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Total 120 results found since Jan 2013.

Stroke vision, aphasia, neglect (VAN) assessment--a novel emergent large vessel occlusion screening tool: pilot study and comparison with current clinical severity indices
Conclusions The VAN screening tool accurately identified ELVO patients and outperformed a NIHSS ≥6 severity threshold and may best allow clinical teams to expedite care and mobilize resources for ELVO patients. A larger study to both validate this screening tool and compare with others is warranted.
Source: Journal of NeuroInterventional Surgery - January 12, 2017 Category: Neurosurgery Authors: Teleb, M. S., Ver Hage, A., Carter, J., Jayaraman, M. V., McTaggart, R. A. Tags: Open access, Ischemic stroke Source Type: research

Inter-Rater Variability for Evaluation of ASPECT Score Between a Neurologist and Neuroradiologist in Acute Stroke Patients (P6.020)
Conclusion Inter-rater agreement of evaluation early acute CT ischemic changes in acute-stroke patients between a neurologist and neuroradiologist was almost perfect. That could improve management of the acute stroke and mechanical thrombectomy care. It would support the faster activation of the thrombectomy team, leading to shorter door-to-needle- times and eventually, better outcomes.Disclosure: Dr. Kral has nothing to disclose. Dr. Bar has nothing to disclose. Dr. Jonszta has nothing to disclose. Dr. Marcian has nothing to disclose. Dr. Kuliha has nothing to disclose.
Source: Neurology - April 3, 2016 Category: Neurology Authors: Kral, J., Bar, M., Jonszta, T., Marcian, V., Kuliha, M. Tags: Ischemic Stroke Diagnosis Source Type: research

Multidisciplinar Team Ability to Decrease Door-To-Needle Time in Acute Ischemic Stroke - A Single Center Saudi Experience (P6.053)
Conclusions: Implementation of modified stroke code process utilizing quality improvement paradigm of PDSA cycles have resulted in significant decrease in door-to-needle time for IV thrombolysis. Although, the target DTN of 60 minutes was not reached, the trend is favorable with improved outcomes. Disclosure: Partly presented at 5th Annual KAIMRC Forum, September, 2014, Jeddah, Saudi ArabiaDisclosure: Dr. Khatri has nothing to disclose. Dr. Khathaami has nothing to disclose. Dr. Alhamouieh has nothing to disclose. Dr. Abulaban has nothing to disclose. Dr. Scriven has nothing to disclose. Dr. Tarawneh has nothing to disclos...
Source: Neurology - April 3, 2016 Category: Neurology Authors: Khatri, I., Khathaami, A., Alhamouieh, O., Abulaban, A., Scriven, S., Tarawneh, M., Alrasheed, D., AlSomali, S., Catangui, E., Manalili, C., Ghadalla, A., Alanizi, A., Kojan, S. Tags: Prehospital Stroke Care and Uses of NIHSS Source Type: research

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

Stroke systems of care in the Philippines: Addressing gaps and developing strategies
In the Philippines, the mortality from stroke during the last 10 years remains high. This paper aims to describe the gaps in stroke care and the development of stroke systems of care in the Philippines. Gaps in stroke systems of care include low number of neurologist, inadequate CT scan machines, lack of stroke training among health workers, lack of stroke protocols and pathways, poor community stroke awareness, low government insurance coverage with high out of pocket medical expenses, lack of infrastructure for EMS, inadequate acute stroke ready hospitals, stroke units and rehabilitation facilities. Although there are go...
Source: Frontiers in Neurology - November 24, 2022 Category: Neurology Source Type: research

Identification of acute stroke using quantified brain electrical activity.
CONCLUSIONS: Despite a small population and the use of a classifier without the benefit of training on a stroke population, these data suggest that a rapidly acquired, easy-to-use system to assess brain electrical activity at the time of evaluation of acute stroke could be a valuable adjunct to current clinical practice. PMID: 25565489 [PubMed - in process]
Source: Accident and Emergency Nursing - January 1, 2015 Category: Emergency Medicine Authors: Michelson EA, Hanley D, Chabot R, Prichep LS Tags: Acad Emerg Med Source Type: research

Pre-hospital stroke screening and notification of patients with reperfusion-eligible acute ischaemic stroke using modified Face Arm Speech Time test.
CONCLUSION: Implementation of pre-hospital stroke screening using criteria based on a modified version of the FAST test, together with pre-arrival notification, significantly shortened the door-to-reperfusion therapy time for patients with ischaemic stroke. Pre-hospital stroke screening during ambulance transport by EMS personnel who complete a 2-hour focused training session is effective for identifying reperfusion-eligible patients with stroke. PMID: 33284132 [PubMed - as supplied by publisher]
Source: Hong Kong Med J - December 7, 2020 Category: General Medicine Authors: Leung WCY, Teo KC, Kwok WM, Lam LHC, Choi OMY, Tse MMY, Lui WM, Tsang TC, Tsang ACO Tags: Hong Kong Med J Source Type: research

Identification of Acute Stroke Using Quantified Brain Electrical Activity
ConclusionsDespite a small population and the use of a classifier without the benefit of training on a stroke population, these data suggest that a rapidly acquired, easy‐to‐use system to assess brain electrical activity at the time of evaluation of acute stroke could be a valuable adjunct to current clinical practice.
Source: Academic Emergency Medicine - January 6, 2015 Category: Emergency Medicine Authors: Edward A. Michelson, Daniel Hanley, Robert Chabot, Leslie S. Prichep Tags: Original Contribution Source Type: research

A comparison of benign positional vertigo and stroke patients presenting to the emergency department with vertigo or dizziness
ConclusionsImaging utilization in BPPV patients presenting with VDS is high. The profile of patients with BPPV that received imaging was substantially more benign than that of stroke patients (a quarter had no neurologic symptoms, exam findings, or stroke RFs). The HINTS exam was underutilized, and computed tomography was heavily utilized despite well-established limitations in diagnosing posterior circulation strokes. This study highlights the need for increased training in the HINTS exam, narrowing of the scope for computed tomography, and a higher threshold for imaging patients with isolated VDS.
Source: American Journal of Otolaryngology - July 9, 2019 Category: Endocrinology Source Type: research

Using stroke thrombolysis to describe the role of repetition in learning a cognitive skill
ConclusionsAccruing sufficient experience of a new cognitive clinical skill can be challenging for independent physicians, with expertise gradually emerging in a largely linear fashion only after much repetition.
Source: Medical Education - January 26, 2016 Category: Universities & Medical Training Authors: Christopher A K Y Chong Tags: Repetition ‐Based Learning Source Type: research

Urgent stroke care in hospitals with a stroke unit. Quick Project.
CONCLUSION: The percentage of patients treated with thrombolysis was very high and although the times of the in-hospital circuits were good, there is still room for further improvement. PMID: 26988168 [PubMed - in process]
Source: Revista de Neurologia - March 20, 2016 Category: Neurology Authors: Masjuan J, Alvarez-Sabin J, Arias-Rivas S, Blanco M, de Felipe A, Escudero-Martinez I, Fuentes B, Gallego-Cullere J, Moniche-Alvarez F, Munoz L, Perez de la Ossa-Herrero N, Sahuquillo P, Santamarina E, Sanz B, Tembl JI, Zandio B Tags: Rev Neurol Source Type: research

Early identification of ischemic stroke in noncontrast computed tomography
Publication date: July 2019Source: Biomedical Signal Processing and Control, Volume 52Author(s): Guoqing Wu, Jixian Lin, Xi Chen, Zeju Li, Yuanyuan Wang, Jing Zhao, Jinhua YuAbstractEarly identification of stroke is critical for the treatment and subsequent recovery. Non-contrast computed tomography (ncCT) is a routinely employed imaging modality for stroke evaluation. However, the early identification of stroke in ncCT images is very difficult, since there are subtle differences between lesion and healthy tissue during the hyperacute phase. In this paper, an image patch classification-based method was developed to detect ...
Source: Biomedical Signal Processing and Control - March 28, 2019 Category: Biomedical Science Source Type: research

Rapid Assessment of Acute Ischemic Stroke by Computed Tomography Using Deep Convolutional Neural Networks
This study proposes an automatic identification scheme for acute ischemic stroke using deep convolutional neural networks (DCNNs) based on non-contrast computed tomographic (NCCT) images. Our image database for the classification model was composed of 1254 grayscale NCCT images from 96 patients (573 images) with acute ischemic stroke and 121 normal controls (681 images). According to the consensus of critical stroke findings by two neuroradiologists, a gold standard was established and used to train the proposed DCNN using machine-generated image features. Including the earliest DCNN, AlexNet, the popular Inception-v3, and...
Source: Journal of Digital Imaging - May 7, 2021 Category: Radiology Source Type: research

Telemedicine remote controlled stroke evaluation and treatment, the experience of radiographers, paramedics and junior doctors in a novel rural stroke management team
CONCLUSIONS: The telemedicine-based, remote controlled, stroke evaluation and treatment was experienced, by the participants, to be well organised and of high quality. Communication and image reading appear to be the salient challenges. Regular training sessions and follow-up, as well as an evaluation of incidents by the project manager, proved to be of great importance in retaining and securing the continued running of the service and ensuring high-quality treatment. Further research is indicated in the comparison of this telemedicine service with stroke treatment given in a mainstream hospital.PMID:34090447 | DOI:10.1186/s12913-021-06591-1
Source: Rural Remote Health - June 6, 2021 Category: Rural Health Authors: Elin Kjelle Aud Mette Myklebust Source Type: research