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Education: Teaching Hospitals

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Total 488 results found since Jan 2013.

Hydration practices for hospitalized stroke patients at the university teaching hospital in zambia
Volume contracted state (VCS) at stroke onset may worsen stroke outcomes; therefore, providers may consider administering increased rehydration in these patients. Thus, we sought to understand current hydration practices after stroke at the University Teaching Hospital in Lusaka, Zambia.
Source: Journal of Stroke and Cerebrovascular Diseases - March 30, 2023 Category: Neurology Authors: Stanley Zimba, Lorraine Chishimba, Mashina Chomba, Aparna Nutakki, Gloria Habanyama, Moses Mataa, Kunda Yumbe, Rebecca F. Gottesman, Deanna Saylor, Mona N. Bahouth Source Type: research

Factors determining discharge against medical advice among stroke admissions in oauthc ile ife
Discharge against medical advice (DAMA) is request for a discharge treatment plan that is outside the range of medically acceptable standards of practice based on risk or other factors. We aimed to explore the rate and factors determining DAMA among stroke patients in OAUTHC Ile Ife.The study is a retrospective descriptive study that spanned 1st July 2017 to 30th June 2022 at the Obafemi Awolowo University Teaching Hospitals Complex, Ile-Ife, Southwestern Nigeria. Data on all stroke patients that DAMA within the study period was extracted from the unit register and case note retrieved at the record department of the hospit...
Source: Journal of Stroke and Cerebrovascular Diseases - March 30, 2023 Category: Neurology Authors: Adebimpe F. Ogunmodede, Akintunde A. Adebowale, Ahmed O. Idowu, Ahmad A. Sanusi, Uchenna C. Eke, Mercy O. Oluwatosin, Morenikeji A Komolafe Source Type: research

Predictors of 30-day mortality among stroke patients admitted at a tertiary teaching hospital in northwestern tanzania: a prospective cohort study
Stroke is the 2nd leading cause of death worldwide, with the highest mortality in Low-middle-income countries particularly in sub-Saharan Africa. We aimed to investigate the predictors of 30-day mortality among stroke patients admitted at a tertiary hospital in Northwestern Tanzania.
Source: Journal of Stroke and Cerebrovascular Diseases - March 30, 2023 Category: Neurology Authors: Sarah Shali Matuja, Gilbert Mlay, Fredrick Kalokola, Patrick Ngoya, Jemima Shindika, Rashid Ali Ahmed, Basil Tumaini, Khuzeima Khanbhai, Reuben Mutta, Mohamed Manji, Faheem Sheriff, Karim Mahawish Source Type: research

The level of stroke severity amongst early and late presenters and their functional outcomes during a 30-day period in a teaching hospital in ghana
This study aimed at examining the clinical presentation of patients with acute ischaemic stroke, who presented early ( 4.5 hrs) against their functional outcomes during a 30-day period.
Source: Journal of Stroke and Cerebrovascular Diseases - March 30, 2023 Category: Neurology Authors: F. Duodu, D. Brodie Mends, P. Pekyi-Boateng, B. Agbinko-Djobalar, J. Abugre, P. Adjei, A Akpalu, K Nkromah Source Type: research

Time to ct scan imaging after symptom onset among ischeamic stroke patients presenting to a quaternary hospital in ghana
This study sought to determine the time of onset of symptoms to the time a CT imaging was done among patients presenting with acute stroke at the Korle-Bu Teaching Hospital.
Source: Journal of Stroke and Cerebrovascular Diseases - March 30, 2023 Category: Neurology Authors: F. Duodu, D. Brodie Mends, B. Agbinko-Djobalar, P. Pekyi-Boateng, M. Amerwornu, P Adjei, A Akpalu, K Nkromah Source Type: research

Right-sided weakness in a Rwandan patient with untreated Tetralogy of Fallot
DiscussionIn countries where surgical repair of TOF is not available, early recognition and medical management are key in temporizing the development of devastating sequelae. Describing the prevalence of CHD in Rwanda is urgent, requiring further research by which effective prevention and treatment strategies can be developed.
Source: International Journal of Emergency Medicine - March 14, 2023 Category: Emergency Medicine Source Type: research

Inappropriate Combined Antiplatelet and Anticoagulant Therapy in Older Patients with Atrial Fibrillation: Trend over Time (2009 –18)
ConclusionsWhile inappropriate combined antiplatelet and anticoagulant therapy has declined over the last decade, there is still room for improvement. Antiplatelet deprescribing should be considered in all patients with inappropriate combined antiplatelet and anticoagulant therapy, including those with vascular disease and no recent cardiovascular event.
Source: Drugs and Aging - February 23, 2023 Category: Geriatrics Source Type: research

Predictors of 30-day mortality among patients with stroke admitted at a tertiary teaching hospital in Northwestern Tanzania: A prospective cohort study
ConclusionStroke is associated with a high 30-day mortality rate in Northwestern Tanzania. Concerted efforts are warranted in managing patients with stroke, with particular attention to individuals with severe strokes, ECG abnormalities, and swallowing difficulties to reduce early morbidity and mortality.
Source: Frontiers in Neurology - January 18, 2023 Category: Neurology Source Type: research

IJERPH, Vol. 19, Pages 16345: Post-Stroke Experiences and Rehabilitation Needs of Community-Dwelling Chinese Stroke Survivors: A Qualitative Study
i Liang Stroke survivors encounter significant limitations in daily life activities and face increased risk of health complications such as stroke recurrence. Considering the escalating demand for personalised community rehabilitation services, this qualitative study was conducted to understand the current recovery experiences, needs, and expectations of community-dwelling stroke survivors. Fifty stroke survivors were recruited from two tertiary teaching hospitals and community centres in two provinces in mainland China. Semi-structured interviews were carried out, and participants were asked to describe their experien...
Source: International Journal of Environmental Research and Public Health - December 6, 2022 Category: Environmental Health Authors: Janita Pak Chun Chau Suzanne Hoi Shan Lo Laveeza Butt Surui Liang Tags: Article Source Type: research

Outcomes of transcatheter aortic valve replacement at teaching versus nonteaching hospitals
ConclusionWith the evolution and expansion of TAVR to nonteaching centers, mortality, and readmission rates are not significantly different between nonteaching and teaching hospitals. Higher unadjusted in-hospital mortality at teaching centers suggest these centers more often treat high risk patients with associated increased complications.
Source: Journal of Cardiac Surgery - September 8, 2022 Category: Cardiovascular & Thoracic Surgery Authors: Irsa Hasan, James A. Brown, Edgar Aranda ‐Michel, Derek Serna‐Gallegos, Hemal Gada, Dustin Kliner, Catalin Toma, Saurabh Sanon, Yisi Wang, Ibrahim Sultan Tags: ORIGINAL ARTICLE Source Type: research

An exploratory descriptive cohort study of 90-day prognosis after acute ischaemic stroke with mechanical thrombectomy
CONCLUSION: Almost half of the surviving patients had a poor prognosis. In our country, this surgery and rehabilitation impose a significant financial burden that needs to be addressed. However, the longer length of hospital stay and higher costs at discharge may be contributing factors to worse outcomes. The outcomes of comprehensive nursing assessment of the patients, including nursing needs, activities of daily living, and neurological function, can predict their outcome.IMPACT STATEMENT: We recommend a comprehensive nursing assessment at discharge that predicts patient outcomes and can be used for subsequent targeted i...
Source: Contemporary Nurse - September 2, 2022 Category: Nursing Authors: Ling Feng Yueyue He Shuju Dong Rui Wang Shiyan Long Li He Source Type: research