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Strategies to Improve Stroke Care Services in Low- and Middle-Income Countries: A Systematic Review
Conclusion: In this systematic review, we found several reports on evidence-based implementable stroke services in LMICs. Some strategies are economic, feasible and reproducible but remain untested. Data on their outcomes and sustainability is limited. Further research on implementation of locally and regionally adapted stroke-services and cost-effective secondary prevention programs should be a priority.Neuroepidemiology 2017;49:45-61
Source: Neuroepidemiology - August 18, 2017 Category: Epidemiology Source Type: research

Evaluation of the effects of the Arm Light Exoskeleton on movement execution and muscle activities: a pilot study on healthy subjects
Conclusions: The preliminary analysis on healthy subjects supported the use of ALEx for post-stroke upper limb robotic assisted rehabilitation, and it provided clues on the effects of different rehabilitative strategies on movement and muscle coordination.
Source: Epidemiologic Perspectives and Innovations - January 23, 2016 Category: Epidemiology Authors: Elvira PirondiniMartina CosciaSimone MarcheschiGianluca RoasFabio SalsedoAntonio FrisoliMassimo BergamascoSilvestro Micera Source Type: research

Does pragmatically structured outpatient dietary counselling reduce sodium intake in hypertensive patients? Study protocol for a randomized controlled trial
DiscussionThough decreasing sodium intake has been reported to be efficacious in lowering blood pressure, there exists a gap in the evidence for an effective intervention that could be easily translated into clinical practice. If successful, our intervention would be suitable for outpatient programs such as hypertension clinics or interprofessional family practices (family health teams). A negative, or partially negative (positive effect at four weeks with attrition by 12 months) trial outcome also has significant implications for healthcare delivery and use of resources.Trial registrationThe trial was registered with Cli...
Source: Epidemiologic Perspectives and Innovations - June 16, 2015 Category: Epidemiology Authors: Marcel RuzickaTim RamsayAnn BugejaCedric EdwardsGeorge FodorAnne KirbyPeter MagnerBrendan McCormickGigi van der HoefJessica WagnerSwapnil Hiremath Source Type: research

An approach to improve the performance of subject-independent BCIs-based on motor imagery allocating subjects by gender
Conclusions: A larger subjects' sample test may be necessary to improve the performances of the gender-specific BCIs and to further test this methodology on different patients. The reduction of complexity in the implementation of BCI systems could bring these systems closer to applications such as controlling devices for the motor rehabilitation of stroke patients, and therefore, contribute to a more effective neurological rehabilitation.
Source: Epidemiologic Perspectives and Innovations - December 4, 2014 Category: Epidemiology Authors: Jessica Cantillo-NegreteJosefina Gutierrez-MartinezRuben I Carino-EscobarPaul Carrillo-MoraDavid Elias-Vinas Source Type: research

Protocol for a randomized controlled clinical trial investigating the effectiveness of Fast muscle Activation and Stepping Training (FAST) for improving balance and mobility in sub-acute stroke
DiscussionThe targeted training of fast functional movements in the FAST program is expected to improve walking balance following stroke compared to the active control intervention. Unique to this study is the investigation of potential mechanisms associated with improvements in walking balance.Trial registrationClinicalTrials.gov NCT01573585
Source: Epidemiologic Perspectives and Innovations - October 10, 2014 Category: Epidemiology Authors: Kimberly J MillerMichael A HuntCourtney L PollockDianne BryantS Garland Source Type: research

Receptionist rECognition and rEferral of patients with stroke (RECEPTS) study - protocol of a mixed methods study
This study therefore aims to understand the role of General Practice receptionists, with particular interest in receptionist's ability to recognise people who may be suffering from a stroke and to handle such patients as a medical emergency. Methods: The Receptionist rECognition and rEferral of PaTients with Stroke (RECEPTS) study will be a Primary Care based mixed methods study. 60 General Practices in the West Midlands will be recruited. Each practice will receive 10 unannounced simulated patient telephone calls, after the 10 calls questionnaires will be administered to each receptionist. These will examine the behaviour...
Source: Epidemiologic Perspectives and Innovations - May 12, 2014 Category: Epidemiology Authors: James P SheppardSatinder SinghJanet JonesElizabeth BatesJohn SkeltonConnie WiskinRichard J McManusRuth M Mellor Source Type: research

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