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Specialty: General Medicine
Condition: Pain

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Total 390 results found since Jan 2013.

Music interventions for acquired brain injury.
CONCLUSIONS: Music interventions may be beneficial for gait, the timing of upper extremity function, communication outcomes, and quality of life after stroke. These results are encouraging, but more high-quality randomised controlled trials are needed on all outcomes before recommendations can be made for clinical practice. PMID: 28103638 [PubMed - as supplied by publisher]
Source: Cochrane Database of Systematic Reviews - January 19, 2017 Category: Journals (General) Authors: Magee WL, Clark I, Tamplin J, Bradt J Tags: Cochrane Database Syst Rev Source Type: research

En kvinne i 50- årene med residiverende svimmelhet.
En kvinne i 50-årene med residiverende svimmelhet. Tidsskr Nor Laegeforen. 2020 Aug 18;140(11): Authors: Eriksen E, Smebye KL, Mejlænder-Evjensvold M, Sandset EC Abstract BACKGROUND: Vasculitis caused by neuroborreliosis is one of many rare described causes of stroke. CASE PRESENTATION: A female smoker in her fifties presented with dizziness due to a left cerebellar infarction, and after general stroke workup atherosclerosis was considered the probable cause. In the preceding months she had experienced nonspecific intermittent headache, neck pain and dizziness initially attributed to prior head...
Source: Tidsskrift for den Norske Laegeforening - August 17, 2020 Category: General Medicine Authors: Eriksen E, Smebye KL, Mejlænder-Evjensvold M, Sandset EC Tags: Tidsskr Nor Laegeforen Source Type: research

Transcatheter Aortic Valve Implantation in Patients With Severe Aortic Valve Stenosis at Low Surgical Risk: A Health Technology Assessment.
Conclusions: Both TAVI (transfemoral route) and SAVR resulted in improved patient symptoms and quality of life during the 1 year of follow-up. The TAVI procedure is less invasive and resulted in greater symptom improvement and quality of life than SAVR 30 days after surgery. The TAVI procedure also resulted in a small improvement in mortality and disabling stroke at 30 days. At 1 year, TAVI and SAVR were similar with regard to mortality, although TAVI may result in a slightly lower risk of disabling stroke. According to the study authors, longer follow-up is needed to better understand how long TAVI valves last and to draw...
Source: Ontario Health Technology Assessment Series - November 27, 2020 Category: General Medicine Tags: Ont Health Technol Assess Ser Source Type: research

Transcatheter aortic valve implantation versus surgical aortic valve replacement in patients with severe aortic stenosis: a systematic review and meta-analysis
Conclusions No overall change in the risk of death from any cause or cardiovascular mortality was identified but 95% CIs were often wide, indicating uncertainty. TAVI may reduce the risk of certain side effects while SAVR may reduce the risk of others. Most long-term (5-year) results are limited to older patients at high surgical risk (ie, early trials), therefore more data are required for low risk populations. Ultimately, neither surgical technique was considered dominant, and these results suggest that every patient with SAS should be individually engaged in SDM to make evidence-based, personalised decisions around thei...
Source: BMJ Open - December 6, 2021 Category: General Medicine Authors: Swift, S. L., Puehler, T., Misso, K., Lang, S. H., Forbes, C., Kleijnen, J., Danner, M., Kuhn, C., Haneya, A., Seoudy, H., Cremer, J., Frey, N., Lutter, G., Wolff, R., Scheibler, F., Wehkamp, K., Frank, D. Tags: Open access, Cardiovascular medicine Source Type: research

The Clinical Features of Dissection of the Cervical Brain-Supplying Arteries
CONCLUSION: Dissection of the cervical brain-supplying vessels is not always revealed by the imaging methods that are used to detect it. Stroke prevention thus depends on the physician's being aware of the symptoms and signs of this disease entity, so that early diagnosis can be followed by appropriate treatment.PMID:35734920 | DOI:10.3238/arztebl.m2022.0238
Source: Deutsches Arzteblatt International - June 23, 2022 Category: General Medicine Authors: Christian Arn Kathrin Hanke-Arning Bernd Eckert Source Type: research

How to help patients make heart health changes: Q&A with Dr. Rakotz
Dietary and lifestyle changes are difficult to make. Once habits are formed, the effort that is required to change is often overwhelming for both patients and physicians. This week, Michael Rakotz, MD, director of chronic disease prevention with the AMA’s Improving Health Outcomes initiative, provides guidance from his own experience as a primary care physician on approaching heart healthy changes with patients. AMA Wire®: In our Twitter poll, the public thought 2:1 that exercise would benefit their heart health more than dietary changes. Why is that? Dr. Rakotz: It’s hard to know for sure why people voted this w...
Source: AMA Wire - September 29, 2015 Category: Journals (General) Authors: amamod Source Type: news

Pamidronate effect compared with a steroid on complex regional pain syndrome type I: Pilot randomised trial.
CONCLUSIONS: Intravenous pamidronate therapy was safe, well tolerated and appeared as effective as a steroid for pain control for post-stroke CRPS. However, this result should be interpreted with caution, since it included a relatively small number of patients. Further larger controlled studies followed over a longer period are needed to validate these findings and to determine clinical treatment standards. PMID: 26819359 [PubMed - in process]
Source: The Netherlands Journal of Medicine - January 1, 2016 Category: Journals (General) Authors: Eun Young H, Hyeyun K, Sang Hee I Tags: Neth J Med Source Type: research

The myofascial component of the pain in the painful shoulder of the hemiplegic patient
CONCLUSION: Trigger point blockade with lidocaine can reduce pain perception in spastic hemiplegic shoulder in as much as 50% of stroke survivors for four months.
Source: Clinics - April 30, 2019 Category: General Medicine Source Type: research

Atrial myxoma with cerebellar signs: a case report
ConclusionAlthough rare, atrial myxoma has to be considered a cause of stroke and other embolic phenomenon causing multiorgan infarctions. Early and timely diagnosis of the condition can prevent further recurrence and inappropriate anticoagulant therapy. It would be pertinent to have echocardiography done in patients who present with a stroke, arrhythmias, and other constitutional symptoms. The tumor once detected must be removed surgically as early as possible, which not only reduces serious thromboembolic complications but can be potentially curative.
Source: Journal of Medical Case Reports - February 12, 2020 Category: General Medicine Source Type: research

Screening for peripheral arterial disease.
CONCLUSIONS: Unfortunately, no randomised controlled trial data are available regarding screening for PAD. Therefore, we are unable to determine the effects of screening for PAD in order to guide decision making by healthcare providers and planners. High quality randomised controlled trials evaluating the effectiveness of screening for PAD in asymptomatic and undiagnosed individuals in terms of reduction of all-cause mortality, cardiovascular events (for example myocardial infarction and stroke), morbidity from PAD (intermittent claudication, amputation, reduced walking distance) and improvement in quality of life are need...
Source: Cochrane Database of Systematic Reviews - April 7, 2014 Category: Journals (General) Authors: Andras A, Ferket B Tags: Cochrane Database Syst Rev Source Type: research