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Dissertations / Theses on the topic 'Transient ischemic attacks'

Author: Grafiati

Published: 2 June 2025

Last updated: 31 July 2025

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1

Shorikova, D. V. "Transient ischemic attacks and left atrial dysfunction in hypertensive patients." Thesis, БДМУ, 2020. http://dspace.bsmu.edu.ua:8080/xmlui/handle/123456789/18105.

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2

Li, Yan. "Inhibitory synpatic transmission in striatal neurons after transient cerebral ischemia." Connect to resource online, 2009. http://hdl.handle.net/1805/2021.

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Thesis (Ph.D.)--Indiana University, 2009.<br>Title from screen (viewed on December 1, 2009). Department of Anatomy and Cell Biology, Indiana University-Purdue University Indianapolis (IUPUI). Advisor(s): Zao C. Xu, Feng C. Zhou, Charles R. Yang, Theodore R. Cummins. Includes vitae. Includes bibliographical references (leaves 115-135).

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3

Tucker, Jessica Janice. "Predictors of Admission for Stroke or Transient Ischemic Attack Patients." ScholarWorks, 2019. https://scholarworks.waldenu.edu/dissertations/7257.

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Approximately 11% of patients diagnosed with a stroke or a transient ischemic attack are readmitted to the hospital, creating a cost burden of nearly $2 billion per year for Medicare beneficiaries. Because researchers and policy makers consider hospital readmission for patients with strokes or transient ischemic attack to be an indicator for the delivery of quality care, the Centers for Medicare and Medicaid Services has imposed financial penalties of up to 3% of a hospital's Medicare reimbursement in 1 year for excessive readmissions, potentially impacting the financial sustainability of vari

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4

Kostulas, Konstantinos. "Genetic analysis of ischemic stroke and predisposing carotid artery stenosis : a stroke carol /." Stockholm : Karolinska institutet, 2007. http://diss.kib.ki.se/2007/978-91-7357-395-5/.

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5

Guan, Ling. "Autonomic nervous system parameters to predict the occurrence of ischemic events after transient ischemic attack or minor stroke." Thesis, University of British Columbia, 2017. http://hdl.handle.net/2429/63274.

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The full abstract for this thesis is available in the body of the thesis, and will be available when the embargo expires.<br>Medicine, Faculty of<br>Experimental Medicine, Division of<br>Medicine, Department of<br>Graduate

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6

Haynes, Helena. "A Doctor of Nursing Practice-Led Transitions of Care Model for Stroke and Transient Ischemic Attack." Diss., The University of Arizona, 2013. http://hdl.handle.net/10150/293391.

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Background/Objectives: Gaps in care due to the movement of patients between health settings and/or practitioners, known as transitions of care (TOC), may contribute to second stroke or TIA events. The elements that impact TOC in the stroke/TIA population have not been fully elucidated. The purpose of this study is to identify key elements of a Doctor of Nursing Practice-led TOC model that could be used to develop and evaluate a TOC program for the stroke/TIA population. Design: A descriptive study was performed to 1) identify elements that may affect transitions of care using a stroke database

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7

Sicard, Kenneth M. "Multimodal MRI, Behavioral Testing, and Histology in a Rat Model of Transient Focal Cerebral Ischemia : A Dissertation." eScholarship@UMMS, 2006. http://escholarship.umassmed.edu/gsbs_diss/318.

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Cerebral ischemia is defined as a decrease in blood flow to the brain. It is most often caused by obstruction of a cerebral blood vessel, and is recognized by the World Health Organization as the leading cause of serious adult disability and one of the top three causes of adult death worldwide. Most survivors demonstrate partial restitution of function over time, but the underlying recovery mechanism(s) remain unclear especially in a subset of patients with persistent neurological morbidities despite normal-appearing brain on neuroimaging. The optimal way to understand any human disease state

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8

Skogmo, Emelie, and Emelie Nyblom. "Uppföljning av patienter med Transitorisk Ischemisk Attack (TIA)- och minor stroke som medverkat i TIA-skolan på Enköpings lasarett." Thesis, Uppsala universitet, Institutionen för folkhälso- och vårdvetenskap, 2011. http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-154017.

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The purpose of this study was to investigate how patients who had undergone Hallberg's TIA-school at Enköpings Lasarett rate their physical and mental health 18 months after participation. Another purpose was to examine whether they re-diagnosed with a TIA or suffered a stroke. The design of the quantitative study was longitudinal and descriptive. In the study 16 patients participated and to measure their mental and physical health the questionnaire SF36 was used. The results showed that none of the participants suffered a new TIA or stroke since participation in the TIA-school. The participa

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9

Weih, Markus Karl. "Einfluß vontransitorisch-ischämischen Attacken auf darauf folgenden ischämische Hirninfarkte." Doctoral thesis, Humboldt-Universität zu Berlin, Medizinische Fakultät - Universitätsklinikum Charité, 2001. http://dx.doi.org/10.18452/13765.

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Ischämietoleranz bezeichnet das Phänomen, dass ein kurzer ischämischer, metabolischer oder physikalischer Stimulus das Gehirn paradoxerweise "resistent" macht gegenüber einer darauffolgenden, längerdauernden Ischämie. In einer retrospektiven Studie versuchten wir die Hypothese zu untermauern, dass transiente ischämische Attacken (als kurzdauernde ischämische Stimuli) vor einem Infarkt (prodromale TIAs) protektiv sind gegen eine nachfolgende zerebrale Ischämie. Es zeigte sich dabei, dass Patienten mit prodromalen TIAs ein geringeres Defizit und einen günstigeren Verlauf zeigten und im CT sel

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10

Filho, Ailton Teles Fontenele. "Efeito neuroprotetor do prÃ-condicionamento por estresse de contensÃo sobre a lesÃo induzida por breve mudanÃa subcrÃtica isquÃmica: papel dos receptores A1 da adenosina." Universidade Federal do CearÃ, 2009. http://www.teses.ufc.br/tde_busca/arquivo.php?codArquivo=3315.

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CoordenaÃÃo de AperfeiÃoamento de Pessoal de NÃvel Superior<br>O acidente vascular cerebral, doenÃa incapacitante e terceira causa de morte em paÃses desenvolvidos Ã caracterizada pela interrupÃÃo ou reduÃÃo do fluxo sangÃÃneo para o cÃrebro capaz de causar alteraÃÃo na funÃÃo cerebral. Sabe-se que o receptor A1 da adenosina possui um papel chave na neuroproteÃÃo devido Ã diminuiÃÃo da liberaÃÃo de glutamato e hiperpolarizaÃÃo neuronal. O objetivo desse trabalho foi determinar os efeitos do prÃ-condicionamento por estresse de contensÃo em ratos submetidos Ã isquemia cerebral transitÃria (ICT)

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11

Alsadoon, Abdulaziz. "Clinical Prediction Rule for Treatment Change Based on Echocardiogram Findings in Transient Ischemic Attack and Non-Disabling Stroke." Thesis, Université d'Ottawa / University of Ottawa, 2015. http://hdl.handle.net/10393/32406.

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The goal of this study was to derive a clinical prediction rule for transient ischemic attack (TIA) and non-disabling stroke to predict a treatment change based on echocardiogram. Methods: We conducted a cohort sub-study for TIA and non-disabling stroke patients collected over five years from 8 Emergency Departments. We compiled a list of 27 potential predictors to look for treatment change based on echocardiogram findings. We used a univariate, logistic regression and recursive partitioning analysis to develop the final prediction model. Results: The frequency of treatment change was seen i

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12

Edwards, Jodi Dawn. "The utilization and timing of neuroimaging and the role of neurophysiological techniques in the diagnostic evaluation of transient ischemic attack." Thesis, University of British Columbia, 2014. http://hdl.handle.net/2429/46437.

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Background: Transient ischemic attack (TIA) is an episode of transient focal neurological deficit with an ischemic vascular cause. Neuroimaging can detect ischemia, determine etiologic mechanisms, and identify stroke risk after TIA, and early assessment reduces stroke risk. Despite guidelines recommending imaging, Canadian hospital-based studies have reported underutilization and delays in the use of imaging procedures after TIA. However, as many TIA patients are not evaluated in hospital, population-based studies are required to determine whether imaging use increased after guideline implemen

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13

Irewall, Anna-Lotta. "Recurrent events and secondary prevention after acute cerebrovascular disease." Doctoral thesis, Umeå universitet, Medicin, 2017. http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-130505.

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Background Patients who experience a stroke or transient ischemic attack (TIA) are at high risk of recurrent stroke, but little is known about temporal trends in unselected populations. Reports of low adherence to recommended treatments indicate a need for enhanced secondary preventive follow-up to achieve the full potential of evidence-based treatments. In addition, socioeconomic factors have been associated with poor health outcomes in a variety of contexts. Therefore, it is important to assess the implementation and results of secondary prevention in different socioeconomic groups. Aims The

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14

Barton, Andrew Charles. "Towards the development of an electrochemical immunosensor for the identification of transient ischemic attack via the labeless detection of biomedical markers." Thesis, Cranfield University, 2006. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.443734.

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15

Ingvoldstad, Christopher T. "Transient Ischemic Attack (tia) Guideline Knowledge And Perceived Barriers To Implementation Amongst Emergency Department Health Care Providers In A Rural State." ScholarWorks @ UVM, 2015. http://scholarworks.uvm.edu/graddis/335.

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Transient Ischemic Attack (TIA) is a prominent risk factor for subsequent stroke, and its associated morbidity, mortality, and health care costs. Studies have demonstrated up to 80% reductions in subsequent stroke rate with prompt, optimized protocols for rapid TIA evaluation and treatment. National Stroke Association (NSA) and American Heart Association (AHA) guidelines have recommended institution of protocols assuring timely completion of the recommended testing, and evaluation by a stroke expert within 48 hours. However, limited literature exists on the implementation of guideline-based ca

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16

Lennmyr, Fredrik. "Signal Transduction in Focal Cerebral Ischemia : Experimental Studies on VEGF, MAPK and Src family kinases." Doctoral thesis, Uppsala : Acta Universitatis Upsaliensis : Univ.-bibl. [distributör], 2002. http://publications.uu.se/theses/91-554-5267-1/.

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17

Neves, Celso Ricardo Bregalda. "Resultados em longo prazo do tratamento de pacientes com suboclusão carotídea com sinal do barbante." Universidade de São Paulo, 2017. http://www.teses.usp.br/teses/disponiveis/5/5132/tde-23082017-113800/.

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INTRODUÇÃO: Pacientes com suboclusão da carótida com sinal do barbante podem ser incorretamente classificados como portadores de oclusão total, por meio de exames não invasivos. A história natural e o tratamento desta condição são controversos na literatura médica. OBJETIVOS: 1. Avaliar a evolução, em longo prazo, de pacientes com suboclusão carotídea com sinal do barbante assintomáticos, quando submetidos a tratamento clínico exclusivo; 2. Avaliar os resultados imediatos e em longo prazo do tratamento intervencionista de pacientes com suboclusão carotídea com sinal do barbante sintomáticos. M

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18

Boyle, Brian William. "Evaluation of the Extent to Which Massachusetts General Hospital Emergency Department Triage of Transient Ischemic Attack Patients Aligns With Virtual TIA Clinic Protocol: A Pilot Cross-Sectional Medical Record-Review to Inform Care Redesign Efforts." Thesis, Harvard University, 2015. http://nrs.harvard.edu/urn-3:HUL.InstRepos:17295888.

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The Virtual TIA Clinic Protocol was developed as part of the Partners Care Redesign effort to reduce costs and increase quality in the care of patients presenting with symptoms of transient ischemic attack, through risk stratification, triage, and follow-up based on factors including the ABCD2 score. The work presented here is a small N, pilot cross-sectional study which compares actual practice in the MGH ED to what the protocol would suggest, in an effort both to validate the components of the protocol and to better understand further opportunities to create value in the care of this patient

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19

Israelsson, Larsen Hanna. "Comorbidity and vascular risk factors associated with idiopathic normal pressure hydrocephalus : the INPH-CRasH Study." Doctoral thesis, Umeå universitet, Institutionen för farmakologi och klinisk neurovetenskap, 2016. http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-120175.

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Idiopathic normal pressure hydrocephalus (INPH) is a dementia treatable by insertion of a cerebrospinal fluid shunt. It has been suggested that INPH has similar pathophysiological mechanisms as cerebrovascular disease, but the vascular risk factor (VRF) profile of INPH patients has not been assessed using a modern epidemiological approach. The cognitive symptoms of INPH resemble the symptoms of depression, but the prevalence of depression among INPH patients is unknown. In addition, few studies investigate the impact of shunting on the quality of life (QoL), and no study has investigated the i

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20

Muus, Ingrid. "Helbredsrelateret livskvalitet efter apopleks : Validering og anvendelse af SSQOL-DK, et diagnosespecifikt instrument til måling af helbredsrelateret livskvalitet blandt danske apopleksipatienter." Doctoral thesis, Nordic School of Public Health NHV, 2008. http://urn.kb.se/resolve?urn=urn:nbn:se:norden:org:diva-3500.

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Sammenfatning Baggrund og formål: Apopleksisygdommen er ansvarlig for flest tilfælde af invalidering blandt voksne i eget hjem. I Danmark alene lever godt 50.000 mennesker med følgerne efter apopleksi. En følge kan være reduceret evne til at kommunikere, afasi. Forebyggelse kan reducere antallet af nye tilfælde og følgerne efter sygdommen. Livskvalitet ved kronisk sygdom har voksende bevågenhed. Rehabilitering medvirker til at patienten kan blive fysisk, psykisk og socialt fungerende på et niveau, men sygdommens indvirken på oplevelsen af helbredsrelateret livskvalitet er i Danmark ikke unders

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21

Svetlana, Ružička Kaloci. "Procena značaja cerebralnih mikroembolusa u akutnom ishemijskom cerebrovaskularnom događaju." Phd thesis, Univerzitet u Novom Sadu, Medicinski fakultet u Novom Sadu, 2015. http://www.cris.uns.ac.rs/record.jsf?recordId=94481&source=NDLTD&language=en.

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Otkrivanje embolusa u cerebralnoj cirkulaciji na egzaktan način moguće je samo upotrebom transkranijalnog doplera. Istraživanje je obuhvatilo 150 ispitanika, obolelih od akutnog ishemijskog cerebrovaskularnog događaja (ishemijskog moždanog udara i tranzitornog ishemijskog ataka) u zoni vaskularizacije a. cerebri medie (ACM), a lečenih na Klinici za neurologiju, Kliničkog centra Vojvodine. Ciljevi istraživanja su obuhvatili određivanje prevalence i frekvence MES kod bolesnika sa akutnim ishemijskim cerebrovaskularnim događajem (TIA, IMU) tokom serijskog monitoringa, utvrđivanje povezanost pojav

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22

Barbosa, Carlos José Dornas Gonçalves. "Mecanismos envolvidos no aumento do risco de sangramento em pacientes com acidente vascular cerebral ou ataque isquêmico transitório prévios em uso de antiagregante plaquetário." Universidade de São Paulo, 2018. http://www.teses.usp.br/teses/disponiveis/5/5131/tde-09042018-082518/.

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Introdução: O antecedente de AVCI e/ou AIT está presente em 5% dos pacientes com coronariopatia aguda e em até 17% dos pacientes com coronariopatia crônica. Esta população apresenta elevado risco para eventos cardiovasculares, assim como para desfechos hemorrágicos maiores (principalmente quando em uso de tratamento antitrombótico). A agregabilidade plaquetária apresenta papel fundamental no balanço isquêmico/hemorrágico; entretanto, esse mecanismo é pouco estudado em pacientes com evento cérebro vascular isquêmico prévio. O principal objetivo desse estudo é avaliar se pacientes com DAC e AVCI

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23

Radenko, Koprivica. "Rana karotidna endarterektomija nakon akutnog neurološkog deficita." Phd thesis, Univerzitet u Novom Sadu, Medicinski fakultet u Novom Sadu, 2016. http://www.cris.uns.ac.rs/record.jsf?recordId=100762&source=NDLTD&language=en.

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Ciljevi: Cilj ove studije je da ispita bezbednost rane karotidne endarterektomije (CEA) u odnosu na odložene CEA nakon akutnog ishemijskog neurolo&scaron;kog deficita (TIA/CVI). Drugi cilj je da istražimo da li postoji razlika u brzini neurolo&scaron;kog oporavka između navedenih grupa. Metode: Ukupno 157 ispitanika u prospektivnoj studiji je praćeno 30 dana postoperativno. Grupa I ili rana CEA, je imala 50 ispitanika operisanih od 3. do 14. dana po TIA/CVI događaju. Grupa II ili odložena CEA, je imala 107 ispitanika operisanih od 15. do 180. dana nakon TIA/CVI. Praćen je proceduralni op&scaro

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Machado, Ana Beatriz Silveira. "Quality of Life after Transient Ischemic Attack." Master's thesis, 2021. https://hdl.handle.net/10216/134546.

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Introdução: O acidente isquémico transitório (AIT) não é frequentemente relacionado com alteração da qualidade de vida (QV) a longo prazo. Contudo, estudos prévios demonstraram que queixas de ansiedade/depressão, distúrbios do sono e fadiga são frequentes após AIT. Este estudo tem como objetivo caracterizar a QV numa amostra pós-AIT. Materiais e Métodos: Estudo transversal comparativo de doentes internados no Serviço de Neurologia de um hospital terciário, com diagnóstico de AIT (julho/2015-julho/2020) e indivíduos sem doença cerebrovascular, emparelhados por idade e sexo. Foram aplicados ques

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Machado, Ana Beatriz Silveira. "Quality of Life after Transient Ischemic Attack." Dissertação, 2021. https://hdl.handle.net/10216/134546.

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Introdução: O acidente isquémico transitório (AIT) não é frequentemente relacionado com alteração da qualidade de vida (QV) a longo prazo. Contudo, estudos prévios demonstraram que queixas de ansiedade/depressão, distúrbios do sono e fadiga são frequentes após AIT. Este estudo tem como objetivo caracterizar a QV numa amostra pós-AIT. Materiais e Métodos: Estudo transversal comparativo de doentes internados no Serviço de Neurologia de um hospital terciário, com diagnóstico de AIT (julho/2015-julho/2020) e indivíduos sem doença cerebrovascular, emparelhados por idade e sexo. Foram aplicados ques

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26

Lazarus, Theophilus. "Neuropsychological sequelae of Transient Ischaemic attacks." Thesis, 1997. http://hdl.handle.net/10500/17176.

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The present study aimed at investigating the neuropsychological sequelae of transient ischaemic attacks. Transient ischaemic attacks are defined as those neurological disorders in which there is complete resolution of neurological symptoms within twenty·four hours. Transient ischaemic attacks may or may not reveal evidence of brain infarcts on imaging studies. In the present study, the neuropsychological sequelae of transient ischaemic attacks in the carotid circulation were investigated since, within the perspective of cognitive neuropsychology, it

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Carioca, Filipa. "Blood markers and recurrence of stroke in patients with transient ischemic attack." Master's thesis, 2014. http://hdl.handle.net/10451/23987.

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Trabalho Final do Curso de Mestrado Integrado em Medicina, Faculdade de Medicina, Universidade de Lisboa, 2014<br>Background: Several clinical and imaging predictors were proposed to identify the risk of stroke recurrence in patients with transient ischemic attacks (TIA). Recently, blood biomarkers were suggested for this purpose. Our main goal was to carry out a systematic review of the literature to find biomarkers evaluated as prognostic predictors in TIA cohorts. Methods: We searched PubMed (1974 to December 2013) aiming to find studies measuring blood biomarkers in TIA patients (<72h) and

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Carvalho, Mário César Teixeira Faria de. "Stroke and transient ischemic attack incidence after acute microvascular ocular motor palsies." Master's thesis, 2016. http://hdl.handle.net/10316/37052.

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Trabalho final do 6º ano médico com vista à atribuição do grau de mestre (área científica de neurologia) no âmbito do ciclo de estudos de Mestrado Integrado em Medicina.<br>Background: In the past, microvascular ocular motor palsies (OMPs) have been regarded as a benign vascular condition with excellent prognosis. Purpose: To determine the incidence of subsequent stroke or transient ischemic attack (TIA) in acute isolated microvascular third, fourth and sixth cranial nerve palsies. Methods: The medical records of 95 consecutive patients presenting with ocular motor palsies (OMPs) in the Emer

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"Stroke in Saskatchewan : a regional sample." Thesis, 2013. http://hdl.handle.net/10388/5693.

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The latest evidence indicates that 50,000 Canadians will experience a stroke in 2013. The hospital care, rehabilitation, and long term care associated with a stroke places a significant burden on our health care system. Lost productivity and premature death have an immeasurable impact on communities in our province as well as the rest of the country. Small, less populated regions such as Saskatchewan may be underrepresented in national data utilized in the development of national prevention and treatment strategies across the country. The absence of local research has necessitated the use of n

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Shiau, Ya-Fang, and 蕭雅方. "Secondary Prevention of Stroke and Death by Antiplatelet Therapies in Patients with Ischemic Stroke or Transient Ischemic Attack." Thesis, 2009. http://ndltd.ncl.edu.tw/handle/40974352691683728861.

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碩士<br>臺北醫學大學<br>藥學研究所<br>97<br>Abstract Background Patients survived from ischemic stroke or transient ischemic attack (TIA) are high risk population for recurrent stroke. Antiplatelet agents, such as aspirin, the combination of aspirin plus extended-release dipyridamole (ASA-ERDP) and clopidogrel, are the first-line antiplatelet therapies for prevention of recurrent stroke in patients with ischemic stroke or TIA. Based on previous reports, the more expensive agents such as ASA-ERDP and clopidogrel are more effective than aspirin alone for the secondary prevention of stroke. However, most o

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Samartinho, Marta Maria Duarte. "Prevalence of stroke and transient ischemic attack in Takayasu’s arteritis : a systematic review." Master's thesis, 2015. http://hdl.handle.net/10451/25920.

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Trabalho Final do Curso de Mestrado Integrado em Medicina, Faculdade de Medicina, Universidade de Lisboa, 2015<br>Background: Takayasu's Arteritis (TA) is a systemic panarteritis affecting primarily large arteries. Cerebrovascular disease is one of the possible manifestations of TA, adding to disease burden. Objectives: To systematically review the prevalence of stroke/TIA in TA patients, as well as its epidemiological and clinical features. Methods: References were researched in MEDLINE and EMBASE databases and from searching the references of original articles and reviews. Abstracts and titl

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HUNG, LING-CHIEN, and 洪菱謙. "Developing the prediction model for readmission in patients with stroke and transient ischemic attack." Thesis, 2017. http://ndltd.ncl.edu.tw/handle/5228n2.

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碩士<br>國立中正大學<br>資訊管理學系碩士在職專班<br>105<br>Readmission after stroke increases overall medical costs. The knowledge of the risk of readmission and its causes is essential for healthcare resource allocation and quality improvement planning. By using data mining techniques on initial-admission data from the stroke registry of a large regional hospital in Taiwan, this study aimed to develop prediction models and to explore the predictive factors for readmission or mortality in patients hospitalized for stroke. A total of 4197 stroke patients were hospitalized for ischemic stroke (n = 3165), intra

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Yin, Ming-Chien, and 尹明謙. "Association with Using Statins and the Risk of New Diagnosis Diabetes Mellitus in Transient Ischemic Attack Patients." Thesis, 2017. http://ndltd.ncl.edu.tw/handle/ahh627.

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Morrison, Jaclyn. "The Impact of Stroke Assessment on Patient Outcomes Following an Initial Transient Neurological Event (TNE)." Thesis, 2015. http://hdl.handle.net/1828/6397.

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Context: As one of the major causes of death and disability in Canada, research into the treatment and prevention of acute cerebrovascular syndrome (ACVS) remains a priority for clinicians, researchers and the general public. Understanding the relationship between current treatment practices of a rapid stroke clinic and patient outcomes is an essential part of measuring success and considering opportunities for quality improvement. Objective: This study compared the 90-day and 1-year hospital admission and mortality outcomes of patients who were referred to and seen in a rapid stroke clini

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Boulos, Mark Iskander. "Exploring the Relationship of Sleep-related Movement Disorders with Cerebrovascular Disease." Thesis, 2014. http://hdl.handle.net/1807/65536.

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INTRODUCTION: The association of Sleep-Related Movement Disorders (SRMDs) such as Restless Legs Syndrome (RLS) and Periodic Limb Movements (PLMs) with cerebrovascular disease is underexplored. Emerging evidence links them to vascular disease, for which white matter hyperintensities (WMHs) are a well-recognized biomarker. METHODS: We conducted a cross-sectional hospital-based observational study in which high-risk TIA and minor stroke patients were assessed for vascular risk factors, WMHs and polysomnography-determined sleep variables. RESULTS: Ninety-seven patients were enrolled, of whom 44 co

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