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https://www.readbyqxmd.com/read/28209139/stroke-caused-by-an-inflammatory-thrombus-a-case-report
#1
Kai Shan, Wei Guo
BACKGROUND: Stroke is the leading cause of mortality and disability worldwide. Several definite risk factors have been identified for stroke, although infectious factors might also contribute to stroke episodes through increased susceptibility or direct induction. CASE PRESENTATION: A 46-year-old Chinese male initially presented with fever, headache, and impaired memory and developed disturbance of consciousness after admission. A clinical diagnosis of Staphylococcus aureus sepsis, massive cerebral infarction and haemorrhagic transformation (left internal carotid arterial system, inflammatory thrombus) were made based on brain radiography, blood culture and postoperative pathological examinations...
February 16, 2017: BMC Neurology
https://www.readbyqxmd.com/read/28194757/a-population-based-study-on-epidemiology-of-intensive-care-unit-treated-traumatic-brain-injury-in-iceland
#2
G M Jonsdottir, S H Lund, B Snorradottir, S Karason, I H Olafsson, K Reynisson, B Mogensen, K Sigvaldason
BACKGROUND: Traumatic brain injury is a worldwide health issue and a significant cause of preventable deaths and disabilities. We aimed to describe population-based data on intensive care treated traumatic brain injury in Iceland over 15 years period. METHODS: Retrospective review of all intensive care unit admissions due to traumatic brain injury at The National University Hospital of Iceland 1999-2013. Data were collected on demographics, mechanism of injury, alcohol consumption, glasgow come scale upon admission, Injury Severity Scoring, acute physiology and chronic health evaluation II score, length of stay, interventions and mortality (defined as glasgow outcome score one)...
February 13, 2017: Acta Anaesthesiologica Scandinavica
https://www.readbyqxmd.com/read/28190370/variations-in-the-cost-of-formal-and-informal-health-care-for-patients-with-advanced-chronic-disease-and-refractory-breathlessness-a-cross-sectional-secondary-analysis
#3
Mendwas D Dzingina, Charles C Reilly, Claudia Bausewein, Caroline J Jolley, John Moxham, Paul McCrone, Irene J Higginson, Deokhee Yi
BACKGROUND: Refractory breathlessness in advanced chronic disease leads to high levels of disability, anxiety and social isolation. These result in high health-resource use, although this is not quantified. AIMS: To measure the cost of care for patients with advanced disease and refractory breathlessness and to identify factors associated with high costs. DESIGN: A cross-sectional secondary analysis of data from a randomised controlled trial...
February 1, 2017: Palliative Medicine
https://www.readbyqxmd.com/read/28181171/neutrophil-to-lymphocyte-ratio-predicts-3-month-outcome-of-acute-ischemic-stroke
#4
Sen Qun, Yan Tang, Jing Sun, Zhaoxia Liu, Juncang Wu, Ji Zhang, Jidong Guo, Zhiqiang Xu, Dan Zhang, Zhengxu Chen, Fuyong Hu, Xingshun Xu, Wei Ge
Increasing evidences have demonstrated that inflammation is involved in the mechanisms of acute ischemic stroke (AIS). As an important and easy-to-measure inflammatory marker, neutrophil-to-lymphocyte ratio (NLR) shows a high association with mortality in patients with stroke in recent studies. In this study, we evaluated the prognostic role of NLR in patients with AIS. One hundred forty-three patients with AIS were enrolled. Clinical data were collected and the NLR was calculated from the admission blood work...
February 8, 2017: Neurotoxicity Research
https://www.readbyqxmd.com/read/28178023/risk-factors-for-acute-care-hospital-readmission-in-older-persons-in-western-countries-a-systematic-review
#5
Mona Kyndi Pedersen, Gabriele Meyer, Lisbeth Uhrenfeldt
BACKGROUND: Hospital readmission in older persons is common and reported as a post-discharge adverse outcome from hospitalization. Readmission relates to a mix of factors associated with increasing age, living conditions, progression of disease as well as factors related to the processes of care. To allow health professionals to focus more intensively on patients at risk of readmission, there is a need to identify the characteristics of those patients. OBJECTIVES: To identify and synthesize the best available evidence on risk factors for acute care hospital readmission within one month of discharge in older persons in Western countries...
February 2017: JBI Database of Systematic Reviews and Implementation Reports
https://www.readbyqxmd.com/read/28177572/diabetes-mellitus-may-affect-short-term-outcome-of-guillain-barr%C3%A3-syndrome
#6
Stojan Peric, Ivo Bozovic, Bogdan Bjelica, Ivana Berisavac, Olivera Stojiljkovic, Ivana Basta, Ljiljana Beslac-Bumbasirevic, Vidosava Rakocevic-Stojanovic, Dragana Lavrnic, Zorica Stevic
We sought to determine influence of diabetes mellitus on GBS course and short-term prognosis. Among the 257 GBS patients included in this retrospective study, diabetes mellitus was present in 17%. The degree of disability at admission and on discharge was assessed according to the GBS Disability Scale (mild disability = 0-3, severe disability = 4-6). Even after correction for age, diabetes mellitus was significantly associated with more severe disability at nadir (OR=3.4, P < 0.05) and on discharge (OR=2...
February 8, 2017: Journal of the Peripheral Nervous System: JPNS
https://www.readbyqxmd.com/read/28177063/prevalence-of-and-factors-associated-with-antipsychotic-polypharmacy-in-patients-with-serious-mental-illness-findings-from-a-cross-sectional-study-in-an-upper-middle-income-country
#7
Kerryn S Armstrong, Henk Temmingh
Objective: The aim of our study was to examine the prevalence of and factors associated with antipsychotic polypharmacy (APP) among patients with serious mental illness in the current South African health care context. Methods: We collected data on patient, illness, and treatment characteristics of patients discharged on one or more antipsychotic agents from January to June 2014. We analyzed the associations of APP with demographic and clinical variables using hierarchical multivariable logistic regression, and examined prescription patterns...
February 6, 2017: Revista Brasileira de Psiquiatria
https://www.readbyqxmd.com/read/28169096/clinical-course-and-outcomes-of-small-supratentorial-intracerebral-hematomas
#8
Réza Behrouz, Vivek Misra, Daniel A Godoy, Christopher H Topel, Luca Masotti, Catharina J M Klijn, Craig J Smith, Adrian R Parry-Jones, Mark A Slevin, Brian Silver, Joshua Z Willey, Jaime Masjuán Vallejo, Hipólito Nzwalo, Aurel Popa-Wagner, Ali R Malek, Shaheryar Hafeez, Mario Di Napoli
BACKGROUND AND PURPOSE: Intracerebral hemorrhage (ICH) volume, particularly if ≥30 mL, is a major determinant of poor outcome. We used a multinational ICH data registry to study the characteristics, course, and outcomes of supratentorial hematomas with volumes <30 mL. METHODS: Basic characteristics, clinical and radiological course, and 30-day outcomes of these patients were recorded. Outcomes were categorized as early neurological deterioration (END), hematoma expansion, Glasgow Outcome Scale (GOS), and in-hospital death...
February 3, 2017: Journal of Stroke and Cerebrovascular Diseases: the Official Journal of National Stroke Association
https://www.readbyqxmd.com/read/28169020/description-of-stroke-mimics-after-complete-neurovascular-assessment
#9
C Avellaneda-Gómez, A Rodríguez Campello, E Giralt Steinhauer, A Gómez González, M Serra Martínez, P de Ceballos Cerrajería, A Zabalza de Torres, J Roquer, E Cuadrado-Godia, A Ois Santiago, J Jiménez-Conde
INTRODUCTION: A considerable percentage of events initially diagnosed as ischaemic stroke have non-cerebrovascular causes; these are called stroke mimics (SM). Currently available evidence about these events is heterogeneous and comes from studies with small samples. OBJECTIVE: The purpose of our study is to identify conditions that may present as SM, define their epidemiological and clinical characteristics, and determine the percentage of cases of SM treated with intravenous fibrinolysis...
February 3, 2017: Neurología: Publicación Oficial de la Sociedad Española de Neurología
https://www.readbyqxmd.com/read/28161344/trends-of-cannabis-use-disorder-in-the-inpatient-2002-2011
#10
Paris Charilaou, Kanishk Agnihotri, Pablo Garcia, Apurva Badheka, Douglas Frenia, Balaji Yegneswaran
RATIONALE: Nationwide prevalence of cannabis use/abuse has more than doubled from 2002 to 2011. Whether the outpatient trend is reflected in the inpatient setting, is unknown. OBJECTIVES: We examined the prevalence and incidence of cannabis abuse/dependence as determined by discharge coding in a 10-year (2002-2011) National Inpatient Sample, as well as various trends among demographics, comorbidities and hospitalization outcomes. METHODS: Cannabis abuse/dependence was identified based on ICD-9-CM codes 304...
February 1, 2017: American Journal of Medicine
https://www.readbyqxmd.com/read/28160812/noise-and-neurotoxic-chemical-exposure-relationship-to-workplace-traumatic-injuries-a-review
#11
Cheryl Fairfield Estill, Carol H Rice, Thais Morata, Amit Bhattacharya
INTRODUCTION: More than 5,000 fatalities and eight million injuries occurred in the workplace in 2007 at a cost of $6 billion and $186 billion, respectively. Neurotoxic chemicals are known to affect central nervous system functions among workers, which include balance and hearing disorders. However, it is not known if there is an association between exposure to noise and solvents and acute injuries. METHOD: A thorough review was conducted of the literature on the relationship between noise or solvent exposures and hearing loss with various health outcomes...
February 2017: Journal of Safety Research
https://www.readbyqxmd.com/read/28152666/provision-of-critical-care-services-to-hiv-infected-children-in-an-era-of-advanced-intensive-care-and-availability-of-combined-antiretroviral-therapy
#12
Prakash M Jeena, Miriam Adhikari
Intensive care facilities are always in demand in the public sector and there is constant competition for beds. Appropriate allocation of children to these resources is based on the ethical principles of distributive justice and beneficence that is determined on the presumed short-term outcome of the acute illness, long-term outcome of the underlying chronic disease and the overall demand for these facilities. At the onset of the HIV epidemic in South Africa, HIV-infected children were refused admission to the paediatric intensive care unit (PICU) on the basis of poor ICU outcomes and the lack of provision of combined antiretroviral therapy (cART) for survivors...
February 3, 2017: Paediatrics and International Child Health
https://www.readbyqxmd.com/read/28151977/a-blind-spot-screening-for-mild-intellectual-disability-and-borderline-intellectual-functioning-in-admitted-psychiatric-patients-prevalence-and-associations-with-coercive-measures
#13
Jeanet Grietje Nieuwenhuis, Eric Onno Noorthoorn, Henk Llewellyn Inge Nijman, Paul Naarding, Cornelis Lambert Mulder
BACKGROUND: Failure to detect psychiatric patients' intellectual disabilities may lead to inappropriate treatment and greater use of coercive measures. AIMS: In this prospective dynamic cohort study we screened for intellectual disabilities in patients admitted to psychiatric wards, and investigated the use of coercive measures with these patients. METHODS: We used the Screener for Intelligence and Learning disabilities (SCIL) to screen patients admitted to two acute psychiatric wards, and assessed patient characteristics and coercive measures during their stay and over the last 5 years...
2017: PloS One
https://www.readbyqxmd.com/read/28144261/hyperglycemia-and-diabetes-have-different-impacts-on-outcome-of-ischemic-and-hemorrhagic-stroke
#14
Katarzyna K Snarska, Hanna Bachórzewska-Gajewska, Katarzyna Kapica-Topczewska, Wiesław Drozdowski, Monika Chorąży, Alina Kułakowska, Jolanta Małyszko
INTRODUCTION: Stroke is the second leading cause of long-term disability and death worldwide. Diabetes and hyperglycemia may impact the outcome of stroke. We examined the impact of hyperglycemia and diabetes on in-hospital death among ischemic and hemorrhagic stroke patients. MATERIAL AND METHODS: Data from 766 consecutive patients with ischemic (83.15%) and hemorrhagic stroke were analyzed. Patients were classified into four groups: ischemic and diabetic; ischemic and non-diabetic; hemorrhagic and diabetic; and hemorrhagic and non-diabetic...
February 1, 2017: Archives of Medical Science: AMS
https://www.readbyqxmd.com/read/28134656/photographs-of-daily-activities-phoda-youth-english-validating-a-targeted-assessment-of-worry-and-anticipated-pain
#15
Laura Simons, Melissa Pielech, Shannon McAvoy, Caitlin Conroy, Melinda Hogan, Jeanine Verbunt, Marielle Goossens
PHODA is an electronic measure that individualizes and guides treatment for individuals with chronic pain. Implicit in its design is recognition that pain-related fear is a driving force that impedes treatment progress. With this tool, patients visually rate their expectations about the harmful consequences of specific movements. The current study aimed to 1) develop and validate PHODA-Youth English (PHODA-YE) and 2) evaluate the potential impact of PHODA-YE assessment on treatment outcomes. Participants were 195 youth, age 8-20 years, who presented to an outpatient pain clinic for evaluation (n=99) or enrolled in an intensive pediatric pain rehabilitation program (PPRC; n=96)...
January 24, 2017: Pain
https://www.readbyqxmd.com/read/28127753/a-prospective-cohort-study-of-outpatient-interdisciplinary-rehabilitation-of-chronic-headache-patients
#16
Steven J Krause, Mark J Stillman, Deborah E Tepper, Deborah Zajac
OBJECTIVE: To evaluate the efficacy of an intensive outpatient program designed to improve functioning and reduce psychological impairment in chronic headache patients. BACKGROUND: Chronic headaches, occurring 15 or more days per month, for three or more months, may arise from multiple International Classification of Headache Disorders diagnoses: Chronic Migraine, Chronic Tension Type Headache, New Daily Persistent Headache, Chronic Post Traumatic Headaches, and Medication Overuse Headache...
January 27, 2017: Headache
https://www.readbyqxmd.com/read/28126581/a-controlled-comparison-trial-of-the-collaborative-assessment-and-management-of-suicidality-cams-in-an-inpatient-setting-outcomes-at-discharge-and-six-month-follow-up
#17
Thomas E Ellis, Katrina A Rufino, Jon G Allen
This controlled comparison trial evaluated a suicide-specific intervention, the Collaborative Assessment and Management of Suicidality (CAMS), in an extended-stay psychiatric inpatient setting. Multiple outcomes were examined for 104 patients, half of whom received individual therapy from therapists trained in CAMS. The comparison group was selected from a larger pool through Propensity Score Matching to ensure comparability on age, sex, treatment program, number of prior suicide attempts, and severity of suicidal ideation...
January 14, 2017: Psychiatry Research
https://www.readbyqxmd.com/read/28125772/cardiotocography-versus-intermittent-auscultation-of-fetal-heart-on-admission-to-labour-ward-for-assessment-of-fetal-wellbeing
#18
REVIEW
Declan Devane, Joan G Lalor, Sean Daly, William McGuire, Anna Cuthbert, Valerie Smith
BACKGROUND: The admission cardiotocograph (CTG) is a commonly used screening test consisting of a short (usually 20 minutes) recording of the fetal heart rate (FHR) and uterine activity performed on the mother's admission to the labour ward. This is an update of a review published in 2012. OBJECTIVES: To compare the effects of admission cardiotocography with intermittent auscultation of the FHR on maternal and infant outcomes for pregnant women without risk factors on their admission to the labour ward...
January 26, 2017: Cochrane Database of Systematic Reviews
https://www.readbyqxmd.com/read/28119770/lumbar-herniated-disc-spontaneous-regression
#19
Idiris Altun, Kasım Zafer Yüksel
BACKGROUND: Low back pain is a frequent condition that results in substantial disability and causes admission of patients to neurosurgery clinics. To evaluate and present the therapeutic outcomes in lumbar disc hernia (LDH) patients treated by means of a conservative approach, consisting of bed rest and medical therapy. METHODS: This retrospective cohort was carried out in the neurosurgery departments of hospitals in Kahramanmaraş city and 23 patients diagnosed with LDH at the levels of L3-L4, L4-L5 or L5-S1 were enrolled...
January 2017: Korean Journal of Pain
https://www.readbyqxmd.com/read/28119313/the-association-between-cognitive-impairment-and-functional-outcome-in-hospitalised-older-patients-a-systematic-review-and-meta-analysis
#20
Peter Hartley, Nathalie Gibbins, Amanda Saunders, Kerry Alexander, Eimear Conroy, Rebecca Dixon, Joseph Lang, Jasmine Luckett, Tim Luddington, Roman Romero-Ortuno
BACKGROUND: in hospitalised older adults, cognitive impairments are common and may be associated with functional outcomes. Our aim was to systematically review this association. METHOD: we systematically searched MEDLINE, CINAHL, AMED and PsycINFO from inception to April 2016. Non-English language studies were filtered out at search stage. All types of studies were considered for inclusion except reviews, conference abstracts, dissertations and case studies. POPULATION: community-dwelling or institutionalised older adults aged 65 years or more, who are acutely hospitalised and have information on history of dementia and/or cognitive scores on admission...
January 23, 2017: Age and Ageing
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