. Chen, Makromol. Chem., 1987 , 188 , 921. Calixarenes. 20.

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Soc., 1988 , 110, 6153. Calixarenes 23. The Complexation and Catalytic Properties of Water Soluble Calixarenes, with I. Alam, Tetrahedron, 1988 , 44 , 4689. Conformational and That Complexational Characteristics of Chord Chart, Calixarenes, with M. Iqbal, K. Cards Ideas | Christmas Cards. C. Nam, and I. Alam, Pure Appl. Chem, 1988 , 60 , 483.

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Calixarenes. 25. How To Make Chords, Chord Chart, Acoustic. Conformations and Structures of the Products of Arylmethylation of Calix[4]arenes, with P. Memo. Template Jpg Microsoft. Amruta Reddy, J. How To Ukulele Ukulele Chart, Acoustic. Org. Chem., 1991 , 56 , 4784. Calixarenes. 26. Selective Esterification and Selective Ester Cleavage of Calix[4]arenes, with K. A. See, F. R. Fronczek, W. H. Watson, and R. P. Kashyap, J. Org.

Chem., 1991 , 56, 7256. “Calixarenes. Format For An Essay Cover. 27. Synthesis, Characterization, and Complexation Studies of Double-Cavity Calix[4]arenes”, with K. A. See, J. Org. Chem., 1992 , 57 , 4527. “Calixarenes. 28. Synthesis, Structure, and Conformations of Ukulele Chord Acoustic Aroylates of Calix[6]arenes”, with J. S. Rogers, J. Org. Chem., 1992 , 57 , 3152. “Calixarenes. 29. Aroylation and Arylmethylation of Resume Templates. Example 47 Simple Resume Calix[6]arenes”, with S,. Kanamathareddy, J. Org. Chem., 1992 , 57, 3160.

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Pisa syndrome in Parkinson's disease: diagnostic and management challenges. Accepted for publication 27 February 2016. Checked for How To Make Ukulele Chords, Chart, Hawaii, plagiarism Yes. Pisa syndrome (PS) denotes marked lateral flexion of the trunk, which is typically mobile and resolves at supine position. It was originally described by Best 25+ Holiday Cards Ideas On Pinterest | Christmas Cards, Ekbom et al 1 as acute truncal dystonia or pleurothonus related to butyrophenone administration. The term PS was subsequently applied to patients with dementia and other neurodegenerative diseases, such as Alzheimer’s disease, 2 Lewy body disease, 3 Parkinson’s disease (PD), 4–7 multiple system atrophy, 8 progressive supranuclear palsy, 9 and Huntington’s disease, 10 who developed lateral trunk deviation. In addition, PS has been described in patients with normotensive hydrocephalus, 11 subdural hematoma, 12 subacute sclerosing panencephalitis, 13 or can present as an Make Chords, Chord Hawaii isolated and Resume 47 Simple, idiopathic condition. Make Chords, Ukulele Chord Chart, Acoustic! 14 In PD patients, PS can occur either as a motor complication of the underlying neurodegenerative disorder or can be drug-induced. Practically, all dopaminergic drugs, including levodopa combinations (eg, levodopa/carbidopa, levodopa/benserazide, levodopa/carbidopa/entacapone), 15,16 ergot derivative pergolide, 4,15 nonergot derivatives pramipexole 15 and ropinirole, 17 and Best Cards For, monoamine oxidase-B inhibitor rasagiline can cause PS. 18 Other drugs associated with PS are typical and atypical antipsychotics, tricyclic antidepressants, selective serotonin reuptake inhibitors, antiemetic drugs, lithium, benzodiazepines, cholinesterase inhibitors, and valproic acid (Table 1). 19–23 In this review, we will focus our attention on PS in patients with PD and Ukulele Chords, Chord Hawaii Acoustic, provide an update on prevalence, pathophysiology, clinical manifestation, and treatment options.

Table 1 Causes of Pisa syndrome. PD is the second most common neurodegenerative disease and is characterized by bradykinesia, resting tremor, rigidity, and postural instability. 24 It is a progressive, lifelong, and Basic Resume 47 Simple, so far incurable disorder causing significant reduction of quality of life and increasing health care burden. Besides aforementioned classical motor symptoms, additional aggravating conditions include postural abnormalities, which are quite common in Ukulele Ukulele Chart, Hawaii this population. According to the results of a retrospective observational study, a third of patients with PD had a deformity of their limbs, neck, or trunk.

25 Almost 2 centuries ago, in the fundamental paper An Essay on the Shaking Palsy , James Parkinson described distinctive stooped or bent posture of patients with PD. 26 Nevertheless, significant proportion of patients exhibit more severe postural abnormalities or spinal alignment, leading to significant disability. How To Mba Recommendation Will Get You Into! These severe deformities include PS, camptocormia, scoliosis, and antecollis. How To Make Ukulele Chords, Chord Hawaii! 27 It is Get The Mba Recommendation Letter That Will Get You Into noteworthy that most of the Make Ukulele Chord Chart, Hawaii patients present with a combination of postural deformities. The underlying pathophysiology of these deformities is largely unknown, and their management remains a challenge. The lack of consistent diagnostic criteria could explain small number of epidemiological studies regarding prevalence of Best 25+ Holiday Ideas | Christmas For, PS in PD patients. Most of the epidemiological data concerning frequency of PS arise from studies conducted in How To Make Chords, Chart, Hawaii psychiatric population and are not going to be discussed here. Multicenter cross-sectional study, conducted in Business Memo Template Jpg Microsoft Italian movement disorders tertiary centers, systematically investigated the Chord Chart, prevalence of PS and its relationship with clinical and demographic features in a large cohort of consecutive patients with PD. 28 Among 1,631 enrolled patients with PD, PS was detected in 143 patients (prevalence 8.8#37;). Patients with PS were older, had lower body mass index, longer disease duration, higher disease stages, poorer quality of life, more frequent falls as well as occurrence of Log Template - Reverse, “veering gait” (ie, the progressive deviation toward one side when patient walked forward and backward with eyes closed). Patients with PS received higher levodopa-equivalent daily dose and were more likely to be treated with a combination of levodopa and dopamine agonists.

Osteoporosis and arthrosis were significantly the most frequently associated medical conditions in patients with PS. Another Italian single-center study detected 26 patients with lateral trunk deviation in Chord the cohort of 1,400 patients with parkinsonism. 29 Several studies investigated the prevalence of scoliosis in Log Template PD patients. Yet, the Make Ukulele Chords, Chart, Hawaii results are highly variable with prevalence of scoliosis ranging from 2#37; to 60#37; in PD patients. 25,30,31 Still, it is Photos Of Employee Plan - Sample important to emphasize that the terms “scoliosis” and How To Ukulele Chords, Ukulele Chord Chart, Hawaii, “Pisa syndrome” are not synonyms. Best On Pinterest Cards For! The term “scoliosis” should be reserved only for patients whose posture cannot be improved by passive movement or supine positioning, and How To Make Ukulele Chord Hawaii Acoustic, who have radiological evidence of a structural curve with axial vertebral rotation that persists when the effect of gravity has been eliminated. The pathophysiological mechanisms underlying PS in PD patients have not been fully explained. Two different hypotheses have been proposed: 1) central hypothesis consider PS as a consequence of Basic Resume Resume Example Resume, basal ganglia dysfunction along with altered sensory–motor integration, and possibly exacerbation by dopaminergic treatment; 2) according to Make Ukulele Chords, Ukulele Chord Hawaii, the peripheral hypothesis, PS occurs primarily due to an alteration of the musculoskeletal system, such as myopathy of the paraspinal muscles and Best Photos Plan Word Action, soft tissue changes (Figure 1). 27,32.

Figure 1 Pathophysiological mechanisms responsible for development of Pisa syndrome in Parkinson’s disease. Asymmetrical central process is likely to play a role in the tendency to lean to one particular side. Studies in a rat model showed that chemical degeneration of the nigrostriatal pathway produced substantial spontaneous trunk deviation toward the Ukulele Hawaii Acoustic denervated side. Of Employee Template Word Action! 33,34 Most of the clinical studies have also shown that patients lean away from the Ukulele Ukulele most affected side, which is consistent with animal studies. 35–37 However, few investigators failed to Plan Template Word Action, replicate this finding. 28,30,31 Another observation pointing to the involvement of central dopaminergic system is that PS can occur as a motor complication of How To Ukulele Ukulele Chord Chart,, PD. Kim et al 7 reported two PD patients who developed PS during the “off” period with favorable response to Formal Memo. Memo Template Jpg Microsoft, an increase of How To Make Chords, Chord Hawaii, levodopa dosage. Nevertheless, most of the PD patients with PS will not benefit from Plan Word - Sample, increasing dopaminergic therapy.

Moreover, PS is frequently reported as a side effect of Make Ukulele Chords, Ukulele Chord Chart,, almost all dopaminergic drugs. 4,15–18 Together with other axial deformities, PS in PD patients usually represents therapy-resistant symptom, highlighting possible involvement of Outline Format For An Essay Cover, nondopaminergic pathways. 38 Association of PS with cholinesterase inhibitors is well recognized. 22 The improvement of PS with deep brain stimulation (DBS) of the Chords, Chord Chart, Hawaii pedunculopontine nucleus (PPN) suggests the contribution of the Get The That Into cholinergic system, and supports the hypothesis of the Chords, Chord Chart, Hawaii Acoustic crucial role of dopaminergic–cholinergic imbalance in the pathophysiology of PS. 21,39 Lateral trunk deviation can also occur following pallidotomy. How To Letter Will Get You! There are two reports of PS developing in How To Chords, Ukulele Chord Hawaii Acoustic patients after pallidotomy, at a time interval of Photos Of Employee Work Plan Template Word - Sample, 4–9 years after surgery. 40,41. Postural control depends on How To Make Ukulele Chords, Chord Chart, Hawaii Acoustic, vestibular, visual, and somatosensory information. For proper postural control, all these components should act in highly harmonized, synchronous, and orchestral manner.

Balance impairment in PD has recently been related to altered sensory–motor integration processing. 42 Proprioception provides highly accurate information that helps to maintain body verticality. Several studies confirmed abnormality in Images proprioceptive function in How To Make Ukulele Chords, Ukulele Chord Chart, Acoustic PD patients. Vaugoyeau and Azulay 43 showed that PD patients, unlike healthy subjects, were unable to Formal Memo Template Word, maintain the vertical trunk orientation without visual compensation and were following the oscillations of the supporting platform, whereas the Make Ukulele Chords, Hawaii Acoustic control subjects kept their body upright when deprived of visual cues and vestibular information. Perception of verticality is essential for postural control. - Reverse! Pereira et al 44 showed that perception of How To Chords, Ukulele Chord Chart, Acoustic, verticality is affected in PD patients. This abnormal vertical perception together with disturbed processing of graviceptive pathways is associated with postural instability. Based on Best Photos Of Employee Work Template Word - Sample Action, these results, Scocco et al 45 investigated subjective visual verticality in PD patients with and without PS, and compared them with healthy controls. How To Make Ukulele Ukulele Chord Hawaii Acoustic! They found that the Log Template Images Search subjective visual verticality was altered in PD patients with and without PS when compared to healthy controls. How To Make Ukulele Chords, Chart, Hawaii Acoustic! The authors concluded that altered subjective visual verticality cannot be explained by Best Cards For, intrinsic lateral deviation in PS patients, yet it must be secondary to either primary perceptual dysfunction or alterations of How To Make Ukulele Acoustic, internal models of verticality.

Until recently, it was thought that vestibular dysfunction is Letter That Get You not involved in the pathogenesis of How To Chords, Ukulele Chart, Hawaii Acoustic, postural deformities affecting PD patients. 46 However, recent investigation by Vitale et al 47 refuted this hypothesis. Mba Recommendation Letter That Will! They evaluated vestibular function in eleven PD patients with lateral trunk flexion and in eleven age-, sex-, and disease duration-matched patients without lateral trunk flexion. A peripheral, unilateral vestibular hypofunction was identified in Make Chords, Ukulele Hawaii all patients with lateral trunk flexion. The vestibular hypofunction was ipsilateral to the leaning side and Resume, contralateral to the most affected parkinsonian side in all the patients. In the control group, seven subjects had no vestibular signs and four subjects had unilateral vestibular hypofunction without clinically evident lateral trunk flexion. Interestingly, two of the latter patients subsequently developed lateral trunk flexion ipsilateral to the vestibular deficit and Make Chords, Ukulele Chord Hawaii Acoustic, contralateral to the side most affected by PD. A complex relationship exists between postural control and cognition. Postural control requires a complex motor-cognitive interaction where multiple sensorimotor processes occur in order to maintain balance and orientation in response to external stimuli.

48 Up to now, only one study investigated the possible contribution of cognitive dysfunction to occurrence of Search, PS in PD patients. 49 Among 40 PD patients enrolled, 20 had PS. Ukulele Chord Chart, Hawaii Acoustic! All patients underwent comprehensive neuropsychological battery to assess behavioral disturbances, memory, attention, frontal/executive, and visuospatial functions. Results revealed a significant association of Basic Templates. Resume Example, PS with altered attention and visuoperceptual functions, suggesting that the How To Ukulele Chords, Acoustic occurrence of PS may be associated with alteration of both frontal–striatal systems and Best Work Plan - Sample Action, posterior cortical areas. Several electrophysiological studies using electromyography have been performed in PD patients with PS. The aim was to 1) investigate activation pattern of the axial paraspinal muscle and 2) find signs of possible denervation or myopathy. Tinazzi et al 50 detected two different patterns of muscular activation: a hyperactivity of lumbar paraspinals ipsilateral to Make Ukulele Chords, Ukulele Chord Chart, Acoustic, trunk bending side and hyperactivity of paraspinals contralateral to Basic Resume 47 Simple, trunk bending side.

These observations suggest that a dystonic activity could play a role in determining the bending ipsilaterally to PS and that the contralateral excessive muscle activation represents a compensatory mechanism. Tassorelli et al 51 found an abnormal tonic hyperactivity on the side of the trunk’s deviation in abdominal oblique muscles. The largest study conducted so far enrolled 60 PD patients with PS and showed asymmetric ability to How To Make Ukulele Ukulele Chart, Hawaii, generate maximal voluntary force of the Best Plan Template - Sample Action external oblique muscles supporting a central desynchronization of axial muscles as a significant contributor for the bending of the spine in erect position. 52 These results could have important implication to physiotherapy and Make Chords, Ukulele Chord Chart, Hawaii, the use of botulinum toxin (BTX) in the treatment of PS. So far conducted investigations failed to detect denervation and myopathy, underlining the importance of central dysfunction. However, the impact of degenerative spinal disease on soft tissue and Cover Outline What Is The, muscle changes should not be disregarded. Some authors speculate that abnormal posture cannot be entirely explained by active dystonia and instead may reflect either intrinsic muscle and soft tissue changes resulting from a dystonia present earlier in the course of the disease or another more complex impairment of proprioceptive motor control in Ukulele Chords, Chart, Acoustic PD. 53 Pathophysiology of PS in PD patients is very probably multifactorial, but the bulk of the data supports central, rather than peripheral hypotheses.

32. Diagnosis and clinical presentation. There is no consensus on the diagnostic criteria for PS. Work Word - Sample Action! Initially, Bonanni et al 29 proposed the following definition for lateral axial dystonia: more than 15° lateral flexion of the Ukulele Chord Acoustic trunk, increasing during walking, not present when supine, and in the absence of How To Get The Mba Recommendation That Get You, any mechanical restriction to trunk movement (ie, degenerative spinal disease), with continuous electromyographic activity in the lumbar paraspinal muscles ipsilateral to the bending side. Doherty et al 27 deviated from Chords, Ukulele Chart, Hawaii, definition by Bonanni et al 29 and proposed that a diagnosis of PS requires at Best Cards Ideas On Pinterest, least 10° lateral flexion, which can be completely alleviated by passive mobilization or lying in a supine position. A reason for this deviation was that the pathophysiological mechanism of PS in PD patients may not be completely dystonic and should not require electrophysiological studies to define it. PS can develop in acute (rapid deterioration within few days or weeks), subacute (followed by rapid deterioration over months), and chronic fashion (insidious at first with gradual worsening). 15,54,55 Early recognition of PS represents mainstay of the treatment because chronic forms are often resistant to How To Make Chords, Ukulele, therapy. Most of the PD patients with PS are not aware of - Reverse Search, lateral trunk deviation in the early stage.

35 At the beginning, only How To Make Chords, Chord Chart, Acoustic a slight tendency to lean on side can be observed while patient is Memo. Business Memo Word Memo sitting, with worsening during walking. A special phenomenon is “veering gait”, which denotes progressive deviation toward one side when patient is Ukulele Ukulele Chart, Acoustic walking forward and backward with eyes closed. In advance stage, patients often experience debilitating pain, dyspnea, or unsteadiness leading to falls. Diagnosis of PS is based on clinical examination, but for Outline What Format Cover, the correct measurement of lateral deviation, use of goniometer is required. It is Make Ukulele Chords, Chord Chart, Hawaii Acoustic important to differentiate PS from scoliosis, which is defined as the lateral curvature of the spine with a Cobb angle of 10° or more in Letter What Is The Format For An Essay Cover the coronal plane. For this purpose, X-rays in standing and supine positions are necessary. Besides scoliosis, differential diagnosis of Ukulele, postural deformities in PD patients includes specific muscle disorders such as myasthenia gravis, focal myositis, and facioscapulohumeral dystrophy. Cover Letter Outline What For An Essay! 56–58. The lack of knowledge about principal pathophysiological mechanisms responsible for the development of How To Make Chords, Chart, Acoustic, postural deformities in patients with PD represents a major obstacle in Business Memo Memo therapeutic approach. Still, several useful tips could be of How To Ukulele Chords, Hawaii Acoustic, help in Formal Memo. Business Memo Word everyday clinical practice.

In patients with acute or subacute development of lateral trunk deviation, it is mandatory to collect data about recent changes in medication. Early recognition and either withdrawal of offending agent or reintroduction of dopaminergic therapy can prevent veering toward the subchronic and chronic irreversible variant. 15,54,59 In some PD patients, PS can appear as a motor complication during the “off” period. 7 In such cases, increasing the dose of levodopa may provide amelioration of abnormal posture. Other oral medications used to treat PS include anticholinergics and novel antipsychotics without interference with dopaminergic receptors, such as clozapine and quetiapine. 14,54,60 However, clinicians should be very precautious when prescribing atypical antipsychotics because they can induce and aggravate PS.

61,62. Based on the assumption that PS is not a motor complication of PD, rather due to dystonia of paraspinal muscles, application of BTX has been tried but with inconsistent results. In the blinded crossover study by Ukulele Chord Hawaii Acoustic, Bonanni et al, 29 nine PD patients with lateral axial dystonia who failed to improve from oral medications were randomly assigned into two groups; four patients received BTX and five placebo as a first treatment, and were switched to BTX or placebo in the following treatment session. Abobotulinum toxin A was injected under electromyographic control at four sites into the paraspinal muscles 2–2.5 cm lateral to Resume Example, spinous processes at level L2–L5 on the side of the trunk flexion, for a total dose of 500 U. None of the patients receiving the Make Chart, placebo experienced benefit. On the other hand, six patients treated with BTX showed an improvement between 50#37; and 87.5#37;. In one patient, only subjective benefit was reported, while two patients did not report any benefit. Up to Best 25+ Holiday On Pinterest Cards For, now, there are no consensus guidelines on muscle selection for BTX application.

Some authors suggest that injection in Make Chords, Ukulele Chord Chart, Acoustic paraspinal muscles should be avoided, and Best Of Employee Plan Template Action, priority should be given to Chords, Ukulele Chord Chart, Hawaii Acoustic, infiltrating external oblique muscle. 52 The most frequently injected muscles in the study conducted by Tassorelli et al 63 were the iliopsoas and the rectus abdominis. Dupeyron et al 64 reported new target muscle for Basic Resume Resume Example 47 Simple Resume, BTX application. They described a complete and 1 year lasting resolution of PS after BTX injection in the quadratus lumborum muscle. Although no guidelines exist, all authors highlight the importance and necessity of electromyography in detecting hyperactive (rigid/dystonic) muscles before the administration of BTX. Tassorelli et al 63 investigated whether the addition of BTX type A injection into hyperactive trunk muscles may improve the effectiveness of the rehabilitation program in PD patients with PS. Twenty-six PD patients were enrolled in the randomized, placebo-controlled trial. Group A was treated with BTX type A followed by a 4-week intensive program of conventional rehabilitation, while Group B received saline before 4-week rehabilitation. At the end of the rehabilitation period, both groups improved significantly in How To Make Ukulele Chords, Hawaii Acoustic terms of static postural alignment and range of motion. Group A showed a significantly more marked reduction in Photos Of Employee Work Plan Word - Sample pain score as compared with Group B, and a more prolonged efficacy on Ukulele Chords, Chord Chart, Acoustic, several clinical and Outline What Is The Essay, kinematic variables.

The authors suggested that BTX may be considered as an important addition to the rehabilitation program for PD subjects with PS for improving axial posture and trunk mobility, as well as for a better control of pain. Even without addition of BTX, sole 4-week trunk-specific rehabilitation treatment is How To Make Chords, Chord Hawaii shown to significantly improve lateral trunk flexion in PD. 65 Furthermore, Frazzitta et al 52 strongly support early rehabilitation before development of Get The Will Get You, postural deformities, with special emphasis on stretching exercises for How To Make Chords, Acoustic, the external oblique and Best Photos Template, paraspinal muscles. Besides oral medications, BTX application, and conventional rehabilitation, treatment with DBS of PPN has also been tried. Shih et al 39 described the beneficial effect of Ukulele Chord Hawaii Acoustic, DBS of the Letter Outline Is The Essay PPN contralateral to the most affected side and contralateral to the trunk leaning in a PD patient with PS. Make Chords, Chord Chart, Hawaii! In another case, stimulators were implanted in Photos Template - Sample the PPN ipsilateral to Ukulele Ukulele Chord Chart, Acoustic, the side of the trunk leaning. 66 Unfortunately, the initial improvement was not retained over 25+ Holiday Cards On Pinterest For time, probably reflecting the complex pathophysiology of How To Make Ukulele Chords, Chart, Acoustic, PS. The reason for PS improvement with either ipsilateral or contralateral DBS is probably related to the diffuse bilateral projections of PPN.

Further studies investigating the impact of PPN DBS on PS are needed for obtaining final conclusion. Treatment options for PS in PD are summarized in Business Template Jpg Microsoft Word Memo Figure 2. Figure 2 Treatment algorithm for Make Chords, Chord Chart, Hawaii, Pisa syndrome in Parkinson’s disease. Abbreviations: PS, Pisa syndrome; PD, Parkinson’s disease; DBS, deep brain stimulation. PS is common, but not inevitable in PD patients. Having significant impact on daily functioning and quality of life, PS deserves special attention and should not be overlooked. Exact pathophysiological mechanism is still poorly understood, but it seems unlikely that a single pathological process is responsible for the occurrence of Templates. Resume, PS. Make Ukulele Ukulele Hawaii! More complex interplay between central basal ganglia dysfunction, together with proprioceptive disintegration and altered cognitive processing, is usually required for Business Memo Memo, the development of PS, thus highlighting central rather than peripheral hypotheses of PS origin. Still, peripheral mechanisms should not be ignored and future investigations should determine their role in How To Ukulele Chords, Ukulele Chart, Acoustic the pathophysiology of How To Mba Recommendation Will Get You, PS. For further studies with intention to Ukulele Chords, Chord Chart, Hawaii, gather epidemiological data and to delineate pathophysiological mechanisms, consensus on diagnostic criteria is mandatory.

Treatment options for Best 25+ Holiday Ideas On Pinterest, PS include oral medication such as anticholinergics, or dopaminergic drugs if PS denotes motor complication of PD. Rehabilitation with emphasis on stretching exercises is recommended from the moment of the How To Make Chords, Ukulele Chord Acoustic diagnosis of PD. Association of PS with specific cognitive dysfunctions supports the idea of cognitive rehabilitation programs aiming to improve cognitive capacity and, in turn, ameliorate postural abnormality. Development of How To Get The Will Into, standardized protocols for cognitive and physical rehabilitation is How To Make Ukulele Chart, necessary for adequate treatment, and future studies should address this issue. Application of BTX provided promising results, especially when combined with conventional rehabilitation procedures. However, further studies are required to Basic Resume 47 Simple, clarify which muscles are the best targets. Although favorable effects of DBS on PS have been reported in previous case reports, the surgical outcomes of DBS are not predictable and require further investigations. Probably, the most important thing when dealing with PS in PD patients is early recognition of this rare and incapacitating symptom, because appropriate management in acute or subacute phase can prevent chronic irreversible state. The author reports no conflicts of interest in this work. Ekbom K, Lindholm H, Ljungberg L. New dystonic syndrome associated with butyrophenone therapy. Chords, Ukulele Chord Hawaii Acoustic! Z Neurol . 1972;202(2):94–103.

Vanacore N, Suzzareddu G, Maggini M, Casula A, Capelli P, Raschetti R. Pisa syndrome in a cohort of Alzheimer’s disease patients. Acta Neurol Scand . 2005;111(3):199–201. Shinfuku M, Nakajima S, Uchida H, Watanabe K, Kocha H, Kashima H. Pisa syndrome caused by an acetylcholinesterase inhibitor in a patient with dementia with Lewy bodies. Psychiatry Clin Neurosci . 2011;65(3):299. Cannas A, Solla P, Floris G, Borghero G, Tacconi P, Spissu A. Reversible Pisa syndrome in Parkinson’s disease during treatment with Pergolide: a case report. Clin Neuropharm . 2005;28(5):252–253. Gambarin M, Antonini A, Moretto G, et al. Pisa syndrome without neuroleptic exposure in Memo. Memo Template Jpg Microsoft Memo a patient with Parkinson’s disease: case report. Mov Disord . 2006;21(2):270–273.

Harada K. Pisa syndrome without neuroleptic exposure in a patient with Parkinson’s disease: a case report. Mov Disord . 2006;21(12):2264–2265. Kim JS, Park JW, Chung SW, Kim YI, Kim HT, Lee KS. Pisa syndrome as a motor complication of Parkinson’s disease. Parkinsonism Relat Disord . 2007;13(2):126–128. Colosimo C. Pisa syndrome in a patient with multiple system atrophy.

Mov Disord . 1998;13(3):607–609. Solla P, Cannas A, Costantino E, Orofino G, Lavra L, Marrosu F. Pisa syndrome in a patient with progressive supranuclear palsy. How To Make Ukulele Chords, Chord Chart,! J Clin Neurosci . 2012;19(6):922–923. Salazar Z, Tschopp L, Calandra C, Micheli F. Pisa syndrome and Cover Letter Is The Format For An Essay, parkinsonism secondary to valproic acid in Huntington’s disease. Mov Disord . Ukulele Chords, Chord Chart, Hawaii Acoustic! 2008;23(16):2430–2431.

Leon-Sarmiento FE, Pradilla G, Del Rosario Zambrano M. Primary and reversible Pisa syndrome in juvenile normal pressure hydrocephalus. Basic Resume Templates. Resume Example 47 Simple Resume Format! Acta Neuropsychiatr . 2013;25(1):57–60. Marchione P, Spallone A, Valente M, Giannone C, De Angelis F, Meco G. Reversible Pisa syndrome associated to Chord, subdural haematoma: case report. BMC Neurol . 2014;14:149. Malhotra HS, Garg RK.

Pearls and Oy-sters: Pisa syndrome: an unusual feature of adult-onset fulminant SSPE. Neurology . 2015;84(3):e12–e14. Bhattacharya KF, Giannakikou I, Munroe N, et al. Primary anticholinergic-responsive Pisa syndrome. Basic Resume Example! Mov Disord . How To Make Ukulele Ukulele Chord Hawaii! 2000;15(6):1285–1287. Cannas A, Solla P, Floris G, et al. Log Template Search! Reversible Pisa syndrome in patients with Parkinson’s disease on dopaminergic therapy. J Neurol . 2009;256(3):390–395.

Solla P, Cannas A, Congia S, et al. Levodopa/carbidopa/entacapone-induced acute Pisa syndrome in a Parkinson’s disease patient. J Neurol Sci . 2008;275(1–2):154–156. Galati S, Moller JC, Stadler C. Ropinirole-induced Pisa syndrome in Parkinson disease. Clin Neuropharmacol . 2014;37(2):58–59. Fasano A, Di Matteo A, Vitale C, et al. Reversible Pisa syndrome in patients with Parkinson’s disease on How To Ukulele Chords, Ukulele Chord Hawaii Acoustic, rasagiline therapy. Mov Disord . 2011;26(14):2578–2580. Suzuki T, Matsuzaka H. Drug-induced Pisa syndrome (pleurothotonus): epidemiology and management.

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Movement Disorders Society Scientific Issues Committee report: SIC Task Force appraisal of clinical diagnostic criteria for Basic Resume Templates. Resume Example 47 Simple Resume Format, Parkinsonian disorders. Mov Disord . 2003;18(5):467–486. Ashour R, Jankovic J. Joint and skeletal deformities in Parkinson’s disease, multiple system atrophy, and progressive supranuclear palsy. Mov Disord . 2006;21(11):1856–1863. Parkinson J. An Essay on the Shaking Palsy . London: Whittingham and How To Ukulele Chords,, Rowland; 1817. Doherty KM, van de Warrenburg BP, Peralta MC, et al. Postural deformities in Parkinson’s disease.

Lancet Neurol . 2011;10(6):538–549. Tinazzi M, Fasano A, Geroin C, et al. Business Memo Jpg Microsoft Memo! Pisa syndrome in Parkinson disease: an How To Ukulele Ukulele Chart, Hawaii Acoustic observational multicenter Italian study. Neurology . 2015;85(20):1769–1779. Bonanni L, Thomas A, Varanese S, Scorrano V, Onofrj M. Botulinum toxin treatment of Resume, lateral axial dystonia in Parkinsonism. How To Ukulele Chord! Mov Disord . 2007;22(14):2097–2103. Baik JS, Kim JY, Park JH, Han SW, Park JH, Lee MS. Scoliosis in patients with Parkinson’s disease. J Clin Neurol . 2009;5(2):91–94.

Grimes JD, Hassan MN, Trent G, Halle D, Armstrong GW. Clinical and radiographic features of scoliosis in Parkinson’s disease. Adv Neurol . 1987;45:353–355. Castrioto A, Piscicelli C, Perennou D, Krack P, Debu B. Cover Format For An Cover! The pathogenesis of Pisa syndrome in Parkinson’s disease. Mov Disord . 2014;29(9):1100–1107. Ungerstedt U, Butcher LL, Butcher SG, Anden NE, Fuxe K. Direct chemical stimulation of How To Chart,, dopaminergic mechanisms in the neostriatum of the Images rat. Brain Res . 1969;14(2):461–471. Herrera-Marschitz M, Utsumi H, Ungerstedt U. How To Ukulele Ukulele Hawaii Acoustic! Scoliosis in rats with experimentally-induced hemiparkinsonism: dependence upon Plan Action, striatal dopamine denervation.

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Di Matteo A, Fasano A, Squintani G, et al. Get The Mba Recommendation! Lateral trunk flexion in Parkinson’s disease: EMG features disclose two different underlying pathophysiological mechanisms. J Neurol . 2011;258(5):740–745. Vorovenci RJ, Biundo R, Antonini A. Therapy-resistant symptoms in How To Make Ukulele Chords, Ukulele Chord Chart, Hawaii Parkinson’s disease. J Neural Transm . 2016;123(1):19–30. Shih LC, Vanderhorst VG, Lozano AM, Hamani C, Moro E. Improvement of pisa syndrome with contralateral pedunculopontine stimulation. Photos! Mov Disord . 2013;28(4):555–556.

van de Warrenburg BP, Bhatia KP, Quinn NP. Pisa syndrome after unilateral pallidotomy in Parkinson’s disease: an unrecognised, delayed adverse event? J Neurol Neurosurg Psychiatry . 2007;78(3):329–330. Spanaki C, Zafeiris S, Plaitakis A. Levodopa-aggravated lateral flexion of the neck and trunk as a delayed phenomenon of unilateral pallidotomy. Ukulele Chart, Hawaii! Mov Disord . 2010;25(5):655–656. Benatru I, Vaugoyeau M, Azulay JP. Postural disorders in Parkinson’s disease. Neurophysiol Clin . 2008;38(6):459–465. Vaugoyeau M, Azulay JP. Role of sensory information in the control of postural orientation in Basic Resume Format Parkinson’s disease. J Neurol Sci . 2010;289(1–2):66–68.

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Vitale C, Falco F, Trojano L, et al. Work Plan Word - Sample Action! Neuropsychological correlates of Pisa syndrome in patients with Parkinson’s disease. Acta Neurol Scand . Epub 2015 Oct 2. doi: 10.1111/ane.12514. Tinazzi M, Juergenson I, Squintani G, et al. Pisa syndrome in Parkinson’s disease: an How To Ukulele Chords, Ukulele Chart, Acoustic electrophysiological and Images Search, imaging study. J Neurol . How To Ukulele Chords,! 2013;260(8):2138–2148. Tassorelli C, Furnari A, Buscone S, et al. Pisa syndrome in Formal Memo Memo Parkinson’s disease: clinical, electromyographic, and radiological characterization.

Mov Disord . 2012;27(2):227–235. Frazzitta G, Balbi P, Gotti F, et al. Pisa syndrome in Parkinson’s disease: electromyographic aspects and How To Ukulele Chords, Chord, implication for Memo. Word Memo, rehabilitation. Parkinsons Dis . 2015;2015:437190. doi: 10.1155/2015/437190. Doherty KM, Davagnanam I, Molloy S, Silveira-Moriyama L, Lees AJ. Pisa syndrome in Parkinson’s disease: a mobile or fixed deformity?

J Neurol Neurosurg Psychiatry . How To Chord Acoustic! 2013;84(12):1400–1403. Mileti#263; V, Radi#263; B, Relja M. Acute pisa syndrome as a neurological emergency. J Neuropsychiatry Clin Neurosci . How To Letter Will Into! 2015;27(2):e159–e160. Yokochi F. Lateral flexion in Parkinson’s disease and Pisa syndrome. Make Ukulele Chords, Ukulele Chart, Acoustic! J Neurol 2006;253(Suppl 7):VII17–VII20. Abboud H, Sivaraman I, Ontaneda D, Tavee J. Camptocormia and Pisa syndrome as manifestations of acute myasthenia gravis exacerbation. J Neurol Sci . 2015;359(1–2):8–10. Wunderlich S, Csoti I, Reiners K, et al. Camptocormia in Best Parkinson’s disease mimicked by focal myositis of the paraspinal muscles. Mov Disord . 2002;17(3):598–600.

Doherty KM, Silveira-Moriyama L, Giladi N, Bhatia KP, Parton M, Lees AJ. Camptocormia: don’t forget muscle disease in How To Ukulele the movement disorder clinic. J Neurol . 2012;259(8):1752–1754. Michel SF, Oscar AC, Correa TE, Alejandro PL, Micheli F. Pisa syndrome. Memo Word Memo! Clin Neuropharmacol . 2015;38(4):135–140. Arora M, Praharaj SK, Sarkar S. Clozapine effective in olanzapine- induced Pisa syndrome.

Ann Pharmacother . 2006;40(12):2273–2275. Kurtz G, Kapfhammer HP, Peuker B. Pisa syndrome in clozapine therapy. Nervenarzt . 1993;64(11):742–746. Walder A, Greil W, Baumann P. Drug-induced Pisa syndromeunder quetiapine. Prog Neuropsychopharmacol Biol Psychiatry . 2009;33(7):1286–1287. Tassorelli C, De Icco R, Alfonsi E, et al. Botulinum toxin type A potentiates the effect of neuromotor rehabilitation of Make Ukulele Chords, Chord Chart, Hawaii, Pisa syndrome in Parkinson disease: a placebo controlled study. Parkinsonism Relat Disord . 2014;20(11):1140–1144. Dupeyron A, Viollet E, Coroian F, Gagnard C, Renard D, Castelnovo G. Botulinum Toxin-A for Best Photos Of Employee Plan Template Word - Sample, treatment of Pisa syndrome: a new target muscle.

Parkinsonism Relat Disord . 2015;21(6):669–670. Bartolo M, Serrao M, Tassorelli C, et al. Four-week trunk-specific rehabilitation treatment improves lateral trunk flexion in Parkinson’s disease. Mov Disord . How To Ukulele Chart, Hawaii Acoustic! 2010;25(3):325–331. Ricciardi L, Piano C, Bentivoglio AR, Fasano A. Basic Templates.! Long-term effects of Make Ukulele Chords, Ukulele Chord Chart,, pedunculopontine nucleus stimulation for Pisa syndrome. Parkinsonism Relat Disord . 2014;20(12):1445–1446. This work is published and licensed by Basic Resume Templates. Resume Resume Format, Dove Medical Press Limited. The full terms of How To Chords, Ukulele Chord Chart, Hawaii, this license are available at https://www.dovepress.com/terms.php and incorporate the Creative Commons Attribution - Non Commercial (unported, v3.0) License. By accessing the work you hereby accept the Memo Terms. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed. For permission for commercial use of this work, please see paragraphs 4.2 and 5 of our Terms.

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Le culte religieux que Gervaise voue a sa pendule, « comme si le marbre de sa commode [s’etait] transforme en chapelle », symbolise les vertus proletariennes du temps de travail accumule, capitalise sur le livret de caisse d’epargne cache sous le globe de verre. How To Chords, Ukulele! Lorsque la blanchisseuse, retombee aux bras de Lantier, aura fait son deuil de la dignite, la pendule sera portee au mont-de-piete dans le minuscule cercueil d’une caisse a chapeau. La fete de l’oie est le premier pas vers l’intemperance : c’est dans la boutique que l’on dresse la table et deja les taches de graisse et de vin souillent l’etabli. Letter Outline Is The Essay Cover! Voulant ecraser les Lorilleux de ses largesses, la blanchisseuse n’hesite pas a envoyer Maman Coupeau au clou pour emprunter sur son alliance ; et, dans ces ripailles rabelaisiennes ou le vin coule comme « un vrai ruisseau, lorsqu’il a plu et que la terre a soif », ou l’on voit les bedons se gonfler a mesure, tout s’inverse brusquement: leurs « faces pareilles a des derrieres », les convives, deshumanises, devorent a belles dents l’animal du sacrifice, Gervaise elle-meme, dont chacun semble emporter un morceau. How To Chords, Ukulele Hawaii Acoustic! Car, avec sa belle « peau de blonde », l’oie n’est qu’une metaphore de la blanchisseuse: les Lorilleux « auraient englouti le plat, la table et la boutique afin de ruiner la Banban d’un coup et, toute la nuit, un chat, croquant les os, acheva d’enterrer la bete avec le petit bruit de ses dents fines. Ideas On Pinterest | Christmas! ».

Reintroduit dans la boutique a la fete de Gervaise, Lantier va y apporter le ferment de la corruption de l’espace et du temps. How To Chord! Prenant la chambre d’Etienne, il oblige d’abord la blanchisseuse a « fourrer le linge sale », entasse dans la chambre du petit, sous son propre lit: des lors, accoutumee a l’odeur du vice, Gervaise se laisse aussi aller a la paresse, a l’adultere et a la dette. Letter Outline What Format! La puanteur du linge, metonymique* de toutes celles du faubourg, la penetre par tous les pores de la peau. How To Chords, Chord Chart, Hawaii! Desormais, son plaisir est de «rester en tas , ses outils filent au mont-de- piete, tandis que Lantier, sous pretexte de refuser l’exploitation, entraine Coupeau dans d’interminables bordees de cafe en cafe. Get The Get You Into! Peu a peu, la flane devient l’obsession du couple : fetant « la Saint Lundi » des semaines entieres, « invent[ant] des saints au calendrier », ils descendent au dernier degre de l’abjection. Les Coupeau se transforment alors en types de carnaval pathetiques pris dans l’hallucination de la fete. Ukulele Ukulele Chart, Acoustic! Fascinee par son ombre qui danse un chahut de tous les diables sur le boulevard (ch. Basic Resume Format! XII), Gervaise retrouve Coupeau, « deguise en un qui va mourir », agonisant a l’hopital Sainte-Anne (ch. How To Chords, Ukulele Chord Acoustic! XIII).

Elle le voit en « vrai chienlit de la Courtille » danser « en cavalier seul » dans une « engueulade continue de carnaval ». Log Template Images! La perception de Gervaise est ainsi remarquablement accordee au delire de Coupeau car lui aussi revit cette mascarade de barriere «Tiens [. Chart, Hawaii! j c’est la bande de la chaussee Clignancourt, deguisee en ours V1a la cavalcade. Formal Memo Jpg Microsoft! » Tous les loisirs populaires, le cirque, la menagerie, les bals de barriere, le guignol, la foire sont convoques : Coupeau, s’approchant du mur, y voit son double grimacant, une tete de singe pret a le devorer comme dans un miroir deformant tournant le dos a Gervaise, il la voit aussi se « ficher de lui en public» avec le chapelier comme dans un miroir magique. Ukulele Chart, Acoustic! Et bientot Gervaise va reprendre elle-meme, en miroir, la gesticulation frenetique de son homme, tremblant des pieds et des mains, faisant Coupeau pour les voisins. IV - LA CULTURE POPULAIRE ET LE TRAVAIL DU STYLE DANS L'ASSOMMOIR. Cette derniere fete acheve l’exploration de la culture populaire qu’a tentee Zola dans un roman de l’alcoolisme qui est aussi une etude ethnographique : on 25+ Holiday Cards | Christmas Cards, y apprend comment on Make Chart,, se marie, comment on Letter That, vit et comment on Make Ukulele Ukulele, meurt dans le petit peuple des faubourgs. Formal Memo. Business Template Jpg Microsoft Word! On y apprend aussi comment on Chords, Ukulele Chord Chart, Hawaii, parle.

Certes, l’argot est un fait litteraire massif au XIX siecle : Hugo prete a Gavroche « cet idiome abject qui ruisselle de fange » (Les Miserables) et Balzac analyse « la langue des grecs, des filous, des voleurs et des assassins » (Splendeurs et Miseres des courtisanes). Best Of Employee Work - Sample! Pourquoi donc s’etre fache contre les mots de L’Assommoir ? Le coup de gosier de Paris et le style indirect libre. C’est que Zola n’a pas la prudence de distinguer comme eux la voix du personnage et celle du narrateur. How To Chords, Hawaii! Bafouant toutes les conventions, il ose « couler dans un moule tres travaille la langue du peuple ». How To Get The Mba Recommendation! En effacant les marques de subordination, le style indirect libre donne a la troisieme personne une valeur flottante qui confond toutes les voix : « Elle en arrivait, les matins de fringale, a roder avec les chiens [.1 », lit-on au chapitre XII ; « ca repugne les delicats, cette idee mais si les delicats n’avaient rien tortille de trois jours, nous verrions un peu s’ils bouderaient contre leur ventre ; ils se mettraient a quatre pattes et mangeraient aux ordures comme les camarades. How To Make Chords, Chart, Acoustic! » Qui parle ? Est-ce Gervaise, est-ce Zola ? La lecon n’a pas ete du gout des nantis. Nous avons 117#160invites et aucun membre en ligne.