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161. Covid-19: Child Neurology Full Text available with Trip Pro

December 19, 2019 COVID-19 May 13, 2020 COVID-19 May 5, 2020 COVID-19 May 5, 2020 Educational May 5, 2020 E-Brain May 1, 2020 E-Brain February 28, 2020 E-Brain April 1, 2019 E-Brain November 1, 2018 Grand Rounds October 2, 2017 Grand Rounds July 1, 2016 Grand Rounds July 1, 2016 Grand Rounds February 1, 2016 Continuing medical education June 3, 2019 Continuing medical education February 21, 2019 Continuing medical education October 1, 2018 Continuing medical education July 24, 2018 Resident (...) and Research Fellows May 13, 2020 Resident and Research Fellows May 5, 2020 Resident and Research Fellows April 27, 2020 Resident and Research Fellows April 27, 2020 Fellowship reports May 5, 2020 Fellowship reports April 27, 2020 Fellowship reports April 5, 2020 Fellowship reports March 2, 2020 Education corner May 5, 2020 Education corner April 27, 2020 Education corner January 24, 2020 Education corner January 17, 2020 EAN Congress news May 5, 2020 General interest May 5, 2020 COVID-19 May 5, 2020 COVID

2020 European Academy of Neurology

162. Covid-19: Stroke

COVID-19 May 13, 2020 COVID-19 May 5, 2020 COVID-19 May 5, 2020 Educational May 5, 2020 E-Brain May 1, 2020 E-Brain February 28, 2020 E-Brain April 1, 2019 E-Brain November 1, 2018 Grand Rounds October 2, 2017 Grand Rounds July 1, 2016 Grand Rounds July 1, 2016 Grand Rounds February 1, 2016 Continuing medical education June 3, 2019 Continuing medical education February 21, 2019 Continuing medical education October 1, 2018 Continuing medical education July 24, 2018 Resident and Research Fellows May (...) 13, 2020 Resident and Research Fellows May 5, 2020 Resident and Research Fellows April 27, 2020 Resident and Research Fellows April 27, 2020 Fellowship reports May 5, 2020 Fellowship reports April 27, 2020 Fellowship reports April 5, 2020 Fellowship reports March 2, 2020 Education corner May 5, 2020 Education corner April 27, 2020 Education corner January 24, 2020 Education corner January 17, 2020 EAN Congress news May 5, 2020 General interest May 5, 2020 COVID-19 May 5, 2020 COVID-19 May 2, 2020

2020 European Academy of Neurology

163. Covid-19: Neurorehabilitation

December 19, 2019 COVID-19 May 13, 2020 COVID-19 May 5, 2020 COVID-19 May 5, 2020 Educational May 5, 2020 E-Brain May 1, 2020 E-Brain February 28, 2020 E-Brain April 1, 2019 E-Brain November 1, 2018 Grand Rounds October 2, 2017 Grand Rounds July 1, 2016 Grand Rounds July 1, 2016 Grand Rounds February 1, 2016 Continuing medical education June 3, 2019 Continuing medical education February 21, 2019 Continuing medical education October 1, 2018 Continuing medical education July 24, 2018 Resident (...) and Research Fellows May 13, 2020 Resident and Research Fellows May 5, 2020 Resident and Research Fellows April 27, 2020 Resident and Research Fellows April 27, 2020 Fellowship reports May 5, 2020 Fellowship reports April 27, 2020 Fellowship reports April 5, 2020 Fellowship reports March 2, 2020 Education corner May 5, 2020 Education corner April 27, 2020 Education corner January 24, 2020 Education corner January 17, 2020 EAN Congress news May 5, 2020 General interest May 5, 2020 COVID-19 May 5, 2020 COVID

2020 European Academy of Neurology

164. Covid-19: Coma and Chronic Disorders of Consciousness

is generally available only in post-acute rehabilitation wards. These wards have the necessary expertise in the management of tracheal tubes and enteral nutrition, oxygenation monitoring, tracheo-bronchial secretion management, respiratory and swallowing training, neuromotor and cognitive-behavioral rehabilitation and caregivers education and psychological support (Formisano, unpublished data). Of note, the Italian Society of Neurorehabilitation has recently proposed recommendations on urgent measures (...) January 17, 2020 Scientific Corner January 17, 2020 Scientific Corner December 19, 2019 COVID-19 May 13, 2020 COVID-19 May 5, 2020 COVID-19 May 5, 2020 Educational May 5, 2020 E-Brain May 1, 2020 E-Brain February 28, 2020 E-Brain April 1, 2019 E-Brain November 1, 2018 Grand Rounds October 2, 2017 Grand Rounds July 1, 2016 Grand Rounds July 1, 2016 Grand Rounds February 1, 2016 Continuing medical education June 3, 2019 Continuing medical education February 21, 2019 Continuing medical education October

2020 European Academy of Neurology

165. Ménière’s Disease (Meniere) Full Text available with Trip Pro

, surgical, complementary/alternative, allergy, immunomodulatory, vestibular, and aural therapy; and oral , or intratympanic (IT) medications—all with variable results. , For those MD patients with persistent and disabling attacks after several months of conservative therapy, other more invasive or involved treatments can be considered. , One main consideration about the choice of treatment is the hearing status and whether it is usable or not. In those patients with usable hearing (based on vestibular (...) by the Equilibrium Committee, yet over 2 decades have elapsed since the original publication. Therefore, this current multidisciplinary group was convened to review the most recent and updated published scientific and clinical evidence available to craft an updated version of the MD consensus statement as a formal CPG. By using a published transparent CPG process, the primary goal was to create actionable statements (key action statements [KASs]) that reflect current evidence-based advances in knowledge

2020 American Academy of Otolaryngology - Head and Neck Surgery

166. European Academy of Neurology guideline on the diagnosis of coma and other disorders of consciousness

over months and sometimes even years after the brain injury [3,15–18]. It is thus unsurprising that as many as 40% of non-communi- cating patients with DoC may be wrongly classi?ed as being in the vegetative state/unresponsive wakefulness syndrome (VS/UWS) [5,6,19,20]. This has major ethi- cal and practical implications for patients and their caregivers, including prognosis, treatment, resource allocation and end-of-life decisions [21–30]. Limited knowledge of DoC contributes to this dilemma (...) and EEG together with standardized clinical behavioral scales provides more robust evaluation of consciousness and higher-order cortical function than routine bedside examination alone, but this knowledge is not yet widely implemented in clinical practice. A comprehensive European guideline for the diagnosis of coma and other DoC based on the best available scienti?c and clinical data is therefore needed. Methods Objectives The aim is to provide the European neurological com- munity

2020 European Academy of Neurology

167. AACE Clinical Practice Guidelines for the Diagnosis and Treatment of Postmenopausal Osteoporosis

(LSC) (Grade B; BEL 1, down- graded due to limited evidence). R29. Follow-up of patients should ideally be conducted in the same facility with the same dual-energy X-ray absorp- tiometry (DXA) system, provided the acquisition, analy- sis, and interpretation adhere to International Society for Clinical Densitometry DXA best practices (Grade C; BEL 2, downgraded due to limited evidence). R30. Consider using bone turnover markers (BTMs) for assessment of patient compliance and efficacy of therapy (...) be diagnosed in patients with or without fragility fractures. Vertebral fractures, however, may occur during routine daily activi- ties, without a specific fall or injury. In clinical practice, it may be difficult or impossible to reconstruct the mechani - cal force applied to bone in a fall. Osteoporosis-related fractures often lead to pain, disability, and deformity and reduce quality and quantity of life. Hip fractures are the most serious consequences of osteoporosis. Women have an increased mortality

2020 American Association of Clinical Endocrinologists

168. Responding to the Needs of Youth Involved With the Justice System During the COVID-19 Pandemic Full Text available with Trip Pro

statement, “ ,” 5 youth involved in the justice system are more likely to have unmet medical, mental health, and social needs; more likely to be youth of color; and more likely to have been exposed to adverse childhood experiences (ACEs). Lesbian, gay, bisexual, transgender, and questioning (LGBTQ) youth, youth with current or past involvement with the child welfare system, and youth with developmental disabilities are a few of the many marginalized populations that are overrepresented in the justice (...) limited contact with family, and may have poor access to education and developmentally appropriate programs. Recognizing that under normal circumstances, incarcerated and detained youth often experience poor conditions of confinement, juvenile justice advocates have raised concerns that many juvenile detention facilities are not equipped to adequately respond to COVID-19 pandemic. These concerns have been validated by media reports highlighting the experiences of confined youth during the COVID-19

2020 American Academy of Pediatrics

169. Guidance for Families and Pediatricians on Camp Attendance During the COVID-19 Pandemic

, such as Individualized Family Service plans, Individualized Education Programs, or emergency plans, for guidance in their shared efforts to understand, design, and implement any specific accommodations that may be needed so that children with special health care needs can be kids and enjoy camps! Camps should ensure that camp health care providers have specialized training in children’s health. Consider having a counselor or staff member with training in children’s mental health, given the increased level (...) should camps address the needs of children with special health care needs? Children with special health care needs or disabilities, like all children, should have the opportunity to attend camp and greatly benefit from an enriching camp experience. Designing camp activities to be inclusive of children of all abilities is vital for all children to benefit from camp. As a group, children with special health care needs should not be excluded from the camp experience. Some children with special health

2020 American Academy of Pediatrics

170. Return to School Considerations

in a small classroom. Special Education Every child and adolescent with a disability is entitled to a free and appropriate education and is entitled to special education services based on their individualized education program (IEP). Students receiving special education services may be more negatively affected by distance-learning and may be disproportionately impacted by interruptions in regular education. It may not be feasible, depending on the needs of the individual child and adolescent, to adhere (...) academic progress because ofschool closures and distress associated with the pandemic should be balanced by a recognition of the likely continued distress of educators and students that will persist when schools reopen. If the academic expectations are unrealistic, school will likely become a source of further distress for students (and educators) at a time when they need additional support. It is also critical to maintain a balanced curriculum with continued physical education and other learning

2020 American Academy of Pediatrics

171. Cardiovascular Considerations in Caring for Pregnant Patients: A Scientific Statement From the American Heart Association Full Text available with Trip Pro

understanding of cardiovascular disease during pregnancy should be a core knowledge area for all cardiovascular and primary care clinicians. This scientific statement provides an overview of the diagnosis and management of cardiovascular disease during pregnancy. Cardiovascular disease (CVD) is the leading cause of pregnancy-related mortality in the United States and has gradually increased over time (from 7.2 to 17.2 deaths per 100 000 live births from 1987–2015). The rise in maternal mortality has been (...) stroke of the pregnant patient is still considered a relative contraindication in the absence of disabling deficits; however, retrospective studies have found it to be safe. In the setting of a disabling ischemic stroke, thrombolysis should be considered. Patients with an indication for anticoagulation or antiplatelet therapy should follow the aforementioned pharmacological recommendations for ischemic stroke prevention during pregnancy and postpartum. CVT rates pooled in a recent meta-analysis were

2020 American Heart Association

172. Diagnostic testing for uniparental disomy

Diagnostic testing for uniparental disomy Diagnostic testing for uniparental disomy: a points to consider statement from the American College of Medical Genetics and Genomics (ACMG) Daniela del Gaudio, PhD 1 , Marwan Shinawi, MD 2 , Caroline Astbury, PhD 3 , Marwan K. Tayeh, PhD 4 , KristenL.Deak,PhD 5 andGordanaRaca,MD,PhD 6 ,ACMGLaboratoryQualityAssuranceCommittee 7 Disclaimer: This statement is designed primarily as an educational resource for medical geneticists and other clinicians to help (...) chromosome 14 and epigenetic defects. 59,60 Excessive RTL1 expression and absent MEG expression in the q32.2 region of chromosome 14 constitute the primary underlying factors for the phenotypic abnorm- alities in these patients. 59,60 Maternal UPD15 and Prader–Willi syndrome Prader–Willi syndrome (PWS, MIM 176270) is characterized by neonatal hypotonia and poor suck with failure to thrive, developmental delay and/or intellectual disability, childhood- onset obesity, short stature, hypogonadism

2020 American College of Medical Genetics and Genomics

173. Family Caregiving for Individuals With Heart Failure: A Scientific Statement From the American Heart Association

’ burden • 4 weekly multimedia training sessions 2 h in length conducted by a nurse • Significant reduction in caregiver burden at 1 and 3 mo in the intervention group Gary et al (2020) Ctrl=35 caregivers Int=42 caregivers Int2=48 caregivers Determine whether a home-based exercise program would improve physical function and caregiving perceptions among caregivers • 4 weekly psycho-educational group sessions on self-care, communication, and coping • Follow-up telephone calls weekly for 24 wk • Psycho (...) each • No significant changes over time in caregiver anxiety, depression, or quality of life McMillan et al (2013) Ctrl=21 dyads Int=19 dyads Pilot test the HF COPE intervention for caregivers of HF patients in hospice care • Problem-based coping intervention (COPE) delivered by trained nurse over 3 home visits • No significant changes over time in caregiver anxiety, depression, quality of life, caregiver burden, or caregiver knowledge Molloy et al (2006) Ctrl=30 caregivers Int=30 caregivers

2020 American Heart Association

174. Addressing Social Determinants of Health in the Care of Patients With Heart Failure: A Scientific Statement From the American Heart Association

symptom exacerbation and repeated hospital admissions. SDOH factors associated with higher readmissions include the county in which the hospital is located and personal and social factors such as disability status, race, ethnicity, insurance, and income inequality. In the healthcare delivery system, patients with HF who are food insecure, struggle with transportation, and have less access to medications, education, and health services have significantly poorer health outcomes. SDOH influence (...) to access care and more likely to experience poor heart failure outcomes over time. Many patients face additional challenges associated with the cost of complex, chronic illness management and must make difficult decisions about their own health, particularly when the costs of medications and healthcare appointments are at odds with basic food and housing needs. This scientific statement summarizes the SDOH and the current state of knowledge important to understanding their impact on patients with heart

2020 American Heart Association

176. BTS guidance on respiratory follow up of patients with radiologically confirmed COVID-19 pneumonia

up in a timely fashion taking into account factors such as disease severity, likelihood of long-term respiratory sequelae and functional disability. Specifically this guidance sets out to ensure that: V1.2 11 May 2020 2 • The early, medium and long-term respiratory complications of COVID-19 pneumonia cases are identified and that patients are then followed up by appropriate services. • The most serious and potentially life limiting complications of COVID-19 such as pulmonary fibrosis (...) longer term complications. • Some will question the rationale for radiological driven follow up. It is felt however that patients who have full CXR resolution will benefit from knowing this and be reassured. There is also intent to learn more about COVID-19 pneumonia and its outcomes by applying this guidance. An analysis of the effectiveness of this guidance is intended at a later time point with modifications to advice as required. • In addition, the 12-week follow up time point ensures

2020 British Thoracic Society

177. End of Life Care in Frailty: Dysphagia

. Clear documentation and review of these wishes will help to ensure that preferences are conveyed and communicated. An excellent resource for considering and documenting these decisions is the created at the Royal Hospital for Neuro-disability. Decisions regarding provision of CANH involve more than just medical evidence relating to survival and requires consideration of . Each decision must be taken by the multidisciplinary team in partnership with the patient and/or (if patient has lost (...) or if approaching the end of life. References Teasell R et al. Dysphagia and Aspiration Following Stroke. EBRSR. March 2018. O’Loughlin G and Shanley C. Swallowing problems in the nursing home: a novel training response. Dysphagia. 1998; 13(3): 172-83. Von Haeling, Morley and Anker (2010) Cachexia Sarcopenia Muscle. 1(2) Langmore, Terpenning, Schork, Chen, Murray, Lopatin, Loesche. Predictors of aspiration pneumonia: how important is dysphagia? Dysphagia 1998; 13(2): 69-81. Cederholm T, Barazzoni R, Austin P et

2020 British Geriatrics Society

178. Gynecologic Management of Adolescents and Young Women With Seizure Disorders

are on antiepileptic drugs do not have adequate knowledge of antiepileptic drugs’ interactions with hormonal contraception and feel they receive insufficient counseling from their health care providers . Early discussion including family involvement may lay the foundation for improved knowledge, contraception use, and pregnancy planning as adolescents with seizure disorders transition to adult care. Education about the reproductive cycle, contraception, and pregnancy should begin early and be readdressed at each (...) Gynecologic Management of Adolescents and Young Women With Seizure Disorders Gynecologic Management of Adolescents and Young Women With Seizure Disorders | ACOG Clinical Guidance Journals & Publications Patient Education Topics Featured Clinical Topics Hi, Featured Clinical Topics Clinical Guidance Gynecologic Management of Adolescents and Young Women With Seizure Disorders Committee Opinion Number 806 May 2020 Jump to Resources Share By reading this page you agree to ACOG's Terms

2020 American College of Obstetricians and Gynecologists

179. Obstetric Management of Patients with Spinal Cord Injuries

with disabilities. Matern Child Health J 2006;10(suppl 5):S175-6. Article Locations: Le Liepvre H, Dinh A, Idiard-Chamois B, Chartier-Kastler E, Phe V, Even A, et al. Pregnancy in spinal cord-injured women, a cohort study of 37 pregnancies in 25 women. Spinal Cord 2017;55:167–71. Article Locations: McLain AB, Massengill T, Klebine P. Information/education page. Pregnancy and women with spinal cord injury. Arch Phys Med Rehabil 2016;97:497–8. Article Locations: Hocaloski S, Elliott S, Hodge K, McBride K (...) Obstetric Management of Patients with Spinal Cord Injuries Obstetric Management of Patients with Spinal Cord Injuries | ACOG Clinical Guidance Journals & Publications Patient Education Topics Featured Clinical Topics Hi, Featured Clinical Topics Clinical Guidance Obstetric Management of Patients with Spinal Cord Injuries Committee Opinion Number 808 May 2020 Jump to Resources Share By reading this page you agree to ACOG's Terms and Conditions. . Nearly half (47.6%) occur in persons between

2020 American College of Obstetricians and Gynecologists

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