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Short-Term Blood Pressure Variability in Acute Stroke: Post Hoc Analysis of the Controlling Hypertension and Hypotension Immediately Post Stroke and Continue or Stop Post-Stroke Antihypertensives Collaborative Study Trials Clinical Sciences
Conclusions— When derived from casual cuff BP measures, short-term BPV is not a useful predictor of early (2 weeks) outcome after acute stroke. Differing methodology may account for the discordance with previous studies indicating long-term (casual BPV) and short-term (beat-to-beat BPV) prognostic value. Clinical Trial Registration— COSSACS was registered on the International Standard Randomised Controlled Trial Register; URL: http://www.isrctn.com. Unique identifier: ISRCTN89712435. CHHIPS was registered on the National Research Register; URL: http://public.ukcrn.org.uk. Unique identifier: N0484128008.
Source: Stroke - May 22, 2015 Category: Neurology Authors: Manning, L. S., Mistri, A. K., Potter, J., Rothwell, P. M., Robinson, T. G. Tags: Cerebrovascular disease/stroke, Clinical Studies, Acute Stroke Syndromes Clinical Sciences Source Type: research

Obesity Increases Risk of Ischemic Stroke in Young Adults Brief Reports
Conclusions— These results indicate that obesity is a risk factor for young onset ischemic stroke and suggest that this association may be partially mediated through hypertension, diabetes mellitus, or other variables associated with these conditions.
Source: Stroke - May 22, 2015 Category: Neurology Authors: Mitchell, A. B., Cole, J. W., McArdle, P. F., Cheng, Y.-C., Ryan, K. A., Sparks, M. J., Mitchell, B. D., Kittner, S. J. Tags: Risk Factors for Stroke Brief Reports Source Type: research

Sitting time and physical activity after stroke: physical ability is only part of the story.
CONCLUSIONS: Physical factors, such as walking ability, may influence sitting and activity time in people with stroke, yet much of the variance in daily sitting time remains unexplained. Large prospective studies are required to understand the drivers of activity and sitting time. PMID: 26257146 [PubMed - as supplied by publisher]
Source: Topics in Stroke Rehabilitation - August 10, 2015 Category: Neurology Authors: English C, Healy GN, Coates A, Lewis LK, Olds T, Bernhardt J Tags: Top Stroke Rehabil Source Type: research

Trends in Stroke Incidence and 28-Day Case Fatality in a Nationwide Stroke Registry of a Multiethnic Asian Population Clinical Sciences
Conclusion— This is the first countrywide hospital-based registry study in a multiethnic Asian population, and it revealed marked overall reductions in stroke incidence and case fatality. However, it also identified important population groups with less favorable trends, especially younger adults and those of Malay ethnicity.
Source: Stroke - September 28, 2015 Category: Neurology Authors: Tan, C. S., Muller-Riemenschneider, F., Ng, S. H. X., Tan, P. Z., Chan, B. P. L., Tang, K.-F., Ahmad, A., Kong, K. H., Chang, H. M., Chow, K. Y., Koh, G. C.-H., Venketasubramanian, N., for the Singapore Stroke Registry Tags: Epidemiology Clinical Sciences Source Type: research

Contributions of voluntary activation deficits to hand weakness after stroke.
CONCLUSIONS: Although extrinsic finger muscles could be successfully recruited electrically, voluntary excitation of these muscles was substantially limited in stroke survivors. Thus, finger weakness after stroke results predominantly from the inability to fully activate the muscle voluntarily. PMID: 26427599 [PubMed - as supplied by publisher]
Source: Topics in Stroke Rehabilitation - October 2, 2015 Category: Neurology Authors: Hoffmann G, Conrad MO, Qiu D, Kamper DG Tags: Top Stroke Rehabil Source Type: research

The Effect of Telemedicine on Access to Acute Stroke Care in Texas: The Story of Age Inequalities.
Conclusion. Our survey of Texas hospitals found that as the median age of a block group increased, the odds of having access to acute stroke care decreased. PMID: 26543664 [PubMed]
Source: Stroke Research and Treatment - November 7, 2015 Category: Neurology Tags: Stroke Res Treat Source Type: research

Incidence of Stroke or Systemic Embolism in Paroxysmal Versus Sustained Atrial Fibrillation: The Fushimi Atrial Fibrillation Registry Clinical Sciences
Conclusions— In this large cohort of Japanese patients with AF, PAF was independently associated with lower incidence of stroke/systemic embolism than sustained AF. This may aid decision making for anticoagulation, especially in those patients with AF with few stroke risk factors. Clinical Trial Registration— URL: http://www.umin.ac.jp/ctr/index.htm. Unique identifier: UMIN000005834.
Source: Stroke - November 23, 2015 Category: Neurology Authors: Takabayashi, K., Hamatani, Y., Yamashita, Y., Takagi, D., Unoki, T., Ishii, M., Iguchi, M., Masunaga, N., Ogawa, H., Esato, M., Chun, Y.-H., Tsuji, H., Wada, H., Hasegawa, K., Abe, M., Lip, G. Y. H., Akao, M. Tags: Atrial Fibrillation, Cerebrovascular Disease/Stroke Clinical Sciences Source Type: research

Association of Dietary Protein Consumption With Incident Silent Cerebral Infarcts and Stroke: The Atherosclerosis Risk in Communities (ARIC) Study Clinical Sciences
Conclusions— This study supports the notion that consumption of red meat may increase the risk of ischemic stroke. No association between dietary protein intake and silent cerebral infarcts was found.
Source: Stroke - November 23, 2015 Category: Neurology Authors: Haring, B., Misialek, J. R., Rebholz, C. M., Petruski-Ivleva, N., Gottesman, R. F., Mosley, T. H., Alonso, A. Tags: Epidemiology, Computerized Tomography (CT), Ischemic Stroke Clinical Sciences Source Type: research

Socioeconomic Conditions in Childhood, Adolescence, and Adulthood and the Risk of Ischemic Stroke Clinical Sciences
Conclusions— This study supports the hypothesis that unfavorable childhood socioeconomic conditions are related to ischemic stroke risk, independent of established risk factors and socioeconomic status in adulthood, and fosters the idea that stroke prevention needs to begin early in life.
Source: Stroke - December 28, 2015 Category: Neurology Authors: Becher, H., Palm, F., Aigner, A., Safer, A., Urbanek, C., Buggle, F., Grond-Ginsbach, C., Grau, A. J. Tags: Epidemiology, Primary Prevention, Secondary Prevention, Cerebrovascular Disease/Stroke, Ischemic Stroke Clinical Sciences Source Type: research

Rates, Predictors, and Outcomes of Early and Late Recurrence After Stroke: The North Dublin Population Stroke Study Brief Reports
Conclusions— Despite rigorous ascertainment, recurrent stroke rates were lower in current study than in earlier studies. Our data suggest that large sample sizes may be needed for future secondary prevention trials in patients treated with modern preventive medications.
Source: Stroke - December 28, 2015 Category: Neurology Authors: Callaly, E., Ni Chroinin, D., Hannon, N., Marnane, M., Akijian, L., Sheehan, O., Merwick, A., Hayden, D., Horgan, G., Duggan, J., Murphy, S., ORourke, K., Dolan, E., Williams, D., Kyne, L., Kelly, P. J. Tags: Cerebrovascular Disease/Stroke Brief Reports Source Type: research

Impaired Higher-Level Functional Capacity as a Predictor of Stroke in Community-Dwelling Older Adults: The Ohasama Study Clinical Sciences
Conclusions— Impaired higher-level functional capacity, especially in the domain of intellectual activity, was a predictor of stroke, even among community-dwelling older adults with independent basic activities of daily living at baseline. Monitoring of higher-level functional capacity might be useful to detect those at higher risk of developing stroke in the future.
Source: Stroke - January 25, 2016 Category: Neurology Authors: Murakami, K., Tsubota-Utsugi, M., Satoh, M., Asayama, K., Inoue, R., Ishiguro, A., Matsuda, A., Kanno, A., Yasui, D., Murakami, T., Metoki, H., Kikuya, M., Imai, Y., Ohkubo, T. Tags: Epidemiology, Primary Prevention, Cerebrovascular Disease/Stroke Clinical Sciences Source Type: research

Short Leukocyte Telomere Length Is Associated With Cardioembolic Stroke Risk in Patients With Atrial Fibrillation Brief Reports
Conclusions— Telomere shortening is associated with cardioembolic stroke risk in patients with AF. Prospective studies are encouraged to establish the value of LTL to improve prediction tools to categorize cardioembolic stroke risk in AF.
Source: Stroke - February 22, 2016 Category: Neurology Authors: Allende, M., Molina, E., Gonzalez-Porras, J. R., Toledo, E., Lecumberri, R., Hermida, J. Tags: Atrial Fibrillation, Risk Factors, Genetics, Cerebrovascular Disease/Stroke, Ischemic Stroke Brief Reports Source Type: research

Somatosensory deficits after stroke: a scoping review.
Abstract In the past years, there have been increasing research activities focusing on somatosensory symptoms following stroke. However, as compared to the large number of clinical and neuroimaging studies on motor symptoms, the number of studies tracing somatosensory symptoms after stroke and their recovery is rather small. It is an ongoing discussion, to which extent somatosensory deficits after stroke influence patient's long-term outcome in motor and sensory performance and functional independence in activities of daily living. Modern brain imaging techniques allow for studying the impact of stroke lesion loca...
Source: Topics in Stroke Rehabilitation - March 31, 2016 Category: Neurology Authors: Kessner SS, Bingel U, Thomalla G Tags: Top Stroke Rehabil Source Type: research

The Development of the Improving Participation after Stroke Self-Management Program (IPASS): An Exploratory Randomized Clinical Study.
CONCLUSIONS: These results provide early support for the use of IPASS to help improve self-efficacy to manage health behaviors and to improve participation post-stroke. Further investigation is warranted to confirm these findings with an active control group and a more sensitive outcome measure to capture participation changes. PMID: 27077987 [PubMed - as supplied by publisher]
Source: Topics in Stroke Rehabilitation - March 15, 2016 Category: Neurology Authors: Wolf TJ, Baum CM, Lee D, Hammel J Tags: Top Stroke Rehabil Source Type: research

Importance of squatting and sitting on the floor: perspectives and priorities of rural Indian patients with stroke.
CONCLUSIONS: Because a substantial proportion of patients with stroke identified DKF activities as very important for performing major daily activities, independent performance of squatting and sitting on the floor should be considered as one of the important rehabilitation goals for patients with stroke. PMID: 27077986 [PubMed - as supplied by publisher]
Source: Topics in Stroke Rehabilitation - March 14, 2016 Category: Neurology Authors: Prakash V, R Patel S, Hariohm K, S Soni V, Alagumoorthi G Tags: Top Stroke Rehabil Source Type: research