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Total 389 results found since Jan 2013.

Common diseases as determinants of menopausal age
STUDY QUESTION Can the diagnosis of common diseases before menopause influence age at natural menopause (ANM) onset? SUMMARY ANSWER Polycystic ovary syndrome (PCOS) and depression were observed to delay menopause. WHAT IS KNOWN ALREADY It has been observed that women who undergo early menopause experience a higher burden of health problems related to metabolic syndromes, heart disease and depression, but whether ANM can be influenced by common adult diseases has not been studied extensively. STUDY DESIGN, SIZE, DURATION All women attending mammography screening or clinical mammography at four hospitals in Sweden were in...
Source: Human Reproduction - November 16, 2016 Category: Reproduction Medicine Authors: Li, J., Eriksson, M., Czene, K., Hall, P., Rodriguez-Wallberg, K. A. Tags: Reproductive Epidemiology Source Type: research

The use of smartphone applications in patients attending tia clinic
Ten major risk factors account for 90% of the population attributable stroke risk. Smartphone applications may be used for education and self-managing risk factors. We aimed to explore use and attitudes towards smartphones in a TIA clinic. Methods From September 2015 consecutive patients attending University College Hospitals, London TIA clinic completed a questionnaire, relating to, stroke risk factors and use of smartphones. A likert scale (strongly disagree=1, strongly agree=10) evaluated attitudes towards Smartphone applications in stroke education and management. Results 118 patients completed the questionnaire. Mean...
Source: Journal of Neurology, Neurosurgery and Psychiatry - November 14, 2016 Category: Neurosurgery Authors: Clayton, L., Dados, A., Simister, R., Gill, S., Chandratheva, A. Tags: Stroke, Hypertension ABN Annual Meeting, 17-19 May 2016, The Brighton Centre, Brighton Source Type: research

Long-Term Effect of Participation in an Early Exercise and Education Program on Clinical Outcomes and Cost Implications, in Patients with TIA and Minor, Non-Disabling Stroke
AbstractParticipation in exercise and education programs following transient ischemic attack (TIA) or minor stroke may decrease cardiovascular disease risk. The purpose of this study was to assess the long-term effect (3.5  years) of an exercise and education program administered soon after TIA or minor stroke diagnosis on clinical outcome measures (stroke classification and number, patient deaths, hospital/emergency department admission) and cost implications obtained from standard hospital records. Hospital records were screened for 60 adults (male,n = 31; 71 ± 10 years), diagnosed with TIA or non-disabling stroke...
Source: Translational Stroke Research - November 13, 2016 Category: Neurology Source Type: research

Corrigendum to “Risk of depression in patients with chronic rhinosinusitis: A nationwide population-based retrospective cohort study J. Affect. Disord. 206 (2016) 294−299
This study is supported in part by Taiwan Ministry of Health and Welfare Clinical Trial and Research Center of Excellence (MOHW105-TDU-B-212 –133019), Academia Sinica Taiwan Biobank Stroke Biosignature Project (BM10501010037), NRPB Stroke Clinical Trial Consortium (MOST 105–2325-B-039-003), Tseng-Lien Lin Foundation, Taichung, Taiwan, Taiwan Brain Disease Foundation, Taipei, Taiwan, Katsuzo and Kiyo Aoshima Memorial Funds, Japan, Chi na Medical University Hospital, and CMU under the Aim for Top University Plan of the Ministry of Education, Taiwan.
Source: Journal of Affective Disorders - November 9, 2016 Category: Neurology Authors: Che-Lun Hsu, Tang-Chuan Wang, Te-Chun Shen, Yu-Jhen Huang, Cheng-Li Lin, Fung-Chang Sung Source Type: research

Intracerebral Hemorrhage: The 'Other' Stroke
J Mocco, MD, MS Professor and Vice Chair for Education Director, Cerebrovascular Center Residency Program Director Department of Neurological Surgery Mount Sinai Health System Intracerebral Hemorrhage: The 'Other' Stroke A recent patient of mine, 48-year-old "Joe" (not his real name), was eating with his family at an Italian restaurant. Suddenly, he stood up, cursed, and collapsed. They brought him to the hospital, and he could not talk, move, or do anything we asked him to do. It turned out that Joe had suffered the second-most common, but deadliest, form of stroke: intracerebral hemorrhage. When people hear "stroke,...
Source: Healthy Living - The Huffington Post - November 7, 2016 Category: Consumer Health News Source Type: news

Exploring the benefits of a stroke telemedicine programme: An organisational and societal perspective
Discussions with the Victorian Stroke Telemedicine management were undertaken and field notes were also reviewed. Several benefits of telemedicine were identified within and across participating hospitals, as well as for the state government and community. For hospitals, standardisation of clinical processes was reported, including improved stroke care co-ordination. Capacity building occurred through professional development and educational workshops. Enhanced networking, and resource sharing across hospitals was achieved between hospitals and organisations. Governments leveraged the Victorian Stroke Telemedicine programm...
Source: Journal of Telemedicine and Telecare - October 29, 2016 Category: Information Technology Authors: Bagot, K. L., Bladin, C. F., Vu, M., Kim, J., Hand, P. J., Campbell, B., Walker, A., Donnan, G. A., Dewey, H. M., Cadilhac, D. A., on behalf of the VST collaborators Tags: Special Issue - SFT 2016 Source Type: research

New Building At Brigham And Women ’ s Could Revolutionize Health Care
BOSTON (CBS) – Last week WBZ reported on a new innovative building at Brigham and Women’s Hospital. That building opened its doors to patients Monday for the first time and Dr. Mallika Marshall was there to speak to one of those patients and his surgeons who helped make the building a reality. Plymouth’s George Svajian will never forget that one high school football game more than 50 years ago that destroyed his knee. “I went running down the sideline and as soon as put my leg down, the defensive back hit me right here and my knee felt like it went out,” recalls George. After years of crippling pain, Geor...
Source: WBZ-TV - Breaking News, Weather and Sports for Boston, Worcester and New Hampshire - October 3, 2016 Category: Consumer Health News Authors: Health – CBS Boston Tags: Health Local News Seen On WBZ-TV Syndicated Local Watch Listen Boston Brigham & Women's Hospital Dr. Mallika Marshall Source Type: news

Education-only versus a multifaceted intervention for improving assessment of rehabilitation needs after stroke; a cluster randomised trial
In 2011, more than half of the patients with stroke in Australian hospitals were not assessed for the need for rehabilitation. Further, there were no recommended criteria to guide rehabilitation assessment dec...
Source: Implementation Science - September 7, 2016 Category: Health Management Authors: Elizabeth A. Lynch, Dominique A. Cadilhac, Julie A. Luker and Susan L. Hillier Source Type: research

Association of the magnitude of weight loss and changes in physical fitness with long-term cardiovascular disease outcomes in overweight or obese people with type 2 diabetes: a post-hoc analysis of the Look AHEAD randomised clinical trial
We examined whether the incidence of cardiovascular disease in Look AHEAD varied by changes in weight or fitness. Methods Look AHEAD was a randomised clinical trial done at 16 clinical sites in the USA, recruiting patients from Aug 22, 2001, to April 30, 2004. In the trial, 5145 overweight or obese adults aged 45–76 years with type 2 diabetes were assigned (1:1) to an intensive lifestyle intervention or diabetes support and education. In this observational, post-hoc analysis, we examined the association of magnitude of weight loss and fitness change over the first year with incidence of cardiovascular disease. The primar...
Source: The Lancet Diabetes and Endocrinology - August 30, 2016 Category: Endocrinology Source Type: research

A Community ‐Engaged Assessment of Barriers and Facilitators to Rapid Stroke Treatment
Abstract Treatment for acute ischemic stroke must be initiated within hours of stroke symptom onset, and the sooner it is administered, the better. In South Carolina, 76% of the population can access expert stroke care, and rural hospitals may provide specialized treatment using telemedicine, but many stroke sufferers seek care too late to achieve full benefit. Using a community‐engaged approach in a southern rural community, we explored barriers and facilitators to early stroke care and implications for improvement. The Community‐Engaged Assessment to facilitate Stroke Elimination (CEASE) study was guided by a communi...
Source: Research in Nursing and Health - August 21, 2016 Category: Nursing Authors: Lynne S. Nemeth, Carolyn Jenkins, Edward C. Jauch, Sharon Conway, Adam Pearlman, Ida J. Spruill, Lynette J. Brown, Joyce Linnen, Florene Linnen, Jeannette O. Andrews Tags: Research Article Source Type: research

Managing reversal of direct oral anticoagulants in emergency situations. Anticoagulation Education Task Force White Paper.
This report is based on findings from the Anticoagulation Education Task Force, which brought together patient groups and professionals representing different medical specialties with an interest in patient safety and expertise in AF, VTE, stroke, anticoagulation, and reversal agents, to discuss the current status of anticoagulation reversal and fundamental changes in management of bleeding associated with DOACs occasioned by the approval of idarucizumab, a specific reversal agent for dabigatran, as well as recent clinical data on specific reversal agents for factor Xa inhibitors. Recommendations are given for when there i...
Source: Thrombosis and Haemostasis - August 3, 2016 Category: Hematology Authors: Ageno W, Büller HR, Falanga A, Hacke W, Hendriks J, Lobban T, Merino J, Milojevic IS, Moya F, van der Worp HB, Randall G, Tsioufis K, Verhamme P, Camm AJ Tags: Thromb Haemost Source Type: research

Perceptions from Cardiac and Stroke Patients of the Information Provided by Health Professionals at Discharge from Hospital (2012-2014)
Introduction: It is essential that patients are provided with education and information on symptom recognition and emergency actions plans at discharge to prevent cardiac and stroke rehospitalisations.
Source: Heart, Lung and Circulation - July 27, 2016 Category: Cardiology Authors: N. Berry, C. Astley, H. Du, K. Wechkunanukul, J. Tongpeth, P. Wonggom, R. Clark Tags: 707 Source Type: research

Effects of alteplase on survival after ischaemic stroke (IST-3): 3 year follow-up of a randomised, controlled, open-label trial
We report the effect of intravenous alteplase on long-term survival after ischaemic stroke of participants in the Third International Stroke Trial (IST-3). Methods In IST-3, done at 156 hospitals in 12 countries (Australia, Europe, and the UK), participants (aged >18 years) were randomly assigned with a telephone voice-activated or web-based system in a 1:1 ratio to treatment with intravenous 0·9 mg/kg alteplase plus standard care or standard care alone within 6 h of ischaemic stroke. We followed up participants in the UK and Scandinavia (Sweden and Norway) for survival up to 3 years after randomisation using data...
Source: The Lancet Neurology - July 19, 2016 Category: Neurology Source Type: research

Functional outcomes of pre-hospital thrombolysis in a mobile stroke treatment unit compared with conventional care: an observational registry study
This study is registered with ClinicalTrials.gov, number NCT02358772. Findings Between Feb 5, 2011, and March 5, 2015, 427 patients were treated within the STEMO vehicle and their data were entered into a pre-hospital registry. 505 patients received conventional care and their data were entered into an in-hospital thrombolysis registry. Of these, 305 patients in the STEMO group and 353 in the conventional care group met inclusion criteria and were included in the analysis. 161 (53%) patients in the STEMO group versus 166 (47%) in the conventional care group had an mRS score of 1 or lower (p=0·14). Compared with conventio...
Source: The Lancet Neurology - July 15, 2016 Category: Neurology Source Type: research