Emergency Exit Strategy

His brand is crisis, so it can be hard to keep abreast of the various calamities President Trump stumbles into or deliberately courts. Now that tensions with Iran seem to have momentarily cooled, another recent episode of Trumpian brinksmanship, closer to home, deserves some attention before we lurch forward into new dangers.  As you ’ve surely heard, but may have already forgotten amid the fog of near-war, three weeks ago, President Trump threatened to declare yet another national emergency at the southern border. If Mexico didn’t sufficiently crack down on cross-border migration,Trump warned, he ’d use “the authorities granted to me by the International Emergency Economic Powers Act” to hammer our third largest trading partner—and U.S. consumers—with a series of escalating tariffs on Mexican goods, rising to 25 percent across the board. Fortunately, on June 7, three days before the deadline he ’d set, President Trump called off the trade war. But, Trump warned, he“can always go back” to raising tariffs if he ’s not happy.The notion that the president can, with the stroke of a pen, upend peaceful trade relations and implementa massive tax hike ought to sound the alarm about Trump ’s expansive view of presidential emergency powers. Are they as vast as the president claims, and, if so, what can Congress do to rein them in? As I arguedin Reason magazine recently, our latest Imperial President...
Source: Cato-at-liberty - Category: American Health Authors: Source Type: blogs

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AbstractEndovascular therapy (EVT) trials enrolled ischemic stroke patients with good pre-stroke functional status. However, this information needed for rapid decision-making is commonly lacking in clinical practice. We hypothesized that initial misjudgment of pre-stroke functional status attenuates clinical outcomes of EVT. Data were derived from our prospective registry of ischemic stroke patients undergoing EVT for anterior circulation large vessel occlusion (01/2016 –12/2017). Considering all information accumulated during hospital course, pre-stroke modified Rankin scale (mRS) was independently re-assessed and c...
Source: Journal of Neurology - Category: Neurology Source Type: research
In conclusion, cerebral hemispheric infarction limited to the PIVC or TPSVC does not necessarily cause vertigo. However, unilateral hemispheric infarctions, restricted to the areas belonging to the vestibular cortical network may cause vestibul ar symptoms. The lesions responsible for vestibular symptoms are located more often in the right hemisphere.
Source: Journal of Neurology - Category: Neurology Source Type: research
Publication date: Available online 16 July 2019Source: NeuroImageAuthor(s): Elin Eriksson Hagberg, Rochelle Ackerley, Daniel Lundqvist, Justin Schneiderman, Veikko Jousmäki, Johan WessbergAbstractPositive affective touch plays a central role in social and inter-personal interactions. Low-threshold mechanoreceptive afferents, including slowly-conducting C-tactile (CT) afferents found in hairy skin, transmit such signals from gentle touch to the brain. Tactile signals are processed, in part, by the posterior insula, where it is the thought to be the primary target for CTs. We used magnetoencephalography (MEG) to assess ...
Source: NeuroImage - Category: Neuroscience Source Type: research
Authors: Compagnat M, Daviet JC, Batcho CS, David R, Salle JY, Mandigout S Abstract Objective: To explore the validity of energy expenditure estimates using the SenseWear Armband during a sequence of four daily living activities in patients post-stroke. Method: Patients with stroke who were able to walk during 6 min without human assistance were asked to wear the SenseWear Armband on the non-paretic arm while performing transfers, a manual task, walking, and walking up and down stairs. The energy expenditure estimated using the SenseWear Armband was compared to the energy expenditure calculated from oxygen consumpt...
Source: Brain Injury - Category: Neurology Tags: Brain Inj Source Type: research
In this study, rats were treated with mitochondrial permeability transition pore (mPTP) opening inhibitor, peroxynitrite (ONOO−) scavenger, or selective inhibitor of mitophagy activation during 2-h middle cerebral artery occlusion (MCAO) followed by 24 h of reperfusion in combination with EA treatment. RNA-Seq analysis showed that EA treatment in cerebral I/R was linked to the autophagosome, the PI3K/Akt signaling pathway and metabolic pathways. We found that I/R resulted in significantly mitochondrial function impairments including decreased mitochondrial membrane potential (MMP) and ATP levels, aggregation of dam...
Source: Nitric Oxide - Category: Chemistry Source Type: research
Publication date: Available online 16 July 2019Source: Academic RadiologyAuthor(s): Ruoyao Cao, Yun Jiang, Jun Lu, Guogeng Wu, Lei Zhang, Juan ChenRationale and ObjectivesTo describe the application of time maximum intensity projection CTA (t-MIP CTA) in acute ischemic stroke and compare t-MIP CTA and single-phase CTA (sCTA) in assessing collateral circulation and predicting prognosis.Materials and MethodsTwenty-nine acute ischemic stroke patients who underwent one-stop CT angiography (CTA)-CT perfusion scan were reviewed retrospectively. sCTA and t-MIP CTA were developed by CT perfusion scanning data. Image quality and co...
Source: Academic Radiology - Category: Radiology Source Type: research
Conclusion: Our meta-analysis results revealed higher cardiovascular risk in OA patients. This highlights the importance of cardiovascular risk factor management in OA.
Source: Joint Bone Spine - Category: Orthopaedics Source Type: research
This study aimed to analyse this delay.MethodsA prospective observational study was conducted on consecutive stroke or transient ischaemic attack. Data on sociodemographic and clinical parameters, decision delay, pre-hospital delay, and first medical contact were collected. Descriptive, bivariate, and multivariate logistic regression analyses were performed to determine factors associated with seeking medical attention within the first 15 minutes of stroke or TIA occurrence.ResultsA total of 382 patients were included, 24.9% of whom had a decision delay of 15 minutes or less. Stroke severity (OR 1.08; 95% CI, 1.04-1.13; P 
Source: Neurologia - Category: Neurology Source Type: research
Source: BMJ News - Category: General Medicine Source Type: research
Tom Bulatovic, 50, of Chiswick, was diagnosed with aphasia after a stroke in June 2018. He could barely say his own name - but then he found a three-week course which changed everything.
Source: the Mail online | Health - Category: Consumer Health News Source Type: news
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