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Reports and Guidelines in Relation to Neurogenic Bladder Dysfunction
Published in Jacques Corcos, Gilles Karsenty, Thomas Kessler, David Ginsberg, Essentials of the Adult Neurogenic Bladder, 2020
Floriane Michel, Gilles Karsenty
However, two publications are of interest in this field: Consensus guidelines on the neurologist's role in the management of neurogenic lower urinary tract dysfunction in multiple sclerosis, De Ridder D et al. Clinical Neurology and Neurosurgery (2013;115[10]:2033–40).The neurogenic bladder in multiple sclerosis: Review of the literature and proposal of management guidelines. De Sèze M et al. and GENULF. Multiple Sclerosis Journal (2007;13[7]:915–28). Review.
Encephalitis and Its Mimics in the Critical Care Unit
Published in Cheston B. Cunha, Burke A. Cunha, Infectious Diseases and Antimicrobial Stewardship in Critical Care Medicine, 2020
A basic premise of clinical neurology is that CNS-damaging processes cause constant or progressive impairment of specific neurologic functions related to the location of the responsible CNS damage. In contrast, many systemic illnesses will cause impairments that wax and wane in both time and space—deficits may appear focal but improve, only to be followed by transient impairment of other functions. Simple and repeated clinical assessments of brainstem function, and of specific cortical functions such as language, memory, and vision, can raise or lower the index of suspicion for a primary CNS process.
Lesion localization
Published in Michael Y. Wang, Andrea L. Strayer, Odette A. Harris, Cathy M. Rosenberg, Praveen V. Mummaneni, Handbook of Neurosurgery, Neurology, and Spinal Medicine for Nurses and Advanced Practice Health Professionals, 2017
The brain is a complex organ. With our current understanding of its intricate layout, we are only able to understand general functions relative to specific structures. The concept of lesion localization in the brain has its basis in our understanding the basic anatomic structures, how they communicate with one another, and which structures they neighbor. The foundations of clinical neurology and neurosurgery that allow us to localize a lesion include anatomy and physiology, the patient history, the neurologic examination, and then use of this information to identify where in the nervous system the lesion is and then provide a differential diagnosis of what the pathology is. This information allows the clinician to formulate a plan to try and confirm the diagnosis, develop a treatment plan, and provide a prognosis. Nurses and advanced health-care providers can enhance their ability to care for neurologically compromised patients by knowing where in the brain their patient’s lesion lies. This information allows for a better understanding of the patient’s presenting symptoms and the expected clinical exam findings. A comprehensive treatment plan can then be tailored and executed. A brain lesion can include a variety of diagnoses that pertain to an area of dysfunction anatomically or physiologically. This could include aneurysm, vascular malformation, tumor, infection, inflammation, hemorrhage, demyelination, traumatic lesion, or congenital cyst.
A New Field in Mind: A History of Interdisciplinarity in the Early Brain Sciences
Published in Journal of the History of the Neurosciences, 2023
Through nine chapters, Stahnisch points out how neuroscience today has roots in internal medicine, clinical neurology, and psychiatry, but also in the physiological, morphological, and pathological study of the nervous system. Neuroscience blends many fields together, and the clinical and basic science components complement and intensify each other. One component could not exist without the other and, historically, one could not have been created without the other. Stahnisch mentions in his Introduction that to “downsize” he could not include a discussion on neurophysiology, only neuromorphology; he felt that still allowed for a rich discussion of the history and historiography of neuroscience. On reading through the 600-page volume, it is obvious that Stahnisch had ample material to analyze and weave together. Yet I think it is up to the reader to decide if the discussion is complete enough without physiology (or much of neurology) being a part of it.
Managing expansions in medical students’ clinical placements caused by curricular transformation: perspectives from four medical schools
Published in Medical Education Online, 2021
Jeff A. Kraakevik, Gary L. Beck Dallaghan, Julie S. Byerley, Seetha U. Monrad, John A. Davis, Maya M. Hammoud, Cyril M. Grum, Patricia Carney
Other approaches to curricular transformation involved either shortening or eliminating required experiences. For example, the OHSU’s neurology clerkship transitioned from a fourth-year required clerkship to a third-year required clerkship, which further complicated the bulge. In addition to identifying supplementary clinical sites to place students, a novel solution proposed by the neurology clerkship leadership was to offer 4th year medical students in the prior curriculum the option of opting-out of the required neurology clerkship by: 1) passing the NBME subject examination in clinical neurology, and 2) completing a faculty-observed history and complete neurological examination. The goal was to reduce learner load by half of the graduating class while allowing for assessment of competency in clinical neurology. This proposal was approved by the OHSU UME curriculum committee, and a paper that fully describes the comprehensive assessment of this innovative approach is published elsewhere [15].
A bibliometric analysis of occupational therapy publications
Published in Scandinavian Journal of Occupational Therapy, 2018
Ted Brown, Sharon A. Gutman, Yuh-Shan Ho, Kenneth N. K. Fong
The distribution of subject categories for research topics has been studied previously [31,42]. The results provide insight about the trends, frequency of use, and distribution of subject categories [31,43] including an understanding of the categories in which the majority of occupational therapy literature has been published. The most frequently used subject classifications were rehabilitation; clinical neurology; and public, environmental, and occupational health. This is somewhat surprising given the range of professional areas where occupational therapists practice. For example, many therapists work in the practice areas of mental health and pediatrics, but this is not reflected in the most frequently used subject categories. Rehabilitation and clinical neurology as categories are related since many clients presenting with neurological diagnoses are seen by therapists in rehabilitation settings or receive rehabilitation interventions. The public, environmental, and occupational health categories fit with the occupational therapy practice areas of health promotion, occupational health and safety, and vocational rehabilitation.