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NIHSS Score May Help Predict Health Literacy Levels after Acute Ischemic Stroke (P7.158)
CONCLUSIONS: This study suggests that there may be an association between the NIHSS score and HL levels in patients hospitalized with AIS. Additional studies incorporating a larger number of patients are warranted to discern if this is a true association. Patient NIHSS score might be a factor healthcare professionals can utilize to help identify hospitalized AIS patients who require intensive stroke risk reduction education.Study Supported by:University of Florida COM - Jacksonville Dean's GrantDisclosure: Dr. Sanders has received personal compensation for activities with Biogen Idec. Dr. Sanders has received research supp...
Source: Neurology - April 9, 2014 Category: Neurology Authors: Sanders, K., Smotherman, C., Silliman, S. Tags: Cerebrovascular Disease and Interventional Neurology: Post-Stroke Function Source Type: research

Stroke Education Program of Act FAST for Junior High School Students and Their Parents
Conclusions: Our stroke education program improved stroke knowledge, especially the FAST message, for junior high school students and their parents.
Source: Journal of Stroke and Cerebrovascular Diseases - October 4, 2013 Category: Neurology Authors: Tatsuo Amano, Chiaki Yokota, Yuki Sakamoto, Yuya Shigehatake, Yasuteru Inoue, Akiko Ishigami, Takaaki Hagihara, Yasuhiro Tomii, Fumio Miyashita, Kazunori Toyoda, Kazuo Minematsu Tags: Original Articles Source Type: research

Basal ganglia stroke and apathy: a clinico-radiological study (P7.136)
CONCLUSIONS: Apathy is more prevalent and more severe in patients with bilateral basal ganglia stroke suggesting that damage to bilateral circuits play a role in clinical apathy. The posterior limb of the internal capsule seems to be involved in pathological apathy process. Relation of apathy with depression will be discussed.Disclosure: Dr. THOMAS has nothing to disclose. Dr. VIAKHIREVA-DOVGANYUK has nothing to disclose. Dr. VOLLE has nothing to disclose. Dr. BEN SALEM has nothing to disclose. Dr. Verin has nothing to disclose. Dr. LEVY has nothing to disclose. Dr. TIMSIT has nothing to disclose.
Source: Neurology - April 8, 2015 Category: Neurology Authors: Thomas, E., Viakhireva-Dovganyuk, I., Volle, E., Ben Salem, D., Verin, M., Levy, R., Timsit, S. Tags: Cerebrovascular Disease and Interventional Neurology: Stroke, Depression, and Anxiety Source Type: research

Intravenous Tissue Plasminogen Activator Treatment for Acute Ischemic Stroke in the REGARDS Study (P7.138)
CONCLUSIONS:Our study of unselected US hospitals showed low tPA utilization. Documented reasons for non-use were suboptimal with the lowest among patients not evaluated by a stroke team. Our sample was not limited to hospitals participating in national quality improvement programs, thus increasing generalizability. Strategies that focus on earlier hospital arrival and educating both the public and healthcare field to increase tPA utilization are urgently needed.Disclosure: Dr. Sands has nothing to disclose. Dr. Albright has nothing to disclose. Dr. Blackburn has nothing to disclose. Dr. Boehme has nothing to disclose. Dr. ...
Source: Neurology - April 8, 2015 Category: Neurology Authors: Sands, K., Albright, K., Blackburn, J., Boehme, A., Howard, G., Howard, V., Judd, S., Kissela, B., Limdi, N., Rhodes, D., Shiue, H., Sisson, A., Safford, M. Tags: Cerebrovascular Disease and Interventional Neurology: Race, Ethnicity, and Stroke Source Type: research

Effects of a Comprehensive Reminder System Based on the Health Belief Model for Patients Who Have Had a Stroke on Health Behaviors, Blood Pressure, Disability, and Recurrence From Baseline to 6 Months: A Randomized Controlled Trial
Conclusion The comprehensive reminder system improved patients' health behaviors and medication adherence and reduced blood pressure and disability; the effect extended to 6 months after discharge.
Source: Journal of Cardiovascular Nursing - February 12, 2020 Category: Nursing Tags: ARTICLES: Stroke Source Type: research

Effect of Health Education on Level of Awareness and Knowledge of Nigerian In-School adolescents on Stroke and Its Risk Factors
This study employed a quasi-experimental study design and was conducted in secondary schools in Ile-Ife, Osun State, Nigeria.
Source: Journal of Stroke and Cerebrovascular Diseases - March 11, 2020 Category: Neurology Authors: Morenikeji A. Komolafe, Oluwatosin E. Olorunmoteni, Funmito O. Fehintola Source Type: research

Educating Caregivers to Reduce Complications and Improve Outcomes of Stroke Patients (ECCOS) – A Cluster-Randomized Trial
Stroke is a leading cause of mortality and morbidity.1,2 Post-stroke complications were found to be significant predictors of mortality and morbidity.3-9 Patients treated in organized stroke units had better results,10 partly attributed to prevention of complications.11 As India has a limited number of stroke units,12 most stroke patients are managed in general wards potentially leading to sub-optimal outcomes.13
Source: Journal of Stroke and Cerebrovascular Diseases - July 13, 2021 Category: Neurology Authors: Radhakrishna Pedapati, Rohit Bhatia, Maneesh Shakywar, Akash Gupta, Sreenivas Vishnubhatla, M. V. Padma Srivastava, Manjari Tripathi, Mamta Bhushan Singh, Rajesh Kumar Singh, Vishnu V. Y, Roopa Rajan, Anu Gupta, Rajeev Aggarwal, Kameshwar Prasad Source Type: research

Effectiveness of Public Education Campaigns for Stroke Symptom Recognition and Response in Non-Elderly Adults: A Systematic Review and Meta-Analysis
This study investigated the effectiveness of stroke campaigns in improving stroke symptom recognition and intention to call emergency medical services in adults aged
Source: Journal of Stroke and Cerebrovascular Diseases - November 26, 2021 Category: Neurology Authors: Jiayi Tan, Sheena Ramazanu, Sok Ying Liaw, Wei Ling Chua Tags: Review Article Source Type: research

A phase II randomised controlled trial evaluating the feasibility and preliminary efficacy of an education program on speech-language pathologist' self-efficacy, and self-rated competency for counselling to support psychological wellbeing in people with post-stroke aphasia
CONCLUSIONS: The demonstrated feasibility and preliminary efficacy of this online counseling program warrant a future definitive trial.PMID:36440678 | DOI:10.1080/10749357.2022.2145736
Source: Topics in Stroke Rehabilitation - November 28, 2022 Category: Neurology Authors: Jasvinder K Sekhon Jennifer Oates Ian Kneebone Miranda L Rose Source Type: research

Insurance Status and Outcome after Intracerebral Hemorrhage: Findings from Get With The Guidelines-Stroke
Backgound: Few studies have examined associations among insurance status, treatment, and outcomes in patients hospitalized for intracerebral hemorrhage (ICH).Methods: Through retrospective analyses of the Get With The Guidelines (GWTG)-Stroke database, a national prospective stroke registry, from April 2003 to April 2011, we identified 95,986 nontransferred subjects hospitalized with ICH. Insurance status was categorized as Private/Other, Medicaid, Medicare, or None/Not Documented (ND). Associations between insurance status and in-hospital outcomes and quality of care measures were analyzed using patient- and hospital-spec...
Source: Journal of Stroke and Cerebrovascular Diseases - March 28, 2013 Category: Neurology Authors: Michael L. James, Maria V. Grau-Sepulveda, DaiWai M. Olson, Eric E. Smith, Adrian F. Hernandez, Eric D. Peterson, Lee H. Schwamm, Deepak L. Bhatt, Gregg C. Fonarow Tags: Original Articles Source Type: research

Translation of the ‘time is brain’ concept into clinical practice: Focus on prehospital stroke management
Acute stroke is one of the main causes of death and chronic disability. Thrombolysis with recombinant tissue plasminogen activator within the first hours after onset of symptoms is an effective therapeutic option for ischemic stroke. However, fewer than 2% to 7% of patients receive this treatment, primarily because most patients reach the hospital too late for the initiation of successful therapy. Several measures can reduce detrimental delay until treatment. It is of importance to use continual public awareness campaigns to reduce delays in patients' alarm of emergency medical services. Further relevant measures are repet...
Source: International Journal of Stroke - March 4, 2014 Category: Neurology Authors: A. Ragoschke‐Schumm, S. Walter, A. Haass, C. Balucani, M. Lesmeister, A. Nasreldein, L. Sarlon, A. Bachhuber, T. Licina, I. Q. Grunwald, K. Fassbender Tags: Review Source Type: research

Aspirin plus clopidogrel in acute minor ischaemic stroke or transient ischaemic attack is superior to aspirin alone for stroke risk reduction: CHANCE trial
Commentary on: Wang Y, Wang Y, Zhao X, et al.. Clopidogrel with aspirin in acute minor stroke or transient ischemic attack. N Engl J Med 2013;369:11–19. Context Combination therapy with aspirin added to clopidogrel has had a disappointing record in the prevention of recurrent stroke. The management of atherothrombosis with clopidogrel in high-risk patients (MATCH)1 and the secondary prevention of small subcortical strokes (SPS3)2 randomised controlled trials (RCTs) showed that combination therapy was not more effective than clopidogrel or aspirin alone, but was associated with two to three times the risk of major or ...
Source: Evidence-Based Medicine - March 19, 2014 Category: Internal Medicine Authors: Gorelick, P. B., Farooq, M. U. Tags: Smoking and tobacco, Clinical trials (epidemiology), Genetics, Stroke, Hypertension, Diabetes, Health education, Smoking Therapeutics Source Type: research

Impact of living and socioeconomic characteristics on cardiovascular risk in ischemic stroke patients
ConclusionVascular risk in stroke patients in low‐ and middle‐income countries varies not only with the number of arterial beds involved but also with socioeconomic variables.
Source: International Journal of Stroke - June 13, 2014 Category: Neurology Authors: Pierre Amarenco, Halim Abboud, Julien Labreuche, Antonio Arauz, Alan Bryer, Pablo M. Lavados, Ayrton Massaro, Mario Munoz Collazos, Philippe Gabriel Steg, Bassem I. Yamout, Eric Vicaut, Tags: Research Source Type: research

Testing devices for the prevention and treatment of stroke and its complications
We are entering a challenging but exciting period when many new interventions may appear for stroke based on the use of devices. Hopefully these will lead to improved outcomes at a cost that can be afforded in most parts of the world. Nevertheless, it is vital that lessons are learnt from failures in the development of pharmacological interventions (and from some early device studies), including inadequate preclinical testing, suboptimal trial design and analysis, and underpowered studies. The device industry is far more disparate than that seen for pharmaceuticals; companies are very variable in size and experience in str...
Source: International Journal of Stroke - July 17, 2014 Category: Neurology Authors: Philip M. Bath, Michael Brainin, Chloe Brown, Bruce Campbell, Stephen M. Davis, Geoffrey A. Donnan, Gary A. Ford, Werner Hacke, Cynthia Iglesias, Kennedy R. Lees, Stacey S. Pugh, Jeff L. Saver, Peter D. Schellinger, Thomas Truelsen Tags: Opinion Source Type: research