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Condition: Stroke
Education: Royal College of Physicians

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Total 344 results found since Jan 2013.

Improving detection and management of atrial fibrillation after ischaemic stroke in Glasgow (IMPROVE-AF): A quality improvement project
DISCUSSION: The QIP has improved AF detection, reduced delays associated with conventional cardiac monitoring and prompted early initiation of oral anticoagulation.PMID:36369810 | DOI:10.1177/14782715221120133
Source: Journal of the Royal College of Physicians of Edinburgh - November 12, 2022 Category: General Medicine Authors: Fiona C Johnston Alan C Cameron Elizabeth Colquhoun David L Murdoch Jesse Dawson Azmil H Abdul-Rahim Source Type: research

Just a graze?
In conclusion, when approaching a patient with head injury and one or more cranial nerve palsies, it is important to consider cephalic tetanus. Figure 1 Axial CT head shows a large subcutaneous haematoma overlying the right frontal convexity with locules of gas and a 3mm metallic density at its inferior aspect, possibly representing a foreign body.
Source: Journal of Neurology, Neurosurgery and Psychiatry - October 9, 2013 Category: Neurosurgery Authors: Doshi, A., Dahdalleh, D., Warrell, C., Kullmann, D. Tags: Immunology (including allergy), Cranial nerves, Drugs: CNS (not psychiatric), Neurological injury, Stroke, Trauma CNS / PNS, Hypertension, Trauma, Injury Association of British Neurologists (ABN) joint meeting with the Royal College of Physicians (RCP), Source Type: research

Compliance with national guidelines for stroke in Radiology
Publication date: Available online 14 September 2015 Source:Operations Research for Health Care Author(s): Izabela Komenda, Vincent Knight, Hannah Mary Williams Stroke is a medical emergency, and if patient outcomes are to be optimised there should be no delays in accessing treatment. This project focuses on the application of Operational Research methodology to investigate how a hospital can comply with the revised computerised tomography (CT) scanning guidelines for stroke. Such guidelines, released by the Royal College of Physicians recommend a 50% reduction in time from hospital admission to report of a CT head sc...
Source: Operations Research for Health Care - September 14, 2015 Category: Hospital Management Source Type: research

Editorial Postacute stroke care: same standards as acute care?
The Sentinel Stroke National Audit Programme (SSNAP), led by the Royal College of Physicians, has released the first comprehensive audit into 604 of 756 postacute stroke care services throughout the UK. Although vast improvements have been achieved in acute stroke care in recent years, progress in postacute care for long-term rehabilitation has been left behind in comparison.
Source: LANCET - December 11, 2015 Category: Journals (General) Authors: The Lancet Tags: Editorial Source Type: research

The key challenges of discussing end-of-life stroke care with patients and families: a mixed-methods electronic survey of hospital and community healthcare professionals.
CONCLUSION: Key topics of unmet need for education in end-of-life care in stroke have been identified and these have influenced the content of an open access, web-based educational resource. PMID: 30191909 [PubMed - in process]
Source: Journal of the Royal College of Physicians of Edinburgh - September 8, 2018 Category: General Medicine Tags: J R Coll Physicians Edinb Source Type: research

Alterations in structural and haemodynamic cerebrovascular measures in late onset epilepsy
Conclusions Our findings indicate differences in both structural and haemodynamic measures of CVD between LOE patients and HC, even in the absence of clinical CVD. We observed trends towards longer baseline tA and reduced tA in response to hypercapnia in LOE patients, and significant regional tA differences. The relevance of these changes in tA is presently unclear, but may be indicative of haemodynamic changes in response to otherwise occult CVD. Significantly greater WML volume, likely to be predominantly due to cerebral small vessel disease, correlated with increased BBB permeability, itself likely to be important in ep...
Source: Journal of Neurology, Neurosurgery and Psychiatry - October 9, 2013 Category: Neurosurgery Authors: Hanby, M., Fairclough, S., Makin, F., Al-Bachari, S., Vidyasagar, R., Parkes, L., Emsley, H. Tags: Epilepsy and seizures, Stroke, Radiology, Radiology (diagnostics) Association of British Neurologists (ABN) joint meeting with the Royal College of Physicians (RCP), London, 23-24 October 2013 Source Type: research

Nurse staffing and mortality in stroke centers
(PLOS) Hospital staffing levels have been associated with patient outcomes, but staffing on weekends has not been well studied. To helpaddress the paucity of research, Dr. Benjamin Bray of King's College London and Royal College of Physicians, UK, and colleagues conducted a prospective cohort study of weekend staffing with stroke specialist physicians for patients admitted to 103 stroke units in England, published in this issue of PLOS Medicine.
Source: EurekAlert! - Social and Behavioral Science - August 19, 2014 Category: Global & Universal Source Type: news

A practical approach to the new oral anticoagulants used for stroke prevention in patients with atrial fibrillation.
Authors: Bashir S, Al-Mohammed A, Gupta S Abstract This review evaluates the research undertaken in the last six years on the use of new oral anticoagulants for stroke prevention in atrial fibrillation and provides evidence-based answers to common clinical questions. Two types of new oral anticoagulants - direct thrombin (IIa) inhibitors, and Xa inhibitors - are currently available. These drugs have similar pharmacokinetics and pharmacodynamics. They are more predictable than, though in many respects comparable to, warfarin. They do not require frequent laboratory tests, nor do they have a narrow therapeutic window...
Source: Journal of the Royal College of Physicians of Edinburgh - December 10, 2016 Category: Journals (General) Tags: J R Coll Physicians Edinb Source Type: research

Forme fruste anti-GQ1b-negative Miller Fischer syndrome masquerading as posterior circulation stroke.
In this report, a case of MFS is highlighted that was mistakenly treated as posterior circulation stroke, as well as the challenges faced in reaching the correct diagnosis and hence the appropriate treatment. PMID: 31808458 [PubMed - in process]
Source: Journal of the Royal College of Physicians of Edinburgh - December 7, 2019 Category: General Medicine Tags: J R Coll Physicians Edinb Source Type: research

Grey matter heterotopia mimicking acute stroke
J R Coll Physicians Edinb. 2022 Mar;52(1):52-53. doi: 10.1177/14782715221088977.ABSTRACTGrey Matter Heterotopia is a rare clinical entity and its presentation can vary with age. While it usually presents with seizures or behavioural problems, it can seldom present as a stroke mimic. We aim to highlight this rare condition as a differential diagnosis in patients presenting with stroke-like symptoms.PMID:36146972 | DOI:10.1177/14782715221088977
Source: Journal of the Royal College of Physicians of Edinburgh - September 23, 2022 Category: General Medicine Authors: Muhammad Yasir Rafiq Lydia Fasey Mohammad Abdullah Abdul Salam Source Type: research