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Diabetes complication rates fall markedly in the US, says CDC study | The BMJ

Rates of five serious complications related to diabetes—myocardial infarction, stroke, end stage kidney failure, lower limb amputation, and death from hyperglycemia — have all decreased among adults with diabetes in the US over the past two decades, according to a new study by the US Centers for Disease Control and Prevention (CDC) - currently located behind a paywall. Your institution may have access through Athens/Elservier or similar.  
bmj.com
over 5 years ago
Www.bmj
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28

What is the most effective operation for adults with severe and complex obesity?

Accessing, undergoing, and achieving a successful outcome from surgery for “severe and complex obesity” is difficult and requires determination and effort. Here, we consider “severe and complex obesity” to mean that an individual’s health is compromised by his or her weight to the extent that surgery can be considered to be an appropriate option.1 Surgery may be offered to adults with a body mass index (BMI) of ≥40, or a BMI of ≥35 with an obesity related disease, and it can be very successful. An average 50% of excess weight may be lost in the first few years after surgery, and if this is sustained it is associated with long term reduction in overall mortality and decreased incidences of diabetes, myocardial infarction, stroke and cancer.1 2 This treatment, however, requires careful consideration and serious commitment, with the need to demonstrate full engagement in a structured weight loss programme, to have tried all appropriate non-invasive measures of weight loss, and persevered for referral to a specialist surgical team.1 Once surgery is approved it is necessary to choose which operation to undergo.  
bmj.com
over 5 years ago
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22

Infection with polyomavirus JC

The recent discovery of new neurological syndromes that result from neuronal infection with polyomavirus JC, also known as JC virus, and the presence of this virus in the grey matter are currently under debate.1 It has been suggested that JC virus is associated with cognitive decline, dementia, strokes, and brain tumours,2 and this hypothesis has been commented on in the BMJ.3  
bmj.com
over 5 years ago
Www.bmj
1
25

Diabetes complication rates fall markedly in the US, says CDC study

Rates of five serious complications related to diabetes—myocardial infarction, stroke, end stage kidney failure, lower limb amputation, and death from hyperglycemia — have all decreased among adults with diabetes in the US over the past two decades, according to a new study by the US Centers for Disease Control and Prevention (CDC).1  
bmj.com
over 5 years ago
Www.bmj
1
21

Diabetes complication rates fall markedly in the US, says CDC study

Rates of five serious complications related to diabetes—myocardial infarction, stroke, end stage kidney failure, lower limb amputation, and death from hyperglycemia — have all decreased among adults with diabetes in the US over the past two decades, according to a new study by the US Centers for Disease Control and Prevention (CDC).1  
bmj.com
over 5 years ago
Www.bmj
3
132

Anticoagulation in atrial fibrillation

Atrial fibrillation increases the risk of stroke, which is a leading cause of death and disability worldwide. The use of oral anticoagulation in patients with atrial fibrillation at moderate or high risk of stroke, estimated by established criteria, improves outcomes. However, to ensure that the benefits exceed the risks of bleeding, appropriate patient selection is essential. Vitamin K antagonism has been the mainstay of treatment; however, newer drugs with novel mechanisms are also available. These novel oral anticoagulants (direct thrombin inhibitors and factor Xa inhibitors) obviate many of warfarin’s shortcomings, and they have demonstrated safety and efficacy in large randomized trials of patients with non-valvular atrial fibrillation. However, the management of patients taking warfarin or novel agents remains a clinical challenge. There are several important considerations when selecting anticoagulant therapy for patients with atrial fibrillation. This review will discuss the rationale for anticoagulation in patients with atrial fibrillation; risk stratification for treatment; available agents; the appropriate implementation of these agents; and additional, specific clinical considerations for treatment.  
bmj.com
over 5 years ago
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1
15

ABCD2 Score - Stroke Risk

 ABCD2 score for predicting the risk of stroke after a TIA Age > 60 years                                                      (1 point)  
almostadoctor.com - free medical student revision notes
over 5 years ago
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43

CHA2DS2-VASc

CHADSVASc score for assessing the risk of stroke in AF Congestive heart failure (1 point) Hypertension (1 point) Age >75 years (2 point) Diabetes Mellitus (1 point) Prior Stroke or TIA (2 points) Vascular disease (e.g. PVD, MI) (1 point) Age 64-75 years (1 point) Sex (female) (1 point) Anticoagulation based on the CHADS2 score:  
almostadoctor.com - free medical student revision notes
over 5 years ago
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1
19

Ignoring mini strokes 'puts people at risk of full stroke' - BBC News

The Stroke Association has warned that those who ignore symptoms of a mini stroke or transient ischaemic attack (TIA) put themselves at risk of a full stroke.  
BBC News
over 5 years ago
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1
14

Mini-stroke dismissed as 'funny turn' - BBC News

Those who ignore symptoms of a TIA (transient ischaemic attack) or mini-stroke are running the risk of having a major stroke, the Stroke Association warns.  
BBC News
over 5 years ago
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1
12

How a 'funny turn' could turn out to be a mini-stroke - BBC News

As people are urged not to dismiss "funny turns", one young woman tells of when she suffered a mini-stroke.  
BBC News
over 5 years ago
Www.bmj
1
18

Up to 40% of premature deaths in US are preventable, says CDC

If all US states achieved the same death rates for the top five causes of death—heart disease, cancer, chronic lower respiratory diseases, stroke, and unintentional injury—as those achieved by the states with the lowest rate for each cause, 20% to 40% of premature deaths in the United States could be prevented, the Centers …  
www.bmj.com
over 5 years ago
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1
10

Hyperacute stroke care and NHS England’s business plan

NHS England’s refreshed business plan identifies the reconfiguration of hyperacute stroke services as a priority. NHS England aims to develop the case for major reconfigurations in two further geographical locations by April 2015.1 This priority follows the centralisation of London’s acute stoke care in 2010, in which 30 local hospitals receiving stroke patients were reduced to eight hyperacute stroke units, each within a maximum ambulance travel time of 30 minutes. In a before and after study,2 the thrombolysis rate increased from 5% to 12%, the survival rate increased from 87.2% to 88.7%, and centralisation achieved an estimated 90 day cost saving of more than £5m (€6.1; $8.4m) a year.  
www.bmj.com
over 5 years ago
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1
14

Hyperacute stroke care and NHS England’s business plan

NHS England’s refreshed business plan identifies the reconfiguration of hyperacute stroke services as a priority. NHS England aims to develop the case for major reconfigurations in two further geographical locations by April 2015.1 This priority follows the centralisation of London’s acute stoke care in 2010, in which 30 local hospitals receiving stroke patients were reduced to eight hyperacute stroke units, each within a maximum ambulance travel time of 30 minutes. In a before and after study,2 the thrombolysis rate increased from 5% to 12%, the survival rate increased from 87.2% to 88.7%, and centralisation achieved an estimated 90 day cost saving of more than £5m (€6.1; $8.4m) a year.  
www.bmj.com
over 5 years ago
Preview
1
37

The ADAPT technique in the clinic: A direct aspiration first pass technique for stroke thrombectomy

Stream The ADAPT technique in the clinic: A direct aspiration first pass technique for stroke thrombectomy by BMJ talk medicine from desktop or your mobile device  
SoundCloud
over 5 years ago
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1
13

The hyperdense vessel sign predicts successful recanalization in acute ischemic stroke

Stream The hyperdense vessel sign predicts successful recanalization in acute ischemic stroke by BMJ talk medicine from desktop or your mobile device  
SoundCloud
over 5 years ago
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1
25

Radiation for brain metastases, and the genetics of ischaemic stroke

Stream Radiation for brain metastases, and the genetics of ischaemic stroke by BMJ talk medicine from desktop or your mobile device  
SoundCloud
over 5 years ago
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3
114

Stroke and TIA

FY1 Stoke Rehab/ Elderly Medicine, Breast / General Surgery, Acute Medicine at SJUH  
YouTube
over 5 years ago
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1
35

108 What Is Hypertension?

http://www.interactive-biology.com - In this video, we cover hypertension. We're going to deal with things like Cardiac Output, peripheral resistance, stroke...  
YouTube
over 5 years ago
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0
17

Stroke Prevention & Transient Ischemic Attack (TIA)

Developed and produced for http://www.MDPracticeGuide.com, a CME resource for physicians and healthcare providers. Animation Description: Primary prevention ...  
YouTube
over 5 years ago