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Complications Associated with Fat Grafting to the Lower Eyelid.
Abstract Fat grafting is effectively used in the lower eyelid and periorbital area for rejuvenation of the aging face. Several complications may occur with fat grafting, including volume undercorrection or overcorrection, contour irregularities, prolonged bruising and swelling, infection, granulomas and inflammation, and vascular embolization with visual loss or stroke. In many cases, complications can be effectively treated, although permanent and serious injury can occur. Appropriate surgical techniques help to prevent most of these complications. An understanding of how and why complications of fat grafting of ...
Source: The Surgical Clinics of North America - October 9, 2019 Category: Surgery Authors: Maamari RN, Massry GG, Holds JB Tags: Facial Plast Surg Clin North Am Source Type: research
Aggravation of Cerebral Ischemia/Reperfusion Injury by Peroxisome Proliferator-Activated Receptor-Gamma Deficiency via Endoplasmic Reticulum Stress.
CONCLUSIONS This research proved that PPAR-γ protected the brain from cerebral I/R injury by repressing ER stress and indicated that PPAR-γ is a potential target in the treatment of ischemia. PMID: 31588926 [PubMed - in process]
Source: Medical Science Monitor - October 9, 2019 Category: Research Tags: Med Sci Monit Source Type: research
Losing Your Job Can Be a Real Heart Breaker
WEDNESDAY, Oct. 9, 2019 -- Money may not buy happiness, but a bigger paycheck is good for your heart. And new research suggests the reverse is also true: When income drops, your risk for heart attack, stroke and heart failure goes up. " One could...
Source: Drugs.com - Daily MedNews - October 9, 2019 Category: General Medicine Source Type: news
High cholesterol: Best foods and exercise to lower 'bad' cholesterol levels
HIGH cholesterol can increase a person ’s risk of heart and circulatory disease, such as heart attack and stroke. So what can you do to lower it? Eating the right foods and exercising for the recommended time per week are a doctor’s recommendation.
Source: Daily Express - Health - October 9, 2019 Category: Consumer Health News Source Type: news
POCUS, MRI make ECRI's top 10 hazards list
Point-of-care ultrasound (POCUS) and missing patient implant data for MRI exams...Read more on AuntMinnie.comRelated Reading: ECRI Institute names new executive VP ECRI report assesses surgical C-arms ECRI names new CEO, president Ransomware takes spot on ECRI's healthcare hazards list Mobile stroke units, spectral CT take spots on ECRI watch list
Source: AuntMinnie.com Headlines - October 9, 2019 Category: Radiology Source Type: news
Black-blood CT sheds light on intraluminal heart anatomy
An advanced imaging technique called black-blood CT can leverage cinematic...Read more on AuntMinnie.comRelated Reading: Cinematic rendering offers clinical utility in MSK CT 3 ways cinematic rendering can bolster colon evaluation 3 ways cinematic rendering helps visualize the spleen Follow 3 essential steps for effective cardiothoracic imaging 3D MRI uncovers risk of stroke in asymptomatic diabetics
Source: AuntMinnie.com Headlines - October 9, 2019 Category: Radiology Source Type: news
Possible Consequences of Parathyroidectomy on Hypertension in Primary Hyperparathyroidism
When counseling patients regarding the potential benefits of parathyroidectomy for primary hyperparathyroidism (PHPT), surgeons discuss the possible short-term and long-term consequences of operation. The short-term benefits may include alleviation of fatigue, bone aches, depressed mood, and frequent urination. While it is extremely rewarding to improve these symptoms, it is the long-term benefits that may be truly life-altering and potentially lifesaving. The organs most likely to be negatively affected by PHPT are the bones, kidneys, brain, and heart. Medical students everywhere still learn about the effects of this dise...
Source: JAMA Surgery - October 9, 2019 Category: Sports Medicine Source Type: research
A review of the epidemiology of atrial fibrillation in Sub ‐Saharan Africa
In conclusion, AF seems to have a higher prevalence in the general population than previously thought, and is mostly associa ted with hypertension, cardiomyopathy and rheumatic heart disease in SSA. It is associated with a high incidence of heart failure and stroke. The management of AF is suboptimal in SSA, especially with a low uptake of oral anticoagulation.This article is protected by copyright. All rights reserved.
Source: Journal of Cardiovascular Electrophysiology - October 9, 2019 Category: Cardiology Authors: Jean Jacques Noubiap, Ulrich Flore Nyaga Tags: COMPREHENSIVE REVIEWS Source Type: research
Long ‐term clinical outcomes from real‐world experience of left atrial appendage exclusion with LARIAT device
ConclusionsLong term data from routine clinical practice from our study suggests that LAA exclusion with LARIAT device is an effective treatment in management of non ‐valvular AF patients with high risk of stroke, bleeding and mortality. Further randomized trials, such as aMAZE, will provide more insight in this expanding field.This article is protected by copyright. All rights reserved.
Source: Journal of Cardiovascular Electrophysiology - October 9, 2019 Category: Cardiology Authors: Valay Parikh, Krzysztof Bartus, Radoslaw Litwinowicz, Mohit K. Turagam, Jerzy Sadowski, Boguslaw Kapelak, Magdalena Bartus, Jakub Podolec, Maciej Brzezinski, Dan Musat, Abdi Rasekh, Suneet Mittal, Jie Cheng, Nitish Badhwar, Randall Lee, Dha Tags: ORIGINAL ‐ CLINICAL Source Type: research
Expanding Acute Stroke Care in Rural America: A Model for Statewide Success
Telemedicine and e-Health, Ahead of Print.
Source: Telemedicine and e-Health - October 9, 2019 Category: Information Technology Authors: Amelia K. Adcock Justin Choi Muhammad Alvi Ann Murray Eric Seachrist Matthew Smith Scott Findley Source Type: research
Low persistence to rivaroxaban or warfarin among patients with new venous thromboembolism at a safety net academic medical center
This study evaluated 90 day persistence among patients prescribed rivaroxaban or warfarin for the treatment of acute VTE at an academic safety net hospital. We conducted a single center, retrospective cohort study of 314 consecutive patients newly prescribed rivaroxaban or warfarin for acute VTE between January 2016 and July 2017. Primary outcome was 90 day persistence, and secondary outcomes included 90 day readmission and/or ED visit, time to 90 m day readmission and/or ED visits, and attendance of direct oral anticoagulant education class. Of 314 patients, 78 were prescribed warfarin and 236 rivaroxaban. Patients had a ...
Source: Journal of Thrombosis and Thrombolysis - October 9, 2019 Category: Hematology Source Type: research
Decreased viability and neurite length in neural cells treated with chitosan-dextran sulfate nanocomplexes.
Abstract CXCL12 is a chemokine known to regulate migration, proliferation, and differentiation of neural stem cells (NSCs) and to play a neuroprotective role in ischemic stroke. Chitosan-dextran sulfate nanocomplexes (Ch/DS NC) are known nanoparticulated systems used to efficiently deliver heparin-binding factors. Here we evaluate Ch/DS NC as carriers for CXCL12 in a mouse model of stroke. Free CXCL12 reduced the size of the ischemic brain lesion. However, when Ch/DS NC were administrated, the stroke volume increased. Neurotoxic screening revealed that Ch/DS NC reduced neuronal viability, decreased the extension o...
Source: Neurotoxicology - October 9, 2019 Category: Neurology Authors: Zamproni LN, Teixeira D, Arnaut Alliegro A, Longo Maugéri I, des Rieux A, Porcionatto MA Tags: Neurotoxicology Source Type: research
CEA vs stent in patients with acute strokes: are they equally effective?
CONCLUSIONS: Carotid endarterectomy continues to demonstrate effectiveness and safety for management of acute strokes, while carotid stenting has limitations. Carotid artery stenting has been shown to be non-inferior in some patient populations, but more recent and future technologic developments may expand the potential acceptable patient selection criteria. PMID: 31603298 [PubMed - as supplied by publisher]
Source: The Journal of Cardiovascular Surgery - October 9, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Caliste X, Laser A, Darling RC Tags: J Cardiovasc Surg (Torino) Source Type: research
Is size of infarct or clinical picture that should delay urgent carotid endarterectomy? A meta-analysis.
CONCLUSIONS: CEA for patients with a recent stroke is associated with 5.4% and 7.9% of stroke/death. A large volume of the cerebral ischemic lesion and a deteriorated neurological status are associated with a higher perioperative risk; urgent carotid revascularization seems to further increase this risk. PMID: 31603297 [PubMed - as supplied by publisher]
Source: The Journal of Cardiovascular Surgery - October 9, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Pini R, Faggioli G, Vacirca A, Dieng M, Fronterrè S, Gallitto E, Mascoli C, Stella A, Gargiulo M Tags: J Cardiovasc Surg (Torino) Source Type: research
State School Policies as Predictors of Physical and Mental Health: A Natural Experiment in the REGARDS Cohort.
Abstract We used differences in state school policies as natural experiments to evaluate the joint influence of educational quantity and quality on late-life physical and mental health. Using US census microsample data, historical measures of state compulsory schooling and school quality (term length, student-teacher ratio, and attendance rates) were combined via regression modeling on a scale corresponding to years of education (Policy Predicted Years of Education [PPYEd]). PPYEd values were linked to individual-level records for 8,920 black and 14,605 white participants aged 45+ in the REasons for Geographic and...
Source: Am J Epidemiol - October 9, 2019 Category: Epidemiology Authors: Brenowitz WD, Manly JJ, Murchland AR, Xuan Nguyen TT, Liu SY, Glymour MM, Levine DA, Crowe M, Hohman TJ, Dufouil C, Launer LJ, Hedden T, Eng CW, Wadley VG, Howard VJ Tags: Am J Epidemiol Source Type: research
The convergent procedure: a hybrid approach for long lasting persistent atrial fibrillation ablation, the French experience.
CONCLUSIONS: Thoracoscopic hybrid epicardial-endocardial ablation technique proved to be effective and safe to treat long lasting persistent AF patients with previous failed endocardial AF ablation. PMID: 31603290 [PubMed - as supplied by publisher]
Source: The Journal of Cardiovascular Surgery - October 9, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Zannis K, Alam W, Sebag FA, Folliguet T, Bars C, Fahed M, Ternacle J, Bergoend E, Hamon D, Lellouche N Tags: J Cardiovasc Surg (Torino) Source Type: research
Cardiometabolic comorbidities and epidemiological features among rural Chinese elderly people.
CONCLUSION: The prevalence of cardiometabolic comorbidities among was high among rural elderly from China. Physical activity, current smoking and drinking, family income, sleep duration and married status were associated with cardiometabolic comorbidities. Metabolic screen was recommended in the older subjects in rural China. PMID: 31598916 [PubMed - as supplied by publisher]
Source: Aging Clinical and Experimental Research - October 9, 2019 Category: Geriatrics Authors: Yu S, Guo X, Yang H, Zheng L, Sun Y Tags: Aging Clin Exp Res Source Type: research
Diabetics can reduce heat illness from exercise
(Reuters Health) - Diabetes can make people more prone to heat stroke when they exercise on hot days, but two studies suggest there are things diabetics and others can do to lower their risk of heat-related illnesses.
Source: Reuters: Health - October 8, 2019 Category: Consumer Health News Tags: healthNews Source Type: news
Non-alcoholic fatty liver disease and risk of incident acute myocardial infarction and stroke: findings from matched cohort study of 18 million European adults
Source: BMJ - October 8, 2019 Category: General Medicine Source Type: research
Dog Ownership Linked To 24% Lower Risk Of Dying Early, Research Shows
(CNN) — Need an excellent reason to add a dog to your life? How about living longer? “Our analysis found having a dog is actually protective against dying of any cause,” said Mount Sinai endocrinologist Dr. Caroline Kramer, lead author of a new systematic review of nearly 70 years of global research published Tuesday in “Circulation,” a journal of the American Heart Association. The review of the health benefits of man’s best friend analyzed research involving nearly 4 million people in the United States, Canada, Scandinavia, New Zealand, Australia and the United Kingdom. “Dog owne...
Source: WBZ-TV - Breaking News, Weather and Sports for Boston, Worcester and New Hampshire - October 8, 2019 Category: Consumer Health News Authors: Health – CBS Boston Tags: Featured Health News Offbeat Syndicated CBSN Boston CNN Dogs Source Type: news
Amyloid pathology in the brain after ischemia.
Authors: Pluta R, Ułamek-Kozioł M, Januszewski S, Czuczwar S Abstract As the population is aging all over the world, the economic burden of ischemic brain injuries is constantly increasing. Human brain ischemia is one of the leading causes of premature death, significant morbidity and physical and mental disabilities, resulting in a lower quality of life and unusually high costs of health and social care. One of the most difficult problems associated with the pathology of the brain after ischemia is progressive dementia observed in people who survived the stroke. More recently, brain ischemia has been shown to el...
Source: Folia Neuropathologica - October 8, 2019 Category: Neurology Tags: Folia Neuropathol Source Type: research
Neuro-arrhythmology: a challenging field of action and research: a review from the Task Force of Neuro-arrhythmology of Italian Association of Arrhythmias and Cardiac Pacing
There is a growing interest in the study of the mechanisms of heart and brain interactions with the aim to improve the management of high-impact cardiac rhythm disorders, first of all atrial fibrillation. However, there are several topics to which the scientific interests of cardiologists and neurologists converge constituting the basis for enhancing the development of neuro-arrhythmology. This multidisciplinary field should cover a wide spectrum of diseases, even beyond the classical framework corresponding to stroke and atrial fibrillation and include the complex issues of seizures as well as loss of consciousness and sy...
Source: Journal of Cardiovascular Medicine - October 8, 2019 Category: Cardiology Tags: Review Source Type: research
PREventive left atrial appenDage resection for the predICtion of fuTure atrial fibrillation: design of the PREDICT AF study
Conclusion We here describe the PREDICT AF trial design, which will enable the discovery of biomarkers that truly predict POAF and new-onset atrial fibrillation by combining tissue and plasma-derived biomarkers with comprehensive clinical follow-up data. Trial registration Retrospectively registered NCT03130985 27 April 2017.
Source: Journal of Cardiovascular Medicine - October 8, 2019 Category: Cardiology Tags: Research articles: Arrhythmias Source Type: research
Relationship between left atrial strain, diastolic dysfunction and subclinical atrial fibrillation in patients with cryptogenic stroke: the SURPRISE echo substudy
In conclusion, LAs associates with PAF independent of GLS and LA size, and may be used to improve the performance of DDF grading for identifying PAF in CS patients.
Source: The International Journal of Cardiovascular Imaging - October 8, 2019 Category: Radiology Source Type: research
Impact of Vessel Wall MR Imaging in the Work-Up for Ischemic Stroke COMMENTARIES
Source: American Journal of Neuroradiology - October 8, 2019 Category: Radiology Authors: Song, J. W. Tags: COMMENTARIES Source Type: research
Mortality risk in atrial fibrillation: the role of aspirin, vitamin K and non-vitamin K antagonists
Conclusion Non vitamin K oral anticoagulants are associated with a higher risk on all-cause mortality, particularly in men and in patients with higher stroke risk.
Source: International Journal of Clinical Pharmacy - October 8, 2019 Category: Drugs & Pharmacology Source Type: research
UK research reveals racial inequalities in diabetes care
Black and minority ethnic people less likely than white people to get newer diabetes drugs and be adequately monitored Related items fromOnMedica Should we recognise obesity as a disease? Type 2 diabetes in 10 times more young people than realised GPs failing to follow women at risk after gestational diabetes Heart disease and stroke deaths plummet in Scotland Diabetes will soon cost NHS £16.9bn
Source: OnMedica Latest News - October 8, 2019 Category: UK Health Source Type: news
Impacts of Clinical Pharmacist Intervention on the Secondary Prevention of Coronary Heart Disease: A Randomized Controlled Clinical Study
This study aimed to investigate the impact of clinical pharmacist intervention on the prognosis of acute coronary syndrome (ACS) in Chinese patients with CHD. Two hundred and forty patients who had ACS were recruited. Participants were randomly assigned to the intervention group (n = 120) or the control group (n = 120). The intervention group received a medication assessment and education by the clinical pharmacist at discharge and telephone follow-ups at 1 week and 1 and 3 months after discharge. The control group received usual care. The primary outcomes of this study were the proportion of patients who had major adverse...
Source: Frontiers in Pharmacology - October 8, 2019 Category: Drugs & Pharmacology Source Type: research
Hemodynamics and Prognostic Impact of Concomitant Mitral Stenosis in Patients Undergoing Surgical or Transcatheter Aortic Valve Replacement for Aortic Stenosis.
CONCLUSIONS: MVA improved after AVR in nearly half of patients with severe aortic stenosis and mitral stenosis. MVA remained ≤2.0 cm2 (true mitral stenosis) in nearly half of patients with severe aortic stenosis and significant mitral stenosis; this was associated with worse survival among patients undergoing AVR for severe aortic stenosis. PMID: 31589485 [PubMed - in process]
Source: Circulation - October 8, 2019 Category: Cardiology Authors: Kato N, Padang R, Pislaru C, Miranda WR, Hoshina M, Shibayama K, Watanabe H, Scott CG, Greason KL, Pislaru SV, Nkomo VT, Pellikka PA Tags: Circulation Source Type: research
Hypertension in Pregnancy May Portend Cardiovascular Ills in Mothers
Pre-eclampsia was tied to a higher risk of stroke, heart attacks and other problems in mothers.
Source: NYT Health - October 7, 2019 Category: Consumer Health News Authors: Nicholas Bakalar Tags: Pregnancy and Childbirth Blood Pressure Heart Preeclampsia Source Type: news
‘Salty’ Concern: Tackling High Salt Consumption in China
Veena S. Kulkarni, Associate Professor, Department of Criminology, Sociology and Geography, Arkansas State University, USA; and Raghav Gaiha, (Hon.) Professorial Research Fellow, Global Development Institute, University of Manchester, England.By Veena S. Kulkarni and Raghav GaihaNEW DELHI, India and JONESBORO, US, Oct 7 2019 (IPS) China’s almost meteoric transition from a being a low income to a middle income country within a span of four decades is often perceived as a miracle analogous to the post Second World War Japanese economic development experience. China’s GDP rose from $200 current United States dollars (US$ ...
Source: IPS Inter Press Service - Health - October 7, 2019 Category: International Medicine & Public Health Authors: Veena Kulkarni and Raghav Gaiha Tags: Asia-Pacific Development & Aid Economy & Trade Food & Agriculture Food Sustainability Globalisation Headlines Health Labour TerraViva United Nations Barilla Center for Food and Nutrition Foundation (BCFN) Source Type: news
Forest Devices Is Crushing It This Year
Forest Devices added another feather to its cap at TheÂ MedTech Conference in Boston, MA where the startup won the MedTech Innovator 2019 ShowcaseÂ and received a $350,000 grand prize award. Forest is developing AlphaStroke, the first device designed to detect a stroke in any environment. TheÂ portable device uses electroencephalogramÂ monitoring and machine learning to diagnose large vessel occlusions and other strokeÂ subtypes, enabling first responders to triage patients to proper stroke centers. In 2018, the Pittsburgh, PA-based company closed an oversubscribed see...
Source: MDDI - October 7, 2019 Category: Medical Devices Authors: Amanda Pedersen Tags: Business Source Type: news
Effectiveness of an Interdisciplinary, Nurse Driven In-Hospital Code Stroke Protocol on In-Patient Ischemic Stroke Recognition and Management
Background: In-hospital strokes account for up to nearly 1 in 5 strokes. Clinical outcomes, such as length of stay, disability, and mortality are worse for in-hospital strokes than for those that occur in the community. For a variety of reasons, stroke can be more difficult to recognize and treat in hospitalized patients. Earlier recognition of stroke results in better clinical outcomes, presumably due to faster diagnosis and subsequently, prompt treatment. Methods: This investigation was a retrospective, interrupted time series, observational study of all in-hospital stroke patients between 2008 and 2017.
Source: Journal of Stroke and Cerebrovascular Diseases - October 2, 2019 Category: Neurology Authors: Sarah Jane Yang, Th érèse Franco, Nicolai Wallace, Barbara Williams, Craig Blackmore Source Type: research
Dance-based exergaming for upper extremity rehabilitation and reducing fall-risk in community-dwelling individuals with chronic stroke. A preliminary study.
CONCLUSION: Findings demonstrated the beneficial effect of DBExG for improving UE movement and the training-induced gains were also positively correlated with improvements in fall-risk measures in people with chronic stroke. Thus, DBEx training could be used as a meaningful clinical application for this population group. PMID: 31576774 [PubMed - as supplied by publisher]
Source: Topics in Stroke Rehabilitation - October 2, 2019 Category: Neurology Authors: Subramaniam S, Bhatt T Tags: Top Stroke Rehabil Source Type: research
The Effect of Occupation-Based Bilateral Upper Extremity Training in a Medical Setting for Stroke Patients: A Single-Blinded, Pilot Randomized Controlled Trial
Background: Occupation used in occupation-based intervention requires the use of 2 naturally coordinated hands. Objective: To investigate by implementing occupation-based bilateral upper extremity training in medical setting to stroke patients and determine its effect in patients ’ bilateral upper extremity function recovery. Methods: A total of 20 patients were randomly assigned to the experimental group (occupation-based bilateral upper extremity training) or control group (task-based bilateral upper extremity training).
Source: Journal of Stroke and Cerebrovascular Diseases - September 30, 2019 Category: Neurology Authors: Sun Ho Kim, Ji Hyuk Park Source Type: research
Timing of Direct Enteral Tube Placement and Outcomes after Acute Stroke
Background: Direct enteral feeding tube (DET) placement for dysphagia after stroke is associated with poor outcomes. However, the relationship between timing of DET placement and poststroke mortality and disability is unknown. We sought to determine the risk of mortality and severe disability in patients who receive DET at different times after stroke. Methods: We used the Ontario Stroke Registry and linked administrative databases to identify patients with acute ischemic stroke or intracerebral hemorrhage between 2003 and 2013 who received DET (gastrostomy or jejunostomy) during their hospital admission.
Source: Journal of Stroke and Cerebrovascular Diseases - September 28, 2019 Category: Neurology Authors: Raed A. Joundi, Gustavo Saposnik, Rosemary Martino, Jiming Fang, Moira K. Kapral Source Type: research
Oral health in patients with stroke: a meta-analysis of comparative studies.
Conclusions: Stroke patients had poorer overall oral health status compared to controls. Given the importance of oral health to overall health, further research on screening for oral health problems after stroke should be conducted and effective management strategies should be devised and implemented. PMID: 31566117 [PubMed - as supplied by publisher]
Source: Topics in Stroke Rehabilitation - September 28, 2019 Category: Neurology Authors: Zeng LN, Rao WW, Luo SH, Zhang QE, Hall BJ, Ungvari GS, Chen LG, Xiang YT Tags: Top Stroke Rehabil Source Type: research
High Intensity Exercise for Walking Competency in Individuals with Stroke: A Systematic Review and Meta-Analysis
Objective: To assess the effects of high intensity exercise on walking competency in individuals with stroke. Data sources: A systematic electronic searching of the PubMed, EMBASE, Web of Science, Cochrane Central Register of Controlled Trials (CENTRAL), CINAHL (EBSCOhost), and SPORTSDiscus (EBSCOhost) was initially performed up to June 25, 2019. Study selection: Randomized controlled trials or clinical controlled trials comparing any walking or gait parameters of the high intensity exercise to lower intensity exercise or usual physical activities were included.
Source: Journal of Stroke and Cerebrovascular Diseases - September 27, 2019 Category: Neurology Authors: Lu Luo, Shiqiang Zhu, Luoyi Shi, Peng Wang, Mengying Li, Song Yuan Source Type: research
An Observational Cohort Study Investigating Risk of Malnutrition Using the Malnutrition Universal Screening Tool in Patients with Stroke
Background: Malnutrition in patients hospitalized with a stroke have been assessed using different nutritional screening methods but there is a paucity of data linking risk of malnutrition to clinical outcomes using a validated tool. Aims: To identify the prevalence of malnutrition risk in patients after a stroke and assess the predictive value of the Malnutrition Universal Screening Tool (MUST) on clinical outcomes. Patients and Methods: Using data from electronic records and the Sentinel Stroke National Audit Programme (January 2013 and March 2016), patients aged more than 18 years with confirmed stroke admitted to a ter...
Source: Journal of Stroke and Cerebrovascular Diseases - September 27, 2019 Category: Neurology Authors: Jana Sremanakova, Sorrel Burden, Yassin Kama, Mathew Gittins, Simon Lal, Craig J. Smith, Shaheen Hamdy Source Type: research
Transcutaneous Auricular Vagus Nerve Stimulation with Upper Limb Repetitive Task Practice May Improve Sensory Recovery in Chronic Stroke
We report the impact of taVNS paired with a motor intervention, repetitive task practice, on sensory recovery in a cohort of patients with chronic stroke.
Source: Journal of Stroke and Cerebrovascular Diseases - September 27, 2019 Category: Neurology Authors: Sheharyar Sajjad Baig, Konstantinos Falidas, Peter J. Laud, Nicola Snowdon, Muhammad Umar Farooq, Ali Ali, Arshad Majid, Jessica N. Redgrave Source Type: research
Comparison of Automated CT Perfusion Softwares in Evaluation of Acute Ischemic Stroke
Background and Purpose: Automated imaging software is integral to decision-making in acute ischemic stroke (AIS) during extended time windows. RAPID software is the most widely used and has been validated in landmark endovascular trials. Olea software is another commercially available and FDA-approved software, but has not been studied in AIS trials. We aimed to compare the diagnostic utility and accuracy of RAPID and Olea in everyday clinical practice outside of a clinical trial. Methods: We analyzed prospectively-collected data from a consecutive cohort of 141 patients with suspected AIS who underwent computed tomography...
Source: Journal of Stroke and Cerebrovascular Diseases - September 25, 2019 Category: Neurology Authors: Yunyun Xiong, Chiwen C. Huang, Marc Fisher, David B. Hackney, Rafeeque A. Bhadelia, Magdy H. Selim Source Type: research
Preprocedure Intravenous Recombinant Tissue Plasminogen Activator and Risk of Distal Embolization with Thrombectomy in Acute Ischemic Stroke
Background: Intravenous recombinant tissue plasminogen activator (IV rt-PA) prior to thrombectomy may reduce the risk of intraprocedural distal embolization in acute ischemic stroke patients. Methods: We analyzed the diffusion-weighted imaging acquired with 1.5- or 3-T magnetic resonance imaging (MRI) scans obtained within 24 hours of thrombectomy in consecutive acute ischemic stroke patients. An independent physician identified distal embolization, defined as discrete foci of restricted diffusion independent of the primary area of infarction on MRI scan.
Source: Journal of Stroke and Cerebrovascular Diseases - September 24, 2019 Category: Neurology Authors: Adnan I. Qureshi, Ahmer Asif, Emrah Aytac, Jahanzeb Liaqat, Erdem Gurkas, Iryna Lobanova, Omar Saeed, Humera Ahsan, Farhan Siddiq, Camilo R. Gomez, Brandi R. French Source Type: research
Significant Stroke Knowledge Deficiencies in Community Physician Improved with Stroke 120
Background and Purpose: In the existing model of community health service in China, community general practitioners play important roles in health promotion as well as prehospital stroke recognition and management. We recently engineered Stroke 120 based on FAST for China. This investigation aimed to investigate its acceptance in community physicians and promote their stroke related knowledge. Methods: We conducted an stroke education session to community physicians or family doctors (total of 435 participants), teaching both FAST and Stroke 120.
Source: Journal of Stroke and Cerebrovascular Diseases - September 24, 2019 Category: Neurology Authors: Xiaochuan Liu, Yingfeng Weng, Renyu Liu, Jing Zhao Source Type: research
Predicting the Risk of Stroke in Chinese Internal Carotid Artery Stenosis Patients Underwent Carotid Artery Stenting: Validation and Improvement of Siena Carotid Artery Stenting Risk Score
Background: Siena carotid artery stenting (CAS) risk score is developed based on Chinese internal carotid artery (ICA) stenosis patients recruited in Italy, whether it is equally applicable in Chinese remains unknown. We aimed to investigate Siena CAS risk score value for predicting stroke risk in ICA stenosis patients underwent CAS and explore additional factors for improving accuracy of scoring system. Methods: Totally 401 patients with ICA stenosis who underwent CAS were enrolled. The clinical data (including patient characteristics, lesion features, and procedure-related features) were collected and the Siena CAS score was calculated.
Source: Journal of Stroke and Cerebrovascular Diseases - September 21, 2019 Category: Neurology Authors: Huchuan Zhou, Lin Shen, Fei Wei, Jie Shuai Source Type: research
Risk of Hyperglycemia and Hypoglycemia in Patients with Acute Ischemic Stroke Based on Continuous Glucose Monitoring
In patients with acute ischemic stroke, current guidelines recommend maintaining blood glucose levels in a range of 140-180 mg/dL and closely monitoring to prevent hypoglycemia (
Source: Journal of Stroke and Cerebrovascular Diseases - September 21, 2019 Category: Neurology Authors: Saki Nukui, Hisanao Akiyama, Kaima Soga, Naoki Takao, Yoko Tsuchihashi, Naoki Iijima, Yasuhiro Hasegawa Source Type: research
Relationship between upper limb function and functional neural connectivity among motor related-areas during recovery stage after stroke.
Conclusions: The FCs recorded at rest, as well as during the finger motor task, by the five electrodes placed on motor-related areas could be used to predict the motor function and recovery of the upper limb affected by stroke. The results indicate the possibility of using FCs recorded by conventional EEG with electrodes as biomarkers to predict motor recovery after stroke. PMID: 31535592 [PubMed - as supplied by publisher]
Source: Topics in Stroke Rehabilitation - September 19, 2019 Category: Neurology Authors: Hoshino T, Oguchi K, Inoue K, Hoshino A, Hoshiyama M Tags: Top Stroke Rehabil Source Type: research
Economic evaluation of transferring first-stroke survivors to rehabilitation wards: A 10-year longitudinal, population-based study.
Conclusions: The 10-year post-stroke follow-up showed that transferring patients to the rehabilitation ward is more cost effective than rehabilitation without transfer to the rehabilitation ward and no rehabilitation. PMID: 31535585 [PubMed - as supplied by publisher]
Source: Topics in Stroke Rehabilitation - September 19, 2019 Category: Neurology Authors: Chen CM, Yang YH, Lee M, Chen KH, Huang SS Tags: Top Stroke Rehabil Source Type: research
Association of Ultrasonography and MRI Findings with Stroke Recurrence: Differences Between Patients with Past Histories of Atherothrombotic Versus Lacunar Infarctions
This study investigated the association of MRI and ultrasonography findings with stroke recurrence in patients with past histories of atherothrombotic infarctions (ATIs) or lacunar infarctions (LIs). Methods: We prospectively analyzed the incidence of stroke recurrence. Deep and lobar cerebral microbleeds (MBs), asymptomatic lacunae, asymptomatic intracerebral hemorrhages (ICHs), severe white matter lesions (WML), and intima-media thickness (IMT) were investigated on enrollment. Stroke recurrence rates were compared by using the log-rank test.
Source: Journal of Stroke and Cerebrovascular Diseases - September 18, 2019 Category: Neurology Authors: Toshio Imaizumi, Shigeru Inamura, Aya Kanno, Tatsufumi Nomura, Sang Nyon Kim Source Type: research
Effects of the Interaction among Motor Functions on Self-care in Individuals with Stroke
No study to date has focused on what combinations of motor functions are strongly associated with self-care independence in individuals with stroke. The purpose of this study is to clarify the impact of motor function interactions on self-care independence in individuals with stroke.
Source: Journal of Stroke and Cerebrovascular Diseases - September 18, 2019 Category: Neurology Authors: Takaaki Fujita, Kazuaki Iokawa, Toshimasa Sone, Kazuhiro Yamane, Yuichi Yamamoto, Yoko Ohira, Koji Otsuki Source Type: research
Potential Clinical and Radiographic Horizontal Gaze Deviation an Early Sign of Stroke
The recent article from Jiang et al “Degree of Conjugate Gaze Deviation on CT Predicts Proximal Vessel Occlusion and May Expedite Endovascular Therapy,” Journal of Stroke and Cerebrovascular Disease 2019; 28:1093-10981 provides valuable information that may lead to early stroke intervention. They found that radiographic horizontal gaze deviation (h-CGD) detected by CTA is frequently associated with a proximal arterial occlusion (either ICA or proximal segments of the MCA); the h-CGD was always ipsilesional.
Source: Journal of Stroke and Cerebrovascular Diseases - September 17, 2019 Category: Neurology Authors: Jorge C. Kattah Tags: Letter to the Editor Source Type: research