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Specialty: Neurology
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Total 1600 results found since Jan 2013.

Cognitive performance and aphasia recovery.
Conclusions The Matrix Reasoning Test may contribute to predict aphasia recovery. Cognitive performance is a measure of network disruption but may also indicate the availability of recovery strategies. PMID: 29072540 [PubMed - as supplied by publisher]
Source: Topics in Stroke Rehabilitation - October 26, 2017 Category: Neurology Authors: Fonseca J, Raposo A, Martins IP Tags: Top Stroke Rehabil Source Type: research

Early Cognitive Assessment Following Acute Stroke: Feasibility and Comparison between Mini-Mental State Examination and Montreal Cognitive Assessment
Objectives: Cognitive assessment is not performed routinely in the acute stroke setting. We investigated factors associated with cognitive impairment and the differences between the Mini-Mental State Examination (MMSE) and Montreal Cognitive Assessment (MoCA) scores in patients with acute stroke. Methods: In this prospective study, 881 consecutive patients (median age, 73 years) with acute stroke were enrolled. Clinical characteristics, such as education, vascular risk factors, premorbid cognitive status using the Informant Questionnaire on Cognitive Decline in the Elderly (IQCODE), and stroke severity, were assessed.
Source: Journal of Stroke and Cerebrovascular Diseases - February 13, 2020 Category: Neurology Authors: Satoshi Suda, Kanako Muraga, Akiko Ishiwata, Takuya Nishimura, Junya Aoki, Takuya Kanamaru, Kentaro Suzuki, Yuki Sakamoto, Takehiro Katano, Koichiro Nagai, Seira Hatake, Sera Satoi, Noriko Matsumoto, Chikako Nito, Yasuhiro Nishiyama, Masahiro Mishina, Kaz Source Type: research

Educational Intervention in the Emergency Department to Address Disparities in Stroke Knowledge
In the United States, Black individuals have higher stroke incidence and mortality when compared to white individuals and are also at risk of having lower stroke knowledge and awareness. With the need to implement focused interventions to decrease stroke disparities, the objective of this study is to evaluate the feasibility and efficacy of an emergency department-based educational intervention aimed at increasing stroke awareness and preparedness among a disproportionately high-risk group.
Source: Journal of Stroke and Cerebrovascular Diseases - March 22, 2022 Category: Neurology Authors: Erin F. Shufflebarger, Lauren A. Walter, Toby I. Gropen, Tracy E. Madsen, Mark R. Harrigan, Ronald M. Lazar, Jamie Bice, Cassidy S. Baldwin, Michael J. Lyerly Source Type: research

Can We Learn from Our Children About stroke? Effectiveness of a School-Based Educational Programme in Greece
Stroke is the second most common cause of death worldwide and the leading cause of chronic functional limitations.1 Without appropriate and timely care between the stroke symptom appearance and the treatment in acute stroke incidents, the ischemic brain ages 3.6 years for every hour of blood deprivation.2 Yet patients repeatedly arrive late to the hospital.3,4 The lack of public awareness about stroke symptoms has been reported in the literature as one of the main factors, causing this belated arrival to the hospital and hence the belated medical treatment.
Source: Journal of Stroke and Cerebrovascular Diseases - May 13, 2022 Category: Neurology Authors: Hariklia Proios, Maria Baskini, Christos Keramydas, Tatiana Pourliaka, Kalliopi Tsakpounidou Source Type: research

Interventions for improving self-efficacy in patients after stroke based on self-efficacy-related principles of Bandura's cognition theory: a systematic review and meta-analysis
CONCLUSION: Interventions developed based on Bandura's cognition theory are beneficial to the improvement of self-efficacy. This review highlights principles of Bandura's cognition theory are worth considering to be integrated to interventions targeted at improving self-efficacy. The application of self-efficacy principles with Bandura's cognitive theory could be encouraged in clinical practice in the future.PROTOCOL REGISTRATION NUMBER: PROSPERO CRD42020154984.PMID:36755444 | DOI:10.1080/10749357.2023.2172832
Source: Topics in Stroke Rehabilitation - February 9, 2023 Category: Neurology Authors: Rang-Ge Ouyang Yi Long Jia-Qi Zhang Zeng Cao Source Type: research

Determinants of stroke mortality among west africans: findings from the siren study
Stroke is one of the leading causes of death and disability in low-and-medium-income countries, but the pattern and determinants of stroke fatality are yet to be clearly understood among Africans. We assessed the determinants of stroke mortality among adults from 15 sites in Ghana and Nigeria in the Stroke Investigative Research and Educational Network (SIREN) study in West Africa.
Source: Journal of Stroke and Cerebrovascular Diseases - March 30, 2023 Category: Neurology Authors: Akinkunmi Paul Okekunle, Fred Stephen Sarfo, Onoja Matthew Akpa, Osahon Jeffery Asowata, Joshua Akinyemi, Adekunle Fakunle, Godwin Ogbole, Albert Akpalu, Kolawole Wahab, Reginald Obiako, Morenikeji Komolafe, Godwin Osaigbovo, Lukman Owolabi, Rufus Akinyem Source Type: research

Recurrent stroke arrival time
Stroke patients and family members should receive stroke education including recognition of stroke symptoms and prompt activation of emergency medical services (EMS). The impact of this education is unclear. We aimed to measure the associations between EMS use and timing of hospital arrival and first-ever and recurrent strokes as a proxy for stroke education.
Source: Journal of Stroke and Cerebrovascular Diseases - April 8, 2023 Category: Neurology Authors: Braydon L Dymm, Madeline Kwicklis, William J Meurer, Xu Shi, Lynda D Lisabeth Source Type: research

Why Ischemic Stroke Patients Do Not Receive Thrombolytic Treatment? (P7.122)
CONCLUSIONS:This retrospective analysis suggests that less than half of the patients presenting within 4 hours of symptom onset receive rt-PA. The most common reason was minor or rapidly improving symptoms. A significant proportion of patients did not receive rt-PA because patient or family refused. Minority of patients had absolute contraindication. More patient and family education is needed to allay fears of rt-PA use.Disclosure: Dr. Lee has nothing to disclose.
Source: Neurology - April 9, 2014 Category: Neurology Authors: Lahoti, S., Lee, J. Tags: Cerebrovascular Disease and Interventional Neurology: Issues in Acute Stroke Treatment Source Type: research

Quality Improvement Project: Improving the Time To Treatment in Inpatient Acute Ischemic Stroke (P7.130)
Conclusion/Proposal: In the inpatient setting there was a significant delay in the time to CT-scan and to t-PA; the main source of delay was time to CT-scan. There are many possible reasons for the delay: location of the CT-scanner, unfamiliarity with strokes by non-neurology staff, ready availability of t-PA. We proposed to target house staff education and t-PA availability. We developed a "stroke-code" checklist to be distributed to house staff from different services after a small explanatory lecture. We also developed an order form to create a zero wait time for t-PA, allowing the RN/PCA to be the first one served in t...
Source: Neurology - April 9, 2014 Category: Neurology Authors: Liang, J., Garcia Santibanez, R., Walker, A., Boniece, I. Tags: Cerebrovascular Disease and Interventional Neurology: Barriers and Opportunities in Acute Stroke Treatment Source Type: research

Cost-saving innovations for acute ischemic stroke and transient ischemic attack
Health care costs continue to rise toward unsustainable levels that will affect our nation's ability to support other key funding priorities for education, military, and infrastructure. Changing the way we deliver health care is critical to mitigating this financial crisis. This review highlights opportunities for redesigning care of acute ischemic stroke and TIA to maintain quality while substantially lowering costs. The recent innovations described are (1) adopting teleneurology networks to improve access to thrombolysis for acute ischemic stroke; (2) improving efficiency of emergency care for acute ischemic stroke; and ...
Source: Nature Clinical Practice - October 13, 2014 Category: Neurology Authors: Tai, W. A., Conley, J., Kalanithi, L. Tags: All Cerebrovascular disease/Stroke, Models of care, Infarction Eye on Practice Source Type: research

Network dysfunction predicts speech production after left hemisphere stroke
Conclusions: Speech production is dependent on complex interactions among widely distributed brain networks, indicating that residual speech production after stroke depends on more than the restoration of local domain-specific functions. Our understanding of the recovery of function following focal lesions is not adequately captured by consideration of ipsilesional or contralesional brain regions taking over lost domain-specific functions, but is perhaps best considered as the interaction between what remains of domain-specific networks and domain-general systems that regulate behavior.
Source: Neurology - April 3, 2016 Category: Neurology Authors: Geranmayeh, F., Leech, R., Wise, R. J. S. Tags: All Cerebrovascular disease/Stroke, Aphasia ARTICLE Source Type: research