A Feasibility Study of Lavender Aromatherapy in an Awake Craniotomy Environment.

Purpose: Integrative medicine interventions are needed for awake craniotomies, as many patients experience anxiety. Lavender aromatherapy significantly reduces anxiety or pain in a variety of surgical procedures. This feasibility study used lavender aromatherapy during awake craniotomies to determine the number of patients who would consent and complete the study, the technicality of lavender aromatherapy use, and acceptance by operating room (OR) staff.

Cost-Utility Analysis of Mechanical Thrombectomy Using Stent Retrievers in Acute Ischemic Stroke.

Background And Purpose: Recently, 5 randomized controlled trials demonstrated the benefit of endovascular therapy compared with intravenous tissue-type plasminogen activator in acute stroke. Economic evidence evaluating stent retrievers is limited. We compared the cost-effectiveness of intravenous tissue-type plasminogen activator alone versus mechanical thrombectomy and intravenous tissue-type plasminogen activator as a bridging therapy in eligible patients in the UK National Health Service.

What is known about adverse events in older medical hospital inpatients? A systematic review of the literature.

Purpose: Large international studies have shown that older hospital inpatients are at particular risk of adverse events. The purpose of this review was to synthesize data from studies designed to assess the scale and nature of this harm, with the ultimate aim of informing the development of new safety and quality measurement tools to facilitate improved hospital care for these vulnerable patients.

Data Sources Study Selection: and data extraction A systematic search using Ovid SP and other sources was carried out, rigorous inclusion and exclusion criteria were applied and quality assessment of included studies was conducted.

Renal impairment reduces the efficacy of thrombolytic therapy in acute ischemic stroke.

Background: Renal impairment is a potent risk factor for stroke, which remains a leading cause of death and disability. Thrombolysis for acute ischemic stroke has transformed patient outcomes, although the safety and efficacy of this approach remain poorly characterized in patients with renal dysfunction, who manifest a higher risk of bleeding due to uremia. We therefore examined the impact of renal impairment on clinical outcomes with thrombolysis within the current 4.

Mild stroke symptoms as the initial presentation of a patient with underlying subacute bacterial endocarditis.

We describe a patient with sub-acute bacterial endocarditis, whose chief presenting feature was mild expressive dysphasia.

The uses of aromatherapy in women's health.

Aromatherapy is the practice of therapeutic use of essential plant-based oils. Essential oils and aromatherapy have been used in the care of women for centuries. The published research has used small samples and often combines other complementary therapies with aromatherapy; however, the use of essential oils has not been shown to cause harm and is accepted by women.

Psychological distress after stroke and aphasia: the first six months.

Objective: We explored the factors that predicted psychological distress in the first six months post stroke in a sample including people with aphasia.

Design: Prospective longitudinal observational study.

Setting And Subjects: Participants with a first stroke from two acute stroke units were assessed while still in hospital (baseline) and at three and six months post stroke.

Space re-exploration in hemispatial neglect.

Exploration of the space around us is a fundamental part of human behaviour. When it breaks down there is an important opportunity to understand its underlying mechanisms. Here we show that many right-hemisphere patients with left neglect re-explore rightward locations, failing to keep track of them during search.