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Septic Shock From Pan-Spinal Epidural Abscess Attributed to Recent Acupuncture and Trigger Point Injections for Acute Lower Back Pain in a Previously Undiagnosed Diabetic Patient: A Case Report
We report the case of a 60-year-old woman with undiagnosed diabetes mellitus who presented to the hospital with a complaint of progressive altered mental status for the past two days. Eight days prior to presentation, the patient tripped over a pillow at home and developed mildly nagging, acute lower back pain. Upon the recommendation of her friends, she underwent two sessions of acupuncture around the lumbar area on days six and five prior to being brought to the hospital. She also saw her primary care physician on day three prior to presentation, who performed a history and physical examination and, after feeling that sh...
Source: Pain Physician - June 9, 2023 Category: Anesthesiology Authors: Shaheryar Usman Faraz Badar Carlos Collado Andrew Weber Alan Kaell Source Type: research

Oh, You Have Medicare? We'll Skip That Test.
(MedPage Today) -- *Patient's name has been changed Magda* was 70 years old when she suffered a mild stroke. She was taken to a hospital, where the emergency department and critical care unit ran the appropriate tests and sent her home with medicine...
Source: MedPage Today Public Health - June 8, 2023 Category: American Health Source Type: news

Association of preoperative clinical frailty and clinical outcomes in elderly patients with stable coronary artery disease after percutaneous coronary intervention
AbstractThere are few reports on the long-term clinical outcome after percutaneous coronary intervention (PCI) in patients with stable coronary artery disease (CAD) complicated with frailty. This novel study investigated the association between pre-PCI frailty and long-term clinical outcomes in elderly patients aged 65  years or older with stable CAD who underwent elective PCI. We assessed 239 consecutive patients aged 65 years or older with stable CAD who underwent successful elective PCI at Kagoshima City Hospital between January 1st, 2017 and December 31st, 2020. Frailty was retrospectively assessed using the Canadian...
Source: Heart and Vessels - June 7, 2023 Category: Cardiology Source Type: research

Assessing Depression and its Correlates Among Post-stroke Survivors with Aphasia in Sri Lanka
This study attempted to identify the individuals with depression among people with aphasia, to understand the influence of socio-demographic factors on depression, and to understand the relationship PSD has with language impairment and physical disability. We conducted a cross-sectional study with 78 participants recruited from three hospital-based speech and language therapy clinics in Sri Lanka. Sinhala Language Aphasia Assessment, Peradeniya Depression Scale, and Barthel Index were used to measure language skills, depression symptoms, and physical disability. From the sample, 25.6% (n  = 20) were having depression. ...
Source: Journal of Psychosocial Rehabilitation and Mental Health - June 7, 2023 Category: Psychiatry Source Type: research

Access to rehabilitation professionals by individuals with stroke one month after hospital discharge from a stroke unit in Brazil is insufficient regardless of the pandemic
To compare access to rehabilitation professionals by individuals with stroke one month after hospital discharge from a stroke unit in Brazil, before and during the COVID-19 pandemic.
Source: Journal of Stroke and Cerebrovascular Diseases - June 7, 2023 Category: Neurology Authors: Jordana P Magalh ães, Iza Faria-Fortini, Tamires MFV Dutra, Romeu Sant'Anna, Carolina LA Soares, Luci F Teixeira-Salmela, Christina DCM Faria Source Type: research

Association of preoperative clinical frailty and clinical outcomes in elderly patients with stable coronary artery disease after percutaneous coronary intervention
AbstractThere are few reports on the long-term clinical outcome after percutaneous coronary intervention (PCI) in patients with stable coronary artery disease (CAD) complicated with frailty. This novel study investigated the association between pre-PCI frailty and long-term clinical outcomes in elderly patients aged 65  years or older with stable CAD who underwent elective PCI. We assessed 239 consecutive patients aged 65 years or older with stable CAD who underwent successful elective PCI at Kagoshima City Hospital between January 1st, 2017 and December 31st, 2020. Frailty was retrospectively assessed using the Canadian...
Source: Heart and Vessels - June 7, 2023 Category: Cardiology Source Type: research

Poststroke venous thromboembolism and neutrophil activation: an illustrated review
Res Pract Thromb Haemost. 2023 Apr 29;7(4):100170. doi: 10.1016/j.rpth.2023.100170. eCollection 2023 May.ABSTRACTPatients with acute ischemic stroke are at a high risk of venous thromboembolism (VTE), such as deep vein thrombosis (DVT), estimated to affect approximately 80,000 patients with stroke each year in the United States. The prevalence of symptomatic DVT after acute stroke is approximately 10%. VTE is associated with increased rates of in-hospital death and disability, with higher prevalence of in-hospital complications and increased 1-year mortality in patients with stroke. Current guidelines recommend the use of ...
Source: Thrombosis and Haemostasis - June 5, 2023 Category: Hematology Authors: Nirav Dhanesha Junaid Ansari Nilesh Pandey Harpreet Kaur Chiranjiv Virk Karen Y Stokes Source Type: research

Short-term effects of individual exposure to PM < sub > 2.5 < /sub > on hospital admissions for myocardial infarction and stroke: a population-based case-crossover study in Guangzhou, China
Environ Sci Pollut Res Int. 2023 Jun 5. doi: 10.1007/s11356-023-28058-y. Online ahead of print.ABSTRACTSome studies have investigated the effects of PM2.5 on cardiovascular diseases based on the population-average exposure data from several monitoring stations. No one has explored the short-term effect of PM2.5 on cardiovascular hospitalizations using individual-level exposure data. We assessed the short-term effects of individual exposure to PM2.5 on hospitalizations for myocardial infarction (MI) and stroke in Guangzhou, China, during 2014-2019. The population-based data on cardio-cerebrovascular events were provided by ...
Source: Environmental Science and Pollution Research International - June 5, 2023 Category: Environmental Health Authors: Jie-Qi Jin Guo-Zhen Lin Shuang-Ying Wu Mu-Rui Zheng Hui Liu Xiang-Yi Liu Min-Qian Yan Zhao-Yue Chen Chun-Quan Ou Source Type: research

Cerebral infarction and in-hospital mortality for patients admitted to hospital with intracardiac thrombus: insights from the National Inpatient Sample
Abstract The factors associated with cerebral infarction and mortality in patients hospitalized with intracardiac thrombus are unknown. A retrospective cohort study was undertaken of nationally representative hospital admissions in the National Inpatient Sample with a diagnosis of intracardiac thrombus between 2016 to 2019. Multiple logistic regressions were used to define factors associated with cerebral infarction and in-hospital mortality. There were a total of 175,370 admissions for patients with intracardiac thrombus and 10.1% patients had cerebral infarction (n  = 17,675). Intracardiac thrombus represented 4.4%...
Source: Journal of Thrombosis and Thrombolysis - June 5, 2023 Category: Hematology Source Type: research

Effects of intensive lipid lowering compared with moderate-intensity lipid lowering on coronary atherosclerotic plaque phenotype and major adverse cardiovascular events in adults with low to intermediate 10-year ASCVD risk (ILLUMINATION study): protocol for a multicentre, open-label, blinded-endpoint, randomised controlled trial
Introduction Current guidelines recommend moderate-intensity lipid lowering (low-density lipoprotein cholesterol, LDL-C of <2.6 mmol/L or 30%–49% reduction from the baseline) for patients with intermediate 10-year atherosclerotic cardiovascular disease (ASCVD) risk. The effects of intensive lipid lowering (LDL-C of <1.8 mmol/L) on coronary atherosclerotic plaque phenotype and major adverse cardiovascular events (MACE) in adults with both non-obstructive coronary artery disease (CAD) and low to intermediate 10-year ASCVD risk remain uncertain. Methods and analysis Intensive Lipid-lowering for Plaque and Major A...
Source: BMJ Open - June 5, 2023 Category: General Medicine Authors: Zheng, J., Hou, Z., Yuan, J., Zhao, X., Wang, Y., Li, J., Zhang, W., Dou, K., Lu, B. Tags: Open access, Cardiovascular medicine Source Type: research

Effectiveness and feasibility of continuous positive airway pressure in patients with stroke and sleep apnea: a meta-analysis of randomized trials
Journal of Clinical Sleep Medicine, Ahead of Print.
Source: Journal of Clinical Sleep Medicine : JCSM - June 5, 2023 Category: Sleep Medicine Authors: Shasha Fu Xiaohua Peng Yi Li Lining Yang Heping Yu 1Department of Rehabilitation Medicine, The First Affiliated Hospital of Chongqing Medical University, Chongqing, China 2Department of Rehabilitation Medicine, People ’s Hospital of Chongqing Banan Dist Source Type: research

The influence of hemoglobin and swallowing ability on daily living activities after hospital discharge in Taiwanese stroke patients: A longitudinal study
This study aimed to examine the mediating effect of swallowing ability on hemoglobin levels and activities of daily living (ADL).
Source: Archives of Physical Medicine and Rehabilitation - June 5, 2023 Category: Rehabilitation Authors: Ying-Tzu Tseng, Der-Sheng Han, Jerry Cheng-Yen Lai, Chien-Hui Wang, Tyng-Guey Wang, Hung-Hui Chen Tags: Original Research Source Type: research

Effectiveness and feasibility of continuous positive airway pressure in patients with stroke and sleep apnea: a meta-analysis of randomized trials
Journal of Clinical Sleep Medicine, Ahead of Print.
Source: Journal of Clinical Sleep Medicine : JCSM - June 5, 2023 Category: Sleep Medicine Authors: Shasha Fu Xiaohua Peng Yi Li Lining Yang Heping Yu 1Department of Rehabilitation Medicine, The First Affiliated Hospital of Chongqing Medical University, Chongqing, China 2Department of Rehabilitation Medicine, People ’s Hospital of Chongqing Banan Dist Source Type: research