CLASSIFICATION: Strokes can be classified into two major categories: ischemic and hemorrhagic. Ischemia is due to interruption of the blood supply, while hemorrhage is due to rupture of a blood vessel or an abnormal vascular structure. 80% of strokes are due to ischemia; the remainders are due to hemorrhage (Donnan GA, Fisher M. May 2008).
Long-term compensation for haemorrhage occurs by several mechanisms: reduced glomerular filtration rate; salt and water reabsorption (aldosterone and vasopressin); thirst; increased erythropoiesis. Haemorrhagic shock causes a significant lactic acidosis; once the mitochondrial PO2 is less than 2 mmHg, oxidative phosphorylation is inhibited and pyruvate is unable to enter the Krebs cycle.
At one stage in the history of neurology and neurosurgery, subarachnoid haemorrhage scoring systems had proliferated wildly and at one stage there were apparently about 40 of them. Major criticisms of these older systems were subjective measures, retrospective methodology and poor inter-rater reliability. More recent systems (if you can call them that, from the 1980s) have been generally.
The 2012 revised Atlanta classification is an update of the original 1992 Atlanta classification, a standardized clinical and radiologic nomenclature for acute pancreatitis and associated complications based on research advances made over the past 2 decades. Acute pancreatitis is now divided into two distinct subtypes, necrotizing pancreatitis.
An assay is an investigative (analytic) procedure in laboratory medicine, pharmacology, environmental biology and molecular biology for qualitatively assessing or quantitatively measuring the presence, amount, or functional activity of a target entity (the analyte). The analyte can be a drug, biochemical substance, or cell in an organism or organic sample.
James Parkinson’s Essay on the Shaking Palsy SHAKING PALSY. (Paralysis agitans) Involuntary tremulous motion, with lessened muscular power, in parts not in action and even when supported; with a propensity to bend the trunk forward and to pass from a walking to a running pace: the senses and intellects being uninjured.
The prior aneurysmal subarachnoid hemorrhage (aSAH) guidelines, sponsored by the AHA Stroke Council, were previously issued in 1994 1 and 2009. 2 The 2009 guidelines covered literature through November 1, 2006. 2 The present guidelines primarily cover literature published between November 1, 2006, and May 1, 2010, but the writing group has.