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Modafinil for the Improvement of Patient Outcomes Following Traumatic Brain Injury
Conclusion. Modafinil is a central nervous system stimulant with well-established effectiveness in the treatment of narcolepsy and shift-work sleep disorder. There is conflicting evidence about the benefits of modafinil in the treatment of fatigue and EDS secondary to TBI. One randomized, controlled study states that modafinil does not significantly improve patient wakefulness, while another concludes that modafinil corrects EDS but not fatigue. An observational study provides evidence that modafinil increases alertness in fatigued patients with past medical history of brainstem diencephalic stroke or multiple sclerosis. ...
Source: Innovations in Clinical Neuroscience - April 1, 2018 Category: Neuroscience Authors: ICNS Online Editor Tags: Current Issue Review excessive daytime sleep fatigue head injury modafinil stroke TBI traumatic brain injury Source Type: research

Risk of stroke among patients with post-traumatic stress disorder: nationwide longitudinal study.
Conclusions Individuals with PTSD have an increased risk of developing any stroke and ischaemic stroke. Further studies are required to investigate the underlying mechanisms. PMID: 25698764 [PubMed - as supplied by publisher]
Source: The British Journal of Psychiatry for Mental Science - February 25, 2015 Category: Psychiatry Tags: Br J Psychiatry Source Type: research

Risk of stroke among patients with post-traumatic stress disorder: nationwide longitudinal study PAPERS
Conclusions Individuals with PTSD have an increased risk of developing any stroke and ischaemic stroke. Further studies are required to investigate the underlying mechanisms.
Source: The British Journal of Psychiatry - April 1, 2015 Category: Psychiatry Authors: Chen, M.-H., Pan, T.-L., Li, C.-T., Lin, W.-C., Chen, Y.-S., Lee, Y.-C., Tsai, S.-J., Hsu, J.-W., Huang, K.-L., Tsai, C.-F., Chang, W.-H., Chen, T.-J., Su, T.-P., Bai, Y.-M. Tags: PAPERS Source Type: research

Post-traumatic stress disorder was associated with a threefold increased risk for stroke in a Taiwanese National Health Insurance Database
ABSTRACT FROM: Chen MH, Pan TL, Li CT, et al. Risk of stroke among patients with post-traumatic stress disorder: nationwide longitudinal study. Br J Psychiatry 2015;206:302–7. What is already known on this topic People with post-traumatic stress disorder (PTSD) are more likely to have psychiatric comorbidities and cardiovascular risk factors, including diabetes mellitus, hypertension, smoking and dyslipidemia.1 2 While stroke can trigger PTSD,3 prior to this study it was not known whether PTSD increases the risk for stroke. Methods of the study This was a longitudinal follow-up study to assess for development of stro...
Source: Evidence-Based Mental Health - October 22, 2015 Category: Psychiatry & Psychology Authors: Goldfinger, J. Z. Tags: Electronic pages Source Type: research

Association of stroke subtypes with risk of hip fracture: a population-based study in Taiwan - Zheng JQ, Lai HJ, Zheng CM, Yen YC, Lu KC, Hu CJ, Lee HH, Wang YH.
This study aimed to investigate the association of stroke subtypes and hip fracture by using the Taiwan National Health Insurance Research Database. Significantly higher risks of hip fracture were found fo...
Source: SafetyLit - November 27, 2017 Category: International Medicine & Public Health Tags: Economics of Injury and Safety, PTSD, Injury Outcomes Source Type: news

A marginal structural model to estimate the effect of antidepressant medication treatment on major cardiovascular events among people with post-traumatic stress disorder
CONCLUSIONS: In a national cohort of people with PTSD, exposure to antidepressant medications increased the risk of MACE in a dose-response fashion.PMID:37485701 | DOI:10.1017/S0033291723001873
Source: Psychological Medicine - July 24, 2023 Category: Psychiatry Authors: Kwanghyun Kim Sunghyuk Kang Chung Mo Nam Robert Stewart Alexander C Tsai Sun Jae Jung Source Type: research

The Quality Of Health Care You Receive Likely Depends On Your Skin Color
Unequal health care continues to be a serious problem for black Americans. More than a decade after the Institute of Medicine issued a landmark report showing that minority patients were less likely to receive the same quality health care as white patients, racial and ethnic disparities continue to plague the U.S. health care system. That report, which was published in 2002, indicated that even when both groups had similar insurance or the same ability to pay for care, black patients received inferior treatment to white patients. This still hold true, according to our investigation into dozens of studies about black health...
Source: Healthy Living - The Huffington Post - June 29, 2015 Category: Consumer Health News Source Type: news

COVID-19 Care Will Not End at Discharge —Government Help for the Uninsured Shouldn’t Either
Our patient had spent nearly a month on a ventilator, his lungs so diseased that every effort to allow him to breathe on his own had failed. And then, finally, he improved and the tube came out – he needed only oxygen from a mask. Now, he breathes without difficulty on his own. But that is far from the whole story. Once off the ventilator, our patient – a previously healthy man in his 40s – was for a time unable to speak aside from occasional unintelligible sounds. Nor could he move his arms or legs. Happily, he has since recovered some of his ability to speak and move, but we still do not know how long-l...
Source: TIME: Health - May 15, 2020 Category: Consumer Health News Authors: Clifford Marks Tags: Uncategorized COVID-19 Source Type: news