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Suicide Following Stroke in the United States Veterans Health Administration Population
In the United States (US), suicide is a leading cause of death, and most of these suicides involve firearms, highlighting the importance of lethal means safety in suicide prevention.(1, 2) US Veterans experience a suicide rate 1.5 times higher than US civilian adults and are more likely to use firearms as the means of suicide.(3) Risk factors for suicide within this population include demographic factors such as sex, age, race, and level of education, as well as health factors such as smoking status, psychiatric conditions (e.g., posttraumatic stress disorder [PTSD], depression, bipolar and anxiety disorders, schizophrenia...
Source: Archives of Physical Medicine and Rehabilitation - March 31, 2021 Category: Rehabilitation Authors: Jordan M. Wyrwa, Tyler M. Shirel, Trisha A. Hostetter, Alexandra L. Schneider, Claire A. Hoffmire, Kelly A. Stearns-Yoder, Jeri E. Forster, Nathan E. Odom, Lisa A. Brenner Tags: Original Research Source Type: research

Orthotic Research Initiative for Outcomes aNalysis (ORION I): predictors of PROMIS PF for stroke survivors seeking orthotic intervention
CONCLUSIONS: These results improve understanding of the factors that contribute to impaired self-reported PF of stroke survivors in need of AFO intervention.Implications for rehabilitationAnkle-foot orthoses (AFOs) are often used to improve physical performance measures of physical performance (PF) during stroke rehabilitation.Our data indicate that the self-reported PF of AFO users is severely impaired.Level of assistance, time since ankle and foot problems began, and living assistance status are important clinical characteristics to consider when planning AFO intervention for this population.PMID:34473570 | DOI:10.1080/09638288.2021.1971306
Source: Disability and Rehabilitation - September 2, 2021 Category: Rehabilitation Authors: Sally A DiBello Shane R Wurdeman Stacey L Gorniak Source Type: research

Opportunities for Improving Motor Assessment and Rehabilitation After Stroke by Leveraging Video-Based Pose Estimation
Am J Phys Med Rehabil. 2023 Feb 1;102(2S Suppl 1):S68-S74. doi: 10.1097/PHM.0000000000002131.ABSTRACTStroke is a leading cause of long-term disability in adults in the United States. As the healthcare system moves further into an era of digital medicine and remote monitoring, technology continues to play an increasingly important role in post-stroke care. In this Analysis and Perspective article, opportunities for using human pose estimation-an emerging technology that uses artificial intelligence to track human movement kinematics from simple videos recorded using household devices (e.g., smartphones, tablets)-to improve ...
Source: Health Physics - January 12, 2023 Category: Physics Authors: Kendra M Cherry-Allen Margaret A French Jan Stenum Jing Xu Ryan T Roemmich Source Type: research

Research trends and hotspots of post-stroke cognitive impairment: A bibliometric analysis
Conclusions: This review provided a comprehensive summary of the literature of PSCI, identified the authoritative and frequently cited literature and journals, clarified the trends in PSCI research, and highlighted the hotspots in this field. Currently, studies on the mechanisms and treatment of PSCI are limited, and we hope that this review has effectively highlighted the research trajectory of PSCI and will lay the foundation for more innovative research in the future.
Source: Frontiers in Pharmacology - May 30, 2023 Category: Drugs & Pharmacology Source Type: research

Comparative Outcomes of Mechanical Thrombectomy for Acute Ischemic Stroke in Patients  with and without Atrial Fibrillation
Stroke is a leading cause of disability and death in the United States (1). Cardioembolic strokes account for approximately 1 in 5 ischemic strokes, with atrial fibrillation (AF) being the most common cause of cardioembolic stroke (2). Acute ischemic strokes in patients with AF are associated with a higher degree of disability and worse outcomes than in patients without AF (3). Because of its proven efficacy, mechanical thrombectomy (MT) with second-generation stent retrievers has been recently assigned a class IA recommendation for the treatment of ischemic stroke in select group of patients (4).
Source: Journal of Vascular and Interventional Radiology : JVIR - October 20, 2017 Category: Radiology Authors: Muhammad Bilal Munir, Fahad Alqahtani, Abdelrahman Beltagy, Abdul Tarabishy, Mohamad Alkhouli Tags: Letter to the Editor Source Type: research

The Caregiver Experience After Stroke in a COVID-19 Environment: A Qualitative Study in Inpatient Rehabilitation
Conclusions: Caregiver attendance at therapy sessions and frequent, direct communication between staff and caregivers improved caregiver readiness for family member discharge following inpatient rehabilitation. This study shared perspectives from a distinctive time during the COVID-19 pandemic. If visitation for multiple therapy sessions is prohibited, we recommend taking alternative measures to keep the caregiver involved in the plan of care. Video Abstract available for more insights from the authors (see the Video, Supplemental Digital Content 1, available at: http://links.lww.com/JNPT/A326).
Source: Journal of Neurologic Physical Therapy - December 24, 2020 Category: Physiotherapy Tags: Research Articles Source Type: research

Does bariatric surgery change the risk of acute ischemic stroke in patients with a history of transient ischemic attack? A nationwide analysis
CONCLUSIONS: After analyzing nationwide information, we conclude bariatric surgery helps decrease risk of AIS in patients with a history of TIA. However, this comparison is limited by the nature of the database; further studies are needed to better understand these results.PMID:36581552 | DOI:10.1016/j.soard.2022.11.013
Source: Surgery for Obesity and Related Diseases : official journal of the American Society for Bariatric Surgery - December 29, 2022 Category: Surgery Authors: Roberto J Valera Cristina Botero-Fonnegra Vicente J Cogollo Mauricio Sarmiento-Cobos Lisandro Montorfano Carlos Rivera Liang Hong Emanuele Lo Menzo Samuel Szomstein Raul J Rosenthal Source Type: research

Choice and Timing of Antithrombotic After Ischemic Stroke, Intracerebral Hemorrhage or Cerebral Venous Thrombosis
CNS Neurol Disord Drug Targets. 2023 Mar 9. doi: 10.2174/1871527322666230309100626. Online ahead of print.ABSTRACTStroke is a multifactorial vascular disease and remains a leading cause of disability in the United States. Strokes can be ischemic or hemorrhagic in nature and secondary to arterial or venous disease, making determining the etiology and secondary prevention strategy important for preservation of the injured brain, prevention of recurrent strokes, and in the maintenance of good functional outcomes for patients impacted by stroke. In this narrative review, we provide a synopsis of the available medical evidence ...
Source: CNS and Neurological Disorders Drug Targets - March 9, 2023 Category: Drugs & Pharmacology Authors: Dylan Ryan Tarun Girotra Wuwei Feng Source Type: research

Study protocol of a telephone problem-solving intervention for Spanish-speaking caregivers of veterans post-stroke: an 8-session investigator-blinded, two-arm parallel (intervention vs usual care), randomized clinical trial
Stroke is one of the leading causes of death and the main cause of long-term disability in the United States. The significant risk factors of stroke among Hispanics are well-documented. The majority of stroke ...
Source: BMC Family Practice - March 17, 2023 Category: Primary Care Authors: I. Magaly Freytes, Magda K. Schmitzberger, Naiomi Rivera-Rivera, Janet Lopez, Keryl Motta-Valencia, Samuel S. Wu, Tatiana Orozco, Jennifer Hale-Gallardo, Nathaniel Eliazar-Macke, Jennifer H. LeLaurin and Constance R. Uphold Tags: Study protocol Source Type: research

Towards meaningful community ambulation in individuals post stroke through use of a smart hip exoskeleton: a preliminary investigation
Assist Technol. 2023 Jul 26. doi: 10.1080/10400435.2023.2239555. Online ahead of print.ABSTRACTStroke is the leading cause of long-term disability in the United States, leaving survivors with profound mobility challenges that impact independent community ambulation. Evidence shows assistance at the hip during walking may be beneficial for stroke survivors. In this cross-over design study, we examine the impact of a novel hip exoskeleton on both functional and patient reported outcomes measuring speed, fall risk, gait symmetry, energy expenditure and perceived walking ability during both indoors and outdoors in single and s...
Source: Assistive Technology - July 26, 2023 Category: Rehabilitation Authors: Kinsey Herrin Emily Upton Aaron Young Source Type: research

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