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Neurology

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For patients with multiple sclerosis

MRI, Clinical Assessments Not Prognostic in Multiple Sclerosis

No difference in outcomes for patients with no evidence of disease activity during first two years
Three themes have been identified as communication challenges in neonatal encephalopathy and therapeutic hypothermia

Communication Challenges ID’d in Neonatal Encephalopathy

Fragmented communication, complex information, and uncertain prognosis difficult for parents
For insulin-resistant patients with recent ischemic stroke or transient ischemic attack

Pioglitazone Cuts Diabetes Risk After Ischemic Stroke, TIA

Findings for patients with recent ischemic stroke/TIA and insulin resistance, but no history of diabetes
About one-third of pediatric patients with concussion experience symptom spikes over the consecutive days

About One-Third Have Symptom Spikes After Peds Concussion

Risk of symptom spikes increased with an abrupt increase in mental activity from one day to next
Children who play video games have significantly better visuo-motor skills

Better Visuo-Motor Skills for Children Playing Video Games

Improved skills seen with small amounts of playing; conduct problems for ≥9 hours of gaming/week
Acupuncture seems to be effective for amnestic mild cognitive impairment

Acupuncture May Be Useful in Treatment of Amnestic MCI

Better outcomes for acupuncture versus nimodipine, with greater rates of clinical efficacy, MMSE scores
More Medicaid-covered children are receiving treatments that conform to practice standards for attention-deficit/hyperactivity disorder

Increase in Evidence-Based Practice for Children With ADHD

Findings based upon publicly-insured children from 2001 to 2010
For patients with diabetes

Statin Use Tied to Reduced Risk of Parkinson’s in Diabetes

Protective effects for all statins, except lovastatin; evidence of dose-dependent trend
The number of private health insurance claims for Americans addicted to opioids and heroin rose 3

Opioid-Related Insurance Claims Rise 3,000 Percent

Present crisis disproportionately affecting white, middle-class people in non-urban settings
Opioid users may be misusing and abusing gabapentin

Some Opioid Users May Be Taking Gabapentin Without an Rx

Findings reveal need for more robust testing