scholarly journals Post-stroke depression

2014 ◽  
Vol 155 (34) ◽  
pp. 1335-1343 ◽  
Author(s):  
Mónika Schulte-Altedorneburg ◽  
Dániel Bereczki
Keyword(s):  
Cerebrovascular Diseases ◽  
Depressive Illness ◽  
First Year ◽  
Post Stroke ◽  
Treatment And Prevention ◽  
High Incidence ◽  
Negative Effect ◽  
Post Stroke Depression ◽  
High Level

Cerebrovascular diseases are associated with a high incidence of psychiatric disorders. Depressive illness after stroke has been extensively investigated during the last three decades. Post-stroke depression is estimated to occur in 30–35% of the patients during the first year after stroke. Numerous studies have given information on its prevalence, pathogenesis, clinical course, treatment and prevention. Despite the high level of comorbidity, depressive symptoms appear to remain frequently unrecognized and untreated. This has a negative effect on the rehabilitation, quality of live, cognitive function and mortality of stroke patients. Orv. Hetil., 2014, 155(34), 1335–1343.

scholarly journals Acupuncture for post-stroke depression: a systematic review and meta-analysis

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Ran Liu ◽  
Kun Zhang ◽  
Qiu-yu Tong ◽  
Guang-wei Cui ◽  
Wen Ma ◽  
...  
Keyword(s):  
Adverse Events ◽  
Randomized Clinical Trials ◽  
Meta Analysis ◽  
Quality Of Evidence ◽  
Post Stroke ◽  
Assessment Development ◽  
Significant Difference ◽  
Post Stroke Depression ◽  
Meta Analyses

Abstract Background Acupuncture for post-stroke depression (PSD) has been evolving, but uncertainty remains. To assess the existing evidence from randomized clinical trials (RCTs) of acupuncture for PSD, we sought to draw conclusions by synthesizing RCTs. Methods An exhaustive literature search was conducted in seven electronic databases from their inception dates to April 19, 2020, to identify systematic reviews (SRs) and meta-analyses (MAs) on this topic. The primary RCTs included in the SRs/MAs were identified. We also conducted a supplementary search for RCTs published from January 1, 2015, to May 12, 2020. Two reviewers extracted data separately and pooled data using RevMan 5.3 software. The quality of evidence was critically appraised with the Grades of Recommendation, Assessment, Development and Evaluation (GRADE) system. Results A total of 17 RCTs involving 1402 patients were included. Meta-analysis showed that participants who received a combination of acupuncture and conventional treatments exhibited significantly lower scores on the HAM-D17, HAM-D24 and HAM-D (MD, − 5.08 [95% CI, − 6.48 to − 3.67], I2 = 0%), (MD, − 9.72 [95% CI, − 14.54 to − 4.91], I2 = 65%) and (MD, − 2.72 [95% CI, − 3.61 to − 1.82], respectively) than those who received conventional treatment. However, there was no significant difference in acupuncture versus antidepressants in terms of the 17-item, 24-item and HAM-D scales (MD, − 0.43 [95% CI, − 1.61 to 0.75], I2 = 51%), (MD, − 3.09 [95% CI, − 10.81 to 4.63], I2 = 90%) and (MD, − 1.55 [95% CI, − 4.36 to 1.26], I2 = 95%, respectively). For adverse events, acupuncture was associated with fewer adverse events than antidepressants (RR, 0.16 [95% CI, 0.07 to 0.39], I2 = 35%), but there was no significant difference in the occurrence of adverse events between the combination of acupuncture and conventional treatments versus conventional treatments (RR, 0.63 [95% CI, 0.21 to 1.83], I2 = 38%). The quality of evidence was low to very low due to the substantial heterogeneity among the included studies. Conclusions The current review indicates that acupuncture has greater effect on PSD and better safety profile than antidepressants, but high-quality evidence evaluating acupuncture for PSD is still needed.

scholarly journals Association of Functional Outcome and Post Stroke Depression amongAssociation of Functional Outcome and Post Stroke Depression among Stroke Survivor after Three Months Onset: A Preliminary Study

2019 ◽  
Vol 14 (1) ◽  
pp. 31
Author(s):  
Fitria Handayani ◽  
Setyowati Setyowati ◽  
Dwi Pudjonarko ◽  
Dian Ratna Sawitri ◽  
Hastaning Sakti ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Functional Outcome ◽  
Barthel Index ◽  
Rating Scale ◽  
Stroke Survivor ◽  
Nursing Intervention ◽  
Research Committee ◽  
Post Stroke ◽  
Post Stroke Depression

<p><span>Background </span></p><p><span>The Post Stroke Depression (PSD) prevalence of stroke survivor after three months onset was ranged from 17% to 37%. Depression led to fatigue, low quality of life, severe morbidity, and mortality.<span>  </span>Functional Outcome influence depression on stroke survivor. <span> </span>However, correlation between functional state level and depression among stroke survivor after three months onset has not been established. </span></p><p><span>Objective</span></p><p><span>This study was aimed to investigate the correlation of executive functional outcome and PSD among stroke survivor after three months onset. </span></p><p><span>Method</span></p><p><span>This study was a correlation study. The participants were 44 stroke ischemic patients after three months onset. Participants were recruited in an outpatient unit. PSD was measured using <span>The GRID-Hamilton Rating Scale for Depression 17 (GRID-HAMD 17) and </span>Functional Outcome was measured using <span>Barthel Index (BI). The reliability of GRID-HAMD 17 was .776. <span> </span>Both instruments were conducted on backward translation in to bahasa. Data was examined using </span>simple linier regression analyses. <span> </span>The ethical approval was obtained from the Ethical Research Committee of the Medical Faculty Diponegoro University and Tugurejo Semarang Hospital. </span></p><p><span>Results</span></p><p><span>The presence of PSD were 56.82. The median of HAMD-GRID-17 was 10.38 ± 7.58, and Barthel Index was 69.56 ± 21.69.<span>  </span>The Barthel Index showed positive correlation with HAMD-GRID-17 (?= -.41 ?=.006). The Functional Outcome determined PSD as much as 16.8 %. </span></p><p><span>Conclusion</span></p><p><span>Moderate association demonstrated the correlation between Functional Outcome and PSD. Nursing intervention should consider these two variables for an optimum quality of life among stroke survivors. </span></p><p> </p>

scholarly journals The Results of Development of the Online Instruction with Design-based Thinking for the Construction of Creative Products

TEM Journal ◽  
2021 ◽  
pp. 1715-1720
Author(s):  
Narasak Phunaploy ◽  
Pinanta Chatwattana ◽  
Pallop Piriyasurawong
Keyword(s):  
Undergraduate Students ◽  
Online Instruction ◽  
Educational Innovation ◽  
First Year ◽  
Significance Level ◽  
Innovation And Technology ◽  
Creative Products ◽  
High Level ◽  
Very High

This research is the development of the online instruction with design-based thinking for the construction of creative products. The population of this research included experts and the first year undergraduate students from the Department of Educational Innovation and Technology, Suan Sunandha Rajabhat University. According to the results, it is found that (1) the quality of the online lessons with design-based thinking is at a very high level, (2) the scores of learning achievement after learning the said online lessons are higher than those before learning these online lessons with a significance level of .01, (3) the scores of creative products created by the students after learning through the online lessons are at a very good level, and (4) the satisfaction toward the learning through online lessons with designbased thinking for the construction of creative products is at a very high level.

Neuropsychological Outcome and its Predictors Across the First Year after Ischaemic Stroke

2016 ◽  
Vol 17 (2) ◽  
pp. 111-122 ◽  
Author(s):  
Suzanne Barker-Collo ◽  
Rita Krishnamurthi ◽  
Valery Feigin ◽  
Amy Jones ◽  
Alice Theadom ◽  
...  
Keyword(s):  
Ischaemic Stroke ◽  
Verbal Memory ◽  
Vital Signs ◽  
Population Based ◽  
Neurological Deficits ◽  
First Year ◽  
Psychomotor Speed ◽  
Post Stroke

Background: Neuropsychological deficits occur in over half of the stroke survivors and are associated with the reduced functioning and a decline in quality of life. However, the trajectory of recovery and predictors of neuropsychological outcomes over the first year post stroke are poorly understood.Method: Neuropsychological performance, assessed using the CNS-Vital signs, was examined at 1 month, 6 months and 12 months after ischaemic stroke (IS) in a sample drawn from a population-based study (N = 198).Results: While mean scores across neuropsychological domains at each time-point fell in the average range, one in five individuals produced very low-range scores for verbal memory, attention and psychomotor speed. Significant improvements were seen for executive functioning, psychomotor speed and cognitive flexibility within 6 months post stroke, but no gains were noted from 6 to 12 months. Stroke-related neurological deficits and depression at baseline significantly contributed to the prediction of neuropsychological function at 12 month follow-up.Conclusions: In a significant minority of IS survivors, focal deficits are evident in psychomotor speed, verbal memory, executive functions and attention. Significant improvements in these domains were only evident in the first 6 months post stroke. Initial stroke-related neurological deficits and concurrent depression may be the best predictors of later cognitive functioning.

scholarly journals Curing Assessment of Concrete with Hyperspectral Imaging

Materials ◽  
2021 ◽  
Vol 14 (14) ◽  
pp. 3848
Author(s):  
Lisa Ptacek ◽  
Alfred Strauss ◽  
Barbara Hinterstoisser ◽  
Andreas Zitek
Keyword(s):  
Hyperspectral Imaging ◽  
Near Infrared ◽  
Strength Development ◽  
Contactless Method ◽  
Infrared Spectral ◽  
Young Concrete ◽  
Negative Effect ◽  
High Level ◽  
Destructive Measurement

The curing of concrete significantly influences the hydration process and its strength development. Inadequate curing leads to a loss of quality and has a negative effect on the durability of the concrete. Usually, the effects are not noticed until years later, when the first damage to the structure occurs because of the poor concrete quality. This paper presents a non-destructive measurement method for the determination of the curing quality of young concrete. Hyperspectral imaging in the near infrared is a contactless method that provides information about material properties in an electromagnetic wavelength range that cannot be seen with the human eye. Laboratory tests were carried out with samples with three different curing types at the age of 1, 7, and 27 days. The results showed that differences in the near infrared spectral signatures can be determined depending on the age of the concrete and the type of curing. The data was classified and analyzed by evaluating the results using k-means clustering. This method showed a high level of reliability for the differentiation between the different curing types and concrete ages. A recommendation for hyperspectral measurement and the evaluation of the curing quality of concrete could be made.

scholarly journals POST STROKE DEPRESSION AND ANXIETY: PREVALANCE AND CORRELATES

2021 ◽  
pp. 142-147
Author(s):  
NASMI NOUSHAD ◽  
SACHITA S ◽  
SHILPA ANNA VARUGHESE ◽  
SIJIMOL K JOY ◽  
SNEHA JOSE
Keyword(s):  
Clinical Care ◽  
Depression And Anxiety ◽  
Comorbid Conditions ◽  
Stroke Patients ◽  
Post Stroke ◽  
Increased Risk ◽  
Prevalence Of Depression ◽  
Post Stroke Depression ◽  
Collection Form

Objectives: The objective of the study is to evaluate the prevalence of depression and anxiety in post-stroke patients and identify its predictors. Materials and Methods: This study was conducted for a period of 6 months among 81 patients admitted with stroke in SSIMS and RC, Davangere. The information compiled from patient data collection form was assessed for comorbid conditions and type of stroke. Assessment for depression and anxiety was conducted using Hamilton D (HAM-D) and HAM-A scale and information of location of lesion was obtained from patient’s neuroimaging results. Quality of life (QOL) of post-stroke was assessed using stroke and aphasia QOL (SAQOL) questionnaire. Follow-up was conducted for patients who were diagnosed with depression and anxiety within 1 to 3 months. Results: Depression was more prevalent as compared to anxiety in post-stroke patients and was predominant in males and between the ages 61 and 70 years. Hypertension and diabetes were found to be a major comorbid conditions in such patients. Factors contributing to increased risk of depression and anxiety after stroke include age, sex, comorbidities, lesion location, and type of stroke. Post-stroke depression (PSD) and anxiety showed statistically significant association with left-sided lesion. Conclusion: PSD and anxiety are a relatively common complications and can result in poor QOL in stroke patients. Early detection of depression and anxiety symptoms may assist functional recovery and improve QOL in stroke patients. Careful evaluation of PSD and post-stroke anxiety should be integrated into clinical care of stroke patients.

scholarly journals The Effectiveness of Maize DDGS in Rabbit Diets / Efektywność zastosowania suszonego wywaru kukurydzianego w dietach dla królików

2013 ◽  
Vol 13 (3) ◽  
pp. 571-585 ◽  
Author(s):  
Agnieszka Chełmińska ◽  
Dorota Kowalska
Keyword(s):  
Distillers Grains ◽  
Biofuel Production ◽  
The European Union ◽  
Feed Material ◽  
Distillers Grains With Solubles ◽  
Dried Distillers Grains ◽  
New Zealand White Rabbits ◽  
Negative Effect ◽  
High Level

Abstract The development of biofuel production in the European Union is expected to increase the production of distillers grains, which can be a good feed material after concentration, centrifugation and drying. Research shows that dried distillers grains that meet microbiological and toxicological standards can be a nutritious feed for different species of animals. The aim of the study was to determine the effect of adding different levels (5 or 10%) of maize dried distillers grains with solubles (DDGS) to complete feeds on rearing performance and meat quality of young rabbits. The study was carried out with New Zealand White rabbits from weaning at 35 days to 90 days of age. The results obtained showed that the introduction of 5% DDGS to rabbit diets had no negative effect on rearing performance of rabbits from 35 to 90 days of age and on the quality of their meat. Despite using a detoxifier, the 10% level was hazardous to rabbits due to the high level of mycotoxins in the purchased DDGS and markedly decreased the quality of their meat. Therefore it appears necessary to analyse the distillers grains fed to this group of animals for mycotoxins, in particular to determine their safe levels for rabbits.

scholarly journals Modern approaches to the prevention and correction of complications caused by systemic treatment of severe acne forms

2019 ◽  
Vol 95 (2) ◽  
pp. 87-93 ◽  
Author(s):  
M. M. Tlish ◽  
M. E. Shavilova
Keyword(s):  
Systemic Treatment ◽  
Life Quality ◽  
Skin Condition ◽  
Level Of Evidence ◽  
Severe Acne ◽  
Therapy Assessment ◽  
Treatment And Prevention ◽  
Comparison Groups ◽  
High Level

Background. According to European and RF clinical guidelines, only the systemic use of isotretinoin in severe acne has a high level of evidence. However, this therapy is frequently associated with the development of retinoid dermatitis, the prevention and correction of which requires the application of emollients. Aim. To evaluate the efficacy and tolerability of the Perfectoin cream during treatment and prevention of retinoid dermatitis in patients with severe acne receiving systemic treatment with isotretinoin.Materials and methods. Two groups of patients each comprising 38 people with moderate, severe and resistant to standard therapy forms of acne were observed. Each group included 22 patients with retinoic dermatitis manifestations and 16 without such symptoms. The patients in the main and comparison groups were prescribed the Perfectoin cream and the dexpanthenol cream, respectively. Control of the skin condition was performed prior to the study and following 1, 3 and 6 months of therapy. Assessment parameters were the main symptoms of retinoid dermatitis (erythema, lichenification, excoriation, itching, feeling of dryness/tightness of the skin), indicators of the hydration of the horny layer of the epidermis and the transepidermal loss of moisture, as well as the dermatology life quality index.Results. The study has shown that the Perfectoin cream in patients with acne receiving isotretinoin therapy helps to restore skin hydration and leads to a rapid regression of the main dermatological symptoms of retinoid dermatitis, thus improving the overall quality of patients’ life.

Sign in / Sign up

Export Citation Format

Share Document