Cost-Effectiveness of Dronedarone in Atrial Fibrillation: Results for Canada, Italy, Sweden, and Switzerland

Sciencedirect.com: July 6 2012 Dronedarone is a therapy for the treatment of patients with paroxysmal and persistent atrial fibrillation or atrial flutter. According to results in the ATHENA trial, dronedarone on top of standard of care (SOC) decreases the risk of cardiovascular hospitalizations or death by 24% compared with SOC alone. Objectives A patient-level health economic […]

New treatment welcome news for Parkinson’s and stroke patients

Medicalxpress.com: 7/11/12. The new treatment is promising news for people with speech and language disorders that result from diseases within the nervous system. Professor Bruce Murdoch of the Centre for Neurogenic Communication Disorders Research within UQ’s School of Health and Rehabilitation Sciences said preliminary trials of the new treatment were positive in the effective treatment of these speech […]

Ablation of Atrial Fibrillation using Novel 4D Catheter Tracking within Auto-Registered LA Angiograms

Stroke.ahajournals.org: July 7, 2012. We describe a novel fluoroscopy co-registered 4D catheter tracking technology (MGT) used for treatment of patients with atrial fibrillation (AF). The aim of the study was to investigate (i) feasibility of non-fluoroscopic catheter manipulation within dynamic left atrial chamber models, (ii) integration of the technology into an established electroanatomical mapping system […]

Intra-Arterial Bone Marrow Mononuclear Cells in Ischemic Stroke

Stroke.ahajournals.org: July 3, 2012. Bone marrow mononuclear cell (BM-MNC) intra-arterial transplantation improves recovery in experimental models of ischemic stroke. We aimed to assess the safety, feasibility, and biological effects of autologous BM-MNC transplantation in patients with stroke. Methods—A single-blind (outcomes assessor) controlled Phase I/II trial was conducted in patients with middle cerebral artery stroke. Autologous […]

Effects of transcranial direct current stimulation (tDCS) on post-stroke dysphagia

Iospress.metapress.com: 7/5/12. Purpose: Transcranial direct current stimulation (tDCS) combined with swallowing training might improve swallowing function in patients with post-stroke dysphagia. We investigate the effects of transcranial direct current stimulation (tDCS) combined with swallowing training on post-stroke dysphagia. Methods: Sixteen patients with post-stroke dysphagia, diagnosed using video fluoroscopic swallowing (VFSS), were randomly assigned into two groups: […]

The effects of the dopamine agonist rotigotine on hemispatial neglect following stroke

Brain.oxfordjournals.org: July 2, 2012. Hemispatial neglect following right-hemisphere stroke is a common and disabling disorder, for which there is currently no effective pharmacological treatment. Dopamine agonists have been shown to play a role in selective attention and working memory, two core cognitive components of neglect. Here, we investigated whether the dopamine agonist rotigotine would have a […]

‘Adaptive’ clinical trials now being planned at U-M, other sites

News-medical.net: Published on July 2, 2012 at 11:45 PM: A new approach to testing medical treatment options could ensure that more patients get the most beneficial treatment for them – but still yield valuable research results that stand up to scientific scrutiny. The approach tries to overcome a huge chicken-and-egg problem in medical research: Not enough […]

The role for pragmatic randomized controlled trials (pRCTs) in comparative effectiveness research

Ctj.sagepub.com: July 2, 2012. There is a growing appreciation that our current approach to clinical research leaves important gaps in evidence from the perspective of patients, clinicians, and payers wishing to make evidence-based clinical and health policy decisions. This has been a major driver in the rapid increase in interest in comparative effectiveness research (CER), which […]

Improving the efficiency of the development of drugs for stroke

Onlinelibrary.wiley.com: 6/19/12. The mortality and morbidity associated with stroke makes the development of new drugs a research priority. Recent unsuccessful clinical trials have reduced enthusiasm for the development of neuroprotective drugs. Here, we use empirical evidence derived from systematic reviews of stroke drug development to identify stages of drug development which might be improved. We then […]

Computer Therapy Compared With Usual Care for People With Long-Standing Aphasia Poststroke

Stroke.ahajournals.org: July 1, 2012. Background and Purpose—The purpose of this study was to test the feasibility of conducting a randomized controlled trial to study the effectiveness of self-managed computer treatment for people with long-standing aphasia after stroke. Method—In this pilot single-blinded, parallel-group, randomized controlled trial participants with aphasia were allocated to self-managed computer treatment with volunteer […]

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