Group experience with parents of preschool children with seizure disorders

A project using parent seminars in aiding parents of children with seizure disorders was designed at the request of Dr. James R. Schimschock, pediatric neurologist and director of the Clinic for Neurologically Impaired Children, Good Samaritan Hospital and Medical Center. The clinic provides a diagnostic and educational therapy for neurologically impaired children. In addition to providing multidiscipline diagnostic evaluation, clinic services include operating classrooms for preschool and school-age children. The classrooms function for children with any type of neurologic impairment who are either excluded from school due to their delayed academic performance, their physical or developmental delay, emotional or behavior problems, or the severity of their condition. Having the classroom located in the Good Samaritan Hospital complex provides immediate access to medical assistance if it is required. Information derived from classroom observation is available to the child’s physician. This information is valuable in the medical management of these children and is particularly useful with children having intractable seizure disorders

Do cinnamon supplements improve glycemic control in adults with T2DM?

Q: Do cinnamon supplements improve glycemic control in adults with T2DM? Evidence-based answer: the answer isn't clear. Cinnamon supplements for adults with type 2 diabetes haven't been shown to decrease hemoglobin A1C (strength of recommendation [SOR]: C, multiple systematic reviews of disease-oriented outcomes). Cinnamon supplements have shown inconsistent effects on fasting glucose levels (SOR: C, multiple systematic reviews and a single meta-analysis of disease-oriented outcomes). Supplements decreased fasting glucose levels in some studies, but the evidence isn't consistent and hasn't been correlated with clinically significant improvements in glycemic control.Beth Careyva, MD; Grant Greenberg, MD, MA, MHSA; Katarzyna Jabbour, PharmD, BCPS; Nicole Defenbaugh, PhD (Lehigh Valley Health Network, Allentown, PA); Joan Nashelsky, MLS (Family Practice Inquiries Network, Iowa City)Includes bibliographical reference

Nefer, Sinuhe and clinical research assessing post COVID-19 condition

COVID-19; Clinical researchCOVID-19; Recerca clínicaCOVID-19; Investigación clínicaClinical research studies reporting on post COVID-19 condition should follow some basic recommendations

Problems Experienced in the Second and Third Months After Discharge From a Heart Failure-Related Hospitalization

The purpose of this study was to identify high-priority problems experienced by individuals during the second and third month after discharge from an acute care facility for heart failure. This descriptive, exploratory study, an extension of a previous analysis that examined high-priority problems in the first month, comprised 19 participants who were assigned to an intervention group that received a randomized, 12-week-pilot coping partnership (COPE-HF) intervention. A trained research nurse provided the intervention, and participants used a standard list to identify high-priority heart failure-related problems. Quantitative and content data analysis was conducted. While the highest-priority problem continued to be managing their treatment regimens, the frequency of this problem lessened by week 12. Comorbidities emerged as a new problem in managing heart failure treatment and symptoms. Coping emerged as a new problem, as individuals with heart failure dealt with the impending morbidity of their diagnosis and how it would affect loved ones. Resource issues (ie, financial, social) became more prevalent for individuals with heart failure as potential and actual resources were depleted. Health providers should develop strategies to address these problems to improve outcomes in individuals with heart failure

Nefer, Sinuhe and clinical research assessing post-COVID-19 syndrome

In the immortal classical novel by Finnish writer Mika Waltari (1908-1979) (fig. 1), Nefer, a beautiful and cunning Egyptian courtesan, seduces and befools Sinuhe, the pharaoh's physician. Sinuhe is bewitched by her charms and sacrifices everything for her - even his parents' house and grave - only to be cruelly rejected when Nefer tires of playing with him. Clinical research studies reporting on post-COVID-19 syndrome should follow some basic recommendation

Patch-based survey methods for studying prehistoric human land-usein agriculturally modified landscapes: A case study from the Canal de Navarrés, eastern Spain

In landscapes whose surface has been modified by terracing and other agricultural land-use, the spatial and temporal patterning of prehistoric settlement can be difficult to detect using traditional, site- orientated archaeological survey methods, especially for small-scale societies. In these contexts, methods that can reveal occupational patterns at landscape scales, without the need to pinpoint specific sites of human occupation, can be especially useful. We employ a stratified, randomly selected patch- based survey strategy to examine socio-ecological dynamics from the Middle Paleolithic through Bell Beaker (Chalcolithic) periods within the Canal de Navarre,s, eastern Spain. We divide the study region into survey strata according to differences in topography and vegetation communities and use a random selection of demarcated, terraced fields as data collection patches. All survey data is digitally recorded using tablets in the field, creating a streamlined and more accurate workflow, where observations of artifacts, soils, ground visibility, and photographs are georeferenced and ready for analysis in a GIS. Surface artifact densities, estimated from sampled patches, are used to generate prehistoric land-use maps and empirical Bayesian methods allow us to track shifts in occupational patterns through time. Regional reference collections of well-dated lithic artifacts provide the 'prior knowledge' required to make estimates of the probability of prehistoric occupation in each sampled patch. This combination of field and analytical methods makes possible the study of regional-scale land-use dynamics in agriculturally modified landscape