Articles Tagged With: impairment
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Cholinergic Basal Forebrain Involvement in Posture, Gait, and Cognitive Impairment in Parkinson’s Disease
The features of gait difficulty, postural instability, and cognitive deficits in patients with Parkinson’s disease appear to be attributable to degeneration of cholinergic basal forebrain systems, including loss of fiber tract integrity and reduction of cortical projections.
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Cognitive Outcomes After Mild Traumatic Brain Injury
Mild traumatic brain injuries (mTBIs) may lead to adverse cognitive and neuropsychiatric outcomes. The pathways that lead to adverse cognitive outcomes remain to be scientifically elucidated. A prospective cohort study of 656 participants enrolled in the Transforming Research and Clinical Knowledge in TBI (TRACK-TBI) study found that at one year, 13.5% of participants with mTBI had poor cognitive outcome compared to 4.5% of controls, highlighting the need for better understanding of the mechanisms leading to poor cognitive and functional outcomes after mTBIs and interventions to optimize cognitive recovery.
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Your Brain on COVID: Damage Found in Two New Studies
Dementia and other adverse effects on the brain are occurring in some COVID-19 survivors, an ominous finding for the millions infected — even those with only mild symptoms, according to two new studies.
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Functional Cognitive Disorder: An Important Condition for Neurologists to Recognize
Functional cognitive disorder (FCD) is a term that can be used to describe cognitive difficulties that are present where there is no biologic cause, but a lack of consensus in diagnostic criteria limits its use in clinical practice and research. Ball and colleagues proposed an operational definition for FCD as the cognitive phenotype of functional neurological disorder.
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Cognitive Deficits in Patients Recovering from COVID-19
Hospitalized COVID-19 patients with cognitive complaints demonstrate reduced attention and executive dysfunction on formal cognitive testing consistent with the same frequency and pattern of cognitive changes associated with critical illness.
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Mahjong and Mild Cognitive Impairment
This randomized, controlled trial notes improvement in measures of executive functioning, such as organization and planning, in elderly Chinese participants with mild cognitive impairment who were selected to play mahjong three times weekly for 12 weeks.
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Impaired Clinicians Need Attention Now More Than Ever
The burnout and additional stress brought on by the COVID-19 pandemic may be leading more clinicians to abuse alcohol and drugs. It is critical that quality and peer review leaders be on the lookout for such impairment.
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Congress Considers Legislation Addressing Healthcare Provider Mental Health
The COVID-19 pandemic has placed historic burdens on already-taxed frontline clinicians.
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Dementia Update
Dementia is a common and growing problem that is associated with significant caregiver burden and immense cost. A growing focus on disease prevention and management of risk factors in mid-life is vital to attempt to mitigate the daunting impact of this illness on patients, caregivers, and the healthcare system as a whole.
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The Capacity Conundrum in Emergency Medicine
A patient’s capacity to give informed consent or to leave the emergency department against medical advice is a topic of great relevance to emergency clinicians. This article discusses the difference between competence and capacity and highlights the four essential elements involved in the assessment of a patient’s capacity.