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Total 1186 results found since Jan 2013.

Visual perceptual deficit screening in stroke survivors: evaluation of current practice in the United Kingdom and Republic of Ireland
CONCLUSIONS: Visual perceptual deficits are screened post-stroke at a similar rate to sensory vision or visual neglect. Underdiagnosis of visual perceptual deficits may stem from both reliance on subjective and non-standardised screening approaches, and conflicting definitions of visual perception held among clinicians. We recommend increased training provision and use of brief performance-based screening tools.IMPLICATIONS FOR REHABILITATIONLack of agreement among clinicians on what constitutes as visual perceptual or sensory vision deficits may prove problematic, as precise and exact language is often required for clinic...
Source: Disability and Rehabilitation - August 30, 2021 Category: Rehabilitation Authors: Michael J Colwell Nele Demeyere Kathleen Vancleef Source Type: research

Milk intake and incident stroke and coronary heart disease in populations of European descent: A Mendelian Randomization study
Br J Nutr. 2021 Oct 21:1-25. doi: 10.1017/S0007114521004244. Online ahead of print.ABSTRACTHigher milk intake has been associated with a lower stroke risk, but not with risk of coronary heart disease (CHD). Residual confounding or reverse causation cannot be excluded. Therefore, we estimated the causal association of milk consumption with stroke and CHD risk through instrumental variable (IV) and gene-outcome analyses. IV analysis included 29,328 participants (4,611 stroke; 9,828 CHD) of the EPIC-CVD (8 European countries) and EPIC-NL case-cohort studies. rs4988235, a lactase persistence (LP) single nucleotide polymorphism...
Source: The British Journal of Nutrition - October 21, 2021 Category: Nutrition Authors: L E T Vissers I Sluijs S Burgess N G Forouhi H Freisling F Imamura T K Nilsson F Renstr öm E Weiderpass K Aleksandrova C C Dahm A Perez-Cornago M B Schulze T Y N Tong D Aune C Bonet J M A Boer H Boeing M D Chirlaque M I Conchi L Imaz S J äger V Krogh C Source Type: research

Incidence of Stroke in People With Diabetes Compared to Those Without Diabetes: A Systematic Review
Conclusion The considerable differences between results can partly be explained by differences in study designs, statistical methods, definitions of stroke, and methods used to identify patients with diabetes. The lack of evidence arising from these differences ought to be rectified by new studies. [...] Georg Thieme Verlag KG Rüdigerstraße 14, 70469 Stuttgart, GermanyArticle in Thieme eJournals: Table of contents  |  Abstract  |  open access Full text
Source: Experimental and Clinical Endocrinology and Diabetes - July 17, 2023 Category: Endocrinology Authors: Kvitkina, Tatjana Narres, Maria Claessen, Heiner Metzendorf, Maria-Inti Richter, Bernd Icks, Andrea Tags: Review Source Type: research

Goal setting practice in services delivering community-based stroke rehabilitation: a United Kingdom (UK) wide survey.
Conclusions: Goal setting is embedded within community-based stroke rehabilitation; however, practice varies and is potentially sub-optimal. Further evaluation of the G-AP framework is warranted to inform optimal practice. Evaluation design will take account of the diverse service models that exist. Implications for Rehabilitation Community-based stroke rehabilitation services across the UK are diverse and tend to see a mixed diagnostic group of patients. Goal setting is implemented routinely within community-based stroke rehabilitation services; however, practice is variable and potentially sub-optimal. Further evaluation...
Source: Disability and Rehabilitation - September 22, 2014 Category: Rehabilitation Authors: Scobbie L, Duncan EA, Brady MC, Wyke S Tags: Disabil Rehabil Source Type: research

A framework to accelerate simulation studies of hyperacute stroke systems
Publication date: Available online 21 September 2017 Source:Operations Research for Health Care Author(s): Thomas Monks, Durk-Jouke van der Zee, Maarten Lahr, Michael Allen, Kerry Pearn, Martin A. James, Erik Buskens, Gert-Jan Luijckx Stroke care has been identified as an area where operations research has great potential. In recent years there has been a small but sustained stream of discrete-event simulation case studies in modelling hyperacute stroke systems. The nature of such case studies has led to a fragmented knowledge base and high entry cost to stroke modelling research. Two common issues have faced researcher...
Source: Operations Research for Health Care - September 22, 2017 Category: Hospital Management Source Type: research

A retrospective study to assess resource utilization and costs in patients with post-stroke spasticity in the United Kingdom.
CONCLUSION: Costs after stroke for patients developing PSS are twice as high compared to patients who do not develop it, with the major driver being the number of hospital admissions. This highlights the need for better recording and closer management of PSS. PMID: 29490512 [PubMed - as supplied by publisher]
Source: Current Medical Research and Opinion - March 3, 2018 Category: Research Tags: Curr Med Res Opin Source Type: research

Left ventricular hypertrophy diagnosed after a stroke: a case report
ConclusionsElectrocardiogram diagnosis of left ventricular hypertrophy led to the diagnosis of apical hypertrophic cardiomyopathy in this patient. Left ventricular hypertrophy was only evident a few days after our patient suffered a stroke. The underlying mechanisms responsible for this remain unclear. Furthermore, differential diagnosis of hypertrophic cardiomyopathy should be considered in people with electrocardiogram criteria for left ventricular hypertrophy. Cardiovascular magnetic resonance imaging is an important diagnostic tool in identifying causes of left ventricular hypertrophy. Family screening should be recomm...
Source: Journal of Medical Case Reports - March 22, 2018 Category: General Medicine Source Type: research

Brief group-based acceptance and commitment therapy for stroke survivors.
CONCLUSIONS: The results correspond with previous studies of group-based ACT with other long-term conditions. The findings from this current study suggest group-based ACT may have promising utility and could offer a suitable low-intensity psychological intervention for stroke survivors. However, further large-scale research is required. PRACTITIONER POINTS: Acceptance and commitment therapy (ACT), delivered didactically to groups of stroke survivors, proved feasible and acceptable. ACT had benefits, relative to treatment as usual, for depression, health status, and hope. Several secondary outcome variables did not sho...
Source: The British Journal of Clinical Psychology - July 12, 2018 Category: Psychiatry & Psychology Authors: Majumdar S, Morris R Tags: Br J Clin Psychol Source Type: research

What follow-up interventions, programmes and pathways exist for minor stroke survivors after discharge from the acute setting? A scoping review
Conclusion There is an increasing volume of research exploring how best to provide follow-up care to people after minor stroke. Personalised, holistic and theory-informed interdisciplinary follow-up is needed that balances education and support needs with adjustment to life after stroke.
Source: BMJ Open - June 13, 2023 Category: General Medicine Authors: Crow, J., Savage, M., Gardner, L., Hughes, C., Corbett, C., Wells, M., Malhotra, P. Tags: Open access, Neurology Source Type: research

Atopic dermatitis and risk of hypertension, type 2 diabetes, myocardial infarction and stroke in a cross ‐sectional analysis from the Canadian Partnership for Tomorrow Project
ConclusionsWe did not find evidence of a positive association between AD and subsequent hypertension, T2D, MI or stroke; AD was inversely associated with these outcomes in our study. Given our findings and the conflicting literature, AD is likely not a major risk factor for cardiovascular disease.
Source: British Journal of Dermatology - September 10, 2017 Category: Dermatology Authors: A.M. Drucker, A.A. Qureshi, T.J.B. Dummer, L. Parker, W. ‐Q. Li Tags: Epidemiology Source Type: research

Exploring accounts of collaborative working between speech and language therapists and stroke association communication support coordinators following stroke.
Authors: Scantlebury K, Bixley M, Williamson I Abstract In the United Kingdom, speech and language therapists (SLTs) and Stroke Association communication support coordinators (CSCs) are both employed to provide services for people with communication difficulties following stroke. There is very little literature of this type of collaborative working. This research is unique because it explores collaborative working between SLTs who are employed by the National Health Service and CSCs who are employed by the Stroke Association. Five CSCs and seven SLTs from the East of England participated in a series of in-depth int...
Source: Journal of Interprofessional Care - March 11, 2018 Category: Health Management Tags: J Interprof Care Source Type: research

An attempt to explain the bidirectional association between ischaemic heart disease, stroke and depression: a cohort and meta-analytic approach.
CONCLUSIONS: The bidirectional association between CVD and depression was not explained by shared risk factors, misclassification or non-response.Declaration of interestNone. PMID: 31179963 [PubMed - as supplied by publisher]
Source: The British Journal of Psychiatry for Mental Science - June 12, 2019 Category: Psychiatry Tags: Br J Psychiatry Source Type: research