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Total 459 results found since Jan 2013.

Life expectancy, death, and disability in Haiti, 1990-2017: a systematic analysis from the Global Burden of Disease Study 2017.
Conclusion: Haiti faces a double burden of disease. Infectious diseases continue to be an issue, while non-communicable diseases have become a significant burden of disease. More attention must also be focused on the increase in worrying public health issues such as road injuries, exposure to forces of nature and HIV/AIDS in specific age groups. To address the burden of disease, sustained actions are needed to promote better health in Haiti and countries with similar challenges. PMID: 33165413 [PubMed]
Source: Pan American Journal of Public Health - November 11, 2020 Category: International Medicine & Public Health Tags: Rev Panam Salud Publica Source Type: research

Apical Lung Exam on CTA Aids COVID-19 Screen in Stroke Patients
THURSDAY, Oct. 29, 2020 -- For patients presenting with acute ischemic stroke (AIS), apical lung assessment on computed tomography angiography (CTA) may be useful as part of the screening approach for COVID-19, according to a study published online...
Source: Drugs.com - Pharma News - October 29, 2020 Category: Pharmaceuticals Source Type: news

Neurological complications of hepatitis C infections.
Abstract Chronic hepatitis C virus (HCV) infection is a highly prevalent systemic disease, which can cause a variety of neurological complications. The HCV-associated symptoms can be differentiated into central and peripheral nervous systems as well as the musculature. Important pathomechanisms are HCV-associated autoimmunity (e.g. mixed cryoglobulinemia with polyneuropathy) and direct neurotoxic effects of the virus (e.g. HCV-associated cognitive deficits). Distal symmetric polyneuropathies, small fiber neuropathies and cognitive deficits are the most prevalent neurological manifestations. Furthermore, HCV infe...
Source: Der Nervenarzt - September 30, 2020 Category: Neurology Authors: Kleefeld F, Arendt G, Neuen-Jacob E, Maschke M, Husstedt I, Obermann M, Schmidt H, Hahn K, Deutsche Gesellschaft für Neuro-AIDS und Neuro-Infektiologie (DGNANI) Tags: Nervenarzt Source Type: research

Technology for maintaining oral care after stroke: considerations for patient-centered practice.
CONCLUSION: The available device and technologies may help substantially with the accommodations needed for post-stroke oral care, improving the oral health of stroke survivors. Good oral health confers benefit to overall health and well-being and could enhance recovery and rehabilitation outcomes. Nonetheless, more research is necessary to demonstrate the feasibility and effectiveness of technology in stroke contexts. IMPLICATIONS FOR REHABILITATION Oral care may be challenging after stroke due to patient fatigue, hemiparesis, cognitive impairments, and other impaired body functions. Poor oral hygiene may impact stroke re...
Source: Disability and Rehabilitation. Assistive Technology. - September 28, 2020 Category: Rehabilitation Authors: Gurgel-Juarez N, Egan M, Wiseman M, Finestone H, Flowers HL Tags: Disabil Rehabil Assist Technol Source Type: research

Can Mindfulness-Based Interventions Benefit People with Dementia? Drawing on The Evidence from a Systematic Review in Populations with Cognitive Impairments.
Authors: Chan J, Leung DKY, Walton H, Wong GHY, Spector A Abstract INTRODUCTION: Non-pharmacological interventions that promote quality of life in people with dementia are urgently needed. To accelerate development, evidence-based psychotherapies used in other populations can be considered. Mindfulness-based interventions with standardised protocols, namely mindfulness-based cognitive therapy (MBCT) and mindfulness-based stress reduction (MBSR), may be effective in people with dementia, although tailoring for cognitive impairment may be needed. Evidence from other cognitive disorders can inform research. AREAS COVE...
Source: Expert Review of Neurotherapeutics - August 28, 2020 Category: Neurology Tags: Expert Rev Neurother Source Type: research

African Americans Struggle With the Current COVID-19
Objectives: Our study aims to explore the differential impact of this pandemic on clinical presentations and outcomes in African Americans (AAs) compared to white patients. Background: AAs have worse outcomes compared to whites while facing heart diseases, stroke, cancer, asthma, influenza and pneumonia, diabetes, and HIV/AIDS. However, there is no current study to show the impact of COVID-19 pandemic on the AA communities. Methods: This is a retrospective study that included patients with laboratory-confirmed COVID-19 from 2 tertiary centers in New Orleans, LA. Clinical and laboratory data were collected. Multivar...
Source: Annals of Surgery - August 22, 2020 Category: Surgery Tags: COVID PAPERS Source Type: research

Predictors of the effect of an arm sling on gait efficiency in stroke patients with shoulder subluxation: a pre-post design clinical trial.
CONCLUSION: An arm sling may improve gait efficiency in individuals with hemiplegia and shoulder subluxation able to walk with a single cane, who have consistency in handedness and sling position, and with good upper extremity function, including no shoulder pain and reduced spasticity. PMID: 32741231 [PubMed - as supplied by publisher]
Source: Physiotherapy Theory and Practice - August 1, 2020 Category: Physiotherapy Authors: Jeong YG, Jeong YJ, Kim HS, Lee KH Tags: Physiother Theory Pract Source Type: research

Endothelial Progenitor Cells Induce Angiogenesis: a Potential Mechanism Underlying Neovascularization in Encephaloduroarteriosynangiosis
AbstractEncephaloduroarteriosynangiosis (EDAS) is one of the most commonly used indirect vascular reconstruction methods. EDAS aids in the formation of collateral vessels from the extracranial to the intracranial circulation in patients with moyamoya disease (MMD). However, the underlying mechanism of collateral vessel formation is not well understood. Endothelial progenitor cells (EPCs) differentiate to form the vascular endothelial cells and play a very important role in angiogenesis. We designed this prospective clinical trial to investigate the presence of EPCs in patients with MMD and to explore the neovascularization...
Source: Translational Stroke Research - July 5, 2020 Category: Neurology Source Type: research

Patient-Centered Health Education Intervention to Empower Preventive Diabetic Foot Self-care
CONCLUSIONS Effective communication with patients by healthcare providers who can mold educational content to identified patient needs by teaching much needed skills is a key driver in rendering safe, quality healthcare education interventions.
Source: Advances in Skin and Wound Care - June 18, 2020 Category: Dermatology Tags: ORIGINAL INVESTIGATIONS Source Type: research

Agitated Blood-Saline Rather Than Agitated Air-Saline for Echocardiographic Shunt Studies
Bubble contrast echocardiography, with an agitated mixture of air and saline, is used for the detection of intrapulmonary or intracardiac right-to-left shunts.1 However, the administration of air in patients with large right-to-left shunts may have a risk of embolic complications including stroke.2-5 The addition of blood to the air-saline mixture aids with image quality.6,7 The goal of this study was to test the feasibility of an agitated blood-saline (without additional air) mixture in shunt studies and to compare its efficacy against the standard agitated air-saline in opacification of right-sided cardiac chambers.
Source: Journal of the American Society of Echocardiography - June 8, 2020 Category: Cardiology Authors: Mahmoud A. Ali, Mary J. Hepinstall, Cynthia S. Cassidy, Conor M. Lane, Patricia A. Pellikka, Jeremy J. Thaden, Sorin V. Pislaru, Garvan C. Kane Tags: Brief Research Communication Source Type: research

Physical therapists' perspectives on improving walking capacity in patients with stroke: a cross-sectional study from Saudi Arabia.
CONCLUSION: Variable responses from different sectors according to qualification, experience, and institution were observed among the physical therapists in Saudi Arabia for improving the walking capacity in patients after Stroke. PMID: 32481238 [PubMed - in process]
Source: Journal of Musculoskeletal Neuronal Interactions - June 4, 2020 Category: Neurology Tags: J Musculoskelet Neuronal Interact Source Type: research

Immediate augmented real-time forefoot weight bearing using visual feedback improves gait symmetry in chronic stroke.
CONCLUSION: This study suggests that visual feedback aids in the improvement of gait symmetry, forefoot weight-bearing on the affected side, and spatiotemporal parameters. PMID: 32444583 [PubMed - as supplied by publisher]
Source: Technology and Health Care - May 14, 2020 Category: Medical Devices Authors: Jung J, Choi W, Lee S Tags: Technol Health Care Source Type: research

Gut Microbiota-Derived Short-Chain Fatty Acids Promote Post-Stroke Recovery in Aged Mice.
Conclusions:This is the first study suggesting that the poor stroke recovery in aged mice can be reversed via "post-stroke bacteriotherapy" following the replenishment of youthful gut microbiome via modulation of immunologic, microbial and metabolomic profiles in the host. PMID: 32354259 [PubMed - as supplied by publisher]
Source: Circulation Research - April 30, 2020 Category: Cardiology Authors: Lee J, d'Aigle J, Atadja L, Quaicoe V, Honarpisheh P, Ganesh BP, Hassan A, Graf J, Petrosino JF, Putluri N, Zhu L, Durgan DJ, Bryan RM, McCullough LD, Venna VR Tags: Circ Res Source Type: research

Neuron-Specific Markers and their Correlation with Neurological Scales in Patients with Acute Neuropathologies
AbstractIn predicting outcomes in patients with acute brain injury, current practice focuses special attention on neuron-specific proteins that reliably reflect the severity of the lesion. Further studies of molecular markers and their specificity and sensitivity could contribute to broadening the understanding of pathophysiological, diagnostic, and prognostic methods, which is vital to reducing the mortality and disability associated with these critical conditions. The purpose of this study was to assess the biomarkers of brain lesions and their correlative relations with the integral Glasgow Coma Scale (GCS) and National...
Source: Journal of Molecular Neuroscience - April 28, 2020 Category: Neuroscience Source Type: research

Rationale for using the velocity –time integral and the minute distance for assessing the stroke volume and cardiac output in point-of-care settings
ConclusionThe VTI and minute distance are simple, feasible and reproducible measurements to serially track the SV and CO and thus their high value in the hemodynamic monitoring of critically ill patients in point-of-care settings. In addition, the LVOT VTI is able to predict outcomes in selected populations.
Source: Critical Ultrasound Journal - April 20, 2020 Category: Radiology Source Type: research