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Total 326 results found since Jan 2013.

Clinical Manifestation of Depression after Stroke: Is It Different from Depression in Other Patient Populations?
Conclusions The findings suggest that depression after stroke is not a different type of depression. This finding indicates that all depressive symptoms should be evaluated in stroke patients, including somatic symptoms.
Source: PLoS One - December 4, 2015 Category: Biomedical Science Authors: Janneke M. de Man-van Ginkel et al. Source Type: research

Mortality and cardiovascular disease outcomes among 740 patients with new‐onset Type 2 diabetes detected by screening or clinically diagnosed in general practice
ConclusionsNo reduction in total mortality or CVD outcomes was found in patients with Type 2 diabetes that was detected by screening compared with those diagnosed clinically.This article is protected by copyright. All rights reserved.
Source: Diabetic Medicine - October 30, 2015 Category: Endocrinology Authors: S. P. O. Jansson, D. K. G. Andersson, K. Svärdsudd Tags: Research Article Source Type: research

Adherence to medication in stroke survivors dependent on caregivers.
PMID: 26500329 [PubMed - in process]
Source: The British Journal of General Practice - October 28, 2015 Category: Primary Care Authors: De Simoni A, Mant J, Sutton S Tags: Br J Gen Pract Source Type: research

Combined oral contraceptives and risk of venous thromboembolism: there is higher risk in new generations compared to second generations, but paradoxically not in norgestimate-containing-pills
This study examines the VTE risk associated with COC use in two large UK databases. Methods...
Source: Evidence-Based Medicine - September 24, 2015 Category: Internal Medicine Authors: Plu-Bureau, G. Tags: Smoking and tobacco, Epidemiologic studies, General practice / family medicine, Drugs: cardiovascular system, Stroke, Contraception, Drugs: obstetrics and gynaecology, Family planning, Alcohol, Health education, Smoking Aetiology/Harm Source Type: research

Impact of advanced age on management and prognosis in atrial fibrillation: insights from a population-based study in general practice
Conclusion: the majority of very elderly AF patients in general practice do not receive OAC despite their higher stroke risk; almost half received AP monotherapy. AP use independently increased the risk of stroke, signifying that effective stroke prevention requires OAC regardless of age, except where true contraindications exist.
Source: Age and Ageing - August 24, 2015 Category: Geriatrics Authors: Wolff, A., Shantsila, E., Lip, G. Y. H., Lane, D. A. Tags: Short Reports Source Type: research

Right care and high-value cardiology: doctors' responsibilities to the patient and the population
Significant advances in cardiovascular care, developed over the past three decades, are now routine treatment for people with heart disease—for example, primary angioplasty for acute ST elevation myocardial infarction is available to over 70% of the UK population, resynchronisation and defibrillator pacing devices are options for those with advanced heart failure, and drug therapies such as statins for secondary prevention have made significant impacts in reducing cardiovascular mortality in the past 50 years. Today, patients with cardiovascular disease can expect a better quality of life and greater longevity t...
Source: Postgraduate Medical Journal - August 24, 2015 Category: Journals (General) Authors: Malhotra, A., Apps, A., Saini, V., Gray, M. Tags: Patients, General practice / family medicine, Drugs: cardiovascular system, Stroke, Interventional cardiology, Ischaemic heart disease, Radiology, Clinical diagnostic tests, Cardiothoracic surgery, Vascular surgery, Epidemiology, Health economics Editor Source Type: research

Influenza vaccination and risk of stroke: Self-controlled case-series study.
CONCLUSIONS: Influenza vaccination is associated with a reduction in incidence of stroke. This study supports previous studies which have shown a beneficial association of influenza vaccination for stroke prevention. PMID: 26296496 [PubMed - as supplied by publisher]
Source: Vaccine - August 18, 2015 Category: Allergy & Immunology Authors: Asghar Z, Coupland C, Siriwardena N Tags: Vaccine Source Type: research

Antiepileptic drugs and the risk of ischaemic stroke and myocardial infarction: a population-based cohort study
Conclusions The use of enzyme-inducing AEDs was not associated with an increased risk of ischaemic stroke; a small increase of MI with prolonged use was observed. In contrast, use of inhibiting AEDs was associated with a decreased risk of MI.
Source: BMJ Open - August 12, 2015 Category: Journals (General) Authors: Renoux, C., Dell'Aniello, S., Saarela, O., Filion, K. B., Boivin, J.-F. Tags: Open access, Cardiovascular medicine, Epidemiology, Neurology, Public health Research Source Type: research

The mortality rate in England between 2007 and 2012 was not associated with the quality of primary care in an established pay for performance programme
This study aimed to examine the relationship between primary care performance of quality indicators included in the QOF and changes in mortality. Methods This was an analysis of a longitudinal data...
Source: Evidence-Based Medicine - July 24, 2015 Category: Internal Medicine Authors: Fleetcroft, R. Tags: EBM Quality improvement, Medical management, Clinical trials (epidemiology), Epidemiologic studies, General practice / family medicine, Drugs: cardiovascular system, Stroke, Hypertension, Diet, Ischaemic heart disease, Renal medicine, Guidelines Source Type: research

Study finds obese people may struggle to reach a healthy weight
ConclusionThis research makes use of a general practice database providing just under 10 years of BMI observations for a large, nationally representative UK sample. It demonstrates that low proportions of people in the obese categories were able to achieve a normal BMI over a year of follow-up, and the common problem of weight cycling. However, there are points to consider when interpreting these results: The probability of obtaining a normal BMI over a year was very low: only 1 in 210 for men and 1 in 124 for women in the "simple obese" category of 30 to 35kg/m2, and much lower than that for the higher categor...
Source: NHS News Feed - July 20, 2015 Category: Consumer Health News Tags: Food/diet Obesity Source Type: news

Fighting Stroke.
PMID: 26120104 [PubMed - in process]
Source: The British Journal of General Practice - June 30, 2015 Category: Primary Care Authors: Jones R Tags: Br J Gen Pract Source Type: research

Stroke detection and prevention in atrial fibrillation.
PMID: 26120105 [PubMed - in process]
Source: The British Journal of General Practice - June 30, 2015 Category: Primary Care Authors: Richard Hobbs FD Tags: Br J Gen Pract Source Type: research

Diagnostic inertia in obesity and the impact on cardiovascular risk in primary care: a cross-sectional study.
CONCLUSION: This study quantified DI in patients with obesity and determined that it was associated with a greater cardiovascular risk. PMID: 26120135 [PubMed - in process]
Source: The British Journal of General Practice - June 30, 2015 Category: Primary Care Authors: Martínez-St John DR, Palazón-Bru A, Gil-Guillén VF, Sepehri A, Navarro-Cremades F, Ramírez-Prado D, Orozco-Beltrán D, Carratalá-Munuera C, Cortés E, Rizo-Baeza MM Tags: Br J Gen Pract Source Type: research

Receptionist rECognition and rEferral of Patients with Stroke (RECEPTS): unannounced simulated patient telephone call study in primary care.
CONCLUSION: General practice receptionists refer patients with stroke for immediate care when they present with several symptoms; however, they are less likely to refer patients presenting with only one symptom or less common symptoms of stroke. Optimum management of acute stroke in primary care requires interventions that improve receptionists' knowledge of lesser-known stroke symptoms. PMID: 26120134 [PubMed - in process]
Source: The British Journal of General Practice - June 30, 2015 Category: Primary Care Authors: Mellor RM, Sheppard JP, Bates E, Bouliotis G, Jones J, Singh S, Skelton J, Wiskin C, McManus RJ Tags: Br J Gen Pract Source Type: research

GP receptionists 'could help prevent stroke deaths'
Conclusion This valuable and well-designed study assessed a cross-section of general practices from one UK region, looking at how well receptionists are able to recognise the signs of stroke and give appropriate advice – either immediately passing patients on to the GP or telling them to contact emergency services. The study has many strengths. These include the large sample of GP surgeries and calls assessed, and that receptionists weren't aware of the nature of the study and the calls were unannounced. At the end of each individual call receptionists were told the call was part of the study and no further action was n...
Source: NHS News Feed - June 29, 2015 Category: Consumer Health News Tags: Medical practice Neurology Source Type: news