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Thrombolysis in acute ischemic stroke in patients with dementia: A Swedish registry study
Conclusions: Younger patients with dementia and AIS are less likely to receive IVT. Among patients receiving thrombolysis, there are no differences in sICH or death, although patients with dementia have worse accommodation and functional outcomes at 3 months.
Source: Neurology - October 30, 2017 Category: Neurology Authors: Zupanic, E., von Euler, M., Kareholt, I., Contreras Escamez, B., Fastbom, J., Norrving, B., Religa, D., Kramberger, M. G., Winblad, B., Johnell, K., Eriksdotter, M., Garcia-Ptacek, S. Tags: Prognosis, All Cognitive Disorders/Dementia, Cohort studies, Infarction ARTICLE Source Type: research

Historical Perspective of Cambodian Medicine with a focus on Neurology (P2.051)
Conclusions:The Keck School of Medicine of USC received a grant from World Federation of Neurology, which allowed faculty to travel to Cambodia and teach the clinical and diagnostic aspects of neurology over the course of two years. We expect a neurology residency to start in 2017 to help the patient population that suffers from stroke, seizure disorders and various other types of neurological disorders. Even though the past has had its rough patches, the future has untapped potential.Study Supported by: This study was supported by World Federation of Neurology.Disclosure: Dr. Singh has nothing to disclose. Dr. Sahai-Sriva...
Source: Neurology - April 17, 2017 Category: Neurology Authors: Singh, S., Sahai-Srivastava, S., Khosa, S., Mishra, S. Tags: History of Neurology Source Type: research

Feasibility of Google Glass for Remote Resident Supervision and Evaluation (P1.039)
Conclusions:This pilot feasibility study is a first step in applying mobile telemedicine using GG for remote supervision and evaluation of neurology residents. Early experiences suggest good technical feasibility and patient acceptance. Primary outcome analysis of inter-rater agreement between in-person and remote (GG) evaluation of the NIHSS and NEX assessments is pending.Study Supported by: This study receives support from an American Academy of Neurology Education Grant, as well as from an American Board of Psychiatry and Neurology Faculty Fellowship Award.Disclosure: Dr. Carrera has nothing to disclose. Dr. Chiota-McCo...
Source: Neurology - April 17, 2017 Category: Neurology Authors: Carrera, J., Chiota-McCollum, N., Mantri, S., Clark, W., Wang, C., Odell, V., Berthaud, J., Gunnell, B., McMurry, T., Worrall, B., Southerland, A. Tags: Graduate Medical Education Research Source Type: research

Simulation of Neurological Emergencies for Milestones-Based Learning and Assessment (P2.357)
CONCLUSIONS: Simulations of neurological emergencies can increase resident comfort in several aspects of care and can be used to reliably assess resident competence based on the Neurology Milestones.Disclosure: Dr. Loomis has nothing to disclose. Dr. Robeson has nothing to disclose. Dr. DiCapua has received personal compensation for activities as a consultant. Dr. Dodge has nothing to disclose. Dr. Evans has nothing to disclose. Dr. Moadel has nothing to disclose. Dr. Cruz has nothing to disclose. Dr. Moeller has nothing to disclose.
Source: Neurology - April 3, 2016 Category: Neurology Authors: Loomis, C., Robeson, K., DiCapua, D., Dodge, K., Evans, L., Moadel, T., Cruz, L., Moeller, J. Tags: Education Research: Graduate Medical Education Source Type: research

Development of Neurology-Specific Scenarios for Assessing Quality Improvement Knowledge Application During Residency Using the Revised Quality Improvement Knowledge Application Tool (QIKAT-R) (P2.377)
Conclusions: The QIKAT-R tool, when used with neurology-specific scenarios, can provide valid assessments of QI knowledge application among neurology residents, and serve as a novel way to introduce residents to the AAN Quality Measures and IOM Aims for high-quality healthcare.Disclosure: Dr. Kassardjian has nothing to disclose. Dr. Leep has received royalty payments from American Association of Neuromuscular and Electrodiagnostic Medicine.
Source: Neurology - April 3, 2016 Category: Neurology Authors: Kassardjian, C., Leep Hunderfund, A. Tags: Research Methodology and Education: Patient Safety and Quality Source Type: research

Incorporating Quality Improvement into the Third-Year Neurology Curriculum (P2.380)
Conclusions: We present an initiative that gives medical students quality improvement experience and may help reduce patient readmissions. Data analysis is ongoing with final results anticipated in Spring 2016.Disclosure: Dr. Liyanage-Don has nothing to disclose. Dr. Hohler has nothing to disclose.
Source: Neurology - April 3, 2016 Category: Neurology Authors: Liyanage-Don, N., Hohler, A. Tags: Research Methodology and Education: Patient Safety and Quality Source Type: research

Spanish Version of the National Institutes of Health Stroke Scale: Awareness and Use in the United States. A Survey Study (P6.023)
Conclusion: Neurology and Emergency medicine training programs are generally not aware of the availability of the NIHSS Spanish version. There is a need to increase awareness and to promote the use of the Spanish version of the NIHSS and to address the validation of its use by interpreters given the large and expected increase in the population of Hispanics.Disclosure: Dr. Villalobos has nothing to disclose. Dr. Barnes has nothing to disclose. Dr. Maud has nothing to disclose. Dr. Qureshi has nothing to disclose. Dr. Piriyawat has nothing to disclose. Dr. Rodriguez has nothing to disclose. Dr. Cruz-Flores has nothing to disclose.
Source: Neurology - April 3, 2016 Category: Neurology Authors: Villalobos, E., Barnes, S., Maud, A., Qureshi, I., Piriyawat, P., Rodriguez, G., Cruz-Flores, S. Tags: Ischemic Stroke Diagnosis Source Type: research

Historical Perspective of Neurology in Iran (P6.333)
Conclusions: Our research on the history of Iranian Neurology indicates that although Iranians had a greater understanding of various neurological disorders in the past, currently their role in worldwide neurologic research and training is less prominent. There are approximately 950 practicing neurologists in Iran and the numbers of physicians with neurology sub-specialty training is gradually increasing. Hence, with raising number of neurology training programs and research centers, a brighter future can be expected for neurology in Iran.Disclosure: Dr. Mohammad Khanli has nothing to disclose. Dr. Mishra has nothing to di...
Source: Neurology - April 8, 2015 Category: Neurology Authors: Mohammad Khanli, H., Mishra, S., Trikamji, B. Tags: History of Neurology Source Type: research

Engaging Residents in Stroke Quality Measures with Financial Incentives and Electronic Checklist (S11.007)
CONCLUSIONS: Implementing a real-time, interactive decision support checklist and pay-for-performance program for residents improved compliance with stroke process measures. Empowering residents through leadership roles has been an important step toward integrating them into the quality infrastructure of the health system.Disclosure: Dr. Dean has nothing to disclose. Dr. Rashid has nothing to disclose. Dr. Wiese-Rometsch has nothing to disclose. Dr. Arsene has nothing to disclose. Dr. Hamstra has nothing to disclose. Dr. White has nothing to disclose. Dr. Hussain has nothing to disclose.
Source: Neurology - April 8, 2015 Category: Neurology Authors: Dean, M., Rashid, S., Wiese-Rometsch, W., Arsene, C., Hamstra, C., White, S., Hussain, S. Tags: Practice, Policy, and Ethics Source Type: research

Timeliness of Neurology Consultations in the Emergency Department: A Quality Evaluation (P4.280)
CONCLUSIONS: Neurologic consultations called from the ED, excluding acute strokes, were completed in an average of 57 minutes. Reasons for prolonged consultations included waiting for results, staffing patients with two neurology services, and multiple simultaneous consult requests. Our department plans to re-evaluate ED consult times every three months to troubleshoot any timing issues that arise. Future studies could evaluate how length of neurology ED consults affects outcomes.Disclosure: Dr. Holden has nothing to disclose. Dr. Lewis has received personal compensation in an editorial capacity for Neurology and Continuum...
Source: Neurology - April 9, 2014 Category: Neurology Authors: Holden, S., Lewis, S. Tags: Practice, Policy, and Ethics: Training and Common Practices in Neurology Source Type: research

Characteristics of Certified Stroke Center Programs Led by Vascular Neurologists (P3.123)
CONCLUSION: Vascular neurologists are more likely to be found leading stroke programs at larger hospitals with established teaching programs. This may be a reflection of the concentration of multiple subspecialties in such institutions.Disclosure: Dr. Ramirez has nothing to disclose. Dr. Krug has nothing to disclose. Dr. Perese has nothing to disclose. Dr. Gasparian has nothing to disclose. Dr. Kazaryan has nothing to disclose. Dr. Sanossian has received personal compensation for activities with Boehringer-Ingelheim Pharmaceutical Inc.
Source: Neurology - April 9, 2014 Category: Neurology Authors: Ramirez, L., Krug, A., Perese, J., Gasparian, G., Kazaryan, S., Sanossian, N. Tags: Cerebrovascular Disease and Interventional Neurology: Primary and Comprehensive Stroke Centers Source Type: research

Differences in Payment for Inpatient Transient Ischemic Attack Care Between Stroke Center and Non-Stroke-Center Hospitals (P3.128)
Conclusions: There is a wide discrepancy in hospital charges and covered payments for TIA hospitalization. Larger for-profit hospitals with primary stroke center certification located in more affluent areas charge more for TIA hospitalization.Disclosure: Dr. He has nothing to disclose. Dr. Bulic has nothing to disclose. Dr. Kazaryan has nothing to disclose. Dr. Cen has nothing to disclose. Dr. Kim-Tenser has nothing to disclose. Dr. Kim-Tenser has nothing to disclose. Dr. Mack has nothing to disclose. Dr. Sanossian has received personal compensation for activities with Boehringer-Ingelheim Pharmaceutical Inc.
Source: Neurology - April 9, 2014 Category: Neurology Authors: He, S., Bulic, S., Kazaryan, S., Cen, S., Kim, M., Kim, M., Mack, W., Sanossian, N. Tags: Cerebrovascular Disease and Interventional Neurology: Primary and Comprehensive Stroke Centers Source Type: research

Neurology residency program as factor associated with thrombolysis utilization in acute stroke
Despite strong evidence on the safety and efficacy of IV alteplase up to 4.5 hours after ischemic stroke (IS) symptom onset1 and increased use of thrombolysis over recent decades, this treatment remains underused and accessible to only a fraction of patients. The rate of thrombolysis in the United States is 3.4%–5.2% of all stroke cases.2 Several studies have identified barriers to thrombolysis delivery,3 but other as yet unmeasured factors may also underlie these barriers, thereby influencing rates of thrombolysis utilization and access.
Source: Neurology - December 2, 2013 Category: Neurology Authors: Lorenzano, S. Tags: Infarction EDITORIALS Source Type: research

Thrombolytic utilization for ischemic stroke in US hospitals with neurology residency program
Conclusions: Acute stroke care in NR hospitals is associated with an increased thrombolytic utilization. The disparities between the thrombolysis rate in NR and that in OT and NT hospitals are greater among elderly patients.
Source: Neurology - December 2, 2013 Category: Neurology Authors: Moradiya, Y., Crystal, H., Valsamis, H., Levine, S. R. Tags: Medical care, All Cerebrovascular disease/Stroke ARTICLE Source Type: research

Thrombolytic Utilization in Ischemic Stroke Is Significantly Higher in US Hospitals with Neurology Residency Program (S02.006)
CONCLUSIONS: Stroke care at NR hospitals is associated with an increased thrombolytic utilization rate. The increased tPA utilization at NR between 2002-2006 may be related to the rapid increase in Primary Stroke Centers across the country.Disclosure: Dr. Moradiya has nothing to disclose. Dr. Grant has nothing to disclose. Dr. Valsamis has nothing to disclose. Dr. Levine has received personal compensation in an editorical capacity for MEDLINK.
Source: Neurology - February 14, 2013 Category: Neurology Authors: Moradiya, Y., Grant, J., Valsamis, H., Levine, S. Tags: S02 Acute Stroke Therapy Source Type: research

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