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Total 112 results found since Jan 2013.

Neurological Recovery of Upper Extremity in Stroke Woman after 5 Years: A Case Report.
This report describes the case of a stroke patient who gained upper extremity motor recovery after 5 years, which is beyond the normal recovery period. Although the patient does not have functionality, she has partial motor recovery, and she is enthusiastic about learning to gain better use of her hand. However there is still limited evidence to use in designing effective intervention and proper timing of rehabilitation administered by personnel in training chronic stroke patients. Therefore, evidence based on neuroplasticity and neurological recovery in chronic stroke patients, including rehabilitation intervention, is pr...
Source: Journal of the Medical Association of Thailand = Chotmaihet thangphaet - June 10, 2016 Category: Journals (General) Tags: J Med Assoc Thai Source Type: research

Health Tip: Have Headaches? Speak to Your Doctor
-- A headache is generally recognized as having pain or discomfort anywhere in the head, scalp or neck. It can be a symptom of everything from minor stress to a life-threatening stroke. Learning all you can about your condition is a first step on...
Source: Drugs.com - Daily MedNews - May 24, 2016 Category: Journals (General) Source Type: news

Methodological issues in the design and evaluation of supported communication for aphasia training: a cluster-controlled feasibility study
Conclusions The feasibility study informed components of the intervention and implementation in day-to-day practice. Modifications to the design are needed before a definitive cluster-randomised trial can be undertaken. Trial registration number ISRCTN37002304; Results.
Source: BMJ Open - April 17, 2016 Category: Journals (General) Authors: Horton, S., Clark, A., Barton, G., Lane, K., Pomeroy, V. M. Tags: Open access, Communication, Rehabilitation medicine Research Source Type: research

A lesion to learn: Stroke mimics
Publication date: Available online 26 March 2016 Source:Apollo Medicine Author(s): Mahir Meman, Pushpendra Nath Renjen, Dinesh M. Chaudhari Acute ischemic stroke with neurological deficit is a very debilitating condition, especially in younger patients. IV thrombolysis is the only effective treatment available in most of the centers across India. But delay in hospitalization and bleeding complications are major limitations. In addition to that, stroke mimics are another big problem. Correct identification of stroke mimics needs clinical expertise and imaging studies. Multiple studies indicate safety of thrombolysis in...
Source: Apollo Medicine - March 25, 2016 Category: Journals (General) Source Type: research

Health system makes cutting-edge telemedicine affordable
With the right kind of equipment, can a video conference between an ambulance and an on-call neurologist deliver the same stroke assessment results as at the bedside in the emergency room? The University of Virginia Health System, after over one year of research, is poised to find out. Previously, AMA Wire® brought you the theory behind the University of Virginia (UVA) Health System’s research efforts to bring telemedicine to the ambulance so they can improve care for patients who are experiencing a stroke. We recently caught up with the UVA team to find out that their telestroke model iTreat is now in action. Andre...
Source: AMA Wire - March 25, 2016 Category: Journals (General) Authors: Troy Parks Source Type: news

How a public health solution is reducing hypertension disparities
Addressing health care disparities can help practices improve the health of patients in vulnerable at-risk populations. Learn how eight family medicine practices boosted hypertension control rates for diverse patients by more than 3 percentage points in just three months. A targeted pilot As part of the Million Hearts initiative, the Summit County Public Health department (SCPH) and several partners in Ohio launched a pilot project with several family medicine practices to help reduce hypertension rates among black men. In Ohio, 38.5 percent of black patients have a diagnosis of hypertension, compared to 33.7 percent...
Source: AMA Wire - February 16, 2016 Category: Journals (General) Authors: Lyndra Vassar Source Type: news

What it’s like to be in vascular surgery: Shadowing Dr. Aziz
As a medical student, do you ever wonder what it’s like to be a vascular surgeon? Here’s your chance to find out. Meet Faisal Aziz, MD, a vascular surgeon, educator and featured physician in AMA Wire’s® “Shadow Me” Specialty Series, which offers advice directly from physicians about life in their specialties. Read his insights to help determine whether a career in vascular surgery might be a good fit for you. “Shadowing” Dr. Aziz Specialty: Vascular surgery Practice setting: Academic university hospital   Employment type: Employed Years in practice: 4 A typical week in my practice: A typic...
Source: AMA Wire - February 8, 2016 Category: Journals (General) Authors: Lyndra Vassar Source Type: news

How one ED uses telemedicine in the ambulance
When you think of telemedicine, what comes to mind? Often the answer is a split screen—physician and patient in separate locations on their computers or tablets. But one health system has shown the true breadth of telemedicine’s reach by using the technology to treat patients during the critical early moments of a stroke. Find out how. The risk of damage and disability in patients who are experiencing a stroke increases with any delay in care delivery. Two emergency physicians at the University of Virginia (UVA) Health System understood the need for speed when it comes to caring for patients in the midst of acute str...
Source: AMA Wire - February 5, 2016 Category: Journals (General) Authors: Troy Parks Source Type: news

How to prevent diabetes from sneaking up on your patients
An AMA Viewpoints post by AMA Board Chair Stephen R. Permut, MD A major health threat has been silently taking hold of 86 million Americans, with 90 percent of them unaware of it. A new public health campaign is about to change that—and you’re the key to helping these patients take their health back. A campaign to prevent type 2 diabetes If you’re not already talking to your patients about prediabetes and the risks associated with it, it’s time to start. People with prediabetes—more than 1 in 3 adults—are at higher risk of developing serious health problems such as type 2 diabetes, heart disease and s...
Source: AMA Wire - January 21, 2016 Category: Journals (General) Authors: Amy Farouk Source Type: news

Court case could increase liability exposure, redefine injury
A state supreme court is set to determine whether “loss of chance” for a better outcome should be recognized as a legal injury in medical liability lawsuits—which could leave physicians exposed to increased liability. The details of the case At stake in Smith v. Providence Health Services is whether or not the Oregon Supreme Court should redefine what constitutes an injury legally to include the lost possibility of a better outcome, known in legal terms as the “loss of chance” doctrine. Existing law does not include loss of chance as grounds for medical liability. The case is an attempt to expand the definiti...
Source: AMA Wire - January 11, 2016 Category: Journals (General) Authors: Amy Farouk Source Type: news

Self-management support interventions for persons with chronic disease: an evidence-based analysis.
CONCLUSIONS: The Stanford CDSMP led to statistically significant, albeit clinically minimal, short-term improvements across a number of health status measures (including some measures of health-related quality of life), healthy behaviours, and self-efficacy compared to usual care. However, there was no evidence to suggest that the CDSMP improved health care utilization. More research is needed to explore longer-term outcomes, the impact of self-management on clinical outcomes, and to better identify responders and non-responders. PLAIN LANGUAGE SUMMARY: Self-management support interventions are becoming more common as ...
Source: Ontario Health Technology Assessment Series - December 20, 2015 Category: Journals (General) Tags: Ont Health Technol Assess Ser Source Type: research

Dyad Training Protocol on Learning of Bimanual Cup Stacking in Individuals with Stroke: Effects of Observation Duration.
CONCLUSION: For individuals with chronic stroke, compared with the 1-minute observation alternating with physical practice, the 6-minute duration resulted in greater persistent learning. Moreover the 6-minute duration greatly enhanced the planning of bimanual cup stacking. PMID: 26387420 [PubMed - indexed for MEDLINE]
Source: Journal of the Medical Association of Thailand = Chotmaihet thangphaet - December 20, 2015 Category: Journals (General) Tags: J Med Assoc Thai Source Type: research

COGNITIVE-HD study: protocol of an observational study of neurocognitive functioning and association with clinical outcomes in adults with end-stage kidney disease treated with haemodialysis
Introduction The prevalence of cognitive impairment may be increased in adults with end-stage kidney disease compared with the general population. However, the specific patterns of cognitive impairment and association of cognitive dysfunction with activities of daily living and clinical outcomes (including withdrawal from treatment) among haemodialysis patients remain incompletely understood. The COGNITIVE impairment in adults with end-stage kidney disease treated with HemoDialysis (COGNITIVE-HD) study aims to characterise the age-adjusted and education-adjusted patterns of cognitive impairment (using comprehensive testing...
Source: BMJ Open - December 9, 2015 Category: Journals (General) Authors: Palmer, S. C., Ruospo, M., Barulli, M. R., Iurillo, A., Saglimbene, V., Natale, P., Gargano, L., Murgo, A. M., Loy, C., van Zwieten, A., Wong, G., Tortelli, R., Craig, J. C., Johnson, D. W., Tonelli, M., Hegbrant, J., Wollheim, C., Logroscino, G., Strippo Tags: Open access, Epidemiology, Neurology Protocol Source Type: research

Every Little Anniversary
One of the things they tell you after they’ve informed you that you have cancer or that you’ve had a stroke—after they tell you about the resections and the radiation—after they tell you about the aspirin and the clopidogrel—after you’re stable medically but still more than a little unstable emotionally—is to look for a support group. I had the kind of cancer that you learn about in medical school and then never see. I was decades younger than most of my physicians’ patients with stroke. The local support groups didn’t seem to fit me. I looked online at first, but then—even though I found a few people w...
Source: JAMA - December 1, 2015 Category: Journals (General) Source Type: research

Intra-arterial treatment in acute ischaemic stroke: what we learn from the MR CLEAN trial.
Authors: Sekhar A PMID: 25874830 [PubMed - in process]
Source: Journal of the Royal College of Physicians of Edinburgh - November 30, 2015 Category: Journals (General) Tags: J R Coll Physicians Edinb Source Type: research