Filtered By:
Specialty: Internal Medicine

This page shows you your search results in order of relevance. This is page number 15.

Order by Relevance | Date

Total 3777 results found since Jan 2013.

Modifiable Etiological Factors and the Burden of Stroke from the Rotterdam Study: A Population-Based Cohort Study
Conclusions About half of all strokes are attributable to established causal and modifiable factors. This finding encourages not only intervention on established etiological factors, but also further study of less well established factors.Please see later in the article for the Editors' Summary
Source: PLoS Medicine - April 29, 2014 Category: Internal Medicine Authors: Michiel J. Bos et al. Source Type: research

Stroke physician vs stroke neurologist – can anyone thrombolyse?
ConclusionDue to the single center, observational nature of this study, the equivalent outcomes between those thrombolysed by a stroke neurologist vs those thrombolysed by a stroke physician must be interpreted with caution pending further studies. Nevertheless, in the current setting, no signal for harm has been detected. This study is unique as it is the first to our knowledge comparing outcomes between a neurologist and non‐neurologist following thrombolysis.
Source: Internal Medicine Journal - December 23, 2014 Category: Internal Medicine Authors: Andrew Lee, Aaron Gaekwad, Michelle Bronca, Lata Cheruvu, Owen Davies, Craig Whitehead, Marc Agzarian, Celia Chen Tags: Original Article Source Type: research

Bleeding risk, physical functioning and non-use of anticoagulation among patients with stroke and atrial fibrillation
Conclusion: It appears that in this sample, post-stroke anticoagulation decisions appear to be made based on clinical factors associated with bleed risk and motor deficits or physical functioning. However, opportunities may exist for improving clinician documentation of specific reasoning for non-anticoagulation prescription.
Source: QJM - February 23, 2015 Category: Internal Medicine Authors: Schmid, A. A., Ofner, S., Shorr, R. I., Williams, L. S., Bravata, D. M. Tags: Original papers Source Type: research

Is telemedicine helping or hindering the delivery of stroke thrombolysis in regional areas? A qualitative analysis
ConclusionsAcceptability of telemedicine for acute stroke was multifaceted and closely aligned with regional clinician beliefs about the value of thrombolysis for stroke, highlighting an important area for education. Addressing beliefs about treatment efficacy and other perceived barriers is important for establishing a stroke telemedicine program.
Source: Internal Medicine Journal - April 22, 2015 Category: Internal Medicine Authors: Natasha Moloczij, Ian Mosley, Karen Moss, Kathleen Bagot, Christopher Bladin, Dominique A Cadilhac Tags: Original Article Source Type: research

Reduced Stroke Risk After Parathyroidectomy in End-Stage Renal Disease: A 13-Year Population-Based Cohort Study
Abstract: Research information on the risk of stroke in patients with dialysis-dependent end-stage renal disease (ESRD) who have undergone parathyroidectomy (PTX) is scant. We used a nationwide health insurance claims database to select all patients with dialysis-dependent ESRD age 18 years and older for the study population. Of the patients with ESRD, we selected 1083 patients who had undergone PTX between 1998 and 2006 as the PTX group and frequency-matched 1083 patients with ESRD by sex, age, years since the disease diagnosis, and the year of undergoing PTX as the non-PTX group. We used a multivariate Cox proportional h...
Source: Medicine - June 1, 2015 Category: Internal Medicine Tags: Research Article: Observational Study Source Type: research

Treatment of acute stroke: an update
Abstract Stroke is the second leading cause of global mortality after coronary heart disease, and a major cause of neurological disability. About 17 million strokes occur worldwide each year. Patients with stroke often require long‐term rehabilitation following the acute phase, with ongoing support from the community and nursing home care. Thus, stroke is a devastating disease and a major economic burden on society. In this overview, we discuss current strategies for specific treatment of stroke in the acute phase, focusing on intravenous thrombolysis and mechanical thrombectomy. We will consider two important issues re...
Source: Journal of Internal Medicine - July 1, 2015 Category: Internal Medicine Authors: R. Mikulik, N. Wahlgren Tags: Review Source Type: research

Patients with atrial fibrillation and low risk of stroke - do they really need anticoagulation?
Authors: Trusz-Gluza M, Filipecki A, Urbańczyk-Świć D Abstract Atrial fibrillation (AF) significantly increases risk of thromboembolic events, in particular the risk of stroke. Anticoagulation therapy reduces this risk and the treatment should be lifelong. However, the risk in patients with non-valvular AF is not equally distributed. There are patients at low risk. Assessment of the thromboembolic risk according to guidelines is mandatory, most frequently CHA2DS2-VASc scheme is used. In the large group with the CHA2DS2-VASc-0 (females 1) the annual risk of stroke was 0.49%, ischemic stroke 0.43%, on the other si...
Source: Polskie Archiwum Medycyny Wewnetrznej - August 28, 2015 Category: Internal Medicine Tags: Pol Arch Med Wewn Source Type: research

Is telemedicine helping or hindering the delivery of stroke thrombolysis in rural areas? A qualitative analysis
ConclusionsAcceptability of telemedicine for acute stroke was multifaceted and closely aligned with regional clinician beliefs about the value of thrombolysis for stroke, highlighting an important area for education. Addressing beliefs about treatment efficacy and other perceived barriers is important for establishing a stroke telemedicine programme.
Source: Internal Medicine Journal - September 1, 2015 Category: Internal Medicine Authors: N. Moloczij, I. Mosley, K. M. Moss, K. L. Bagot, C. F. Bladin, D. A Cadilhac Tags: Original Article Source Type: research

Association between ischemic stroke and carbon monoxide poisoning: A population-based retrospective cohort analysis.
CONCLUSION: CO poisoning is associated with a long-term risk of increased incident ischemic stroke. Further study on the mechanism of ischemic stroke for CO poisoning affects is needed. PMID: 26703428 [PubMed - as supplied by publisher]
Source: European Journal of Internal Medicine - December 15, 2015 Category: Internal Medicine Authors: Lin CW, Chen WK, Hung DZ, Chen YW, Lin CL, Sung FC, Kao CH Tags: Eur J Intern Med Source Type: research

What Do Stroke Patients Look for in Game-Based Rehabilitation: A Survey Study
Abstract: Stroke is one of the most common causes of physical disability, and early, intensive, and repetitive rehabilitation exercises are crucial to the recovery of stroke survivors. Unfortunately, research shows that only one third of stroke patients actually perform recommended exercises at home, because of the repetitive and mundane nature of conventional rehabilitation exercises. Thus, to motivate stroke survivors to engage in monotonous rehabilitation is a significant issue in the therapy process. Game-based rehabilitation systems have the potential to encourage patients continuing rehabilitation exercises at home....
Source: Medicine - March 1, 2016 Category: Internal Medicine Tags: Research Article: Observational Study Source Type: research

Risk of Stroke in Patients With Spontaneous Pneumothorax: A Nationwide, Population-Based Study
In conclusion, our study revealed a correlation between stroke and a history of SP, and the risk of stroke after SP was time sensitive.
Source: Medicine - April 1, 2016 Category: Internal Medicine Tags: Research Article: Observational Study Source Type: research

The Diagnostic Value of Circulating Brain-specific MicroRNAs for Ischemic Stroke.
Conclusion Our results suggest that circulating miR-107, miR-128b and miR-153 might be used as potential novel non-invasive biomarkers for the diagnosis of ischemia stroke. However, future prospective trials in large-sized patient cohorts are needed before drawing any definitive conclusions. PMID: 27181533 [PubMed - in process]
Source: Internal Medicine - May 19, 2016 Category: Internal Medicine Tags: Intern Med Source Type: research

“Weekend effect” on stroke mortality revisited: Application of a claims-based stroke severity index in a population-based cohort study
In this study, we examined the effect of weekend admission on 30-day mortality in patients with ischemic stroke by using a claims-based stroke severity index. This was an observational study using a representative sample of the National Health Insurance claims data linked to the National Death Registry. We identified patients hospitalized for ischemic stroke, and examined the effect of weekend admission on 30-day mortality with vs without adjustment for stroke severity by using multilevel logistic regression analysis adjusting for patient-, physician-, and hospital-related factors. We analyzed 46,007 ischemic stroke admis...
Source: Medicine - June 1, 2016 Category: Internal Medicine Tags: Research Article: Observational Study Source Type: research

Endovascular thrombectomy for acute ischaemic stroke – a real world experience
ConclusionsThis cohort of patients with anterior cerebral circulation occlusions were treated outside the well‐resourced situation of clinical trials and good functional outcomes are similar. The study translates endovascular thrombectomy to a “real world” situation.
Source: Internal Medicine Journal - June 26, 2016 Category: Internal Medicine Authors: Cecilia Cappelen‐Smith, Dennis Cordato, Zeljka Calic, Andrew Cheung, Jason Wenderoth Tags: Original Article Source Type: research

Presence of diabetic microvascular complications does not incrementally increase risk of ischemic stroke in diabetic patients with atrial fibrillation: A nationwide cohort study
Abstract: Conventional stroke risk prediction tools used in atrial fibrillation (AF) incorporate the presence of diabetes mellitus (DM) as a risk factor. However, it is unknown whether this risk is homogenous or dependent on the presence of diabetic microvascular complications, such as diabetic retinopathy, nephropathy, and neuropathy. The present study examined the risk of ischemic stroke in diabetic patients with and without microvascular complications. The present study used the National Health Insurance Research Database in Taiwan with detailed healthcare data on all-comers to the Taiwanese medical system from January ...
Source: Medicine - July 1, 2016 Category: Internal Medicine Tags: Research Article: Observational Study Source Type: research