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Source: International Journal of Environmental Research and Public Health

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Total 551 results found since Jan 2013.

IJERPH, Vol. 19, Pages 1804: Intimate Relationships and Stroke: Piloting a Dyadic Intervention to Improve Depression
fer J. Majersik Stroke affects not only the survivor but also their romantic partner. Post-stroke depression is common in both partners and can have significant negative consequences, yet few effective interventions are available. The purpose of this study was to pilot test a novel 8-week remotely administered dyadic intervention (ReStoreD) designed to help couples better cope with stroke-related changes and reduce depressive symptoms. Thirty-four cohabitating survivor–partner dyads at least 3 months post-stroke and reporting some changes in mood were enrolled. Depressive symptoms were assessed pre- and p...
Source: International Journal of Environmental Research and Public Health - February 5, 2022 Category: Environmental Health Authors: Alexandra L. Terrill Maija Reblin Justin J. MacKenzie Brian R. W. Baucom Jackie Einerson Beth Cardell Lorie G. Richards Jennifer J. Majersik Tags: Article Source Type: research

IJERPH, Vol. 19, Pages 1754: Traditional East Asian Herbal Medicine for Post-Stroke Insomnia: A Systematic Review and Meta-Analysis of Randomized Controlled Trials
Lim Post-stroke insomnia (PSI) is a highly prevalent complication after stroke. Current evidence of psychotropic drug use for PSI management is scarce and indicates harmful adverse events (AEs). Traditional East Asian herbal medicine is a widely used traditional remedy for insomnia. However, so far, no study has systematically reviewed the efficacy and safety of traditional east asian herbal medicine (HM) for PSI. Therefore, we perform meta-analysis to evaluate the effectiveness and safety of HM for PSI. After a comprehensive electronic search of 15 databases, we review the randomized controlled trials (RCTs) of HM use...
Source: International Journal of Environmental Research and Public Health - February 3, 2022 Category: Environmental Health Authors: Sang-Ho Kim Jung-Hwa Lim Tags: Systematic Review Source Type: research

IJERPH, Vol. 19, Pages 1707: Examining Clinical Practice Guidelines for Exercise and Physical Activity as Part of Rehabilitation for People with Stroke: A Systematic Review
Conclusions: Global guidelines for exercise in PwS lack in-depth and technical information on the exercise delivery methods, application and dosage required to progress exercise interventions for PwS.
Source: International Journal of Environmental Research and Public Health - February 2, 2022 Category: Environmental Health Authors: Gavin Church Ali Ali Christine Leslie Smith Dave Broom Karen Sage Tags: Systematic Review Source Type: research

IJERPH, Vol. 19, Pages 1442: Design and Validation of Virtual Reality Task for Neuro-Rehabilitation of Distal Upper Extremities
The objective of this pilot study was to define the task-specific performance metrics of VR tasks to assess the performance level of healthy subjects and patients quantitatively and to obtain their feedback for improving the developed framework. A pilot prospective study was designed. We tested the designed VR tasks on forty healthy right-handed subjects to evaluate its potential. Qualitative trajectory plots and three quantitative performance metrics—time taken to complete the task, percentage relative error, and trajectory smoothness—were computed from the recorded data of forty healthy subjec...
Source: International Journal of Environmental Research and Public Health - January 27, 2022 Category: Environmental Health Authors: Nath Singh Saini Srivastava Mehndiratta Tags: Article Source Type: research

IJERPH, Vol. 19, Pages 1191: How Many Hours of Device Wear Time Are Required to Accurately Measure Physical Activity Post Stroke?
Conclusions. The accuracy of physical activity estimates increases with longer daily monitoring periods following stroke, and researchers should aim to monitor post-stroke physical activity for 14 daytime hours.
Source: International Journal of Environmental Research and Public Health - January 21, 2022 Category: Environmental Health Authors: Natalie A. Fini Anne E. Holland Julie Bernhardt Angela T. Burge Tags: Article Source Type: research

IJERPH, Vol. 19, Pages 1078: Direct Medical Cost of Stroke and the Cost-Effectiveness of Direct Oral Anticoagulants in Atrial Fibrillation-Related Stroke: A Cross-Sectional Study
Conclusions: The direct medical cost of stroke is substantial, with AF-stroke having a higher median cost per stroke care. DOACs were cost effective in the treatment of AF-related stroke in UKMMC.
Source: International Journal of Environmental Research and Public Health - January 19, 2022 Category: Environmental Health Authors: Siti Norain Azahar Saperi Sulong Wan Asyraf Wan Zaidi Norliza Muhammad Yusof Kamisah Norliana Masbah Tags: Article Source Type: research

IJERPH, Vol. 19, Pages 224: Gait Improvement in Chronic Stroke Survivors by Using an Innovative Gait Training Machine: A Randomized Controlled Trial
This study aimed to evaluate the effects of a newly invented gait training machine (I-Walk) on lower limb function and gait performance in chronic stroke individuals. Thirty community-dwelling chronic stroke individuals were allocated to the I-Walk machine group (n = 15) or the overground gait training (control) group (n = 15). Both groups received 30 min of upper limb and hand movement and sit-to-stand training. After that, the I-Walk group received 30 min of I-Walk training, while the control followed a 30-minute overground training program. All the individuals were trained 3 days/week for 8 weeks. The primary outcome of...
Source: International Journal of Environmental Research and Public Health - December 25, 2021 Category: Environmental Health Authors: Patcharee Kooncumchoo Phuwarin Namdaeng Somrudee Hanmanop Bunyong Rungroungdouyboon Kultida Klarod Sirirat Kiatkulanusorn Nongnuch Luangpon Tags: Article Source Type: research

IJERPH, Vol. 19, Pages 162: Increased Anxiety and Depression Symptoms in Post-Acute Care Patients with Stroke during the COVID-19 Pandemic
This study aimed to explore the quality and stability of post-acute care for patients with stroke, including their functional outcomes, mental health and medical care in Taiwan during the COVID-19 pandemic. In this retrospective case–control study—based on propensity score matching—we assessed 11 patients admitted during the pandemic period (in 2021) and 11 patients admitted during the non-pandemic period (in 2020). Functional outcomes, including the scores of the modified Rankin Scale, Barthel Index, EuroQoL-5 Dimension, Lawton–Brody instrumental activities of daily ...
Source: International Journal of Environmental Research and Public Health - December 24, 2021 Category: Environmental Health Authors: Hsiang-Yun Chou Yu-Chun Lo Ya-Wen Tsai Chia-Li Shih Chieh-Ting Yeh Tags: Article Source Type: research

IJERPH, Vol. 18, Pages 13158: Shift Work Predicts Increases in Lipopolysaccharide-Binding Protein, Interleukin-10, and Leukocyte Counts in a Cross-Sectional Study of Healthy Volunteers Carrying Low-Grade Systemic Inflammation
rvantes The disruption of inflammatory responses is a potential mechanism behind the harmful effects of shift work and is associated with increased risk of hypertension, stroke, obesity, diabetes, and cancer. These responses are linked to the proliferation of leukocytes in shift workers, suggesting a systemic signal as a potential mediator. The purpose of this study was to assess the relationship between systemic inflammation, leukocyte counts, and systemic endotoxemia in samples from a diverse cohort of day workers and shift workers. Participants (normothermic and normotensive) were healthy volunteers, non-smoking, an...
Source: International Journal of Environmental Research and Public Health - December 14, 2021 Category: Environmental Health Authors: Aisha Q. Atwater Lilly Cheng Immergluck Alec J. Davidson Oscar Castanon-Cervantes Tags: Article Source Type: research

IJERPH, Vol. 18, Pages 13001: Stroke Survivors & rsquo; Personal Efficacy Beliefs and Outcome Expectations of Tai Chi Exercise: A Qualitative Descriptive Study
IJERPH, Vol. 18, Pages 13001: Stroke Survivors’ Personal Efficacy Beliefs and Outcome Expectations of Tai Chi Exercise: A Qualitative Descriptive Study International Journal of Environmental Research and Public Health doi: 10.3390/ijerph182413001 Authors: Ruth Taylor-Piliae Hanne Dolan Aodet Yako Prior qualitative research conducted among stroke survivors to explore the potential benefits and challenges of participating in tai chi exercise during stroke recovery is limited to those without depression. A qualitative descriptive approach was used. Social Cognitive Theory and Complex Systems Biology prov...
Source: International Journal of Environmental Research and Public Health - December 9, 2021 Category: Environmental Health Authors: Ruth Taylor-Piliae Hanne Dolan Aodet Yako Tags: Article Source Type: research

IJERPH, Vol. 18, Pages 12877: Early Occupational Therapy Intervention in the Hospital Discharge after Stroke
osme Stroke is the leading cause of acquired disability in adults which is a cerebrovascular disease of great impact in health and social terms, not only due to its prevalence and incidence but also because of its significant consequences in terms of patient dependence and its consequent impact on the patient and family lives. The general objective of this study is to determine whether an early occupational therapy intervention at hospital discharge after suffering a stroke has a positive effect on the functional independence of the patient three months after discharge—the patient’s level of...
Source: International Journal of Environmental Research and Public Health - December 7, 2021 Category: Environmental Health Authors: Patricia Garc ía-Pérez Mar ía del Carmen Rodríguez-Martínez Jos é Pablo Lara Carlos de la Cruz-Cosme Tags: Study Protocol Source Type: research

IJERPH, Vol. 18, Pages 12800: Nurses & rsquo; Awareness and Actual Nursing Practice Situation of Stroke Care in Acute Stroke Units: A Japanese Cross-Sectional Web-Based Questionnaire Survey
IJERPH, Vol. 18, Pages 12800: Nurses’ Awareness and Actual Nursing Practice Situation of Stroke Care in Acute Stroke Units: A Japanese Cross-Sectional Web-Based Questionnaire Survey International Journal of Environmental Research and Public Health doi: 10.3390/ijerph182312800 Authors: Yukari Hisaka Hirokazu Ito Yuko Yasuhara Kensaku Takase Tetsuya Tanioka Rozzano Locsin The awareness of care provided by stroke care unit (SCU) nurses in Japan to patients with an acute cerebrovascular accident (CVA) and the characteristic differences in their actual nursing practice were evaluated. A cross-section...
Source: International Journal of Environmental Research and Public Health - December 4, 2021 Category: Environmental Health Authors: Yukari Hisaka Hirokazu Ito Yuko Yasuhara Kensaku Takase Tetsuya Tanioka Rozzano Locsin Tags: Article Source Type: research

IJERPH, Vol. 18, Pages 12702: Examining the Drivers of Racial/Ethnic Disparities in Non-Adherence to Antihypertensive Medications and Mortality Due to Heart Disease and Stroke: A County-Level Analysis
Conclusions: The socioeconomic, clinical care and physical environmental attributes of the places that patients live are significant contributors to BAA–nHW disparities in AHM non-adherence and mortality due to heart diseases and stroke.
Source: International Journal of Environmental Research and Public Health - December 2, 2021 Category: Environmental Health Authors: Macarius M. Donneyong Michael A. Fischer Michael A. Langston Joshua J. Joseph Paul D. Juarez Ping Zhang David M. Kline Tags: Article Source Type: research

IJERPH, Vol. 18, Pages 12362: Influence of Admission Time on Health Care Quality and Utilization in Patients with Stroke: Analysis for a Possible July Effect and Weekend Effect
Conclusions: Consistent with the NHI’s general effectiveness in ensuring fair, universally accessible, and high-quality health care services in Taiwan, the health care quality of patients examined in this study did not vary significantly overall between July and non-July months. However, a longer hospitalization length was observed for weekend admissions, possibly due to limitations in personnel and resource allocations during weekends. These results highlight the health care efficiency of hospitals during weekends as an area for further improvement.
Source: International Journal of Environmental Research and Public Health - November 24, 2021 Category: Environmental Health Authors: Liu Kung Chang Hsu Tsai Tags: Article Source Type: research

IJERPH, Vol. 18, Pages 12310: Examining the Influence of Social Interactions and Community Resources on Caregivers & rsquo; Burden in Stroke Settings: A Prospective Cohort Study
This study (n = 214) examined the associations between these factors and caregivers’ burden in stroke settings. It used 3-month and 1-year post-stroke data collected from five tertiary hospitals. Subjective and objective caregivers’ burdens were measured using Zarit burden interview and Oberst caregiving burden scale respectively. The independent variables examined were quality of care relationship, care management strategies for managing patients’ behaviour, family caregiving conflict, formal service usage and assistance to the caregiver. Significant associations were determined u...
Source: International Journal of Environmental Research and Public Health - November 23, 2021 Category: Environmental Health Authors: Koh Koh Matchar Hong Tai Tags: Article Source Type: research