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Prehospital Factors Associated with Stroke Misdiagnosis by EMS Providers (S35.006)
Conclusions: LICH EMS providers missed 41% of strokes and our findings suggest that greater clinical suspicion for stroke should be exercised in patients who have a higher prehospital systolic blood pressure, who have a dispatch call of stroke, past medical history of diabetes or stroke and in those who are unconscious.Study support: NIH grants 1U01NS044364, R01 HL096944, 1U10NS077378 and 1U10NS080377.Disclosure: Dr. Brandler has nothing to disclose. Dr. Sharma has nothing to disclose. Dr. Helzner has nothing to disclose. Dr. Levine has received personal compensation in an editorial capacity for MedLink. Dr. Levine has rec...
Source: Neurology - April 9, 2014 Category: Neurology Authors: Brandler, E., Sharma, M., Helzner, E., Levine, S. Tags: Cerebrovascular Disease and Interventional Neurology: Issues in Acute Treatment Source Type: research

Differences in lipid profiles in two Hispanic ischemic stroke populations
ConclusionWe found significant differences in lipid fractions in Hispanic ischemic stroke patients, with lower total cholesterol and low‐density lipoprotein, and higher triglyceride levels in Mexicans. These findings highlight the heterogeneity of dyslipidemia among the Hispanic race‐ethnic group and may lead to different secondary prevention strategies.
Source: International Journal of Stroke - December 20, 2013 Category: Neurology Authors: A. Arauz, J. G. Romano, A. Ruiz‐Franco, T. Shang, C. Dong, T. Rundek, S. Koch, B. Hernández‐Curiel, J. Pacheco, P. Rojas, F. Ruiz‐Navarro, M. Katsnelson, R. L. Sacco Tags: Research Source Type: research

Awareness of diabetes mellitus among diabetic patients in the Gambia: a strong case for health education and promotion
Conclusion: Our study shows that the majority of patients attending the MOPD have poor knowledge on several aspects of DM. Hence, there is need for conscious efforts towards improving the level of awareness through health education and promotion, not limited to the hospital but also within the general population, as part of strategies to prevent, manage and control DM.
Source: BMC Public Health - Latest articles - December 5, 2013 Category: Consumer Health News Authors: Mafomekong FomaYauba SaiduSameeh OmolekeJames Jafali Source Type: research

"Addressing the impact of stroke risk factors in a case control study in tertiary care hospitals": a case control study in Tertiary Care Hospitals of Peshawar, Khyber Phukhtoonkhwa (KPK) Pakistan
Conclusion: Hypertension, Smoking, diabetes, sedentary lifestyle and cardiac problems have strong correlations and association with Stroke and are the major risk factors of stroke. Prevention of these risk factors can lead to decrease in the incidence of stroke. B.M.I, diet, stress and family history of stroke had no significant association.
Source: BMC Research Notes - July 12, 2013 Category: Research Authors: Syed ShahSyed ShahSaima KhanShahzad RehmanZakir KhanWisal AhmedZubair Source Type: research

Rationale and Methodology of the Impact of Continuous Positive Airway Pressure on Patients With ACS and Nonsleepy OSA: The ISAACC Trial
ConclusionsThe ISAACC trial will contribute to evaluating the effect of CPAP treatment on cardiovascular events in patients with ACS and OSA.
Source: Clinical Cardiology - July 10, 2013 Category: Cardiology Authors: Cristina Esquinas, Manuel Sánchez‐de‐la Torre, Albina Aldomá, Marina Florés, Montserrat Martínez, Antonia Barceló, Ferran Barbé, Tags: Trial Design Source Type: research

Race/ethnic differences in obstructive sleep apnea risk in patients with acute ischemic strokes in south Florida.
DISCUSSION: We observed higher frequency of patients at high risk for OSA in Hispanics with acute ischemic strokes in South Florida. PMID: 23771345 [PubMed - as supplied by publisher]
Source: Sleep and Breathing - June 15, 2013 Category: Sleep Medicine Authors: Ramos AR, Guilliam D, Dib SI, Koch S Tags: Sleep Breath Source Type: research

Factors Associated With Length of Hospitalization in Patients Admitted With Transient Ischemic Attack in United States Clinical Sciences
Conclusions— Approximately 75% of patients admitted with transient ischemic attack stay in the hospital for ≥2 days, with the most important determinants being pre-existing medical comorbidities. Longer duration of hospital stay is associated with 2- to 5-fold greater hospitalization charges.
Source: Stroke - May 24, 2013 Category: Neurology Authors: Qureshi, A. I., Adil, M. M., Zacharatos, H., Suri, M. F. K. Tags: Transient Ischemic Attacks Clinical Sciences Source Type: research

Pineal Calcification Is Associated with Symptomatic Cerebral Infarction
Conclusions: Pineal calcification may be a potential new contributor to cerebral infarction.
Source: Journal of Stroke and Cerebrovascular Diseases - February 22, 2013 Category: Neurology Authors: Amnat Kitkhuandee, Kittisak Sawanyawisuth, Nutjaree Pratheepawanit Johns, Jaturat Kanpittaya, Jeffrey Johns Tags: Original Articles Source Type: research

Increased Hemoglobin A1c Level Is Associated with Decreased Hematoma Volume in Patients with Spontaneous Intracerebral Hemorrhage (P03.176)
CONCLUSIONS: Our data showed inverse correlation between HbA1c levels and BHV. This contradiction may suggest that acute hyperglycemia in response to acute stress is the effect rather than cause of severe ICH. Further studies to determine if increased HbA1c levels lead to the early activation of clotting factors in ICH patients, or increased HbA1c levels lead to changes in the structure of the vessel wall is warranted.Disclosure: Dr. Mehta has nothing to disclose. Dr. Dass has nothing to disclose. Dr. Moussavi has nothing to disclose. Dr. Sodhi has nothing to disclose. Dr. Nizam has nothing to disclose. Dr. Korya has nothi...
Source: Neurology - February 14, 2013 Category: Neurology Authors: Mehta, S., Dass, P., Moussavi, M., Sodhi, R., Nizam, A., Korya, D., Dababneh, H., Ibrahim, M., Kirmani, J. Tags: P03 Cerebrovascular Disease III Source Type: research

Predictive Risk Factors of In-Hospital Mortality Following Acute Stroke in the United States: Data from the Nationwide Inpatient Database, 2006-2010 (P02.015)
CONCLUSIONS: The rate of in-hospital mortality is relatively high following acute stroke (8.42%). We identified multiple risk factors of in-hospital mortality in acute stroke patients. The strongest risk factor is the type stroke (hemorrhagic). The present finding suggests that patients at increased risk of mortality can be identified and additional treatment for prevention might be warranted.Disclosure: Dr. Naderi has nothing to disclose. Dr. Abcede has nothing to disclose. Dr. Al-Khoury has nothing to disclose. Dr. Mozaffar has received personal compensation for activities with California Stem Cell Inc., NuFactor, Cresce...
Source: Neurology - February 14, 2013 Category: Neurology Authors: Naderi, N., Abcede, H., Al-Khoury, L., Mozaffar, T., Jain, V. Tags: P02 Cerebrovascular Disease II Source Type: research

Disparities in Stroke Type and Vascular Risk Factors Between 2 Hispanic Populations in Miami and Mexico City
Conclusions: We found significant differences in the frequency of hypertension, diabetes, dyslipidemia, and atrial fibrillation in Miami Hispanics and Mexican stroke patients, highlighting the heterogeneity of the Hispanic ethnic group. Future studies are needed to clarify the relative contribution of genetic and environmental disparities amongst Mexican and Caribbean Hispanic stroke patients.
Source: Journal of Stroke and Cerebrovascular Diseases - July 2, 2012 Category: Neurology Authors: Jose G. Romano, Antonio Arauz, Sebastian Koch, Chuanhui Dong, Juan M. Marquez, Carol Artigas, Marlon Merlos, Bernardo Hernandez, Luis F. Roa, Tatjana Rundek, Ralph L. Sacco Tags: Original Articles Source Type: research

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