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Study protocol for development and validation of a single tool to assess risks of stroke, diabetes mellitus, myocardial infarction and dementia: DemNCD-Risk
Introduction Current efforts to reduce dementia focus on prevention and risk reduction by targeting modifiable risk factors. As dementia and cardiometabolic non-communicable diseases (NCDs) share risk factors, a single risk-estimating tool for dementia and multiple NCDs could be cost-effective and facilitate concurrent assessments as compared with a conventional single approach. The aim of this study is to develop and validate a new risk tool that estimates an individual’s risk of developing dementia and other NCDs including diabetes mellitus, stroke and myocardial infarction. Once validated, it could be used by the ...
Source: BMJ Open - September 22, 2023 Category: General Medicine Authors: Kootar, S., Huque, M. H., Kiely, K. M., Anderson, C. S., Jorm, L., Kivipelto, M., Lautenschlager, N. T., Matthews, F., Shaw, J. E., Whitmer, R. A., Peters, R., Anstey, K. J. Tags: Open access, Public health Source Type: research

A systematic review and evaluation of post-stroke depression clinical practice guidelines
Post-stroke depression is a depressive mood disorder that follows a cerebrovascular accident and is a burden on stroke patients. Its management is included in clinical practice guidelines focused on stroke, and the recommended treatment is selective serotonin reuptake inhibitors in conjunction with psychotherapy. Clinical practice guidelines are recommendations used to standardize best medical practice, but there is no current evaluation of guidelines containing post stroke depression recommendations.
Source: Journal of Stroke and Cerebrovascular Diseases - August 10, 2023 Category: Neurology Authors: James Graham Cross, Brandon R. May, Peter Q.M. Mai, Elizabeth Anderson, Connor Welsh, Shaeker Chandran, Kevin T. Chorath, Shelby Herr, Daniel Gonzalez Source Type: research

Left atrial appendage structural characteristics predict thrombus formation
ConclusionUtilizing LAA structural characteristics to predict thrombus formation may help refine current cardioembolic stroke (CES) risk estimation.
Source: Journal of Cardiovascular Electrophysiology - July 5, 2023 Category: Cardiology Authors: Carson Castellani, Yan Gao, Hyun Kim, Colton Thompson, John Ning, Nicole Lohr, Aimee Welsh, Marcie Berger Tags: ORIGINAL ARTICLE Source Type: research

Improving sleep and learning in rehabilitation after stroke, part 2 (INSPIRES2): study protocol for a home-based randomised control trial of digital cognitive behavioural therapy (dCBT) for insomnia
Introduction Consolidation of motor skill learning, a key component of rehabilitation post-stroke, is known to be sleep dependent. However, disrupted sleep is highly prevalent after stroke and is often associated with poor motor recovery and quality of life. Previous research has shown that digital cognitive behavioural therapy (dCBT) for insomnia can be effective at improving sleep quality after stroke. Therefore, the aim of this trial is to evaluate the potential for sleep improvement using a dCBT programme, to improve rehabilitation outcomes after stroke. Methods and analysis We will conduct a parallel-arm randomised c...
Source: BMJ Open - April 6, 2023 Category: General Medicine Authors: Weightman, M., Robinson, B., Fallows, R., Henry, A. L., Kyle, S. D., Garratt, E., Pick, A., Teal, R., Ajina, S., Demeyere, N., Espie, C. A., Seymour, B., Johansen-Berg, H., Fleming, M. K. Tags: Open access, Rehabilitation medicine Source Type: research

Influence of mild cognitive impairment on patient and care partner decision-making for acute ischemic stroke
This study aimed to understand how patient MCI diagnosis influences patient and care partner decision-making for acute ischemic stroke treatments.
Source: Journal of Stroke and Cerebrovascular Diseases - March 31, 2023 Category: Neurology Authors: Emilie M. Blair, Bailey K. Reale, Darin B. Zahuranec, Jane Forman, Kenneth M. Langa, Bruno J. Giordani, Brenda L. Plassman, Kathleen A. Welsh-Bohmer, Jing Wang, Colleen D. Kollman, Deborah A. Levine Source Type: research

IJERPH, Vol. 20, Pages 4694: Exploring the Association between Individual-Level Attributes and Fidelity to a Vocational Rehabilitation Intervention within a Randomised Controlled Trial
This study aimed to explore the relationships between attributes of Occupational Therapists (OTs), their faithful delivery of an early stroke specialist vocational rehabilitation intervention (ESSVR), and stroke survivor return-to-work (RTW) outcomes. Thirty-nine OTs were surveyed about their experience and knowledge of stroke and vocational rehabilitation and were trained to deliver ESSVR. ESSVR was delivered across 16 sites in England and Wales between February 2018 and November 2021. OTs received monthly mentoring to support ESSVR delivery. The amount of mentoring each OT received was recorded in OT mentoring records. F...
Source: International Journal of Environmental Research and Public Health - March 7, 2023 Category: Environmental Health Authors: Katie E. Powers Roshan das Nair Julie Phillips Amanda Farrin Kathryn A. Radford Tags: Article Source Type: research

Perspectives on Encouraging Diversity and Inclusion Among Stroke Rehabilitation Research Teams
To describe dimensions of personal and professional diversity and inclusion present within a single National Institutes of Health R01 funded stroke rehabilitation research team, using a conceptual, literature-based approach (DHHS, 2022; Hall et al., 2018; Wood et al., 2021). To explore the potential impact of diversity dimensions on the research team's activities.
Source: Archives of Physical Medicine and Rehabilitation - March 1, 2023 Category: Rehabilitation Authors: Lorelei Johnson, Tami Guerrier, Mark Hirsch, Adam Jacks, Soomin Kim, Marcia Rodriguez, J George Thomas, Kim Welsh, Katarina Haley Tags: Late Breaking Research Poster 2229369 Source Type: research

Thousands at risk of heart attacks due to Covid disruption, experts warn
Patients in England, Scotland and Wales missed out on starting blood pressure-lowering drugs, British Heart Foundation saysThousands of people are at risk of avoidable heart attacks and strokes, experts have warned, after nearly 500,000 people in England, Scotland and Wales missed out on starting blood pressure-lowering drugs during the pandemic.Researchers said that thousands of people could suffer a preventable cardiovascular event because they did not start taking vital medications known to stave off deadly heart and circulatory diseases amid the Covid related disruption to healthcare.Continue reading...
Source: Guardian Unlimited Science - January 19, 2023 Category: Science Authors: Andrew Gregory Health editor Tags: Heart attack Coronavirus Science UK news Stroke Voluntary sector NHS Source Type: news

Unlucky numbers: Fighting murder convictions that rest on shoddy stats
LEIDEN, THE NETHERLANDS— When a Dutch nurse named Lucia de Berk stood trial for serial murder in 2003, statistician Richard Gill was aware of the case. But he saw no reason to stick his nose into it. De Berk was a pediatric nurse at Juliana Children’s Hospital in The Hague. In 2001, after a baby died while she was on duty, a colleague told superiors that De Berk had been present at a suspiciously high number of deaths and resuscitations. Hospital staff immediately informed the police. When investigators reexamined records from De Berk’s shifts, they found 10 suspicious incidents. Three other hospitals where D...
Source: Science of Aging Knowledge Environment - January 19, 2023 Category: Geriatrics Source Type: research

Differences in the pre-hospital management of women and men with stroke by emergency medical services in New South Wales
Med J Aust. 2022 Dec 10. doi: 10.5694/mja2.51809. Online ahead of print.NO ABSTRACTPMID:36495870 | DOI:10.5694/mja2.51809
Source: Medical Journal of Australia - December 10, 2022 Category: General Medicine Authors: Xia Wang Cheryl Carcel Mark Woodward Source Type: research

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