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Aphasia

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3604. Cost-efficacy of oral triptans in the treatment of acute migraine

covered asthenia, abnormal dreams, agitation, aphasia, ataxia, confusion, dizziness, somnolence, speech disorder, thinking abnormally, tremor, vertigo and other focal neurological symptoms. The information on the proportion of patients experiencing these adverse events was taken from the meta-analysis. Information on healthcare resource use in the treatment of these events was collected from a panel of six neurologists with extensive experience in migraine treatment. The resources potentially consumed

2005 NHS Economic Evaluation Database.

3605. Does this patient have dementia? Full Text available with Trip Pro

completed by patients, three by informants, and four by patients and informants. The instruments assessed a range of cognitive functions which included memory (orientation, registration recall, remote/over learned memory), praxis/visuospatial, aphasia/verbal fluency, attention, abstraction and executive functioning/functional status. The time to administer the instruments ranged from 1 to 2 to 20 to 30 minutes. Reference standard test against which the new test was compared Studies that used

2007 DARE.

3606. Stroke Assessment Across the Continuum of Care

Practice Guideline RECOMMENDATION LEVEL OF EVIDENCEBowel and Bladder 10.0 Nurses in all practice settings should assess clients for fecal incontinence IV Function and constipation. 10.1 Nurses in all practice settings should assess clients for urinary incontinence and IV retention (with or without overflow). Depression 11.0 Nurses in all practice settings should screen clients for evidence of depression, IV using a validated tool (such as the Stroke Aphasia Depression Questionnaire, Geriatric

2005 Registered Nurses' Association of Ontario

3607. Therapies for essential tremor

variables comparing thalamotomy to DBS of the thalamus at baseline or follow-up visits. However, surgical complications were higher for the patients who received thalamotomy compared to DBS. Five patients who received thalamotomy had asymptomatic intracranial hemorrhages, and one patient had a symptomatic hemorrhage. Five patients reported cognitive abnormalities, two patients experienced hemiparesis, and two patients had aphasia. All complications resolved within 1 month. Complications of DBS included

2005 American Academy of Neurology

3608. Stroke / Transient Ischaemic Attack (TIA)

of speech (dysphasia) ? assess limb power and sensation. May have mainly sensory impairment with numbness or “pins and needles” down affected side ? assess for sudden onset of weakness of the face and arm, as when combined with speech abnormality, stroke is the most likely diagnosis (refer to Table 1). Table 1 – FAST Test 3,4 ask the patient to smile or Facial Weakness show teeth. Look for NEW lack of symmetry (motor) – Ask the patient to lift their arms together and hold for 5 seconds. Does Arm

2006 Joint Royal Colleges Ambulance Liaison Committee

3609. Specific Treatment Options - stroke-transient ischaemic attack

or with the understanding of speech (dysphasia) ? assess limb power and sensation. May have mainly sensory impairment with numbness or “pins and needles” down affected side ? assess for sudden onset of weakness of the face and arm, as when combined with speech abnormality, stroke is the most likely diagnosis (refer to Table 1). Table 1 – FAST Test 3,4 ask the patient to smile or Facial Weakness show teeth. Look for NEW lack of symmetry (motor) – Ask the patient to lift their arms together and hold for 5 seconds. Does

2007 Joint Royal Colleges Ambulance Liaison Committee

3610. A decrease of 2 points on the Mini-Mental State Examination was the best determinant of delirium in elderly patients admitted to hospital Full Text available with Trip Pro

), gastrointestinal (n = 20), and cerebrovascular (n = 19). Exclusion criteria: severe aphasia or deafness, poor prognosis, or hospital stay <6 days. Description of test: MMSE was given on day 1 and day 6. The MMSE used was adapted and validated for use in Irish patients. Diagnostic standard: an experienced consultant geriatrician interviewed patients on days 1 and 6 and determined the presence or absence of delirium, dementia, or both. Delirium was diagnosed using the Confusion Assessment Method diagnostic

2006 Evidence-Based Medicine

3611. Acupuncture

. “Neurological Rehabilitation: Acupuncture and Laser Acupuncture To Treat Paralysis in Stroke and Other Paralytic Conditions and Pain in Carpal Tunnel Syndrome” Research Professor of Neurology Neuroimaging Section Boston University Aphasia Research Center Veterans Affairs Medical Center Boston, Massachusetts Lorenz K.Y. Ng, M.D. “What Is Acupuncture?” Clinical Professor of Neurology George Washington University School of Medicine Medical Director Pain Management Program National Rehabilitation Hospital

1997 NIH Consensus Statements

3612. Prophylactic mirtazapine may help to prevent post-stroke depression in people with good cognitive function Full Text available with Trip Pro

: 360 days. Setting: Stroke unit in academic medical centre in Ludwigshafen, Germany. Patients: Seventy people who had suffered an ischaemic stroke, confirmed by MRI or CT scan. People were excluded if they were currently using antidepressants, were depressed in the two weeks before stroke, were less than 18 years old, pregnant or breastfeeding, or had dysphasia that would interfere with psychiatric testing. Intervention: Treatment was 30 mg of mirtazapine once daily at bedtime and commenced one day (...) have introduced a bias in favour of active treatment. More than 90% of people screened for recruitment were not enrolled as participants. Exclusion criteria included inability to give informed consent, aphasias that interfered with recruitment or assessment, and haemorrhagic stroke. Results may not, therefore, generalise to all patients with stroke. Commentary Post-stroke depression (PSD) is common and underreported. PSD may be seen up to seven years after stroke and it may lead to worse outcomes

2006 Evidence-Based Mental Health

3613. Perinatal Opioid Use: Care of the Mother

steady state achieved, then go to 2. Document the following with each assessment: 1. Grade of Withdrawal 2. Respiratory Rate 3. *GCS (Glasgow Coma Scale (See page 17) Hold morphine and call MD if GCS < 14 or if respiratory rate < 10 4. Time/Dose of MOS Perinatal Opioid Use, Care of the Mother * BCRCP * November,1999 Page 17 of 17 * GLASCOW COMA SCALE (GCS) Eyes Open: Swollen Shut = C Spontaneously 4 To Verbal Command 3 To Pain 2 No Response 1 Best Verbal Response Dysphasia = D ETT/Trach = T

1999 British Columbia Perinatal Health Program

3614. Are the clinical effects of homoeopathy placebo effects: a meta-analysis of placebo-controlled trials

to be at risk of certain conditions and were receiving homeopathy as a preventive measure The conditions included the following: allergic asthma, pollinosis, warts, minor burns, pyodermia, skin lesions, dermatoses, anal fissure, diarrhoea, gastritis, cholecystopathia, irritable bowel, sprains, haemarthrosis, cramps, dental neuralgia, migraine, seasickness, aphasia, stroke, menopause, vaginal discharge, premenstrual syndrome, childbirth, mastodynia, cystitis, cough, upper respiratory tract infection

1997 DARE.

3615. The dexamethasone suppression test for diagnosing depression in stroke patients

for the minority of stroke patients in whom a clinical evaluation of depression remains inconclusive. In addition, the test should be evaluated in difficult-to-assess patients, such as those with aphasia. Funding McDonnell Center for Higher Brain Function and NIAA, grant number AA07466. Bibliographic details Harvey S A, Black K J. The dexamethasone suppression test for diagnosing depression in stroke patients. Annals of Clinical Psychiatry 1996; 8(1): 35-39 PubMedID Indexing Status Subject indexing assigned

1996 DARE.

3616. Criteria for determining disability in speech-language disorders

designs of evaluations included in the review No inclusion criteria in terms of study design were specified for the review; all studies that met the other inclusion criteria were eligible. Specific interventions included in the review Studies on 20 instruments were eligible for inclusion in the review: three each for adult language, adult speech, child speech, and voice; and eight for child language disorders. The instruments were: for adult language, Boston Diagnostic Aphasia Examination 2nd edition (...) , Porch Index of Communicative Ability (PICA), and Western Aphasia Battery; for adult speech, Assessment of Intelligibility in Dysarthic Speech, Dysarthia Examination Battery, and Stuttering Severity Instrument for Children and Adults 3rd edition (SSI-3); for child speech, Goldman-Fristoe Test of Articulation 2nd edition, SSI-3, and Phonological Process Analysis (PPA); for voice, GRBAS (grade, rough, breathy, asthenic, strain) Scale, Multi-dimensional Voice Profile (MDVP), and Voice Handicap Index

2002 DARE.

3617. A meta-analysis of research on sensory integration treatment

with learning disabilities, mental retardation, minor brain dysfunction, aphasia, motor delay and adult psychiatric patients, as well as patients at risk. The female-male ratio was approximately 1 to 6 for children and about 1 to 1 for adults. The majority of studies were of children with learning disabilities. Outcomes assessed in the review Outcome measures were classified into five categories: psycoeducational, behaviour, language, motor, and sensory-perceptual. The classification of outcomes

1999 DARE.

3618. Neuropsychological outcomes in randomized controlled trials of antiepileptic drugs: a systematic review of methodology and reporting standards

to produce the most frequent statistically significant cognitive effects, with CBZ favoured for the majority of the tests used. Other AEDs were only represented by one or two small trials. One study comparing PHT and CBZ in adults with partial and generalised seizures found the results of the Stroop Colour Word Test, the Trail Making Test, and the Hapstead-Wepman Aphasia Test all significantly favoured CBZ, although the remainder of the 12 tests used found no significant differences. Authors' conclusions

1998 DARE.

3619. AGA technical review on management of oropharyngeal dysphagia

series for neuropathic and myopathic dysphagia)): Based on level C evidence the authors' report that there are sufficient grounds to presume that cricopharyngeal myotomy is beneficial in cases of dysphagia caused by structural lesions. They also report that there are no absolute indications for cricophayngeal myotomy, and that currently available clinical data do not strongly support treatment with cricopharyngeal myotomy for neuropathic or myopathic causes of oropharyngeal dysphasia. Outcome

1999 DARE.

3620. Use of tube feeding to prevent aspiration pneumonia

in tabular format. For the 19 studies where follow-up and incidence of aspiration pneumonia could be determined, the results were also presented graphically. How were differences between studies investigated? The studies were presented in tables according to whether they were composed of patients with neurogenic dysphasia only, or whether they included a mix of patients (including those with neurogenic dysphasia). Results of the review Forty-one studies in total (n=3,204) were included: 22 retrospective

1996 DARE.

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