Selina Edwards

Lessons from developing, implementing and sustaining the first stroke unit in Malawi

Tiwonge Phiri, Irene Sheha, Peter Ndalakwaya, Ethel Waya et autres

Stroke incidence is rising rapidly in low- and middle-income countries (LMICs), particularly in sub-Saharan Africa, yet access to organised stroke care remains extremely limited. Although stroke units are among the most effective and cost-efficient interventions for improving outcomes after stroke, implementation in …

gb, Malawi, fi (code pays fourni par la source)

ABSTRACT NUMBER: ESOC2026A2456 RIGHT PATIENT, RIGHT HOSPITAL, FIRST TIME: EARLY EXPERIENCE OF A 'DIRECT TO THROMBECTOMY' PATHWAY USING VIDEO TRIAGE IN LONDON

Chak Lam Ip, Jonathan Hayton, Selina Edwards, Sohaa Jamil et autres

Abstract Background and aims In London, hyperacute stroke patients are conveyed to the nearest hyperacute stroke unit (HASU). However, not all HASUs provide mechanical thrombectomy (MT), and interhospital transfer may delay treatment. Since September 2024, a ‘Direct to Thrombectomy’ pathway using prehospital …

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ABSTRACT NUMBER: ESOC2026A1954 PREHOSPITAL VIDEO TRIAGE FOR STROKE IN NORTH CENTRAL LONDON: LARGE-SCALE ANALYSIS OF DIAGNOSTIC ACCURACY AND IMPACT ON HYPERACUTE REPERFUSION TREATMENT TIMES

Jonathan Best, Chak Lam Ip, Jonsdottir Erla, Selina Edwards et autres

Abstract Background and aims Accurate prehospital stroke recognition allows rapid delivery of specialist stroke care, including reperfusion treatments. The current standard of care in the United Kingdom, the FAST test, lacks specificity. To address this, a centralized prehospital video triage (PVT) service …

gb (code pays fourni par la source)

Timing of insertable cardiac monitor implantation after embolic stroke of undetermined source and its impact on atrial fibrillation detection: A target trial emulation analysis

Lucio D’Anna, Fionn MagUidhir, Robert Simister, Arvind Chandratheva et autres

Background: A substantial proportion of ischemic strokes remain classified as embolic stroke of undetermined source (ESUS) despite standard diagnostic evaluation. Prolonged cardiac monitoring with implantable cardiac monitors (ICMs) increases atrial fibrillation (AF) detection, but the optimal timing of ICM implantation after ESUS …

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Atrial fibrillation detection after embolic stroke of undetermined source: Development and validation of the CATCH-AF score

Lucio D’Anna, Francesco Favruzzo, Claudio Baracchini, Alessandra Pes et autres

Background: Embolic stroke of undetermined source (ESUS) accounts for up to one quarter of ischemic strokes, with occult atrial fibrillation (AF) as a key underlying cause. Implantable cardiac monitors (ICMs) markedly improve AF detection but are limited by cost and resource demands. …

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Case study of a 16-year-old boy with acute ischaemic stroke

Siobhan McLernon, Selina Edwards

This case study focuses on a 16-year-old male school pupil who presented at an emergency stroke unit in the UK for the treatment of an acute ischaemic stroke and large vessel occlusion. This case study describes what the patient experienced at onset, …

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Case study 2

Selina Edwards

gb (code pays fourni par la source)

The psychosocial impact of alopecia on women

Selina Edwards, Joanne Marie Lusher, Samantha Anne Banbury, Amanda Visick

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PO254 Reorganisation of stroke services in queen elizabeth central hospital (qech), blantyre malawi – establishing an international link

Laura A. Benjamin, Tom Solomon, Simone Browning, Tamara Phiri et autres

Background Stroke incidence and mortality is increasing in low-to-middle income countries. This trend translates locally to Queen Elizabeth Central Hospital (QECH) Blantyre Malawi; where stroke is already the third highest cause of mortality and fifth most common presentation to the hospital. Aim …

gb, Malawi (code pays fourni par la source)

ABC of HIV and AIDS.

Michael W Adler, Selina Edwards, Robert F. Miller, GULSHAN K. SETHI et autres

Contributors vii Preface ix 1 Development of the Epidemic 1 B. Sultan and M. W. Adler 2 Immunology of HIV-1 Infection 6 M. Noursadeghi and D. Pillay 3 Viral Assays Used in the Diagnosis and Management of HIV Infection 10 A. M. …

A formative evaluation of the potential role of nurse practitioners in a central London HIV outpatient clinic

C Griffiths, Kevin Miles, Nikki Penny, Boma I. George et autres

In-house audit demonstrated that 49% (173/352) of patients attending routine HIV outpatient care are asymptomatic and have needs that could potentially be met by other health care professionals. We therefore evaluated the potential development and acceptability of nurse practitioner roles in contributing …

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