Relevant bibliographies by topics / Cerebrovascular disease – Patients – Care

Academic literature on the topic 'Cerebrovascular disease – Patients – Care'

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Published: 4 June 2021
Last updated: 30 July 2024

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Journal articles on the topic "Cerebrovascular disease – Patients – Care"

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Passavanti, MB, MA Tedesco, F. Massimo, G. Ratti, G. Di Salvo, F. Argenzio, G. Limongelli, C. Aurilio, and M. Chiefari. "Electrocardiographic abnormalities in patients with cerebrovascular disease." Critical Care 2, Suppl 1 (1998): P060. http://dx.doi.org/10.1186/cc190.

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Han, Dae Hee. "ICU care of Patients with Cerebrovascular disease in SNUH." Nosotchu 22, no. 4 (2000): 564. http://dx.doi.org/10.3995/jstroke.22.564.

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Chang, Chia-Ming, Tzu-Yuan Stessa Chao, Yi-Ting Huang, Yi-Fang Tu, Tzu-Ching Sung, Jung-Der Wang, and Hsin-I. Shih. "Maintaining Quality of Care among Dialysis Patients in Affected Areas after Typhoon Morakot." International Journal of Environmental Research and Public Health 18, no. 14 (July 11, 2021): 7400. http://dx.doi.org/10.3390/ijerph18147400.

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Natural disasters have negative health impacts on patients who need dialysis in affected areas. Severely affected areas are usually rural, with limited basic infrastructure and a population without optimal dialysis-specific care after a disaster. A population-based longitudinal case–cohort study enrolled 715,244 adults from the National Health Insurance Registry who lived in areas affected by a major natural disaster, Typhoon Morakot, in 2009. The observation period was from 2008 to 2011. A total of 13,268 patients (1.85%) had a history of end-stage renal disease (ESRD). Of the ESRD patients, 1264 patients (9.5%) received regular dialysis. Only eight patients missed dialysis sessions in the first month after the disaster. Compared to the moderately affected areas, the incidences of acute cerebrovascular and cardiovascular diseases were higher in patients in severely affected areas. Male dialysis patients aged 45–75 years had a higher mortality rate than that of the general population. Among the affected adults receiving regular dialysis, patients with diabetes (adjusted hazard ratio (aHR): 1.58, 95% confidence interval (CI): 1.20–2.08) or a history of cerebrovascular disease (aHR: 1.58, 95% CI: 1.12–2.21), chronic obstructive pulmonary disease (COPD) or asthma (aHR: 1.99, 95% CI: 1.24–3.17) in moderately affected areas had significantly elevated mortality rates. Additionally, among dialysis patients living in severely affected areas, those with a history of cerebrovascular disease (aHR: 4.52 95% CI: 2.28–8.79) had an elevated mortality rate. Early evacuation plans and high-quality, accessible care for cardiovascular and cerebrovascular diseases are essential to support affected populations before and after disasters to improve dialysis patients’ health outcomes.
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Siegler, James E., Savanna Dasgupta, Mohamad Abdalkader, Mary Penckofer, Shadi Yaghi, and Thanh N. Nguyen. "Cerebrovascular Disease in COVID-19." Viruses 15, no. 7 (July 21, 2023): 1598. http://dx.doi.org/10.3390/v15071598.

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Not in the history of transmissible illnesses has there been an infection as strongly associated with acute cerebrovascular disease as the novel human coronavirus SARS-CoV-2. While the risk of stroke has known associations with other viral infections, such as influenza and human immunodeficiency virus, the risk of ischemic and hemorrhagic stroke related to SARS-CoV-2 is unprecedented. Furthermore, the coronavirus disease 2019 (COVID-19) pandemic has so profoundly impacted psychosocial behaviors and modern medical care that we have witnessed shifts in epidemiology and have adapted our treatment practices to reduce transmission, address delayed diagnoses, and mitigate gaps in healthcare. In this narrative review, we summarize the history and impact of the COVID-19 pandemic on cerebrovascular disease, and lessons learned regarding the management of patients as we endure this period of human history.
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Hauer, Eva-Maria, David Stark, Dimitre Staykov, Tobias Steigleder, Stefan Schwab, and Juergen Bardutzky. "Early continuous hypertonic saline infusion in patients with severe cerebrovascular disease." Critical Care Medicine 39, no. 7 (July 2011): 1766–72. http://dx.doi.org/10.1097/ccm.0b013e318218a390.

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Fernandes, Darci Ramos, Edenilde Alves dos Santos, Rosilda Silva Dias, Silvia Raimunda Costa Leite, Dayse Eveline Santos Sousa, and Jedaías Silas da Silva. "CARACTERIZAÇÃO DE PACIENTES COM DOENÇA CEREBROVASCULAR: uma avaliação retrospectiva." Cadernos de Pesquisa 20, no. 1 (March 8, 2013): 50. http://dx.doi.org/10.18764/2178-2229.v20.n1.p.50-57.

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O presente estudo teve como objetivo descrever características demográficas e clínicas dos pacientes com doença cerebrovascular e caracterizar os fatores de risco para o desenvolvimento da doença. Trata-se de estudo descritivo , observacional e retrospectivo que fez uma revisão de todos os prontuários médicos dos pacientes com doença cerebrovascular que estiveram internados em um Hospital Universitário em São Luís-Maran hão no período de 1992 a 2010, totalizando 346 pacientes. Os resultados evidenciaram que a maioria dos pacientes com DCV são homens, na faixa etária de 51 a 80 anos. Os principais fatores de risco para o desenvolvimento das DVC são hipertensão arterial, dislipidemias, diabetes, tabagismo e etilismo, independentemente do sexo e faixa etária. Os dados descritos neste estudo serão importantes para despertar um maior interesse para as doenças cerebrovasculares na cidade de São Luís e auxiliar outros pesquisadores desta instituição no planejamento de condutas, implantação de melhorias nos atendimentos e criação de programas e estrat égias de preven ção mais específica. A elabora ção de um protocolo de intervenção clínica para atendimento de pacientes acometidos por doença cerebrovascular foi a contribuição para a equipe.Palavras-chave: Doença cerebrovascular. Prontuários. Fatores de risco.CHARACTERIZATION OF PATIENTS WITH CEREBROVASCULAR DISEASE: a retrospective reviewAbstract: This study aimed to describe demograp hic and clinical characteristics of patients with cerebrovascular disease and characteri ze the risk factors for developing the disease. It is a descriptive , observational and retrospective study that did a review of all medical records of patients with cerebrovascular disease who were admitted to a universit y hospital in São Luís, Maran hão from 1992 to 2010, totaling 346 patients. The results showed that most patients with CVD are men, aged 51-80 years, the main risk factors for the development of CVD were hypertension, dyslipidemia, diabetes, smoking, and alcoholism regardless of gender and age. The data described in this study will be important to awaken a greater interest for cerebrovascular disease in the city of São Luís-MA, and help other researchers at this institution conducts planning, implementing improvements in the care and creation of programs and prevention strategies more specific. The development of a protocol for clinical intervention for treating patients suffering from cerebrovascular disease was the contribution to the team.Keywords: Cerebrovascular disease. Medical Records. Risk factorsCARACTERIZACIÓN DE LOS PACIENTES CON ENFERMEDAD CEREBROVASCULAR: una evaluación retrospectiva Resumen: Este estudio tuvo como objetivo describir las características demográficas y clínicas de los pacientes con enfermedad cerebrovascular y caracteri zar los factores de riesgo para desarrollar la enfermedad. Se trata de un estudio descriptivo , observacional y retrospectivo producto de una revisión de los registros médicos de los pacientes con enfermedad cerebrovascular ingresados en un hospital universitario de São Luís, Maran hão desde 1992 hasta 2010, un total de 346 pacientes. Los resultados mostraron que la mayoría de los pacientes con ECV son hombres, con edades entre 51-80 años. Los principales factores de riesgo para el desarrollo de las enfermedades cerebrovasculares son la hipertensión, la dislipidemia , la diabetes, el tabaquismo, independientemente del sexo y edad. Los datos que se describen en este estudio serán importantes para despertar un mayor interés para la enfermedad cerebrovascular en la ciudad de São Luis, y ayudar a otros investigadores de esta institución para llevar a cabo la planificación, la implementación de mejoras en el cuidado y la creación de programas y estrategias de prevenci ón más específicas. El desarrollo de un protocolo de intervenci ón clínica para el tratamiento de pacientes que sufren de enfermedad cerebrovascular fue la contribución para el equipo.Palabras clave: Enfermedad Cerebrovascular. Registros Médicos. Factores de Riesgo.
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YILMAZ, Ayşe, Veysel Garani SOYLU, Ufuk DEMİR, Öztürk TAŞKIN, and Zahide DOĞANAY. "Neurologic symptoms and signs observed in critical COVID-19 patients may be precursors of existing cerebrovascular disease." Journal of Health Sciences and Medicine 5, no. 6 (October 25, 2022): 1644–49. http://dx.doi.org/10.32322/jhsm.1180623.

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Introduction: Although COVID-19 disease often includes respiratory system findings, that affects the gastrointestinal system, circulatory system, coagulation system and neurological system. In this study, we identified the neurological signs and symptoms observed in critical COVID-19 patients. Material and Method: This retrospective study reviewed 595 COVID-19 patients admitted to our intensive care unit (ICU) between January to June 2020. Patients with neurologic symptoms that were divided into two groups were diagnosed neurological disease (group ND) and non-neurological disease (group non-ND). Clinical signs and symptoms, radiological findings, demographic data (age, gender, presence of comorbidities), white blood cell (WBC), lymphocyte, platelet, lactic acid, glucose, and D-dimer levels, length of hospitalization, requirement of mechanical ventilation, and mortality were recorded for each patient. Results: Neurologic symptoms were observed in 148 (24.8%) patients. Of these, 44 patients were diagnosed neurological disease and 104 patients were non- neurological disease. The prevalence of neurologic symptoms was significantly higher in group ND. The rate of acute ischemic cerebrovascular disease in 595 critical COVID-19 patients was 6.2%. Conclusion: Presence of cerebrovascular diseases should be suspected in COVID-19patients with paresis, altered consciousness, numbness, taste/smell disorders, and plegia. The rate of ischemic cerebrovascular disease was approximately seven times higher than the rate of hemorrhagic cerebrovascular disease in critically COVID-19 patients.
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Petersen, Nils H., Kevin N. Sheth, and Ruchira M. Jha. "Precision Medicine in Neurocritical Care for Cerebrovascular Disease Cases." Stroke 54, no. 5 (May 2023): 1392–402. http://dx.doi.org/10.1161/strokeaha.122.036402.

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Scientific advances have informed many aspects of acute stroke care but have also highlighted the complexity and heterogeneity of cerebrovascular diseases. While practice guidelines are essential in supporting the clinical decision-making process, they may not capture the nuances of individual cases. Personalized stroke care in ICU has traditionally relied on integrating clinical examinations, neuroimaging studies, and physiologic monitoring to develop a treatment plan tailored to the individual patient. However, to realize the potential of precision medicine in stroke, we need advances and evidence in several critical areas, including data capture, clinical phenotyping, serum biomarker development, neuromonitoring, and physiology-based treatment targets. Mathematical tools are being developed to analyze the multitude of data and provide clinicians with real-time information and personalized treatment targets for the critical care management of patients with cerebrovascular diseases. This review summarizes research advances in these areas and outlines principles for translating precision medicine into clinical practice.
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Drigant, M. "Relevance of restorativ treatment and rehabilitation of patients with cerebrovascular disease." Likarska sprava, no. 7 (November 19, 2012): 74–75. http://dx.doi.org/10.31640/ls-2012-7-04.

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Reducing treatment and rehabilitation of patients with cerebrovascular disease (TSVB) for many years has been one of the priorities of the national health care, which is largely due to a significant increase in the incidence and severity of medical, economic and social consequences of the disease for patients and their relatives, and for society as a whole. The objectives of rehabilitation include: restoring consumer opportunities patient, ie, mobility, self-care and the implementation of simple homework, rehabilitation, ie lost disability skills through the use and development of the skeletal system functionality, preventing the development of pathological processes that lead to temporary or permanent disability, that is, implementation of secondary prevention.
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Prasolov, N. V., E. M. Shulutko, A. E. Vasiliev, and D. G. Gitelson. "The role of sugammadex in endovascular interventions on cerebral vessels." Complex Issues of Cardiovascular Diseases 11, no. 3 (October 12, 2022): 134–42. http://dx.doi.org/10.17802/2306-1278-2022-11-3-134-142.

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Highlights. The article discusses the features of general anesthesia in patients with cerebrovascular diseases using the relaxant binding agent sugammadex.Aim. To evaluate the effectiveness of sugammadex in endovascular management of cerebrovascular diseases.Methods. The study included 57 patients who underwent endovascular treatment of cerebrovascular disease under general anesthesia. The experimental group included 29 patients who were injected with sugammadex - a selective relaxant binding agent for reversal of neuromuscular block induced by rocuronium. The comparison group included 28 patients who did not undergo decurarization (n = 13), or it was performed with neostigmine (n = 15). Acceleromyography was used to monitor the state of neuromuscular function.Result. Onset of action and duration of action of rocuronium at a dose of 0.9 mg/kg did not differ between the groups. The neuromuscular recovery time was 2.14 [1.67; 2.59] minutes after administration of sugammadex, compared with spontaneous 35.8 [31.5; 40.4] minutes and neostigmine-induced 22.1 [16.8; 27.3] minutes (p<0.001). No adverse or allergic reactions were noted after administration of the relaxant binding agent.Conclusion. Using a specific antidote sugammadex to eliminate the effect of rocuronium helps to restore neuromuscular function within 2–3 minutes and assess the neurological status of patients immediately after the endovascular treatment of cerebrovascular disease.
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Dissertations / Theses on the topic "Cerebrovascular disease – Patients – Care"

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郭穎怡 and Wing-yee Eunice Kwok. "Early supported discharge program for stroke patients." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2008. http://hub.hku.hk/bib/B40720883.

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Vlasic, John P. II. "A research study on emotional adjustment of a spouse following stroke." CSUSB ScholarWorks, 1996. https://scholarworks.lib.csusb.edu/etd-project/1169.

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This research project focuses on age as a predictor in the emotional adjustment of a spouse following his/her partner's stroke. The medical records of 80 stroke cases were reviewed at Kaiser Permanente Medical Center, Fontana, California. Patients and spouses were examined in two age groupings, age 55 and below, and ages 56 and above. Study of these two age groups afforded the most meaningful division to study spouse adjustment.
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Cheung, Yuk-fai, and 張煜暉. "Clinical and health-related quality of life evaluation of acute strokeunit care versus conventional medical care for minor stroke patients." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2012. http://hub.hku.hk/bib/B48422800.

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The efficacy of stroke units has been extensively investigated in clinical trials. However, little information is available to the health care providers and policy makers on the benefits of stroke unit care in Hong Kong. The quality of life of our local stroke patients is largely unknown. The objective of this study was to compare the 2-month outcomes after stroke admitted to either a stroke unit or a non-stroke unit. Outcomes included mortality, dependency, institutional care and quality of life. This was a prospective observational study conducted in a regional, tertiary hospital in Hong Kong. Baseline demographic and clinical data were collected from the subjects. The 36-Item Short-Form health survey (SF-36) questionnaire was administered to them. Follow up assessment at two months were made for mortality, dependency, institutionalisation, length of hospital stay and SF-36. Eligible subjects were Cantonese-speaking Chinese aged 18 years or over. They should provide written informed consent, and verbally and cognitively competent in completing the SF-36 questionnaire 162 patients with acute stroke were included in the analysis. 106 patients were solely managed in the stroke unit. 41 patients were managed in other wards (as the control group). There were no statistically significant differences found between the two groups for death alone, death or dependency, and death or institutionalisation. Multivariate logistic regression analyses showed similar findings. Mean lengths of acute and total hospital stay were similar between the two groups. Quality of life was impaired during the acute phase of stroke as reflected by low Physical Functioning (PF) and Social Functioning (SF) dimensions of the SF-36. At two months, significant improvement was observed in five out of eight dimensions of the SF-36 as well as its two summary scores, Physical Component Summary (PCS) and Mental Component Summary (MCS). There were several limitations in our study, namely small number of patients, minor stroke severity and tertiary hospital setting. In conclusion, no significant differences in the clinical outcomes were found between the stroke unit group and the control group. These findings were inconclusive in view of limitations in this study. Stroke affected quality of life. Future researches with larger sample size are warranted.
published_or_final_version
Public Health
Master
Master of Public Health
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陳淑玲 and Shuk-ling Chan. "Development, implementation and evaluation of a structural stroke education program for informal caregivers of stroke patients." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2008. http://hub.hku.hk/bib/B40720251.

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Jones, Craig L. "Neuropsychological symptomatology associated with right and left hemisphere cerebral vascular accidents within an acute care rehabilitation setting." Virtual Press, 1992. http://liblink.bsu.edu/uhtbin/catkey/862284.

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The present study investigated the extent to which right and left hemisphere stroke patients, within an acute care rehabilitation unit, differ in neuropsychological symptomatology as reported on a self-report instrument.The subjects were 90 patients admitted to an acute care rehabilitation unit within a midwestern hospital. Two groups of 30 were obtained on the basis of stroke location, either right or left hemisphere. In addition, a group of 30 orthopedic patients were selected to serve as a comparison group.Data was collected using the Neuropsychological Symptom Inventory (Rattan, Dean & Rattan, 1989). A discriminant analysis revealed two discriminant functions which were used to classify group membership. Slightly more than 86% of both left hemisphere stroke patients and orthopedic patients were correctly classified. However, only 46% of right hemisphere stroke patients were accurately predicted. The results clearly support the ability to differentiate the groups and suggest a homogeneous character of the left hemisphere stroke and orthopedic groups. The right hemisphere group appears heterogeneous in make-up. Further statistical analysis revealed no significant difference (a<.05) between stroke groups when examining a factor related to emotional/depression symptoms. However, when stroke patients were compared to orthopedic patients on this factor, a high degree of significance was revealed (p<.001).These results suggest that right hemisphere patients cannot be treated as if they make up a single disorder group within the rehabilitation setting. The use of a self-report measure may prove beneficial with this group is assessing the level of neuropsychological impairment and to make modifications in treatment planning. Additionally, the existence of depression within the stroke group suggest that rehabilitation should focus more on these reactions within the first few weeks post-stroke.
Department of Educational Psychology
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Lam, Lok-tao Otto, and 林樂濤. "A randomized clinical trial of oral health promotion interventions among patients following stroke." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2011. http://hdl.handle.net/10722/207561.

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OBJECTIVES: The primary objective of this study was to evaluate the effectiveness of of oral health promotion interventions on both clinical oral health, and oral opportunistic pathogens in hospitalized patients following acute stroke. Secondary objectives were to investigate the development of infectious complications, as well as health-related quality of life during the hospitalization period, and to monitor clinical oral health, oral opportunistic pathogens, and health-related quality of life following hospital discharge. METHODS: A total of 102 patients were recruited into a clinical trial conducted among stroke patients in a rehabilitation ward. Patients were randomly assigned either: 1) oral hygiene instruction 2) oral hygiene instruction and chlorhexidine mouthrinse or 3) oral hygiene instruction, chlorhexidine mouthrinse, and assisted brushing. Dental plaque, gingival bleeding, oral opportunistic pathogens, health-related quality of life, oral health-related quality of life, and functional status were assessed at baseline and review. The development of infectious complications was also monitored during the clinical trial. Patients completing the clinical trial were assessed at six months following hospital discharge. RESULTS: Eighty-one patients were available for review at the end of the clinical trial. Reductions in dental plaque (PI) scores were significantly greater in the two groups receiving chlorhexidine compared to the group receiving oral hygiene instruction alone (p<0.001). Reductions in gingival bleeding (GBI) scores were three to four-fold greater in groups receiving chlorhexidine. Almost three quarters (72.8%) of patients harbored oral aerobic and facultatively anaerobic Gram-negative bacilli (AGNB) at baseline. Over half of the patients had detectable Staphylococcus aureus (56.8%) and yeasts (59.3%). Percentage frequencies and viable counts of pathogens remained relatively stable during the course of the clinical trial, and no significant differences were observed between groups (p>0.05). No cases of pneumonia were observed during the course of the clinical trial. Health-related quality of life (p<0.001), oral-health related quality of life (p=0.014), general functional disability (p<0.001), and toothbrushing ability (p=0.001) improved significantly during hospitalization. A total of 52 patients were reviewed six months following hospital discharge. PI scores were significantly higher than those observed at the end of the clinical trial (p<0.001), but were still significantly lower than those documented at baseline (p<0.001). Changes in GBI scores did not reach statistical significance (p>0.05). Percentage frequencies of AGNB (p=0.001), and viable counts of both AGNB (p<0.001) and yeasts (p=0.028) were significantly reduced at six months. No significant gains in life quality or oral functional disability were observed following hospital discharge (p>0.05). CONCLUSIONS: The clinical oral health condition of stroke patients may be safeguarded following acute stroke with the use of chlorhexidine mouthrinse in conjunction with a standard mechanical plaque removal regimen. These interventions are acceptable to the majority of patients, and their administration poses a minimal burden to rehabilitation ward staff. There was, however, no significant difference in the effectiveness of the three different oral health promotion interventions in combating oral opportunistic pathogens. Gains in quality of life and oral functional disability were largely limited to the in-hospital rehabilitation period.
published_or_final_version
Dentistry
Doctoral
Doctor of Philosophy
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Kong, Yin-ying, and 江燕瑩. "Telenursing program for supporting family caregivers of stroke survivors: an evidence-based clinicalguideline." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2010. http://hub.hku.hk/bib/B44623525.

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Biggs, Debbie Lynn. "Health promotion needs of stroke patients accessing community health centres in the metropole region of the Western Cape." Thesis, University of the Western Cape, 2005. http://etd.uwc.ac.za/index.php?module=etd&amp.

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Stroke is the third leading cause of death and a major cause of disability in most societies. Individuals with physical disabilities are at risk of secondary complications due to the impact of the disability, which may be exacerbated by poor lifestyle choices. Although disabled persons desire to engage in wellnessenhancing activities, limited programmes based on their health promotion needs&rsquo
assessment have been developed. The aim of the present study is to determine the health promotion needs of stroke patients accessing selected Community Health Centres in the Metropole region of the Western Cape. A cross-sectional survey, utilizing a self-administered questionnaire and in depth interviews with a purposively selected sample was used to collect the data. The quantitative data was analysed using Microsoft Excel ®
. Means, standard deviations and percentages were calculated for descriptive purposes and the chi-square test was used to test for associations between socio-demographic and health-related variables. Audiotape interviews were transcribed verbatim, the emerging ideas were reduced to topics, categories and themes and finally interpreted. In order to qualify for between-method triangulation used in the study, complementary strengths were identified by comparing textual qualitative data with numerical quantitative results and vice versa. The quantitative analysis revealed that the participants were engaging in health risk behaviours such as physical inactivity, substance usage, non-compliance to medication use and inappropriate diet modification. Lack of financial resources, facilities and access to information predisposed them to involvement in risky health behaviours. In-depth interviews supported the quantitative findings and revealed that numerous participants&rsquo
suffered from depression and frustration as a result of having a stroke. The necessary ethical considerations were upheld. The outcome of the study could contribute to the need to develop, encourage and promote wellness-enhancing behaviours and activities to improve the participants&rsquo
health status and ultimate quality of life.
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Waterfall, A. Christine. "Needs of caregivers of stroke survivors." Virtual Press, 2002. http://liblink.bsu.edu/uhtbin/catkey/1246469.

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Stroke is a medical event that has serious consequences for the survivor, his family, and society. Stroke is the third leading cause of death in the United States, and two-thirds of stroke survivors are permanently disabled with one-half of these survivors considered severely impaired. The economic burden from stroke is estimated to be $30 billion annually in health care costs and lost productivity.This study described the needs of 35 caregivers of stroke survivors within 24 hours of discharge to home from an acute care "safety net" teaching hospital in Indiana and how well those needs were met. Two subscales, (a) the Need for Information and (b) Patient Care Needs, of the Home Caregiver Need Survey were used. The theoretical framework for this study was the Neuman Systems Model.The stroke survivors were over 50 years old (77.1 %), half were African-American and half were Caucasian, and about a quarter were minimally impaired (25.8%) and less than a quarter were very impaired (22.9%) cognitively and/or physically upon discharge to home. Their caregivers were their children (48.6%) or spouses (28.6%), half of whom worked full-time outside the home. Most (85.7%) caregivers were female, in good health, and with no experience (81.8%) in caring for patients at home.
School of Nursing
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Kleineibst, Lynn Jill. "The effectiveness of a caregiver support programme to address the needs of primary caregivers of stroke patients in a low socio economic community." Thesis, Link to the online version, 2007. http://hdl.handle.net/10019/432.

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Books on the topic "Cerebrovascular disease – Patients – Care"

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Farhad, Huwez, and Good Dawn, eds. Stroke care: A practical manual. 2nd ed. Oxford: Oxford University Press, 2010.

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Lee, Mathew H. M., 1931-, Bell Harriet, and Howard A. Rusk Institute of Rehabilitation Medicine., eds. Reco vering at home after a stroke: A practical guide for you and your family. New York: Body Press/Perigee, 1994.

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Kelson, Marcia. Care after stroke: Information for patients and their carers : based on the national clinical guidelines for stroke. London: Royal College of Physicians, 2000.

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Johnstone, Margaret. Home care for the stroke patient: Living in a pattern. 2nd ed. Edinburgh: Churchill Livingstone, 1987.

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Western Australia. Health Information Centre. Hospitalisation incidence for acute cerebrovascular disease in Western Australia, 1989 to 1998: Geographical variations. Perth: Department of Health, 2002.

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Coyne, Philip. Caring for someone who has had a stroke. London: ACE Books, 1995.

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Services, Arizona Department of Health. Stroke hospitalizations in Maricopa County: 1998 status report. [Phoenix]: Arizona Dept. of Health Services, 2000.

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United States. Agency for Health Care Policy and Research, ed. Diagnosis and treatment of swallowing disorders (dysphagia) in acute-care stroke patients. Rockville, MD: Agency for Health Care Policy and Research, U.S. Dept. of Health and Human Services, 1999.

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W, Norman Richard, and Currow David, eds. Supportive care for the urology patient. Oxford: Oxford University Press, 2005.

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Levine, Peter G. Stronger after stroke: Your roadmap to recovery. 2nd ed. New York, NY: Demos Health, 2013.

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Book chapters on the topic "Cerebrovascular disease – Patients – Care"

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Yu, Yannan, and David Yen-Ting Chen. "Machine Learning for Cerebrovascular Disorders." In Machine Learning for Brain Disorders, 921–61. New York, NY: Springer US, 2023. http://dx.doi.org/10.1007/978-1-0716-3195-9_29.

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AbstractCerebrovascular disease refers to a group of conditions that affect blood flow and the blood vessels in the brain. It is one of the leading causes of mortality and disability worldwide, imposing a significant socioeconomic burden to society. Research on cerebrovascular diseases has been rapidly progressing leading to improvement in the diagnosis and management of patients nowadays. Machine learning holds many promises for further improving clinical care of these disorders. In this chapter, we will briefly introduce general information regarding cerebrovascular disorders and summarize some of the most promising fields in which machine learning shall be valuable to improve research and patient care. More specifically, we will cover the following cerebrovascular disorders: stroke (both ischemic and hemorrhagic), cerebral microbleeds, cerebral vascular malformations, intracranial aneurysms, and cerebral small vessel disease (white matter hyperintensities, lacunes, perivascular spaces).
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Díez-Villanueva, Pablo, and Manuel Martínez-Sellés. "End-of-Life Care in Hospitalized Patients with Cardiovascular and Cerebrovascular Disease." In End-of-Life Care in Cardiovascular Disease, 51–69. London: Springer London, 2014. http://dx.doi.org/10.1007/978-1-4471-6521-7_4.

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DellaVolpe, Jeffrey, Minjee Kim, Thomas P. Bleck, and Ali Al-Khafaji. "Cerebrovascular Physiology in Liver Disease." In Hepatic Critical Care, 59–71. Cham: Springer International Publishing, 2017. http://dx.doi.org/10.1007/978-3-319-66432-3_6.

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Moulignier, A. "Cerebrovascular Disease in HIV-Infected Patients." In Cardiovascular Disease in AIDS, 131–45. Milano: Springer Milan, 2009. http://dx.doi.org/10.1007/978-88-470-0761-1_10.

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Zimmerman, Robert D., Norman E. Leeds, and Mark J. Goldman. "Digital Subtraction Angiography in the Evaluation of Patients with Cerebrovascular Disease." In Cerebrovascular Surgery, 343–58. New York, NY: Springer New York, 1985. http://dx.doi.org/10.1007/978-1-4612-5032-6_2.

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Setacci, Carlo, Maria Agnese Mele, Giuseppe Galzerano, Giuseppe de Donato, Domenico Benevento, Massimiliano Walter Guerrieri, Francesco Setacci, and Bruno Amato. "Cerebrovascular Disease and Critical Limb Ischaemia." In Surgical Management of Elderly Patients, 257–70. Cham: Springer International Publishing, 2017. http://dx.doi.org/10.1007/978-3-319-60861-7_16.

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Tarabishy, Abdul R., Maurice M. Miller, and Ansaar T. Rai. "Counseling and Management of Patients with Intracranial Atherosclerosis Disease." In Management of Cerebrovascular Disorders, 445–57. Cham: Springer International Publishing, 2019. http://dx.doi.org/10.1007/978-3-319-99016-3_29.

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Hobbs, R. E., and A. J. Furlan. "Detection of Coronary Artery Disease in Patients with Cerebrovascular Disease." In Clinical Medicine and the Nervous System, 357–73. London: Springer London, 1987. http://dx.doi.org/10.1007/978-1-4471-3129-8_19.

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Wilson, Eleanor. "Patients and families." In Palliative Care in Neurological Disease, 85–98. London: CRC Press, 2021. http://dx.doi.org/10.1201/9780429091438-6.

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Piepgras, A., P. Schmiedek, G. Leinsinger, R. L. Haberl, C. M. Kirsch, and K. M. Einhäupl. "Follow-up Studies of Cerebrovascular Reserve Capacity in Patients with Cerebrovascular Disease." In Stimulated Cerebral Blood Flow, 263–67. Berlin, Heidelberg: Springer Berlin Heidelberg, 1992. http://dx.doi.org/10.1007/978-3-642-77102-6_29.

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Conference papers on the topic "Cerebrovascular disease – Patients – Care"

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Gramasco, Hendrick Henrique Fernandes, Mateus Felipe dos Santos, Yasmim Nadime José Frigo, Guilherme Drumond Jardini Anastácio, Stella de Angelis Trivellato, Daniel Fabiano Barbosa dos Santos, Ana Cláudia Pires Carvalho, et al. "Diverse clinical presentations of Moyamoya disease: a case series." In XIII Congresso Paulista de Neurologia. Zeppelini Editorial e Comunicação, 2021. http://dx.doi.org/10.5327/1516-3180.530.

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Context: Moyamoya disease or chronic occlusive cerebrovascular disease is characterized by proximal occlusion of the internal carotid artery and its branches bilaterally, generating an angiographic “smoke” pattern (moyamoya, from Japanese “something hazy”) and by diverse ischemic manifestations. Case report: The sample consists of three female patients, aged between 13 and 46 years, followed in our service due to the diagnosis of Moyamoya Disease. Among the clinical manifestations presented, ischemic cerebrovascular events with neurological deficit predominated, and one of the patients presented two episodes compatible with stroke and one episode compatible with transient ischemic accident. The youngest patient presented with a choreic picture initially interpreted as Sydenham’s chorea. Although the gold standard for the diagnosis of chronic occlusive cerebrovascular disease is cerebral arterial angiography, it was possible to observe a pattern compatible with the disease in other modalities of examination, such as cerebral arterial angiotomography and cerebral arterial angioresonance. From the therapeutic point of view, one of the patients underwent surgical intervention (encephaloduromyosinangiosis), with improvement of symptoms after treatment. Conclusions: In this paper, we emphasize the importance of complementary imaging tests in the evaluation of patients with cerebrovascular syndromes and the diversity of clinical presentation of Moyamoya disease.
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Sousa, Letícia Alves de, Luís Marcos Ferreira Junior, Lolrrayna Pedroso de Lima, Priscilla Rezende Pereira Silva, and Marcus Vinícius de Araújo Vieira. "Sneddon’s Syndrome: a case report." In XIII Congresso Paulista de Neurologia. Zeppelini Editorial e Comunicação, 2021. http://dx.doi.org/10.5327/1516-3180.159.

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Context: Sneddon’s Syndrome is a small and medium caliber arteries vasculopathy, characterized by concomitant occurrence of cerebrovascular disease and livedo reticularis. It’s a rare disorder, more prevalent in women. In up to 80% of cases, positive antiphospholipid’s antibodies are found. Case report: A 28-year-old woman was admitted to Hospital das ClínicasUFTM on May 21th, 2020, referred under suspicion of stroke with ictus on May 19th, 2020. The exam revealed left hemiparesis, anomic afasia and livedo reticularis on her thighs and thorax. She denied having comorbidities or previous episodes of thromboembolism. She had taken combined oral contraceptive for eleven years, having changed medication a year ago. In the cranial angioresonance exam, acute ischemia was confirmed in addition to moderate microangiopathy and an area of encephalomalacia. In the etiological investigation, HEP-2 positive antibody (antinuclear factor in a fine dotted nuclear pattern) was detected. She was discharged with a prescription of 100 mg of acetylsalicylic acid daily, maintained as a form of secondary prophylaxis. Conclusions: The case illustrates the importance of a thorough physical examination and anamnesis in cerebrovascular disease patients, in order to get a accurate aetiological diagnosis of these diseases, enabling a more effective prognostic evaluation and secondary prophylaxis.
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Reis, Mateus Fernandes Alves dos, Lavínia Ayumi Borges Ribeiro, Mariana de Oliveira Andrade Mota, Stella Bianchini Borges, and Guilherme Rocha Pardi. "Neurological repercussions after COVID-19 in a young pregnant patient: a case report." In XIII Congresso Paulista de Neurologia. Zeppelini Editorial e Comunicação, 2021. http://dx.doi.org/10.5327/1516-3180.448.

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Context: Most patients with COVID-19 have mild respiratory disease, however, neurological manifestations have also been associated. Case report: Female, 21 years old, 24 weeks pregnant, admitted with severe acute respiratory distress syndrome, by COVID-19. Evolved with respiratory failure. On the 14th day of hospitalization, fetal death occurred. After clinical stabilization, she started neurological symptoms, with altered state of consciousness, delusions, tremor in extremities, paresis in right dimidium and paresthesia in extremities. Nuclear magnetic resonance imaging showed numerous old micro- hemorrhagic foci, complemented with angio resonance and inflammatory activity evaluation, with embolic event and vasculitis ruled out. Electroneuromyography showed multiple mononeuritis. She recovered gradually, maintaining the tremor in extremities. Conclusions: Neurological manifestations can occur both by viral cytopathic action and by systemic complications resulting from immunomediated phenomena. In a study carried out in the United Kingdom, by Varatharaj et al, with 125 patients with COVID-19 and neuropsychiatric disorders, the most observed conditions were cerebrovascular event (62%), altered mental status (31%), both present in the case and, in addition, encephalopathy (23%) and encephalitis (18%). The neurological manifestations observed in COVID-19 can affect both the central and the peripheral nervous system. This patient has multiple mononeuropathy, characterized by the involvement of two or more peripheral nerve trunks, with motor and sensory manifestations.
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Fatu, Ana Maria, Ana-Maria Pâslaru, Cristina Stefanescu, Iulia Chiscop, Stefana Maria Moisa, Ciprian Adrian Dinu, Valerica Creangă-Zărnescu, Madalina Matei, Gabriela Balan, and Anamaria Ciubara. "THE PREVENTION OF DEMENTIA BEFORE AND AFTER STROKE." In The European Conference of Psychiatry and Mental Health "Galatia". Archiv Euromedica, 2023. http://dx.doi.org/10.35630/2022/12/psy.ro.22.

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Introduction: Dementia is an important public health problem, the only cause of death that can not be treated or cured. The number of people who are diagnosed with dementia is increasing, over 55 million patients in 2021(about 5% of the world population), more than that a new case is diagnosed every 3 seconds, according World Health Organization. Prevalence of dementia is increasing, both before and after stroke. Aim: The purpose of this paper is to emphasize the importance of early identification of the risk factors associated with cognitive decline and the role of the complex health care approach. Method: The retroactive study involved analyzing the medical record of 60 subjects with stroke and cognitive impairments, hospitalized between july -december 2021. Furthermore we searched the latest PubMed database and Cochrane Library regarding the risk factors common for this two pathologies. The outcome showed that more women are affected by this debilitating disease, of which 72% were over 80 years old. The following modifiable risk factors were identified: 63% of patients had hypertension, 42% had recurrent stroke, 37% atrial fibrillation, 26% type II diabetes, 22% dyslipidemia, and 10% obesity. It is believed that one third of cases can be prevented by early identification of risk factors, especially cardiovascular, and by increasing the efficiency recovery after stroke. This can be done before the onset of the disease, growing the mental and emotional health, specificaly the cognitive abilitiy, including the executive function and the memory of people prone to neurodegeneration or cerebrovascular lesions. In elderly subjects, healthy diet, moderate physical activity, chronic stress reduction, social interaction along with improvement in cardiovascular risk factors, could be considered the first line of defense against the development and progression of dementia. Conclusions: The pathological process begins long before it manifests itself clinically, thus providing the opportunity to identify or combat the prodromal stages of the disease forward. We recommend multifactorial intervention to prevent cognitive impairment and dementia.
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Boelaert, J., P. Lijnen, R. Daneels, M. Schurgers, and A. Amery. "SULPHINPYRAZONE (SP) AS A CAUSE OF ACUTE RENAL FAILURE (ARF): A REVIEW." In XIth International Congress on Thrombosis and Haemostasis. Schattauer GmbH, 1987. http://dx.doi.org/10.1055/s-0038-1644813.

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A total of 41 patients (all but one since 1980, 10 from our own group) have been reported with ARF due to SP. Their mean age was 58 years. 84 % of them received SP for coronary or cerebrovascular disease. Signs of pre-existing renal disease were absent in 91%of cases. Daily dosage of SP was < 400 mg in 21 %, 600 mg in 21 % and 800 mg in 58 % of the cases. ARF appeared within the first day of R/ with SP in31 % of cases(median delay of 4 days). Oliguria was present in 41 % and lumbar or abdominal pain in 26 %. Urinalysis showed uric acid crystals in 13 %. Serum creatinine peaked at a mean of 7.2 mg%. Extrarenal signs (fever, rash) were rare (10 %). 3 patients (8 %) died; renal function recovered in the others, acute dialysis being needed in 6 cases (15 %). Renal histology (11 cases) showed either no lesions (2), minimal tubulo-interstitial lesions (3), discrete interstitial infiltration (2), acute interstitial nephritis (3) or acute tubular necrosis (1).SP can cause ARF by 3 mechanisms which are not mutually exclusive : acute urate nephropathy, acute (immunological) interstitial nephritis or acute ischaemia due to inhibition of the renal synthesis of kallikrein-kinin and/or vasodilatory prostaglandins. We suggest that the latter mechanism is the most prevalent. The effect of SP on the renal prostaglandin synthesis is not settled; thurinary excretion of kallikrein is significantly depressed by SPIn conclusion : since 1980, R/ with SP is a frequent cause of ARF Practically: 1) the indications for sp should be taken with care; 2) a progressive increase in the dosage of SP may decreses the incidence of ARF.
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Liu, Chengcheng. "Strategies on healthy urban planning and construction for challenges of rapid urbanization in China." In 55th ISOCARP World Planning Congress, Beyond Metropolis, Jakarta-Bogor, Indonesia. ISOCARP, 2019. http://dx.doi.org/10.47472/subf4944.

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In the past 40 years, China has experienced the largest and fastest urbanization development in the world. The infrastructure, urban environment and medical services of cities have been improved significantly. The health impacts are manifested in the decrease of the incidence of infectious diseases and the significant increase of the life span of residents. However, the development of urbanization in China has also created many problems, including the increasing pollution of urban environment such as air, water and soil, the disorderly spread of urban construction land, the fragmentation of natural ecological environment, dense population, traffic congestion and so on. With the process of urbanization and motorization, the lifestyle of urban population has changed, and the disease spectrum and the sequence of death causes have changed. Chronic noncommunicable diseases have replaced acute infectious diseases and become the primary threat to urban public health. According to the data published by the famous medical journal The LANCET on China's health care, the economic losses caused by five major non-communicable diseases (ischemic heart disease, cerebrovascular disease, diabetes mellitus, breast cancer and chronic obstructive pulmonary disease) will reach US$23 trillion between 2012 and 2030, more than twice the total GDP of China in 2015 (US$11.7 trillion). Therefore, China proposes to implement the strategy of "Healthy China" and develop the policy of "integrating health into ten thousand strategies". Integrate health into the whole process of urban and rural planning, construction and governance to form a healthy, equitable and accessible production and living environment. China is building healthy cities through the above four strategies. The main strategies from national system design to local planning are as follows. First of all, the top-level design of the country. There are two main points: one point, the formulation of the Healthy China 2030 Plan determines the first batch of 38 pilot healthy cities and practices the strategy of healthy city planning; the other point, formulate and implement the national health city policy and issue the National Healthy City. The evaluation index system evaluates the development of local work from five aspects: environment, society, service, crowd and culture, finds out the weak links in the work in time, and constantly improves the quality of healthy city construction. Secondly, the reform of territorial spatial planning. In order to adapt to the rapid development of urbanization, China urban plan promote the reform of spatial planning system, change the layout of spatial planning into the fine management of space, and promote the sustainable development of cities. To delimit the boundary line of urban development and the red line of urban ecological protection and limit the disorderly spread of urban development as the requirements of space control. The bottom line of urban environmental quality and resource utilization are studied as capacity control and environmental access requirements. The grid management of urban built environment and natural environment is carried out, and the hierarchical and classified management unit is determined. Thirdly, the practice of special planning for local health and medical distribution facilities. In order to embody the equity of health services, including health equity, equity of health services utilization and equity of health resources distribution. For the elderly population, vulnerable groups and patients with chronic diseases, the layout of community health care facilities and intelligent medical treatment are combined to facilitate the "last kilometer" service of health care. Finally, urban repair and ecological restoration design are carried out. From the perspective of people-oriented, on the basis of studying the comfortable construction of urban physical environment, human behavior and the characteristics of human needs, to tackle "urban diseases" and make up for "urban shortboard". China is building healthy cities through the above four strategies. Committed to the realization of a constantly developing natural and social environment, and can continue to expand social resources, so that people can enjoy life and give full play to their potential to support each other in the city.
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Gaudencio, Julia Loureiro, Hilton Mariano Mariano da Silva Júnior, and Pedro Neves Fortunato. "Ramsay Hunt Syndrome complicated by Cerebral venous thrombosis (case report)." In XIII Congresso Paulista de Neurologia. Zeppelini Editorial e Comunicação, 2021. http://dx.doi.org/10.5327/1516-3180.222.

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Context: Ramsay Hunt syndrome is a condition caused by the Varicella-Zoster Virus in the geniculate ganglion and leads to peripheral facial nerve palsy and erythematous vesicular rash in the affected area. It is a rare disorder but is the second most common cause of peripheral facial nerve palsy without trauma. Cerebral venous thrombosis is a rare cerebrovascular disease and responsible for only 0.5% of all strokes. Among its causes are oral contraceptives, infection in the central nervous system, systemic inflammations, and thrombophilia. Case report: We report the case of a previously healthy 29 years old woman diagnosed with Ramsay Hunt syndrome followed by cerebral venous thrombosis two weeks later. Her first admission to the hospital was due to pain in the face and a pulsing type right hemicranial headache. It started in the cervical region and was irradiated to the right retroorbital and auricular area, with difficulty contracting the right eyelid, otalgia, and vertigo. She used oral contraceptives, had two cesarean deliveries, and quitted smoking at 20 years old. She had multidirectional and bilateral nystagmus with fast phase to the left, right peripheral face paralysis, and crusts in the right ear canal. The patient was treated with aciclovir and prednisone, with good recovery. Two weeks later, she returned because of two episodes of convulsion and headache. Brain CTA (computed tomography angiography) showed cerebral venous thrombosis. Conclusion: Cerebral venous thrombosis is a rare complication of Ramsay Hunt Syndrome. It is important to stay alert to the development of vascular complications in these patients.
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Abrantes, Maely Moreira de. "Radiological clinical evaluation of cerebral venous thrombosis." In XIII Congresso Paulista de Neurologia. Zeppelini Editorial e Comunicação, 2021. http://dx.doi.org/10.5327/1516-3180.313.

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Background: Cerebral venous thrombosis (CVT) is a rare disorder, accounting for 0.5- 1% of cerebrovascular diseases and, in general, affects young people. Occurs due to occlusion of venous sinuses and cerebral veins, which are responsible for the venous drainage of the brain. Symptoms and clinical course are extremely variable, making diagnosis difficult. Objective: The present study aims to conduct a review of the literature on the clinical radiological evaluation in patients with cerebral venous thrombosis. Methods:This is a literature review based on the medical literature and scientific articles indexed in the Scientific Eletronic Library Online (SCIELO) and VHL- Brazil. Results: The evolution, introduction and use of relatively recent imaging techniques have contributed to the early diagnosis and treatment of patients with CVT. Skull computed tomography (CT) is usually the first examination performed in emergency care and can be normal in up to 50% of cases. Skull MRI associated with cranial angioresonance (MRA) are currently the exams of choice for the diagnosis of CVT in the acute, subacute and chronic phases. These tests allow a detailed assessment of the thrombus and tissue changes resulting from CVT. Digital angiography of the skull by catheterization is an invasive method and is considered the gold standard method for the diagnosis of CVT. It is reserved for cases in which NMR is not conclusive or when considering the performance of an endovascular procedure. Conclusions: Imaging studies are of great importance in the diagnosis. Although the venous angiographic study is essential, it is also important to observe the conventional sequences in order to allow a correct diagnosis.
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Teixeira, Davi Vargas Freitas, Arthur da Veiga Kalil Coelho, Camila Alves Pereira, Luciana Zelante Ambiel Magalhães, Marcele Schettini, and Sônia Maria Cesar de Azevedo Silva. "Bilateral anterior cerebral infarction associated with anatomical variation in a patient with COVID-19: a case report." In XIII Congresso Paulista de Neurologia. Zeppelini Editorial e Comunicação, 2021. http://dx.doi.org/10.5327/1516-3180.338.

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Context: Cardiovascular diseases are the main cause of death in Brazil. Amongst them, cerebrovascular disease is the second greater cause of death and the first in disability. Despite its overall high incidence, initial presentation with bilateral anterior circulation involvement is rare. The association between COVID-19 and stroke is still unclear, nethertheless, a prothrombotic state has been consistently described. Case report: A 80-years-old male, with past medical history of atrial fibrillation in regular use of apixaban, treated for severe COVID-19 Pneumonia for 13 days of hospitalization, was admitted seven days after discharge, presenting loss of consciousness followed by a not witnessed fall. At first evaluation the patient was somnolent, eye opening to tactile stimulation, motor aphasia, right central facial palsy and crural predominant double hemiparesis. Tomography study revealed bilateral hypoattenuation at superior frontal and cingulate girus. Angiotomography identified a hipoplasic A1 segment of anterior cerebral artery. Addtional findings included segmental pulmonary embolism and aorta intraluminal thrombus. The patient evolved to mutism and worsening level of consciousness, followed by death after several clinical complications. Conclusions: Anatomical variants of anterior circulatian are common although tipically assintomatic. When related to cerebrovascular disease, cardioembolic event is frequently accountable. This case exhibits an unusual stroke presentation during COVID-19 convalescence period among other thrombotic events despite anticoagulant therapy. Therefore, reinforces literature findings that SARS- CoV-2 infection and stroke simultaneously increase mortality and highlights that more physiolopathology knowlegde regarding this association is required, as well as efficiency trials of oral anticoagulants in these scenarios.
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Maltri, Rebecca, Fernanda Peronti Marino, Jorge Ygor Gonçalves dos Santos, Nathalia Polliana Rodrigues Melgaço, Vitória Aparecida Cunha, Paola Falcão Moreira Nogueira, Rafaela Charles Correia, and Tiago Silva Carvalho. "Brain stroke in patients with Covid-19 disease." In XIII Congresso Paulista de Neurologia. Zeppelini Editorial e Comunicação, 2021. http://dx.doi.org/10.5327/1516-3180.625.

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Background: Currently, the world is facing a pandemic caused by the SARSCoV-2, which has already infected millions of people and has accumulated countless deaths. Association has been reported between severe conditions of this disease and the occurrence of neurological manifestations, including stroke. The mechanisms that trigger this cerebrovascular disease in infected people are not defined yet, but it’s believed that they involve inflammatory reaction, vascular endothelial dysfunction and hypercoagulopathy present in SARS-CoV-2 infection. Objectives: Verify the studies which relate the cerebrovascular disorders caused by the infection of SARS-CoV-2, in order to elucidate its performance and determine the patient’s management as a way to avoid outcomes such as stroke and other neurological conditions losses. Methods: The subject is approached through a narrative review of the literature without meta-analysis. A bibliographic survey was made out, from December 2019 to June 2020, in digital databases. Results: The relation between ischemic and hemorrhagic strokes with coronavirus infection shows a possible mechanism of action of the virus related to ACE2, damaging tissues, including the brain. In addition, a huge relation has been identified between coagulopathy induced by the infectious condition and the occurrence of stroke, since the intense inflammatory storm produced raises the risks of occurrence of cerebrovascular events. Conclusions: The activity of this coronavirus against ACE2 has been shown to increase the secretion of pro-inflammatory substances, causing brain damage. Although this is a new disease, it’s possible to establish the stroke as a complication of COVID-19. It should be considered, especially in critically ill patients, and promptly assisted.
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Reports on the topic "Cerebrovascular disease – Patients – Care"

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Chen, Sijia, Shuangyu Wang, and lishuo Gao. Whether nurse-led telephone follow-up is more effective than usual care in improving blood pressure and LDL cholesterol levels in patients with cardiovascular and cerebrovascular disease. INPLASY - International Platform of Registered Systematic Review and Meta-analysis Protocols, March 2024. http://dx.doi.org/10.37766/inplasy2024.3.0054.

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Roldán-González, Elizabeth, Carolina Robledo-Castro, Piedad Rocío Lerma-Castaño, and María Luisa Hurtado-Otero. Validity and reliability of the Wolf Motor Function Test -WMFT in patients with Cerebrovascular disease: Scoping review. INPLASY - International Platform of Registered Systematic Review and Meta-analysis Protocols, October 2022. http://dx.doi.org/10.37766/inplasy2022.10.0044.

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Review question / Objective: This scoping review aimed to compile the studies that have examined the validity and reliability of the different versions of the Wolf Motor Function Test - WMFT in patients with Cerebrovascular disease. Background: Numerous investigations in rehabilitation have used the WMFT as an instrument for the primary measurement of the results; however, to date, there are no known reviews that have compiled the reliability and validity of the wolf test in its different versions, which is considered of vital importance and constitutes critical information for decision making in the process of evaluation and follow-up of patients with stroke in clinical, academic and research environments.
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Hu, XinYi, JingXuan Hao, and HangYue Wang. Improvement of Environmental enrichment on Cognitive Functions in Patients and animals : A systematic review and meta-analysis. INPLASY - International Platform of Registered Systematic Review and Meta-analysis Protocols, December 2022. http://dx.doi.org/10.37766/inplasy2022.12.0014.

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Review question / Objective: To study the relationship between environmental enrichment and cognitive function through a meta-analysis of the literature, analyze its effects on the improvement of cognitive function in patients and animals, and evaluate the effects of different environmental enrichment measures on cognitive function improvement. Condition being studied: Cognitive decline refers to an individual's memory, language, reasoning and other aspects of cognitive function showing obvious, measurable decline or abnormal. The causes of cognitive decline are various, including neurodegeneration, cerebrovascular disease, infection, trauma, and depression. Alzheimer's disease and stroke are the most common.
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LI, Peng, and Junjun Liu. Effect of statin therapy on moderate-to-severe depression: an updated systematic review and meta-analysis. INPLASY - International Platform of Registered Systematic Review and Meta-analysis Protocols, March 2022. http://dx.doi.org/10.37766/inplasy2022.3.0016.

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Review question / Objective: We aim to assess the antidepressant effects of statin therapy among patients complicated with moderate to severe depression. Condition being studied: Depression is one of the major causes of disability worldwide, and major depressive disorders (MDD) contribute to a significant heavy disease burden, which is expected to be second by 2050, only to heart disease. Despite great improvement in therapy, the treatment efficacy remains low. Therefore, alternative therapies have been intensely investigated. A substantial body of researches have suggested that inflammation is one of the operative pathways between MDD and increased risk of somatic comorbidities, and some specific depressive symptoms. Depression occurs in most patients with cardiac and cerebrovascular disease due to the long-term effects, and depression increases the risk of cardiovascular disease in the population as a whole and in patients with coronary artery disease or stroke. Several observational studies have demonstrated reduced rates of depression among patients taking statins, which may be related to its anti-inflammatory effect. However, whether statin improves the depressive symptoms and its associated mechanism is still mixed. Furthermore, there is little evidence about statin treatment effect in those with moderate to severe depression. In addition, whether the effect of statin treatment on depressive symptom changes with time or is affected by baseline depression severity or percentage change of lipid levels has not been explored in previous studies.
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Mac Arthur, Ian, and Anne Hendry. The "Intermediate Care Hospital": Facility Bed-Based Rehabilitation for Elderly Patients. Inter-American Development Bank, February 2017. http://dx.doi.org/10.18235/0009360.

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Population aging and the growing burden of chronic disease are causing many countries to explore new options as they reorganize their health systems from acute care toward increased chronic care provision. There are several modalities to deliver recuperative intermediate care at a level between the hospital and primary care, but some patients will require a bed-based solution. For these individuals, inpatient non-acute facilities may provide superior outcomes at a lower cost than traditional care on a hospital ward. The international literature regarding this type of service reveals positive findings on provider and patient satisfaction, clinical outcomes, and cost-effectiveness. However, to achieve the best possible results, providers must establish and apply appropriate procedures for the identification of eligible patients, exercise rigorous protocols during their transfer, and ensure their comprehensive assessment and adhesion to a therapeutic plan managed by a multidisciplinary team. For developing countries considering the formulation of policies to promote the implementation of intermediate care facilities, Brazil's recent experience may offer a point of reference and some guidance, especially in terms of reconditioning small community hospitals with excess capacity for this purpose.
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Zhang, Ruizhe, and Qingya Xie. A meta-analysis of cholesteryl ester transfer protein(CETP) gene rs708272(G>A) polymorphism in association with cornoary heart disease risk. INPLASY - International Platform of Registered Systematic Review and Meta-analysis Protocols, June 2023. http://dx.doi.org/10.37766/inplasy2023.6.0021.

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Review question / Objective: To seek the association of the CETP rs708272 polymorphism with CHD.To figure out if the carriers of allele rs708272-A reduce or increase the risk of CHD in comparison with carriers of allele rs708272-G under allele model, dominant model and recessive model. Condition being studied: The inclusion criteria of CHD:(1)the presence of stenosis≥50% in a minimum of one main segment of coronary arteries (the right coronary artery, left circumfex, or left anterior descending arteries) by coronary angiography.(2) symptoms representing angina pectoris, electrocardiographic changes, and elevations of cardiac enzymes based on the criteria of the World Health Organization. (3) a certifed record of coronary artery bypass graft or percutaneous coronary intervention were included in the study.The exclusion criteria of CHD :patients with congenital heart disease, cardiomyopathy, and valvular disease.Controls:the same populations as the cases and specifed to be without CAD, cardiovascular and cerebrovascular diseases, and peripheral atherosclerotic arterial disease.
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Savedoff, William D., Laura Goyeneche, Luis Alberto Soler, Pedro Bernal, Mariángela Chávez, Jaime Cardona, and Luis Tejerina. Disruption and Rebound: Healthcare and Telemedicine in Colombia during the COVID-19 Pandemic for Chronic Care Patients. Inter-American Development Bank, May 2023. http://dx.doi.org/10.18235/0004865.

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The COVID-19 pandemic led to declines in in-person consultations and substantial increases in telemedicine use in many countries. This paper investigates whether this pattern occurred in Colombia using data for people with particular health conditions prior to the pandemic (rheumatoid arthritis, hemophilia, chronic kidney disease, HIV, and cancer). The study shows that healthcare utilization by people in Colombia with these conditions dropped significantly during the first months of the pandemic relative to the average of the previous two years. However, by the end of 2020, the rate of healthcare utilization had almost reached pre-pandemic levels. While the number of services fell for people in both the contributive and subsidized scheme, the share of people who had any contacts with healthcare providers each month declined substantially for those in the subsidized scheme and by a statistically insignificant amount for those in the contributive scheme. Declines in utilization and contacts for in-person consultations were partially offset by the increased use of telemedicine services which accounted for almost one-fifth of healthcare contacts by December 2020. Of the main explanations for healthcare disruptions, the diversion of healthcare resources to treat COVID-19 patients does not seem to have been as significant as changes in social mobility and government lockdown policies. These findings have a variety of implications for public policy, including: the need to address the causes of healthcare utilization declines among individuals in the subsidized scheme; the importance of incorporating better social communication and adjustments to lockdown policies when planning for future health emergencies; the value of expanding telemedicine, not only during emergencies but also during normal times; and the potential benefits from improving the quality and availability of administrative data so that future research can contribute more effectively to policies that promote greater equity and effectiveness in Colombian healthcare services.
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hou, xianbing, dandan chen, tongfei cheng, dan wang, xiaojun dai, yao wang, bixian cui, et al. Bleeding risk of anticoagulant therapy in patients with advanced cancer in palliative care settings：a protocol for systematic review and meta-analysis. INPLASY - International Platform of Registered Systematic Review and Meta-analysis Protocols, April 2022. http://dx.doi.org/10.37766/inplasy2022.4.0064.

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Review question / Objective: The systematic review aim to provide synthesised and appraised evidence to assess the bleeding risk of anticoagulant therapy in patients with advanced cancer in palliative care settings. Condition being studied: Cancer is a recognized risk factor for venous thromboembolism (VTE). The main forms of thromboembolic disease include pulmonary embolism (PE) and deep vein thrombosis (DVT). Given their diagnosis and often poor physical status, patients with advanced cancer are at particularly high risk of developing VTE, resulting in reduced activity levels or even immobility. The exact incidence and prevalence of VTE in the population of cancer patients receiving hospice or palliative care has not been well investigated and few reports are available. Clinical studies have not yet determined whether such patients benefit from anticoagulant therapy and whether there is an increased risk of bleeding and death.
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Wang, Xiao, Hong Shen, Yujie Liang, Yixin Wang, Meiqi Zhang, and Hongtao Ma. Effects of physical activity interventions for post-COVID-19 patients: A protocol for systematic review and meta-analysis. INPLASY - International Platform of Registered Systematic Review and Meta-analysis Protocols, May 2022. http://dx.doi.org/10.37766/inplasy2022.5.0036.

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Review question / Objective: Coronavirus disease 2019 (COVID-19) is a novel infectious disease caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), which has caused a huge impact in many countries and has attracted great attention from countries around the world. However, since the outbreak of the COVID-19 pandemic, most attention has focused on containing transmission and addressing the surge of critically ill patients in acute care settings. As we enter the second phase of the pandemic, emphasis must evolve to post care of COVID-19 survivors. A variety of persistent symptoms, such as severe fatigue, shortness of breath, and attention disorder have been reported at several months after the onset of the infection. We urgently need to identify safe and effective COVID-19 rehabilitative strategies. Overwhelming evidence exists that physical activity produces short-, middle- and long-term health benefits that prevent, delay, mitigate and even reverse a large number of metabolic, pulmonary and cardiovascular diseases. The purpose of this study was to evaluate the effects of physical activity interventions for rehabilitation of post-covid-19 patient and provide a reliable method and credible evidence to improve the prognosis of post-COVID-19 patients via systematic review and meta-analysis.
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Toloo, Sam, Ruvini Hettiarachchi, David Lim, and Katie Wilson. Reducing Emergency Department demand through expanded primary healthcare practice: Full report of the research and findings. Queensland University of Technology, January 2022. http://dx.doi.org/10.5204/rep.eprints.227473.

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Demand for public hospital emergency departments’ services and care is increasing, placing considerable restraint on their performance and threatens patient safety. Many factors influence such demand including individual characteristics (e.g. perceptions, knowledge, values and norms), healthcare availability, affordability and accessibility, population aging, and internal health system factors (e.g patient flow, discharge process). To alleviate demand, many initiatives have been trialled or suggested, including early identification of at-risk patients, better management of chronic disease to reduce avoidable ED presentation, expanded capacity of front-line clinician to manage sub-acute and non-urgent care, improved hospital flow to reduce access block, and diversion to alternate site for care. However, none have had any major or sustained impact on the growth in ED demand. A major focus of the public discourse on ED demand has been the use and integration of primary healthcare and ED, based on the assumption that between 10%–25% of ED presentations are potentially avoidable if patients’ access to appropriate primary healthcare (PHC) services were enhanced. However, this requires not only improved access but also appropriateness in terms of the patients’ preference and PHC providers’ capacity to address the needs. What is not known at the moment is the extent of the potential for diversion of non-urgent ED patients to PHC and the cost-benefits of such policy and funding changes required, particularly in the Australian context. There is a need to better understand ED patients’ needs and capacity constraint so as to effect delivery of accessible, affordable, efficient and responsive services. Jennie Money Doug Morel
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