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Total 373 results found since Jan 2013.

Employment after stroke: report of a state of the science symposium.
Abstract For many stroke survivors, returning to work becomes an important emotional and functional milestone in signaling recovery. It can also provide needed financial support and reduce the burden placed on society in the form of government assistance. The complex nature of the return-to-work process involves many factors that may support or interfere with reintegration into the workforce. For the purpose of examining this important topic more closely, the Rehabilitation Research & Training Center on Enhancing the Functional and Employment Outcomes of Individuals Who Experience a Stroke held a State of the ...
Source: Topics in Stroke Rehabilitation - April 17, 2014 Category: Neurology Authors: Roth EJ, Lovell L Tags: Top Stroke Rehabil Source Type: research

Stroke in Asia: a global disaster
Although stroke is a world‐wide problem, the burden of stroke is particularly serious in Asia; its mortality is higher than in Europe or North America. The situation in Asia is dichotomized. Stroke mortality and case fatality has been declining in northern‐eastern countries such as Korea, Japan, Taiwan, and urbanized areas of China. This is attributed to both the risk factor control and stroke care improvement. However, declining stroke incidence is rarely observed, which is in part due to rapidly aging population. As a result, there is an increase in the number of stroke survivors who require long‐term, costly care....
Source: International Journal of Stroke - September 18, 2014 Category: Neurology Authors: Jong S. Kim Tags: Leading opinion Source Type: research

Randomized controlled trial of a multipronged intervention to improve blood pressure control among stroke survivors in Nigeria
This study is designed to enhance the implementation and sustainability of secondary stroke‐preventive services following hospital discharge. Aim/HypothesisThe primary study aim is to test whether a Chronic Care Model‐based initiative entitled the Tailored Hospital‐based Risk reduction to Impede Vascular Events after Stroke (THRIVES) significantly improves blood pressure control after stroke. DesignThis prospective triple‐blind randomized controlled trial will include a cohort of 400 patients with a recent stroke discharged from four medical care facilities in Nigeria. The culturally sensitive, system‐appropriate...
Source: International Journal of Stroke - July 18, 2014 Category: Neurology Authors: Mayowa O. Owolabi, Rufus O. Akinyemi, Mulugeta Gebregziabher, Olanrewaju Olaniyan, Babatunde L. Salako, Oyedunni Arulogun, Bruce Ovbiagele Tags: Protocols Source Type: research

Stroke Systems of Care during the COVID-19 Epidemic in Kobe City
The novel coronavirus disease 2019  (COVID-19), first reported in Wuhan, China, in December 2019, spread worldwide in 2020. As of June 1, 2020, the estimated number of global cases and deaths has exceeded 6 million and 370,000, respectively.1 In Japan, the number of reported cases increased sharply in March 2020, with community tran smission presenting at the highest rate in urban areas, leading to a state of emergency being declared by the Japanese government on April 7. Subsequently, on April 9, the Japan Stroke Society and the Japanese Circulation Society issued a joint statement on the importance of maintaining high-q...
Source: Journal of Stroke and Cerebrovascular Diseases - September 29, 2020 Category: Neurology Authors: Nobuyuki Ohara, Hirotoshi Imamura, Hidemitsu Adachi, Yoshie Hara, Kohkichi Hosoda, Hidehito Kimura, Kazuyuki Kuwayama, Takashi Mizowaki, Yasuhiko Motooka, Kazuya Nakashima, Narihide Shinoda, Takeshi Takamoto, Yasushi Ueno, Ikuya Yamaura, Chie Yanagihara, Source Type: research

Breakthrough of modern reperfusion therapies for acute stroke in Lithuania: The importance of integrated government support and national stroke care network
Incidence of ischemic stroke remains high in Lithuania (>10.000 new strokes every year) because of high prevalence and poor control of vascular risk factors. The intravenous thrombolysis (IVT) was started in 2002 in 2 Vilnius hospitals. Since 2007 IVT was recommended as first line treatment for acute ischemic stroke according to national guidelines. Nevertheless, the total annual number of IVTs remained low across the country (lessthan 100 procedures) until 2011. During 2012-2013 number of IVTs increased up to 160 and 207, respectively, however, only few centres in largest two cities were active, and access to IVT and mech...
Source: Journal of Stroke and Cerebrovascular Diseases - March 18, 2017 Category: Neurology Authors: Dalius Jatuzis, Aleksandras Vilionskis, Daiva Rastenyte Source Type: research

Do Reduced Copayments Affect Mortality after Surgery due to Stroke? An Interrupted Time Series Analysis of a National Cohort Sampled in 2003-2012
The South Korean government introduced a policy in 2 phases, in September 2005 and in January 2010, for reducing copayments for patients with critical diseases, including stroke, to prevent excessive medical expenditures and to ease economic barriers. Previous studies of the effect of this policy were focused primarily on cancer. Therefore, we investigated the relationship between this policy and 1-year mortality after surgery among patients with stroke.
Source: Journal of Stroke and Cerebrovascular Diseases - February 19, 2018 Category: Neurology Authors: Kyu-Tae Han, Seung Ju Kim, Sun Jung Kim, Ji Won Yoo, Eun-Cheol Park Source Type: research

Factors Associated with Stroke Coding Quality: A Comparison of Registry and Administrative Data
The International Statistical Classification of Diseases and Related Health Problems, 10th Revision, Australian Modification (ICD-10-AM) codes are commonly used to identify patients with diseases or clinical conditions for epidemiological research. We aimed to determine the diagnostic agreement and factors associated with a clinician-assigned stroke diagnosis in a national registry and the ICD-10-AM codes recorded in government-held administrative data.
Source: Journal of Stroke and Cerebrovascular Diseases - November 27, 2020 Category: Neurology Authors: Olivia F. Ryan, Merilyn Riley, Dominique A. Cadilhac, Nadine E. Andrew, Sibilah Breen, Kate Paice, Sam Shehata, Vijaya Sundararajan, Natasha A. Lannin, Joosup Kim, Monique F. Kilkenny Source Type: research

Stroke systems of care in the Philippines: Addressing gaps and developing strategies
In the Philippines, the mortality from stroke during the last 10 years remains high. This paper aims to describe the gaps in stroke care and the development of stroke systems of care in the Philippines. Gaps in stroke systems of care include low number of neurologist, inadequate CT scan machines, lack of stroke training among health workers, lack of stroke protocols and pathways, poor community stroke awareness, low government insurance coverage with high out of pocket medical expenses, lack of infrastructure for EMS, inadequate acute stroke ready hospitals, stroke units and rehabilitation facilities. Although there are go...
Source: Frontiers in Neurology - November 24, 2022 Category: Neurology Source Type: research

Psychological distress, social support and medication adherence in patients with ischemic stroke in the mainland of China
This study was aimed to investigate the changes of psychological stress, social support and medication adherence in patients with ischemic stroke in the mainland of China. In this study, 90 patients with hemiplegia one year after first-ever middle cerebral artery infarction (stroke group) in the Zhongnan Hospital of Wuhan University from June 2008 to June 2011 were recruited for interview. Ninety age- and sex-matched normal volunteers (control group) were also examined at the same period. The psychological distress was assessed by the Symptom Checklist 90 (SCL-90), the social support by the Social Support Rating Scale (SSR...
Source: Journal of Huazhong University of Science and Technology -- Medical Sciences -- - June 1, 2015 Category: Research Source Type: research

Perioperative covert stroke in patients undergoing non-cardiac surgery (NeuroVISION): a prospective cohort study
Publication date: Available online 15 August 2019Source: The LancetAuthor(s): Marko Mrkobrada, Matthew T.V. Chan, David Cowan, Douglas Campbell, Chew Yin Wang, David Torres, German Malaga, Robert D. Sanders, Manas Sharma, Carl Brown, Alben Sigamani, Wojciech Szczeklik, Mukul Sharma, Gordon Guyatt, Eric E. Smith, Ronit Agid, Adam A. Dmytriw, Jessica Spence, Nikesh R. Adunuri, Flavia K. BorgesSummaryBackgroundIn non-surgical settings, covert stroke is more common than overt stroke and is associated with cognitive decline. Although overt stroke occurs in less than 1% of adults after non-cardiac surgery and is associated with ...
Source: The Lancet - August 16, 2019 Category: General Medicine Source Type: research

Current State of Stroke Care in the Philippines
Stroke remains the leading cause of disability and death in the Philippines. Evaluating the current state of stroke care, the needed resources, and the gaps in health policies and programs is crucial to decrease stroke-related mortality and morbidity effectively. This paper aims to characterize the Philippines' stroke system of care and network using the World Health Organization health system building blocks framework. To integrate existing national laws and policies governing stroke and its risk factors dispersed across many general policies, the Philippine Department of Health (DOH) institutionalized a national policy f...
Source: Frontiers in Neurology - August 17, 2021 Category: Neurology Source Type: research

The Racial Gap in U.S. Stroke Deaths Got Worse During the Pandemic
NEW YORK — The longstanding racial gap in U.S. stroke death rates widened dramatically during the COVID-19 pandemic, government researchers said Thursday. Stroke death rates increased for both Black and white adults in 2020 and 2021, according to the Centers for Disease Control and Prevention study. But the difference between the two groups grew about 22%, compared with the five years before the pandemic. “Any health inequity that existed before seems to have been made larger during the pandemic,” said Dr. Bart Demaerschalk, a stroke researcher at the Mayo Clinic in Phoenix who was not involved in the new...
Source: TIME: Health - April 20, 2023 Category: Consumer Health News Authors: Mike Stobbe/AP Tags: Uncategorized COVID-19 healthscienceclimate Source Type: news

Know the signs of heat stroke and exhaustion
Heat can be deadly.As summer temperatures climb — and as climate change contributes to more 100-degree days each year — heat illnesses become a more serious risk, particularly for young children, older adults, outdoor workers, athletes and people with chronic conditions.“On any day with extreme heat, emergency rooms in Los Angeles see an additional 1,500 patients,” said Dr. David Eisenman, a professor at the UCLA Fielding School of Public Health and co-leader of aresearch project to address extreme heat in Los Angeles.“We estimate that an additional 16 people die on a single day of heat in Los Angeles County,...
Source: UCLA Newsroom: Health Sciences - June 23, 2022 Category: Universities & Medical Training Source Type: news

Stroke Prevention Worldwide - What Could Make It Work
The global burden of stroke is of continual major importance for global health. The present report addresses some of the core principles that could make stroke prevention work. The prevention of stroke shares many common features with other non-communicable diseases (NCDs); stroke prevention should therefore be part of the joint actions on NCD led by the WHO and member states. Stroke prevention is an integral part of both the 2011 UN declaration on actions on NCDs and the UN Post-2015 Sustainable Developmental Goals. Stroke prevention requires an intersectoral approach, with important responsibilities on the part of govern...
Source: Neuroepidemiology - October 30, 2015 Category: Epidemiology Source Type: research