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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

Risk of warfarin-associated intracerebral haemorrhage after ischaemic stroke is low and unchanged during the 2000s
Commentary on: Asberg A, Erisksson M, Henriksson KM, et al.. Warfarin-associated intracerebral hemorrhage after ischemic stroke. Stroke 2014;45:2118–20. Context Since its isolation during the early half of the 20th century from the mouldy hay responsible for ‘sweet clover disease’ in cattle, warfarin has become the most widely used oral anticoagulant.1 Indications include atrial fibrillation (AF), mechanical prosthetic valves and venous thromboembolism treatment.2 Warfarin reduces stroke risk in patients with AF by nearly two-thirds; AF accounts for 20% of ischaemic strokes, which tend to be more severe t...
Source: Evidence-Based Medicine - January 21, 2015 Category: Internal Medicine Authors: Ruland, S., Biller, J. Tags: Epidemiologic studies, Drugs: cardiovascular system, Stroke, Hypertension, Alcohol-related disorders, Drugs misuse (including addiction), Arrhythmias, Alcohol, Health education Aetiology/Harm Source Type: research

Anxiety and working memory after stroke: implications for norm-referenced methods of identifying cognitive deficits
It is well established that stroke can result in impairments of cognitive functioning, particularly early after stroke onset.1 These cognitive impairments have a negative impact on activities of daily living,2 and are associated with lower mood and poorer quality of life.3 Improvement of cognitive functioning is therefore an important goal of rehabilitation. In clinical settings, the presence of cognitive impairment is usually determined by means of standardised psychometric assessment. A patient's cognitive test performance is compared to the performance of a non-stroke control group on the same test(s). The most appropri...
Source: Journal of Neurology, Neurosurgery and Psychiatry - April 13, 2015 Category: Neurosurgery Authors: Gillespie, D. C. Tags: Stroke, Memory disorders (psychiatry) Editorial commentaries 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

Diet And Primary Prevention Of Stroke: Systematic Review And Dietary Recommendations By The Ad Hoc Working Group Of The Italian Society Of Human Nutrition
To systematically review the latest evidence on established and emerging nutrition-related risk factors for incidence of and mortality from total, ischemic and haemorrhagic strokes.The present review was conducted in the framework of the work carried out through 2015 and 2016 for the preparation of the Italian Guidelines for the Prevention and Treatment of Stroke, 8th Edition, by ISO-SPREAD (Italian Stroke Organization and the Stroke Prevention and Educational Awareness Diffusion).
Source: Nutrition, Metabolism, and Cardiovascular Diseases : NMCD - January 15, 2018 Category: Nutrition Authors: Licia Iacoviello, Marialaura Bonaccio, Giulia Cairella, Maria Valeria Catani, Simona Costanzo, Rosalba Giacco, Domenico Rendina, Paola Sabino, Isabella Savini, Pasquale Strazzullo, Working Group for Nutrition and Stroke Tags: Systematic Reviews and Meta-analyses Source Type: research

Spreading Awareness of Stroke through School-Based Education: A Pooled Analysis of Three Community-Based Studies
Advancing school-based education is a promising means to spread knowledge pertaining to stroke. The aim of the current study was to clarify whether stroke lessons provided by schoolteachers could deliver stroke knowledge to children (aged 9-11 years) and their parents, at a similar level to when taught by medical staff.
Source: Journal of Stroke and Cerebrovascular Diseases - March 12, 2018 Category: Neurology Authors: Tenyu Hino, Chiaki Yokota, Kunihiro Nishimura, Michikazu Nakai, Suzuka Kato, Kazuyo Kuwabara, Hidehiro Takekawa, Takuro Arimizu, Shinya Tomari, Shinichi Wada, Hideyuki Ohnishi, Kazunori Toyoda, Tomonori Okamura, Kazuo Minematsu Source Type: research