Lancet neurology
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As increasing numbers of elderly people undergo cardiac surgery, neurologists are frequently called upon to assess patients with neurological complications from the procedure. Some complications mandate acute intervention, whereas others need longer term observation and management. ⋯ Similarly, despite technological advances in surgical intervention and modifications in surgical technique to make cardiac procedures safer, these advances often create new avenues for neurological injury. Accordingly, rapid and precise neurological assessment and therapeutic intervention rests on a solid understanding of the evidence base and procedural variables.
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After a long period of absence, hospital and care-facility gardens are making a comeback. But these new gardens are not just ornamental. ⋯ Some are even designed to change the outcome of disease—including neurological disease. Adrian Burton investigates.
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Editorial Comment
Palliative and end-of-life care should not be last or least.