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Specialty: General Medicine
Education: Teaching

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Total 21 results found since Jan 2013.

Identification of stroke during the emergency call: a descriptive study of callers' presentation of stroke
Conclusions This study implicates that fall/lying position and altered mental status could be considered as possible symptoms of stroke during an emergency call. Checking for FAST symptoms in these patients might uncover stroke symptoms. Future studies are needed to evaluate if actively asking for FAST symptoms in emergency calls presenting falls or a lying position can improve the identification of stroke. Trial registration number Stroke2010/703-31/2.
Source: BMJ Open - April 28, 2015 Category: Journals (General) Authors: Berglund, A., von Euler, M., Schenck-Gustafsson, K., Castren, M., Bohm, K. Tags: Open access, Diagnostics, Emergency medicine Research Source Type: research

Validation of Siriraj Stroke Score in southeast Nigeria
Innocent Ijezie Chukwuonye,1 Kenneth Arinze Ohagwu,2 Enoch Ogbonnaya Uche,3,4 Abali Chuku,5 Rowland Ihezuo Nw.e,2 Christopher Chukwuemeka Ohagwu,6 Ignatius U Ezeani,7 Collins Ogbonna Nwabuko,8 Martin Anazodo Nnoli,9 Efosa Oviasu,4,10 Okechukwu Samuel Ogah4,11 1Division of Nephrology, 2Division of Neurology, Department of Internal Medicine, Federal Medical Centre, Umuahia, Nigeria; 3Division of Neurosurgery, Department of Surgery, University of Nigeria Teaching Hospital, Enugu, Nigeria; 4Federal Medical Centre, Umuahia, Nigeria; 5Department of Ophthalmology, Federal Medical Centre, Umuahia, Nigeria; 6Department of Radiograp...
Source: International Journal of General Medicine - October 23, 2015 Category: Journals (General) Tags: International Journal of General Medicine Source Type: research

Depression and dynamic balance recovery among stroke survivors: A preliminary investigation
Conclusions There is a high prevalence of post-stroke depression among stroke survivors and they have poor dynamic balance. However, owing to small sample of participants in the present study, its premature to draw conclusion on the relationship between depression and dynamic balance recovery among stroke survivors from the result of this study.
Source: Polish Annals of Medicine - September 10, 2016 Category: Journals (General) Source Type: research

Barriers to evidence-based acute stroke care in Ghana: a qualitative study on the perspectives of stroke care professionals
Conclusion Barriers from low/middle-income countries differ substantially from those in high-income countries. For evidence-based acute stroke care in low/middle-income countries such as Ghana, health policy-makers and hospital managers need to consider the contrasts and uniqueness in these barriers in designing quality improvement interventions to optimise patient outcomes.
Source: BMJ Open - April 27, 2017 Category: Journals (General) Authors: Baatiema, L., de-Graft Aikins, A., Sav, A., Mnatzaganian, G., Chan, C. K. Y., Somerset, S. Tags: Research Source Type: research

In light of recently published clinical trials and their implication for clinical practice, does a large catchment area acute hospital require 24  hour CT neck and head angiography and/or neuro-interventional services in the setting of acute ischaemic stroke?
ConclusionUHL should provide routine CT angiography to all patients presenting with acute ischaemic stroke in line with current guidelines. The need for provision of neuro-interventional services on-site proved more difficult to assess and requires further analysis.
Source: Irish Journal of Medical Science - August 15, 2017 Category: General Medicine Source Type: research

Person-centred care transitions for people with stroke: study protocol for a feasibility evaluation of codesigned care transition support
This study protocol describes the evaluation of a feasibility study using a non-randomised controlled design. The codesigned care transition support includes patient information using videos, leaflets and teach back; what-matters-to me dialogue; a coordinated rehabilitation plan; bridged e-meeting; and a message system for cross-organisational collaboration. Patients with stroke, first time or recurrent, who are to be discharged home from hospital and referred to a rehabilitation team in primary healthcare for continued rehabilitation in the home will be included. One week after stroke, data will be collected on the primar...
Source: BMJ Open - December 23, 2021 Category: General Medicine Authors: Flink, M., Lindblom, S., Tistad, M., Laska, A. C., Bertilsson, B. C., Wärlinge, C., Hasselström, J., Elf, M., von Koch, L., Ytterberg, C. Tags: Open access, Neurology Source Type: research

Cognitive rehabilitation for memory deficits after stroke.
CONCLUSIONS: Participants who received cognitive rehabilitation for memory problems following a stroke reported benefits from the intervention on subjective measures of memory in the short term (i.e. the first assessment point after the intervention, which was a minimum of four weeks). This effect was not, however, observed in the longer term (i.e. the second assessment point after the intervention, which was a minimum of three months). There was, therefore, limited evidence to support or refute the effectiveness of memory rehabilitation. The evidence was limited due to the poor quality of reporting in many studies, lack o...
Source: Cochrane Database of Systematic Reviews - August 31, 2016 Category: Journals (General) Authors: das Nair R, Cogger H, Worthington E, Lincoln NB Tags: Cochrane Database Syst Rev Source Type: research

How collaborative are quality improvement collaboratives: a qualitative study in stroke care
Conclusions: Collaboration is not the only mode of behavior likely to occur within a QIC. Our study revealed a mixed picture of collaboration, free-riding and competition. QICs should learn from work on the challenges of collective action; set realistic goals; account for context; ensure sufficient time and resources are made available; and carefully manage the collaborative to mitigate the risks of collaborative inertia and unhelpful competitive or anti-cooperative behaviors. Individual organizations should assess the costs and benefits of collaboration as a means of attaining quality improvement.
Source: BioMed Central - March 11, 2014 Category: Journals (General) Authors: Pam CarterPiotr OzieranskiSarah McNicolMaxine PowerMary Dixon-Woods Source Type: research

Audit of inpatient acute stroke services in a university teaching hospital, 2020
DiscussionUsing national and international  audit data as an institutional benchmark provides a standard with which a service can be compared to highlight areas for improvement. We identified mood screening, swallow screening, thrombectomy rates, length of stay and time to neuroimaging as key areas for development in our centre. We are cur rently completing a process map to determine cause, effect, and solutions, and we will implement change using PDSA methodology as per SQUIRE 2.0 guidelines. The results of the re-audit cycle for 2020 will be available in 2021 to inform our progress. Ongoing quality improvement is esse...
Source: Irish Journal of Medical Science - March 16, 2021 Category: General Medicine Source Type: research

' Culturally Tailored ' Program Helps Hispanics Cut Stroke Risk
THURSDAY, Oct. 11, 2018 -- A program to teach Hispanic stroke patients skills to lower their blood pressure and reduce their risk of another stroke was a big success, according to a new study. The study included 552 white, black and Hispanic stroke...
Source: Drugs.com - Daily MedNews - October 11, 2018 Category: General Medicine Source Type: news

AHA: ' Beating ' Stroke, New Hip-Hop Program Helps Kids Save a Life
THURSDAY, March 22, 2018 (American Heart Association) -- Teaching school kids the symptoms of stroke and how to react quickly to them is an effective way to potentially save lives and prevent disabilities, according to a new study done in tandem...
Source: Drugs.com - Daily MedNews - March 22, 2018 Category: General Medicine Source Type: news

The Differential Diagnosis of Hypoglycorrhachia in Adult Patients.
CONCLUSIONS:: Many diagnoses, both infectious and noninfectious, lead to hypoglycorrhachia and must be considered in the differential diagnosis. PMID: 24326618 [PubMed - as supplied by publisher]
Source: The American Journal of the Medical Sciences - December 10, 2013 Category: Journals (General) Authors: Chow E, Troy SB Tags: Am J Med Sci Source Type: research

Association of the 2011 ACGME Resident Duty Hour Reforms With Mortality and Readmissions Among Hospitalized Medicare Patients
Conclusions and RelevanceAmong Medicare beneficiaries, there were no significant differences in the change in 30-day mortality rates or 30-day all-cause readmission rates for those hospitalized in more intensive relative to less intensive teaching hospitals in the year after implementation of the 2011 ACGME duty hour reforms compared with those hospitalized in the 2 years before implementation.
Source: JAMA - December 10, 2014 Category: Journals (General) Source Type: research

Impact of resident and fellow changeovers on patient outcomes: a nationwide cross-sectional study
ConclusionOur findings provide some reassurance regarding cohort changeover and mortality even if they suggest a loss of efficiency in some cases.
Source: The European Journal of Public Health - May 25, 2017 Category: General Medicine Source Type: research

Emergency diagnosis of the acute vestibular syndrome.
CONCLUSIONS: The new bedside oculomotor test is suitable for the diagnosis of posterior circulation stroke manifesting with isolated vertigo in early cases, when the routine neuroradiologic methods have a lower sensitivity or are not available. Orv Hetil. 2017; 158(51): 2029-2040. PMID: 29250967 [PubMed - in process]
Source: Orvosi Hetilap - December 1, 2017 Category: General Medicine Authors: Tamás TL, Garai T, Király I, Mike A, Nagy C, Paukovics Á, Schmidt P, Szatmári F, Tompos T, Vadvári Á, Szirmai Á Tags: Orv Hetil Source Type: research