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https://www.readbyqxmd.com/read/28944699/compiling-standardized-information-from-clinical-practice-using-content-analysis-and-icf-linking-rules-in-a-goal-oriented-youth-rehabilitation-program
#1
Nadia A Lustenberger, Birgit Prodinger, Delgerjargal Dorjbal, Sara Rubinelli, Klaus Schmitt, Anke Scheel-Sailer
PURPOSE: To illustrate how routinely written narrative admission and discharge reports of a rehabilitation program for eight youths with chronic neurological health conditions can be transformed to the International Classification of Functioning, Disability and Health. METHODS: First, a qualitative content analysis was conducted by building meaningful units with text segments assigned of the reports to the five elements of the Rehab-Cycle(®): goal; assessment; assignment; intervention; evaluation...
September 23, 2017: Disability and Rehabilitation
https://www.readbyqxmd.com/read/28944253/psychological-assessment-of-patients-with-biotin-thiamine-responsive-basal-ganglia-disease
#2
Majid Alfadhel, Amal Al-Bluwi
Biotin-thiamine-responsive basal ganglia disease is a devastating autosomal recessive inherited neurological disorder. We conducted a retrospective chart review of all patients with biotin-thiamine-responsive basal ganglia disease who underwent a formal psychological assessment. Six females and 3 males were included. Five patients (56%) had an average IQ, two patients (22%) had mild delay, and two (22%) had severe delay. A normal outcome was directly related to the time of diagnosis and initiation of treatment...
January 2017: Child neurology open
https://www.readbyqxmd.com/read/28943565/mild-encephalitis-encephalopathy-with-a-reversible-splenial-lesion-in-an-adult-patient-with-influenza
#3
Hana Takatsu, Naoto Ishimaru, Madoka Ito, Saori Kinami
We herein report the case of a 31-year-old Japanese woman who developed adult-onset clinically mild encephalitis/encephalopathy with a reversible splenial lesion (MERS) and presented with consciousness disorder and olfactory disturbance secondary to influenza A infection. The patient's neurological symptoms and the lesion in the splenium resolved within 14 days without therapy. Magnetic resonance images and the clinical course were consistent with a diagnosis of MERS; however, mental changes following the influenza infection always present a diagnostic dilemma for physicians...
September 25, 2017: Internal Medicine
https://www.readbyqxmd.com/read/28943531/early-diagnosis-of-infective-endocarditis-by-brain-t2-weighted-magnetic-resonance-imaging
#4
Takashi Fujimoto, Yoichi Morofuji, Yuki Matsunaga, Nobutaka Horie, Tsuyoshi Izumo, Yohei Tateishi, Minoru Morikawa, Takashi Miura, Kiyoyuki Eishi, Takayuki Matsuo
BACKGROUND: Because infective endocarditis (IE) carries a high risk of morbidity and mortality, rapid diagnosis and effective treatment are essential to achieving a good patient outcome. However, the diagnosis of IE is often difficult in patients presenting with nonspecific clinical manifestations. An association between IE and hypointense signal spots on brain T2*-weighted magnetic resonance imaging (MRI) has been reported, but the clinical significance remains unclear.Methods and Results:To assess the clinical importance of silent lesions in the brains of IE patients, hypointense signal spots detected on their brain T2*-weighted MRI scans were investigated in a retrospective review of 44 consecutive patients with definite or suspected IE evaluated by MRI between June 2006 and January 2014...
September 23, 2017: Circulation Journal: Official Journal of the Japanese Circulation Society
https://www.readbyqxmd.com/read/28943036/validation-of-a-dispatch-protocol-with-continuous-quality-control-for-cardiac-arrest-a-before-and-after-study-at-a-city-fire-department-based-dispatch-center
#5
Chien-Hsiung Huang, Hsuan-Jui Fan, Cheng-Yu Chien, Chen-June Seak, Chan-Wei Kuo, Chip-Jin Ng, Wen-Cheng Li, Yi-Ming Weng
BACKGROUND: An optimized protocol to help dispatchers identify potential cases of cardiac arrest and provide phone instructions for cardiopulmonary resuscitation (CPR) may increase the provision of bystander CPR, further improving the survival rate and neurological outcomes. OBJECTIVE: We assessed a revised dispatcher-assisted (DA)-CPR protocol with a continuous quality-improvement feature in a county fire department-based emergency medical services system. METHODS: This was a before-and-after intervention prospective study conducted in Taoyuan City, Taiwan...
September 21, 2017: Journal of Emergency Medicine
https://www.readbyqxmd.com/read/28942855/a-systematic-review-and-meta-analysis-of-factors-for-delirium-in-vascular-surgical-patients
#6
REVIEW
Christopher Oldroyd, Anna F M Scholz, Robert J Hinchliffe, Kathryn McCarthy, Jonathan Hewitt, Terrence J Quinn
BACKGROUND: Delirium is a common syndrome responsible for a large burden of morbidity and mortality. In surgical settings, research into risk factors for postoperative delirium has largely focused on elective orthopedic patients. We performed a systematic review and meta-analysis to evaluate the evidence surrounding risk factors for delirium in vascular surgical populations. METHODS: Two independent reviewers searched five databases (MEDLINE, Web of Science, Embase, Cumulative Index to Nursing and Allied Health Literature, and PsycINFO) from January 1987 to December 2015...
October 2017: Journal of Vascular Surgery
https://www.readbyqxmd.com/read/28942466/assessing-the-clinical-outcome-of-vim-radiosurgery-with-voxel-based-morphometry-visual-areas-are-linked-with-tremor-arrest
#7
Constantin Tuleasca, Tatiana Witjas, Elena Najdenovska, Antoine Verger, Nadine Girard, Jerome Champoudry, Jean-Philippe Thiran, Dimitri Van de Ville, Meritxell Bach Cuadra, Marc Levivier, Eric Guedj, Jean Régis
INTRODUCTION: Radiosurgery (RS) is an alternative to open standard stereotactic procedures (deep-brain stimulation or radiofrequency thalamotomy) for drug-resistant essential tremor (ET), aiming at the same target (ventro-intermediate nucleus, Vim). We investigated the Vim RS outcome using voxel-based morphometry by evaluating the interaction between clinical response and time. METHODS: Thirty-eight patients with right-sided ET benefited from left unilateral Vim RS...
September 23, 2017: Acta Neurochirurgica
https://www.readbyqxmd.com/read/28942450/cognitive-function-and-prognosis-of-multimodal-neuroimage-guided-thrombectomy-on-mild-to-moderate-anterior-circulation-infarction-patients-with-broadened-therapeutic-window-a-prospective-study
#8
Guodong Xu, Xiaoli Dong, Xiaoli Niu, Guimin Zheng, Hebo Wang, Fan Zhang, Litao Li, Peiyuan Lv
BACKGROUND AND OBJECTIVES: Endovascular mechanical thrombectomy is an important approach for acute ischemic stroke (AIS) treatment. Multimodal neuroimaging methods ideally provide the exact localization, extent, and metabolic activity of target tissues. Post-stroke cognitive impairment has recently been realized to be another major concern except for neurological function impairment. The aim of our study was to carry out a prospective study to compare neurological and cognitive functions after thrombectomy in mild to moderate anterior circulation infarction patients selected by multimodal neuroimaging...
September 22, 2017: European Neurology
https://www.readbyqxmd.com/read/28942217/risperidone-versus-olanzapine-among-patients-with-schizophrenia-participating-in-supported-employment-eighteen-month-outcomes
#9
Douglas L Noordsy, Shirley M Glynn, Catherine A Sugar, Christopher D O'Keefe, Stephen R Marder
This study compares the efficacy and tolerability of olanzapine versus risperidone among patients with schizophrenia who are established in outpatient psychiatric care and entering supported employment. A multicenter, randomized, double-blind trial was conducted among 107 outpatients with schizophrenia, who were cross-titrated to flexible dose risperidone or olanzapine over 2 weeks. Clinical endpoints included time to hospitalization and persistence on assigned medication. Weight, laboratory tests, psychopathology, neurologic side effects, social adjustment and role functioning were assessed at 3-6 month intervals...
September 8, 2017: Journal of Psychiatric Research
https://www.readbyqxmd.com/read/28942026/posterolateral-fusion-versus-dynesys-%C3%A2-dynamic-stabilization-retrospective-study-at-a-minimum-5-5-years-follow-up
#10
Simon Bredin, Olivier Demay, Christophe Mensa, Karim Madi, Xavier Ohl
INTRODUCTION: Lumbar fusion is one of the most widespread techniques to treat degenerative lumbar pathology. To prevent complications such as non-union or adjacent segment degeneration, dynamic stabilization techniques were developed, but with controversial results. The aim of the present study was to compare long-term radiologic and clinical results between fusion and dynamic stabilization. MATERIAL AND METHODS: A single-center retrospective study included patients with recurrent lumbar discal hernia or lumbar canal stenosis managed by posterolateral fusion or by dynamic stabilization associated to neurologic release...
September 20, 2017: Orthopaedics & Traumatology, Surgery & Research: OTSR
https://www.readbyqxmd.com/read/28942010/the-potential-role-of-auditory-evoked-potentials-to-assess-prognosis-in-comatose-survivors-from-cardiac-arrest
#11
Paolo De Santis, Irene Lamanna, Nicolas Mavroudakis, Benjamin Legros, Jean-Louis Vincent, Jacques Creteur, Fabio Silvio Taccone
AIM: Few data are available on the use of brainstem auditory evoked potentials (BAEPs) in combination with other electrophysiological tools to assess prognosis of comatose survivors from cardiac arrest (CA). METHODS: Retrospective analysis of data from all adult patients (>18years of age) admitted to our Dept of Intensive Care after CA over a 6-year period who were comatose (Glasgow Coma Scale <9) on admission, had been treated with targeted temperature management and had had BAEP testing...
September 20, 2017: Resuscitation
https://www.readbyqxmd.com/read/28941960/rcvibro-system-full-description-of-a-custom-made-vibratory-system-and-its-reliability
#12
Marcelo Pinto Pereira, Paulo Henrique Silva Pelicioni, Lilian Teresa Bucken Gobbi
BACKGROUND: The use of local muscle vibration is a promising technique to improve motor performance in people with movement impairments. Majority of studies have failed to properly describe the used system and its reliability, making it difficult to transfer this promising technique to clinical practice. OBJECTIVE: To describe technical details of a custom-made vibratory system (RCVibro System), as well as to determine its reliability and functionality. METHODS: The vibration frequency and the electric potential difference/vibration frequency curve of six devices were assessed (at the same day and at different days), allowing us to determine the system reliability...
September 7, 2017: Brazilian Journal of Physical Therapy
https://www.readbyqxmd.com/read/28941531/disentangling-how-the-brain-is-wired-in-cortical-cerebral-visual-impairment
#13
Lotfi B Merabet, D Luisa Mayer, Corinna M Bauer, Darick Wright, Barry S Kran
Cortical (cerebral) visual impairment (CVI) results from perinatal injury to visual processing structures and pathways of the brain and is the most common cause of severe visual impairment or blindness in children in developed countries. Children with CVI display a wide range of visual deficits including decreased visual acuity, impaired visual field function, as well as impairments in higher-order visual processing and attention. Together, these visual impairments can dramatically influence a child's development and well-being...
May 2017: Seminars in Pediatric Neurology
https://www.readbyqxmd.com/read/28941011/evaluating-a-bedside-tool-for-neuroanatomical-localization-with-extended-matching-questions
#14
Kevin Tan, Han Xin Chin, Christine W L Yau, Erle C H Lim, Dujeepa Samarasekera, Gominda Ponnamperuma, Nigel C K Tan
Neuroanatomical localization (NL) is a key skill in neurology, but learners often have difficulty with it. This study aims to evaluate a concise NL tool (NLT) developed to help teach and learn NL. To evaluate the NLT, an extended-matching questions (EMQ) test to assess NL was designed and validated. The EMQ was validated with fourth-year medical students and internal medicine and neurology residents. The NLT's usability was evaluated with third- and fourth-year students, and the effectiveness was evaluated with an experimental study of second-year students, using the EMQ as the outcome measure...
September 22, 2017: Anatomical Sciences Education
https://www.readbyqxmd.com/read/28940973/prediction-of-cerebral-infarction-and-patient-outcome-in-aneurysmal-subarachnoid-hemorrhage-comparison-of-new-and-established-radiographic-clinical-and-combined-scores
#15
Nora F Dengler, Jenny Sommerfeld, Dominik Diesing, Peter Vajkoczy, Stefan Wolf
BACKGROUND: There are numerous grading scales to describe the severity of aneurysmal subarachnoid hemorrhage (aSAH) and to predict outcome. Historically, outcome measures are heterogenous and comparability of grading scales is therefore limited. We designed this study to compare radiographic, clinical and combined grading systems in aSAH. METHODS: Data of 423 consecutive patients with aSAH were analyzed. Modified Fisher, Barrow Neurological Institute (BNI), Hunt and Hess, World Federations of Neurosurgeons (WFNS), VASOGRADE and HAIR scores were calculated from clinical and radiographic data or the combination of both...
September 23, 2017: European Journal of Neurology: the Official Journal of the European Federation of Neurological Societies
https://www.readbyqxmd.com/read/28940704/hypermetabolism-is-a-deleterious-prognostic-factor-in-patients-with-amyotrophic-lateral-sclerosis
#16
Pierre Jésus, Philippe Fayemendy, Marie Nicol, Géraldine Lautrette, Huguette Sourisseau, Pierre-Marie Preux, Jean-Claude Desport, Benoit Marin, Philippe Couratier
The aim of this study was to investigate in ALS patients in order to determine their nutritional, neurological and respiratory parameters and their survival according to the metabolic level. METHODS: Nutritional assessment included resting energy expenditure (REE) measured by indirect calorimetry (hypermetabolism if REE variation [ΔREE] > 10%) and fat mass (FM) using impedancemetry. Neurological assessment included ALSFRS-R score. Survival analysis used the Kaplan-Meier method and the multivariate Cox model...
September 20, 2017: European Journal of Neurology: the Official Journal of the European Federation of Neurological Societies
https://www.readbyqxmd.com/read/28940492/preterm-and-term-equivalent-age-general-movements-and-1-year-neurodevelopmental-outcomes-for-infants-born-before-30%C3%A2-weeks-gestation
#17
Joy E Olsen, Leesa G Allinson, Lex W Doyle, Nisha C Brown, Katherine J Lee, Abbey L Eeles, Jeanie L Y Cheong, Alicia J Spittle
AIM: To examine the associations between Prechtl's general movements assessment (GMA), conducted from birth to term-equivalent age, and neurodevelopmental outcomes at 12 months corrected age, in infants born very preterm. METHOD: One hundred and thirty-seven infants born before 30 weeks' gestation had serial GMA (categorized as 'normal' or 'abnormal') before term and at term-equivalent age. At 12 months corrected age, neurodevelopment was assessed using the Alberta Infant Motor Scale (AIMS); Neurological, Sensory, Motor, Developmental Assessment (NSMDA); and Touwen Infant Neurological Examination (TINE)...
September 21, 2017: Developmental Medicine and Child Neurology
https://www.readbyqxmd.com/read/28940352/fibromyalgia-among-patients-with-chronic-migraine-and-chronic-tension-type-headache-a-multicenter-prospective-cross-sectional-study
#18
Soo-Jin Cho, Jong-Hee Sohn, Jong Seok Bae, Min Kyung Chu
OBJECTIVES: To investigate the frequency and impact of fibromyalgia among patients with chronic migraine (CM) and chronic tension-type headache (CTTH). BACKGROUND: Fibromyalgia (FM) is a common comorbidity in patients with chronic headaches. CM and CTTH are the two common types of chronic headaches. METHODS: We conducted a cross-sectional study in neurology outpatient clinics of four university hospitals and selected first-visit 136 patients with CM and 35 patients with CTTH...
September 22, 2017: Headache
https://www.readbyqxmd.com/read/28940323/paired-comparison-of-therapeutic-plasma-exchange-using-the-fenwal-amicus-versus-terumobct-spectra-optia
#19
Edwin A Burgstaler, Sandra C Bryant, Jeffrey L Winters
PURPOSE: Terumo BCT Spectra Optia (O) and Fenwal Amicus (A) can perform therapeutic plasma exchange (TPE). We compared these systems in a prospective, randomized, crossover study of 81 paired procedures. Primary objective was to determine if there was a difference in platelet loss between the instruments. Secondary objectives were to determine differences in procedure time (PT), plasma removal efficiency (PRE 1), plasma removal rate (PRR), and fluid balance (FB). METHODS: Fifty-seven adults undergoing 162 procedures were included...
September 23, 2017: Journal of Clinical Apheresis
https://www.readbyqxmd.com/read/28939668/neurogranin-a-synaptic-protein-is-associated-with-memory-independent-of-alzheimer-biomarkers
#20
Kaitlin B Casaletto, Fanny M Elahi, Brianne M Bettcher, John Neuhaus, Barbara B Bendlin, Sanjay Asthana, Sterling C Johnson, Kristine Yaffe, Cynthia Carlsson, Kaj Blennow, Henrik Zetterberg, Joel H Kramer
OBJECTIVE: To determine the association between synaptic functioning as measured via neurogranin in CSF and cognition relative to established Alzheimer disease (AD) biomarkers in neurologically healthy older adults. METHODS: We analyzed CSF concentrations of neurogranin, β-amyloid (Aβ42), phosphorylated tau (p-tau), and total tau (t-tau) among 132 neurologically normal older adults (mean 64.5, range 55-85), along with bilateral hippocampal volumes and a measure of episodic memory (Auditory Verbal Learning Test, delayed recall)...
September 22, 2017: Neurology
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