Rockin’ Yourself Asleep

Background: Sleep-related rhythmic movement disorder occurs frequently in childhood with a minority of patients having persistent symptoms in adolescence. Phenomenology Shown: We describe a 14-year-old female showing a typical example of head banging at onset of sleep. Educational Value: Sleep-related rhythmic movement disorder usually has a benign and self-limiting nature and medication might only be warranted in cases of severe sleep disruption or frequent injuries

Conforming, accommodating, or resisting?:How parents in academia negotiate their professional identity

This study describes how parents in academia negotiate their professional identity in relation to dominant discourses of science as a calling. Based on in-depth interviews with men and women academics in a Dutch university, five discursive strategies are distilled that reconcile contradictory claims of academia and parenthood. Parents are conforming, suffering or fighting dominant discourses, are optimistic about or pragmatically arranging academia and parenthood. These discursive strategies illustrate agency of parents, simultaneously subscribing to dominant discourses and negotiating alternative stances. Furthermore, from focus groups with leaders we distilled how the material structure of different schools, reflected in the rules and procedures regulating standards to which institutions and individuals are held, sets limits to discursive strategies that academics adopt. We identify the constraints and room for agency and argue that agency can only lead to transformation when transcending individual awareness by moving towards collective action

Conforming, accommodating, or resisting? How parents in academia negotiate their professional identity

This study describes how parents in academia negotiate their professional identity in relation to dominant discourses of science as a calling. Based on in-depth interviews with men and women academics in a Dutch university, five discursive strategies are distilled that reconcile contradictory claims of academia and parenthood. Parents are conforming, suffering or fighting dominant discourses, are optimistic about or pragmatically arranging academia and parenthood. These discursive strategies illustrate agency of parents, simultaneously subscribing to dominant discourses and negotiating alternative stances. Furthermore, from focus groups with leaders we distilled how the material structure of different schools, reflected in the rules and procedures regulating standards to which institutions and individuals are held, sets limits to discursive strategies that academics adopt. We identify the constraints and room for agency and argue that agency can only lead to transformation when transcending individual awareness by moving towards collective action

Risk of rebleeding after treatment of acute hydrocephalus in patients with aneurysmal subarachnoid hemorrhage

BACKGROUND AND PURPOSE: Cerebrospinal fluid drainage is often indicated in patients with acute hydrocephalus after aneurysmal subarachnoid hemorrhage but is believed to increase the risk of rebleeding. We studied the risk of rebleeding in patients with subarachnoid hemorrhage during treatment for acute hydrocephalus. METHODS: We included patients with hydrocephalus treated with external ventricular drainage or lumbar punctures within 4 days after the hemorrhage and before aneurysm occlusion. Each treated patient was matched with a control patient with untreated hydrocephalus and a control patient without ventricular enlargement. Patients and controls were matched for interval since subarachnoid hemorrhage, duration of exposure, use of tranexamic acid, clinical condition on admission, and age. We used Cox regression to calculate hazard ratios and we adjusted for rebleeding that had occurred before starting the cerebrospinal fluid drainage. RESULTS: In the group treated with external ventricular drainage, rebleeding occurred in seven of 34 patients (21%) with treatment, in seven of 34 controls (21%) with untreated hydrocephalus, and in six of 34 controls (18%) without hydrocephalus. In the group treated with one or more lumbar punctures, rebleeding occurred in one of 21 patients (5%) with treatment, in three of 21 controls (14%) with untreated hydrocephalus, and in none of the 21 controls without hydrocephalus. The hazard ratios for rebleeding were 1.0 (95% CI: 0.4 to 2.7) for external ventricular drainage treatment and 0.7 (95% CI: 0.1 to 6.4) for lumbar puncture treatment. CONCLUSIONS: This study does not confirm an importantly increased risk of rebleeding during external ventricular drainage or lumbar punctures for acute hydrocephalus after aneurysmal subarachnoid hemorrhag