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Employment status, social function decline and caregiver burden among stroke survivors. A South Indian study
Conclusions: Loss of occupation among stroke survivors is high. The decline in social function among stroke survivors and caregivers was significant. Even though functional disability contributed to employment loss and social function decline among stroke survivors, it did not have a significant impact on caregiver burden.
Source: Journal of the Neurological Sciences - July 29, 2013 Category: Neurology Authors: Sapna Erat Sreedharan, J.P. Unnikrishnan, M.G. Amal, B.S. Shibi, Sankara Sarma, P.N. Sylaja Tags: Original Articles Source Type: research

Cognitive impairment and hypothymia in post stroke patients
Abstract: 129 patients aged 18–84 in early rehabilitation period of the first hemispheric ischemic stroke and 48 patients with cerebrovascular disorders without stroke in anamnesis were observed. Cognitive functions (MMSE, FAB, Clock Drawing Test, the 5-Word test, attention assessment, Semantic Verbal Fluency test) and emotional sphere (CES-D) were studied. Investigation was carried out twice during the early recovery period 3–4weeks and 3months after the stroke. Statistically significant decrease of cognitive functions in comparison with control group data was revealed. Cognitive deficiency and depressed mood were fix...
Source: Journal of the Neurological Sciences - December 11, 2012 Category: Neurology Authors: L. Pustokhanova, E. Morozova Tags: Original Articles Source Type: research

Depression, activities of daily living and quality of life in patients with stroke
Conclusion: ADL have a strong relationship with both level of depression and QOL in patients with stroke. It appears that motivating to perform ADL may enhance QOL. Further investigation with a larger sample size is required to better understand the causal relationship of these factors.
Source: Journal of the Neurological Sciences - March 25, 2013 Category: Neurology Authors: Hojjat Allah Haghgoo, Elmira Saed Pazuki, Ali S. Hosseini, Mehdi Rassafiani Tags: Original Articles Source Type: research

Management of post-stroke depression in the Middle East and North Africa: Too little is known
Stroke is among the most common disabilities among adults and most stroke victims live in developing countries. However, little is known about services delivered in these countries for post-stroke depression, a common comorbidity that influences functional outcomes of stroke. In this paper, a physician from Syria reviews the literature on post-stroke depression among patients living in countries of the Middle East and North Africa region in order to examine whether current practices can be improved.
Source: Journal of the Neurological Sciences - May 12, 2017 Category: Neurology Authors: M. Ihsan Kaadan, Mary Jo Larson Tags: Review Article Source Type: research

Early blood-based microbiological testing is ineffective in severe stroke patients
Conclusions: Very early bacteremia seems not to be a feature of severe stroke in patients despite signs of early immune system depression and frequent subsequent evidence of infection including pneumonia. Consequently our data suggests, that routine early blood-based standard or molecular microbiological assays do not reveal bacteremia, this finding questions the usefulness of their routine performance in this context.
Source: Journal of the Neurological Sciences - January 28, 2013 Category: Neurology Authors: Christoph Gumbinger, Andreas Hug, Bettina Mürle, Benjamin Berger, Markus Zorn, Klaus-Peter Becker, Stefan Zimmermann, Alexander H. Dalpke, Roland Veltkamp Tags: Original Articles Source Type: research

Characteristics of anxiety and psychological well-being in chronic post-stroke patients
Conclusion: Post-stroke anxiety can be a largely observed psychological distress in chronic patients: this pattern would be interpreted in relation to patients' expectations about their health status during a rehabilitation follow-up. SF-36 and PGWBI questionnaires did not provide satisfactory and reliable indexes: the relation between anxiety and both quality of life and psychological well-being needs further exploration.
Source: Journal of the Neurological Sciences - January 17, 2014 Category: Neurology Authors: Guido Edoardo D’Aniello, Federica Scarpina, Alessandro Mauro, Ileana Mori, Gianluca Castelnuovo, Matteo Bigoni, Silvia Baudo, Enrico Molinari Tags: Original Articles Source Type: research

Pilot assessment of a comfort scale in stroke patients
Conclusions: The scale can help to define difficulties in daily living situations and identify opportunities for intervention in stroke patients.
Source: Journal of the Neurological Sciences - February 18, 2014 Category: Neurology Authors: Caroline Rogeau, Franck Beaucamp, Etienne Allart, Walter Daveluy, Marc Rousseaux Tags: Original Articles Source Type: research

Statin Use Increases the Risk of Depressive Disorder in Stroke Patients: A Population-Based Study
This study aimed to explore the risk for depressive disorder (DD) among stroke patients with statin use. Totally, 11,218 patients who had a first-time acute hospitalization for stroke were identified from Taiwan’s Longitudinal Health Insurance Database 2000. We individually followed each study subject for a 1-year period to identify those patients who were subsequently diagnosed with DD during the follow-up period. We found that the incidence rate of DD during the 1-year follow-up period was 5.52 (95% CI: 4.70~6.43) and 3.46 (95% CI: 3.08~3.88) per 100 person-years for stroke patients who were statin users and nonusers, respectively.
Source: Journal of the Neurological Sciences - November 17, 2014 Category: Neurology Authors: Jiunn-Horng Kang, Li-Ting Kao, Herng-Ching Lin, Ming-Chieh Tsai, Shiu-Dong Chung Source Type: research

Autonomic dysfunction in acute ischemic stroke: an underexplored therapeutic area?
Impaired autonomic function, characterized by a predominance of sympathetic activity, is common in patients with acute ischemic stroke. This review describes methods to measure autonomic dysfunction in stroke patients. It summarizes a potential relationship between ischemic stroke-associated autonomic dysfunction and factors that have been associated with worse outcome, including cardiac complications, blood pressure variability changes, hyperglycemia, immune depression, sleep disordered breathing, thrombotic effects, and malignant edema.
Source: Journal of the Neurological Sciences - December 8, 2014 Category: Neurology Authors: Sylvie De Raedt, Aurelie De Vos, Jacques De Keyser Source Type: research

Letter by Huang regarding article, ''Statin use increases the risk of depressive disorder in stroke patients: a population-based study''
We read with interest the article by Kang et al which evaluated the risk for depressive disorder (DD) among stroke patients with statin use [1]. In a retrospective cohort study including 11,218 Chinese patients who had a first-time acute hospitalization for stroke in Taiwan, the authors followed each study subject for a 1-year period, finding that regular statin use was positively associated with the occurrence of DD following stroke. Their findings seem interesting, but I would like to raise 2 concerns.
Source: Journal of the Neurological Sciences - August 14, 2015 Category: Neurology Authors: Jian Huang Source Type: research

Letter by Huang regarding the article, “Statin use increases the risk of depressive disorder in stroke patients: A population-based study”
I read with interest the article by Kang et al. which evaluated the risk for depressive disorder (DD) among stroke patients with statin use [1]. In a retrospective cohort study including 11,218 Chinese patients who had a first-time acute hospitalization for stroke in Taiwan, the authors followed each study subject for a 1-year period, finding that regular statin use was positively associated with the occurrence of DD following stroke. Their findings seem interesting, but I would like to raise 2 concerns.
Source: Journal of the Neurological Sciences - August 14, 2015 Category: Neurology Authors: Jian Huang Tags: Letter to the editor Source Type: research

Post-stroke depression in Ghana: Characteristics and correlates
Poststroke depression (PSD) is prevalent and is an important determinant of functional recovery, quality of life and mortality after stroke. Scanty data on the nature of PSD among stroke survivors in sub-Saharan Africa prompted this study.
Source: Journal of the Neurological Sciences - June 20, 2017 Category: Neurology Authors: Fred Stephen Sarfo, Carolyn Jenkins, Arti Singh, Mayowa Owolabi, Akin Ojagbemi, Nathaniel Adusei, Raelle Saulson, Bruce Ovbiagele Source Type: research

Post-stroke depression: Risk assessment
Sarfo et al. conducted a cross-sectional study to investigate factors for post-stroke depression (PSD) in 200 patients with stroke [1]. The authors used multivariate logistic regression analyses, and the number of patients with depression was 73. Adjusted odds ratios (ORs) (95% confidence intervals (CIs)) of the Modified Rankin scale and being divorced for PSD were 1.85 (1.28 –2.69) and 2.82 (1.18–6.71), respectively. I have some concerns about their study.
Source: Journal of the Neurological Sciences - February 3, 2018 Category: Neurology Authors: Tomoyuki Kawada Tags: Letter to the Editor Source Type: research

Correction of post-stroke cognitive impairments using computer programs
Abstract: Neurorehabilitation of poststroke cognitive impairments is an important medical problem. The purpose of the present study was to estimate the efficacy of new methods of restoration of impaired cognitive functions using computer correction programs. 43 poststroke patients aged 57–69, (male — 23, female — 20) were randomized into two groups. First group patients have been treated with the standard methods and supplementary neuropsychological computer training for 14days, 25–35min of duration per day. Control group received standard treatment according to Federal and local medical recommendations. Initial an...
Source: Journal of the Neurological Sciences - January 11, 2013 Category: Neurology Authors: S.V. Prokopenko, E.Y. Mozheyko, M.M. Petrova, T.D. Koryagina, D.S. Kaskaeva, T.V. Chernykh, I.N. Shvetzova, A.F. Bezdenezhnih Tags: Original Articles Source Type: research

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