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IJERPH, Vol. 19, Pages 16345: Post-Stroke Experiences and Rehabilitation Needs of Community-Dwelling Chinese Stroke Survivors: A Qualitative Study
i Liang Stroke survivors encounter significant limitations in daily life activities and face increased risk of health complications such as stroke recurrence. Considering the escalating demand for personalised community rehabilitation services, this qualitative study was conducted to understand the current recovery experiences, needs, and expectations of community-dwelling stroke survivors. Fifty stroke survivors were recruited from two tertiary teaching hospitals and community centres in two provinces in mainland China. Semi-structured interviews were carried out, and participants were asked to describe their experien...
Source: International Journal of Environmental Research and Public Health - December 6, 2022 Category: Environmental Health Authors: Janita Pak Chun Chau Suzanne Hoi Shan Lo Laveeza Butt Surui Liang Tags: Article Source Type: research

Adverse events are not increased with trainee participation in transcarotid revascularization
CONCLUSION: Vascular surgery trainee's involvement during TCAR did not increase adverse outcomes, such as stroke and death, in the perioperative period. The results presented herein should encourage other teaching institutions to provide surgical trainees with supervised, hands-on experience during TCAR.PMID:36377465 | DOI:10.1177/17085381221140158
Source: Vascular - November 15, 2022 Category: Surgery Authors: Regina Husman Akiko Tanaka Naveed U Saqib Aleem Mirza Mitchell J George Arash Keyhani Kourosh Keyhani S Keisin Wang Source Type: research

Resiliency intervention for patient-caregiver dyads in the Neuro-ICU: Study protocol for a single-blind randomized clinical trial
DISCUSSION: If successful, we plan to test RT in a large-scale, multisite hybrid effectiveness-implementation study in Neuro-ICUs across the country. Enhancing psychosocial supports for patients and families could improve health outcomes, healthcare efficiency, and the culture of these units.PMID:36368480 | DOI:10.1016/j.cct.2022.106998
Source: Cancer Control - November 11, 2022 Category: Cancer & Oncology Authors: Ana-Maria Vranceanu Emily C Woodworth Millan R Kanaya Sarah Bannon Ryan A Mace Heena Manglani Brooke A Duarte Christina L Rush Nathaniel R Choukas Ellie A Briskin Joshua Cohen Robert Parker Eric Macklin Ethan Lester Lara Traeger Jonathan Rosand Karon M Ko Source Type: research

How AI Is Changing Medical Imaging to Improve Patient Care
That doctors can peer into the human body without making a single incision once seemed like a miraculous concept. But medical imaging in radiology has come a long way, and the latest artificial intelligence (AI)-driven techniques are going much further: exploiting the massive computing abilities of AI and machine learning to mine body scans for differences that even the human eye can miss. Imaging in medicine now involves sophisticated ways of analyzing every data point to distinguish disease from health and signal from noise. If the first few decades of radiology were about refining the resolution of the pictures taken of...
Source: TIME: Health - November 4, 2022 Category: Consumer Health News Authors: Alice Park and Video by Andrew D. Johnson Tags: Uncategorized Frontiers of Medicine 2022 healthscienceclimate Innovation sponsorshipblock Source Type: news

Ventricular Assist Device Self-care Education at Tertiary Care Medical Centers
Ventricular assist device (VAD) implantation requires patients and caregivers to attain self-care knowledge and skills before discharge from implant hospitalization. Inability to perform these skills can have devastating outcomes (i.e., death from pump malfunction, driveline site infections, and stroke). No standard-of-care guiding VAD self-care education exists. We sought to describe how select tertiary care VAD implant centers across the United States currently educate VAD patients and their caregivers. Using a multiple case studies design with a purposive sampling strategy, we conducted semistructured interviews of VAD ...
Source: ASAIO Journal - November 1, 2022 Category: Medical Devices Tags: Adult Circulatory Support Source Type: research

Methotrexate-Induced Stroke-Like Encephalopathy: Beware the Stroke Mimic
We report a case of methotrexate (MTX)-induced stroke-like encephalopathy in an 18-year-old woman, with acute lymphoblastic leukemia, who developed a sudden neurological deficit mimicking a cerebrovascular event. Bain MRI showed hyperintensities on diffusion-weighted-imaging (DWI) with matching apparent diffusion coefficient hypointensities, which also represent the commonest MRI findings in acute cerebral infarction. DWI changes spared the cerebral cortex and did not respect vascular territories, supporting a non-vascular mechanism. MRI plays a crucial role in the diagnostic work-up   and is essential to avoid unnecessar...
Source: Journal of the Belgian Society of Radiology - October 31, 2022 Category: Radiology Source Type: research

Mayo Clinic Q & amp;A podcast: World Stroke Day -- know the warning signs, take action
When someone has a stroke, every second is crucial. The longer it takes to receive treatment, the more likely it is that damage to the brain will occur. "The mantra is 'time is brain,'" explains Dr. James Meschia, a Mayo Clinic neurologist and stroke expert. "The sooner they get treatment, the better patients do." World Stroke Day is recognized each year on Oct. 29. The aim is to teach the public about stroke risk factors…
Source: News from Mayo Clinic - October 28, 2022 Category: Databases & Libraries Source Type: news

Neurovascular Manifestations of Iron-Deficient Anemia: Narrative Review and Practical Reflections through a Teaching Case
Conclusions: IDA is a common but treatable condition that, independently or synergically, may increase the risk of thrombotic events. The diagnostic and therapeutic approach has not yet been defined, and each case should be individually addressed in a pragmatic clinical road map.PMID:36294407 | DOI:10.3390/jcm11206088
Source: Clinical Lung Cancer - October 27, 2022 Category: Cancer & Oncology Authors: Marialuisa Zedde Giacomo Portaro Laura Ferri Francesco Cavallieri Manuela Napoli Claudio Moratti Fabrizio Piazza Franco Valzania Rosario Pascarella Source Type: research

Metric-Based Simulation Training to Proficiency for Endovascular Thrombectomy in Ischemic Stroke
Ischemic stroke is one of the leading causes of death and long-term disability in the West. Mechanical revascularization techniques are considered the standard of care for large vessel occlusive stroke. Traditional apprenticeship models involve doctors training their skills on patients. Simulation platforms have long been recognized as an alternative to this. There has however been very little robust assessment of the training outcomes achieved on some of these platforms. At best, these simulations increase understanding of the procedural process and may help improve some technical skills; at worst they may instill bad hab...
Source: Frontiers in Neurology - September 27, 2022 Category: Neurology Source Type: research

Outcomes of transcatheter aortic valve replacement at teaching versus nonteaching hospitals
ConclusionWith the evolution and expansion of TAVR to nonteaching centers, mortality, and readmission rates are not significantly different between nonteaching and teaching hospitals. Higher unadjusted in-hospital mortality at teaching centers suggest these centers more often treat high risk patients with associated increased complications.
Source: Journal of Cardiac Surgery - September 8, 2022 Category: Cardiovascular & Thoracic Surgery Authors: Irsa Hasan, James A. Brown, Edgar Aranda ‐Michel, Derek Serna‐Gallegos, Hemal Gada, Dustin Kliner, Catalin Toma, Saurabh Sanon, Yisi Wang, Ibrahim Sultan Tags: ORIGINAL ARTICLE Source Type: research

An exploratory descriptive cohort study of 90-day prognosis after acute ischaemic stroke with mechanical thrombectomy
CONCLUSION: Almost half of the surviving patients had a poor prognosis. In our country, this surgery and rehabilitation impose a significant financial burden that needs to be addressed. However, the longer length of hospital stay and higher costs at discharge may be contributing factors to worse outcomes. The outcomes of comprehensive nursing assessment of the patients, including nursing needs, activities of daily living, and neurological function, can predict their outcome.IMPACT STATEMENT: We recommend a comprehensive nursing assessment at discharge that predicts patient outcomes and can be used for subsequent targeted i...
Source: Contemporary Nurse - September 2, 2022 Category: Nursing Authors: Ling Feng Yueyue He Shuju Dong Rui Wang Shiyan Long Li He Source Type: research