Transient ischemic attacks in post-menopausal women with history of migraines have lower risk for subsequent ischemic strokes (P2.306)
BACKGROUND: TIAs and migraines have both been found to increase the risk of ischemic strokes. The risk for ischemic strokes may be further increased in patients with both of these risk factors. OBJECTIVE: To compare the risk of ischemic strokes in women with and without a history of migraine following a TIA. METHODS: The Observational Study (OS) of the Women’s Health Initiative (WHI) was the observational component of the WHI Study. We analyzed the 93,676 women aged 50-79 years, who participated in the OS over a period of 12±1 years. We determined the risk of incident ischemic stroke following TIAs in women with and without history of migraine. A logistic regression analysis was used to determine the differential risk of ischemic stroke in women with and without history of migraine after adjusting for potential confounders. RESULTS: A total of 133 of the 93676 women without history of migraine and 20 women with history of migraine from the same population developed ischemic strokes. Logistic regression analysis demonstrated that women without history of migraine had a higher odds of developing ischemic stroke [OR 1.9 (95[percnt]CI 1.5-2.5) p
CONCLUSION: Initial results illustrate how a shift from paper-based documentation to an integrated eHealth service can improve communication and documentation in an independent therapy network. PMID: 31118341 [PubMed - in process]
Authors: Dhamane AD, Baker CL, Rajpura J, Mardekian J, Dina O, Russ C, Rosenblatt L, Lingohr-Smith M, Lin J Abstract Objective: To compare the risk of hospitalization and costs associated with major bleeding (MB) or stroke/systemic embolism (SE) among elderly patients with nonvalvular atrial fibrillation (NVAF) who initiated apixaban then switched to another oral anticoagulant (OAC) vs. those who continued with apixaban treatment. Methods: NVAF patients (≥65 years) initiating apixaban were identified from the Humana database (1/1/2013-9/30/2017) and grouped into Switcher and Continuer cohorts. For Switchers, the...
Authors: Nishiyama A, Wakabayashi H, Nishioka S, Nagano A, Momosaki R Abstract Our aim was to clarify the nutritional status and energy intake needed for activities of daily living (ADL) improvement among convalescent stroke patients. This retrospective cohort study of stroke patients used data from the Japan Rehabilitation Nutrition Database. Mean energy intake per ideal body weight was 26 kcal/kg/day at 1 week after hospitalization. Patients were divided into two groups according to energy intake: ≥26 kcal/kg/day (high) and
CONCLUSIONS: Intensive outpatient programs are efficacious alternatives to treat AUD in veterans, although the role of pharmacological treatment is not completely elucidated. Glutamatergic agents appear to be less effective than opiate antagonists to prevent relapse to heavy drinking and to increase cumulative abstinence. Future studies should examine novel pharmacological and nonpharmacological options. PMID: 31117905 [PubMed - as supplied by publisher]
Hello, I'm a nursing student here. Ok so I have been doing some research on epilepsy for a presentation in class. On of the subtopics is seizures in relation to alcohol. I have been asking this question as well as trying to search this question and cannot get any solid answer. Every answer is different and everyone claims their answer is correct. The question is, is it possible for someone to have a seizure while drinking alcohol? I am NOT referring to withdrawal because everyone immediately... Alcohol and Seizures?
Conclusions: The study proved that TTP-minimally invasive surgery was safe and feasible in mitral and tricuspid valve surgery. It has been associated with superior esthetics. Mitral repairs performed through TTP access are durable in mid-term observation. PMID: 31119001 [PubMed]
Conclusions: Trans-apical off-pump MV repair with the NeoChord system is a safe, minimally invasive procedure, with few minor complications. In well-selected candidates it provides successful treatment of degenerative MR. Results are anatomy dependent, so preoperative patient selection is crucial. PMID: 31119000 [PubMed]
Conclusions: We believe that uniportal VATS is a safe, feasible, and effective technique for selected bronchiectasis patients. PMID: 31118998 [PubMed]
Conclusions: Laparoscopic total mesorectal excision using the intersphincteric approach through the sacrococcygeal incision is feasible for treating patients with a contracted pelvis and super-low rectal carcinoma. PMID: 31118985 [PubMed]
Conclusions: The LSEGDS is a safe and effective procedure for management of cirrhotic portal hypertension, especially in patients with visible paraesophageal veins. PMID: 31118982 [PubMed]