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Guidelines for reasonable and appropriate care in the emergency department 3 (GRACE-3): Acute dizziness and vertigo in the emergency department
Acad Emerg Med. 2023 May;30(5):442-486. doi: 10.1111/acem.14728.ABSTRACTThis third Guideline for Reasonable and Appropriate Care in the Emergency Department (GRACE-3) from the Society for Academic Emergency Medicine is on the topic adult patients with acute dizziness and vertigo in the emergency department (ED). A multidisciplinary guideline panel applied the Grading of Recommendations Assessment, Development, and Evaluation (GRADE) approach to assess the certainty of evidence and strength of recommendations regarding five questions for adult ED patients with acute dizziness of less than 2 weeks' duration. The intended pop...
Source: Accident and Emergency Nursing - May 11, 2023 Category: Emergency Medicine Authors: Jonathan A Edlow Christopher Carpenter Murtaza Akhter Danya Khoujah Evie Marcolini William J Meurer David Morrill James G Naples Robert Ohle Rodney Omron Sameer Sharif Matt Siket Suneel Upadhye Lucas Oliveira J E Silva Etta Sundberg Karen Tartt Simone Van Source Type: research

Long-Term Follow-Up of Cerebral Aneurysms Completely Occluded at 6  Months After Intervention with the Woven EndoBridge (WEB) Device: a Retrospective Multicenter Observational Study
This study underlines the importance of repeat imaging in patients treated with the WEB device even if complete occlusio n is achieved short term. Follow-up can be performed using DSA, MRA or CTA with no difference in positive predictive value.
Source: Translational Stroke Research - May 11, 2023 Category: Neurology Source Type: research

Impact of socioeconomics and race on clinical follow-up and trial enrollment and adherence in cerebral cavernous malformation
Cerebral cavernous malformation (CCM) affects more than a million Americans but advanced care for symptomatic lesions and access to research studies is largely limited to referral academic centers
Source: Journal of Stroke and Cerebrovascular Diseases - May 3, 2023 Category: Neurology Authors: Stephanie Hage, Matthew Hagan, Dehua Bi, Agnieszka Stadnik, Justine Lee, Sharbel Romanos, Abhinav Srinath, Robert Shenkar, Cornelia Lee, Peleg M. Horowitz, Romuald Girard, Issam A. Awad Source Type: research

Po-03-048 clinical utility of implantable loop recorders after cryptogenic stroke: insights from a large academic stroke center
Detection of occult AF using implantable loop recorders (ILR) has become routine practice in the evaluation of cryptogenic stroke, yet there are few data demonstrating that ILRs reduce risk of recurrent stroke.
Source: Heart Rhythm - May 1, 2023 Category: Cardiology Authors: Deborah Steinberg, David A. Steckman, Alfred M. Loka, Evan C. Adelstein Source Type: research

Impact assessment of the Centre for Research Excellence in Stroke Rehabilitation and Brain Recovery
We present the results of applying the Framework to Assess the Impact from Translatio...
Source: Health Research Policy and Systems - May 1, 2023 Category: International Medicine & Public Health Authors: Shanthi Ramanathan, Elizabeth Lynch, Julie Bernhardt, Michael Nilsson, Dominique A. Cadilhac, Leeanne Carey, Sandy Middleton, Jan Chamberlain, Frederick Rohan Walker, Penny Reeves and Andrew Searles Tags: Research Source Type: research

Returning to School after Pediatric Stroke
Returning to school after a pediatric stroke can be overwhelming. Brain injury of any kind can have an impact on learning and daily life. Research shows that many students who have had a brain injury benefit from monitoring of academic progress and accommodations in school (1). Your student may need a new school plan after their stroke to help them be successful.
Source: Archives of Physical Medicine and Rehabilitation - April 24, 2023 Category: Rehabilitation Source Type: research

Physio-psycho-social interaction mechanism in dyadic health of young and middle-aged stroke survivors and their spousal caregivers: a longitudinal observational study protocol
Introduction In recent years, stroke has become more common among young people. Stroke not only has a profound impact on patients’ health but also incurs stress and health threats to their caregivers, especially spousal caregivers. Moreover, the health of stroke survivors and their caregivers is interdependent. To our knowledge, no study has explored dyadic health of young and middle-aged stroke survivors and their spousal caregivers from physiological, psychological and social perspectives. Therefore, this proposed study aims to explore the mechanism of how physiological, psychological and social factors affect dyad...
Source: BMJ Open - April 11, 2023 Category: General Medicine Authors: Xiang, D., Zhang, Z.-x., Ge, S., Wang, W. n., Lin, B.-l., Chen, S.-y., Guo, E.-f., Zhang, P.-b., Liu, Z.-w., Li, H., Mei, Y.-x. Tags: Open access, Nursing Source Type: research

Establishing the need for a stroke unit at Chris Hani Baragwanath Academic Hospital in South Africa
Stroke in Africa is a growing and neglected crisis with strokes more than doubling in low to middle income countries in the last four decades. Despite this growing threat to healthcare systems, implementation of stroke models of care in hospitals is lacking with most stroke patients being managed as part of a general medical service. Stroke units have shown to decrease mortality, reduce length of stay in hospital (LOS), and improve patient outcomes.
Source: Journal of Stroke and Cerebrovascular Diseases - March 30, 2023 Category: Neurology Authors: Stephanie Pillay, Azra Hoosen, Fiona Breytenbach, Roxann Redant, Nadia Umuneza, Sameera Haffejee, Zvifadzo Matsena-Zingoni, Kganetso Sekome Source Type: research

Child-Pugh Class B or C Liver Disease Increases the Risk of Early Mortality in Patients With Hepatitis C Undergoing Elective Total Joint Arthroplasty Regardless of Treatment Status
CONCLUSION: Patients with HCV and a Child-Pugh Class B or C at the time of elective TJA had substantially increased odds of death, regardless of liver function, cirrhosis, age, Model for End-Stage Liver Disease level, HCV treatment, and viral load status. This is similar to the risk of early mortality observed in patients with chronic liver disease undergoing abdominal and cardiac surgery. Surgeons should avoid these major elective procedures in patients with Child-Pugh Class B or C whenever possible. For patients who feel their arthritic symptoms and pain are unbearable, surgeons need to be clear that the risk of death is...
Source: Clinical Orthopaedics and Related Research - March 24, 2023 Category: Orthopaedics Authors: Kyle H Cichos Eric Jordan Kian Niknam Antonia F Chen Erik N Hansen Gerald McGwin Elie S Ghanem Source Type: research

Current status and future aspects in the Japan Stroke Data Bank
The Japanese National Plan for the Promotion of Measures Against Cerebrovascular and Cardiovascular Diseases was formulated on October 27, 2020. One purpose of this plan was to promote research on cerebrovascular and cardiovascular diseases. Therefore, it is necessary to clarify the actual status of stroke treatment in Japan and operate a national stroke database with high public interest completely and accurately. The Japan Stroke Data Bank (JSDB; https://strokedatabank.ncvc.go.jp/en/) was established by the Ministry of Health, Labor and Welfare Scientific Research in Shimane University (Shimane, Japan) in 1999 and was tr...
Source: Frontiers in Neurology - March 23, 2023 Category: Neurology Source Type: research

Influence of the constraint-induced method of constraint-induced movement therapy on improving lower limb outcomes after stroke: A meta-analysis review
ConclusionConstraint-induced movement therapy is superior to conventional treatment for improvement of lower limb function in the short-term but not in the long-term. The CIMT method of using a weight strapped around a non-paretic leg contributed negatively to the treatment effect, and therefore might not be recommended.Systematic review registrationhttps://www.crd.york.ac.uk/PROSPERO, identifier: CRD42021268681.
Source: Frontiers in Neurology - March 16, 2023 Category: Neurology Source Type: research

In Latin America, Heat Warnings Can Prevent Deaths
Residents of Mexico City take shelter from the heat in a covered area, on a central street in the capital, in the month of March, when spring has not even arrived yet in the country. Heat waves will become more frequent and will last longer, due to the climate emergency. CREDIT: Emilio Godoy/IPSBy Emilio GodoyMEXICO CITY, Mar 14 2023 (IPS) On Mar. 9, more than half of Mexico reported maximum temperatures above 30 degrees Celsius, although spring has not even arrived yet in this Latin American country located in the northern hemisphere. In fact, the Megalopolis Environmental Commission, which brings together the federal gov...
Source: IPS Inter Press Service - Health - March 14, 2023 Category: International Medicine & Public Health Authors: Emilio Godoy Tags: Climate Change Development & Aid Editors' Choice Environment Headlines Health Latin America & the Caribbean Regional Categories Extreme Weather heat waves Mexico Source Type: news