Filtered By:
Specialty: Primary Care

This page shows you your search results in order of relevance. This is page number 7.

Order by Relevance | Date

Total 1044 results found since Jan 2013.

Acute Stroke and Transient Ischemic Attack in the Outpatient Clinic
Ischemic stroke is cause of substantial death and disability in the United States. Transient ischemic attack, a precursor to ischemic stroke, conveys a high risk of recurrent stroke within 90  days from event. These conditions are highly preventable and treatable. The cause is heterogenous and includes atherothrombosis, cardioembolism, lacunar disease, or cryptogenic, and some uncommon causes, such as arterial dissection and prothrombotic states. The emergent evaluation includes establi shing time of onset, vital signs, glucose level, and severity of the deficit.
Source: Medical Clinics of North America - March 6, 2017 Category: Primary Care Authors: Salvador Cruz-Flores Source Type: research

Associations of endogenous estradiol and testosterone levels with plaque composition and risk of stroke in subjects with carotid atherosclerosis
Background: Carotid atherosclerosis remains an important etiological factor of ischemic stroke. Sex differences have been observed in carotid plaque composition and in stroke incidence. Sex steroids have been suggested to count for these sex differences, but the evidence in humans is limited. Therefore, we aimed to study the associations of endogenous estradiol and testosterone with carotid plaque composition in middle-aged and elderly men and postmenopausal women with carotid atherosclerosis, as well as with risk of stroke in this population.
Source: Maturitas - August 2, 2017 Category: Primary Care Authors: Marija Glisic, Blerim Mujaj, Oscar L. Rueda-Ochoa, Eralda Asllanaj, Joop S.E. Laven, Maryam Kavousi, M. Kamran Ikram, Meike W. Vernooij, M. Arfan Ikram, Oscar H. Franco, Daniel Bos, Taulant Muka Source Type: research

Cryptogenic stroke – how to make sense of a non-diagnostic entity
Ischaemic stroke is common, and the risk of recurrent stroke is high [1,2]. Secondary prevention strategies depend on the underlying aetiology. Approximately one third of ischaemic strokes remain unexplained or cryptogenic [3,4]. In this group, the widely accepted secondary preventive strategy consists of modification of vascular risk factors, and of treating patients with a combination of antiplatelet therapy, antihypertensive and lipid-lowering medication [1]. However, there is a wide range of possible underlying causes in cryptogenic stroke, and the best approach to secondary prevention of these may differ.
Source: Maturitas - January 11, 2019 Category: Primary Care Authors: Ursula G Schulz, D. Phil Source Type: research

Books: Brushstrokes. Thoughts, Poems and Reflections on Having Had a Small Stroke at 34 Years Old: Recovering from Stroke.
PMID: 31023689 [PubMed - in process]
Source: The British Journal of General Practice - April 28, 2019 Category: Primary Care Authors: Obe JG Tags: Br J Gen Pract Source Type: research

Stroke follow-up in primary care: a Norwegian modelling study on the implications of multimorbidity for guideline adherence
Specialized acute treatment and high-quality follow-up is meant to reduce mortality and disability from stroke. While the acute treatment for stroke takes place in hospitals, the follow-up of stroke survivors ...
Source: BMC Family Practice - October 18, 2019 Category: Primary Care Authors: Rune Aakvik Pedersen, Halfdan Petursson and Irene Hetlevik Tags: Research article Source Type: research

Stroke, Epilepsy, and Antiepileptic Drugs as the Etiology of Major Depressive Disorder: A Case Report and Review.
Authors: Almazan AN, Weisholtz DS, Almeida M Abstract Lateralized periodic discharges (LPDs) are a rare type of epileptiform activity. The authors of this brief report describe the association of LPDs with acute catastrophic depression in a previously healthy patient who had a series of neurobiological insults caused by a stroke and its treatment that led to the development of significant psychopathology. Through this case of new and debilitating depression that followed a recent stroke, subsequent development of LPDs, and treatment with levetiracetam, the authors highlight the complex interplay of structural, elec...
Source: The Primary Care Companion for CNS Disorders - April 16, 2020 Category: Primary Care Tags: Prim Care Companion CNS Disord Source Type: research

Validity and reliability of the Mandarin version of the Treatment Burden Questionnaire among stroke patients in Mainland China
ConclusionsThe Mandarin TBQ had acceptable validity and reliability. The use of TBQ in the assessment of treatment burden of stroke survivor may benefit health resources allocation and provide tailor therapeutic interventions to construct minimally disruptive care.
Source: Family Practice - February 22, 2021 Category: Primary Care Source Type: research

Stroke-like lesions in mitochondrial disease may resemble ischemic stroke
J Family Med Prim Care. 2021 Aug;10(8):3151-3153. doi: 10.4103/jfmpc.jfmpc_2314_20. Epub 2021 Aug 27.ABSTRACTThe patient is a 73-y-male who was referred after a fall without losing consciousness or secessus. Clinical exam revealed disorientation, ophthalmoparesis, hemianopia to the left, left hemineglect, hypoacusis, quadruparesis, general wasting, generally reduced tendon reflexes, mild rigor, occasional myoclonic jerks of the right lower limb, and ataxia of the left lower limb. Cerebral magnetic resonance imaging (MRI) showed a stroke-like lesion (SLL), generalized atrophy, white matter lesions, and ponsgliosis. The prev...
Source: Primary Care - October 18, 2021 Category: Primary Care Authors: Josef Finsterer Source Type: research

Wishing to die or self-harm after stroke: A planned secondary analysis of the AFFINITY Randomised Controlled Trial
Stroke is associated with adverse health outcomes, including self-harm [1]. Strokes double the risk of suicide attempts and increase the risk of death by suicide, although the quality of available evidence is low [2]. Suicide acts are commonly preceded by suicidal thoughts, although available studies have often relied on the use of administrative data, chart reviews, or one-off assessments of suicide ideation [2]. There is also uncertainty about whether the use of antidepressants after a stroke reduces the prevalence of post-stroke suicidal thoughts.
Source: Maturitas - August 31, 2022 Category: Primary Care Authors: Osvaldo P. Almeida, Graeme J. Hankey, Andrew Ford, Christopher Etherton-Beer, Leon Flicker, Maree Hackett, AFFINITY Trial Collaboration Tags: Short communication Source Type: research

Study protocol of a telephone problem-solving intervention for Spanish-speaking caregivers of veterans post-stroke: an 8-session investigator-blinded, two-arm parallel (intervention vs usual care), randomized clinical trial
Stroke is one of the leading causes of death and the main cause of long-term disability in the United States. The significant risk factors of stroke among Hispanics are well-documented. The majority of stroke ...
Source: BMC Family Practice - March 17, 2023 Category: Primary Care Authors: I. Magaly Freytes, Magda K. Schmitzberger, Naiomi Rivera-Rivera, Janet Lopez, Keryl Motta-Valencia, Samuel S. Wu, Tatiana Orozco, Jennifer Hale-Gallardo, Nathaniel Eliazar-Macke, Jennifer H. LeLaurin and Constance R. Uphold Tags: Study protocol Source Type: research

How reliable are stroke patients' reports of their numbers of general practice consultations over 12 months?
Conclusions. Patients modestly under-reported the number of consultations they had with a GP. Obtaining patient records from practices required more effort than obtaining information from patient questionnaires at the same time as assessing main trial outcomes. If patient self-reports of health care usage are used in economic evaluations in primary care, researchers should consider validating a sample against electronic records.
Source: Family Practice - January 23, 2013 Category: Primary Care Authors: Chishti, T., Harris, T., Conroy, R., Oakeshott, P., Tulloch, J., Coster, D., Kerry, S. R., Kerry, S. M. Tags: Original Article Source Type: research

Intra-Arterial Stroke Tx Takes Hit, but Survives
HONOLULU (MedPage Today) -- The buzz here at the International Stroke Conference is the poor showing of endovascular therapies for treating acute ischemic stroke. But there are "glimmers" that certain patients might benefit, said Joseph P. Broderick, MD, in this exclusive InFocus interview.
Source: MedPage Today Primary Care - February 8, 2013 Category: Primary Care Source Type: news

The change of paradigm in stroke prevention in atrial fibrillation. Challenges and emerging opportunities for the family physician.
Abstract Atrial fibrillation (AF), is the most prevalent sustained arrhythmia in general population, affecting up to 10% in patients of advanced age. AF doubles overall mortality and increases up to 5-6 times the risk of stroke, which have the characteristic of being particularly harmfull. The basis of treatment on AF are the rhythm or rate control and the prevention of thromboembolism. For the latter purpose the treatments that have been most effective are oral acticoagulants. For decades and until just a few years ago, the only oral drugs available for this purpose have been the anti-vitamin K, mainly represente...
Source: Atencion Primaria - April 1, 2013 Category: Primary Care Authors: Castillo Rodríguez JC, Lozano IF Tags: Aten Primaria Source Type: research

Apixaban: new anticoagulant for stroke prevention
Abstract Apixaban is a new oral anticoagulant licensed for the prevention of stroke and systemic embolism. In our New products review, Steve Chaplin presents the clinical data relating to its efficacy and adverse events compared with warfarin and aspirin, and hospital specialists discuss its place in stroke prevention.
Source: Prescriber - June 18, 2013 Category: Primary Care Authors: Steve Chaplin, Lisa Manning, Man Yee Lam, Thompson Robinson Tags: New Products Source Type: research

First-Ever Guidelines Issued on Stroke Prevention in Women (FREE)
By Amy Orciari Herman The American Heart Association and American Stroke Association have issued the first stroke-prevention guidelines that focus on women's unique risks.Among the recommendations: -- Pregnant women with chronic …
Source: Physician's First Watch current issue - February 7, 2014 Category: Primary Care Source Type: news