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Total 21 results found since Jan 2013.

Determinants of early case‐fatality among stroke patients in Maputo, Mozambique and impact of in‐hospital complications
The burden of stroke is increasing in developing countries that struggle to manage it efficiently. We identified determinants of early case‐fatality among stroke patients in Maputo, Mozambique, to assess the impact of in‐hospital complications. Patients admitted to any hospital in Maputo with a new stroke event were prospectively registered (n = 651) according to the World Health Organization's STEPwise approach, in 2005–2006. We assessed the determinants of in‐hospital and 28‐day fatality, independently of age, gender and education, and computed population attributable fractions. In‐hospital mortality was ...
Source: International Journal of Stroke - January 1, 2013 Category: Neurology Authors: Joana Gomes, Albertino Damasceno, Carla Carrilho, Vitória Lobo, Hélder Lopes, Tavares Madede, Pius Pravinrai, Carla Silva‐Matos, Domingos Diogo, Ana Azevedo, Nuno Lunet Tags: Panorama Source Type: research

Management Protocols and Encountered Complications among Stroke Patients Admitted to Stroke Unit of Jimma University Medical Center, Southwest Ethiopia: Prospective Observational study
ConclusionBoth neurologic and medical complications were common in majority of stroke patients. But the management protocol for stroke patients was sub-optimal and lagging behind the recommended guidelines due to lack of skilled personnel, appropriate treatment and diagnostic agents. The clinical team involved in the care of stroke patients should make preparations to take preventive measures that will save a lot of lives.
Source: Annals of Medicine and Surgery - November 15, 2019 Category: General Medicine Source Type: research

Predictors of 30-day mortality among patients with stroke admitted at a tertiary teaching hospital in Northwestern Tanzania: A prospective cohort study
ConclusionStroke is associated with a high 30-day mortality rate in Northwestern Tanzania. Concerted efforts are warranted in managing patients with stroke, with particular attention to individuals with severe strokes, ECG abnormalities, and swallowing difficulties to reduce early morbidity and mortality.
Source: Frontiers in Neurology - January 18, 2023 Category: Neurology Source Type: research

Research on the Cause of Death for Severe Stroke Patients
ConclusionsThe most common cause of death in stroke patients was damage to the central nervous system. Independent risk factors were brain herniation, multiple organ failure, dyslipidemia, community‐acquired lung infection, the use of mechanical ventilation, hypoproteinemia, a history of hypertension, and hospital‐acquired pneumonia. Clinicians should be aware of the presence and possible effects of these conditions. Early prevention, monitoring and intervention to modify controllable risk factors will improve patient prognosis. Relevance to clinical practiceClinicians should be aware of the multiple independent risk f...
Source: Journal of Clinical Nursing - July 5, 2017 Category: Nursing Authors: Mei ‐zhen Yuan, Feng Li, Qin Fang, Wei Wang, Jing‐jing Peng, De‐yu Qin, Xue‐feng Wang, Guang‐wei Liu Tags: Original Article Source Type: research

Impact of anemia on in ‐hospital complications after ischemic stroke
ConclusionAnemia is an independent predictor of in‐hospital complications following stroke, especially for pneumonia, GIB and thromboembolism. Whether prophylaxis and treatment of anemia would prevent in‐hospital complications remains to be studied.This article is protected by copyright. All rights reserved.
Source: European Journal of Neurology - February 12, 2018 Category: Neurology Authors: Chen ‐Chen Wei, Shu‐Ting Zhang, Ge Tan, Shi‐Hong Zhang, Ming Liu Tags: Original Article Source Type: research

Swallowing therapy for dysphagia in acute and subacute stroke.
CONCLUSIONS: Moderate- and low-quality evidence suggests that swallowing therapy did not have a significant effect on the outcomes of death or dependency/disability, case fatality at the end of the trial, or penetration aspiration score. However, swallowing therapy may have reduced length of hospital stay, dysphagia, and chest infections, and may have improved swallowing ability. However, these results are based on evidence of variable quality, involving a variety of interventions. Further high-quality trials are needed to test whether specific interventions are effective. PMID: 30376602 [PubMed - as supplied by publisher]
Source: Cochrane Database of Systematic Reviews - October 30, 2018 Category: General Medicine Authors: Bath PM, Lee HS, Everton LF Tags: Cochrane Database Syst Rev Source Type: research

Effects of Nutrition Therapy in Older Stroke Patients Undergoing Rehabilitation: A Systematic Review and Meta-Analysis
ConclusionNutrition therapy had no statistically significant effect on ADL. However, it reduced the incidence of infections. More high-quality trials are warranted to clarify the effects of nutrition therapy in older stroke patients undergoing rehabilitation.
Source: The Journal of Nutrition, Health and Aging - August 13, 2018 Category: Nutrition Source Type: research

Clinical features of adults with seven-valent-conjugated-vaccine-serotype pneumococcal pneumonia.
CONCLUSION: A significant proportion of adults continue to develop PCV7-serotype CAP in the era of childhood pneumococcal conjugate vaccination. These adults are more likely to have stroke and dementia as underlying co-morbid illnesses, and have a higher 30-day mortality. A combination of pneumococcal transmission factors, host factors and pneumococcal serotype specific characteristics are likely to explain these findings. PMID: 24508039 [PubMed - as supplied by publisher]
Source: Vaccine - February 6, 2014 Category: Allergy & Immunology Authors: Rodrigo C, Bewick T, Sheppard C, Greenwood S, Trotter C, Slack M, George R, Lim WS Tags: Vaccine Source Type: research

Get the flu vaccine, reduce your risk of death
Last year was a lousy year for the flu vaccine. Hospitalizations for flu hit a nine-year high, and the vaccine prevented flu in only 23% of all recipients, compared with 50% to 60% of recipients in prior years. Why does the flu vaccine work well in some winters and not others? The flu vaccine primes the immune system to attack two proteins on the surface of the influenza A virus, hemagglutinin (H) and neuraminidase (N). Different flu strains have different combinations of these proteins — for example, the strains targeted by recent flu vaccines are H3N2 and H1N1. Unfortunately, the influenza virus is microbiology’s ans...
Source: New Harvard Health Information - September 15, 2015 Category: Consumer Health News Authors: John Ross, MD, FIDSA Tags: Cold and Flu Vaccines Flu Shot flu vaccine Source Type: news

Environmental Pollution: An Under-recognized Threat to Children’s Health, Especially in Low- and Middle-Income Countries
Conclusions Patterns of disease are changing rapidly in LMICs. Pollution-related chronic diseases are becoming more common. This shift presents a particular problem for children, who are proportionately more heavily exposed than are adults to environmental pollutants and for whom these exposures are especially dangerous. Better quantification of environmental exposures and stepped-up efforts to understand how to prevent exposures that cause disease are needed in LMICs and around the globe. To confront the global problem of disease caused by pollution, improved programs of public health monitoring and environmental protecti...
Source: EHP Research - March 1, 2016 Category: Environmental Health Authors: Web Admin Tags: Brief Communication March 2016 Source Type: research

Air Pollution Emerges as a Top Killer Globally – Part 1
Dark pollution clouds over Cairo. Credit: Khaled Moussa Al-Omrani/IPS.By Martin KhorPENANG, Nov 11 2016 (IPS)New research is showing that air pollution is a powerful if silent killer, causing 6.5 million worldwide deaths as well as being the major cause of climate change.   Air pollution has emerged as a leading cause of deaths and serious ailments in the world.  Emissions that cause air pollution and are Greenhouse Gases are also the main factor causing climate change.Therefore, drastically reducing air pollution should now be treated as a top priority.The seriousness of this problem was highlighted by the heavy smog ...
Source: IPS Inter Press Service - Health - November 11, 2016 Category: Global & Universal Authors: Martin Khor Tags: Environment Headlines Health air pollution Indoor air quality World Health Organization Source Type: news

Mortality Analysis of the Life Span Study (LSS) Cohort Taking into Account Multiple Causes of Death Indicated in Death Certificates.
Abstract Mortality analyses have been performed using underlying causes of death as reported on death certificates; these are uniquely determined for a deceased person according to the World Health Organization coding system. Comorbidities, the disease conditions other than the underlying cause of death from death certificates recording multiple causes of death, have rarely been explored in Life Span Study subjects. The purpose of this study was to clarify associations between atomic bomb radiation exposure and mortality from combinations of the underlying cause of death and comorbidities. The focused follow-up pe...
Source: Radiation Research - December 18, 2016 Category: Physics Authors: Takamori A, Takahashi I, Kasagi F, Suyama A, Ozasa K, Yanagawa T Tags: Radiat Res Source Type: research

Determining the Cause of Death: Mortality Surveillance Using Verbal Autopsy in Indonesia.
Abstract In the absence of a vital registration and health information systems, Indonesia does not have complete, accurate, and continuous data to summarize the mortality statistics of the population, nor determine the exact cause of death. Verbal autopsies performed in a community-based mortality surveillance have been used to provide information on the cause of deaths in such context. However, physician review of verbal autopsy can be expensive, time-consuming, and give inconsistent results, raising concern about its reliability. We used the Purworejo Health and Demographic Surveillance System's (HDSS) mortality...
Source: The American Journal of Tropical Medicine and Hygiene - October 9, 2017 Category: Tropical Medicine Authors: Wahab A, Choiriyyah I, Wilopo SA Tags: Am J Trop Med Hyg Source Type: research

The Quality Of Health Care You Receive Likely Depends On Your Skin Color
Unequal health care continues to be a serious problem for black Americans. More than a decade after the Institute of Medicine issued a landmark report showing that minority patients were less likely to receive the same quality health care as white patients, racial and ethnic disparities continue to plague the U.S. health care system. That report, which was published in 2002, indicated that even when both groups had similar insurance or the same ability to pay for care, black patients received inferior treatment to white patients. This still hold true, according to our investigation into dozens of studies about black health...
Source: Healthy Living - The Huffington Post - June 29, 2015 Category: Consumer Health News Source Type: news

Toxic Air – The ‘Invisible Killer’ that Stifles 300 Million Children
On 24 October 2016 in Yenagoa, Bayelsa State, Nigeria, children pass in front of a flame fed by waste and rubber materials in order to make Kanda, a type of smoked meat, at an abattoir. Photo: UNICEF/Tanya BindraBy Baher KamalROME, Nov 1 2016 (IPS)About 300 million children in the world are living in areas with outdoor air so toxic – six or more times higher than international pollution guidelines – that it can cause serious health damage, including harming their brain development. This shocking finding has just been revealed by the United Nations Children’s Fund (UNICEF), in a new report — ‘Clear the...
Source: IPS Inter Press Service - Health - November 1, 2016 Category: Global & Universal Authors: Baher Kamal Tags: Climate Change Featured Global Headlines Health Humanitarian Emergencies IPS UN: Inside the Glasshouse Poverty & SDGs Source Type: news