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Very small subclinical cerebral lesions are associated with increased risks of stroke and death

Very Small Brain Lesions Linked to Risk of Stroke, Death

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About triple the risk of stroke and stroke-related death for lesions smaller than 3 mm only
The U.S. Preventive Services Task Force has concluded that the current evidence is insufficient to weigh the benefits and harms of screening for speech and language delays in children aged younger than 5 years. The final recommendation statement has been published online July 7 in Pediatrics.

USPSTF: Evidence Lacking for Speech, Language Screening

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Grade I recommendation finds insufficient evidence for assessing benefits, harms of preschool screening
Patients undergoing brain or spine surgery are at no greater risk if residents assist during the operation

No ‘Downside’ With Residents Assisting During Surgery

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Findings might help reassure concerned patients
Pregnant women with epilepsy appear to have a heightened risk of adverse outcomes

Higher Pregnancy/Childbirth Risks for Women With Epilepsy

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But complications or maternal death during delivery are still rare
Patients who suffer a stroke are more likely to experience an accelerated decline in their global cognition and executive function for at least six years following the acute event

Stroke Tied to Accelerated Cognitive Decline Over Long Term

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Deterioration centers around global cognition, executive function
While having one major health problem -- such as diabetes

Life Expectancy Substantially Drops With Disease Combo

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Combination of diabetes, myocardial infarction, stroke linked to 15 years of reduced life expectancy
Efforts to expand health insurance coverage are expected to lead to increased treatment rates among nonelderly patients with hypertension

Health Insurance Expansion Likely to Increase HTN Treatment

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Increase expected to lead to fewer coronary heart disease events, stroke events, CVD-related deaths
Many health care professionals work when they are sick

Despite Risk to Patients, Health Providers Often Work While Sick

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Main reason is not wanting to let colleagues, patients down
There is considerable regional variation in thrombolysis treatment for ischemic stroke

Regional Variation in Treatment of Ischemic Stroke

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Region accounted for 7 to 8 percent of variation in thrombolysis treatment

June 2015 Briefing – Neurology

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Here are what the editors at HealthDay consider to be the most important developments in Neurology for June 2015. This roundup includes the latest...