A5103432442- Acute Ischemic Stroke Management
- Intracerebral and Subarachnoid Hemorrhage Research
- Bird parasitology and diseases
- Cerebrovascular and Carotid Artery Diseases
- Vector-borne infectious diseases
- Stroke Rehabilitation and Recovery
- Neurological and metabolic disorders
- Dysphagia Assessment and Management
- Venous Thromboembolism Diagnosis and Management
- Neurosurgical Procedures and Complications
- Agricultural Economics and Practices
- Viral Infections and Vectors
- Traumatic Brain Injury and Neurovascular Disturbances
- Pancreatic function and diabetes
- Livestock and Poultry Management
- Avian ecology and behavior
- Restless Legs Syndrome Research
- Agricultural Systems and Practices
- Insect-Plant Interactions and Control
- Mobile Ad Hoc Networks
- Animal Nutrition and Physiology
- Tracheal and airway disorders
- Alzheimer's disease research and treatments
- Cytomegalovirus and herpesvirus research
- Livestock Management and Performance Improvement
Beth Israel Deaconess Medical Center
2013-2025
Brigham and Women's Hospital
2009-2025
Chitkara University
2024
Bihar Agricultural University
2024
Harvard University
2009-2024
Shobhit University
2023
Hadassah Medical Center
2005-2023
MVJ Medical College and Research Hospital
2021
King Edward Memorial Hospital and Seth G.S. Medical College
2020
West Bengal University of Animal and Fishery Sciences
2018
Background and Purpose — Early reperfusion is a predictor of good outcome in acute ischemic stroke. We investigated whether middle cerebral artery (MCA) occlusions have better clinical proportion recanalization compared with internal carotid (ICA) occlusion after standard treatment intravenous (IV) tissue plasminogen activator (tPA). Patients In retrospective analysis our prospective stroke database between January 7, 1998, 30, 2002, we identified 36 consecutive patients who were treated IV...
Background and Purpose — Time of stroke onset is uncertain for patients who wake from sleep with stroke. Functional imaging techniques may allow estimation benefit risk acute therapy. We compared the clinical multimodal MRI findings those known time. Methods Patients imaged within 24 hours ischemic between January 1997 June 2000 were identified a prospective registry. Clinical data (group I) woke II). Results A total 364 identified, whom 100 (27%) Group I group II did not differ in age,...
Background and Purpose — Hemorrhagic transformation (HT) is a potentially dangerous complication of thrombolytic therapy. Recent studies suggest that diffusion-weighted MRI (DWI) can help to predict the risk intracerebral hemorrhage (ICH) after thrombolysis. We sought examine which pretreatment DWI parameters clinical data are predictive ICH intravenous Methods retrospectively reviewed our prospective stroke database for patients with ischemic treated recombinant tissue plasminogen activator...
Background and Purpose — The National Institutes of Health Stroke Scale (NIHSS) is an established measure neurological impairment; however, it can award more points for tests presumed left-hemisphere function, such as language, than right-hemisphere neglect. This difference may be important if a low NIHSS score used to exclude patients with stroke from clinical trials or treatments. aim this study was investigate whether the relationship between acute volume determined by diffusion-...
Statins have been associated with increased risk of intracerebral hemorrhage (ICH), particularly in elderly patients previous ICH. Recurrent ICH the is often related to cerebral amyloid angiopathy. Therefore, we investigated whether statin use prevalence and severity microbleeds (MB), cortico-subcortical (csMB), which are frequently observed angiopathy.We studied 163 consecutive spontaneous who underwent magnetic resonance imaging within 30 days presentation. We retrieved clinical...
<h3>Background</h3> Insula infarction is an early computed tomographic sign of middle cerebral artery (MCA) territory stroke and may affect cardiovascular autonomic function. <h3>Objective</h3> To determine insula involvement in MCA its relationship with infarcts the remainder territory, severity, clinically relevant conditions. <h3>Design</h3> Case series (August 1, 1997, to June 30, 2000). <h3>Setting</h3> Academic center. <h3>Patients</h3> A total 150 consecutive patients nonlacunar who...
Background and Purpose— Accurate assessment of the risk hemorrhage could help to improve patient selection for thrombolytic therapy reduce hemorrhagic complications, especially patients with longer or uncertain time after symptom onset. This study sought define characteristics hemodynamic magnetic resonance imaging (MRI), which best predict hemorrhage. Methods— Bolus contrast diffusion MRI were performed before intravenous tissue plasminogen activator (tPA) in 20 presenting acute stroke...
Narrow therapeutic time windows and delays in assessing acute ischemic stroke patients limit the access to effectiveness of reperfusion therapies. A 2-year quality improvement project codesigned tested a checklist for quicker evaluation suspected cases 2 emergency departments (EDs). Utility, feasibility, implementation barriers were assessed through semistructured interviews. The impact on metrics was analyzed using bivariate multivariate regression models with data from American Heart...
<i>Background:</i> Current guidelines for the treatment of acute ischemic stroke exclude patients with seizure at onset from consideration thrombolytic therapy. It may be difficult to differentiate an postictal Todd’s paralysis by clinical examination and noncontrast CT scan. Magnetic resonance imaging (MRI) diffusion- (DWI) perfusion-weighted images (PWI) angiography (MRA) can used confirm diagnosis process in presence concurrent seizures. <i>Methods:</i> A case...
Abstract Dysphagia is a serious stroke complication but lacks effective therapy . We investigated safety and preliminary efficacy of anodal transcranial direct current stimulation (atDCS) paired with swallowing exercises in improving post-stroke dysphagia from an acute unilateral hemispheric infarction (UHI). conducted double-blind, early phase-2 randomized controlled trial, subjects (n = 42) moderate-severe [Penetration Aspiration Scale (PAS) score ≥ 4], acute-subacute UHI. Subjects were to...
Background: Hematoma volume (HV) is a powerful determinant of outcome after intracerebral hemorrhage. We examined whether the effect iron chelator, deferoxamine, on functional varied depending HV in i-DEF trial (Intracerebral Hemorrhage Deferoxamine). Methods: A post hoc analysis trial; participants were classified according to baseline (small <10 mL, moderate 10–30 and large >30 mL). Favorable was defined as modified Rankin Scale score 0–2 at day-180; secondarily day-90. Logistic...
The prevalence and frequency distribution patterns of 10 phthirapteran species infesting house sparrows, Indian parakeets, common mynas, white breasted kingfishers were recorded in the district Rampur, India, during 2004–05. sample mean abundances, intensities, range infestations, variance to ratios, values exponent negative binomial distribution, indices discrepancy also computed. Frequency all skewed, but observed frequencies did not correspond distribution. Thus, adult–nymph ratios varied...
The ABCD(2) score is increasingly being used to triage patients with transient ischemic attack (TIA). Whether the can predict need for in-hospital intervention (IHI), other than initiation of antiplatelets and statins, unknown.The ability IHI would strengthen rationale use it as a decision-making tool. We thus conducted this study investigate relationship between IHI.We analyzed prospectively collected data from consecutive TIA over 12 months. determined upon admission results evaluation,...