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Search Results: 1 - 10 of 2207 matches for " Stroke "
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Klinische Studien/Klinische Praxis: Neue Antikoagulation zur Schlaganfallpr vention bei Patienten mit Vorhofflimmern
H?chtl T,Frick M,Alber H,Huber K
Journal für Neurologie, Neurochirurgie und Psychiatrie , 2012,
Abstract:
Clinical Profile of Stroke-Study Conducted in the Batticaloa Teaching Hospital, Sri Lanka  [PDF]
Maheswaran Umakanth
Journal of Biosciences and Medicines (JBM) , 2018, DOI: 10.4236/jbm.2018.66001
Abstract: Stroke as a disease entity has significantly increased the morbidity, incapacity, and mortality in Sri Lanka. In the west, it is the 3rd most common cause of death. In addition to that, it is a disturbing and restricting cerebrovascular disease with a substantial amount of remaining shortage leading on to emotional and financial burden on the family and society. A hospital-based retrospective study was conducted at Teaching Hospital Batticaloa, Sri Lanka from July 1, 2016, to October 31, 2016. During the study period, data were collected from the medical records. Out of 34 patients, 21 (61.8%) were males and 13 (38.2%) were females. The male to female ratio was 1.6:1. Out of 34 patients, 17 (50%) were affected in the left side and 17 (50%) were affected on the right side. The most common risk factor was hypertension with 79.4%, and next to that diabetes mellitus (41.2%), smoking (23.5%), alcohol (20.6%), past history of Stroke (17.6%) and ischaemic heart disease (IHD) (14.7%). Stroke due to infarction is more common than haemorrhage. In this study, both right and left sides were affected equally. In order to prevent this devastating stroke, acknowledgment of risk factors for stroke is prime importance for the healthcare workers as well as public.
Assignment of ethnicity in patients with acute ischemic stroke in northern Israel  [PDF]
G. Telman, E. Kouperberg, M. Herskovitz, T. Diab, H. Hurani, E. Sprecher
Health (Health) , 2011, DOI: 10.4236/health.2011.37073
Abstract: The description of various methods for ethnicity classification can be found in the literature, though their reliability still remains unclear. We examined inter-observer agreement in defining the ethnic identification of patients in a bi-ethnic population (Arab-Jewish) in northern Israel, using place of birth and residence in addition to given and family names. Data about 1006 consecutive patients with acute ischemic stroke were gathered from our stroke registry. The data were analyzed by four independent observers (authors MH, TD, HH, GT) aiming to assign patients either as Arabs or Jews. Agreement between all four observers was excellent, as assessed by Fleiss’ Kappa statistic (κ = 0.96). We conclude that the use of given and family names of patients, together with their place of birth and residence, achieved near-perfect inter-observer agreement and a highly reliable assignment of ethnicity in two large ethnic population groups–Arabs and Jews–in northern Israel.
Concomitant H1N1 encephalopathy and acute ischemic stroke: A case report  [PDF]
Elzbieta Wirkowski, Jay Yasen, Christopher Bondoc
World Journal of Cardiovascular Diseases (WJCD) , 2012, DOI: 10.4236/wjcd.2012.22016
Abstract: Neurological complications of infection by the novel H1N1 virus have been described primarily in children. In adults, patients typically present with fever and respiratory symptoms, and may develop acute respi-ratory distress syndrome, sepsis and stroke. We present a 45-year-old man whose presentation of aphasia and right hemiplegia were incongruent with the findings on MRI of a small acute ischemic stroke. He rapidly developed multi-organ failure and died. Nasal swab PCR obtained prior to death returned positive for influenza virus A/H1N1. At autopsy, a small acute hemorrhagic infarction in the left parietal lobe was present. We suspect that this was a car-dio-embolic stroke, probably triggered by H1N1 myocarditis.
Predicting Mortality and Functional Outcomes after Ischemic Stroke: External Validation of a Prognostic Model  [PDF]
Achala Vagal, Heidi Sucharewv, Christopher Lindsell, Dawn Kleindorfer, Kathleen Alwell, Charles J. Moomaw, Daniel Woo, Matthew Flaherty, Pooja Khatri, Opeolu Adeoye, Simona Ferioli, Jason Mackey, Sharyl Martini, Felipe De Los Rios La Rosa F., Brett Kissela
Journal of Behavioral and Brain Science (JBBS) , 2018, DOI: 10.4236/jbbs.2018.810036
Abstract: Background: We previously developed predictive models for 3-month mortality and modified Rankin Score (mRS) after ischemic stroke. Aim: The aim was to test model validity for 3-month mortality and mRS after ischemic stroke in two independent data sets. Methods: Our derivation models used data from 451 subjects with ischemic stroke in 1999 enrolled in the Greater Cincinnati/Northern Kentucky Stroke Study (GCKNSS). We utilized two separate cohorts of ischemic strokes through GCKNSS (460 in 2005 and 504 in 2010) to assess external validity by utilizing measures of agreement between predicted and observed values, calibration, and discrimination using Transparent Reporting of a multivariable prediction model for Individual Prognosis or Diagnosis. Results: The 3-month mortality model performed well in the validation datasets with an average prediction error (Brier score) of 0.045 for 2005 and 0.053 for 2010 and excellent discrimination with an area under the curve of 0.86 (95% CI: 0.79, 0.93) for 2005 and 0.84 (0.76, 0.92) for 2010. Predicted 3-month mRS also performed well in the validation datasets with R2 of 0.57 for 2005 and 0.50 for 2010 and a root mean square error of 0.85 for 2005 and 1.05 for 2010. Predicted mRS tended to be higher than actual in both validation datasets. Re-estimation of the model parameters for age and severe white matter hyperintensity in both 2005 and 2010, and for diabetes in 2005, improved predictive accuracy. Conclusions: Our previously developed stroke models performed well in two study periods, suggesting validity of the model predictions.
A New Method for Chinese Character Strokes Recognition  [PDF]
Yan Xu, Xiangnian Huang, Huan Chen, Huizhu Jiang
Open Journal of Applied Sciences (OJAppS) , 2012, DOI: 10.4236/ojapps.2012.23027
Abstract: In this paper, the problem of stroke recognition has been studied, and the strategies and the algorithms related to the problem are proposed or developed. Based on studying some current methods for Chinese characters strokes recognition, a new method called combining trial is presented. The analysis and results of experiments showed that the method has the advantage of high degree of steadiness.
Sociodemographic profile and social support for post-stroke depression in Kinshasa: A rehabilitation based cross-sectional study  [PDF]
Magloire Nkosi Mpembi, Samuel Mampunza ma Miezi, André Peeters, Marie-Pierre de Partz, Sévérine Henrard, Victoria Kubuta Massamba, Roland Nengi Nsam, Thierry Matonda ma Nzuzi, Jean Macq, Vincent Dubois, Eric Constant
Open Journal of Epidemiology (OJEpi) , 2013, DOI: 10.4236/ojepi.2013.3318
Abstract: The World Health Organization has highlighted the emergence of non-communicable chronic diseases, including stroke, in developing countries. As a cause of death, stroke ranks first in Africa. Stroke is the foremost cause of neuropsychiatric disease, including post-stroke depression (PSD) which is a very common disease. Surveys of this condition in Congolese pa tients are virtually non-existent. The objectives of this study were to assess the prevalence of PSD in Congolese patients and identify associated sociodemographic factors. Age, sex, address, province of origin, social and professional status, education, religion and consumption habits were chosen as indicators or parameters of interest to be examined in this study. The results of descriptive analyses are presented as frequencies for categorical variables and as mean ± standard deviation for quantitative variables. The association between different variables was assessed using tables of comparisons of proportions and the Chi-square test. Logistic regression was performed to predict the occurrence of PSD. There were more male than female patients. The mean age was 54.67 ± 12.51 years. Nearly 3 fourths of the patients were aged less than 65. The family was the primary source of social support. The majority was satisfied by the social support received from the family. Just over half the study patients (53.6%) had mild to severe depression as assessed by the PHQ9. Univariate analysis and logistic regression indicated a statistically significant association between low educational level and the occurrence of PSD. However, there was no relationship between age, sex or drinking habits and the onset of PSD. The majority of the subjects were satisfied by the social support from their families. Depression was common after stroke with the occurrence of 53.6%. These results highlight the need to investigate, diagnose and treat PSD, which is a risk factor for morbidity and mortality after stroke.
Stroke and Constipation
—Coincidence or Interrelated?
 [PDF]

Jayaprada Kasaraneni, Margaret Hayes
Health (Health) , 2014, DOI: 10.4236/health.2014.619313
Abstract: Emile Gautier once said, “Freedom of the bowels is the most precious, perhaps even the most essential, of all freedoms—one without which little can be accomplished.” This paper will explore the neuronal physiology, pathophysiology, theories regarding the correlation between stroke and constipation along with a few treatment options. Patients often recovering from stroke complain of constipation and it is most likely attributed to changes in diet, ambulation, or fluid balance. However, there are not many studies to reflect the correlation between other less significant symptoms and stroke presentation.
Stroke Management Awareness and Behavior among Nursing Students in Bangladesh  [PDF]
Shariful Islam, Eui Geum Oh, Tae Wha Lee, Sanghee Kim
Open Journal of Nursing (OJN) , 2017, DOI: 10.4236/ojn.2017.71001
Abstract: Background: Stroke is a significant cause of morbidity and mortality throughout the world. In Bangladesh, stroke accounts for 27% of deaths, making it the third leading cause of death and disability [1]. Nurses have a critical role to play in reducing death and disability among stroke victims, but many nursing students are not being educated to meet the challenges of this complex condition. Objectives: This study examined undergraduate nursing students’ awareness of strokes and their stroke patient management behaviors. Method: This was a descriptive study that surveyed undergraduate nursing students about their awareness of strokes and stroke patient management behaviors. One hundred and forty-four students were recruited from Dhaka University’s and Rajshahi University’s nursing colleges in Bangladesh. The students completed and returned the Awareness of Stroke Risk Factors, Awareness of Stroke Warning Signs, and Behavior of First Responses to Strokes and Behaviors of Special Managements of Stroke questionnaires between December, 2014 and February, 2015. Data were analyzed using descriptive statistics and the Pearson’s Product-Moment Correlation-Coefficient. Results: The results showed that nursing students had a moderate awareness level of stroke risk factors (M = 74.24, SD = 12.30) and a very low awareness of stroke warning signs (M = 55, SD = 10.72). In addition, all of the students had a low to very low level of behaviors of special stroke patient management (M = 62.11, SD = 9.75) and a very low level of behaviors of first responses to strokes (M = 0.24, SD = 0.43). There was a significant positive correlation between nursing students’ awareness of stroke risk factors and stroke warning signs (r = 0.247**, p < 0.001). However, no significant correlation was found between students’ awareness of stroke risk factors with their behaviors of first responses to strokes (r = 0.043, p > 0.05). In addition, their awareness of stroke warning signs was not correlated with their behaviors of special stroke patient management (r = 0.031, p > 0.05). These findings suggested that nursing students need to increase their awareness level to develop stroke management behaviors in order to improve practicum preparedness. Conclusion: Work-based education must be a part of nursing students’ curricula to increase their awareness of strokes and improve their stroke management behaviors to improve practicum preparedness.
Clinical Presentations and Outcome of Cardiovascular Emergencies in Yaounde: A Cross-Sectional Study  [PDF]
Ba Hamadou, Yaya Toure Kalissou, Ahmadou Musa Jingi, Sylvie Ndongo Amougou, Sandrine Edie Dikosso, Rodrigue Njouoguep, Samuel Kingue
World Journal of Cardiovascular Diseases (WJCD) , 2018, DOI: 10.4236/wjcd.2018.82013
Abstract: Background: Cardiovascular emergencies have become a public health problem with a high burden in low-income settings. This is due to the high rates of cardiovascular risk factors that are fast reaching epidemic?proportions. There is paucity of data on cardiovascular emergencies to guide repost strategies in our setting. Our aim was to determine the clinical presentation and outcome of cardiovascular emergencies at Yaounde Emergency Center.?Methods: We carried out this cross-sectional study between June 2015 and May 2017. We included all patients with confirmed cardiovascular emergency. We consecutively collected data on socio-demography, symptoms on admission, past history, clinical findings, and final diagnosis at discharge or in the event of death. Results: Of the 8285 patients admitted for medical emergencies, 388 (4.7%) were cardiovascular emergencies. Their mean age was 59.5 ± 13.8 years, and 59% were males. The Medical Emergency Aid Service was the means of transporting 4% of patients. The median time of arrival at the hospital was 48 hours. Symptoms on admission were mainly weakness of a limb (43.8%), and altered consciousness (33.5%). The most common cardiovascular emergencies were ischemic stroke (30.9%), hypertensive emergency (21.4%), and hemorrhagic stroke (16.5%). The most common comorbidity was diabetes (21.9%). The death rate in the 24 - 72 hours was 14.4%. The causes of death were hypertensive emergency (35.7%), and hemorrhagic stroke (30.3%). Conclusion:
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