COVID-19 and Cognitive Impairment: A Cross-Sectional Clinic Based Study

Background: Patients with dementia are more prone to acquire COVID-19 infection. Patients with COVID-19 showed a tendency to develop cognitive impairment. Objectives: We aimed to study the clinical manifestations of COVID-19 infection among adult Sudanese demented patients and the prevalence of cognitive impairment among adult Sudanese non demented patients. Methodology: This is a descriptive cross-sectional study which took place in Sudan, Khartoum state in the period (September-December 2021) in a private neurology/psychiatry clinic. 135 adult Sudanese patients were included in this study and were divided into two groups. The first group consists of 100 patients with a known history of dementia that got infected recently with COVID-19, while the second group consists of 35 patients who developed some sort of cognitive impairment after recovering from COVID-19 infection. Regarding the second group, cognitive functions were assessed by senior consultant neurologist and senior consultant psychiatrist using a well validated neuropsychological measure. Results: Out of 100 patients in the first group, females were 60 and males were 40. Age distribution is between 63 -98. The common presenting symptoms of COVID-19 among this group were: Cough and fever (90 patients), diarrhea and vomiting (5 patients), breathlessness (4 patients), coughing of blood (5 patients), convulsions (1 patient), paraplegia (1 patient) and hemiplegia (1 patient). Regarding the second group, Age distribution varied from 30 to 80 years. Cognitive functions impairment was noticed as follows: Memory recall (22%), memory recognition (23%), memory encoding (24%), processing speed (16%), executive functioning (19%), phonemic fluency (17%) and category fluency (17%). Conclusion: Patients with dementia are more susceptible to develop COVID-19 infection. Patients with COVID-19 Infection are at risk of developing some sort of cognitive impairment after recovery.

From Bielefeld to the Unified Patent Court – A Never-Ending Story?

The authors have known Jochen Pagenberg from different perspectives: Tilman Müller-Stoy for almost 20 years as a partner in the law firm bearing Jochen’s name; Rudolf Teschemacher since the start of Jochen’s and his own career when both got in touch with IP at the Max Planck Institute in the early 1970s and later on for more than 15 years as a senior consultant at Bardehle Pagenberg. Thus, they paint a colourful picture, in particular throwing a glance at a leitmotiv of his work: European patent litigation.

Nocturnal Enuresis

Guest Comment on Nocturnal Enuresis by Dr. Ankit Mangla, MBBS, MD, FPN, Fellow critical care (IAP/ISCCM), Director & HOD Pediatric Institute of Renal Sciences & Senior Consultant, PICU HOPE Hospital, Jaipur

Targeting FGFR2 in advanced cholangiocarcinoma: an interview with Arndt Vogel

Professor Arndt Vogel, a senior consultant and professor of gastrointestinal oncology in the Department of Gastroenterology, Hepatology and Endocrinology at Hannover Medical School, Germany, speaks with Rachel Jenkins (Senior Editor of Oncology Central) about cholangiocarcinoma, the challenges of the field and some promising avenues for therapy. To listen to the full podcast interview, visit Oncology Central ( www.oncology-central.com/ ) now.

Clinical SAQs for the Final FRCEM

Clinical SAQs for the Final FRCEM contains over 200 Short Answer Questions mapped to the Royal College of Emergency Medicine curriculum. Designed specifically to reflect the examination format, each question is supported by a detailed model answer, acting as both a high yield revision guide and as a template for answering similar questions on exam day. Fifty questions are illustration-based including radiology, ultrasound, and ECGs, allowing candidates to practise typical questions in this clinical exam. Further reading directs candidates to guidelines and articles for additional learning and preparation. Written by a team including successful candidates and a senior consultant, Clinical SAQs for the Final FRCEM holds the key to passing the exam.

Gebäudedienstleistungen: KDS dominiert Markt der Servicegesellschaften

Der Ansatz ist zuletzt zunehmend unter Druck geraten, doch „die Servicegesellschaft spielt im deutschen Gesundheitswesen weiter eine wichtige Rolle“, beteuert Thomas Ball, Senior-Consultant für Gebäudedienstleistungen bei Lünendonk & Hossenfelder.

Odyssey: The Life and Career of a Senior Consultant

Link to Multimedia Whoosh, is that all there is? On the eve of becoming a partner at a well-known consulting firm (“the stuff MBA dreams are made of”), a senior executive starts to question what he is doing with his life. Walt Shill had graduated eight years earlier from the Darden Graduate School of Business Administration at the University of Virginia and had worked his way up at McKinsey Consulting to become the first American partner in the Japanese office. Shill and his family move back to the United States, where he starts to question his goals. For the first time, it seems that Shill has no target to aim for. Having had reached his goals, Shill sets out on an adventure to seek his own meaning of life. He gets into good-enough shape to take a cross-country bicycle ride, which he completes. This undisguised case tells Shill's story and what he learned along the way. It ends with Shill's promise to himself to be less judgmental and to start walking through life with eyes wide open. A teaching note is available to registered faculty.