Publications by authors named "Zahari Tchopev"

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.

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Article Synopsis
  • Traumatic brain injury (TBI) can lead to nonconvulsive seizures (NCS) and status epilepticus (NCSE) in up to 30% of severe cases, significantly impacting patient outcomes, yet these conditions are hard to diagnose at the bedside due to varying symptoms.* -
  • The study explores the use of a portable rapid response EEG (rr-EEG) as a diagnostic tool for NCS and NCSE, which has shown effectiveness in hospital settings but needs evaluation in pre-hospital scenarios.* -
  • In a simulated training mission with a Critical Care Air Transport (CCAT) team, participants successfully set up and used the rr-EEG on a manikin, accurately identifying NCS
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Article Synopsis
  • Traumatic brain injury (TBI) is common in veterans and is linked to various long-term sleep-wake disorders (SWD) that are not fully understood, which complicates diagnosis and treatment.
  • A literature review identified gaps in knowledge regarding the pathophysiology of TBI-related sleep issues, compared them with post-traumatic stress disorder sleep disturbances, and highlighted the importance of biomarkers and treatment strategies.
  • The conclusion stresses that a better understanding of the scientific basis for TBI and its impact on sleep is needed, focusing on biomarkers and neuroimaging to improve diagnosis and therapy in affected veterans.
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Background And Objectives: To describe the current landscape of gender and racial diversity among adult neurology residency and fellowship program directors (PDs). Diversity in medicine affects the quality of care provided to a diverse patient population. There are efforts in nearly every field of medicine to increase the diversity of the physician workforce.

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Sleep-related hypermotor epilepsy (SHE) (previously frontal lobe epilepsy) is a rare seizure disorder commonly misdiagnosed or unrecognized, causing negative patient sequelae. While usually reported in familial studies, it is more commonly acquired. Diagnosis is a challenge due to its low incidence in comparison with the more common sleep disorders or psychogenic etiologies in the differential diagnosis.

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Objective: Identification of patients with posterior fossa infarction at risk for neurological deterioration remains a challenge. MRI-based assessments of MCA infarction can predict poor outcome. Similar quantitative imaging measures after cerebellar stroke have not been studied.

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