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2. A Case Report of Coronavirus Disease 2019 Presenting with Tremors and Gait Disturbance

Author

Klein, Sharon, Davis, Frederick, Berman, Adam, Koti, Shruti, D’Angelo, John, and Kwon, Nancy

Subjects
COVID-19, neurology, tremor
Abstract

Introduction: Neurologic symptoms present as significant complications of coronavirus disease 2019 (COVID-19) infection. This report describes a novel manifestation of tremors triggered by severe acute respiratory syndrome coronavirus 2 infection.Case Presentation: We describe a case of a 46-year-old man with COVID-19 infection complicated by a bilateral intention tremor and wide-based gait. Although neurological manifestations have been reported related to COVID-19, tremulousness has not yet been described.Conclusion: Considering the evolving diversity of neurologic manifestations in this infection, emergency physicians should be vigilant of possible COVID-19 infection in patients presenting with unexplained neurologic symptoms.

Published
2020

3. Building from the Ground Up: The Key to Health and Well-Being in Schools

Author

Klein, Sharon

Abstract

In this interview, Sharon Klein, the Head of School at St. George's School of Montreal, discusses how health and well-being are integrated in the curriculum and school life. Since its beginning in 1930, St. George's has operated on six founding principles, the first of which is "health comes first." Ms. Klein describes how this principle is being applied--yoga, mindfulness, exercise literacy--and further describes how they have developed the Core 5 Program, based on current research, to meet the needs of today's students. She concludes by sharing her vision of health and well-being in the future.

Published
2017

11. Concepts in Composition

Author

Clark, Irene L., primary, Bamberg, Betty, additional, Edlund, John, additional, Griswold, Olga, additional, Klein, Sharon, additional, Neff-Lippmann, Julie, additional, and Sheppard, Jennifer, additional

Published
2019
Full Text
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22. The State of the States: 2023: An update on key planning developments.

Author

Klein, Sharon L. and Byrne, James J. C.

Abstract

The article offers update on trust and estate-related planning developments across the U.S. Topics discussed include holographic wills, provisions of the Uniform Fiduciary Income and Principal Act governing power to adjust income and principal, unitrust and default rule, as well as personal income tax implications of telecommuting, pass-through entity tax, estate and gift tax, electronic execution of wills, trusts and other estate-planning documents, and remote notarization.

Published
2024

26. Another Look at Children's Interpretation of Complements to 'Be Easy.'

Author

Klein, Sharon M.

Abstract

A study looks at young children's responses to tough movement structures, focusing on complements to "easy." The study examines the development of the two major types of rule usage: primitive and adult, and focuses on the inconsistent fluctuations between the primitive and adult levels. It is proposed that the source of complexity in grammatical constructions for the primitive rule usage group is not a function of an overriding primitive rule, but is in the children's capacity to retreat to their syntactically sanctioned causative analysis in experimental contexts. This finding obscures the understanding of what these children really know about the complement structure of the adjectives in question. It is also found that lexical development plays an important role in the movement of children from one stage to another. (MSE)

Published
1988

31. Estimating Long-Term Health Utility Scores and Expenditures for Cardiovascular Disease From the Medical Expenditure Panel Survey

Author

Morey, Jacob R., Jiang, Shangqing, Klein, Sharon, Max, Wendy, Masharani, Umesh, Fleischmann, Kirsten E., Hunink, M. G.Myriam, Ferket, Bart S., Morey, Jacob R., Jiang, Shangqing, Klein, Sharon, Max, Wendy, Masharani, Umesh, Fleischmann, Kirsten E., Hunink, M. G.Myriam, and Ferket, Bart S.

Abstract

Background: Long-term health utility scores and costs used in cost-effectiveness analyses of cardiovascular disease prevention and management can be inconsistent, outdated, or invalid for the diverse population of the United States. Our aim was to develop a user friendly, standardized, publicly available code and catalog to derive more valid long-term values for health utility and expenditures following cardiovascular disease events. Methods: Individual-level Short Form-12 version 2 health-related quality of life and expenditure data were obtained from the pooled 2011 to 2016 Medical Expenditure Panel Surveys. We developed code using the R programming language to estimate preference-weighted Short Form-6D utility scores from the Short Form-12 for quality-adjusted life year calculations and predict annual health care expenditures. Result predictors included cardiovascular disease diagnosis (myocardial infarction, ischemic stroke, heart failure, cardiac dysrhythmias, angina pectoris, and peripheral artery disease), sociodemographic factors, and comorbidity variables. Results: The cardiovascular disease diagnoses with the lowest utility scores were heart failure (0.635 [95% CI, 0.615-0.655]), angina pectoris (0.649 [95% CI, 0.630-0.667]), and ischemic stroke (0.649 [95% CI, 0.635-0.663]). The highest annual expenditures were for heart failure ($20 764 [95% CI, $17 500-$24 027]), angina pectoris ($18 428 [95% CI, $16 102-$20 754]), and ischemic stroke ($16 925 [95% CI, $15 672-$20 616]). Conclusions: The developed code and catalog may improve the quality and comparability of cost-effectiveness analyses by providing standardized methods for extracting long-term health utility scores and expenditures from Medical Expenditure Panel Survey data, which are more current and representative of the US population than previous sources.

Published
2021

34. The State of the States: 2022: An update on key planning developments.

Author

Klein, Sharon L. and Cohn, Jenna M.

Abstract

The article focuses on grantor trust reimbursement which allow the grantor to make a double gift by transferring property to the trust and paying the income tax liability reducing the grantor's taxable estate and relieves the beneficiaries of the tax burden. Topics include the tax implications of telecommuting across the U.S. states; the emotional attachment and care for companion animals in divorce cases; and the use of remote notarization during the Covid-19 pandemic.

Published
2023

37. CCPA Amendment Further Harmonizes With HIPAA And Provides Additional Exemptions

Author

Klein, Sharon R.

Subjects
Privacy, Right of -- Laws, regulations and rules, Health insurance industry -- Laws, regulations and rules, Health care industry -- Laws, regulations and rules, Health care industry, Government regulation, Business, international, Health Insurance Portability and Accountability Act of 1996, California. Consumer Privacy Act of 2018
Abstract

On September 28, California Governor Gavin Newsom signed AB-713 into law, which relaxes some of the California Consumer Privacy Act (CCPA) compliance challenges faced by the health care and life [...]

Published
2021

38. Disaster recovery: lessons from experience.

Author

Klein, Sharon L.

Subjects
World Trade Center and Pentagon Attacks, 2001 -- Influence, Fiduciary duties -- Management, Disaster recovery (Computers) -- Management, Company business management, Disaster recovery
Published
2008

40. California privacy and security legislation affects entire nation.

Author

Delaney, Barbara L., Klein, Sharon R., Marion, Charles S., Nguyen, Dana T., and Pachman, Tracey S.

Subjects
Privacy, Right of -- Laws, regulations and rules, Spam (Junk email) -- Laws, regulations and rules, Data security -- Laws, regulations and rules, Identity theft -- Prevention -- Laws, regulations and rules, Government regulation, Data security issue, Unsolicited bulk e-mail
Abstract

California has enacted extensive legislation in the privacy, security, anti-spam, and anti-spyware areas that effectively molds the national agenda for fighting identity theft, protecting personally identifiable information (especially for direct [...]

Published
2005

41. The Year 2000 problem

Author

Barrett, Gene and Klein, Sharon R.

Subjects
Technology application, Year 2000 transition (Computers) -- Methods
Published
1998

42. The State of the States: 2021.

Author

Klein, Sharon L., Cohn, Jenna M., and Adams, Samantha Q.

Abstract

The article reports on updates on state laws in the U.S. covering estate planning in 2021. Also cited are the electronic will laws passed by states like Florida, Indiana and Arizona, the states which enacted Uniform Electronic Wills Act (UEWA) like Utah, Idaho and Virginia, and the enactment by Illinois of its Electronic Wills and Remote Witnesses Act (EWRA).

Published
2022

43. The SLAT Trap: Beware of income tax consequences of divorce.

Author

Schmidt, Catherine G., Klein, Sharon L., and Mehlman, Annie L.

Abstract

The article explains the income tax consequences of a spousal lifetime access trust (SLAT) in the event of divorce in the U.S. One of the features of a SLAT is the access it provides to trust property by the beneficiary spouse. It explains the status of the SLAT as a grantor trust for income tax purposes under the Internal Revenue Code. Also noted is the benefit of including reimbursement authority in the SLAT.

Published
2021

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