Dramatically reducing imaging-to-recanalization time in acute ischemic stroke: making choices.

نویسندگان

  • M Goyal
  • M A Almekhlafi
چکیده

columns (go ahead and try it). “Marginalia” refers to notes, comments, and other writings on page margins. Notations by famous persons can add value to a book while those that you or I create probably will not. Computer programs such as Microsoft Word allow comments on the margins of pages and some even allow Web-sharing of this type of marginalia (called “shared annotations”). E-readers such as Amazon’s Kindle are capable of allowing marginalia and other annotations and go further by permitting you to share them with other readers via social networking programs. E-reader pages reproduce basically all aspects of paper, albeit at a higher cost and with increased difficulties when it comes down to marginalia (it is easier to scribble on the margin of a paper page than to type there by using the tiny physical or virtual keyboard found in E-readers). E-readers try to give readers the same experience as print. (I often ask myself why. If I buy an E-reader, it is to have a completely different experience; if not, why not buy the book?) Of course, with digital books, space is no longer a consideration as it was with print and most have variable page and font sizes. Adobe PDFs also imitate the print experience as their software allows you to “leaf” though a document that simulates printed pages. Leafing is a feature found on the iPad (Apple, Cupertino, California) (something that I find anachronous and bothersome while I have heard others say it is cute). Your computer screen is basically a vertical never-ending virtual scroll in which the length of the text matters little. Paradoxically, as the capacity to store and display the written word increases, our attention spans decrease and make it impossible to take full advantage of these media. The evolution of the page seems to have closed the circle: from clay tablets to computer tablets (witness the iPad), from ancient scrolls to scroll computer reading, from parchment pages to E-paper and E-readers. The capacity of the page no longer determines its contents. Margins are becoming superfluous as small screens must be completely filled with text to take maximum advantage of their viewing areas. Marginalia is no longer private with E-readers. I am not a fanatic of a specific medium, but as long as you are reading something, it will be contained within pages.

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

منابع مشابه

O10: Thrombo-Inflammation in Acute Ischemic Stroke

Ischemic stroke has been classified as a merely thrombotic disease, so the main goal of its treatment is the recanalization of the occluded vasculature. However, despite fast restoration of blood circulation, progressive stroke still develops in many patients, which has led to the concept of reperfusion injury.  The underlying mechanism is only partly known. Though, it is accepted now, tha...

متن کامل

Reperfusion therapy in the acute management of ischemic stroke.

Reperfusion, or restoration of blood flow, is an effective means of reducing disability in the setting of acute stroke. Reperfusion therapies, such as intravenous thrombolysis or endovascular and interventional procedures, fit within the existing stroke system of care. There are currently 4 devices cleared by the Food and Drug Administration for recanalization of arterial occlusion in patients ...

متن کامل

Reperfusion is a more accurate predictor of follow-up infarct volume than recanalization: a proof of concept using CT in acute ischemic stroke patients.

BACKGROUND AND PURPOSE The purpose of this study was to compare recanalization and reperfusion in terms of their predictive value for imaging outcomes (follow-up infarct volume, infarct growth, salvaged penumbra) and clinical outcome in acute ischemic stroke patients. MATERIAL AND METHODS Twenty-two patients admitted within 6 hours of stroke onset were retrospectively included in this study. ...

متن کامل

Safety and feasibility of intravenous thrombolytic therapy in Iranian patients with acute ischemic stroke

  Background: Thrombolytic therapy is the only approved treatment for acute cerebral ischemia. The hemorrhagic transformation is the greatest complication of this treatment, which may occur after recanalization of occluded artery. The aim of this study was to determine factors associated with clinical improvement and worsening in patients with acute ischemic stroke treated with intravenous th...

متن کامل

The velocity of collateral filling predicts recanalization in acute ischemic stroke after intravenous thrombolysis

The aim of this study was to evaluate the impact of pretreatment quality of collaterals, involving velocity and extent of collateral filling, on recanalization after intravenous thrombolysis (IVT). A retrospective analysis was performed of 66 patients with acute middle cerebral artery (MCA) M1 segment occlusion who underwent MR perfusion (MRP) imaging before IVT. The velocity of collateral fill...

متن کامل

Recanalization following various endovascular modalities for treatment of anterior circulation acute ischemic strokes.

Currently several endovascular modalities and devices are available for use in acute ischemic stroke setting. Limited data exist regarding the relative efficacy of these different options when used individually or in combination. The primary objective of this study was to retrospectively compare the recanalization rates of various endovascular options when used for the treatment of acute ischem...

متن کامل

ذخیره در منابع من


  با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

عنوان ژورنال:
  • AJNR. American journal of neuroradiology

دوره 33 7  شماره 

صفحات  -

تاریخ انتشار 2012