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Interventional Stroke Therapy
Interventional stroke therapy is an overview of the field of stroke intervention and imaging with many short summaries and illustrations helpful for the novice and the advanced learner alike. Although not a comprehensive resource, it is useful for understanding the basic imaging techniques, scientific underpinnings, and current controversies in the field. This concise first edition publication is a collaboration of German authors, edited by Drs. Jansen and Brueckmann, who do a nice job in briefly summarizing developments in the field for easy understanding.
Source: Academic Radiology - April 7, 2014 Category: Radiology Authors: Christopher Potter Tags: The Bookshelf Source Type: research

Statins and cardiovascular disease.
Authors: Abstract Essential facts Heart disease, stroke and peripheral arterial disease, known collectively as cardiovascular disease (CVD), cause one in three of all deaths in the UK. High levels of low-density lipoprotein (LDL) cholesterol can lead to hardening of the arteries, a risk factor for CVD. Statins are a group of drugs that act on the liver to lower LDL cholesterol rates in the blood. As many as seven million people in the UK currently take statins, at a cost of £285 million a year, according to the National Institute for Health and Care Excellence (NICE). PMID: 24641035 [PubMed - in process]
Source: Nursing Standard - March 19, 2014 Category: Nursing Tags: Nurs Stand Source Type: research

Editorial Statins for millions more?
Last week, the National Institute for Health and Care Excellence (NICE) in the UK unveiled draft guidance on cardiovascular risk assessment and, in particular, on lipid modification for the primary and secondary prevention of cardiovascular disease. In an update to the existing guideline, the new proposal is that the threshold be halved for prescribing statins to prevent cardiovascular disease, which includes coronary heart disease and stroke.
Source: LANCET - February 21, 2014 Category: Journals (General) Authors: The Lancet Tags: Editorial Source Type: research

NICE publishes new draft guidelines on statins use
"Millions more people should be put on cholesterol-lowering statin drugs," BBC News reports. Draft guidance from the National Institute for Health and Care Excellence (NICE) has recommended that the drugs should be given to people with an estimated 1 in 10 or more risk of cardiovascular disease (CVD), which includes conditions such as heart disease and stroke. Statins are medicines that can help lower rates of low-density lipoprotein (LDL) cholesterol (so-called "bad" cholesterol) in the blood. High rates of LDL cholesterol can lead to hardening of the arteries, a risk factor for CVDs. At present,...
Source: NHS News Feed - February 12, 2014 Category: Consumer Health News Tags: Heart/lungs Medication QA articles Source Type: news

Ramipril improves walking times and quality of life in patients with stable intermittent claudication
Commentary on: Ahimastos AA, Walker PJ, Askew C, et al.. Effect of ramipril on walking times and quality of life among patients with peripheral artery disease and intermittent claudication: a randomized controlled trial. JAMA 2013;309:453–60. Context Intermittent claudication (IC) is a common condition that may be associated with significant disability and reduction in quality of life. Pharmacological options for the treatment of the symptoms of this condition are very limited. Naftidrofuryl oxalate is recommended in the National Institute for Health and Care Excellence (NICE) guidelines,1 and while this has been sho...
Source: Evidence-Based Medicine - January 22, 2014 Category: Internal Medicine Authors: Brittenden, J. Tags: Health policy, Clinical trials (epidemiology), Epidemiologic studies, Drugs: cardiovascular system, Stroke, Hypertension, Health service research Therapeutics Source Type: research

Healthy BMI? 8M Britons at high risk of heart disease and diabetes despite 'normal' reading
People of African, Caribbean and Asian descent are up to six times more likely to suffer from type 2 diabetes, heart disease and stroke, NICE has warned.
Source: the Mail online | Health - January 22, 2014 Category: Consumer Health News Source Type: news

Should I take statins?
Since 80% of cardiovascular disease is caused by lack of exercise, poor diet and smoking, it would be better to address these factors rather than pop a statinShould everyone over 50 be taking statins? asked an editorial in the Lancet last year. No, said an analysis article in last week's BMJ. Statins, in case you've escaped the hype, are drugs that block an enzyme in the liver that's needed to make cholesterol (we make it as well as eat it). Statins reduce levels of low density lipoproteins – the bad cholesterol that furs up arteries and can cause heart disease. But is there any benefit in taking a statin if yo...
Source: Guardian Unlimited Science - October 27, 2013 Category: Science Authors: Luisa Dillner Tags: The Guardian Medical research Health & wellbeing Human biology Drugs Features Life and style Science Source Type: news

Sickle cell disease, update on management
Abstract: The article aims to provide a broad overview of sickle cell disorders emphasizing current developments in modern management. The value of neonatal screening, now universal in England, is evaluated with emphasis on the importance of effective measures to reduce the risk of pneumococcal infection. Complications of sickle cell disease are discussed individually with key points of management highlighted, stroke and the use of transcranial Doppler screening as a tool to identify high risk patients is discussed in detail.The importance of effective, safe and rapid pain relief is highlighted and reference given to new N...
Source: Paediatrics and Child Health - October 15, 2013 Category: Pediatrics Authors: Amanda Cope, P.J. Darbyshire Tags: Symposium: Haematology Source Type: research

Walking ‘could save 37,000 lives a year’ report claims
The benefits of walking have been reported across the UK media. The BBC reports that “walking more 'would save thousands' of lives in the UK”. These stories have been prompted by the "Walking Works” report (PDF, 3.4MB). It provides an overview of current evidence on physical inactivity, and makes the case for encouraging more people to take up walking as a form of physical activity. It lays out that a large proportion of the population is not meeting physical activity guidelines and that if more people did so, this could potentially save 37,000 lives a year in England. It also discusses the specific benefits o...
Source: NHS News Feed - October 7, 2013 Category: Consumer Health News Tags: Cancer Lifestyle/exercise QA articles Source Type: news

Euro launch of next-gen thrombectomy device announced
The European launch of a next-generation clot-removal device offering enhanced navigation through the cerebral vasculature and rapid restoration of blood flow to the brain after an ischemic stroke was announced this month at the 5th Congress of European Society of Minimally Invasive Neurological Therapy (ESMINT) in Nice, Italy. The Revive SE Thrombectomy device is by Codman Neuro, part of DePuy Synthes Companies of Johnson & Johnson. read more
Source: Articles from MedicalDesign.com - September 16, 2013 Category: Medical Equipment Tags: Business Cardiovascular Source Type: news

Heparin, grad students, a clinical revolution and giving credit where it's due
The story of a grad student who overcame remarkable odds only to be denied his moment of glory, or a tale of dark deceit and devilish doings? The story of heparin is as complicated as the chemistry itselfBlood is remarkable.A liquid that carries nutrients, waste products and the ever-vigilant cells of the immune system around the body, blood rapidly turns into a solid when it leaves its veins and arteries and becomes exposed to bodily tissues or the air outside. This process of solidification – clotting, or coagulation – is executed and controlled by a complex set of reactions and interactions primarily involving the e...
Source: Guardian Unlimited Science - September 4, 2013 Category: Science Authors: Richard P Grant Tags: theguardian.com Blogposts Science Source Type: news

Why acupuncture is giving sceptics the needle
Acupuncture has been prescribed by half of Britain's doctors, but after 3,000 clinical trials its efficacy remains unproven. So is the NHS making a grave error in supporting this ancient treatment?• Are vitamin pills a sham? Q&A with Dr. Paul OffitYou can't get crystal healing on the NHS. The Department of Health doesn't fund faith healing. And most doctors believe magnets are best stuck on fridges, not patients. But ask for a treatment in which an expert examines your tongue, smells your skin and tries to unblock the flow of life force running through your body with needles and the NHS will be happy to oblige.The govern...
Source: Guardian Unlimited Science - July 26, 2013 Category: Science Authors: David Derbyshire Tags: Culture Health Science and scepticism Features NHS Alternative medicine The Observer Source Type: news

Drugs to be offered to women at high risk of breast cancer
The National Institute of Health and Care Excellence (NICE) has today released updated guidelines on the care of women who are at increased risk of breast cancer due to their family history. One of the main changes to the original guidance from 2004 is that NICE now recommends drug treatment with tamoxifen or raloxifene to reduce risk of breast cancer in a specific group of women who are at high risk of breast cancer and have not had the disease. They say that these treatments could help prevent breast cancer in about 488,000 women aged 35 years and older. The updated guideline has also made changes to the recommende...
Source: NHS News Feed - June 25, 2013 Category: Consumer Health News Tags: Cancer Medical practice QA articles Source Type: news

Joined-up working required for effective stroke rehab services
Stroke is a major health problem in the UK. Each year an estimated 150,000 people have a stroke - equivalent to one person every five minutes. In its first clinical guideline on stroke rehabilitation, NICE says that people with disability after stroke should receive rehabilitation in a dedicated stroke inpatient unit, and subsequently from a specialist stroke team within the community.
Source: NHS Networks - June 20, 2013 Category: UK Health Authors: Maria Axford Source Type: news

NICE issues first guidelines on stroke rehabilitation
'Joined-up' care essential say expertsRelated items from OnMedicaSpecialist stroke support costs NHS lessStroke therapists must offer seven-day workingEmotional support for stroke survivors is inadequateStroke survival best in specialist unitsTreatment is faster in high volume stroke centres
Source: OnMedica Latest News - June 12, 2013 Category: UK Health Source Type: news

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