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Specialty: General Medicine
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Total 11289 results found since Jan 2013.
Extracranial-Intracranial Bypass Surgery for Stroke Prevention
The concept of performing an extracranial-intracranial (EC-IC) arterial bypass operation for a patient with an internal carotid artery (ICA) or middle cerebral artery (MCA) occlusion is intuitively appealing. In these patients, it is believed that areas of hypoperfusion exist and anastomosis of the superficial temporal artery to the MCA is designed to augment brain perfusion. In vascular territories outside of the brain, bypass procedures performed to augment arterial flow typically improve clinical outcomes. For reasons unknown, however, the brain appears to respond differently to bypass surgery.
Source: JAMA - August 22, 2023 Category: General Medicine Source Type: research
Extracranial-Intracranial Bypass and Risk of Stroke and Death in Patients With Symptomatic Artery Occlusion
This clinical trial compares the efficacy of extracranial-intracranial bypass surgery plus medical therapy vs medical therapy alone in symptomatic patients with internal carotid artery or middle cerebral artery occlusion and hemodynamic insufficiency on a composite of stroke or death within 30 days or ipsilateral ischemic stroke beyond 30 days through 2 years after randomization.
Source: JAMA - August 22, 2023 Category: General Medicine Source Type: research
' Time Is Brain ' : More Americans Waiting Longer for Best Care After Stroke
MONDAY, Aug. 21, 2023 -- When people suffering a stroke need a transfer to another hospital, time is of the essence. But a new study finds that most Americans in that situation face delays.
The study, published recently in the Journal of the...
Source: Drugs.com - Daily MedNews - August 21, 2023 Category: General Medicine Source Type: news
AHA News: Thanks to His Wife ' s Quick Reaction, Postal Worker Fully Recovered From a Stroke
MONDAY, Aug. 21, 2023 (American Heart Association News) -- Levan Singletary ' s alarm buzzed at 5:15 a.m., telling him to move the car for street sweeping.
It was dark when Singletary, who goes by " Van, " left the apartment he shares with his wife,...
Source: Drugs.com - Daily MedNews - August 21, 2023 Category: General Medicine Source Type: news
Consensus statement for the management of incidentally found brain white matter hyperintensities in general medical practice
Med J Aust. 2023 Aug 21. doi: 10.5694/mja2.52079. Online ahead of print.ABSTRACTINTRODUCTION: There is a paradigm shift in our understanding of white matter hyperintensities (WMH) found on brain imaging. They were once thought to be a normal phenomenon of ageing and, therefore, warranted no further investigation. However, evidence now suggests these lesions are markers of poor brain and cardiovascular health, portending an increased risk of stroke, cognitive decline, depression and death. Nevertheless, no specific guidelines exist for the management of incidentally found WMH for general medical practitioners and other clin...
Source: Med J Aust - August 21, 2023 Category: General Medicine Authors: Thomas P Ottavi Elizabeth Pepper Grant Bateman Mark Fiorentino Amy Brodtmann Source Type: research
Effect of teleconsultation on the application of thrombolytic therapy in stroke patients in the emergency department
ConclusionsTeleconsultation was a successful and reliable strategy in assessing patients with ischemic stroke and making decisions for IV-tPA. Moreover, patient assessment via teleconsultation was less time consuming. The results of the study are promising for the use of teleconsultation in the future.
Source: Irish Journal of Medical Science - August 19, 2023 Category: General Medicine Source Type: research
Is a novel digital system for arm and hand rehabilitation suitable for stroke survivors? A qualitative process evaluation of OnTrack
Conclusions
This process evaluation supported initial theoretical assumptions that OnTrack would enable activity practice through the use of remote monitoring. There was a strong emphasis on the coaching role as a mechanism of impact supporting the technological intervention. These findings will inform the next stages of delivery in a definitive trial.
Trial registration number
NCT03944486.
Source: BMJ Open - August 18, 2023 Category: General Medicine Authors: Taylor, E., Fusari, G., Darzi, A., Jones, F. Tags: Open access, Rehabilitation medicine Source Type: research
Screening over 100 000 patients in 39 general practices in the Netherlands for anticoagulation underprescription in atrial fibrillation: a descriptive, cross-sectional study
Conclusions
In this large Dutch study among GPs, we observed 9.8% underprescription of OAC in AF patients. In 76% of the AF patients lacking a prescription for OAC, no documentation for deviating from the guidelines was found. Only in a minority of cases detection of OAC underprescription lead to OAC initiation.
Source: BMJ Open - August 18, 2023 Category: General Medicine Authors: Voorhout, L., Pisters, R., Geurts, C. H. P. H., Oostindjer, A., van Doorn, S., Rila, H., Fuijkschot, W. W., Verheugt, F., Hemels, M. E. W. Tags: Open access, Cardiovascular medicine Source Type: research
Relapse of nephrotic syndrome with unusual thromboembolic event: A case report
Key Clinical MessageMost children with nephrotic syndrome heal without any sequelae. However, rare life-threatening complications such as thromboembolism may occur in pediatric nephrotic syndrome and should be considered in those with a new-onset neurologic deficit.AbstractThe thromboembolism (TE) as a complication of nephrotic syndrome (NS) is rare and serious, and may involve renal, cerebral, pulmonary, or peripheral venous and/or arterial thrombosis. Here, we describe a 4.5-year-old male with a history of nephrotic syndrome, who developed hemorrhagic stroke in the territory of middle cerebral artery (MCA).
Source: Clinical Case Reports - August 17, 2023 Category: General Medicine Authors: Zahra Pournasiri,
Seyedeh Masumeh Hashemi,
Seyyedeh Narjes Ahmadizadeh,
Bahareh Yaghmaei,
Mitra Khalili,
Azita Behzad,
Amirali Soheili,
Mahnaz Jamee Tags: CASE REPORT Source Type: research
Effectiveness of acceptance and commitment therapy in patients who had a stroke: a systematic review protocol
This study aimed to systematically evaluate the intervention effect of ACT in patients who had a stroke, which may provide further clinical evidence.
Methods and analysis
A systematic search of databases, including CNKI, WanFang Data, VIP, CBM, PubMed, Embase, Cochrane Library, CINAHL and APA PsycArticles, will be conducted from their inception to 31 October 2022. All randomised controlled trials, quasi-experiments and case studies relevant to ACT will be included in English and Chinese. Two independent reviewers will conduct the review, with data extraction and quality evaluation. Review Manager V.5.4 will be used to ass...
Source: BMJ Open - August 17, 2023 Category: General Medicine Authors: Xu, K., Zhang, X. Y., Ma, J. Y., Guo, X., Zhu, S.-S., Zhang, H., Sun, Y. Y. Tags: Open access, Mental health Source Type: research
In-thrombus thrombin secretion: a new diagnostic marker of atrial fibrillation in cryptogenic stroke
Isr Med Assoc J. 2022 Dec 1;25(12):853-854.ABSTRACTEndovascularly retrieved clots may be a potential resource for diagnosing stroke etiology. This method may influence secondary prevention treatment. We measure thrombin activity eluted by serially washing clots. We concluded that an assay measuring the change in thrombin in clots retrieved during acute stroke endovascular thrombectomy procedures may serve as a diagnostic marker of the origin of the clot. The suggested mechanism for these differences may be the clot location before its retrieval, with high blood flow causing thrombin washout in atherosclerotic clots, in con...
Source: The Israel Medical Association Journal - August 16, 2023 Category: General Medicine Authors: Ze'ev Itsekson Hayosh Eiman Abu Bandora Natalia Shelestovich Maya Nulman Mati Bakon Gal Yaniv Boris Khaitovitch Shmuel Balan Alexandra Gerasimova Tali Drori Stefan Mausbach Yvonne Schwammenthal Arnon Afek Joab Chapman Efrat Shavit Stein David Orion Source Type: research
