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Methods: Study design: Multicentre cluster RCT with included health economic and process evaluations Study setting: Ambulance services, local stroke units and CSCs in England Cluster randomisation: Ambulance stations or teams Intervention: Specialist pre-hospital redirection pathway involving semi-structured telephone communication of information from ambulance to CSC clinicians, who then recommend admission destination according to the likelihood of treatable LVO being present Control: Standard care Study population: All suspected and confirmed stroke in participating regions Participant enrolment: Waiver of consent Co-primary outcome: Thrombectomy rate and time to treatment Secondary outcomes: Key aspects of emergency care including time intervals and receipt of other treatments including thrombolysis Sample size: Powered on a primary analysis population(ischaemic stroke), 564 thrombectomy procedures will detect at least 30-minutes difference in time to treatment

This hard shell peptide storage case is designed to securely hold up to 8 standard 3ml vials and 1 larger 10ml vial , with a precision-fit interior that keeps everything in place during transport or storage

Neurological and Cognitive Benefits Protects neurons from oxidative and ischemic injury

Identify Gaps: Audits help pinpoint areas where protocols are not being followed or where existing procedures are insufficient

MOTS-c has demonstrated favorable safety profiles in rodent and primate models with no serious adverse events reported at therapeutic doses

Research on Sleep and Insomnia The original reason DSIP was studied was its effect on sleep