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Total 179 results found since Jan 2013.

The Pattern of significant lesions found in computerized tomography scan of recurrent seizure patients at a center in Enugu, Nigeria
Conclusion: Computed tomography scan has a high diagnostic yield, especially in elderly patients with recurrent generalized seizures. Brain tumors, encephalomalacia, and HCP are most common causes of recurrent seizures in the adults.
Source: Nigerian Journal of Clinical Practice - December 1, 2017 Category: Rural Health Authors: AB Ezeala-Adikaibe SC Ohaegbulam CA Ndubuisi Source Type: research

Transitioning from a single-site pilot project to a state-wide regional telehealth service: The experience from the Victorian Stroke Telemedicine programme.
Abstract Scaling of projects from inception to establishment within the healthcare system is rarely formally reported. The Victorian Stroke Telemedicine (VST) programme provided a very useful opportunity to describe how rural hospitals in Victoria were able to access a network of Melbourne-based neurologists via telemedicine. The VST programme was initially piloted at one site in 2010 and has gradually expanded as a state-wide regional service operating with 16 hospitals in 2017. The aim of this paper is to summarise the factors that facilitated the state-wide transition of the VST programme. A naturalistic case-s...
Source: Rural Remote Health - October 31, 2017 Category: Rural Health Authors: Bagot KL, Cadilhac DA, Kim J, Vu M, Savage M, Bolitho L, Howlett G, Rabl J, Dewey HM, Hand PJ, Denisenko S, Donnan GA, Bladin CF, Victorian Stroke Telemedicine Programme Consortium Tags: J Telemed Telecare Source Type: research

Doppler sonographic evaluation of venogenic extremity swellings: Analysis of 170 patients from Kano, Nigeria
Conclusion: There was a predominance of females and femoro-popliteal segments in DVT. Doppler ultrasound is very useful in the evaluation of extremity DVT. All clinically suspected cases should be evaluated with this modality due to limited sensitivity of clinical evaluation in the diagnosis of DVT. Further correlative studies in comparison to venography and hematologic indices are also recommended.
Source: Nigerian Journal of Clinical Practice - September 11, 2017 Category: Rural Health Authors: A Ismail AM Tabari K Isyaku Source Type: research

Knowledge of medical students about epilepsy: Need for a change
Conclusion: The content of medical curriculum in Africa should emphasize not only the content of lectures on epilepsy but also the need for students to go through neurology posting during their training. The outcome would be both better knowledge and improved physician–patient relations.
Source: Nigerian Journal of Clinical Practice - August 8, 2017 Category: Rural Health Authors: BA Ezeala-Adikaibe T Okpara OS Ekenze O Onodugo NP Ezeala-Adikaibe T Nnaji G Onyebueke Source Type: research

UNM ’s Project ACCESS: A State-of-the-Art Stroke Care Network
Highlights the impacts of the University of New Mexico's Access to Critical Cerebral Emergency Support Services (ACCESS) project, which uses a telemedicine network to connect rural hospitals from around the state to stroke specialists. Being able to assess and treat many stroke patients rather than transferring them to a stroke center means faster care for patients and significant savings for rural hospitals.
Source: News stories via the Rural Assistance Center - May 18, 2017 Category: Rural Health Source Type: news

Admission hyperglycemia an independent predictor of outcome in acute ischemic stroke: A longitudinal study from a tertiary care hospital in South India
Conclusion: Stress hyperglycemia in stroke was associated with higher risk of poor functional outcome in acute ischemic stroke. Hyperglycemia at stroke onset without prior history of diabetes mellitus have particularly poor prognosis, than those with hyperglycemia in known diabetes.
Source: Nigerian Journal of Clinical Practice - May 17, 2017 Category: Rural Health Authors: SK Marulaiah MP Reddy M Basavegowda PKH Ramaswamy LS Adarsh Source Type: research

Utilization of glial fibrillary acidic protein and galectin-3 in the diagnosis of cerebral infarction patients with normal cranial tomography
Conclusion: The levels of Galectin-3 and GFAP were increased in acute ischemic stroke patients.
Source: Nigerian Journal of Clinical Practice - April 13, 2017 Category: Rural Health Authors: E Ekingen M Yilmaz M Yildiz M Atescelik MC Goktekin M Gurger OD Alatas M Basturk N Ilhan Source Type: research

‘They’re Out There—If We Can Find Them’
Explores the impact of social isolation and loneliness on health, a particular concern in rural areas and for elderly people. Isolation has been linked with higher blood pressure and increased risk for stroke and coronary heart disease. Details these concerns as well as efforts to address them in rural Maine.
Source: News stories via the Rural Assistance Center - April 12, 2017 Category: Rural Health Source Type: news

‘They’re Out There — If We Can Find Them’
Explores the impact of social isolation and loneliness on health, a particular concern in rural areas and for elderly people. Isolation has been linked with higher blood pressure and increased risk for stroke and coronary heart disease. Details these concerns as well as efforts to address them in rural Maine.
Source: News stories via the Rural Assistance Center - April 12, 2017 Category: Rural Health Source Type: news

Doing it hard in the bush: Aligning what gets measured with what matters.
Abstract What gets measured gets managed. Funding of health services is substantially determined by operational activity and specific outcome indicators. In day-to-day clinical decision-making, surrogate markers, such as glycosylated haemoglobin and blood pressure, are commonly used to modify risks of 'hard' outcomes that include kidney failure, ischaemic cardiac events, stroke and all-cause mortality. In many settings, surrogates are all we have to go on. As a consequence, current health funding models heavily rely on surrogate-based key performance indicators [KPIs]. While surrogates are convenient and provide i...
Source: The Australian Journal of Rural Health - February 15, 2017 Category: Rural Health Authors: McDonald MI, Lawson KD Tags: Aust J Rural Health Source Type: research

The Death Rate Gap Between Urban and Rural America Is Getting Wider
New data from the Centers for Disease Control and Prevention (CDC) found that mortality rates in rural areas for preventable deaths are plateauing and even increasing for the five leading causes of death: heart disease, cancer, unintentional injuries, chronic lower respiratory disease, and stroke. They found that more than 70,000 deaths in rural areas could have been prevented with better public health resources and better access to healthcare.
Source: News stories via the Rural Assistance Center - January 13, 2017 Category: Rural Health Source Type: news

Doing it hard in the bush: Aligning what gets measured with what matters
Abstract What gets measured gets managed. Funding of health services is substantially determined by operational activity and specific outcome indicators. In day‐to‐day clinical decision‐making, surrogate markers, such as glycosylated haemoglobin and blood pressure, are commonly used to modify risks of ‘hard’ outcomes that include kidney failure, ischaemic cardiac events, stroke and all‐cause mortality. In many settings, surrogates are all we have to go on. As a consequence, current health funding models heavily rely on surrogate‐based key performance indicators [KPIs]. While surrogates are convenient and prov...
Source: Australian Journal of Rural Health - November 30, 2016 Category: Rural Health Authors: Malcolm I. McDonald, Kenny D. Lawson Tags: Quality Improvement Report Source Type: research

Patients' Time at Home after a Stroke Varies by Hospital
A new study has found that stroke patients spend more of the year following their stroke at home, as opposed to in a nursing home or in the hospital, if they are treated at a rural hospital or a hospital which typically treats higher rates of stroke patients. The correlation between more home time and lower rates of major adverse cardiovascular events and all-cause mortality suggests that home time could be a marker of care quality.
Source: News stories via the Rural Assistance Center - September 23, 2016 Category: Rural Health Source Type: news

Telemedicine's Future on Display Now at UnityPoint Health
Des Moines-based patient monitoring program UnityPoint at Home may reduce readmissions and emergency department visits, and improve health for chronically ill people. Most of the patients participating in the program are age 65-100 and have ailments including heart failure, hypertension, stroke, and lung problems.
Source: News stories via the Rural Assistance Center - September 7, 2016 Category: Rural Health Source Type: news

Adequacy of EMS Systems of Care Protocols for Adults with OHCA, STEMI & Stroke in Oregon: A Structured Review (Executive Report)
Examines the EMS treatment protocols practiced in ambulance agencies in Oregon, and how they align with evidence-based practices for EMS treatment for adult patients with Out of Hospital Cardiac Arrest (OHCA), STEMI (ST Elevation Myocardial Infarction) and stroke. (Executive Report)
Source: Rural publications via the Rural Assistance Center - August 19, 2016 Category: Rural Health Source Type: news