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Mediterranean-style diet and intracranial large artery stenosis in the Northern Manhattan Study
Intracranial large artery stenosis (ICAS) is one of the most common causes of stroke worldwide.1 Among stroke-free community-dwelling adults, ICAS is prevalent, associated with modifiable vascular risk factors, and confers risk of incident vascular events.2 Given prior work linking a Mediterranean-style diet (MeDi), which is rich in fruits, vegetables, fish, whole grains, legumes, and nuts, to reduced risk of vascular conditions and cardiovascular events,3,4 we hypothesized MeDi may also be protective against ICAS.
Source: Journal of Stroke and Cerebrovascular Diseases - September 20, 2023 Category: Neurology Authors: Dixon Yang, Hannah Gardener, Farid Khasiyev, Tatjana Rundek, Clinton B Wright, Mitchell SV Elkind, Jose Gutierrez Source Type: research

Outcomes of hemorrhagic stroke in patients with autoimmune rheumatic diseases: An analysis of the US Nationwide Inpatient Sample
ConclusionsAmong patients admitted to US hospitals for hemorrhagic stroke, patients with RA had decreased risk for in-hospital mortality and prolonged LOS.
Source: International Journal of Rheumatic Diseases - September 20, 2023 Category: Rheumatology Authors: Mao ‐Yu Chen, Pin‐Yuan Chen, Chen‐Nen Chang, Bo‐An Chen, Wen‐Chun Deng, Jiun‐Lin Yan Tags: ORIGINAL ARTICLE Source Type: research

Gait analysis patterns and rehabilitative interventions to improve gait in persons with hereditary spastic paraplegia: a systematic review and meta-analysis
ConclusionKnee hyperextension, non-sagittal pelvic movements, and reduced ROM at the knee, ankle, and hip represent the most peculiar patterns in HSP, compared to diplegic cerebral palsy and stroke. Botulinum improved comfortable gait velocity after 2 months. Nonetheless, interventions reducing spasticity might result in ineffective functional outcomes unveiling weakness. Intensive active physical therapy and FES might improve gait velocity in the very short term.
Source: Frontiers in Neurology - September 20, 2023 Category: Neurology Source Type: research

Cerebral artery signal intensity gradient from Time-of-Flight Magnetic Resonance Angiography and clinical outcome in lenticulostriate infarction: a retrospective cohort study
ConclusionCerebral artery SIG from TOF-MRA was significantly associated with short-term functional outcomes in patients with lenticulostriate infarction. Further studies are needed to investigate the temporal relationships of SIG in patients with cerebral infarction.
Source: Frontiers in Neurology - September 20, 2023 Category: Neurology Source Type: research

Renal Dysfunction Among Stroke Patients, Hospital Based Cross Sectional Study, Addis Ababa, Ethiopia, 2021
Conclusion: Renal  dysfunction is a frequent comorbidity in patients who are admitted with the diagnosis of acute stroke and had a higher mortality rate  than stroke patients with normal renal function. 
Source: Ethiopian Journal of Health Development - September 20, 2023 Category: African Health Authors: Lissane Seifu, Yonas Gashaye, Melaku Taye Source Type: research

Combined coronary and carotid artery disease: what to operate on first? or both at the same time?
Heart disease and stroke rank amongst the top four leading causes of death in the United States.1 Studies have demonstrated a positive correlation between the two, even suggesting that carotid artery disease may predict the presence of coronary artery disease (CAD).2,3 In fact, some have found that the prevalence of carotid artery stenosis (CAS) in those undergoing coronary artery bypass grafting (CABG) may be as high as 8-14%.4 Despite such co-existence, there remains no clear consensus Guidelines for revascularization in patients with co-existing CAD and CAS.
Source: Journal of Cardiothoracic and Vascular Anesthesia - September 20, 2023 Category: Anesthesiology Authors: Sherman Yu, Mark A. Chaney Tags: Case Conference Source Type: research

A nomogram predicts early neurological deterioration after mechanical thrombectomy in patients with ischemic stroke
DiscussionOur study established and validated a nomogram to stratify the risk of END before mechanical embolectomy and identify high-risk patients, who should be more cautious when making clinical decisions.
Source: Frontiers in Neurology - September 20, 2023 Category: Neurology Source Type: research

How To Avoid China ’ s Medicine Monopoly
I want to share a shocking statistic with you… Around 80% of all the pharmaceuticals sold in America — both prescription and over-the-counter — are manufactured in China. I’m talking about drugs for Parkinson’s and Alzheimer’s, blood pressure and blood thinners, diuretics, aspirin, antibiotics, and a big chunk of the world’s insulin and diabetes drugs — just to name a few.1 We don’t even make penicillin anymore. The last penicillin plant in the U.S. closed its doors in 2004. Americans who rely on medicine are now almost entirely at the mercy of a country whose relations with the U.S. have become more ...
Source: Al Sears, MD Natural Remedies - September 19, 2023 Category: Complementary Medicine Authors: Jacob Tags: Health Source Type: news

Readability of patient education material in stroke: a systematic literature review
CONCLUSION: Paper and online patient education materials exceed the reading level of stroke patients and the AMA recommended 6th grade level. Due to limitations in readability, stroke patients are not being adequately educated about their condition.PMID:37724783 | DOI:10.1080/10749357.2023.2259177
Source: Topics in Stroke Rehabilitation - September 19, 2023 Category: Neurology Authors: Aaron B Ahn Sajal Kulhari Amir Karimi Sophia Sundararajan Martha Sajatovic Source Type: research

A comparison of chronic conditions and health characteristics between cancer survivors and non-cancer survivors
DISCUSSION: These findings can be used by healthcare and public health practitioners to evaluate the programmatic efforts and resources, implement targeted interventions toward cancer survivors, and improve health and quality of life.PMID:37724026 | DOI:10.1177/17423953231180191
Source: Cancer Control - September 19, 2023 Category: Cancer & Oncology Authors: Anjin Singh Michael Shayne Gallaway Addey Rascon Source Type: research

Feasibility of using the Cognitive Orientation to daily Occupational Performance in a population of Danish stroke survivors: Adaptation and study protocol
CONCLUSIONS AND SIGNIFICANCE: The planned feasibility study will contribute to further developing and refining the intervention before performing a possible large-scale effectiveness study.PMID:37726001 | DOI:10.1080/11038128.2023.2258202
Source: Scandinavian Journal of Occupational Therapy - September 19, 2023 Category: Occupational Health Authors: Louise Moeldrup Nielsen Helene Polatajko Mette Brandi Tove Lise Nielsen Source Type: research

Measurement properties of performance-based instruments for assessing mental function during activity and participation in persons with stroke: A systematic review
CONCLUSIONS: Further studies of high methodological quality are needed that evaluate the measurement properties of instruments to allow clinicians and researchers to select the most suitable performance-based measures for purpose.SIGNIFICANCE: Results may be used to select the most suitable performance-based instrument to measure mental function during activity and participation in persons with stroke.TRIAL REGISTRATION NUMBER: PROSPERO CRD42018086744.PMID:37725997 | DOI:10.1080/11038128.2023.2258161
Source: Scandinavian Journal of Occupational Therapy - September 19, 2023 Category: Occupational Health Authors: Lola Qvist Kristensen Maurits W van Tulder Frederik Rosenb æk Marie Almkvist Muren Hanne Kaae Kristensen Lidwine B Mokkink Lisa Gregersen Oestergaard Source Type: research

A comparison of chronic conditions and health characteristics between cancer survivors and non-cancer survivors
DISCUSSION: These findings can be used by healthcare and public health practitioners to evaluate the programmatic efforts and resources, implement targeted interventions toward cancer survivors, and improve health and quality of life.PMID:37724026 | DOI:10.1177/17423953231180191
Source: Chronic Illness - September 19, 2023 Category: General Medicine Authors: Anjin Singh Michael Shayne Gallaway Addey Rascon Source Type: research

Long-term outcomes after conservative and EDAS treatment for 111 elderly patients with moyamoya disease: longitudinal and cross-sectional study
CONCLUSIONS: The postoperative long-term stroke rate among elderly patients with MMD was lower in the EDAS group than in the conservative treatment group. Long-term stroke events were associated with advanced age, aneurysm, and initial ischemia after conservative treatment and only initial hemorrhage after EDAS.PMID:37724788 | DOI:10.3171/2023.7.JNS231060
Source: Journal of Neurosurgery - September 19, 2023 Category: Neurosurgery Authors: Jing-Jie Li Xiao-Peng Wang Qian-Nan Wang Xiang-Yang Bao Qing-Bao Guo Zi-Qing Kong Gan Gao Min-Jie Wang Si-Meng Liu He-Guan Fu Qian Zhang Lian Duan Source Type: research

First-Ever Ischemic Stroke In Covid-19: How Is It Different? - A Stroke Registry-Based Study From South India
Acta Neurol Taiwan. 2023 Dec 30;32(4):190-201.ABSTRACTStroke associated with COVID-19 has been characterised in several multicentre retrospective studies and meta-analyses. However, they did not distinguish first-ever ischemic strokes (F-AIS). Therefore, we aimed to study the incidence, clinical characteristics, and outcomes of a cohort of F-AIS associated with COVID-19 during the first wave of the pandemic and compare this cohort with those of F-AIS without COVID-19, COVID-19 without stroke. We also sought to compare the stroke admissions and mechanisms during the pandemic and immediate prepandemic periods.PMID:37723911
Source: Acta Neurologica Taiwanica - September 19, 2023 Category: Neurology Authors: Muralidhar Reddy Y Jagarlapudi Mk Murthy Sreekanth Reddy Y Abhinay Kumar Gattu Shyam K Jaiswal Lalitha Pidaparthi Subhendu Parida Santhosh Kumar B Syed Osman Shanti Naidu Kamatam Source Type: research