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Stroke risk in treatment of type 2 diabetes in China: a 7 year retrospective cohort study
Publication date: November 2016 Source:The Lancet Diabetes & Endocrinology, Volume 4, Supplement 1 Author(s): Rui Liu, Qing Wang, Vivian Szeto, Andrew Barszczyk, Tianru Jin, Edoardo Mannucci, Hong-Shuo Sun, Zhong-Ping Feng Background Diabetes and stroke are leading causes of death and disability, and major public health concerns in China, which accounts for 25% of patients with diabetes worldwide. Type 2 diabetes is an independent risk factor for cerebral ischaemia and accounts for about 20% of stroke cases. We previously showed that KATP channel activation provides neuroprotection against cerebral ischaemia and t...
Source: The Lancet Diabetes and Endocrinology - November 17, 2016 Category: Endocrinology Source Type: research

Intraosseous Administration of Tissue Plasminogen Activator on a Mobile Stroke Unit.
We describe 3 cases in which tPA was administered via IO access on a mobile stroke unit as part of the Benefits of Stroke Treatment Delivered Using a Mobile Stroke Unit Compared to Standard Management by Emergency Medical Services (BEST-MSU) trial. No adverse events were observed in the process of obtaining IO access or administering tPA. PMID: 30235055 [PubMed - as supplied by publisher]
Source: Prehospital Emergency Care - September 21, 2018 Category: Endocrinology Tags: Prehosp Emerg Care Source Type: research

The Association between Presentation by EMS and EMS Prenotification with Receipt of Intravenous Tissue-type Plasminogen Activator in a State Implementing Stroke Systems of Care.
Authors: Nielsen VM, Dejoie-Stanton C, Song G, Christie A, Guo J, Zachrison KS Abstract Collaboration between emergency medical services (EMS) and hospitals receiving stroke patients is critical to ensure prompt, effective treatment, and is a key component of the stroke systems of care (SSoC). The goal of our study was to evaluate the association between presentation by EMS and EMS prenotification with odds of receiving Tissue-type Plasminogen Activator (IV-tPA) in a state implementing SSoC while rigorously accounting for missing data. We utilized data from the Massachusetts Paul Coverdell Stroke Registry for this ...
Source: Prehospital Emergency Care - September 8, 2019 Category: Endocrinology Tags: Prehosp Emerg Care Source Type: research

Out-of-Hospital Cold Water Immersion for Classic (Non-Exertional) Heat Stroke Guided by Real-time Core Temperature Monitoring: A Case Series
Prehosp Emerg Care. 2022 Nov 15:1-11. doi: 10.1080/10903127.2022.2148795. Online ahead of print.ABSTRACTHeat stroke is a problem that occurs primarily in the out-of-hospital environment. "Cool first, transport second" has been emphasized in consensus statements and systematic reviews regarding the treatment of exertional heat stroke by both EMS and the sports medicine/athletic training communities. However, there remains little guidance on cooling recommendations for the out-of-hospital care of non-exertional heat stroke or classic heat stroke. There is no consensus on the safety or feasibility of cooling classic heat stro...
Source: Prehospital Emergency Care - November 15, 2022 Category: Endocrinology Authors: Ryan C Jacobsen Bryan Beaver Benjamin Abo Source Type: research

Out-of-Hospital Cold Water Immersion for Classic (Non-Exertional) Heat Stroke Guided by Real-Time Core Temperature Monitoring: A Case Series
Prehosp Emerg Care. 2022 Nov 29:1-6. doi: 10.1080/10903127.2022.2148795. Online ahead of print.ABSTRACTHeat stroke is a problem that occurs primarily in the out-of-hospital environment. "Cool first, transport second" has been emphasized in consensus statements and systematic reviews regarding the treatment of exertional heat stroke by both EMS and the sports medicine/athletic training communities. However, there remains little guidance on cooling recommendations for the out-of-hospital care of non-exertional heat stroke or classic heat stroke. There is no consensus on the safety or feasibility of cooling classic heat strok...
Source: Prehospital Emergency Care - November 15, 2022 Category: Endocrinology Authors: Ryan C Jacobsen Bryan Beaver Benjamin Abo Source Type: research

Vitamin D deficiency and its characteristics among patients with acute stroke at a national referral hospital in Kampala Uganda
Background: Vitamin D deficiency has been associated with acute stroke and other cardiovascular diseases in the developed world. Low 25-hydroxyvitamin D (25OHD) has been described in some populations in Sub-Saharan Africa (SSA) in spite of adequate sunshine all year round. There is no information on the magnitude of vitamin D deficiency among patients with stroke and other cardiovascular diseases in Uganda or SSA. The aim of this study was to determine the burden and characteristics of vitamin D deficiency among patients with acute stroke, the most common form of cardiovascular events in SSA. Methods: We conducted a cross-...
Source: BMC Endocrine Disorders - October 5, 2015 Category: Endocrinology Authors: Daniel KiggunduEdrisa MutebiDavis KibirigeRebecca BoxerBarbara KakandeBrian KigoziElly Katabira Source Type: research

Alteration of Thyroid-Related Hormones within Normal Ranges and Early Functional Outcomes in Patients with Acute Ischemic Stroke.
This study evaluated the prognostic value of thyroid-related hormones within normal ranges after acute ischemic stroke. This was a retrospective study and we reviewed 1072 ischemic stroke patients consecutively admitted within 72 h after symptom onset. Total triiodothyronine (T3), total thyroxine (T4), free T3, free T4, and thyroid-stimulating hormone (TSH) were assessed to determine their values for predicting functional outcome at the first follow-up clinic visits, which usually occurred 2 to 4 weeks after discharge from the hospital. 722 patients were finally included. On univariate analysis, poor functional outcome w...
Source: International Journal of Endocrinology - July 6, 2016 Category: Endocrinology Tags: Int J Endocrinol Source Type: research

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