Nutritional improvement is associated with better functional outcome in stroke rehabilitation: A cross-sectional study using controlling nutritional status.
Nutritional improvement is associated with better functional outcome in stroke rehabilitation: A cross-sectional study using controlling nutritional status. J Rehabil Med. 2020 Feb 13;: Authors: Kishimoto H, Yodu A, Kohno Y, Oose H Abstract OBJECTIVE: To investigate the relationship between changes in nutritional status and the functional outcome of adult post-stroke patients hospitalized for rehabilitation. DESIGN: A cross-sectional study Subjects: Post-stroke patients who were admitted to a convalescent rehabilitation ward. METHODS: On admission and discharge, the nutritional status of each subject was assessed using the "controlling nutritional status" system. Activities of daily living were assessed using the Functional Independence Measure (FIM). Patients were divided into 2 categories: (i) those whose nutritional status improved or remained normal during the rehabilitation; and (ii) all others. RESULTS: The median age of patients was 65.5 years. Although there were no significant differences between the 2 categories in most characteristics, the FIM efficiency was significantly higher (-0.230 in the improved category and 0.133 in the other; p
CONCLUSION: BPPV is the most frequent diagnosis seen in the ED; however, physicians need to document nystagmus more precisely and perform diagnostic tests systematically, in order to make an accurate diagnosis. To avoid misdiagnoses, ED physicians and ENT specialists should be able to recognize central signs in patients with an acute vestibular syndrome. Every fourth patient does not receive a definitive diagnosis. Diagnostic ED workup for patients with dizziness needs further improvement. PMID: 32221628 [PubMed - as supplied by publisher]
ConclusionsMore macrovascular and microvascular complications were found in Northern compared to Southern patients, and the largest difference also appeared in the younger age groups under 55, which may be meaningful to a screening and treatment strategy according to geographic differences.
Publication date: June 2020Source: Nano Energy, Volume 72Author(s): Xiaohui Lu, Yuhong Xu, Guangda Qiao, Qiang Gao, Xiaosong Zhang, Tinghai Cheng, Zhong Lin Wang
Conclusions: All the studies in this review report improvement of facial movement or function following application of various methods of physical rehabilitation for facial palsy. Methodological limitations and heterogeneity of design affect the strength of the evidence and prevent reliable comparison between intervention methods. Strong evidence supporting physical rehabilitation was not found; well-designed rigorous research is required.
BOSTON (CBS) – Dr. Paul Biddinger is the Director of Emergency Preparedness at Partners HealthCare. He sat down with WBZ-TV’s Louisa Moller to discuss how the hospital system is coping with COVID-19. Louisa Moller: How are you doing? Dr. Biddinger: “We are doing OK. But I think we still are all aware that we are on the ascending part of the curve and even tougher times are unfortunately probably ahead.” “There have really been extraordinary, extraordinary examples of staff showing up, teaching one another as staff have redeployed to different areas of the hospital.” “People are con...
MONDAY, March 30, 2020 -- Among individuals with diabetes, hemoglobin A1c (HbA1c) is associated with cognitive scores after a lacunar stroke, according to a study presented at the virtual meeting of The Endocrine Society, held from March 28 to...
Condition: Cerebrovascular Accident Interventions: Device: transcranial direct current stimulation, tDCS; Device: functional electrical stimulation, FES; Other: no stimulation Sponsor: Chang Gung Memorial Hospital Not yet recruiting
Condition: Stroke Interventions: Device: mirror therapy; Device: robotic-assisted training; Device: sham mirror therapy Sponsor: Chang Gung Memorial Hospital Recruiting