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Intravenous thrombolysis in patients with acute dizziness or imbalance and suspected ischemic stroke-systematic review.
J Neurol
January 2025
Neurology, Cantonal Hospital of Baden, Baden, Switzerland.
Background: Correct identification of those patients presenting with an acute vestibular syndrome (AVS) or an acute imbalance syndrome (AIS) that have underlying posterior-circulation stroke (PCS) and thus may benefit from revascularization (intravenous thrombolysis (IVT), endovascular therapy (EVT)) is important. Treatment guidelines for AVS/AIS patients are lacking. We reviewed the evidence on acute treatment strategies in AVS/AIS focusing on predictors for IVT/EVT and outcome.
View Article and Find Full Text PDFFatal acute uterine inversion post-vaginal delivery: an autopsy-based case report.
Forensic Sci Med Pathol
January 2025
Department of Forensic Medicine and Toxicology, Maharishi Markandeshwar Institute of Medical Sciences and Research, Mullana (Ambala), Haryana, India.
Uterine inversion refers to the condition where the fundus is turned inside and positioned within the uterine cavity. Uterine inversion is a life-threatening and uncommon obstetric emergency that can be fatal because of postpartum hemorrhage and shock. Acute uterine inversion is the most common type, which occurs within 24 h of delivery and is usually associated with untrained birth attendants and a lack of knowledge of labor-inducing drugs.
View Article and Find Full Text PDFImpact of the biopsychosocial model of disability on the medicolegal assessment of personal injury.
Arch Public Health
December 2024
Faculty of Medicine, Université Libre de Bruxelles, 808, Route de Lennik, Brussels, CP630, 1070, Belgium.
Background: The objective of this paper was to determine whether the medicolegal assessment of injured and disabled persons is based on the biopsychosocial model of disability proposed by the International Classification of Functioning, Disability, and Health.
Methods: We searched for the word disability and other keywords, occurring alone or in combination as well as the meaning given to the word "disability" in two Belgian legal databases (JURA and STRADALEX) for the period from 1960 to 2020.
Results: The use of the term disability has increased over time, more so from 2001 to 2010, in areas of public health law, labor relations, and personal injury law.
Diverse Views and Practices on the Handling of Explanted Hardware Highlights the Need for Standardized Management.
Orthop Surg
December 2024
Department of Orthopedics and Traumatology, Ege University School of Medicine, Izmir, Turkey.
Objective: Orthopedic implants may need to be removed for various reasons. There is little data on the appropriate handling of implants after their removal from patients. This study aimed to analyze how orthopedic surgeons handle removed implants and their underlying philosophies, using data collected from a survey.
View Article and Find Full Text PDFChanges in Medication Complexity and Post-Hospitalization Outcomes in Older Adults Hospitalized for Heart Failure.
Drugs Aging
December 2024
Department of Medicine, Weill Cornell Medicine, New York, NY, USA.
Introduction: Medication regimen complexity may be an important risk factor for adverse outcomes in older adults with heart failure. However, increasing complexity is often necessary when prescribing guideline-directed medical therapy at the time of a heart failure hospitalization. We sought to determine whether increased medication regimen complexity following a heart failure hospitalization was associated with worse post-hospitalization outcomes.
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