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neurologic examination guidelines

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https://www.readbyqxmd.com/read/27894459/dsm-5-somatic-symptom-disorder-in-patients-with-vertigo-and-dizziness-symptoms
#1
Karina Limburg, Heribert Sattel, Katharina Radziej, Claas Lahmann
OBJECTIVE: DSM-5 somatic symptom disorder (SSD) could potentially be a highly relevant diagnosis for patients with vertigo and dizziness. The criteria of SSD, particularly the B-criterion with its three components (cognitive, affective, behavioral), have however not yet been investigated in this patient group. METHODS: We evaluated a large sample (n=399) of outpatients presenting in a neurological setting. Physical examinations and a psychometric assessment (SCID-I) were conducted; patients completed self-report questionnaires...
December 2016: Journal of Psychosomatic Research
https://www.readbyqxmd.com/read/27848247/hospital-rehabilitation-for-patients-with-obesity-a-scoping-review
#2
Jennifer C Seida, Arya M Sharma, Jeffrey A Johnson, Mary Forhan
PURPOSE: To explore the evidence on rehabilitation for hospitalized patients with obesity. METHODS: Medline, Embase, CENTRAL, CINAHL, and PubMed were searched from 1994 to May 2016. Grey literature was hand-searched. Two reviewers independently selected studies examining patients with obesity receiving hospital-based therapy for a physical impairment. One reviewer extracted the data and a second reviewer verified a random sample. RESULTS: Thirty-nine studies (two trials, 37 observational) were included...
November 16, 2016: Disability and Rehabilitation
https://www.readbyqxmd.com/read/27834089/an-audit-of-the-effectiveness-of-large-group-neurology-tutorials-for-irish-undergraduate-medical-students
#3
H Kearney, A Krakar, A Drazyk, E Maloney, I Callinan, N Tubridy
The aim of this audit was to determine the effectiveness of large group tutorials for teaching neurology to medical students. Students were asked to complete a questionnaire rating their confidence on a ten point Likert scale in a number of domains in the undergraduate education guidelines from the Association of British Neurologists (ABN). We then arranged a series of interactive large group tutorials for the class and repeated the questionnaire one month after teaching. In the three core domains of neurological: history taking, examination and differential diagnosis, none of the students rated their confidence as nine or ten out of ten prior to teaching...
August 8, 2016: Irish Medical Journal
https://www.readbyqxmd.com/read/27831965/care-track-towards-appropriate-care-for-low-back-pain
#4
Shanthi A Ramanathan, Peter D Hibbert, Chris G Maher, Richard O Day, Diane M Hindmarsh, Tamara D Hooper, Natalie A Hannaford, William B Runciman
STUDY DESIGN: Retrospective medical record review to assess compliance with low back pain (LBP) care indicators. OBJECTIVE: To establish baseline estimates of the appropriateness of LBP care in the general Australian population provided by a range of healthcare providers in various real-world settings. SUMMARY OF BACKGROUND DATA: Low back pain (LBP) is a costly condition and accounts for the greatest burden of disease worldwide, yet the care provided is often at variance with guidelines...
November 9, 2016: Spine
https://www.readbyqxmd.com/read/27799842/variations-in-the-management-of-fibromyalgia-by-physician-specialty-rheumatology-versus-primary-care
#5
Stephen L Able, Rebecca L Robinson, Kurt Kroenke, Philip Mease, David A Williams, Yi Chen, Madelaine Wohlreich, Bill H McCarberg
PURPOSE: To evaluate the effect of physician specialty regarding diagnosis and treatment of fibromyalgia (FM) and assess the clinical status of patients initiating new treatment for FM using data from Real-World Examination of Fibromyalgia: Longitudinal Evaluation of Costs and Treatments. PATIENTS AND METHODS: Outpatients from 58 sites in the United States were enrolled. Data were collected via in-office surveys and telephone interviews. Pairwise comparisons by specialty were made using chi-square, Fisher's exact tests, and Student's t-tests...
2016: Pragmat Obs Res
https://www.readbyqxmd.com/read/27790321/c2-body-fracture-report-of-cases-managed-conservatively-by-philadelphia-collar
#6
Rouzbeh Motiei-Langroudi, Homa Sadeghian
STUDY DESIGN: Case series. PURPOSE: To present results of conservative management in patients with pure C2 body fractures. OVERVIEW OF LITERATURE: Axis body fractures, a less common subgroup of C2 fractures, are commonly classified as vertical coronal, vertical sagittal, and transverse subtypes. While the treatment paradigm for other C2 fractures is clear, there is insufficient evidence to support treatment guidelines for C2 body fractures...
October 2016: Asian Spine Journal
https://www.readbyqxmd.com/read/27776086/congress-of-neurological-surgeons-systematic-review-and-evidence-based-guideline-for-the-diagnosis-of-patients-with-positional-plagiocephaly-the-role-of-imaging
#7
Catherine Mazzola, Lissa C Baird, David F Bauer, Alexandra Beier, Susan Durham, Paul Klimo, Alexander Y Lin, Catherine McClung-Smith, Laura Mitchell, Dimitrios Nikas, Mandeep S Tamber, Rachana Tyagi, Ann Marie Flannery
BACKGROUND: No evidence-based guidelines exist for the imaging of patients with positional plagiocephaly. OBJECTIVE: The objective of this systematic review and evidence-based guideline is to answer the question, Is imaging necessary for infants with positional plagiocephaly to make a diagnosis? METHODS: The National Library of Medicine Medline database and the Cochrane Library were queried with the use of MeSH headings and key words relevant to imaging as a means to diagnose plagiocephaly...
November 2016: Neurosurgery
https://www.readbyqxmd.com/read/27768578/a-prospective-observational-study-to-assess-the-use-of-thermography-to-predict-progression-of-discolored-intact-skin-to-necrosis-among-patients-in-skilled-nursing-facilities
#8
Jill Cox, Loretta Kaes, Miguel Martinez, Daniel Moles
Skin temperature may help prospectively determine whether an area of skin discoloration will evolve into necrosis. A prospective, observational study was conducted in 7 skilled nursing facilities to determine if skin temperature measured using infrared thermography could predict the progression of discolored intact skin (blanchable erythema, Stage 1 pressure ulcer, or sus- pected deep tissue injury [sDTI]) to necrosis and to evaluate if nurses could effectively integrate thermography into the clinical setting...
October 2016: Ostomy/wound Management
https://www.readbyqxmd.com/read/27760867/practice-advisory-the-utility-of-eeg-theta-beta-power-ratio-in-adhd-diagnosis-report-of-the-guideline-development-dissemination-and-implementation-subcommittee-of-the-american-academy-of-neurology
#9
David Gloss, Jay K Varma, Tamara Pringsheim, Marc R Nuwer
OBJECTIVE: To evaluate the evidence for EEG theta/beta power ratio for diagnosing, or helping to diagnose, attention-deficit/hyperactivity disorder (ADHD). METHODS: We identified relevant studies and classified them using American Academy of Neurology criteria. RESULTS: Two Class I studies assessing the ability of EEG theta/beta power ratio and EEG frontal beta power to identify patients with ADHD correctly identified 166 of 185 participants...
October 19, 2016: Neurology
https://www.readbyqxmd.com/read/27759672/guidelines-congress-of-neurological-surgeons-systematic-review-and-evidence-based-guideline-for-the-diagnosis-of-patients-with-positional-plagiocephaly-the-role-of-imaging
#10
Catherine Mazzola, Lissa C Baird, David F Bauer, Alexandra Beier, Susan Durham, Paul Klimo, Alexander Y Lin, Catherine McClung-Smith, Laura Mitchell, Dimitrios Nikas, Mandeep S Tamber, Rachana Tyagi, Ann Marie Flannery
BACKGROUND: No evidence-based guidelines exist for the imaging of patients with positional plagiocephaly. OBJECTIVE: The objective of this systematic review and evidence-based guideline is to answer the question, Is imaging necessary for infants with positional plagiocephaly to make a diagnosis? METHODS: The National Library of Medicine Medline database and the Cochrane Library were queried with the use of MeSH headings and key words relevant to imaging as a means to diagnose plagiocephaly...
November 2016: Neurosurgery
https://www.readbyqxmd.com/read/27754758/sex-and-age-interactions-and-differences-in-outcomes-after-intracerebral-hemorrhage
#11
Michael L James, Margueritte Cox, Ying Xian, Eric E Smith, Deepak L Bhatt, Phillip J Schulte, Adrian Hernandez, Gregg C Fonarow, Lee H Schwamm
BACKGROUND: Compared to ischemic stroke, sex differences in response to intracerebral hemorrhage (ICH) are largely unexplored, and their potential interactions with patient age have not been examined. This study hypothesized that risk for poor outcome is greater in women with increasing age. METHODS AND RESULTS: The Get With The Guidelines(®)-Stroke database was used to assess differences between men and women with ICH. Data from 192,826 ICH patients admitted from January 1, 2009 through March 31, 2014 to 1,728 fully participating sites were analyzed using logistic regression to test interactions between age/sex and outcome...
October 18, 2016: Journal of Women's Health
https://www.readbyqxmd.com/read/27701659/association-between-therapeutic-hypothermia-and-survival-after-in-hospital-cardiac-arrest
#12
Paul S Chan, Robert A Berg, Yuanyuan Tang, Lesley H Curtis, John A Spertus
Importance: Therapeutic hypothermia is used for patients following both out-of-hospital and in-hospital cardiac arrest. However, randomized trials on its efficacy for the in-hospital setting do not exist, and comparative effectiveness data are limited. Objective: To evaluate the association between therapeutic hypothermia and survival after in-hospital cardiac arrest. Design, Setting, and Patients: In this cohort study, within the national Get With the Guidelines-Resuscitation registry, 26 183 patients successfully resuscitated from an in-hospital cardiac arrest between March 1, 2002, and December 31, 2014, and either treated or not treated with hypothermia at 355 US hospitals were identified...
October 4, 2016: JAMA: the Journal of the American Medical Association
https://www.readbyqxmd.com/read/27650247/neurocognitive-and-executive-functioning-in-adult-survivors-of-congenital-heart-disease
#13
Leda Klouda, Wayne J Franklin, Anita Saraf, Dhaval R Parekh, David D Schwartz
OBJECTIVE: Congenital heart disease (CHD) can affect the developing central nervous system, resulting in neurocognitive and behavioral deficits. Preoperative neurological abnormalities as well as sequelae of the open heart operations required to correct structural abnormalities of the heart contribute to these deficits. There are few studies examining the neurocognitive functioning of adults with CHD. This study sought to investigate multiple domains of neurocognitive functioning in adult survivors of CHD who had childhood cardiac surgery with either moderate or severe disease complexity...
September 21, 2016: Congenital Heart Disease
https://www.readbyqxmd.com/read/27648173/validation-of-the-persian-version-of-the-dysphagia-handicap-index-in-patients-with-neurological-disorders
#14
Ebrahim Barzegar-Bafrooei, Jalal Bakhtiary, Ahmad Reza Khatoonabadi, Farzad Fatehi, Saman Maroufizadeh, Mojtaba Fathali
Background: Dysphagia as a common condition affecting many aspects of the patient's life. The Dysphagia Handicap Index (DHI) is a reliable self-reported questionnaire developed specifically to measure the impact of dysphagia on the patient's quality of life. The aim of this study was to translate the questionnaire to Persian and to measure its validity and reliability in patients with neurogenic oropharyngeal dysphagia. Methods: A formal forward-backward translation of DHI was performed based on the guidelines for the cross-cultural adaptation of self-report measures...
July 6, 2016: Iranian Journal of Neurology
https://www.readbyqxmd.com/read/27576472/measuring-the-impact-of-manganese-exposure-on-children-s-neurodevelopment-advances-and-research-gaps-in-biomarker-based-approaches
#15
REVIEW
Donna J Coetzee, Patricia M McGovern, Raghavendra Rao, Lisa J Harnack, Michael K Georgieff, Irina Stepanov
BACKGROUND: Children's exposure to manganese (Mn) is a public health concern and consistent policy guidelines for safe levels of Mn exposure is lacking. The complexity of establishing exposure thresholds for Mn partially relates to its dual role as an essential micronutrient with low levels required for good health, but also as a neurotoxin at high levels. Questions exist about the age-related susceptibility to excess Mn, particularly for children, and how best to measure chronic exposures...
2016: Environmental Health: a Global Access Science Source
https://www.readbyqxmd.com/read/27506064/-migraine-from-generic-recommendations-to-practical-taking-in-charge
#16
REVIEW
Elise Davoine, Andreas Kleinschmidt
Although with an 11% prevalence migraine is a major public health problem, many patients are not satisfied with its handling by medical professionals. Migraine is a clinical diagnosis based on typically lateralized throbbing headache with nausea and/or photo- and phonophobia. It can in some be preceded by an aura with transient focal neurological symptoms. There are several "red flags" of clinical presentation, however, that should induce further examination with brain imaging studies. Treatment is based on identifying and avoiding provoking factors, on treating attacks with rescue medication (simple pain killers or triptans), on identifying conditions for a prophylactic treatment by one of several possible substance classes, and most importantly, on establishing a solid therapeutic relationship with the patient...
June 22, 2016: Revue Médicale Suisse
https://www.readbyqxmd.com/read/27496413/polish-guidelines-on-diagnosing-brain-death-in-adults-vs-the-international-perspective-are-we-in-need-of-an-update
#17
E Nowak, R Pfitzner, P Przybyłowski
INTRODUCTION: The Polish definition of brain death originated from the original Harvard criteria and has been revised several times. Practitioners worldwide are required to regularly update their national guidelines on the definition of brain death to fit the latest international research concerning this topic. AIMS: (1) Compare current Polish guidelines on diagnosing brain death in adults with the American, British, Australian, and New Zealand recommendations; and (2) evaluate existing differences for the purposes of updating the Polish guidelines...
June 2016: Transplantation Proceedings
https://www.readbyqxmd.com/read/27407609/clinical-profile-of-solitary-seizures
#18
S K Jha
BACKGROUND: Solitary seizure is one of the controversies in neurology. This study was taken up to study the clinical profile of solitary seizure and the factors related to seizure recurrence with a view to evolve guidelines for management. METHODS: We studied 150 cases of solitary seizure. All our patients were males. The age varied from 18-52 years. The diagnosis of seizure was confirmed with history. Apart from clinical neurological examination, blood counts, urinalysis and screening investigations to exclude possible underlying metabolic disorders were done...
April 2004: Medical Journal, Armed Forces India
https://www.readbyqxmd.com/read/27398664/subdural-hematoma-in-a-high-school-football-player
#19
M D Storey, R Griffin
In brief: A high school football player sustained a blow to the head during a game but did not lose consciousness or show immediate neurological impairment. He later developed a subdural hematoma. To help those who provide medical care at sports events diagnose the severity of head injuries quickly and accurately, the authors review the types of concussion, on-field and sideline examinations, and guidelines for returning the athlete to play. They also provide instructions for fitting helmets properly.
November 1983: Physician and Sportsmedicine
https://www.readbyqxmd.com/read/27342391/consensus-recommendations-for-anaesthetic-peripheral-nerve-block
#20
S Santos Lasaosa, M L Cuadrado Pérez, A L Guerrero Peral, M Huerta Villanueva, J Porta-Etessam, P Pozo-Rosich, J A Pareja
INTRODUCTION: Anaesthetic block, alone or in combination with other treatments, represents a therapeutic resource for treating different types of headaches. However, there is significant heterogeneity in patterns of use among different professionals. DEVELOPMENT: This consensus document has been drafted after a thorough review and analysis of the existing literature and our own clinical experience. The aim of this document is to serve as guidelines for professionals applying anaesthetic blocks...
June 22, 2016: Neurología: Publicación Oficial de la Sociedad Española de Neurología
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