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https://www.readbyqxmd.com/read/27855138/cdc-grand-rounds-a-public-health-approach-to-detect-and-control-hypertension
#1
Rikita Merai, Claudia Siegel, Michael Rakotz, Peter Basch, Janet Wright, Betty Wong, Phoebe Thorpe
Hypertension is generally defined as systolic blood pressure ≥140 mmHg, or diastolic blood pressure ≥90 mmHg. A person who currently uses blood pressure-lowering medication is also defined as having hypertension. Hypertension is a leading risk factor for cardiovascular disease and stroke (1,2). Hypertension affects nearly one third of U.S. residents aged ≥18 years (approximately 75 million persons), and in approximately one half of adults with hypertension (nearly 35 million persons), it is uncontrolled (2)...
November 18, 2016: MMWR. Morbidity and Mortality Weekly Report
https://www.readbyqxmd.com/read/27777378/two-decades-of-nation-wide-community-based-stroke-support-the-singapore-national-stroke-association
#2
Narayanaswamy Venketasubramanian, Ann Yin, Lay B Lee, Deidre A De Silva
The Singapore National Stroke Association, registered in 1996, offers support and information to stroke survivors and caregivers, and aims to raise public stroke awareness. In the last 20 years, we have developed programs to equip stroke survivors and caregivers with knowledge, life skills, comfort, and opportunities for socialization and reintegration. We have on-going public education and advocacy initiatives. Obtaining funding, member recruitment, volunteer retention, and leadership renewal are on-going challenges...
October 24, 2016: International Journal of Stroke: Official Journal of the International Stroke Society
https://www.readbyqxmd.com/read/27777377/severe-edentulism-is-a-major-risk-factor-influencing-stroke-incidence-in-rural-ecuador-the-atahualpa-project
#3
Oscar H Del Brutto, Robertino M Mera, Mauricio Zambrano, Victor J Del Brutto
BACKGROUND: There is no information on stroke incidence in rural areas of Latin America, where living conditions and cardiovascular risk factors are different from urban centers. AIM: Using a population-based prospective cohort study design, we aimed to assess risk factors influencing stroke incidence in community-dwelling adults living in rural Ecuador. METHODS: First-ever strokes occurring from 1 June 2012 to 31 May 2016, in Atahualpa residents aged ≥40 years, were identified from yearly door-to-door surveys and other overlapping sources...
October 24, 2016: International Journal of Stroke: Official Journal of the International Stroke Society
https://www.readbyqxmd.com/read/27762516/significance-of-bp-control-in-reducing-stroke-events-role-of-amlodipine-in-an-indian-perspective
#4
A Muruganathan, Mangesh Tiwaskar
While the incidence and prevalence of stroke is gradually decreasing in the western world, a parallel increase is seen in the developing world. It is a matter of special concern to us as approximately 20-30% of stroke occur in people younger than 45 years in India. Indians are prone to higher stroke risk because of urbanization, diabetes, cigarette smoking and high incidence of hypertension. Unfortunately, there is an inadequate awareness about the risk of stroke with hypertension among general public. Hypertension is considered to be the most important risk factor for stroke, and all forms of hypertension are associated with an increased risk of both ischemic and haemorrhagic stroke...
September 2016: Journal of the Association of Physicians of India
https://www.readbyqxmd.com/read/27754515/establishing-national-noncommunicable-disease-surveillance-in-a-developing-country-a-model-for-small-island-nations
#5
Angela M Rose, Ian R Hambleton, Selvi M Jeyaseelan, Christina Howitt, Rhea Harewood, Jacqueline Campbell, Tanya N Martelly, Tracey Blackman, Kenneth S George, Trevor A Hassell, David O Corbin, Rudolph Delice, Patsy Prussia, Branka Legetic, Anselm J Hennis
Objective To describe the surveillance model used to develop the first national, population-based, multiple noncommunicable disease (NCD) registry in the Caribbean (one of the first of its kind worldwide); registry implementation; lessons learned; and incidence and mortality rates from the first years of operation. Methods Driven by limited national resources, this initiative of the Barbados Ministry of Health (MoH), in collaboration with The University of the West Indies, was designed to collect prospective data on incident stroke and acute myocardial infarction (MI) (heart attack) cases from all health care facilities in this small island developing state (SIDS) in the Eastern Caribbean...
February 2016: Revista Panamericana de Salud Pública, Pan American Journal of Public Health
https://www.readbyqxmd.com/read/27709846/public-awareness-of-stroke-and-its-predicting-factors-in-korea-a-national-public-telephone-survey-2012-and-2014
#6
Gyung Jae Oh, Jiyoung Moon, Yu Mi Lee, Hyeung Keun Park, Ki Soo Park, Yong Woon Yun, Gilwon Kang, Byoung Gwon Kim, Jae Hee Seo, Heeyoung Lee, Won Kyung Lee, Kun Sei Lee, Hee Sook Kim, Young Hoon Lee
The aim of this study was to investigate time trends in the public awareness of stroke and its predicting factors. The target population was 9,600 community-dwelling adults, aged 19-79 years, in 16 metropolitan cities and provinces in Korea. The survey samples in 2012 and 2014 were selected separately (entirely different sets of subjects) using a proportionate quota sampling method. Information concerning knowledge of stroke and demographics was collected by trained telephone interviewers using random digit dialing...
November 2016: Journal of Korean Medical Science
https://www.readbyqxmd.com/read/27698281/why-do-transient-ischemic-attack-patients-have-higher-early-stroke-recurrence-risk-than-those-with-ischemic-stroke-influence-of-patient-behavior-and-other-risk-factors-in-the-north-dublin-population-stroke-study
#7
Layan Akijian, Danielle Ní Chróinín, Elizabeth Callaly, Niamh Hannon, Michael Marnane, Áine Merwick, Órla Sheehan, Derek Hayden, Gillian Horgan, Joseph Duggan, Lorraine Kyne, Killian O'Rourke, Sean Murphy, Eamon Dolan, David Williams, Peter J Kelly
BACKGROUND: Few studies have directly compared stroke recurrence rates after stroke and transient ischemic attack, and the risk factors underlying early recurrence are poorly understood. We aimed to investigate risk factors for recurrent stroke after first stroke and transient ischemic attack in a population-based study. METHODS: The North Dublin Population Stroke Study applied multiple overlapping hot and cold pursuit methods, to ascertain hospital- and community-treated stroke and transient ischemic attack patients over a 12-month period...
October 3, 2016: International Journal of Stroke: Official Journal of the International Stroke Society
https://www.readbyqxmd.com/read/27670208/fast-track-systems-improve-timely-carotid-endarterectomy-in-stroke-prevention-outpatients
#8
Sophia Gocan, Aline Bourgoin, Dylan Blacquiere, Rany Shamloul, Dar Dowlatshahi, Grant Stotts
BACKGROUND: For optimal stroke prevention, best practices guidelines recommend carotid endarterectomy (CEA) for symptomatic patients within two weeks; however, 2013 Ontario data indicated that only 9% of eligible patients from outpatient Stroke Prevention Clinics (SPCs) achieved this target. The goal of our study was to identify modifiable system factors that could enhance the quality and timeliness of care among patients needing urgent CEA. METHODS: We conducted a retrospective chart review of transient ischemic attack/stroke patients assessed in Champlain Local Health Integrated Network SPCs between 2011 and 2014 who subsequently underwent CEA...
September 2016: Canadian Journal of Neurological Sciences. le Journal Canadien des Sciences Neurologiques
https://www.readbyqxmd.com/read/27618782/neurological-outcomes-following-iatrogenic-vascular-injury-during-posterior-atlanto-axial-instrumentation
#9
Oluwaseun O Akinduro, Griffin R Baum, Brian M Howard, Gustavo Pradilla, Jonathan A Grossberg, Gerald E Rodts, Faiz U Ahmad
BACKGROUND: Iatrogenic vascular injury is a feared complication of posterior atlanto-axial instrumentation. A better understanding of clinical outcome and management options following this injury will allow surgeons to better care for these patients. The object of the study was to systematically review the neurologic outcomes after iatrogenic vascular injury during atlanto-axial posterior instrumentation. METHODS: We performed a systematic review of the Medline database following PRISMA guidelines...
November 2016: Clinical Neurology and Neurosurgery
https://www.readbyqxmd.com/read/27599898/bullous-pemphigoid-and-its-association-with-neurological-diseases-a-systematic-review-and-meta-analysis
#10
Y C Lai, Y W Yew, W C Lambert
Bullous pemphigoid (BP) is a chronic, autoimmune vesiculobullous disease that frequently occurs in the elderly population. Previous epidemiological studies have suggested an association between BP and neurological diseases; some studies, however, showed conflicting results. This study aimed to investigate if patients with BP have significantly higher risks for neurological disorders, compared to controls. A comprehensive search was performed using MEDLINE, EMBASE and Cochrane library databases. Case-control and cohort studies that assessed the relationship between BP and neurological diseases were included...
September 7, 2016: Journal of the European Academy of Dermatology and Venereology: JEADV
https://www.readbyqxmd.com/read/27549416/prestroke-treatment-of-stroke-risk-factors-a-cross-sectional-survey-in-central-nigeria
#11
Nura H Alkali, Sunday A Bwala, Jacob A Dunga, Musa M Watila, Yusuf B Jibrin, Abdulrahman Tahir
BACKGROUND: Stroke can be prevented with treatments targeted at hypertension, diabetes mellitus, hyperlipidemia and atrial fibrillation, but this is often hampered by under-diagnosis and under-treatment of those risk factors. The magnitude of this problem is not well-studied in sub-Saharan Africa. MATERIALS AND METHODS: We conducted a cross-sectional survey of stroke patients at a tertiary hospital during January 2010 to July 2013 to determine patient awareness of a pre-existing stroke risk factor and prior use of anti-hypertensive, anti-diabetic, antiplatelet and lipid-lowering agents...
July 2016: Annals of African Medicine
https://www.readbyqxmd.com/read/27358357/transmission-of-balamuthia-mandrillaris-by-organ-transplantation
#12
Eileen C Farnon, Kenneth E Kokko, Philip J Budge, Chukwuma Mbaeyi, Emily C Lutterloh, Yvonne Qvarnstrom, Alexandre J da Silva, Wun-Ju Shieh, Sharon L Roy, Christopher D Paddock, Rama Sriram, Sherif R Zaki, Govinda S Visvesvara, Matthew J Kuehnert
BACKGROUND: During 2009 and 2010, 2 clusters of organ transplant-transmitted Balamuthia mandrillaris, a free-living ameba, were detected by recognition of severe unexpected illness in multiple recipients from the same donor. METHODS: We investigated all recipients and the 2 donors through interview, medical record review, and testing of available specimens retrospectively. Surviving recipients were tested and treated prospectively. RESULTS: In the 2009 cluster of illness, 2 kidney recipients were infected and 1 died...
October 1, 2016: Clinical Infectious Diseases: An Official Publication of the Infectious Diseases Society of America
https://www.readbyqxmd.com/read/27275948/why-patients-delay-their-first-contact-with-health-services-after-stroke-a-qualitative-focus-group-based-study
#13
Alice Le Bonniec, Julie Haesebaert, Laurent Derex, Sylvie Porthault, Marie Préau, Anne-Marie Schott
BACKGROUND: Despite national and local French information campaigns, when acute stroke occurs, waiting times before calling mobile emergency medical services (EMS) to receive appropriate treatment (i.e. thrombolysis) and decrease the risk of physical disability, remain long. We aimed to identify the representations of stroke in the general population and to determine barriers to and facilitators for rapidly contacting EMS. METHOD: We conducted a qualitative study among the general population with 10 focus groups, 5 comprising employed people (N = 29) and 5 comprising retirees (N = 32)...
2016: PloS One
https://www.readbyqxmd.com/read/27188567/exploring-recruitment-issues-in-stroke-research-a-qualitative-study-of-nurse-researchers-experiences
#14
Leigh Boxall, Anthony Hemsley, Nicola White
AIM: To explore the practice of experienced stroke nurse researchers to understand the issues they face in recruiting participants. BACKGROUND: Participant recruitment is one of the greatest challenges in conducting clinical research, with many trials failing due to recruitment problems. Stroke research is a particularly difficult area in which to recruit; however various strategies can improve participation. DISCUSSION: Analysis revealed three main types of problems for recruiting participants to stroke research: those related to patients, those related to the nurse researcher, and those related to the study itself...
May 2016: Nurse Researcher
https://www.readbyqxmd.com/read/27169398/the-results-of-a-survey-of-physicians-about-the-japanese-society-of-hypertension-guidelines-for-the-management-of-hypertension-2014-and-its-clinical-use
#15
Masaki Mogi, Naoyuki Hasebe, Masatsugu Horiuchi, Kazuaki Shimamoto, Satoshi Umemura
The current study investigated physicians' awareness and use of the Japanese Society of Hypertension Guidelines for the Management of Hypertension 2014 (JSH2014) and is based on the results of a survey performed by the Publicity and Advertisement Committee of JSH. A questionnaire was used to survey physicians' awareness of the JSH2014, their recommended target blood pressure for hypertensive patients with complications and their use of antihypertensive drugs. Physicians who downloaded a PDF version of JSH2014 during the 6 months after its publication (April-September 2014) were asked to complete an online questionnaire...
September 2016: Hypertension Research: Official Journal of the Japanese Society of Hypertension
https://www.readbyqxmd.com/read/27158569/knowledge-regarding-basic-facts-of-stroke-among-final-year-mbbs-students-and-house-officers-a-cross-sectional-survey-of-708-respondents-from-pakistan
#16
Mohammad U Khubaib, Farooq A Rathore, Ahmed Waqas, Mohsin M Jan, Sana Sohail
INTRODUCTION: Stroke is the leading cause of neurological disability in the world. In Pakistan, house officers (HOs) are usually the first contact for a stroke patient in the emergency department. Sometimes they need to make quick decisions regarding diagnosis and management without specialist supervision. Thousands of current final year MBBS (Bachelor of Medicine, Bachelor of Surgery) students will be performing the duties of HOs soon. This study documents the knowledge and confidence levels of final year students and HOs in Pakistan regarding basic facts related to initial diagnosis and management of stroke...
2016: Curēus
https://www.readbyqxmd.com/read/27134468/knowledge-and-perception-about-health-risks-of-cigarette-smoking-among-iraqi-smokers
#17
Omar Thanoon Dawood, Mohammed Abd Ahmed Rashan, Mohamed Azmi Hassali, Fahad Saleem
BACKGROUND: Smoking is a major public health problem, especially in Iraq. There is very little information had been documented regarding smoking risk factors and quit intention among Iraqi smokers. OBJECTIVES: The main objectives of this study are to determine smokers' knowledge and perception about smoking health risks; and to determine smoking behavior and quitting intentions among Iraqi smokers; as well as to predict the factors that may associate with quit intentions...
April 2016: Journal of Pharmacy & Bioallied Sciences
https://www.readbyqxmd.com/read/27126645/global-burden-of-thrombosis-epidemiologic-aspects
#18
Aaron M Wendelboe, Gary E Raskob
Thromboembolic conditions were estimated to account for 1 in 4 deaths worldwide in 2010 and are the leading cause of mortality. Thromboembolic conditions are divided into arterial and venous thrombotic conditions. Ischemic heart disease and ischemic stroke comprise the major arterial thromboses and deep-vein thrombosis and pulmonary embolism comprise venous thromboembolism. Atrial fibrillation is a major risk factor for stroke and systemic arterial thromboembolism. Estimates of the global burden of disease were obtained from Global Burden of Disease Project reports, recent systematic reviews, and searching the published literature for recent studies reporting measures of incidence, burden, and disability-adjusted life-years...
April 29, 2016: Circulation Research
https://www.readbyqxmd.com/read/27032390/pre-hospital-delay-after-acute-ischemic-stroke-in-central-urban-china-prevalence-and-risk-factors
#19
Yanfeng Zhou, Tingting Yang, Yanhong Gong, Wenzhen Li, Yawen Chen, Jing Li, Mengdie Wang, Xiaoxv Yin, Bo Hu, Zuxun Lu
Timely thrombolytic treatment is paramount after acute ischemic stroke (AIS); however, a large proportion of patients experience substantial delays in presentation to hospital. This study evaluates the prevalence and risk factors in pre-hospital delays after AIS in central urban China. AIS patients from 66 hospitals in 13 major cities across Hubei Province, between October 1, 2014 and January 31, 2015 were interviewed and their medical records were reviewed to identify those who suffered pre-hospital delays...
March 31, 2016: Molecular Neurobiology
https://www.readbyqxmd.com/read/27019989/mass-media-intervention-in-western-norway-aimed-at-improving-public-recognition-of-stroke-emergency-response-and-acute-treatment
#20
Rajiv Advani, Halvor Naess, Martin Kurz
BACKGROUND: This study evaluates the effect of a mass media intervention (MMI) on the number of admissions to the emergency room (ER) with a suspected acute-onset stroke and on the number of patients treated with intravenous thrombolysis (IVT). The MMI was run for 1 month, with a precampaign month, priming the treatment chain and raising in-hospital awareness. METHODS: This study conducted a prospective analysis of all patients admitted to the ER before, during, and after the MMI to assess changes in admission rate and IVT treatment rate...
June 2016: Journal of Stroke and Cerebrovascular Diseases: the Official Journal of National Stroke Association
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