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Stroke Dysbiosis Index (SDI) in Gut Microbiome Are Associated With Brain Injury and Prognosis of Stroke
Conclusions: We developed an index to measure gut microbiota dysbiosis in stroke patients; this index was significantly correlated with patients' outcome and was causally related to outcome in a mouse model of stroke. Our model facilitates the potential clinical application of gut microbiota data in stroke and adds quantitative evidence linking the gut microbiota to stroke. Introduction Ischemic stroke imposes a heavy burden on society, with 24.9 million cases worldwide (1). Although intravenous thrombolysis and endovascular treatment greatly improve some patients' prognosis, the prognosis for most pa...
Source: Frontiers in Neurology - April 23, 2019 Category: Neurology Source Type: research

A Serious Diagnosis Lacking Common Symptoms
​BY JENNIFER TUONG; IVAN KHARCHENKO; JEAN LUC AGARD; & AHMED RAZIUDDIN, MDA 65-year-old man who had HIV well-controlled with highly active antiretroviral therapy, hypertension, sciatica, and restless leg syndrome presented to the emergency department with left leg pain. He also had had chemotherapy and radiation for anal cancer. The patient said the pain had started 45 minutes earlier when he was sitting on the toilet.He described the pain as sore in quality and 10/10 on the pain scale. He reported that it had started in his lower back and radiated to his left leg. He said he had had no trauma or weakness to the regi...
Source: The Case Files - May 28, 2019 Category: Emergency Medicine Tags: Blog Posts Source Type: research

Hypoglycemia in Emergency Department
Conclusions When hypoglycemic patients present in the emergency department, physicians should pay attention to the presence of infection, malignancy, liver diseases (liver cirrhosis and biliary tract infection), and acute renal failure.
Source: Journal of Acute Disease - April 22, 2015 Category: Emergency Medicine Source Type: research

Impact of respiratory infection in the results of cardiac surgery in a tertiary hospital in Brazil
Conclusion:The development of respiratory tract infection postoperative cardiac surgery is related to higher mortality, longer periods of hospitalization and intensive care unit stay.ResumoObjetivo:Avaliar o impacto da infecção do trato respiratório no pós-operatório da cirurgia cardíaca no Hospital Português de Pernambuco em relação à mortalidade hospitalar e identificar os pacientes com maior risco de desenvolver essa complicação.Métodos:Estudo do tipo transversal observacional realizado na Unidade de Recuperação de Cirurgia Cardiotorácica, utilizando informações de um banco de dados composto por um tot...
Source: Revista Brasileira de Cirurgia Cardiovascular - August 25, 2015 Category: Cardiovascular & Thoracic Surgery Source Type: research

The role of copeptin in patients with subarachnoid haemorrage.
CONCLUSION: Patients with a gradual increase of copeptin values showed to have bad prognosis of the disease. Four with extremely high copeptin values passed away, while patients with a gradual decrease or a normal amount of copeptin values had good prognosis. It is supported that copeptin values are a reliable prognostic factor in monitoring patients with intracranial haemorrhage. PMID: 26665233 [PubMed - as supplied by publisher]
Source: Hellenic Journal of Nuclear Medicine - December 17, 2015 Category: Nuclear Medicine Tags: Hell J Nucl Med Source Type: research

Comparison of immediate extubation versus ultrafast tracking strategy in the management of off-pump coronary artery bypass surgery.
Conclusion: IE appears to be safe and effective in OPCAB patients without any major complications. It can be achieved after fulfilling traditional extubation criteria but is confined to highly selective group of patients. PMID: 29652272 [PubMed - in process]
Source: Annals of Cardiac Anaesthesia - April 1, 2018 Category: Anesthesiology Authors: Nagre AS, Jambures NP Tags: Ann Card Anaesth Source Type: research

Tissue oximetry during cardiac surgery and in the cardiac intensive care unit: A prospective observational trial.
Conclusions: Tissue oximetry at the paraspinal muscle correlates with cerebral oximetry values while at the arm does not. Further research is needed to evaluate the role of tissue oximetry on outcomes such as acute renal failure, prolonged need for mechanical ventilation, stroke, vascular ischemic complications, prolonged ICU and hospital length of stay, and mortality in cardiac surgery. PMID: 30333329 [PubMed - in process]
Source: Annals of Cardiac Anaesthesia - October 1, 2018 Category: Anesthesiology Authors: Heller BJ, Deshpande P, Heller JA, McCormick P, Lin HM, Huang R, Fischer G, Weiner MM Tags: Ann Card Anaesth Source Type: research

Hypertension Guidelines: Does JNC 8 Represent a Paradigm Shift?
Author: Hassaan Yasin1Affiliation: [1] Dow Medical College, Dow University of Health Sciences, Karachi, PakistanHypertension is the most commonly encountered medical condition in clinical setting. Being a risk factor for myocardial infarction, stroke, and chronic renal failure, it…The postHypertension Guidelines: Does JNC 8 Represent a Paradigm Shift? appeared first onJPMS.
Source: Journal of Pakistan Medical Students - August 3, 2014 Category: Universities & Medical Training Authors: raahim khan Source Type: research