276© Royal College of Physicians, 2013. All rights reserved. activity. The recent ACTNoW
trial2 showed that intelligent nonprofessionals can provide treatment that is as good as that …

A stroke can be a catastrophic experience. Patients are confronted with alarming symptoms
and then a devastating diagnosis, after which they are expected to make an “informed …

For many years, stroke was viewed as an inevitable consequence of getting old. For stroke
patients there seemed little to be done, except making them more comfortable. Things have …

408© Royal College of Physicians, 2012. All rights reserved. unjustified medicolegal case.
However, the preface emphasises that the recommendations in the guideline are only likely …

Stroke is a common illness, producing sudden disability that, regardless of need for medical
care, often can be managed only with hospital admission. Inpatient stays may then be …

An intervention is efficacious if it produces more benefit than harm in the idealized setting of
an expert-based study. It is effective if it is beneficial in daily clinical practice. Despite the …

Five per cent of the NHS budget is spents on stroke but just 7 per cent of that pound 7bn
goes on acute stroke. In 2008 the National Institute for Health and Clinical Excellence and …

In 1995, the landmark National Institute of Neurological Disorders and Stroke Recombinant
Tissue Plasminogen Activator Stroke Trial reported that treatment with iv Recombinant …

I am delighted to welcome two new Associate editors, Julie Bernhardt and Thorsten Steiner
to our outstanding Editorial team. They join Patrick Lyden from the US, Ayrton Massarro …

1 Rudd et al discuss the late effects of stroke purely in terms of the need for further research,
1 but the series of reviews lacks any discussion of these late effects, which can be …