Journal Alert: Neuropsychology - Online First Publications & Volume 27, Issue 5
APA Journal alerts for: Neuropsychology Online First Publications The following articles have been published online this week before they appear in a final print and online issue of Neuropsychology: Decision-Making Deficits Persist After Aneurysmal Subarachnoid Hemorrhage. Al-Khindi, Timour; Macdonald, R. Loch; Schweizer, Tom A. doi: 10.1037/neu0000003 Neuropsychological Deficits Associated With Heavy Prenatal Alcohol Exposure Are Not Exacerbated by ADHD. Glass, Leila; War...
Source: Intelligent Insights on Intelligence Theories and Tests (aka IQ's Corner) - September 17, 2013 Category: Neurologists Source Type: blogs

Ghost in the Brain- CT Image Mimicking a Ghost
There is a image case in NEJM which has a cerebellar haemorrhage , extending into midbrain and third ventricle and  we radiologists are so famous for imagining  and giving appearances names to pathologies as per their similarity to common  things, and aptly this has been called as "ghost in the brain" Check the Link. NEJM-Ghost in The Brain Another Ghost Sign in Radiology is: Gallbladder ghost triad (seen in Biliary Atresia)  on ultrasound studies is a combination of : GB length less than 19 mm irregular or lobular contour  lack of smooth/complete echogenic mucosal lining with an indistinct wal...
Source: Sumer's Radiology Site - September 3, 2013 Category: Radiologists Authors: Sumer Sethi Source Type: blogs

The Art of Resurrection
Resurrection, Raffaellino del Garbo (1510)In the world outside of Christianity, horror, and science fiction, the dead cannot be brought back to life. Or can they? A feature in the The Observer from earlier this year profiled Dr. Sam Parnia, critical care physician and author of Erasing Death: The Science That Is Rewriting the Boundaries Between Life and Death (called The Lazarus Effect in the UK). The article begins in a dramatic fashion:Sam Parnia – the man who could bring you back from the deadSam Parnia MD has a highly sought after medical speciality: resurrection. His patients can be dead for several hours before t...
Source: The Neurocritic - August 25, 2013 Category: Psychiatrists and Psychologists Authors: The Neurocritic Source Type: blogs

Evidence Based Medicine - Why we can’t trust clinical guidelines (BMJ)
This article has a correction Please see: Why we can’t trust clinical guidelines Article Related content Read responses (2) Article metrics Jeanne Lenzer, medical investigative journalist Author Affiliations jeanne.lenzer@gmail.com Despite repeated calls to prohibit or limit conflicts of interests among authors and sponsors of clinical guidelines, the problem persists. Jeanne Lenzer investigates On 13 April 1990, in an unprecedented action, the US National Institutes of Health faxed a letter to every physician in the US on how to correctly prescribe a breakthrough treatment for ...
Source: PharmaGossip - June 23, 2013 Category: Pharma Commentators Authors: insider Source Type: blogs

Has pancreatic damage from glucagon suppressing diabetes drugs been underplayed? - BMJ
BMJ 2013; 346 doi: http://dx.doi.org/10.1136/bmj.f3680 (Published 10 June 2013) Cite this as: BMJ 2013;346:f3680Article Related content Article metrics Deborah Cohen, investigations editor Author Affiliations dcohen@bmj.com Incretin mimetics have been called “the darlings of diabetes treatment” and they may soon also be licensed for treating obesity. But a BMJ investigation has found growing safety concerns linked to the drugs’ mechanism of action. Deborah Cohenasks why patients and doctors have not been told. They’ve been touted as th...
Source: PharmaGossip - June 11, 2013 Category: Pharma Commentators Authors: insider Source Type: blogs

Hyperbaric Oxygen – Powerful Therapy for Stroke Recovery
This is an excellent review of recent research showing the incredible efficacy of hyperbaric oxygen therapy in treating stroke patients:   By Helen Albert, Senior medwireNews Reporter - News Medical.net Treatment with hyperbaric oxygen therapy (HBOT) can lead to significant neurologic improvements for stroke patients, show study results. The researchers found that HBOT produced noticeable improvements even as long as 3 years after the initial stroke event. Based on the theory that increasing a person’s level of dissolved oxygen using HBOT could activate neuroplasticity and improve stroke-induced neurologic def...
Source: Renegade Neurologist - A Blog by David Perlmutter, MD, FACN - June 4, 2013 Category: Neurologists Authors: Dr. Perlmutter Tags: Heads Up Source Type: blogs

Mayo Telestroke Program Deemed Highly Successful
Some very useful telemedicine applications are emerging and being evaluated, particularly those utilizing smart phone apps. The Mayo telstroke program in Arizona was used as a testbed to assess one such app, as discussed in a recent article (see: Mayo telestroke study affirms accuracy of ResolutionMD smartphone app). Below is an excerpt from it: The evidence is building that smartphones are suitable for remote viewing of medical images by consulting specialists. The latest comes from the Mayo Clinic Telestroke Network in Arizona, which found that the ResolutionMD Mobile smartphone app [a diagnostic medica...
Source: Lab Soft News - May 28, 2013 Category: Pathologists Authors: Bruce Friedman Tags: Healthcare Delivery Hospitals and Healthcare Delivery Medical Consumerism Medical Education Medical Research Quality of Care Source Type: blogs

CVA (Cerebrovascular Accident)
CVA is a neurological event as described below: Pathophysiology of CVA 1) necrosis of brain cells caused by a vascular event – usually classified as ischemic (embolus, thrombus, low flow state secondary to shock or cardiac event) or hemorrhagic (aneurysm, hypertension) The post CVA (Cerebrovascular Accident) appeared first on InsideSurgery Medical Information Blog. (Source: Inside Surgery)
Source: Inside Surgery - May 19, 2013 Category: Surgeons Authors: Editor Tags: Neurology cerebrovascular accident CVA hemorrhagic ischemic stroke Source Type: blogs

Why Prasugrel is contraindicated in TIA ?
  Take Our Poll Current prescribing information cautions clearly Prasugrel should not  be used in TIA  or recent  stroke (Even in  ischemic strokes -Embolic included !) The warning  is perplexing and illogical to me. What is your take ? I would imagine the following  could be  the reasons. Prasugrel  as an  antiplatlet agent is  many fold  powerful and could convert all  strokes into hemorrhagic one . Does Prasugrel convert a TIA into stroke instead of curing it ? Prasugrel may worsen the stroke  in case the TIA is going to end up as stroke. Is there any thing called hemorrhagic TIA ? Since we do not have...
Source: Dr.S.Venkatesan MD - February 27, 2013 Category: Cardiology Authors: drsvenkatesan Tags: stroke Uncategorized Antipaltelet agents drugs controversy antipaltelt agents mainstay in tia prasugrel for tia prasugrel vs clopidogrel in TIA strke in evolution Source Type: blogs

Stroke Symptoms Checklist
People in recovery may have damaged their bodies during their drinking or drugging careers. It may be helpful to know the warning signs of stroke – especially in older age groups. A stroke happens when a blood vessel carrying oxygen and nutrients to the brain is either blocked by a clot (ischemic stroke) or ruptures (hemorrhagic stroke). When this occurs, part of the brain no longer receives the oxygen it needs, and the tissue in that area starts to die. Transient ischemic attacks (TIAs) consist of stroke-like symptoms, which go away shortly after starting and produce no lasting damage. Even if your symptoms disappear en...
Source: Recovery Is Sexy.com - February 14, 2013 Category: Addiction Authors: Sparrow Tags: Addictions Alcoholism Disease Treatment Women drinking drugging hemorrhagic ischemic warning signs of stroke Source Type: blogs

Blood Vessels Loaded with Amyloid Worsen Alzheimer's
Mounting scientific evidence shows that changes in the structure and function of cerebral blood vessels contribute to brain dysfunction underlying Alzheimer's disease. Alzheimer's Reading Room A team of researchers at Weill Cornell Medical College has discovered that amyloid peptides are harmful to the blood vessels that supply the brain with blood in Alzheimer's disease — thus accelerating cognitive decline by limiting oxygen-rich blood and nutrients. In their animal studies, the investigators reveal how amyloid-ß accumulates in blood vessels and how such accumulation and damage might be ultimately prevented. Thei...
Source: Alzheimer's Reading Room, The - February 5, 2013 Category: Dementia Authors: Bob DeMarco Source Type: blogs

Single Port Appy?
Conclusions: SPLA failed to show any advantages over CLA relative to pain and cosmesis. However, SPLA is as safe as CLA (Source: Buckeye Surgeon)
Source: Buckeye Surgeon - February 3, 2013 Category: Surgeons Authors: Jeffrey Parks MD Source Type: blogs

Stroke & Smart Phones
I read with great interest the study by Demaerschalk et al in the September edition of Stroke, regarding the validity of smartphone-based assessment of brain CT scans in the context of acute stroke. The authors demonstrate a high level of agreement for identification of intracranial hemorrhage, neoplasm, or any radiological contraindication to thrombolysis on an iPhone 4 display compared with PACS and desktop. Especially in a country like ours stroke management would benefit greatly by using smart phones like iPhone & iPads. More work needs to be done n this in India in near future. From Sumer's Radiology Site http://...
Source: Sumer's Radiology Site - January 20, 2013 Category: Radiologists Authors: Sumer Sethi Source Type: blogs

Top stories in health and medicine, January 18, 2013
This series is brought to you by MedPage Today.1. Checklists May Improve ‘Crisis’ Care in the OR. Using a checklist helped assure compliance with processes set up to handle a crisis situation — such as a cardiac arrest or massive hemorrhage — in the operating room.2. Smartphone Apps Not Reliable for Melanoma Dx. Four smartphone applications that purport to distinguish between benign lesions and melanoma provided “highly variable” results.3. Drug Worries Affect Med Use After Stroke. Concerns about medications may be much of the reason why stroke survivors who exhibit symptoms of post-trau...
Source: Kevin, M.D. - Medical Weblog - January 18, 2013 Category: Family Physicians Tags: News Dermatology Neurology Surgery Source Type: blogs

The LITFL Review 090
Welcome to the global 90th edition! The LITFL Review is your regular and reliable source for the highest highlights, sneakiest sneak peaks and loudest shout-outs from the webbed world of emergency medicine and critical care. Each week the LITFL team casts the spotlight on the best and brightest from the blogosphere, the podcast video/audiosphere and the rest of the Web 2.0 social media jungle to find the most fantastic EM/CC FOAM (Free Open Access Meducation) around. The Most Fair Dinkum Ripper Beaut of the Week Top spot this week is given to The Trauma Professional’s Blog, each week  Michael provides us with fascinati...
Source: Life in the Fast Lane - January 10, 2013 Category: Emergency Medicine Doctors Authors: Kane Guthrie Tags: Education eLearning Emergency Medicine Featured Health LITFL review LITFL R/V Source Type: blogs