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Total 389 results found since Jan 2013.
Insomnia as an additional clinical correlate of suicidal ideation after stroke
Suicide-related behaviors are frequent among stroke survivors [1]. In a recent systematic review and meta-analysis [2], it has been shown that about one out of eight subjects suffering from stroke may have suicidal ideation afterward (i.e., thinking about, considering or planning suicide). Findings, based on 15 studies including 13 independent samples and 10,400 unique subjects, showed a pooled proportion of suicidal ideation of 11.8% (7.4% to 16.2%). Suicidal ideation was less likely in stroke survivors who were married, employed and had higher education levels.
Source: General Hospital Psychiatry - June 19, 2017 Category: Psychiatry Authors: Francesco Bartoli, Massimo Clerici, Cristina Crocamo, Giuseppe Carr à Tags: Letter to the Editor Source Type: research
CE: Early Intervention in Patients with Poststroke Depression.
This article explains how poststroke depression often manifests, describes associated risk factors, and discusses the screening tools and therapeutic interventions nurses can use to identify and help manage depression in patients following stroke.
PMID: 28594643 [PubMed - as supplied by publisher]
Source: The American Journal of Nursing - June 7, 2017 Category: Nursing Authors: Hamid GM, MacKenzie MA Tags: Am J Nurs Source Type: research
Promoting Evidence-Based Practice at a Primary Stroke Center: A Nurse Education Strategy
Background: Promoting a culture of evidence-based practice within a health care facility is a priority for health care leaders and nursing professionals; however, tangible methods to promote translation of evidence to bedside practice are lacking.
Objectives: The purpose of this quality improvement project was to design and implement a nursing education intervention demonstrating to the bedside nurse how current evidence-based guidelines are used when creating standardized stroke order sets at a primary stroke center, thereby increasing confidence in the use of standardized order sets at the point of care and supporting e...
Source: Dimensions of Critical Care Nursing - June 6, 2017 Category: Nursing Tags: Educational DIMENSION Source Type: research
Promoting Evidence-Based Practice at a Primary Stroke Center: A Nurse Education Strategy.
DISCUSSION: This nurse education strategy increased RNs' confidence in ability to explain the path from evidence to bedside nursing care by demonstrating how evidence-based clinical practice guidelines provide current evidence used to create standardized order sets. Although further evaluation of the intervention's effectiveness is needed, this educational intervention has the potential for generalization to different types of standardized order sets to increase nurse confidence in utilization of evidence-based practice.
PMID: 28570379 [PubMed - in process]
Source: Dimensions in Critical Care Nursing - June 2, 2017 Category: Nursing Tags: Dimens Crit Care Nurs Source Type: research
An educational intervention allows for greater prehospital recognition of acute stroke
We performed a study to determine whether a brief educational intervention directed at pre-hospital providers would increase the identification of stroke victims in the pre-hospital setting. The purpose of this IRB approved, before-and-after research project was to determine whether the implementation of Advanced Stroke Life Support Class (ASLS) [1] training for pre-hospital providers would lead to improved field identification of stroke.
Source: The American Journal of Emergency Medicine - May 23, 2017 Category: Emergency Medicine Authors: Tara K. Henry-Morrow, Bryan D. Nelson, Erin Conahan, Claranne Mathiesen, Bernadette Glenn-Porter, Matthew T. Niehaus, Lauren M. Porter, Mitchell R. Gesell, Gregory T. Monaghan, Jeanne L. Jacoby Tags: Correspondence Source Type: research
Lori’s Stroke Required Help From Doctors An Hour Away. Telemedicine Provided It.
Editor’s note: Our previous stories this American Stroke Month featured warning signs heeded and missed. Today we shift gears to showcase a textbook response to a stroke, including the crucial role of telestroke, a way for experts at another facility to help care for a patient via a webcam-type connection. The CHRONIC Care Act, which includes a provision to require Medicare to cover telestroke, will be discussed Tuesday during a hearing of the Senate Finance Committee.
Lori Hoopingarner savored her occasional weekend getaway.
Between running her financial advising company, raising a 10-year-old daughter and 6-year-old s...
Source: Healthy Living - The Huffington Post - May 15, 2017 Category: Consumer Health News Source Type: news
Care Coordination for Community Transitions for Individuals Post-stroke Returning to Low-Resource Rural Communities
AbstractHigh rates of hospital readmissions have been shown within 12 months post-discharge from inpatient rehabilitation following stroke. Multiple studies coupled with our previous work indicate a need for care support for stroke survivors ’ transitions to the community. The Kentucky Care Coordination for Community Transitions (KC3T) program was developed to provide access to medical, social, and environmental services to support community transitions for individuals with neurological conditions and their caregivers living in Kentucky. This program assessment was conducted to determine the effectiveness of using a spec...
Source: Journal of Community Health - April 27, 2017 Category: Global & Universal Source Type: research
Superhero Joey: Five-year-old fights moyamoya disease
It’s been said that not all heroes wear capes — but Joey Gallagher owns several. The five-year-old has already amassed a collection of superhero gear, from a Superman Halloween costume to a t-shirt emblazoned with the Batman logo. Yet even the most diehard comic book fan would likely admit that feats like flying, leaping tall buildings and fighting bad guys don’t hold a candle to the challenges this little boy has already surmounted.
Just last June, Joey was out of town with his family when he had what his parents, Leila and Scott, feared was a seizure. Clinicians in the emergency department dismissed the event as he...
Source: Thrive, Children's Hospital Boston - April 4, 2017 Category: Pediatrics Authors: Jessica Cerretani Tags: Diseases & Conditions Our Patients’ Stories childhood stroke Dr. Edward Smith Dr. Michael Scott moyamoya Moyamoya Disease Program Source Type: news
First a birthmark, then a rare disease diagnosis
Brielle plays near her home in Rhode Island.
Two-year-old Brielle Coutu loves listening to music, dancing and eating enough cheese that her mother, Heather, often wonders aloud, “Are you a mouse?” Brielle loves to play outside and is usually a chatty, happy-go-lucky little girl. But, sometimes, she can be overwhelmed by the excitement of gathering with family and friends.
“We think she has some sensory sensitivities related to her Sturge-Weber syndrome,” says Heather.
Brielle was born with what’s known as a port-wine birthmark on her face. It is aptly named for its dark reddish color. Port-wine birthmarks can ...
Source: Thrive, Children's Hospital Boston - March 1, 2017 Category: Pediatrics Authors: Kat J. McAlpine Tags: Diseases & Conditions Our Patients’ Stories Dr. Anna Pinto epilepsy neurology rare disease seizures Sturge-Weber syndrome Sturge-Weber Syndrome Clinic Source Type: news
I Saved A Life And Training Made The Difference
By Christiana Adams
I saved a life.
I never thought it would happen to me, but it did. And, thanks to the great education process at Salem Health, I was prepared and confident to step in and assist.
I’m employed at Salem Health in Salem, Oregon, as an emergency department technician in the Emergency Department and provide direct patient care.
At the time of the incident, I was a unit assistant in Labor and Delivery and typically didn’t work with patients. I was, however, still required to complete CPR training, something for which I give Salem Health a lot of credit. In fact, I had just completed a new type of...
Source: Healthy Living - The Huffington Post - February 28, 2017 Category: Consumer Health News Source Type: news
Shifting gears: an inpatient medical record audit and post-discharge survey of return-to-driving following stroke/transient ischaemic attack - Frith J, Warren-Forward H, Hubbard I, James C.
This study investigates the provision of return-to-driving education in the acute hospital set...
Source: SafetyLit - February 23, 2017 Category: Global & Universal Tags: Distraction, Fatigue, Chronobiology, Vigilance, Workload Source Type: news
What Causes Hyperammonemia?
Discussion
Reye’s syndrome (RS)is named for Dr. Douglas Reye who along with Drs. G. Morgan and J. Baral described encephalopathy and fatty accumulation and degeneration in children in a 1963 Lancet article. RS usually affects children but can occur at all ages. All organs can be affected but the liver and brain are primarily affected causing liver failure and encephalopathy as toxic metabolites (especially ammonia) accumulate, and intracranial hypertension and cerebral edema occurs. As the ammonia levels begin to rise (> 100 mg/dL) patients lose their appetite, have nausea and emesis and mental status changes whic...
Source: PediatricEducation.org - February 20, 2017 Category: Pediatrics Authors: pediatriceducationmin Tags: Uncategorized Source Type: news
Hospital Quality Data Available
“Photo” by SilasCamargo is licensed under CC0.
The Joint Commission has released its 2016 annual report on America’s hospitals. The report contains data contributed by more than 3,300 hospitals nationwide. Extensive changes were made to the metrics collected in past years. Several measures previously included were dropped from the data collection process because hospital performance was consistently high and considered to no longer represent a useful quality metric. The new process now gives organizations a choice in determining which measures to report. Additionally, eCQM (electronic clinical quality measur...
Source: Network News - November 30, 2016 Category: Databases & Libraries Authors: NN/LM South Central Region Tags: Patient Safety Source Type: news
Declines In Dementia: Of Hearts And Minds
In this season when we are meant to be thankful, but when so many of us have had so many reasons to be otherwise, we have received a timely, welcome bit of universally good news. Rates of dementia in the United States appear to be declining.
This news reaches us courtesy of a study published recently in JAMA Internal Medicine. The investigators used standard, validated measures of cognitive function and dementia in two groups of more than 10,000 people in the U.S. with an average age of roughly 75 in the year 2000, and again in 2012. The overall rate of dementia declined over that span from 11.6% to 8.8%.
Taking ...
Source: Science - The Huffington Post - November 27, 2016 Category: Science Source Type: news
Stroke risk in treatment of type 2 diabetes in China: a 7 year retrospective cohort study
Publication date: November 2016 Source:The Lancet Diabetes & Endocrinology, Volume 4, Supplement 1 Author(s): Rui Liu, Qing Wang, Vivian Szeto, Andrew Barszczyk, Tianru Jin, Edoardo Mannucci, Hong-Shuo Sun, Zhong-Ping Feng Background Diabetes and stroke are leading causes of death and disability, and major public health concerns in China, which accounts for 25% of patients with diabetes worldwide. Type 2 diabetes is an independent risk factor for cerebral ischaemia and accounts for about 20% of stroke cases. We previously showed that KATP channel activation provides neuroprotection against cerebral ischaemia and t...
Source: The Lancet Diabetes and Endocrinology - November 17, 2016 Category: Endocrinology Source Type: research
