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The Most Unusual Deaths By State, In One Map
What are the most distinctive deaths by state? Researcher Francis Boscoe of the New York State Cancer Registry set out to answer that question by analyzing the deaths in each state from 2001 to 2010. Out of a total 136 causes of death, Boscoe pinpointed the number one reason people in different states died that was distinct from the United States’ general population. Now keep in mind that these aren’t the most common deaths in each state. Instead, think of these deaths as the ones that a state had in a disproportionately high number compared to the national average. The map, Boscoe explained, is a good way to illu...
Source: Science - The Huffington Post - May 19, 2015 Category: Science Source Type: news

The Changing Epidemiology of Stroke in Acquired Immune Deficiency Syndrome (AIDS). (I7-1A)
Conclusions:There is an increased frequency of AIDS among stroke patients, possibly due to the increased detection of AIDS. In the HAART era, the median age of incident stroke in AIDS has increased. Whether HAART can reduce the incidence and improve survival of stroke needs to be explored.Disclosure: Dr. Kucab has received personal compensation for activities with Bayer HealthCare as an advisory board participant. Dr. Bhattacharya has nothing to disclose.
Source: Neurology - April 8, 2015 Category: Neurology Authors: Kucab, P., Bhattacharya, P. Tags: The Global Burden of Neurological Infections: Epidemiology, Treatment, and Prevention Data Blitz Presentations Source Type: research

The Changing Epidemiology of Stroke in Acquired Immune Deficiency Syndrome (AIDS). (P1.089)
Conclusions:There is an increased frequency of AIDS among stroke patients, possibly due to the increased detection of AIDS. In the HAART era, the median age of incident stroke in AIDS has increased. Whether HAART can reduce the incidence and improve survival of stroke needs to be explored.Disclosure: Dr. Kucab has received personal compensation for activities with Bayer HealthCare as an advisory board participant. Dr. Bhattacharya has nothing to disclose.
Source: Neurology - April 8, 2015 Category: Neurology Authors: Kucab, P., Bhattacharya, P. Tags: Neuroepidemiology: Cerebrovascular Disease Source Type: research

Syphilis on the Rise: Diagnosis, Treatment, and Prevention
This article focuses on identifying high-risk patients and diagnosis and treatment options for syphilis infection.
Source: The Journal for Nurse Practitioners - January 1, 2015 Category: Nursing Authors: Jennifer Klein, Mary McLaud, Deanna Rogers Tags: Feature Article Source Type: research

The Great Imitator—Still Today! A Case of Meningovascular Syphilis Affecting the Posterior Circulation
We describe clinical features and imaging studies of a 50-year-old patient with Parinaud syndrome and a syphilitic dorsal midbrain infarction. Brain magnetic resonance imaging indicated vasculitis of the posterior circulation. The diagnosis of meningovascular syphilis was established by serum and cerebrospinal fluid examinations. Although rare, because of the high impact on treatment, clinicians should always be aware of meningovascular syphilis in the differential diagnosis of stroke, particularly in young and male patients with cryptogenic stroke.
Source: Journal of Stroke and Cerebrovascular Diseases - October 2, 2014 Category: Neurology Authors: Jochen Bäuerle, Anna Zitzmann, Karl Egger, Stephan Meckel, Cornelius Weiller, Andreas Harloff Tags: Case Report Source Type: research

One night with venus, a lifetime with mars
I present a case of neurosyphilis presenting as acute stroke in a 44-year-old male; I review the current literature, with a particular emphasis on diagnostics and the pitfalls of serological testing. Neurosyphilis is an imprecise term and subsumes meningitic, meningovascular, parenchymatous and gummatous syphilis. Of these, meningovascular syphilis is most commonly associated with large vessel arteritis and stroke, particularly of the middle cerebral artery. Although syphilis rates have increased since the latter part of the 20th century, neurosyphilis remains a rare disease and epidemiological estimates are marred by impr...
Source: Journal of Neurology, Neurosurgery and Psychiatry - September 9, 2014 Category: Neurosurgery Authors: Johnson, J. Tags: Abstracts Source Type: research

Cerebral small-vessel disease associated with COL4A1 and COL4A2 gene duplications
A nonsmoking woman, aged 44 years, presented with transient right-sided hemiparesis. CT showed leukoencephalopathy without infarction (figure). Blood pressure was normal. Blood count, plasma glucose levels, C-reactive protein, renal/liver function tests, cardiac enzymes, atrial natriuretic factor, HIV/syphilis/hepatitis B and C serology, and lactic acid levels were normal. Low-density lipoprotein (LDL) cholesterol levels were slightly elevated (1.25 g/L). Screening tests for prothrombotic disorders (serum fibrinogen, D-dimer, fibrin degradation products, antithrombin III level, protein C and S level, factor V Leiden, proth...
Source: Neurology - September 8, 2014 Category: Neurology Authors: Renard, D., Mine, M., Pipiras, E., Labauge, P., Delahaye, A., Benzacken, B., Tournier-Lasserve, E. Tags: Stroke in young adults, MRI, All Cerebrovascular disease/Stroke, Infarction, All Genetics CLINICAL/SCIENTIFIC NOTES Source Type: research

Isolated Cerebral Mucormycosis: A Case Report (P5.022)
CONCLUSION: Isolated cerebral mucormycosis is a rare and fatal condition. It is should be considered in immunocompromised patients with persistent fever not responding to antibiotics, rapidly evolving focal neurologic deficits. High index of clinical suspicion and aggressive medical management with anti-fungal therapy may result in better outcomes.Disclosure: Dr. Dhakar has nothing to disclose. Dr. Rayes has nothing to disclose. Dr. Williams has nothing to disclose. Dr. Tselis has recieved research support from Teva Neuroscience and Biogenic Idec. Dr. Norris has nothing to disclose.
Source: Neurology - April 9, 2014 Category: Neurology Authors: Dhakar, M., Rayes, M., Williams, K., Tselis, A., Norris, G. Tags: General Neurology IV Source Type: research

Anabolic Steroids Abuse And Ischemic Stroke: A Case Report And Literature Review (P6.247)
CONCLUSIONS:Due to new upcoming socio-behavioral aspects of adolescents and young adults life, neurologists should be screen this unusual risk factor in young patients with stroke.Study Supported by:Disclosure: Dr. Xiong has nothing to disclose. Dr. Velez has nothing to disclose. Dr. Khanna has nothing to disclose.
Source: Neurology - April 9, 2014 Category: Neurology Authors: Xiong, G., Velez, A., Khanna, A. Tags: Cerebrovascular Disease and Interventional Neurology: Case Reports Source Type: research

Case of Neurosyphilis Presenting as MoyaMoya Syndrome (P6.251)
Conclusions: Neurosyphilis can cause cerebrovascular disease, eventually leading to moyamoya like picture. Young patient presenting with stroke should be tested for syphilis and neurosyphilis should be ruled out as a cause in moyamoya syndrome, as this condition is potentially treatable.Disclosure: Dr. Ali has nothing to disclose. Dr. Gowda has nothing to disclose.
Source: Neurology - April 9, 2014 Category: Neurology Authors: Ali, S., Gowda, S. Tags: Cerebrovascular Disease and Interventional Neurology: Case Reports Source Type: research

Stroke in a Young Patient: A Sentinel Presentation of Neurosyphilis and HIV (P2.109)
Conclusions: Neurosyphilis should be a diagnostic consideration in young patients with ischemic stroke. Clinicians should be aware of the high incidence of concomitant syphilis and HIV in at-risk populations. Effort should be made to inquire about high-risk behaviors and initiate testing for these infections early in the diagnostic workup to avoid missing these crucial diagnoses.Disclosure: Dr. Flaherty has nothing to disclose. Dr. Cutting has received personal compensation for activities with F1000.
Source: Neurology - April 9, 2014 Category: Neurology Authors: Flaherty, E., Cutting, S. Tags: Cerebrovascular Disease and Interventional Neurology: Childhood and Young Adult Source Type: research

Health maintenance in women.
Abstract The health maintenance examination is an opportunity to focus on disease prevention and health promotion. The patient history should include screening for tobacco use, alcohol misuse, intimate partner violence, and depression. Premenopausal women should receive preconception counseling and contraception as needed, and all women planning or capable of pregnancy should take 400 to 800 mcg of folic acid per day. High-risk sexually active women should be counseled on reducing the risk of sexually transmitted infections, and screened for chlamydia, gonorrhea, and syphilis. All women should be screened for huma...
Source: American Family Physician - January 1, 2013 Category: Primary Care Authors: Riley M, Dobson M, Jones E, Kirst N Tags: Am Fam Physician Source Type: research

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