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Stroke education

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https://www.readbyqxmd.com/read/28076632/-emma-study-a-brazilian-community-based-cohort-study-of-stroke-mortality-and-morbidity
#1
Alessandra Carvalho Goulart
CONTEXT AND OBJECTIVE: Stroke has a high burden of disability and mortality. The aim here was to evaluate epidemiology, risk factors and prognosis for stroke in the EMMA Study (Study of Stroke Mortality and Morbidity). DESIGN AND SETTINGS: Prospective community-based cohort carried out in Hospital Universitário, University of São Paulo, 2006-2014. METHODS: Stroke data based on fatal and non-fatal events were assessed, including sociodemographic data, mortality and predictors, which were evaluated by means of logistic regression and survival analyses...
November 2016: São Paulo Medical Journal, Revista Paulista de Medicina
https://www.readbyqxmd.com/read/28067185/effect-of-formal-education-on-vascular-cognitive-impairment-after-stroke-a-meta-analysis-and-study-in-young-stroke-patients
#2
Roy P C Kessels, Willem Sake Eikelboom, Pauline Schaapsmeerders, Noortje A M Maaijwee, Renate M Arntz, Ewoud J van Dijk, Frank-Erik de Leeuw
OBJECTIVES: The extent of vascular cognitive impairment (VCI) after stroke varies greatly across individuals, even when the same amount of brain damage is present. Education level is a potentially protective factor explaining these differences, but results on its effects on VCI are inconclusive. METHODS: First, we performed a meta-analysis on formal education and VCI, identifying 21 studies (N=7770). Second, we examined the effect of formal education on VCI in young-stroke patients who were cognitively assessed on average 11...
January 9, 2017: Journal of the International Neuropsychological Society: JINS
https://www.readbyqxmd.com/read/28060916/nocturia-is-associated-with-slipping-and-falling
#3
So Young Kim, Woojin Bang, Min-Su Kim, Bumjung Park, Jin-Hwan Kim, Hyo Geun Choi
Several reports have demonstrated associations between falls and nocturia in the elderly. However, little information is available regarding other age groups. This study evaluated the relationship between the frequency of nocturia and falls in men using a large, population-based survey in Korea, and the results were adjusted for various confounding factors. Data from a 2011 Korean community health survey (KCHS) were retrieved for 92,660 men aged 19 to 103 years. Information regarding the history of slips or falls in the past year was collected...
2017: PloS One
https://www.readbyqxmd.com/read/28060530/prevalence-of-hypotension-and-its-association-with-cognitive-function-among-older-adults
#4
Yadollah Abolfathi Momtaz, Tengku Aizan Hamid, Sharifah Azizah Haron, Mohamad Fazdillah Bagat, Fatemeh Mohammadi
BACKGROUND AND OBJECTIVE: The negative effect of hypertension has overshadowed possible health problems associated with hypotension. The purposes of this study were to describe the prevalence of hypotension in older adults and to determine the association between hypotension and cognitive function, after adjusting for possible covariates. METHODOLOGY: The data for the study consisting of 1067 community-dwelling older adults were obtained from a national survey entitled "Identifying Psychosocial and Identifying Economic Risk Factor of Cognitive Impairment among Elderly", conducted in Malaysia...
January 6, 2017: Aging & Mental Health
https://www.readbyqxmd.com/read/28054364/patients-and-physicians-perceptions-regarding-the-benefits-of-atrial-fibrillation-ablation
#5
Auroa Badin, Alan R Parr, Sandeep Banga, Rebecca R Wigant, Timir S Baman
INTRODUCTION: It is unclear whether patients and physicians understand that atrial fibrillation ablation (AFA) has been shown to only improve symptomology and not reduce morbidity or mortality. METHODS: 177 of 445 (40%) consecutive patients referred to an electrophysiology clinic for atrial fibrillation (AF) management responded anonymously to our survey via mail. 105 of 656 (15%) physicians responded to our survey via email. Comparisons among groups were conducted using Chi- Square test for categorical variables...
January 5, 2017: Pacing and Clinical Electrophysiology: PACE
https://www.readbyqxmd.com/read/28053925/reliability-and-validity-of-a-chinese-version-of-the-stroke-action-test-a-new-instrument-for-assessment-of-stroke-knowledge-and-response
#6
Mei Ha, Xiaoling Qian, Hong Yang, Jichun Huang, Changjiang Liu
BACKGROUND: The public's cognition of stroke and responses to stroke symptoms are important to prevent complications and decrease the mortality when stroke occurs. The aim of study was to develop and validate the Chinese version of the Stroke Action Test (C-STAT) in a Chinese population. METHODS: This study was rigorously implemented with the published guideline for the translation, adaptation and validation of instruments for the cross-cultural use in healthcare care research...
December 2016: Iranian Journal of Public Health
https://www.readbyqxmd.com/read/28049565/adapting-the-concepts-of-brain-and-cognitive-reserve-to-post-stroke-cognitive-deficits-implications-for-understanding-neglect
#7
Roza M Umarova
Advanced lesion mapping and connectivity analyses are currently the main tools used to understand the mechanisms underlying post-stroke cognitive deficits. However, the factors contributing to pre-stroke architecture of cognitive networks are often ignored, even though they reportedly play a decisive role in the manifestation of cognitive impairment in neurodegeneration. The present review on post-stroke cognitive deficits therefore adopts the concept of brain and cognitive reserve, which was originally developed to account for the individual differences in the course of aging and neurodegenerative diseases...
December 16, 2016: Cortex; a Journal Devoted to the Study of the Nervous System and Behavior
https://www.readbyqxmd.com/read/28042264/the-effect-of-education-on-oral-health-students-attitudes-in-australia-and-new-zealand
#8
Liyana Tanny, Takashi Komabayashi, D Leann Long, Yoshio Yahata, Susan M Moffat, Helen Tãne
OBJECTIVE: The aim of this study was to evaluate the oral health attitudes and behavior of students in the oral health curriculum in Australia and New Zealand. MATERIALS AND METHODS: The Hiroshima University - Dental Behavioral Inventory was administered to students in the first (year 1) and final years (year 3) of the oral health curriculum at Charles Sturt University in Australia and the University of Otago in New Zealand. A total of fifty-two year 1 students and forty-five year 3 students completed English version of the questionnaire in 2013...
October 2016: European Journal of Dentistry
https://www.readbyqxmd.com/read/28039368/long-term-neurologic-health-and-psychosocial-function-of-adult-survivors-of-childhood-medulloblastoma-pnet-a-report-from-the-childhood-cancer-survivor-study
#9
Allison A King, Kristy Seidel, Chongzhi Di, Wendy M Leisenring, Stephanie Mabry Perkins, Kevin R Krull, Charles A Sklar, Daniel M Green, Gregory T Armstrong, Lonnie K Zeltzer, Elizabeth Wells, Marilyn Stovall, Nicole J Ullrich, Kevin C Oeffinger, Leslie L Robison, Roger J Packer
BACKGROUND: Medulloblastoma is the most common malignant childhood brain tumor, although long-term risks for chronic neurologic health and psychosocial functioning in aging adult survivors are incompletely characterized. METHODS: The Childhood Cancer Survivor Study (CCSS) includes 380 five-year survivors of medulloblastoma/primitive neuroectodermal tumor (PNET; median age at follow-up: 30 y, interquartile range 24-36) and sibling comparison (n = 4031). Cumulative incidence of neurologic health conditions was reported...
December 29, 2016: Neuro-oncology
https://www.readbyqxmd.com/read/28029070/an-exploration-of-factors-influencing-physical-activity-levels-amongst-a-cohort-of-people-living-in-the-community-after-stroke-in-the-south-of-england
#10
Sharon Jackson, Christopher Mercer, Barbara Jennifer Singer
PURPOSE: To explore factors influencing physical activity (PA) reported by people living in rural/semi-rural communities in the south of England post-stroke, and to understand relationships between personal, interpersonal and environmental barriers and self-reported levels of PA. METHOD: A survey was mailed to patients of NHS Trusts who were identified as potential participants. Self-reported PA levels, type, and frequency of reported barriers were tabulated. Spearman's rank correlation coefficient was used to explore associations between self-reported PA level and: age, gender, level of physical function, fear of falling, beliefs regarding PA, available supports, and socioeconomic status...
December 28, 2016: Disability and Rehabilitation
https://www.readbyqxmd.com/read/28028525/is-there-any-relationship-between-different-phenotypes-of-metabolic-syndrome-and-cardiovascular-mortality-rate
#11
Alireza Khosravi, Sareh Ahmadzadeh, Mojgan Gharipour, Jafar Golshahi, Masoumeh Sadeghi, Mahnaz Jozan, Nizal Sarrafzadegan
BACKGROUND: This study aimed to focus on different phenotypes of metabolic syndrome (MetS) and their impact on the cardiovascular disease (CVD) events among a sample of the Iranian population. MATERIALS AND METHODS: The Isfahan cohort study is a population-based, on-going longitudinal study of adults aged 35 years old or more, living in urban and rural areas of three counties in central Iran namely Isfahan, Najafabad and Arak. Participants were selected by multistage random sampling and were recruited to reflect the age, sex and urban/rural distribution of the community...
2016: Advanced Biomedical Research
https://www.readbyqxmd.com/read/28024459/post-acute-hospital-healthcare-services-for-people-with-mild-stroke-a-scoping-review
#12
Tenelle Hodson, Louise Gustafsson, Petrea Cornwell, Amanda Love
BACKGROUND: People with mild stroke comprise a significant proportion of the overall stroke population. Previously this population has been viewed as having limited impairments, receiving minimal services following hospital discharge. Recent findings demonstrate that the implications of mild stroke are more significant than originally comprehended, warranting further services. OBJECTIVES: To identify the evidence-base regarding services for people with mild stroke, post-acute hospital discharge, that target secondary prevention and/or changes following stroke...
December 26, 2016: Topics in Stroke Rehabilitation
https://www.readbyqxmd.com/read/28024086/leisure-time-physical-activity-reduces-total-and-cardiovascular-mortality-and-cardiovascular-disease-incidence-in-older-adults
#13
Noël C Barengo, Riitta Antikainen, Katja Borodulin, Kennet Harald, Pekka Jousilahti
OBJECTIVES: To determine whether leisure-time physical activity (LTPA) is independently associated with all-cause and cardiovascular mortality and with incidence of cardiovascular disease (CVD) and stroke in older adults. DESIGN: Population-based cohort study (median follow-up 11.8 years). SETTING: Community, five Finnish provinces. PARTICIPANTS: Men and women aged 65 to 74 who participated in a baseline risk factor survey between 1997 and 2007 in Finland (N = 2,456)...
December 26, 2016: Journal of the American Geriatrics Society
https://www.readbyqxmd.com/read/28018214/total-cerebral-small-vessel-disease-mri-score-is-associated-with-cognitive-decline-in-executive-function-in-patients-with-hypertension
#14
Renske Uiterwijk, Robert J van Oostenbrugge, Marjolein Huijts, Peter W De Leeuw, Abraham A Kroon, Julie Staals
Objectives: Hypertension is a major risk factor for white matter hyperintensities (WMH), lacunes, cerebral microbleeds, and perivascular spaces, which are MRI markers of cerebral small vessel disease (SVD). Studies have shown associations between these individual MRI markers and cognitive functioning and decline. Recently, a "total SVD score" was proposed in which the different MRI markers were combined into one measure of SVD, to capture total SVD-related brain damage. We investigated if this SVD score was associated with cognitive decline over 4 years in patients with hypertension...
2016: Frontiers in Aging Neuroscience
https://www.readbyqxmd.com/read/28011022/effects-of-ambient-temperature-on-stroke-hospital-admissions-results-from-a-time-series-analysis-of-104-432-strokes-in-guangzhou-china
#15
Pi Guo, Murui Zheng, Wenru Feng, Jiagang Wu, Changyu Deng, Ganfeng Luo, Li Wang, Bingying Pan, Huazhang Liu
BACKGROUND: Stroke is a main cause of death and public health burden in China. The evidence on the burden of different strokes attack attribute to ambient temperature in China is limited. This study aimed to show the characteristics of stroke attack and the attributable risk due to temperature based on hospital admission data in Guangzhou, one of the most developed cities in China. MATERIAL AND METHODS: From January 1, 2013 to December 31, 2015, 104,432 stroke hospitalizations in Guangzhou residents from 67 hospitals for stroke sentinel surveillance were registered...
December 20, 2016: Science of the Total Environment
https://www.readbyqxmd.com/read/28003889/knowledge-and-health-beliefs-regarding-sickle-cell-disease-among-omanis-in-a-primary-healthcare-setting-cross-sectional-study
#16
Mohammed H Al-Azri, Rajaa Al-Belushi, Muna Al-Mamari, Robin Davidson, Anil C Mathew
OBJECTIVES: Sickle cell disease (SCD) is a global health concern associated with high childhood morbidity and mortality; in Oman, the prevalence of SCD is 0.2%. Public awareness of SCD and the need for premarital screening (PMS) are essential to reduce the incidence of this disease. This study aimed to assess awareness of and beliefs regarding SCD and PMS among Omanis in a primary healthcare setting. METHODS: This cross-sectional study took place in five health centres located in Al-Seeb Province, Muscat, Oman, between June and August 2015...
November 2016: Sultan Qaboos University Medical Journal
https://www.readbyqxmd.com/read/28003252/association-of-family-history-with-cardiovascular-disease-in-hypertensive-individuals-in-a-multiethnic-population
#17
Luca Valerio, Ron J Peters, Aeilko H Zwinderman, Sara-Joan Pinto-Sietsma
BACKGROUND: Hypertension alone is a poor predictor of the individual risk of cardiovascular disease. Hereditary factors of which hypertension is merely a marker may explain why some hypertensive individuals appear more susceptible to cardiovascular disease, and why some ethnicities have more often seemingly hypertension-related cardiovascular disease than others. We hypothesize that, in hypertensive individuals, a positive family history of cardiovascular disease identifies a high-risk subpopulation...
December 21, 2016: Journal of the American Heart Association
https://www.readbyqxmd.com/read/27989290/sociodemographic-patterns-of-chronic-disease-how-the-mid-south-region-compares-to-the-rest-of-the-country
#18
Gabriela R Oates, Bradford E Jackson, Edward E Partridge, Karan P Singh, Mona N Fouad, Sejong Bae
INTRODUCTION: States in the Mid-South region are among the least healthy in the nation. This descriptive study examines sociodemographic differences in the distribution of chronic diseases and health-related behaviors in the Mid-South versus the rest of the U.S., identifying subgroups at increased risk of chronic disease. METHODS: Data were obtained from the 2013 Behavioral Risk Factor Surveillance System; analyses were completed in January 2016. Twelve chronic health conditions were assessed: obesity, diabetes, high blood pressure, coronary heart disease, myocardial infarction, stroke, chronic kidney disease, cancer, arthritis, asthma, chronic obstructive pulmonary disease, and depression...
January 2017: American Journal of Preventive Medicine
https://www.readbyqxmd.com/read/27988515/cognitive-impairment-and-structural-neuroimaging-abnormalities-among-patients-with-chronic-kidney-disease
#19
Hai-Chen Pi, Yu-Feng Xu, Rong Xu, Zhi-Kai Yang, Zhen Qu, Yu-Qing Chen, Gui-Ling Liu, Jie Dong
BACKGROUND/AIMS: Cognitive impairment and abnormal structural neuroimaging is common in chronic kidney disease patients. We aimed to explore its association with dialysis modality and the relationship between cognitive impairment and abnormal structural neuroimaging. METHODS: Sixty peritoneal dialysis patients and 30 hemodialysis and 30 non-dialyzed stage 3-5 chronic kidney disease patients without history of stroke were enrolled for the study. Participants were matched for age, gender, education, diabetes status, and dialysis duration (if appropriate)...
2016: Kidney & Blood Pressure Research
https://www.readbyqxmd.com/read/27982377/polypharmacy-and-polymorbidity-in-older-adults-in-brazil-a-public-health-challenge
#20
Luiz Roberto Ramos, Noemia Urruth Leão Tavares, Andréa Dâmaso Bertoldi, Mareni Rocha Farias, Maria Auxiliadora Oliveira, Vera Lucia Luiza, Tatiane da Silva Dal Pizzol, Paulo Sérgio Dourado Arrais, Sotero Serrate Mengue
OBJECTIVE: To analyze variations in the prevalence of chronic use of medicines by older adults in Brazil according to its possible association with the most prevalent chronic diseases and demographic and health factors, and to identify risk factors for polypharmacy. METHODS: A study based on data from the National Survey on Access, Use and Promotion of Rational Use of Medicines (PNAUM), a cross-sectional, population-based survey with probability sampling in Brazilian urban areas...
December 2016: Revista de Saúde Pública
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