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Keeping the team together: Transformation of an inpatient neurology service at an urban, multi-ethnic, safety net hospital in New York City during COVID-19

Lord, Aaron S; Lombardi, Nicole; Evans, Katherine; Deveaux, Dewi; Douglas, Elizabeth; Mansfield, Laura; Zakin, Elina; Jakubowska-Sadowska, Katarzyna; Grayson, Kammi; Omari, Mirza; Yaghi, Shadi; Humbert, Kelley; Sanger, Matt; Kim, Sun; Boffa, Michael; Szuchumacher, Mariana; Jongeling, Amy; Vazquez, Blanca; Berberi, Nisida; Kwon, Patrick; Locascio, Gianna; Chervinsky, Alexander; Frontera, Jennifer; Zhou, Ting; Kahn, D Ethan; Abou-Fayssal, Nada
The COVID-19 pandemic dramatically affected the operations of New York City hospitals during March and April of 2020. This article describes the transformation of a neurology division at a 450-bed tertiary care hospital in a multi-ethnic community in Brooklyn during this initial wave of COVID-19. In lieu of a mass redeployment of staff to internal medicine teams, we report a novel method for a neurology division to participate in a hospital's expansion of care for patients with COVID-19 while maintaining existing team structures and their inherent supervisory and interpersonal support mechanisms.
PMID: 32877768
ISSN: 1872-6968
CID: 4583362

Evidence-based systematic review of cognitive rehabilitation, emotional, and family treatment studies for children with acquired brain injury literature: From 2006 to 2017

Laatsch, Linda; Dodd, Jonathan; Brown, Tanya; Ciccia, Angela; Connor, Felicia; Davis, Kim; Doherty, Meghan; Linden, Mark; Locascio, Gianna; Lundine, Jennifer; Murphy, Samantha; Nagele, Drew; Niemeier, Janet; Politis, Adam; Rode, Catrin; Slomine, Beth; Smetana, Racheal; Yaeger, Lauren
This paper updates guidelines for effective treatments of children with specific types of acquired brain injury (ABI) published in 2007 with more recent evidence. A systematic search was conducted for articles published from 2006 to 2017. Full manuscripts describing treatments of children (post-birth to 18) with acquired brain injury were included if study was published in peer-reviewed journals and written in English. Two independent reviewers and a third, if conflicts existed, evaluated the methodological quality of studies with an Individual Study Review Form and a Joanna Briggs Institute (JBI) Critical Appraisal Checklist. Strength of study characteristics was used in development of practice guidelines. Fifty-six peer-reviewed articles, including 27 Class I studies, were included in the final analysis. Established guidelines for writing practice recommendations were used and 22 practice recommendations were written with details of potential treatment limitations. There was strong evidence for family/caregiver-focused interventions, as well as direct interventions to improve attention, memory, executive functioning, and emotional/behavioural functioning. A majority of the practice standards and guidelines provided evidence for the use of technology in delivery of interventions, representing an important trend in the field.Abbreviations: ABI = acquired brain injury, ACRM = American Congress of Rehabilitation Medicine, ACT = Acceptance and Commitment Therapy, Amat-c = Amsterdam Memory and Attention Training for Children, BRIEF = Behaviour Rating Inventory of Executive Function, BRIEF-MI = The Behaviour Rating Inventory of Executive Function Metacognitive Index, CAPS = Counselor Assisted Problem-solving, CBT = cognitive behaviour therapy, COPM = Canadian Occupational Performance Measure, CO-OP = Cognitive Orientation to daily Occupational Performance, CRP = Cognitive Remediation Program, EBR = Evidence-Based Review, FPS = Family Problem-solving, IRC = Internet Resource Comparison, JBI = Joanna Briggs Institute, mTBI = mild traumatic brain injury, SSTP = Stepping Stones Triple P, SMART = Strategic Memory Advanced Reasoning Training, TBI = traumatic brain injury, TOPS = Teen Online Problem-solving, TOPS-TO = Teen Online Problem-solving-Teens Only, WM = Working Memory.
PMID: 31671014
ISSN: 1464-0694
CID: 4159502

Cognitive rehabilitation for pediatric neurological disorders

Locascio, Gianna; Slomine, Beth S
Cambridge : Cambridge University Press, 2018
Extent: xi, 263 p.
ISBN: 131663311x
CID: 3277242


Chapter by: Locascio, Gianna; Slomine, Beth
in: Cognitive rehabilitation for pediatric neurological disorders by Locascio, Gianna; Slomine, Beth S (Eds)
Cambridge : Cambridge University Press, 2018
pp. 1-4
ISBN: 131663311xpaperback
CID: 3289002

Current challenges in billing practices

Chapter by: Locascio, Gianna
in: Cognitive rehabilitation for pediatric neurological disorders by Locascio, Gianna; Slomine, Beth S (Eds)
Cambridge : Cambridge University Press, 2018
pp. 214-240
ISBN: 131663311xpaperback
CID: 3288872

Empirical status regarding the remediation of executive skills

Chapter by: Slomine, Beth; Locascio, Gianna; Kramer, Megan
in: Executive function and dysfunction : identification, assessment, and treatment by Hunter, Scott J; Sparrow, Elizabeth P [Eds]
Cambridge ; New York : Cambridge University Press, 2012
pp. 209-231
ISBN: 0521889766
CID: 2250512

Executive dysfunction among children with reading comprehension deficits

Locascio, Gianna; Mahone, E Mark; Eason, Sarah H; Cutting, Laurie E
Emerging research supports the contribution of executive function (EF) to reading comprehension; however, a unique pattern has not been established for children who demonstrate comprehension difficulties despite average word recognition ability (specific reading comprehension deficit; S-RCD). To identify particular EF components on which children with S-RCD struggle, a range of EF skills was compared among 86 children, ages 10 to 14, grouped by word reading and comprehension abilities: 24 average readers, 44 with word recognition deficits (WRD), and 18 S-RCD. An exploratory principal components analysis of EF tests identified three latent factors, used in subsequent group comparisons: Planning/ Spatial Working Memory, Verbal Working Memory, and Response Inhibition. The WRD group exhibited deficits (relative to controls) on Verbal Working Memory and Inhibition factors; S-RCD children performed more poorly than controls on the Planning factor. Further analyses suggested the WRD group's poor performance on EF factors was a by-product of core deficits linked to WRD (after controlling for phonological processing, this group no longer showed EF deficits). In contrast, the S-RCD group's poor performance on the planning component remained significant after controlling for phonological processing. Findings suggest reading comprehension difficulties are linked to executive dysfunction; in particular, poor strategic planning/organizing may lead to reading comprehension problems.
PMID: 20375294
ISSN: 1538-4780
CID: 2250312

Cognitive rehabilitation for children with acquired brain injury

Slomine, Beth; Locascio, Gianna
Cognitive deficits are frequent consequences of acquired brain injury (ABI) and often require intervention. We review the theoretical and empirical literature on cognitive rehabilitation in a variety of treatment domains including attention, memory, unilateral neglect, speech and language, executive functioning, and family involvement/education. Because there are more well-designed studies examining the efficacy of cognitive rehabilitation in adults with brain injury, the major findings from this body of literature are also highlighted. In addition, given that similar cognitive and behavioral concerns are often apparent in children with certain neurodevelopmental disorders, selected literature focusing on interventions for these groups of children is included. Limitations and challenges inherent in examining cognitive interventions in children with ABI are also discussed. Overall, despite the growing body of literature examining the efficacy of cognitive rehabilitation in children with ABI, there continues to be a great need to develop well-designed studies to examine the efficacy of these interventions.
PMID: 19489085
ISSN: 1940-5529
CID: 2250322