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Total 535 results found since Jan 2013.

Deferral of Care for Serious Non –COVID-19 Conditions
The harms of the coronavirus disease 2019 (COVID-19) pandemic have been innumerable, including illness, death and disability, unemployment and devastation of small businesses, hunger, educational losses, and amplification of racial and social inequities. In this issue of JAMA Internal Medicine, 2 articles shed light on another cost: deferral of care for serious non –COVID-19 conditions, such as myocardial infarction and stroke.
Source: JAMA Internal Medicine - October 26, 2020 Category: Internal Medicine Source Type: research

FAST 112 HEROES: Patient Engagement in an Educational Stroke Awareness Program for Kindergarten
To engage patients who had a stroke in the past in the FAST 112 Heroes educational program (Tsakpounidou et al. 2019). Patient involvement is an important contribution to improve quality of care and advocacy. As stroke is worldwide a leading cause of disability and mortality (Gurol et al, 2018), individuals who suffered this near death experience are often aware of the stroke symptoms. Unfortunately, studies show that a great percentage of people are not able to recognize the stroke symptoms F.A.S.T.
Source: Archives of Physical Medicine and Rehabilitation - October 24, 2020 Category: Rehabilitation Authors: Hariklia Proios, Kalliopi Tsakpounidou Tags: Research Poster Source Type: research

Exploring self-management within hospital-based stroke care: current and future opportunities.
CONCLUSIONS: A consistent conceptualisation and approach to stroke self-management in the hospital setting is required. Interprofessional education and shared intentional language can enhance understanding and practice. IMPLICATIONS FOR REHABILITATION Understanding and application of stroke self-management varies among members of hospital-based stroke teams. Health professionals working in hospital-based stroke care should use the term self-management with their patients. Education of healthcare teams is necessary to develop knowledge about self-management and develop consistent practices across the continuum of care. ...
Source: Disability and Rehabilitation - October 14, 2020 Category: Rehabilitation Authors: Greenway A, Gustafsson L, Bower K, Walder K Tags: Disabil Rehabil Source Type: research

Recognition of stroke-related knowledge among community residents and the improvement after intensive health education: a cross-sectional study
The high morbidity, mortality, and disability rates of stroke constitute a heavy burden to the society. The level of understanding about stroke warning symptoms and first aid systems among community residents ...
Source: BMC Neurology - October 12, 2020 Category: Neurology Authors: Xuemin Zhong, Jian Wang, Lanying He and Ronghua Xu Tags: Research article Source Type: research

Vascular Events, Vascular Disease and Vascular Risk Factors —Strongly Intertwined with COVID-19
AbstractPurpose of reviewTo elucidate the intertwining of vascular events, vascular disease and vascular risk factors and COVID-19.Recent findingsStrokes are a leading cause of disability and death worldwide. Vascular risk factors are important drivers of strokes. There are unmodifiable vascular risk factors such as age and ethnicity and modifiable vascular risk factors. According to the INTERSTROKE study, the 10 most frequent modifiable vascular risk factors are arterial hypertension, physical inactivity, overweight, dyslipidaemia, smoking, unhealthy diet, cardiac pathologies, diabetes mellitus, stress/depression and over...
Source: Current Treatment Options in Neurology - October 8, 2020 Category: Neurology Source Type: research

Inflammation and Coagulation during Critical Illness and Long-Term Cognitive Impairment and Disability.
CONCLUSIONS Markers of systemic inflammation and coagulation measured early during critical illness are not associated with long-term cognitive outcomes and demonstrate inconsistent associations with disability outcomes. Future studies that pair longitudinal measurement of inflammation and related pathways throughout the course of critical illness and during recovery with long-term outcomes are needed. PMID: 33030981 [PubMed - as supplied by publisher]
Source: American Journal of Respiratory and Critical Care Medicine - October 8, 2020 Category: Respiratory Medicine Authors: Brummel NE, Hughes CG, Thompson JL, Jackson JC, Pandharipande P, McNeil JB, Raman R, Orun OM, Ware LB, Bernard GR, Ely EW, Girard TD Tags: Am J Respir Crit Care Med Source Type: research

Technology for maintaining oral care after stroke: considerations for patient-centered practice.
CONCLUSION: The available device and technologies may help substantially with the accommodations needed for post-stroke oral care, improving the oral health of stroke survivors. Good oral health confers benefit to overall health and well-being and could enhance recovery and rehabilitation outcomes. Nonetheless, more research is necessary to demonstrate the feasibility and effectiveness of technology in stroke contexts. IMPLICATIONS FOR REHABILITATION Oral care may be challenging after stroke due to patient fatigue, hemiparesis, cognitive impairments, and other impaired body functions. Poor oral hygiene may impact stroke re...
Source: Disability and Rehabilitation. Assistive Technology. - September 28, 2020 Category: Rehabilitation Authors: Gurgel-Juarez N, Egan M, Wiseman M, Finestone H, Flowers HL Tags: Disabil Rehabil Assist Technol Source Type: research

Behavioral characteristics of children with sickle cell disease
Conclusions: Behavioral impacts are highly prevalent in children with SCD. Individuals in socioeconomic classes C2 and D suffered more behavioral impacts than individuals in classes B2 and C1.RESUMO Objetivo: Avaliar aspectos sociodemogr áficos e clínicos de crianças com doença falciforme (DF) e suas características comportamentais. Métodos: Aplicação de entrevista sobre aspectos socioeconômicos e outras condições de saúde e do questionário de capacidades e dificuldades (SDQ) em pais de pacientes de quatro a dez anos com DF, em um ambulatório de referência. Dados clínicos foram obtidos dos prontuários méd...
Source: Revista Paulista de Pediatria - August 13, 2020 Category: Pediatrics Source Type: research

Executive behavior and functional abilities in children with perinatal stroke and the associated caregiver impact.
Abstract Perinatal stroke is the most common form of stroke in childhood and is followed by a variety of outcomes, with many children experiencing specific functional and neuropsychological deficits. The association of these outcomes with the psychosocial impact caregivers face is not well documented. The goal of our pilot study was to examine caregivers' perception of executive behavior and functional abilities among children with perinatal stroke, and how these outcomes impact the caregivers. We administered three questionnaires to primary caregivers of children with perinatal stroke to obtain caregiver-reported...
Source: Child Neuropsychology - July 27, 2020 Category: Child Development Authors: Khan MH, Smithson L, Li E, Kirton A, Pei J, Andersen J, Yager JY, Brooks BL, Rasmussen C Tags: Child Neuropsychol Source Type: research

Stroke survivors' perceptions of their sedentary behaviours three months after stroke.
Conclusions: This information will inform evidence-based sedentary behaviour interventions after stroke.Implications for rehabilitationHigher levels of sedentary behaviours are associated with poor health and stroke survivors are highly sedentary.Stroke survivors have complex reasons for spending time in sedentary behaviours including fatigue, pain, fear of falling and environmental barriers.Future interventions should educate stroke survivors on the health consequences of sedentary behaviours and encourage an increased awareness of time spent sedentary.Supporting stroke survivors to identify enjoyable and achievable activ...
Source: Disability and Rehabilitation - June 25, 2020 Category: Rehabilitation Authors: Fitzsimons CF, Nicholson SL, Morris J, Mead GE, Chastin S, Niven A Tags: Disabil Rehabil Source Type: research

How is carer strain related to the recovery of stroke survivors with right hemisphere dysfunction? Implications for practice.
Conclusion: Carer strain worsens with increases in significant concerns about the rehabilitation process and poor survivor functioning skills, which potentially increase risk of depression in carers. Consequently, improving right-hemisphere stroke survivors' recovery and nurturing the carer-survivor relationship are likely to enhance overall outcomes and caring experiences.IMPLICATIONS FOR REHABILITATIONIn the context of right hemisphere stroke: Carer assessment should be comprehensive and include a measure of perceived ability to care.Less strained carers tend to report fewer caring concerns and have lower depression leve...
Source: Disability and Rehabilitation - June 15, 2020 Category: Rehabilitation Authors: Stein MS, Reynolds FA Tags: Disabil Rehabil Source Type: research

Increasing time spent engaging in moderate-to-vigorous physical activity by community-dwelling adults following a transient ischemic attack or non-disabling stroke: a systematic review.
Conclusion: Despite recommendations to participate in regular physical activity at moderate-to-vigorous intensity for secondary stroke prevention, there is very little evidence for effective interventions for this patient population. There is need for clinically feasible interventions that result in long-term participation in physical activity in line with clinical guidelines. Trial registration: Protocol registration: PROSPERO CRD42018092840Implications for rehabilitationThere is limited evidence of the effectiveness of interventions that aim to increase time spent engaging in moderate-to-vigorous physical activity (MVPA)...
Source: Disability and Rehabilitation - May 31, 2020 Category: Rehabilitation Authors: Sammut M, Fini N, Haracz K, Nilsson M, English C, Janssen H Tags: Disabil Rehabil Source Type: research

Stroke Characteristics and Outcomes of Adult Patients in Northwest Ethiopia
Stroke is becoming one of the leading causes of adult disability and death in sub-Saharan African countries. The aim of the present study is to provide an up-to-date account of the clinical and demographic characteristics of patients with stroke admitted to the University of Gondar College of Medicine and Health Science Comprehensive Specialized Hospital (CMHS). A hospital based retrospective study design was used to analyze the medical records of all patients with stroke admitted to CMHS from June 20th 2012 and April 30th 2018. Data were cleaned and entered into SPSS for analysis. Among the 448 patients with stroke admitt...
Source: Frontiers in Neurology - May 18, 2020 Category: Neurology Source Type: research

The long-term unmet needs of informal carers of stroke survivors at home: a systematic review of qualitative and quantitative studies.
Conclusions: Evidence from this review suggests that carers are experiencing a range of long-term unmet needs, particularly in education and training, coping and managing their own emotions, and accessing much-needed services. Recommendations to support carers at home include continuing engagement, assessment, and support from health care providers and services to meet the needs of carers throughout the stroke recovery process.IMPLICATIONS FOR REHABILITATIONCarers of stroke survivors experience complex long-term unmet needs around managing the recovery process of the stroke survivor when they have been discharged from hosp...
Source: Disability and Rehabilitation - May 11, 2020 Category: Rehabilitation Authors: Denham AMJ, Wynne O, Baker AL, Spratt NJ, Loh M, Turner A, Magin P, Bonevski B Tags: Disabil Rehabil Source Type: research

Experienced consequences of spasticity and effects of botulinum toxin injections: a qualitative study amongst patients with disabling spasticity after stroke.
Conclusion: Incorporating patient-relevant outcomes into the current assessment of spasticity and monitoring these outcomes may improve spasticity management, particularly regarding the timing of botulinum toxin injections.Implications for rehabilitationBecause chronic spasticity after stroke impacts on almost all domains of everyday life, professionals should identify and target the most relevant problems in each individual patient.Monitoring patient-reported outcomes may help patients and professionals to get insight in the fluctuations of spasticity-related symptoms and may help to evaluate the effects of botulinum toxi...
Source: Disability and Rehabilitation - April 6, 2020 Category: Rehabilitation Authors: Kerstens HCJW, Satink T, Nijkrake MJ, De Swart BJM, Nijhuis-van der Sanden MWG, Van der Wees PJ, Geurts ACH Tags: Disabil Rehabil Source Type: research