Alleghiamo l'ultimo servizio informazioni sull'Ictus Cerebrale (in lingua inglese), redatto dalla Stroke Association l'equivalente di ALICe nel Regno Unito. Inseriremo queste informazioni ogni volta che verranno ricevute


Current Awareness Bulletin, Issue 160, 19 Feb 2013

STROKE INFORMATION SERVICE (SIS) CURRENT AWARENESS UPDATE

Issue 160, 19 February 2013


Clinical Rehabilitation Vol 27 No.1

p75 Effects of intensity of arm training on hemiplegic upper extremity motor recovery in stroke patients: a randomised controlled trial

 This trial of 32 stroke patients sought to investigate the effects of different intensities of arm rehabilitation on the functional recovery of hemiplegic upper extremity. Patients were split into three groups, and received arm training for one hour, two hours and three hours a day respectively.

Link: http://bit.ly/VE81vJ

 
Disability Now 13th February 2013

What is overcare?

Edmund West discusses how care staff can sometimes carry out tasks for disabled people, which is bad for promoting independence.

 Link: http://bit.ly/WTAwUE

 You can access further news from Disability Now online. <http://www.disabilitynow.org.uk>

 

The Lancet Vol 381 No.9866

 p537, Effects of body size and hypertension treatments on cardiovascular event rates: subanalysis of the ACCOMPLISH randomised controlled trial

 This study looks at whether type of hypertension treatment affects the rate of cardiovascular event in patients of different body sizes. The study showed that amlodipine-based therapy is equally effective in patients with all BMIs.

Link: http://bit.ly/ZouON3 <http://bit.ly/ZouON3>   

 You can access the full current edition of the Lancet online. <http://www.sciencedirect.com/science/journal/01406736>

 

Stroke vol 44 No.2

p469, Comparison of ischaemic stroke outcomes and patient and hospital characteristics by race/ethnicity and socioeconomic status

 This study looked at the disparities in discharge outcomes after hospitalisation for acute ischaemic stroke by race/ethnicity and socioeconomic status. The study found that mortality was similar among patients by race/ethnicity, but higher in patients from lower income areas.

Link: http://bit.ly/XmwEYF

 
p427, An observational study of thrombolysis outcomes in wake-up ischaemic stroke patients

This study looked at how effective thrombolysis was in patients whose symptoms had been present for between 4.5 and 12 hours, amongst other criteria. It concluded that thrombolysis might be feasible and beneficial for this group of patients.

Link: http://bit.ly/Y64J0B

 p334, Heme iron intake and risk of stroke: a prospective study of men

 This study looked into the associations between heme iron and nonheme iron intake in relation to stroke, because iron intake has been associated with several diseases. This study showed that a high heme iron intake might increase the risk of stroke.

Link: http://bit.ly/XKBX3C <http://bit.ly/XKBX3C>  

 You can access the full current edition of Stroke online. <http://ovidsp.ovid.com/ovidweb.cgi?T=JS&NEWS=n&CSC=Y&PAGE=toc&D=yrovft&AN=00007670-000000000-00000>

 

OTHER ARTICLES OF INTEREST


International Journal of Language & Communication Disorders
Aphasia and topic initiation in conversation: a case study

This paper uses Conversation Analysis to examine how a person with aphasia initiated topics in everyday conversation.

Link: http://onlinelibrary.wiley.com/doi/10.1111/j.1460-6984.2012.00186.x/full

 
The Lancet Neurology
Hypothermia for acute ischaemic stroke

Technological advances, combined with accumulated clinical experience, have allowed rapid, safe, and effective cooling in patients with acute ischaemic stroke. Ongoing phase 2 and 3 clinical trials will hopefully validate therapeutic hypothermia as a treatment that will yield positive clinical benefits for patients who are in urgent need of new and effective treatments.

Link: http://www.sciencedirect.com/science/article/pii/S1474442213700139

 
Topics in Stroke Rehabilitation
Supporting Autonomy for People with Aphasia: Use of the Life Interests and Values (LIV) Cards

People with aphasia are frequently disregarded as reliable respondents because their language problems may restrict their responses to oral and written questioning. Consequently, family members are often asked to speak on their behalf. The Life Interests and Values (LIV) Cards are a nonlinguistic, picture-based instrument designed for communicating directly with person with aphasia about their current and desired life activities.

Link: http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&AN=01344179-201301000-00003&LSLINK=80&D=ovft

 
Does Caregiver Well-Being Predict Stroke Survivor Depressive Symptoms? A Mediation Analysis

 Findings indicate that stroke survivor impairments and problems may affect family caregivers and stroke survivors and a high level of caregiver distress may result in poorer outcomes for stroke survivors. Results highlight the likely importance of intervening with both stroke survivors and family caregivers to optimize recovery after stroke.

Link: http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&AN=01344179-201301000-00005&LSLINK=80&D=ovft

 
Altered Taste and Stroke: A Case Report and Literature Review

 Patients with altered taste perception following stroke are at risk for malnutrition and associated complications that may impede recovery and adversely affect quality of life. Such deficits often induce and exacerbate depressive symptomatology, which can further hamper recovery.

Link: http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&AN=01344179-201301000-00009&LSLINK=80&D=ovft

 
Journal of Stroke and Cerebrovascular Diseases
 Improvement of Door-to-Imaging Time in Acute Stroke Patients by Implementation of an All-Points Alarm

 With the aim of reducing in-hospital delays, a German hospital’s interdisciplinary stroke management group implemented an all-points alarm to improve in-hospital time delay (the period between arrival to the emergency department and performance of cerebral imaging). The alarm simultaneously alerted all involved staff (from the neurologist to in-hospital transport) to the arrival of a patient potentially eligible for thrombolysis. As a result the proportion of ischemic stroke patients receiving thrombolysis rose from 42% to 66%.

 Link: http://www.sciencedirect.com/science/article/pii/S1052305711001960

 
Neurology
 Neighbourhood socioeconomic status and stroke mortality: Disentangling individual and area effects

 In the last 3 decades evidence has accumulated showing how both individual and neighbourhood socioeconomic status independently affect stroke incidence. A combination of adverse lifestyle factors, detrimental physical and social environments, and perhaps lower access to primary health care are likely to contribute to this excess risk. Recent studies suggest that living in a disadvantaged neighbourhood is independently associated with shorter survival following a stroke and that neither individual socioeconomic status nor traditional risk factors seem to explain this association. Whether, and how much, this is determined by initial stroke severity is uncertain and requires further investigation.

Link: http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&AN=00006114-201302050-00004&LSLINK=80&D=ovft

 

STROKE IN THE NEWS

Daily Mail

‘Don’t tell my son I’m dying’: Proud mom has fatal stroke watching son play soccer but begs that no one tell him until after the match
Hiroyo Klink began feeling chest pains whilst watching her son play soccer. She did not want her son to know. These pains led to a stroke which she died from.
Link: http://bit.ly/YkeeHj <http://bit.ly/YkeeHj>