Publications by authors named "R G Saks"

Of the twelve cranial nerves, nine supply motor innervation to the muscles of the head and neck. Loss of this motor nerve supply, or denervation, follows a series of predictable chronologic changes in the affected muscles. Although the length of time between each change is markedly variable, denervation is typically classified into three distinct time points: acute, subacute, and chronic.

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An 89-year-old man presented with progressive gait disturbance, diplopia, and ataxia. Initial brain MRI demonstrated T2/FLAIR hyperintense signal abnormality in the pons extending along the middle cerebellar peduncles into the cerebellum, with associated punctate, patchy, and linear enhancement on postcontrast imaging. Initially, this was attributed to brainstem encephalitis; however, sarcoidosis, histiocytosis, and paraneoplastic/autoimmune encephalitis remained on the differential.

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Context: This statement fills a significant gap in the efforts to demonstrate outcomes of the chaplaincy role in health care and to provide direction for quality measurement related to spiritual care as a key domain of serious illness care.

Objectives: The objective of this project was to develop the first major consensus statement on the role and qualifications of health care chaplains in the Unites States.

Methods: The statement was developed by a diverse panel of highly regarded professional chaplains and nonchaplain stakeholders.

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Blood circulation was studied in 68 patients with closed oblique and spiral fractures of the leg bones in the middle and lower thirds in the injured segment using 99mTc-DTPA and 133Xe. The normal rate of the blood flow in the cortical layer of the tibial diaphysis was 0.008 +/- 0.

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