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Total 75 results found since Jan 2013.

Supporting stroke survivors to meet their personal rehabilitation needs in community-based arm rehabilitation: development of initial programme theories to explore what may work for whom, how and under what circumstances
ConclusionThis realist-informed study enabled the development of initial programme theories to explain how and in what circumstances the augmented arm rehabilitation intervention may have enabled participants to meet their personal rehabilitation needs. Encouraging participants’ sense of intrinsic motivation and building therapeutic relationships appeared instrumental. These initial programme theories require further testing, refinement, and integration with the wider literature.
Source: Frontiers in Neurology - June 2, 2023 Category: Neurology Source Type: research

International Variability of Renal and Cardiovascular Outcomes and Mortality in Patients with Type 2 Diabetes Mellitus in Europe
Conclusion: Our findings show how the longitudinal outcome of patients with type 2 diabetes varies significantly across European countries even after accounting for the distribution of underlying risk factors.Kidney Blood Press Res 2023;48:165 –174
Source: Kidney and Blood Pressure Research - April 4, 2023 Category: Urology & Nephrology Source Type: research

Adaptation and Content Validation of a Patient-Reported Measure of Treatment Burden for use in Stroke Survivors (PETS-Stroke)
Conclusions: The development of a systematic method of quantifying treatment burden from the perspective of stroke survivors will allow for the identification of patients at high risk of treatment burden and will aid the design and testing of tailored interventions aimed at lessening treatment burden.PMID:36972534 | DOI:10.1370/afm.21.s1.3647
Source: Annals of Family Medicine - March 27, 2023 Category: Primary Care Authors: Katie Gallacher Aleema Sardar Lisa Kidd Karen Wood Frances Mair David Eton Terence Quinn Source Type: research

Cardiovascular Safety in Type 2 Diabetes With Sulfonylureas as Second-line Drugs: A Nationwide Population-Based Comparative Safety Study
CONCLUSIONSOur findings contribute to the understanding that second-line SU for glucose lowering are unlikely to increase CV risk or all-cause mortality. Given their potent efficacy, microvascular benefits, cost effectiveness, and widespread use, this study supports that SU should remain a part of the global diabetes treatment portfolio.
Source: Diabetes Care - March 21, 2023 Category: Endocrinology Source Type: research

Deep-Learning for Epicardial Adipose Tissue Assessment With Computed  Tomography: Implications for Cardiovascular Risk Prediction
CONCLUSIONS: Automated assessment of EAT volume is possible in CCTA, including in patients who are technically challenging; it forms a powerful marker of metabolically unhealthy visceral obesity, which could be used for cardiovascular risk stratification.PMID:36881425 | DOI:10.1016/j.jcmg.2022.11.018
Source: Atherosclerosis - March 7, 2023 Category: Cardiology Authors: Henry W West Muhammad Siddique Michelle C Williams Lucrezia Volpe Ria Desai Maria Lyasheva Sheena Thomas Katerina Dangas Christos P Kotanidis Pete Tomlins Ciara Mahon Attila Kardos David Adlam John Graby Jonathan C L Rodrigues Cheerag Shirodaria John Dean Source Type: research

Population-wide cohort study of statin use for the secondary cardiovascular disease prevention in Scotland in 2009-2017
Conclusions Statin use remains suboptimal for the secondary ASCVD prevention, particularly in women and older patients, and following ischaemic stroke and PAD hospitalisations. Improving this would offer substantial benefits to population health at low cost.
Source: Heart - February 14, 2023 Category: Cardiology Authors: Thalmann, I., Preiss, D., Schlackow, I., Gray, A., Mihaylova, B. Tags: Open access Healthcare delivery, economics and global health Source Type: research

Unlucky numbers: Fighting murder convictions that rest on shoddy stats
LEIDEN, THE NETHERLANDS— When a Dutch nurse named Lucia de Berk stood trial for serial murder in 2003, statistician Richard Gill was aware of the case. But he saw no reason to stick his nose into it. De Berk was a pediatric nurse at Juliana Children’s Hospital in The Hague. In 2001, after a baby died while she was on duty, a colleague told superiors that De Berk had been present at a suspiciously high number of deaths and resuscitations. Hospital staff immediately informed the police. When investigators reexamined records from De Berk’s shifts, they found 10 suspicious incidents. Three other hospitals where D...
Source: Science of Aging Knowledge Environment - January 19, 2023 Category: Geriatrics Source Type: research

Prevalence And Clinical Implications Of Patent Foramen Ovale In The SCOT-HEART Trial
This study assesses the prevalence of PFO in the Scottish COmputed Tomography of the HEART (SCOT-HEART) trial and its clinical implications.
Source: Journal of Cardiovascular Computed Tomography - January 1, 2023 Category: Radiology Authors: M. Williams, S. Sanders, S. Williams, E. van Beek, E. Nicol, D. Newby Source Type: research

The effect of chronic exposure to metformin in a new type-2 diabetic NONcNZO10/LtJ mouse model of stroke
CONCLUSION: The study suggests that the prolonged effect of metformin-induced euglycemia promoted the microglial activation, reduced neuronal cell death, and improved the overall survival following stroke, without any change in infarct size.PMID:35792967 | DOI:10.1007/s43440-022-00382-z
Source: Pharmacological Reports - July 6, 2022 Category: Drugs & Pharmacology Authors: Rashmi Kumari Lisa Willing Scot R Kimball Ian A Simpson Source Type: research

What is important in supporting self-management in community stroke rehabilitation? A Q methodology study
CONCLUSIONS: Differing views exist on what is most important in SSM. These views could be used to inform quality improvement strategies to support the delivery of SSM that considers the preferences of stroke survivors. IMPLICATIONS FOR REHABILITATIONClinicians should be aware of their own viewpoint of supported self-management and consider how their perspective may differ from stroke survivors' and colleagues' perspectives of what's important to support self-management.Working in partnership with stroke survivors plus developing a trusting and supportive relationship with them are core components of supporting self-managem...
Source: Disability and Rehabilitation - June 27, 2022 Category: Rehabilitation Authors: Julie Duncan Millar Helen Mason Lisa Kidd IMPETUS Research Team Source Type: research

We Walk: a person-centred, dyadic behaviour change intervention to promote physical activity through outdoor walking after stroke--an intervention development study
Conclusions Our multilens intervention development approach ensured this novel intervention was evidence-informed, person-centred, theoretically coherent provided appropriate social support, and addressed issues of concern to PWS. This study established intervention components and structure and identified operational issues critical to future success. Future research will pilot and refine We Walk and evaluate acceptability, feasibility, effectiveness and cost-effectiveness. Trial registration number ISRCTN34488928.
Source: BMJ Open - June 14, 2022 Category: General Medicine Authors: Morris, J. H., Irvine, L. A., Dombrowski, S. U., McCormack, B., Van Wijck, F., Lawrence, M. Tags: Open access, Rehabilitation medicine Source Type: research

When the cupboard is bare: Impact of low pay revealed by conference
On a busy opening day of UNISON’s women’s conference – held virtually because of the continuing pandemic – delegates worked hard to ensure they have every chance of getting through the entire agenda. Irene Graham from Northern Ireland told delegates about that region’s relaunch of the Feminist Recover Plan, which highlights the effects of both the pandemic and Brexit on women. Conference voted to support the region’s plan and called on the national committee to use it as a model to shape its future work. Describing the struggle low-paid women workers have to survive on “on the hamster wheel of life”, Laura ...
Source: UNISON meat hygiene - February 18, 2022 Category: Food Science Authors: Amanda Kendal Tags: Article News 2022 National Womens Conference Source Type: news

Association of severe mental illness with stroke outcomes and process-of-care quality indicators: nationwide cohort study
CONCLUSIONS: Pre-existing SMI was associated with higher risks of mortality and further vascular events. Urgent action is needed to better understand and address the reasons for these disparities.PMID:35049490 | DOI:10.1192/bjp.2021.120
Source: The British Journal of Psychiatry for Mental Science - January 20, 2022 Category: Psychiatry Authors: Kelly Fleetwood Sarah H Wild Daniel J Smith Stewart W Mercer Kirsty Licence Cathie L M Sudlow Caroline A Jackson Source Type: research