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Acute - Springer Nature

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Last Updated: 26 January 2023

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Multiple Sclerosis and Neuromyelitis Optica Spectrum Disorder: Onset Following Acute COVID-19 Infection, a Case Series

Methods based on the 2017 McDonald Criteria [Garcia-Ramos et al. ] New MS patients experiencing initial signs following an acute COVID-19 infection were diagnosed shortly after [Garcia-Ramos et al. ] NMOSD patients diagnosed with NMOSD met the 2015 International Panel criteria for the diagnosis of NMOSD [Thompson et al. ] Following COVID-19 infection, ten patients were included in the MS Patient Group's first MS symptoms after diagnosis of initial MS symptoms after COVID-19 infection. Partial transverse myelitis was the first manifestation in 40% of the cases, and 60% of patients had spinal cord lesions present at the time of diagnosis. A year before contracting COVID-19, the two vaccinated patients had two doses of the monovalent COVID-19 messenger ribonucleic acid vaccine and no booster. Two patients with NMOSD were included in the NMOSD Group's NMOSD study. Both patients had mild COVID-19 infection prior to presentation, and first neurological signs were present between 3 and 6 weeks after COVID-19 infection.

Source link: https://doi.org/10.1007/s40120-022-00418-9


The impact of leptomeningeal collaterals in acute ischemic stroke: a systematic review and meta-analysis

Objectives Leptomeningeal collaterals provide an alternative way to maintain cerebral blood flow in stroke to avoid ischemia, but the outcome is also uncertain. Our investigation aims at investigating the importance of collateral blood flow in acute stroke. If there were any studies on acute ischemic stroke involving good and poor CBF, studies were included. titukinetic therapy vs. IVT: 2. 90 percent CI: 2. 06; p 0. 00001; p 0. 00001], and RR with IAT/EVT: 1. 90; 0. 9 percent CI: 1. 95; p 0. 00001]. However, patients with high CBF in AIS had a 54% and 64% reduced risk of sICH and mortality respectively. Conclusions: In patients with high pre-treatment CBF, the relative risk of favorable clinical results is higher.

Source link: https://doi.org/10.1007/s10072-022-06437-6


Generating Items for a Novel Bedside Dysphagia Screening Tool Post Acute Pediatric Stroke

Bedside dysphagia diagnostic protocols are not well established in acute pediatric stroke unlike adults. The aim of this research was to find items that were deemed appropriate and feasible by expert consensus to inform the design of a bedside dysphagia screening device for acute pediatric stroke. A two-phase research was conducted: literature review and expert consultation generated a comprehensive list of dysphagia assessment items; items were formatted in an online survey that asked respondents' opinions on acute pediatric stroke and whether bedside administration by a trained health professional was a two-phase study. Pediatric dysphagia specialists with more than two years experience were encouraged to finish the survey. We discovered candidate items for bedside dysphagia screening with high content validity for acute pediatric stroke patients. In children in the early stages of stroke recovery, the primary step will include an examination of the psychometric value of each item in detecting dysphagia in children.

Source link: https://doi.org/10.1007/s00455-022-10466-w


A Deep Learning-Based Automatic Collateral Assessment in Patients with Acute Ischemic Stroke

In the external validation sample, the c statistic was 0. 85, in the all-site internal validation population, DL grading of high collateral probability yielded a c statistic of 0. 91. In DL-graded poor collateral group's rising growth rate in patients with positive reperfusion were higher than in good collateral group patients in patients with healthy reperfusion. With a common odds ratio of 2. 99, there was a shift to more positive outcomes in the good collateral group with a 90-day modified Rankin Scale score. Patients with poor collateral flow are more likely to prosper patients with early reperfusion, and the DL technique can assist in determining collateral status after exclusion of patients with high infarct number.

Source link: https://doi.org/10.1007/s12975-022-01036-1


Collateral-Core Ratio as a Novel Predictor of Clinical Outcomes in Acute Ischemic Stroke

In acute ischemic stroke, the interplay between collateral circulation and ischemic core size has been demonstrated. In AIS, we wanted to create a new imaging marker, the collateral-core ratio, in order to determine the relationship between these factors and its ability to predict functional outcomes using machine learning. Patients with AIS caused by anterior circulation large vessel occlusion were recruited from a prospective multicenter research. mean net reclassification index 57. 3 percent, P 0. 73, 0. 70; mean net reclassification index 56. 7; 1. 0 percent, 0. 93; 0. 83; P = 0. 70; mean net reclassification index 57. 3; P 0. 73; P 0. 77; 0. 05; P = 0. 73. In patients with acute LVO, CCR is a reliable predictor of functional outcomes, as identified by ML.

Source link: https://doi.org/10.1007/s12975-022-01066-9


The Effect of Smoking Cessation on Acute Pain: A Systematic Review

However, acute pain often fuels the urge for cigarette use, which results in a positive feedback system. We therefore wanted to investigate whether a period of reduced pain tolerance and increased pain intensity emerged during smoking cessation. The influence of smoking cessation on acute and postoperative pain was found by a systematic literature search in PubMed and Web of Science databases for controlled studies. The findings of concern included pain threshold, pain tolerance, pain tolerance, pain sensitivity, and postoperative opioid requirements. The duration of smoking cessation differed greatly. The average number of daily smoked cigarettes was 17. 5, up from 10. 3. Most of the studies included in this systematic review show a negative influence of smoking cessation on acute pain. However, the affected pain modalities, the duration of the enhanced pain sensation, and whether male and female smokers are equally affected are uncertain, as a result of high heterogeneity and few published studies.

Source link: https://doi.org/10.1007/s40122-022-00462-1


Predictive value of lipoprotein(a) for assessing the prevalence and severity of lower-extremity peripheral artery disease among patients with acute coronary syndrome

However, the clinical relevance of Lp to lower-extremity peripheral artery disease and coronary artery disease in the same patient has yet to be investigated. Patients who required primary percutaneous coronary intervention for the acute coronary syndrome were enrolled. According to whether they had LE-PAD or not, a total of 175 patients were divided into two groups according to whether they had LE-PAD or not, and three multivariable logistic regression methods were used to see if Lp level is related to LE-PAD prevalence. Patients with LE-PAD had a significantly higher serum Lp levels than those without. With respect to LE-PAD severity, serum Lp levels were significantly higher in the bilateral LE-PAD groups than in the group with no LE-PAD, whereas Lp was not associated with CAD severity, although Lp was not linked to CAD severity. Although Lp levels are linked to the prevalence and severity of LE-PAD, they are not correlated with the severity of CAD in patients with ACS.

Source link: https://doi.org/10.1007/s00380-022-02163-3

* Please keep in mind that all text is summarized by machine, we do not bear any responsibility, and you should always check original source before taking any actions

* Please keep in mind that all text is summarized by machine, we do not bear any responsibility, and you should always check original source before taking any actions