Filtered By:
Specialty: General Medicine
Education: Lessons
This page shows you your search results in order of relevance.
Order by Relevance | Date
Total 108 results found since Jan 2013.
National Sentinel Stroke Audit 1998-2011.
This article describes the achievements of the NSSA and the -lessons learned.
PMID: 24115698 [PubMed - as supplied by publisher]
Source: Clinical Medicine - October 1, 2013 Category: Journals (General) Authors: Cloud G, Hoffman A, Anthony Rudd on behalf of the Intercollegiate Stroke Working Party Tags: Clin Med Source Type: research
Lessons from Severe Acute Respiratory Syndrome Coronavirus 2003 Pandemic as Evidence to Advocate for Stroke Public Education During the Current Coronavirus Disease 2019 Pandemic.
CONCLUSIONS: During the SARS pandemic, there was a reduction in the number of stroke admissions, and this was apparent during both the local SARS and worldwide SARS outbreak periods. We should take appropriate steps through public education to minimise the expected reduced stroke admissions during the COVID-19 pandemic, inferred from the findings during the SARS pandemic.
PMID: 33164023 [PubMed - in process]
Source: Ann Acad Med Singapo... - August 1, 2020 Category: General Medicine Authors: Riandini T, Tan KB, De Silva DA Tags: Ann Acad Med Singap Source Type: research
Rehabilitation for improving automobile driving after stroke.
CONCLUSIONS: There was insufficient evidence to reach conclusions about the use of rehabilitation to improve on-road driving skills after stroke. We found limited evidence that the use of a driving simulator may be beneficial in improving visuocognitive abilities, such as road sign recognition that are related to driving. Moreover, we were unable to find any RCTs that evaluated on-road driving lessons as an intervention. At present, it is unclear which impairments that influence driving ability after stroke are amenable to rehabilitation, and whether the contextual or remedial approaches, or a combination of both, are more...
Source: Cochrane Database of Systematic Reviews - February 25, 2014 Category: Journals (General) Authors: George S, Crotty M, Gelinas I, Devos H Tags: Cochrane Database Syst Rev Source Type: research
Stroke survivors', caregivers' and GPs' attitudes towards a polypill for the secondary prevention of stroke: a qualitative interview study
Conclusions
Participants acknowledged potential advantages in a polypill approach for secondary prevention of stroke; however, significant concerns remain. Further research on the efficacy of a polypill is needed to reassure practitioners whose concerns around inflexibility and treatment suitability are likely to influence the decision to prescribe a polypill for secondary prevention of stroke. Acceptability among survivors, caregivers and GPs is likely to determine the uptake and subsequent use of a polypill in the future.
Source: BMJ Open - May 12, 2016 Category: Journals (General) Authors: Jamison, J., Graffy, J., Mullis, R., Mant, J., Sutton, S. Tags: Open access, Cardiovascular medicine, Qualitative research Source Type: research
Innovations in major system reconfiguration in England: a study of the effectiveness, acceptability and processes of implementation of two models of stroke care
This study will analyse processes involved in making significant changes to stroke care services over a short time period, and the factors influencing these processes. We will examine whether the changes have delivered improvements in quality of care and patient outcomes; and, in light of this, whether the significant extra financial investment represented good value for money.
Methods:
This study brings together quantitative data on 'what works and at what cost?' with qualitative data on 'understanding implementation and sustainability' to understand major system change in two large conurbations in England. Data on proces...
Source: BioMed Central - January 5, 2013 Category: Journals (General) Authors: Naomi FulopRuth BoadenRachael HunterChristopher McKevittSteve MorrisNanik PursaniAngus IG RamsayAnthony G RuddPippa J TyrrellCharles Wolfe Source Type: research
The value of patient selection in demonstrating treatment effect in stroke recovery trials: Lessons from the CHIMES Study of MLC601 (NeuroAiD)
ConclusionsPatients who have moderately severe strokes and longer OTT demonstrate better treatment effects with MLC601. These factors can guide patient selection in future trials.This article is protected by copyright. All rights reserved
Source: Journal of Evidence-Based Medicine - May 1, 2015 Category: Journals (General) Authors: Narayanaswamy Venketasubramanian, Chun Fan Lee, K.S. Lawrence Wong, Christopher L. H. Chen Tags: ORIGINAL ARTICLE Source Type: research
SARS ‐CoV2 disease seen through the prism of acutely decompensated chronic kidney disease and ischemic stroke: What lesson we have learned from using prophylaxis therapy of vascular thromboembolism?
Our case underlines the tight management of antithrombotic therapy in the context of acutely decompensated chronic kidney disease, ischemic stroke, and SARS ‐CoV2 infection, the development of stroke as a SARS‐CoV2 complication increase the chances of adverse outcomes that may be mitigated by a rapid recognition and institution of available treatments. AbstractOur case underlines the tight management of antithrombotic therapy in the context of acutely decompensated chronic kidney disease, ischemic stroke, and SARS ‐CoV2 infection, the development of stroke as a SARS‐CoV2 complication increase the chances of adverse...
Source: Clinical Case Reports - October 7, 2020 Category: General Medicine Authors: Asmaa Hazim,
Jehanne Aasfara,
Ilham Slassi,
Bernard Canaud,
Amal Haoudar,
Abdelhamid Naitlhou,
Chafik El Kettani Tags: CASE REPORT Source Type: research
A review of decision support, risk communication and patient information tools for thrombolytic treatment in acute stroke: lessons for tool developers
Conclusions:
Tools to support decision making or patient understanding in the treatment of acute stroke with thrombolysis have been sub-optimally developed. Development of tools should utilise mixed methods and strategies to meaningfully involve clinicians, patients and their relatives in an iterative design process; include evidence-based methods to augment interpretability of textual and probabilistic information (e.g. graphical displays showing natural frequencies) on the full range of outcome states associated with available options; and address patients with different levels of health literacy. Implementation of tools...
Source: BMC Health Services Research - June 18, 2013 Category: Journals (General) Authors: Darren FlynnGary FordLynne StobbartHelen RodgersMadeleine MurtaghRichard Thomson Source Type: research
Blunt traumatic injury of the innominate artery resulting in a stroke – A rare presentation
We present a case of traumatic injury of the innominate artery resulting in an ischemic stroke. Case presentation A 20-year-old gentleman ejected from a two wheeler and run over by a truck presented to us with multiple bleeding facial wounds and severe crush injury of his upper torso. Bedside chest X-ray revealed a widened mediastinum and multiple rib fractures with pneumothoraces bilaterally which were drained with intercostal tubes. An hour into his stay in the ED he developed left hemiparesis. CT brain showed infarcts in right temporo-parietal and occipital regions. CT angiogram of neck vessels revealed an avulsion inj...
Source: Apollo Medicine - October 23, 2014 Category: Journals (General) Source Type: research
What happens when someone gets heat stroke? TED-Ed video
Have you ever suffered from exertional heat stroke? This condition is caused by intense activity in the heat and is one of the top three killers of athletes and soldiers in training. Douglas J. Casa explains heat stroke's tremendous effects on the human body and details an action plan in case it ever happens to someone you know.Lesson by Douglas J. Casa, animation by Cinematic.
Posted at Clinical Cases and Images. Stay updated and subscribe, follow us on Twitter and connect on Facebook.
Source: Clinical Cases and Images - July 14, 2015 Category: Journals (General) Tags: Sports Source Type: news
Lesson of the month. (2). Stroke in a 53-year-old woman: getting to the heart of the problem. Diagnosis. LA myxoma.
PMID: 23472507 [PubMed - indexed for MEDLINE]
Source: Clinical Medicine - February 1, 2013 Category: Journals (General) Authors: Pearce AW, Rana BS, O'Donovan DG Tags: Clin Med Source Type: research
Lesson of the month (2): All that glitters is not stroke.
PMID: 24715138 [PubMed - in process]
Source: Clinical Medicine - March 1, 2014 Category: Journals (General) Authors: Saggu J, Young F, Kuravi A Tags: Clin Med Source Type: research
A tennis lesson: sharp practice in the science behind the Sharapova case
Maria Sharapova (and hundreds of other elite athletes) took meldonium, a drug developed at the time of the USSR for the treatment of heart attack and stroke, though it has never been approved for use anywhere outside of the former Soviet Union. Meldonium is an inhibitor of -butyrobetaine hydroxylase, an enzyme involved in the carnitine biosynthetic pathway.1 Intake results in a reduction of tissue carnitine content, including the heart and skeletal muscles. Carnitine plays a critical role in transferring long-chain fatty acids across mitochondrial inner membrane into the mitochondrial matrix, to enable entry of the fatty a...
Source: Postgraduate Medical Journal - July 25, 2016 Category: Journals (General) Authors: Arduini, A., Zammit, V. A. Tags: Cardiomyopathy, Open access, Drugs: infectious diseases, Drugs: cardiovascular system, Epilepsy and seizures, Stroke, Interventional cardiology, Ischaemic heart disease, Diabetes, Metabolic disorders, Occupational and environmental medicine Editorials Source Type: research
A lesson on induction of hypothermia and measurement of efficacy
Brain injuries caused by stroke are common and costly in human and resource terms. The result of stroke is a cascade of molecular and physiological derangement, cell death, damage and inflammation in the brain. This, together with infection, if present, commonly results in patients having an increased temperature, which is associated with worse outcome. The usual clinical goal in stroke is therefore to reduce temperature to normal, or below normal (hypothermia) to reduce swelling if brain pressure is increased. However, research evidence does not yet conclusively show whether or not cooling patients after stroke improves t...
Source: BioMed Central - December 22, 2014 Category: Journals (General) Authors: Bridget A HarrisPeter Andrews Source Type: research
Recruiting to inpatient-based rehabilitation trials: lessons learned
Recruitment to clinical trials is often challenging. A multi-center RCT recruiting stroke rehabilitation patients identified that the most successful strategies included using inclusive recruitment, ‘watchful waiting’, and structured engagement with the whole stroke multi-disciplinary team.
Source: Trials - March 4, 2015 Category: Journals (General) Authors: Sarah TysonNessa ThomasAndy VailPippa Tyrrell Source Type: research
