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Total 175 results found since Jan 2013.

Prevention of cardiovascular events in Asian patients with ischaemic stroke at high risk of cerebral haemorrhage (PICASSO): a multicentre, randomised controlled trial
Publication date: June 2018Source: The Lancet Neurology, Volume 17, Issue 6Author(s): Bum Joon Kim, Eun-Jae Lee, Sun U Kwon, Jong-Ho Park, Yong-Jae Kim, Keun-Sik Hong, Lawrence K S Wong, Sungwook Yu, Yang-Ha Hwang, Ji Sung Lee, Juneyoung Lee, Joung-Ho Rha, Sung Hyuk Heo, Sung Hwan Ahn, Woo-Keun Seo, Jong-Moo Park, Ju-Hun Lee, Jee-Hyun Kwon, Sung-Il Sohn, Jin-Man JungSummaryBackgroundThe optimal treatment for patients with ischaemic stroke with a high risk of cerebral haemorrhage is unclear. We assessed the efficacy and safety of cilostazol versus aspirin, with and without probucol, in these patients.MethodsIn this randomis...
Source: The Lancet Neurology - July 5, 2018 Category: Neurology Source Type: research

Treatment of poststroke constipation with moxibustion: A case report
Rationale: Moxibustion, an important therapeutic measure of TCM, can stimulate acupoints to unblock the meridians and collaterals, regulate the function of qi and blood, support health, and expel pathogens. So it could be an effective and safe for the treatment of constipation and improvement of the quality of life in poststroke patients with constipation. Patient concerns: He has a history of constipation, with the defecation of hard, bound stool every 2 to 3 days with the help of glycerin enema. Diagnoses: Constipation for>6 months; Cerebral infarction for 9 months; Type 2 diabetes for 3 years. Hypertension for a...
Source: Medicine - June 1, 2018 Category: Internal Medicine Tags: Research Article: Clinical Case Report Source Type: research

Prevention of cardiovascular events in Asian patients with ischaemic stroke at high risk of cerebral haemorrhage (PICASSO): a multicentre, randomised controlled trial
Publication date: June 2018 Source:The Lancet Neurology, Volume 17, Issue 6 Author(s): Bum Joon Kim, Eun-Jae Lee, Sun U Kwon, Jong-Ho Park, Yong-Jae Kim, Keun-Sik Hong, Lawrence K S Wong, Sungwook Yu, Yang-Ha Hwang, Ji Sung Lee, Juneyoung Lee, Joung-Ho Rha, Sung Hyuk Heo, Sung Hwan Ahn, Woo-Keun Seo, Jong-Moo Park, Ju-Hun Lee, Jee-Hyun Kwon, Sung-Il Sohn, Jin-Man Jung, Jose C Navarro, Dong-Wha Kang Background The optimal treatment for patients with ischaemic stroke with a high risk of cerebral haemorrhage is unclear. We assessed the efficacy and safety of cilostazol versus aspirin, with and without probucol, in these pati...
Source: The Lancet Neurology - May 17, 2018 Category: Neurology Source Type: research

Preventive Effects of Transcutaneous Electrical Acustimulation on Ischemic Stroke-Induced Constipation Mediated via the Autonomic Pathway.
CONCLUSION: Ischemic stroke patients are predisposed to autonomic function imbalance. TEA was effective in the prevention of stroke-induced constipation, and the effect was possibly mediated via the autonomic function. PMID: 29746169 [PubMed - as supplied by publisher]
Source: Am J Physiol Gastroi... - May 10, 2018 Category: Gastroenterology Authors: Liu Z, Ge Y, Xu F, Xu Y, Liu Y, Xia F, Lin L, Chen JD Tags: Am J Physiol Gastrointest Liver Physiol Source Type: research

Mo1565 - Preventive Effects of Transcutaneous Electrical Acustimulation on Ischemic Stroke-Induced Constipation Mediated via the Autonomic Function
Source: Gastroenterology - May 1, 2018 Category: Gastroenterology Authors: Zhaoxiu Liu, Yebo Ge, Yuemei Xu, Lin Lin, Feng Xu, Jiande Chen Tags: AGA Abstracts Source Type: research

Severe Symptoms, but a Truly Treatable Disease
​BY NOURA MAHDI; DARRON LEWIS; JEREMY OSBORNE; & AHMED RAZIUDDIN, MDA 73-year-old man was brought to the emergency department from his nursing home for rectal bleeding and anemia. The patient mentioned he had had episodes of bright red rectal bleeding and constipation for a few months. A colonoscopy had been done prior to the visit, which revealed a large intestine tumor and biopsy confirming adenocarcinoma. He was awaiting an appointment with his surgeon.The patient reported bloody rectal leakage, and a CBC done at the nursing home showed a hemoglobin level of 7.2. He also complained of dyspnea but denied any other ...
Source: The Case Files - March 20, 2018 Category: Emergency Medicine Tags: Blog Posts Source Type: research

Factors Contributing to Hydration, Fluid Intake and Health Status of Inpatients With and Without Dysphagia Post  Stroke
AbstractDysphagia has been strongly associated with poor hydration in acute stroke settings. However, in sub-acute settings, the contribution to dehydration of dysphagia in combination with other common stroke comorbidities has not been explored. The aim of this study was to investigate which demographic and stroke comorbidities, including dysphagia, contribute most significantly to oral fluid intake, hydration status and specific adverse health outcomes for patients in sub-acute rehabilitation following stroke. Data from 100 inpatients from three Australian rehabilitation facilities (14 with confirmed dysphagia and 86 wit...
Source: Dysphagia - March 1, 2018 Category: Speech-Language Pathology Source Type: research

Incidence and risk factors of medical complications and direct medical costs after osteoporotic fracture among patients in China
ConclusionsOsteoporotic fractures led to amount of medical complications, which significantly increased patients ’ economic burden. Complications correlate to various factors such as patients’ disease history.
Source: Archives of Orthopaedic and Trauma Surgery - February 27, 2018 Category: Orthopaedics Source Type: research

An Unusual Cause of Abdominal Pain in a Young, Hypertensive Female
Question: A 21-year-old woman of Indian descent presented with subacute left upper quadrant abdominal pain. The pain was sharp, severe, and elicited by food. She denied diarrhea, constipation, and weight loss. Her past medical history was significant for hypertension diagnosed as a teenager and ischemic stroke, attributed to Moya-Moya disease, and treated with stenting and bypass of the left middle cerebral and internal carotid arteries. Her medications included amlodipine, aspirin, and topiramate.
Source: Gastroenterology - January 17, 2018 Category: Gastroenterology Authors: Kevin L. Huang, Yih C. Lin, Kellee L. Oller Tags: Electronic Clinical Challenges and Images in GI Source Type: research

Risk of aspirin-related bleeding is higher in the over-75s
Conclusion This valuable cohort study helps to quantify the extent of bleeding risk in people taking aspirin for secondary prevention of cardiovascular disease. Aspirin is well known to carry bleeding risk – particularly in older adults – but this study suggests the risk may be higher than previously thought. The researchers say that for adults under the age of 75, the annual bleeding risk at around 1% is similar to that suggested by previous trials, as is the ratio of bleeds to the number of cardiovascular events. However, this risk increases for older adults, especially for major bleeds of the stomach and upper diges...
Source: NHS News Feed - June 14, 2017 Category: Consumer Health News Tags: Medication Older people Source Type: news

Incidence of constipation in stroke patients: A systematic review and meta-analysis
Abstract: There is growing awareness of a link between the gut and cardiovascular disease. Constipation is common among individuals who have had a stroke, and it negatively affects social functioning and quality of life. However, no systematic study on the incidence of constipation in stroke patients has been reported. We selected studies included in Medline, Embase, Cochrane database, and Web of Science. Studies were included if they reported the incidence in stroke patients. Two authors selected the studies, extracted the data independently, and assessed these. Subgroup analyses were conducted according to the stroke su...
Source: Medicine - June 1, 2017 Category: Internal Medicine Tags: Research Article: Meta-Analysis of Observational Studies in Epidemiology Source Type: research

Coding of significant comorbidities and complications for stroke in rehabilitation.
Conclusion Not all stroke comorbidities are represented accurately in hospital morbidity datasets. Education of stroke clinicians about the current ACS may clarify expectations about medical record documentation for coding purposes which in turn may result in more accurate morbidity data and therefore costings for the rehabilitation sector. PMID: 28537208 [PubMed - as supplied by publisher]
Source: Health Information Management Journal - May 26, 2017 Category: Health Management Tags: HIM J Source Type: research

Diagnosing a painful abdominal hernia
Clinical introduction An 83-year-old man with a longstanding incisional hernia presented to the ED with a 48-hour history of vomiting and constipation. His medical history included thrombotic stroke, congestive cardiac failure, hypertension, chronic obstructive pulmonary disease and large bowel resection. The patient was tachypnoeic. All other observations were stable. Examination revealed a distended abdomen with a hernia protruding beneath a midline laparotomy scar. The superior portion of the hernia was reducible and the edges of the wide defect palpable. However, inferiorly there was a firm, irreducible tender knuckle ...
Source: Emergency Medicine Journal - May 24, 2017 Category: Emergency Medicine Authors: Nagra, N. S., Cox, M. P., Nana, G. R., Isherwood, J. Tags: EMJ Image Challenge Source Type: research

Zika associated Guillain-Barre syndrome in the United States (P2.327)
Conclusions:Zika can induce GBS after a brief viral illness. Neuropathy can be a mixture of demyelinating and axonal. Dysautonomia may also be present including severe dysphagia, orthostatics and retention.Zika RNA has a short detection window in serum and CSF making a diagnosis time sensitive. Serological assays using IgM and IgG cross-react with other flaviviruses making them unable to differentiate between recent Zika exposure and cross reactivity with Dengue and Chikungunya. Our pt likely had prior exposure to Dengue, being from an endemic area. Prior Dengue exposure may possibly modulate the response to Zika via antib...
Source: Neurology - April 17, 2017 Category: Neurology Authors: Tantillo, G., Sclar, G., Vasa, C., Shin, S., Sivak, M. Tags: Zika, Chikungunya, West Nile Virus, and Other Viral Infections I Source Type: research

Want to Lose Weight? Add This One Thing to Your Diet
What are the best ways to lose weight? originally appeared on Quora - the knowledge sharing network where compelling questions are answered by people with unique insights. Answer by Keck Medicine of USC, 500+ internationally renowned doctors at a leading academic medical center, on Quora: Learn the secret to losing weight - and improve your overall health at the same time. Fiber. It's not a sexy solution, but it's one that works wonders for maintaining a healthy weight. Beans, vegetables, fruit and grains all contain fiber, which helps keep your digestive tract clean, healthy and at peak function. But, did you know that...
Source: Healthy Living - The Huffington Post - December 28, 2016 Category: Consumer Health News Source Type: news