Abstract TP226: Predictors and Impact of Paramedic Recognition of Hemorrhagic Stroke

Stroke ◽  
2017 ◽  
Vol 48 (suppl_1) ◽  
Author(s):  
John A Oostema ◽  
Christian Negronrolon ◽  
Mathew J Reeves
Keyword(s):  
Hemorrhagic Stroke ◽  
Prehospital Care ◽  
Clinical Signs ◽  
Signs And Symptoms ◽  
Hospital Data ◽  
Discharge Disposition ◽  
Transportation Times ◽  
Clinical Signs And Symptoms ◽  
Department Evaluation ◽  
The Impact

Introduction: Utilization of EMS is associated with faster emergency department evaluation and treatment of patients with stroke, especially among EMS-recognized patients. However, most research focuses on patients with ischemic stroke. We sought to identify factors associated with prehospital recognition of hemorrhagic stroke and the impact of recognition on prehospital and in-hospital care. Methods: A cohort of hospital-confirmed hemorrhagic stroke cases transported by EMS to 2 primary stroke centers in Kent County, Michigan over a 12-month time period was assembled. Data regarding prehospital care (Cincinnati stroke screen [CPSS] documentation, GCS, clinical signs and symptoms, transportation times, and paramedic impression) were linked to in-hospital data on door-to-CT (DTCT) times, mortality, and discharge disposition. We examined the relationships between clinical factors and stroke recognition by paramedics as well as between recognition and in-hospital outcomes. Results: Over 12 months, 73 confirmed hemorrhagic stroke patients arrived by EMS. Forty-seven (64.4%) were correctly identified by EMS as stroke; 26 (35.6%) were missed. EMS recognition was associated with greater likelihood CPSS documentation, intracerebral hemorrhage, dispatch impression of stroke, absence of seizure, and higher systolic blood pressure (Table). Multiple logistic regression confirmed a strong independent relationship between CPSS documentation and stroke recognition (OR 40.3 [5.0 to 323.5]). EMS recognized cases had shorter on-scene times (17 vs. 21 minutes, p=0.004), total transport times (33 vs. 43 minutes, p=0.003), and DTCT times (30 vs. 48 minutes, p=0.004). Recognition was not associated with mortality or discharge disposition. Conclusion: CPSS documentation is strongly associated with hemorrhagic stroke recognition by EMS providers. EMS recognition is associated with more efficient transportation and faster DTCT times upon hospital arrival.

scholarly journals The impact of isolated lesser saphenous vein system incompetence on clinical signs and symptoms of chronic venous disease

2000 ◽  
Vol 32 (5) ◽  
pp. 954-960 ◽  
Author(s):  
Nicos Labropoulos ◽  
Athanasios D. Giannoukas ◽  
Kostas Delis ◽  
Steven S. Kang ◽  
M.Ashraf Mansour ◽  
...  
Keyword(s):  
Saphenous Vein ◽  
Clinical Signs ◽  
Signs And Symptoms ◽  
Chronic Venous Disease ◽  
Venous Disease ◽  
Vein System ◽  
Clinical Signs And Symptoms ◽  
The Impact

scholarly journals Pendidikan Kesehatan tentang Anemia pada Remaja Putri di SMA N 12 Kabupaten Merangin

2021 ◽  
Vol 3 (1) ◽  
pp. 41
Author(s):  
Dini Junita ◽  
Arnati Wulansari
Keyword(s):  
Health Workers ◽  
Clinical Signs ◽  
Signs And Symptoms ◽  
Nutritional Anemia ◽  
Post Test ◽  
Service Activity ◽  
Implementation Method ◽  
Clinical Signs And Symptoms ◽  
Indicators Of Success ◽  
The Impact

Anemia is the impact of nutritional problems on teenager girl. Nutritional anemia is caused by a lack of nutrients that play a role in the formation of hemoglobin, it can be due to lack of consumption or absorption disorders. Only 62% of anemia mothers have received iron supplemented tablets in the working area of Puskesmas Simpang Limbur, while the iron supplemented tablet program for teenager girls in high school has not been implemented. The purpose of this community service activity is to provide information and motivation to teenagers to prevent anemia. Providing information in the form of health education regarding the definition, signs, clinical signs and symptoms and the impact of anemia. The implementation method is in the form of counseling, discussion, practice simulation and pre-post test evaluation. Monitoring evaluation is carried out by looking at the indicators of success in the aspect of target attendance attending every meeting in service and practice activities to the target, reflections and feedback from the participants. The results of the activity show that school support is very good, students' knowledge of anemia is more than 80%. The material still needs to be improved regarding the risk factors for anemia in adolescents. Collaboration with health workers is needed to gain new knowledge on a regular basis, as well as empowering students as youth cadres.

Role of Clinical Pharmacist in a Heart Failure Clinic

2005 ◽  
Vol 40 (10) ◽  
pp. 890-896 ◽  
Author(s):  
Devada Singh-Franco ◽  
Leanne Li ◽  
Stan Hannah ◽  
Morton Diamond
Keyword(s):  
Heart Failure ◽  
Clinical Pharmacist ◽  
Hospital Admissions ◽  
Care Service ◽  
Clinical Signs ◽  
Signs And Symptoms ◽  
Medical Insurance ◽  
Post Intervention ◽  
Clinical Signs And Symptoms ◽  
The Impact

Purpose To determine if the inclusion of a clinical pharmacist (CP) in a heart failure (HF) multidisciplinary team could lead to a reduction in the number of hospital admissions and additionally decrease the clinical signs and symptoms of HF patients with either Medicaid or no medical insurance. Methods Longitudinal study to determine the impact of a pharmaceutical-care service program to HF patients by comparing the 9-month period before (pre-intervention) and the 9-month period after (post-intervention) implementation of the program. The intervention of the CP was directed in two complementary functions. The first was direct patient contact and the second was to provide drug information to the medical clinicians. Results Twenty-nine outpatients completed the study. Over 9 months, the CP made a total of 216 interventions and had three in-person, follow-up contacts and three telephone contacts per patient. At post-intervention, there was a statistically significant reduction in the total number of hospitalizations (50 vs 23; P < 0.018) and length of stay (LOS) (263 days vs 108 days; P < 0.03). However, there was an insignificant reduction in HF hospitalizations, LOS, and total number of HF signs and symptoms. Conclusions Addition of a CP to an outpatient HF clinic can lead to fewer hospital admissions and a reduction in the LOS in patients with either Medicaid or no medical insurance.

scholarly journals Dementia and Major Neurocognitive Disorders: Some Lessons Learned One Century after the first Alois Alzheimer’s Clinical Notes

Geriatrics ◽  
2021 ◽  
Vol 6 (1) ◽  
pp. 5
Author(s):  
Donatella Rita Petretto ◽  
Gian Pietro Carrogu ◽  
Luca Gaviano ◽  
Lorenzo Pili ◽  
Roberto Pili
Keyword(s):  
Young Woman ◽  
Clinical Signs ◽  
Signs And Symptoms ◽  
Neurocognitive Disorders ◽  
Lessons Learned ◽  
Alzheimer Dementia ◽  
Clinical Notes ◽  
Alois Alzheimer ◽  
Clinical Signs And Symptoms

Over 100 years ago, Alois Alzheimer presented the clinical signs and symptoms of what has been later called “Alzheimer Dementia” in a young woman whose name was Augustine Deter [...]

scholarly journals Correction to: Levoketoconazole improves clinical signs and symptoms and patient-reported outcomes in patients with Cushing’s syndrome

Pituitary ◽  
2020 ◽  
Author(s):  
Eliza B. Geer ◽  
Roberto Salvatori ◽  
Atanaska Elenkova ◽  
Maria Fleseriu ◽  
Rosario Pivonello ◽  
...  
Keyword(s):  
Cushing’S Syndrome ◽  
Patient Reported Outcomes ◽  
Clinical Signs ◽  
Signs And Symptoms ◽  
Cushing's Syndrome ◽  
Original Version ◽  
Patient Reported ◽  
Author Group ◽  
Clinical Signs And Symptoms

The original version of the article unfortunately contained an error in the first name and the surname of one of the authors in the author group. The last author name was incorrectly published as ‘F. Pecori Giraldi’ and the corrected name is ‘Francesca Pecori Giraldi’ (First name: Francesca; Surname: Pecori Giraldi).

scholarly journals A 38-year demographic study of central and peripheral giant cell granulomas of the jaws

2016 ◽  
Vol 15 (2) ◽  
pp. 220-223 ◽  
Author(s):  
Shadi Saghafi ◽  
Reza Zare-Mahmoodabadi ◽  
Narges Ghazi ◽  
Mohammad Zargari
Keyword(s):  
Giant Cell ◽  
Medical Science ◽  
Age Distribution ◽  
Clinical Signs ◽  
Signs And Symptoms ◽  
Posterior Maxilla ◽  
Frequent Site ◽  
Male Patients ◽  
Clinical Signs And Symptoms ◽  
Anterior Mandible

Objective: The purpose of this study was to retrospectively analyze the demographic characteristics of patients with central giant cell granulomas (CGCGs) and peripheral giant cell granulomas (PGCGs) in Iranian population.Methods: The data were obtained from records of 1019 patients with CGCG and PGCG of the jaws referred to our department between 1972 and 2010. This 38-year retrospective study was based on existing data. Information regarding age distribution, gender, location of the lesion and clinical signs and symptoms was documented. Results: A total of 1019 patients were affected GCGLs including 435 CGCGs and 584 PGCGs during the study. The mean age was 28.91 ± 18.16. PGCGs and CGCGs had a peak of occurrence in the first and second decade of life respectively. A female predominance was shown in CGCG cases (57.70%), whereas PGCGs were more frequent in males (50.85%). Five hundred and ninety-eight cases of all giant cell lesions (58.7 %) occurred in the mandible. Posterior mandible was the most frequent site for both CGCG and PGCG cases. The second most common site for PGCG was posterior maxilla (21%), whereas anterior mandible was involved in CGCG (19.45%). The majority of patients were asymptomatic. Conclusions: In contrast to most of previous studies PGCGs occur more common in the first decade and also more frequently in male patients. Although the CGCGs share some histopathologic similarities with PGCGs, differences in demographic features may be observed in different populations which may help in the diagnosis and management of these lesions.Bangladesh Journal of Medical Science Vol.15(2) 2016 p.220-223

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