Publications by authors named "Rebecca Stainman"
Background And Objectives: Previous research has demonstrated that simulation-based medical education (SBME) can improve neurology trainees' confidence, knowledge, and competence. However, a general needs assessment and review of current SBME used within neurology are needed to guide SBME curriculum development. The objective of this study was to describe the current use of SBME in resident education and to assess perceived barriers to expanding SBME interventions.
View Article and Find Full Text PDFBackground: In 2009, the International Ketogenic Diet Study Group published recommendations for children receiving ketogenic diet (KD) therapy for epilepsy. The document included a table listing epilepsy syndromes and conditions in which the KD has been particularly beneficial, hoping that physicians would refer children for the KD sooner.
Purpose: To measure the impact of these 2009 recommendations on referral practice, we compared children initiated on the KD at Johns Hopkins Hospital (JHH) 10 years before and after the recommendations.
Introduction And Problem Statement: As the role of teleneurology expands, it is important to prepare trainees to perform virtual encounters proficiently.
Objectives: We created a comprehensive multimodality teleneurology curriculum for residents to teach key aspects of telehealth encounters including the virtual examination and skill development across several environments.
Methods And Curriculum Description: We developed and implemented a teleneurology curriculum focused on teaching the virtual neurologic examination, measuring teleneurology competency, and providing opportunities for trainees to perform telehealth encounters in multiple settings.
To better understand neurologists' assessments of the experiences and effectiveness of teleneurology encounters. After completing an audio-video telehealth visit with verbally consenting patients, neurologists recorded their evaluations of the encounter. Data were analyzed using standard quantitative and qualitative techniques.
View Article and Find Full Text PDFBackground And Objective: Little is known about trajectories of recovery 12 months after hospitalization for severe COVID-19.
Methods: We conducted a prospective, longitudinal cohort study of patients with and without neurologic complications during index hospitalization for COVID-19 from March 10, 2020, to May 20, 2020. Phone follow-up batteries were performed at 6 and 12 months after COVID-19 onset.
Article Synopsis
- A study was conducted to analyze the long-term outcomes, specifically 6-month results, of patients who were hospitalized for COVID-19, particularly focusing on those who experienced neurological complications during their stay.
- Out of 606 patients with neurological issues, 395 survived and were compared to a matched group without such complications; results showed that 91% had at least one abnormal outcome six months later, including difficulties with daily activities, cognition, and mental health.
- Patients with neurological complications had worse functional outcomes, indicating they were less likely to return to normal activities and had greater impairments compared to the control group, highlighting the severe impact of neurological issues following COVID-19 hospitalization.
Seizure mimics in children: An age-based approach.
Curr Probl Pediatr Adolesc Health Care
December 2020
Background: In order to distinguish seizure mimics from seizures in children it is important to clarify the event duration, frequency, semiology, and any precipitating factors.
Methodology: This review provides a succinct and up-to-date overview aimed at general and subspecialty non-neurologist pediatric and adolescent health care providers to help guide a diagnostic approach when a child presents with paroxysmal events of unclear etiology.
Results: In many cases, seizure mimics are consistently triggered by an event, location, or emotion, and often resolve with distraction or tactile stimulation.
Importance: Sudden unexplained death in childhood (SUDC) is the fifth leading category of death among toddlers but remains underrecognized and inadequately studied.
Objective: To assess the potential role of febrile seizures (FS) and other risk factors associated with SUDC and describe the epidemiology, mechanisms, and prevention of SUDC.
Design, Setting, And Participants: This case series study reviewed 622 consecutive sudden child death cases aged 1 to 17 years from 2001 to 2017 from 18 countries.
Background And Purpose: Larger infarct volume as a percent of supratentorial brain volume (SBV) predicts poor outcome and hemorrhagic transformation in childhood arterial ischemic stroke (AIS). In perinatal AIS, higher scores on a modified pediatric version of the Alberta Stroke Program Early CT Score using acute MRI (modASPECTS) predict later seizure occurrence. The objectives were to establish the relationship of modASPECTS to infarct volume in perinatal and childhood AIS and to establish the interrater reliability of the score.
View Article and Find Full Text PDFPurpose: In children with intractable, surgically approachable epilepsy, the ketogenic diet is often perceived as less efficacious than surgery.
Methods: A retrospective chart review was performed of 554 children started on the ketogenic diet since 1994. Forty-five children were identified as surgical candidates, with at least 2 focal routine EEGs, ictal video-EEG, and corresponding focal neuroimaging findings, of whom 24 eventually had resective surgery and were followed subsequently.