We retrospectively investigated 643 patients who were admitted within 2 days of acute

ischemic stroke between April 2007 and March 2010. Neurologic deterioration was defined as an increase of 4 points or more in the National Institutes of Health Stroke Scale (NIHSS) score within 1 week of admission. We retrieved data on demographic and clinical characteristics, medications, and stroke subtypes. Out of 537 patients, deterioration was noted in 64 patients (11.9%; deterioration group). Multivariate analysis identified history of myocardial infarction (P < .001), NIHSS score >= 8 at onset (P < .001), high leukocyte count (P = .035), PND-1186 inhibitor low-density lipoprotein cholesterol >= 140 mg/dL (P = .002), and hemoglobin A1c >= 7% (P = .006) as significant factors associated with deterioration. Branch atheromatous disease was more frequent in the deterioration

group, and >90% of patients with deterioration either were discharged to nursing home care or died. Multivariate analysis of magnetic resonance imaging findings identified internal carotid/middle cerebral artery occlusion (each P < .001), striate capsular infarction (P = .030), pontine infarction (P = .047), and lesion size of 15-30 mm (P = .011) as independent factors associated with deterioration. Stroke patients with a high low-density lipoprotein level, high hemoglobin A1c level on admission, a history of myocardial infarction, and high NIHSS score are at high risk for neurologic deterioration. Patients with multiple risk factors for deterioration can benefit most from intensive monitoring.”
“The aim of this study is to describe the radiological changes selleck chemicals in rib-vertebral angles (RVAs), rib-vertebral angle differences (RVADs), and rib-vertebral angle ratios (RVARas) in patients with

untreated right thoracic adolescent idiopathic scoliosis and to compare with the normal subjects. The concave and convex RVA from T1 to T12, the RVADs and the RVARas were measured on AP digital radiographs of 44 female patients with right convex idiopathic scoliosis and 14 normal females. Patients were divided into three groups: normal subjects (group 1), scoliotic patients with Cobb’s angle equal or < 30A degrees (group 2) and scoliotic patients with Cobb’s angle over 30A degrees learn more (group 3). Overall values (mean +/- A SD) of the RVAs on the concave side were 90.5A degrees A A +/- A 17A degrees in group 1, 90.3A degrees A A +/- A 15.8A degrees in group 2 and 88.8A degrees A A +/- A 15.4A degrees in group 3. On the convex side, values were 90.0A degrees A A +/- A 17.3A degrees in group 1, 86.3A degrees A A +/- A 13.7A degrees in group 2 and 80.7A degrees A A +/- A 14.4A degrees in group 3. Overall values (mean +/- A SD) of the RVADs at all levels were 0.5A degrees A A +/- A 0.7A degrees in group 1, 4.0A degrees A A +/- A 4.8A degrees in group 2 and 8.0A degrees A A +/- A 4.0A degrees in group 3.