Doctors who work with stroke patients -- geriatricians, general physicians, rehabilitation specialists and neurologists -- need to understand the epidemiological basis of stroke diagnosis and treatment. Epidemiological methods are relevant to many clinical problems, such as diagnosis, the use and interpretation of CT scans, and the chances of a patient suffering a second stroke. The decision to offer a patient a particular form of treatment relies on an understanding of clinical trials, bias, and the balance between benefit and risk. Establishing the prognosis requires knowledge about the consequences of disease and the methods of measuring outcome. This book presents an epidemiological view of stroke and encourages the reader to critically appraise the causes, diagnosis and treatment of this common condition.

The Clinical Epidemiology of Stroke (Oxford Medical Publications)

Health, Fitness & Dieting

Ebrahim, Shah

Diseases & Physical Ailments

Oxford University Press

Stroke: Epidemiology, Evidence, and Clinical Practice

Medical Books

Harwood, Rowan

Medicine

Oxford Univ. Pr.

Almost a decade has passed since the first edition of this book was published and the explosion of new research in stroke is very apparent. Several important themes have coloured medicine during this time: the development of evidence based health care, new optimism for acute drug treatments for stroke, the growth of new information about the human genome, a dramatic increase in the number of stroke clinicians and researchers world-wide, and the establishment of the Cochrane Collaboration. All of these trends are relevant in revising a book of this nature. Clinical epidemiology remains an essential foundation for the practice of evidence-based healthcare. The enthusiasm of the pharmaceutical industry has resulted in a large number of new trials, often too small to detect clinically important differences, and have increased the number of clinicians actively engaged in stroke research. It is even more important that these clinicians should have a good understanding of the design of trials, the rationale for randomisation and blinding, and the importance of selecting the most appropriate outcomes. Surprisingly, little of practical importance has resulted from the decade of exploration of the human genome - the best indication of a person's risk remains their phenotype and not their genotype. The impetus to organise stroke medicine into a defined speciality, with emphasis on acute stroke, is even stronger - but it is essential to bear in mind the importance of interdisciplinary working, the value of primary care, geriatric medicine, psychiatry and rehabilitation in the prevention, treatment rehabilitation and long-term care of stroke patients. The Cochrane Collaboration is currently grappling with a task of enormous size - the compression of tens of thousands of randomised control trials -and other scientific evidence- into systematic reviews of the effects of interventions. Citations to this work are made in the section on management. In this edition, there is an extra opening section entitled Epidemiology which comprises the nuts and bolts of the subject and reviews the purposes of health care for stroke patients. The remaining sections follow the format of the first edition: Diagnosis, Management, and Prognosis. All chapters have been substantially updated. The book retains its focus on epidemiology that is relevant to the clinician and attempts to use examples from stroke to illustrate many aspects of epidemiological thinking. The book aims to stimulate readers to think about their own practice, the nature of scientific evidence and the vast areas of clinical uncertainty that remain the target for research over the coming decades.

Stroke: Epidemiology, Evidence and Clinical Practice

This book of edited chapters helps researchers from clinical and nonclinical disciplines plan, carry out, and analyze research, and evaluate the quality of research studies. The focus of the book is a multidisciplinary approach to research methods that are relevant to researchers from different disciplines working side by side in the investigation of population health, the evaluation of health care, and health care delivery.

Handbook of Research Methods in Health

Politics & Social Sciences

Bowling,Ann

Social Sciences

Open University Press

This pocket-sized text provides a wide-ranging introductory section on biological gerontology, and also intregrates the medical, sociological, psychological and rehabilitational aspects of caring for elderly people. This updated and revised second edition has four new chapters covering care in the community, ethnic elders, chronic wounds and the High ESR (measurement using red cells to establish the severity of illness).

The Essentials of Health Care in Old Age

Bennett, Gerald C. J.

Hodder Education Publishers

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