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This consensus guidance statement reflects input from patient communities and the authors thank the following organizations and individuals for their input during the Collaborative writing process: the Patient-Led Research Collaborative, Angela Meriquez Vazquez, MSW, Long Covid Patient and Advocate, and Lauren Nichols, Long Covid Patient and Chronic Illness Advocate. For example, patients with MS may be on disease modifying therapy (DMT), and both the MS and the DMT may put them at higher risk for COVID-19 acute infections as well as more severe course, though in a recent systematic review these were not consistent findings.58 The review included more than 80 reports involving 2493 MS patients and 37 Neuromyelitis Optica Spectrum Disorder patients with COVID-19. Larger number of beds and location in an area with high COVID-19 prevalence were the strongest and most consistent predictors of facilities having more COVID-19 cases and deaths.56 This multicenter cohort study showed that delirium was the sixth most common of all presenting symptoms and signs of acute COVID-19 infection, and factors associated with delirium were age older than 75 years, living in a nursing home or assisted living, vision impairment, hearing impairment, stroke, and Parkinson disease.57Though the studies in children are evolving, long COVID is recognized and should be considered at all ages. Patients with GBS/MFS benefit further from intravenous immunoglobulin and plasma exchange.[7] Most patients with isolated cranial neuropathies have a favorable outcome with supportive care compared to patients with multiple cranial neuropathies with GBS, who may achieve partial recovery and experience longer symptom duration. [Extracted from the article]

Meat production creates high greenhouse gas emissions while consumption of wild game meat presumably has lower greenhouse gas impacts. We estimated the amount of meat legally harvested in the United States for animals with state or federal harvest data and determined caloric value and the greenhouse gas impact (emissions savings) of these harvests. Hunting of reported game accounts for approximately 487 billion Kcal, about 3% of U.S. annual meat consumption, although the total is probably higher if non-reported (small game) are included. Wild game consumption may equal more than two billion kg of avoided CO2 emissions, equivalent to more than $120 million USD in annual carbon avoidance societal benefits. Our results suggest that wild game harvests contribute a relatively small, but not irrelevant, greenhouse gas savings. Wildlife conservation organizations could use the positive climate attributes of wild game harvesting as a public relations tool to encourage hunting and subsequent emissions reductions. [ABSTRACT FROM AUTHOR]

The article discusses how the United States v. Windsor civil right court case affects the Maritime law. Topics discussed include wrongful death beneficiaries for Maritime claims under the Jones Act, the U.S. supreme court case Moragne v. States Marine League, Inc., and mentions the section 3 of the Defense of Marriage Act.

Generalized whole brain volume loss is well documented in moderate to severe traumatic brain injury. Whether this atrophy occurs in the thalamus and brainstem has not been systematically studied in children. Magnetic resonance imaging (MRI) quantitative analysis was used to investigate brain volume loss in the thalamus and brainstem in 16 traumatic brain injury subjects (age range 9-16 years) compared with 16 age and demographically matched controls. Based on multiple analysis of covariance, controlling for age and head size, reduced volume in the thalamus and the midbrain region of the brainstem were found. General linear model analyses revealed a relation between processing speed on a working memory task and midbrain and brain stem volumes. Reduced volume in thalamic and brainstem structures were associated with traumatic brain injury. Reduction in midbrain and thalamic volume is probably a reflection of the secondary effects of diffuse axonal injury and reduction in cortical volume from brain injury. [ABSTRACT FROM AUTHOR]