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Total 184 results found since Jan 2013.
Survey of Image Quality in Irish Stroke CT Protocols
Non-contrast computed tomography (NCCT) of the brain is a critical tool in the investigation of suspected acute ischaemic stroke. The recognition of subtle differences in attenuation values between normal brain parenchyma and regions of ischaemic tissue may be crucial to accurate and timely diagnosis. Radiologists at MMUH have been concerned with inconsistencies in image quality received from the various scanners and hospitals. Our study aimed to investigate the variation in imaging protocols for suspected acute stroke at different institutions in the regional hospital network using an objective measure of low contrast detectability (LCD).
Source: Physica Medica: European Journal of Medical Physics - April 1, 2021 Category: General Medicine Authors: David Caldwell, John Hynes, Peter MacMahon, Patrick Kenny Source Type: research
Reminiscence therapy serves as an optional nursing care strategy in attenuating cognitive impairment, anxiety, and depression in acute ischemic stroke patients
ConclusionReminiscence therapy cripples cognitive impairment, anxiety, and depression, but does not affect RFS in AIS patients, indicating its potential for post-stroke management.
Source: Irish Journal of Medical Science - March 23, 2021 Category: General Medicine Source Type: research
Audit of inpatient acute stroke services in a university teaching hospital, 2020
DiscussionUsing national and international audit data as an institutional benchmark provides a standard with which a service can be compared to highlight areas for improvement. We identified mood screening, swallow screening, thrombectomy rates, length of stay and time to neuroimaging as key areas for development in our centre. We are cur rently completing a process map to determine cause, effect, and solutions, and we will implement change using PDSA methodology as per SQUIRE 2.0 guidelines. The results of the re-audit cycle for 2020 will be available in 2021 to inform our progress. Ongoing quality improvement is esse...
Source: Irish Journal of Medical Science - March 16, 2021 Category: General Medicine Source Type: research
A Neurodisparity Index of Nationwide Access to Neurological Health Care in Northern Ireland
Nationwide disparities in managing neurological patients have rarely been reported. We compared neurological health care between the population who reside in a Health and Social Care Trust with a tertiary neuroscience center and those living in the four non-tertiary center Trusts in Northern Ireland. Using the tertiary center Trust population as reference, neurodisparity indices (NDIs) defined as the number of treated patients resident in each Trust per 100,000 residents compared to the same ratio in the tertiary center Trust for a fixed time period. NDIs were calculated for four neurological pathways—intravenous thrombo...
Source: Frontiers in Neurology - February 12, 2021 Category: Neurology Source Type: research
Inclusion of stroke patients in expanded cardiac rehabilitation services: a cross-national qualitative study with cardiac and stroke rehabilitation professionals.
CONCLUSIONS: Hybrid cardiac rehabilitation programmes could be tailored to deliver stroke-specific education, exercises and multidisciplinary expertise. Post-stroke cognitive impairment was identified as a key barrier to participation in cardiac rehabilitation. A cognitive rehabilitation intervention could potentially be delivered as part of cardiac rehabilitation, to address the cognitive needs of stroke and cardiac patients. Implications for rehabilitation The cardiac rehabilitation model has the potential to be expanded to include mild stroke patients given the commonality of secondary prevention needs. Up to half of st...
Source: Disability and Rehabilitation - February 2, 2021 Category: Rehabilitation Authors: Jeffares I, Merriman NA, Doyle F, Horgan F, Hickey A Tags: Disabil Rehabil Source Type: research
Exploration of patient- and relative-reported outcomes of cognitive, emotional, and social function after encephalitis.
Conclusions: Individuals affected by encephalitis experience the most significant symptoms in the somatic, cognitive, and communication domains. Outcomes as assessed by relatives were notably worse than those assessed by individuals themselves in nearly all domains.
PMID: 33356613 [PubMed - as supplied by publisher]
Source: Brain Injury - December 29, 2020 Category: Neurology Tags: Brain Inj Source Type: research
Ferritin reduction is essential for cerebral ischemia-induced hippocampal neuronal death through p53/SLC7A11-mediated ferroptosis.
This study explores the influence of lentivirus infection-induced ferritin overexpression in hippocampal neuronal injury and death through simulations in August Copenhagen Irish rat models. Twenty-four-hour cerebral ischemia-reperfusion injury was induced in the rats after 90-min middle cerebral artery occlusion (MCAO). Ferritin overexpression was induced through lentivirus infection. The Morris Water Maze (MWM) test and tau hyperphosphorylation test were performed on hippocampal neurons to establish a MCAO model. The effect of ferritin overexpression on hippocampal neuronal death was evaluated using hematoxylin-eosin stai...
Source: Brain Research - December 14, 2020 Category: Neurology Authors: Chen W, Jiang L, Hu Y, Tang N, Liang N, Li XF, Chen YW, Qin H, Wu L Tags: Brain Res Source Type: research
Stroke impairment categories: A new way to classify the effects of stroke based on stroke-related impairments.
CONCLUSIONS: A classification system of seven Stroke Impairment Categories has been presented.
PMID: 33131321 [PubMed - as supplied by publisher]
Source: Clinical Rehabilitation - November 1, 2020 Category: Rehabilitation Authors: Gittins M, Lugo-Palacios D, Vail A, Bowen A, Paley L, Bray B, Tyson S Tags: Clin Rehabil Source Type: research
IJERPH, Vol. 17, Pages 7203: The Prevalence of Cognitive Impairment on Admission to Nursing Home among Residents with and without Stroke: A Cross –Sectional Survey of Nursing Homes in Ireland
IJERPH, Vol. 17, Pages 7203: The Prevalence of Cognitive Impairment on Admission to Nursing Home among Residents with and without Stroke: A Cross–Sectional Survey of Nursing Homes in Ireland
International Journal of Environmental Research and Public Health doi: 10.3390/ijerph17197203
Authors:
Nora-Ann Donnelly
Eithne Sexton
Niamh A. Merriman
Kathleen E. Bennett
David J Williams
Frances Horgan
Paddy Gillespie
Anne Hickey
Maev-Ann Wren
Post–stroke cognitive impairment (PSCI) is a common consequence of stroke. Epidemiological evidence indicates that, with an ageing population, stroke an...
Source: International Journal of Environmental Research and Public Health - September 30, 2020 Category: Environmental Health Authors: Nora-Ann Donnelly Eithne Sexton Niamh A. Merriman Kathleen E. Bennett David J Williams Frances Horgan Paddy Gillespie Anne Hickey Maev-Ann Wren Tags: Article Source Type: research
Association of RAGE with acute ischemic stroke prognosis in type 2 diabetes
ConclusionAcute ischemic stroke is associated with elevated serum RAGE level, which, at admission, is an independent predictor of poor outcome for stroke in type 2 diabetes.
Source: Irish Journal of Medical Science - September 27, 2020 Category: General Medicine Source Type: research
Recognizing dysphagia: implementation of an in-hospital screening protocol
ConclusionsDespite its limitations, this study demonstrates that dysphagia screening produces a significant impact on patients ’ lives, as well as healthcare professionals and resources. We hope that our results will encourage others to adopt a patient-centred multidisciplinary approach that includes a dysphagia screening protocol.
Source: Irish Journal of Medical Science - September 21, 2020 Category: General Medicine Source Type: research
Inclusion of medical fitness to drive in medical postgraduate training curricula.
CONCLUSION: There are notable deficits in MFTD training for specialists in Ireland and the UK. Common conditions which can significantly impair MFTD such as stroke, diabetes and alcohol use disorders are severely underrepresented and curricula should be revisited to include relevant training and guidance on MFTD for trainees.
PMID: 32936112 [PubMed - as supplied by publisher]
Source: Journal of the Royal College of Physicians of Edinburgh - September 17, 2020 Category: General Medicine Tags: J R Coll Physicians Edinb Source Type: research
Short-Term Air Pollution as a Risk for Stroke Admission: A Time-Series Analysis
We examined the impact of different air pollutants (PM2.5, PM10, NO2, ozone, and SO2) on admission for all strokes in two Irish urban centres from 2013 to 2017.Methods: Using an ecological time series design with Poisson regression models, we analysed daily hospitalisation for all strokes and is chaemic stroke by residence in Dublin or Cork, with air pollution level monitoring data with a lag of 0–2 days from exposure. Splines of temperature, relative humidity, day of the week, and time were included as confounders. Analysis was also performed across all four seasons. Data are presented as relative risks (RRs) and 95% ...
Source: Cerebrovascular Diseases - August 10, 2020 Category: Neurology Source Type: research
Blood pressure control in patients with a previous stroke/transient ischaemic attack in primary care in Ireland: a cross sectional study
Uncontrolled blood pressure (BP) is an important modifiable risk factor for recurrent stroke. Secondary prevention measures when implemented can reduce stroke re-occurrence by 80%. However, hypertension contro...
Source: BMC Family Practice - July 10, 2020 Category: Primary Care Authors: R óisín Doogue, David McCann, Noirin Fitzgerald, Andrew W. Murphy, Liam G. Glynn and Peter Hayes Tags: Research article Source Type: research
Reminiscence therapy –based care program relieves post-stroke cognitive impairment, anxiety, and depression in acute ischemic stroke patients: a randomized, controlled study
ConclusionRTBC could help reduce cognitive impairment, anxiety, and depression in post-stroke management for AIS patients.
Source: Irish Journal of Medical Science - June 22, 2020 Category: General Medicine Source Type: research
