Dissertations / Theses: 'Cerebrovascular accident (stroke)'

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Laska, Ann Charlotte. "Aphasia in acute stroke /." Stockholm, 2007. http://diss.kib.ki.se/2007/978-91-7357-195-1/.

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Ahmed, Niaz. "Blood pressure in acute ischaemic stroke : blood pressure and stress in the acute phase of stroke and influence of initial blood pressure on stroke-outcome /." Stockholm, 2003. http://diss.kib.ki.se/2003/91-7349-700-2/.

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Stavric, Verna. "Muscle power after stroke a thesis submitted to Auckland University of Technology in partial fulfilment of the requirements for the degree of Master of Health Science (MHSc), 2007 /." ScholarlyCommons@AUT : Muscle power after stroke, 2007. http://aut.researchgateway.ac.nz/handle/10292/131.

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Sonde, Lars. "Rehabilitation after stroke : effects of length of stay and treatments to facilitate motor recovery after stroke /." Stockholm, 2001. http://diss.kib.ki.se/2001/91-628-4730-9/.

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Koch, Lena von. "Early supported hospital discharge and continued rehabilitation at home after stroke /." Stockholm, 2000. http://diss.kib.ki.se/2000/91-628-4027-4/.

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Medin, Jennie. "Stroke among people of working age : from a public health and working life perspective /." Linköping : Univ, 2006. http://www.bibl.liu.se/liupubl/disp/disp2006/med930s.pdf.

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7

Crary, Michael A. "Dysphagia and nutritional status following stroke." [Gainesville, Fla.] : University of Florida, 2004. http://purl.fcla.edu/fcla/etd/UFE0008951.

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Thesis (M.S.)--University of Florida, 2004.
Typescript. Title from title page of source document. Document formatted into pages; contains 44 pages. Includes Vita. Includes bibliographical references.

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Appelros, Peter. "Stroke severity and outcome : in search of predictors using a population-based strategy /." Stockholm : [Karolinska institutets bibl.], 2002. http://diss.kib.ki.se/2002/91-7349-275-2/.

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Larson, Jenny. "Life situation after stroke : the spouses' perspective /." Stockholm, 2005. http://diss.kib.ki.se/2005/91-7140-457-0/.

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Kouwenhoven, Mathilde Cornelia Maria. "Matrix-degrading metalloproteinases and cytokines in multiple sclerosis and ischemic stroke /." Stockholm : Karolinska Univ. Press, 2001. http://diss.kib.ki.se/2001/91-7349-021-0/.

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11

Kim, Helen. "Genetic susceptibility to early-onset stroke in young adults /." Thesis, Connect to this title online; UW restricted, 2003. http://hdl.handle.net/1773/10924.

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12

Magnuson, Scott A. "THE EFFECTS OF CEREBROVASCULAR ACCIDENTS ON PROSPECTIVE MEMORY." Wright State University Professional Psychology Program / OhioLINK, 2014. http://rave.ohiolink.edu/etdc/view?acc_num=wsupsych1372205700.

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13

Sommerfeld, Disa. "Body function and activity after acute stroke : physiotherapy perspectives /." Stockholm, 2004. http://diss.kib.ki.se/2004/91-7349-828-9/.

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Kostulas, Konstantinos. "Genetic analysis of ischemic stroke and predisposing carotid artery stenosis : a stroke carol /." Stockholm : Karolinska institutet, 2007. http://diss.kib.ki.se/2007/978-91-7357-395-5/.

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15

Hossain, Mohammed Jamil. "To investigate the need for palliative care in cerebrovascular accident (stroke) patients at Ladysmith Provincial hospital." Master's thesis, University of Cape Town, 2016. http://hdl.handle.net/11427/20429.

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This research study explores the need for palliative care by the patients who are recovering from stroke after an acute event. Stroke survivors need comprehensive care for their physical, psychosocial, spiritual well-being and additional support. The comprehensive total care in all aspect of physical, social and spiritual well-being can only be offered by the holistic approach of palliative care focusing, as it does, on the rehabilitation for stroke survivors to improve their quality of life. A literature review was conducted to investigate how palliative care can help to change the quality of life for stroke survivors. There has been little research on the topic of providing palliative care to stroke patients in South Africa. This research study explores the need and understanding of palliative care management for a stroke survival. The aim of the study is: "To investigate the Need for Palliative care in Cerebrovascular Accident (stroke) patients at Ladysmith Regional Hospital". The objectives of the study were: 1. To identify the holistic care needs of stroke patients. 2. To describe the care provided to stroke patients. 3. To identify the gaps in the care requirements of stroke patients. The study site was Ladysmith Regional Hospital, in UThukela District in Kwa-Zulu-Natal province, South Africa. This is a cross sectional study using mixed methods-both quantitative and qualitative-interviewing patients, and family members of patients who had suffered from a cerebrovascular accident.

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Kumlien, Suzanne. "Persons with stroke and their nursing care in nursing homes /." Stockholm, 2005. http://diss.kib.ki.se/2005/91-7140-406-6/.

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17

Strand, Magnus. "Estrogen signaling in stroke : genetic and experimental studies." Doctoral thesis, Umeå : Univ, 2007. http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-1397.

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18

Thorsén, Ann-Mari. "Five-year follow-up of a randomized controlled trial of early supported discharge and continued rehabilitation at home after stroke /." Stockholm, 2005. http://diss.kib.ki.se/2005/91-7140-543-7/.

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19

Connolly, Teresa. "Post Stroke Survivors' Experiences of the First Four Weeks During the Transition Directly Home From the Hospital." Thesis, Boston College, 2014. http://hdl.handle.net/2345/bc-ir:104175.

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Thesis advisor: Ellen K. Mahoney
Purpose: The purpose of this qualitative descriptive study was to investigate the experiences of post stroke survivors (PSSs) during transition from hospital discharge home during the first four weeks. Background: PSSs describe the transition from hospital to home as an important time in recovery and stress various physical and cognitive concerns early within the recovery period. Research to date fails to adequately reflect PSSs' experiences early after discharge home. This gap in research limits the ability to create interventions for PSSs during this critical time period. Methods/analysis: Semi-structured telephone interviews were conducted with 31 participants, recruited from a large metropolitan hospital in the northeastern United States. The use of in-vivo codes lead to the development of themes that described PSSs' experiences during the four week transitional period. Credibility and transferability of findings were strengthened through memoing, field notes, reflexivity of analysis, member checking, and peer review throughout the analysis process by qualitative experts. Results: The five major themes were: (a) the shock of a stroke interrupting a normal day, (b) transition to an unfamiliar home, (c) experiencing a life riddled with uncertainty, (d) a journey to a new sense of self, and (e) adjusting to a new sense of self. Throughout their journey all PSSs had to cope with uncertainty and adjust to a new sense of self. PSSs that experienced less uncertainty were able to return to their prior daily routine, knew how to prevent another stroke, had a helpful support system, and had frequent follow-up and communication with health care professionals. Conclusion: All PSSs are at risk for complications regardless of stroke severity. To address PSSs complex needs, nurses can provide care beyond symptom management by fostering a dynamic intentional relationship to support recovery. The framework resulting from this study can provide the platform for advanced neuroscience nurses to engage with PSSs to improve their recovery and adjustment to a new sense of self as they transition from hospital to home
Thesis (PhD) — Boston College, 2014
Submitted to: Boston College. Graduate School of Arts and Sciences
Discipline: Philosophy

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Wanby, Pär W. "On certain genetic and metabolic risk factors for carotid stenosis and stroke /." Linköping : Kalmar : Linköping University ; Department of Internal Medicine, County Hospital of Kalmar, 2006. http://www.bibl.liu.se/liupubl/disp/disp2006/med942s.pdf.

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Björkdahl, Ann. "Stroke rehabilitation : a randomized controlled study in the home setting : functioning and costs /." Göteborg : Institute of Neuroscience and Physiology/Rehabilitation Medicine, The Sahlgrenska Academy at Göteborg University, 2007. http://hdl.handle.net/2077/2555.

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22

Nofziger, Erin J. "The effects of emotional support and physical help on the health of caregivers of stroke survivors." Connect to full-text via OhioLINK ETD Center, 2006. http://rave.ohiolink.edu/etdc/view?acc%5Fnum=mco1149001064.

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Thesis (M.S.)--Medical University of Ohio, 2006.
"In partial fulfillment of the requirements for the degree of Master of Science in Nursing." Major advisor: Linda Pierce. Includes abstract. Document formatted into pages: vii, 68 p. Title from title page of PDF document. Title at ETD Web site: The effects of emotional support and physical help on the health of caregivers of persons with stroke. Includes bibliographical references (p. 59-65).

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Franzén-Dahlin, Åsa. "Psychological health and life situation in spouses of stroke patients /." Stockholm, 2007. http://diss.kib.ki.se/2007/978-91-7357-196-8/.

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Wanby, Pär W. "On certain genetic and metabolic risk factors for carotid stenosis and stroke." Doctoral thesis, Linköpings universitet, Institutionen för medicin och hälsa, 2006. http://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-7467.

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The present study evaluated genetic and metabolic factors influencing the risk of acute cerebrovascular disease (CVD) and internal carotid artery stenosis (ICA stenosis) in a Swedish community. The threonine (T) containing protein of the FABP2 A54T gene polymorphism has a greater affinity for long chain fatty acids (FFAs) than the alanine (A) containing protein. This altered affinity for FFAs has been shown to affect the intestinal absorption of fatty acids and consequently the fatty acid composition of serum lipids, in particularly postprandially. Endothelium derived NO is a potent vasodilator and antiatherogenic agent. Asymmetric dimethyl arginine (ADMA) is an endogenous competitive inhibitor of endothelial nitric oxide synthase (eNOS). ADMA has been shown to be involved in the pathogenesis of atherosclerotic disease, and ADMA inhibits eNOS by displacement of L-arginine from the enzyme, which in turn is believed to affect the amount of NO available within the endothelium. The FABP2 A54T gene polymorphism was analyzed in 407 patients with acute CVD and also in a subset of these patients whose carotids had been evaluated with ultrasound. Both the FABP2 polymorphism and a common polymorphism of the eNOS gene, Glu298Asp, were analyzed in a different population consisting of 54 matched pairs of patients with ICA stenosis and controls. ADMA levels were measured in both study populations. We found that the T54 allele was more frequent in patients with transient ischaemic attacks (TIA), and that the TT genotype was more prevalent in young, non-smoking patients with CVD than in controls. Increased concentrations of ADMA were observed in cardio-embolic infarction and TIA, but not significantly in non-cardio-embolic infarction nor in haemorrhagic stroke. In multivariate logistic regression models, CVD increased across quartiles of ADMA in all subgroups, but this association was only significant in the TIA group. A decreased arginine/ADMA ratio, a measure of NO availability was associated with CVD in the entire study population. Patients with severe carotid stenosis had significantly higher ADMA levels than the controls. Allele and genotype frequencies of the FABP2 and eNOS polymorphisms did not differ between patients with ICA stenosis and controls. Our results indicate that ADMA is a strong marker for TIA and severe ICA stenosis, and that relative defiency of arginine, measured as L-arginine/ADMA, is present in acute CVD. We also conclude that a common polymorphism of the FABP2 gene increases susceptibility to ischaemic stroke and TIA.
Figure 4 on page 17 is publshed with kind permisson from The Journal of Physiology (http://jp.physoc.org/).

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Comer, Clinton S. "Cerebral Laterality, Emotion, and Cardiopulmonary Functions: An Investigation of Left and Right CVA Patients." Diss., Virginia Tech, 2014. http://hdl.handle.net/10919/56981.

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Stroke, or cerebrovascular accident (CVA), is a prominent cause of long term disability in the United States. It has been evidenced that the outcome of a CVA patient differs as a function of the cerebral hemisphere that is damaged by the stroke, especially in terms of emotional changes. The Right Hemisphere Model of Emotion posits that the right hemisphere is specialized for processing emotional content, regardless of valence. In contrast, the Bi-Hemispheric Model of Emotion posits that each hemisphere has its own emotional specialization. The current experiment tested the competing predictions of the two theoretical perspectives in a mixed sample of left cerebrovascular accident (LCVA) patients and right cerebrovascular accident (RCVA) patients using a Dichotic Listening task and the Affective Auditory Verbal Learning Test (AAVLT). Heart Rate (HR) and Pulse Oxygen Saturation (SpO2) were also recorded as sympathetic measures. It was expected that the predictions of the Bi-Hemispheric Model would be supported. A series of mixed design ANOVAs were used to analyze the data. Results revealed that both groups may have exhibited decreased auditory detection abilities in the ear contralateral to CVA location. Additionally, CVA patients recalled significantly more positive words, than negative or neutral words, and exhibited a significant learning curve. LCVA patients exhibited a recency effect, while RCVA patients exhibited a heightened primacy effect. Findings from HR and SPO2 measures suggested a parasympathetic response to neutral information as well as an impaired sympathetic response to negative information in RCVA patients. Taken together these results lend partial support to the hypotheses drawn from the Bi-Hemispheric Model of Emotion, as evidenced by the diametrically opposite effects in these groups, which appears to reflect opposing cerebral processes.
Ph. D.

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Rahe, Patricia A. "Self-efficacy perceptions of patients following a cerebral vascular accident before and after participation in a stroke rehabilitation program." Virtual Press, 1992. http://liblink.bsu.edu/uhtbin/catkey/845965.

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The purpose of this study was to determine if the perceived level of ability (self-efficacy) differed from actual performance ability for individuals with cerebral vascular accidents (CVA's). Patients were assessed for perception and actual ability level on Activities of Daily Living (ADL's) and Balance skills at admission and at discharge from an inpatient CVA rehabilitation program. Thirty patients with unilateral brain lesions (15 right and 15 left) constituted the study group. ANOVA and repeated measures were used in this quasi-experimental, quantitative study to examine data. All three research hypotheses were tested at an alpha level of .05 for significance. The first and third research hypotheses were supported: CVA patients' self-efficacy scores on ADL's and Balance Skills were significantly different from actual performance scores at time of admission to a CVA rehabilitation program; and the self-efficacy scores were significantly closer to actual performance scores for ADL skills at discharge. The improved accuracy in perception of Balance Skills was not supported by comparison of scores between admission and discharge measurements. The second hypothesis that right hemisphere CVA lesion patients self-efficacy and actual performance scores would be significantly different compared to the scores of patients with left hemisphere CVA lesions was not supported. A ttest for paired samples was also performed on the ADL scores data to investigate three-way significance for the third hypothesis. The patients studied successfully completed the prescribed therapeutic activities in a CVA rehabilitation program and were able to predict with significantly improved accuracy, performance ability on ADL skills at discharge.
School of Nursing

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Dawson-Weiss, Judith. "A male caregiver's perceived experience of caring for a wife with stroke." Connect to full-text via OhioLINK ETD Center, 2005. http://rave.ohiolink.edu/etdc/view?acc%5Fnum=mco1116804126.

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Thesis (M.S.)--Medical College of Ohio, 2005.
"In partial fulfillment of the requirements for the degree of Master of Science in Nursing." Major advisor: Linda Pierce. Includes abstract. Document formatted into pages: vi, 56 p. Title from title page of PDF document. Bibliography: pages 46-50.

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Subramanian, Sandeep. "Effects of feedback on recovery of pointing movements in two training environments in stroke : a pilot study." Thesis, McGill University, 2007. http://digitool.Library.McGill.CA:80/R/?func=dbin-jump-full&object_id=112364.

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Virtual reality environments (VEs) are new tools to improve functional recovery in stroke survivors. Elements essential to maximize motor learning, can be optimized in VEs. Study objectives were: (a) to determine whether training in VE with enhanced feedback about movement patterns, leads to greater gains in arm movement quality, motor performance and decreased compensation compared to training in a similarly designed Physical environment (PE); (b) to estimate whether impairments in cognitive functioning affected the changes observed after training. Twelve stroke survivors practiced 72 pointing movements in VE or PE for 10 sessions with enhanced feedback. Kinematic analysis of pointing task, evaluations of arm impairment and function were carried out pre-post training. After training, VE group had increased shoulder flexion (p<0.05), increased shoulder horizontal adduction and decreased compensation, compared to PE group. Use of feedback correlated with fewer deficits in cognitive functioning. Training in VEs may lead to greater gains in movement quality.

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Löfmark, Ulrika. "Stroke with a focus in the elderly : from a gender and socioeconomic perspective /." Umeå : Univ, 2007. http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-1099.

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Emery, Catherine E. "Relieving Post-stroke Fatigue Using a Group-based Educational Training Approach." VCU Scholars Compass, 2015. http://scholarscompass.vcu.edu/etd/3875.

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Post-stroke fatigue is a common problem that may limit participation in everyday activities. Emerging evidence suggests that group-based training in fatigue management may be an efficient means of reducing the effects of post-stroke fatigue. This mixed methods, quasi-experimental study proposed to determine whether a group-based educational program could be successful in relieving post-stroke fatigue and improving participation in daily activities. A convenience sample of stroke survivors (n=20) from retirement communities in southeastern PA were invited to participate in the research. Participants were screened for depression, motor and cognitive recovery, and sleep quality. Fatigue was measured using the Fatigue Severity Scale (FSS) and activity participation was measured using the Physical Self-Maintenance Scale- Instrumental Activities of Daily Living (PSMS-IADL). The measures were administered in a double pre-test, double post-test format over three seven-week phases; a non-intervention period; a group-based intervention period, and a post-intervention period. Qualitative information was gathered using a self-made Intervention Satisfaction Survey. Data analysis involved measures of central tendency for the demographic information. Tabulations of the survey responses were completed to judge the effectiveness of the group-based program or its’ components from the participants’ perspectives. Results indicated a statistically significant reduction in reported fatigue post-intervention (p= .022), which continued for seven-weeks (p= .240). There was a strong effect size for the post-intervention reduction of fatigue (r= .69). There was a trend toward improved participation in daily activities. Distribution across groups for presence of social support, age, sex, and level of care was found to be equivalent after one-way chi square analysis. There was no significant influence of these variables on fatigue or participation when used as grouping variables in RM-ANOVA. Participants reported feeling most confident scheduling activity to include rest periods and least confident managing sleep problems. Limitations include small sample size, demographics not being representative of the general stroke population, use of self-report measures with possible ceiling effect of PSMS-IADL, instrumentation effect given multiple administrations, and history effects as groups occurred at different time of the year. Overall, the results indicate that participation in a group-based educational program was effective in reducing post-stroke fatigue in chronic stroke.

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El, Hajj Maya. "Elaboration d'un Score Prédictif des Accidents Vasculaires Cérébraux au Liban." Thesis, Paris Est, 2017. http://www.theses.fr/2017PESC0078/document.

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Background : L’accident Vasculaire Cérébral (AVC) est la deuxième cause de décès au Liban et dans le monde. Il existe une pénurie d'informations fiables concernant l'épidémiologie de l'AVC au Liban. L’objectif de cette étude est d’identifier les facteurs de risque et les symptômes d'AVC dans la population libanaise et de développer un score pour la future prédiction de l'AVC et un score pour le diagnostic de l'AVC en situation d'urgence.Méthodes : Une étude cas-témoin a été menée pour la génération des scores. Les données ont été collectées à l’aide d’une fiche de collecte de données conçue dans deux hôpitaux tertiaires au Liban entre le 1er janvier 2012 et le 31 décembre 2014. Une régression logistique a permis de déterminer les facteurs de risque et les symptômes d'AVC. Les coefficients arrondis ont engendré un score pour le risque d’AVC (ROSS) et un score de diagnostic de l'AVC (DS-Stroke). Une autre étude cas-témoin a été menée pour la validation des scores, où les données ont été collectées à l'aide d'un questionnaire normalisé dans cinq différents hôpitaux tertiaires entre le 1er janvier 2015 et le 31 décembre 2016. Le ROSS et le DS-Stroke ont été validés en les comparant au diagnostic final des hôpitaux.Résultats : En total, 732 participants ont été inclus dans l'étude de génération du score (202 cas d'AVC et 530 contrôles sans AVC) et 650 participants ont été inclus dans l'étude de validation du score (205 cas et 445 contrôles sans AVC). Plusieurs facteurs de risque et symptômes ont été associés à l'AVC au Liban. Le ROSS et le DS-Stroke ont été construits et évalués avec des hautes zones sous la courbe et des valeurs négatives et positives prédictives élevées.Conclusion : Le ROSS est un bon outil d'évaluation des risques pour améliorer la prévision de l'AVC dans la population libanaise et serait particulièrement intéressant dans le cadre des soins primaires afin de réduire l'incidence de l'AVC. Le DS-Stroke est un autre outil précieux à utiliser pour le diagnostic de l'AVC à l'urgence et serait intéressant pour l'utilisateur afin d'avoir un diagnostic précis de l'AVC, appeler à d'autres tests d'urgence si nécessaire et d’accélérer le traitement pour les patients AVC
Background: Stroke is the second leading cause of death in Lebanon and worldwide. There is a scarcity of reliable information about the epidemiology of stroke in Lebanon. We aim to identify stroke risk factors and symptoms in the Lebanese population and develop a score for future stroke prediction and another for stroke diagnosis at emergency.Methods: A case-control study was conducted for the scores generation. Data were collected through a designed data collection sheet at two tertiary hospitals in Lebanon between January 1st, 2012 and December 31st, 2014. A logistic regression determined stroke risk factors and symptoms and the rounded coefficients generated a Risk of Stroke Score (ROSS) and a Diagnosis Score for Stroke (DS-Stroke). Another case-control study was conducted for the scores validation where data were collected through a standardized questionnaire at five different tertiary hospitals between January 1st, 2015 and December 31st, 2016. ROSS and DS-Stroke were validated by comparing them to the hospitals final diagnosis.Results: In total, 732 participants were included in the score generation study (202 stroke cases and 530 stroke-free controls) and 650 participants were included in the score validation study (205 cases and 445 stroke-free controls). Many risk factors and symptoms were found to be associated with stroke in Lebanon. ROSS and DS-Stroke were constructed and validated with high areas under the curve and high negative and positive prediction values.Conclusion: ROSS is a good risk assessment tool for use to improve the prediction of stroke in the Lebanese population and would be of particular interest in the primary care setting to reduce stroke incidence. DS-Stroke is another valuable tool to use for stroke diagnosis at emergency and would be interesting to user in order to have an accurate diagnosis of stroke, call for further emergency testing if necessary and speed up the treatment for stroke patients

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Dhiman, Parminder. "The role of psychological and cognitive factors in the psychological and physical recovery from acute stroke : a longitudinal study." Thesis, Brunel University, 2015. http://bura.brunel.ac.uk/handle/2438/14055.

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Background: Stroke is the second leading cause of disability and mortality in the U.K., therefore research investigating stroke has been highlighted by the National Stroke Strategy to develop studies which are longitudinal and focus on outcome. A comprehensive systematic review (Study One) was undertaken to investigate the role of psychological factors on stroke recovery. This informed the development of the research study (Study Two). The aim of this study was to investigate the role of psychological and cognitive factors on psychological and physical recovery from acute stroke, in a longitudinal study as directed by the National Stroke Strategy. The current study additionally incorporates cognitive neuropsychological elements along with measures of mood, personality and coping. This is the first study to the authors’ knowledge which has investigated repressive coping and Type D personality with stroke. Method: Longitudinal data collection was conducted in two NHS hospitals, with a clinical sample at Time 1 (0-6 weeks post stroke), followed up at Time 2 (3 months post stroke) and Time 3 (6 months post stroke), in the participants’ homes or in nursing homes. Measures used to test independent variables were: Centre for Epidemiologic Studies Short Depression Scale (CES-D 10), Perceived Stress Scale (PSS), Multidimensional Scale of Perceived Social Support (MPSS), Standard Assessment of Negative Affectivity, Social Inhibition, and Type D Personality (DS 14, Type D personality), Marlowe-Crowne Form B & 6 Item STAI (for repressive coping), 3 item Sense of Coherence (SoC) scale, line bi-section & Bells cancellation task (visual neglect), forward digit span (verbal short term memory), Rivermead Behavioural Memory Test (visual short term memory) and the colour word Stroop test (executive function), along with demographic data, stroke markers and health behaviours. Dependent variables were: Quality of life (measured by the SF-36) and physical recovery (modified Rankin Scale). Results: The main analysis used hierarchical multiple regression analyses and mediation analysis to test a series of hypotheses. Physical recovery outcome was predicted by stroke severity, age, stress, repressive coping, social support and visual neglect at different time points. Depression and visual memory were reported as mediators at Time 2. Quality of life outcome was predicted by stroke severity, age, stress, social support, depression and visual neglect at different time points. Conclusions: The results of this study indicate that psychological factors do have an impact on both physical and psychological outcome from stroke. Stress, repressive coping and visual neglect were the most consistent predictors of outcome. Depression and social support played a smaller role, whereas Type D personality was nonsignificant across analyses.

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DiNapoli, Vincent A. "Alterations in JAK/STAT signaling pathway and blood-brain barrier function mechanisms underlying worsened outcome following stroke in the aged rat /." Morgantown, W. Va. : [West Virginia University Libraries], 2007. https://eidr.wvu.edu/etd/documentdata.eTD?documentid=5142.

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Thesis (Ph. D.)--West Virginia University, 2007.
Title from document title page. Document formatted into pages; contains x, 154 p. : ill. (some col.). Vita. Includes abstract. Includes bibliographical references (p. 135-149).

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Martinsson, Louise. "Facilitation of recovery after ischaemic stroke : early dexamphetamine and physiotherapy treatment /." Stockholm, 2003. http://diss.kib.ki.se/2003/91-7349-668-5.

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Welmer, Anna-Karin. "Associations between body functions, activities and health related quality of life from onset until 18 months after stroke /." Stockholm : Karolinska institutet, 2007. http://diss.kib.ki.se/2007/978-91-7357-413-6/.

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Jönsson, Jessica, and Therése Persson. "AFASI En litteraturstudie om kommunikation vid afasi orsakad av stroke." Thesis, Malmö högskola, Fakulteten för hälsa och samhälle (HS), 2007. http://urn.kb.se/resolve?urn=urn:nbn:se:mau:diva-26424.

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Jönsson, J & Persson, TAfasi. En litteraturstudie om kommunikation vid afasi orsakad av stroke.Examensarbete i omvårdnad 10 poäng. Malmö högskola: Hälsa och samhälle, utbildningsområde omvårdnad, 2007.Afasi är ett samlingsnamn för språkliga skador och kan drabba människor i alla åldrar. Cirka 12 000 personer drabbas årligen i Sverige av afasi vilket är en vanlig åkomma efter stroke. Individen med afasi och dennes anhöriga känner en frustration då de inte kan kommunicera med varandra, sjuksköterskan går här in och stöttar både patient och anhöriga. Syftet med denna litteraturstudie var att belysa kommunikationen mellan sjuksköterska och patient med afasi. Frågeställningarna var: vilka metoder använder sjuksköterskan för att kommunicera med patienten? Hur upplever sjuksköterskan kommunikationen med patienter med afasi? Hur upplever patienten sin situation vid kommunikationssvårigheter? Litteraturstudien omfattar både kvalitativa och kvantitativa studier. Resultatet visade att sjuksköterskans kommunikations -metoder består av att skapa en relation med patienten, visa empati, använda fysisk beröring, kroppsspråk samt humor. Sjuksköterskan känner empati för patienten och hon upplever patientens situation som tragisk och stöttar honom genom att visa uppmärksamhet och uppmuntran. Patienten kan känna sig frustrerad och deprimerad av att inte kunna uttrycka sig verbalt. Resultatet diskuteras utifrån Virginia Hendersons omvårdnadsteori. En konversation behöver inte innehålla ord, utan en förståelse kan även nås genom att använda kroppsspråk och fysisk beröring. Nyckelord: afasi, kommunikation, patient, relation, sjuksköterska, stroke, upplevelser.
Jönsson, J & Persson, TAphasia. A literature review about communication at aphasia caused by a cerebrovascular accident.Degree Projekt, 10 Credit Points. Nursing Programme, Malmö University: Health and society, Department of Nursing, 2007. Aphasia is a common name for several speech disabilities and this can affect people in all ages. Approximately 12 000 people develop aphasia every year in Sweden and it is a common sequel after a cerebrovascular event. The patients and their relatives feel a frustration when they can not communicate with each other, and the nurse needs to support both parties. The aim of this review-study was to illuminate the communication between the nurse and the patient with aphasia. The questions at issue were: which methods does the nurse use when communicating with the patient? How does the nurse experience the communication with patients who have aphasia? How does the patient experience the situation when having difficulties to communicate? This literature study is based on qualitative and quantitative studies. The results show; that methods used by the nurse to communicate include the ability to create a relationship with the patient, show empathy, use physical touch, body language and humour. The nurse experience sympathy for the patient and find the situation most tragic. She or he supports the patient by showing attention and encourage. The patient can be frustrated and depressed by not being able to verbally express himself/herself. The results are discussed on the basis of Virginia Henderson’s theory. A conversation does not necessarily need words, comprehension might also be achieved by using body language and physical touch. Keywords: aphasia, cerebrovascular accident, communication, experience, nurse, patient, relation.

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Nilsson, Ardnor Sofie. "Genetic studies of stroke in Northern Sweden." Doctoral thesis, Umeå : Umeå University, 2006. http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-887.

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Bergman, Per. "Atherosclerosis of the ascending aorta as a risk factor for stroke after cardiac surgery : a study based on epiaortic ultrasound /." Stockholm, 2004. http://diss.kib.ki.se/2004/91-7349-928-5/.

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Brito, Christina May Moran de. "Perfil de risco de perda óssea em pacientes hemiplégicos crônicos." Universidade de São Paulo, 2009. http://www.teses.usp.br/teses/disponiveis/5/5166/tde-25092009-150918/.

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INTRODUÇÃO: A perda óssea acelerada é uma das reconhecidas complicações da hemiplegia pós-acidente vascular encefálico (AVE), mas pouco se sabe sobre o ritmo de perda na fase crônica e seus determinantes. O objetivo deste estudo foi avaliar a evolução tardia da densidade mineral óssea (DMO) em pacientes hemiplégicos crônicos, bem como identificar possíveis fatores associados. MÉTODOS: Foi realizado um estudo longitudinal envolvendo pacientes ambulatoriais com hemiplegia há mais de 12 meses. Pacientes com doenças e outras condições associadas à perda óssea foram excluídos. Avaliações clínica e densitométrica foram realizadas no início e após aproximadamente 16 meses, e foram analisados fatores de risco para perda óssea. RESULTADOS: Cinquenta e sete pacientes foram estudados, sendo 40 do sexo masculino, com média de 59,3 anos e tempo médio de hemiplegia de 33,4 meses. Ao comparar os hemicorpos acometido e não acometido, foi observada perda óssea mais acentuada em antebraço acometido (p=0,001), mas não em fêmur acometido. Foi observada perda óssea significativa em 56% dos pacientes em antebraço e 22,6% em fêmur, no lado acometido. Maior tempo de AVE foi protetor para a perda óssea em antebraço (OR = 0,96, IC 95%: 0,92 0,99; p=0,015), e o uso de anticoagulantes e/ou anticonvulsivantes (OR = 5,83, IC 95%:1,25 27,3; p=0,025) e espasticidade moderada/intensa (OR = 8,29, IC 95%:1,10 62,4; p=0,040) foram determinantes para perda óssea em fêmur. CONCLUSÕES: O presente estudo evidenciou que a perda óssea é comum e frequente em antebraço acometido em pacientes com hemiplegia crônica, com tendência à estabilização da perda com o passar do tempo. Espasticidade mais intensa e uso de anticoagulantes e/ou anticonvulsivantes foram associados à perda óssea em fêmur. Estes achados indicam que pacientes hemiplégicos crônicos devem ser monitorados e tratados para perda óssea, com atenção para os determinantes identificados, e que o membro superior acometido deve ser incluído na avaliação da DMO
INTRODUCTION: Accelerated bone loss is a well-known early complication of hemiplegia. However, less is known about chronicphase bone loss and its determinants. The objective of this study was to evaluate long-term changes in bone mineral density (BMD) in chronic hemiplegic patients, and investigate possible related factors. METHODS: A longitudinal study involving chronic stroke-related hemiplegic patients was conducted. Clinical and densitometric evaluations were performed at baseline and after approximately 16 months, and risk factors for bone loss were analyzed. RESULTS: Fiftyseven patients were studied (40 males) with a mean of 59.3 years and with mean time since hemiplegia of 33.4 months. Decrease in BMD was more pronounced in affected forearms compared to the nonaffected forearms (p=0.001). No difference was found between affected and non-affected femurs. Bone loss was observed in 56% of the affected forearms and 22.6% of the affected femurs. Longer time since stroke was protective for bone loss in the forearm (OR = 0.96, 95% CI: 0.92 0.99; p=0.015), and the use of anticoagulation/antiepileptic drugs (OR = 5.83, 95% CI: 1.25 27.3; p=0.025) and moderate/severe spasticity (OR = 8.29, 95% CI: 1.10 62.4; p=0.040) were associated to bone loss in the femur. CONCLUSIONS: Bone loss is common and more frequent in the affected forearm in chronic hemiplegic patients with tendency to stabilize over time. Greater spasticity and use of anticoagulation and/or antiepileptic drugs were proved to be associated with bone loss at the femur. Our findings indicate that chronic hemiplegic patients should be monitored and treated for bone loss, with attention to the identified determinants, and that the upper paretic limb should be included in BMD evaluation

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Wiklund, Per-Gunnar. "Genetic aspects of stroke : association and linkage studies in a northern Swedish population." Doctoral thesis, Umeå : Public Health and Clinical Medicine, 2005. http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-668.

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Manifacier-Fournier, Marie-Josée. "Le temps et la mémoire chez la personne "cérébro-lésée"." Phd thesis, Université Paris-Est, 2009. http://tel.archives-ouvertes.fr/tel-00584394.

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Le temps et la mémoire chez la personne " cérébro-lésée " Le temps et la mémoire participent au fondement de notre humanité. Les personnes atteintes de pathologies neurologiques interrogent de façon particulière les liens que les hommes tissent avec leur temporalité et leur mémoire. Au cours de ce travail, nous avons tenté de dégager ce qui était spécifique du temps vécu et de l'atteinte mémorielle dans la clinique neurologique. Temps disloqué des patients " déments ", temps déchiré des patients atteints d'un accident vasculaire, ces deux modalités temporelles seront étudiées sous l'angle de l'éprouvé temporel. Nous avons également tenté de réfléchir autour des questions de la durée et du changement. Que devient l'identité de ces personnes touchées au coeur de leur être ? En précisant ce qui anime le rapport dialectique qui s'articule entre le temps et la mémoire, et qui est l'oeuvre de l'esprit, nous évoquons ce qui atteste de la continuité de la vie psychique, au-delà de l'apparaître et des potentialités " rationnelles ". L'accompagnement de ces patients requiert une présence, un don du temps

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Widar, Marita. "Living with Long-Term Pain after a Stroke." Doctoral thesis, Linköping : Univ, 2003. http://www.bibl.liu.se/liupubl/disp/disp2003/med827s.pdf.

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Pettersson, Ingvor. "Significance of assistive devices in the daily life of persons with stroke and their spouses /." Doctoral thesis, Örebro : Örebro University : Universitetsbiblioteket, 2006. http://urn.kb.se/resolve?urn=urn:nbn:se:oru:diva-460.

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Straten, Annemieke van. "Quality of hospital care and health outcomes after stroke." Proefschrift, [S.l. : Amsterdam : s.n.] ; Universiteit van Amsterdam [Host], 2000. http://dare.uva.nl/document/83805.

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Rochemont, Rita Devi Surya. "Insuffisance rénale terminale et maladies cardiovasculaires : le poids des maladies chroniques en Guyane The epidemiology of acute coronary syndromes in French Guiana The epidemiology and emergency care of stroke in French Guiana : a multicenter cohort study A prospective study of Health inequalities and the epidemiology of stroke in French Guiana End stage renal disease in French Guiana (data from R.E.I.N registry) : South American or French ? End stage renal disease as a symptom of health inequalities in French Guiana." Thesis, Guyane, 2019. http://www.theses.fr/2019YANE0012.

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Les maladies non transmissibles et chroniques, et notamment les maladies cardio-vasculaires sont une des principales causes de mortalité. De nombreuses études concernant la prévalence et facteurs de risques des maladies cardiovasculaires sont réalisées à travers le monde. En Guyane, l’accent est souvent porté sur les maladies tropicales et infectieuses dans un contexte amazonien qui fait l’originalité du territoire et permet de nombreuses publications dans le domaine. Cependant la transition épidémiologique est déjà bien entamée et les maladies cardiovasculaires constituent un problème de santé publique majeur en Guyane. Ainsi les accidents vasculaires cérébraux, les maladies coronariennes sont les principales causes de mortalité prématurée après les accidents. Comme ailleurs, l’insuffisance rénale chronique représente également un problème émergent en matière de santé publique en Guyane. Ce département français est complexe avec des populations d’origines diverses, venant souvent de pays pauvres et vivant dans des conditions difficiles, tout en bénéficiant du système de soins français. Il y existe cependant des inégalités de santé prononcées. Le diabète et l’hypertension artérielle sont deux facteurs de risque majeurs de ces complications cardiovasculaires, et sous-tendent la très forte incidence de l’insuffisance rénale chronique terminale. Afin de pallier au manque de données sur ces problèmes de santé en Guyane, ce travail propose d’étudier l’épidémiologie descriptive et analytique au travers des données du programme médicalisé des systèmes d’information (PMSI), des données de la cohorte prospective multicentrique INDIA et des données du registre sur l’insuffisance rénale chronique mis en place par l’Agence de Biomédecine. Les retombées de ces travaux pourraient aider à optimiser l’accès aux soins, à guider le dépistage et la prise en charge thérapeutique pour réduire la mortalité et l’invalidité qui résultent de ces pathologies.La présente thèse montre ainsi les particularités de l’épidémiologie de ces pathologies avec une forte incidence et une létalité élevée. Il montre qu’il existe des inégalités sociales de santé en Guyane, comme pour d’autres pathologies avec les plus vulnérables qui sont malades plus jeunes, avec des atteintes plus graves et un excès de mortalité. L’hypertension artérielle et le diabète sont des cibles d’intervention préventives, avec un effort tout particulier à faire pour atteindre les plus vulnérables
Non communicable chronic diseases, notably cardiovascular diseases are one of the main causes of death. Numerous studies have studied risk factors throughout the world. In French Guiana, most research themes focus on tropical infectious diseases. However, the epidemiologic transition is well underway, and cardiovascular diseases represent a major public health problem. Hence strokes and coronary syndrome are the main cause of premature death after accidents. As elsewhere, chronic renal failure also represents a rising problem in French Guiana. French Guiana is an overseas French Territory with a large Afro-caribbean population profile in terms of cultural and socioeconomic aspects with a French health system. Despite the universal healthcare system, there are frequent health inequalities. Diabetes and high blood pressure are 2 major risk factors for cardiovascular diseases and for end stage renal failure. In order to alleviate the lack of epidemiologic data, the present work aims to describe the epidemiology of these diseases in French Guiana using different data sources: the hospital’s « programme médicalisé des systems d’information (PMSI) », the data from the INDIA prospective cohort a collaboration between the clinical investigation center in Cayenne and Dijon hospital, and data from the end stage renal disease registry. These results will hopefully help improve access to care, and reduce mortality.The present thesis thus shows the particularities of the epidemiology of these highly incident and fatal diseases. It also shows the importance of health inequalities in French Guiana, as for other diseases, the more vulnerable populations become sick younger, with more severe diseases, and more deaths. Hypertension and diabetes are prime targets for preventive interventions, with special efforts to reach the most vulnerable social groups

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Ladenvall, Claes. "Genetic association studies in stroke /." Göteborg : Institute of Neuroscience and Physiology, The Sahlgrenska Academy at Göteborg University, 2008. http://hdl.handle.net/2077/9416.

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Hultdin, Johan. "Homocysteine in cardiovascular disease with special reference to longitudinal changes." Doctoral thesis, Umeå : Medical Biosciences, 2005. http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-529.

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Henning, Erica C. "NMR Characterization of Pathological Disease States Monitoring Response to Single-Dose Radiotherapy in a RIF-1 Tumor Model and the Role of Spreading Depression in the Evolution of Ischemic Stroke." Link to electronic thesis, 2005. http://www.wpi.edu/Pubs/ETD/Available/etd-042205-130831/.

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Dissertation (Ph.D.) -- Worcester Polytechnic Institute and University of Massachusetts Medical School.
Keywords: multispectral analysis ; RIF-1; spreading depression; diffusion; MEMRI; stroke. Includes bibliographical references (p. 229-232).

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Hoffmeister, Arce Lorena 1978. "Cuidado agudo y resultados de salud en los accidentes cerebrovasculares isquémicos en Chile." Doctoral thesis, Universitat Pompeu Fabra, 2014. http://hdl.handle.net/10803/129742.

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Background and objectives: Middle- and low-income countries face an increasing burden of mortality and disability due to stroke. The aim of this study was to describe the acute care of ischemic stroke, the impact of increased use of intravenous thrombolysis on disability, and survival in patients hospitalized for stroke in Chile. Methods: We retrospectively analyzed the charts of a sample of patients admitted to public hospitals in the Metropolitan Region of Chile. Subsequently, a discrete-event simulation model was applied to determine the population-based impact of greater use of thrombolysis on disability. Survival and its association with sex, age, geographical area, and health insurance were determined by linking national registries of hospital admissions (2003-2007) with deaths (2003-2010). Results: Of 51,130 patients with an ischemic stroke, survival was 88.9% at 7 days, 81.9% at 30-days, 69.9% at 1 year, and 61.2% at 3 years. When adjustment was performed by age, patients with private health insurance (high income) had a lower probability of dying than their lower-income counterparts with public health insurance (HR private health insurance: 0.53). Patients in the north and south of the country had a high probability of dying than those in the center. Adherence to performance measures in hospitals in the Metropolitan Region was low and varied among centers. A total of 23.6% of patients was diagnosed with post-stroke pneumonia. Thrombolysis was administered to only 1.7%. There is no population impact in disability if the current utilization rate is left unchanged. Administering thrombolysis to all patients who currently receive diagnostic confirmation within the 4.5-hour therapeutic window (11.6%) would avoid 779 cases of disability and increase utilization to 25% would prevent 1,783 at the end of the simulation (2017). Conclusions: Organizational changes in the care of stroke are urgently needed. Measures should be intensified in the groups with the worst results.
Antecedentes y Objetivos: Los países de ingresos medios-bajos enfrentan una creciente carga de mortalidad y discapacidad por enfermedades cerebrovasculares (ACV). El objetivo fue describir el cuidado agudo de los ictus-isquémicos, el impacto en discapacidad del incremento de la utilización de trombolisis y la supervivencia de pacientes hospitalizados por ACV en Chile. Métodos: Se revisaron retrospectivamente las historias médicas en una muestra de pacientes admitidos en hospitales públicos de la principal área metropolitana de Chile (RMS). Se aplicó un modelo de simulación de eventos discretos para determinar el impacto poblacional en discapacidad del incremento de utilización de trombolisis. La supervivencia y la asociación por género, edad, territorio y seguro de salud, se obtuvo vinculando los registros nacionales de egresos hospitalarios (2003-2007) con las defunciones (2003-2010). Resultados: De 51.130 pacientes con ictus-isquémico, la supervivencia al séptimo-día fue 88,9%, a 30-días 81,9%, al año 69,9% y a tres años 61,2%. Ajustando por edad, los pacientes con seguro privado de salud (ingreso altos) tenían una probabilidad menor de morir que sus pares de seguro público de menores ingresos (HR seguro privado: 0,53). Los pacientes de la zona norte y sur tenían una mayor probabilidad de morir, comparado con la zona central de Chile. La adherencia de los hospitales públicos-RMS a las medidas de desempeño fue baja y con variabilidad entre centros. Un 23,6% presentó diagnóstico de neumonía post-infarto. La utilización de trombolisis fue solo 1,7%. De mantenerse esta utilización, no hay impacto poblacional en reducir discapacidad. Aumentar a que todos los pacientes que actualmente son confirmados antes de 4.5 horas (11,6%) sean trombolizados evitaría 779 personas discapacitadas y aumentar al 25% de utilización evitaría 1.783 al final de la simulación (2017). Conclusiones: Es urgente implementar cambios organizacionales en la atención de los ACV, intensificando las medidas en grupos que muestran peores resultados.

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Cordova, Rosemeire Aparecida Milhim. "Avaliação clínico-evolutiva dos pacientes pós-primeiro acidente vascular cerebral e o impacto familiar." Faculdade de Medicina de São José do Rio Preto, 2007. http://bdtd.famerp.br/handle/tede/27.

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Made available in DSpace on 2016-01-26T12:51:15Z (GMT). No. of bitstreams: 1 rosemeireaparecidamilhimcordova_dissert.pdf: 392788 bytes, checksum: d2a678049990ffa97c8a22c4bf09ec84 (MD5) Previous issue date: 2007-06-28
Currently, stroke is one of the main death causes and impairments with serious consequences for the patient, relatives and society. The difficulties which come across the caregivers addressed this study that had as objectives: to evaluate the functional independence, the clinical event and the dynamics with the family of patients who suffered the first stroke. This is a descriptive research, cross sectional cohort type, with semi-structure interviews to these caregivers, performed either at hospitals and homes of the city of São José do Rio Preto, Barthel Index ≤40 was used as inclusion criterion, independent of sex or race. The sample comprised 22 patients: 45.45% females and 54.55% males; 22 caregivers, out of these 81.82% were females. The main clinical events presented by the patients were pneumonia 40.91%, pressure ulcers 40.91% and urinary tract infection 36.36%. Out of these 22 patients, 45.45¨% died, of whom 27.27% during the 30 days after the first stroke. The care to the patients is directly related to their impairments; the more unable, more dependent they will be of their caregivers. The dynamics with the relatives are related with the physical effort; the adaptations that have to be provided at home, the fear in working with this patient and the financial needs to support him/her. This study emphasized the importance of the nursing orientations during the hospitalization as well as these patients´ follow-up at home to continue all the care.
O Acidente Vascular Cerebral é hoje uma das principais causas de morte e incapacidade, com graves conseqüências para o paciente, familiares e sociedade. As dificuldades com que se deparam os cuidadores direcionaram este estudo que teve como objetivos: avaliar a independência funcional, as intercorrências clínicas e a dinâmica com a família dos pacientes que sofreram o primeiro episódio de Acidente Vascular Cerebral. Trata-se de uma pesquisa descritiva do tipo coorte transversal, com entrevistas semi-estruturadas aos cuidadores desses pacientes, realizada nas instituições hospitalares e domicílios da cidade de São José do Rio Preto, utilizando como critério de inclusão o Índice de Barthel = 40, independente de sexo ou raça. A amostra constituiu-se de 22 pacientes: 45,45% do sexo feminino e 54,55% do masculino; 22 cuidadores, sendo que 81,82% eram do sexo feminino. As principais intercorrências clínicas, apresentadas pelos pacientes, foram pneumonia 40,91%, úlceras de pressão 40,91% e infecção do trato urinário 36,36%. Dos 22 pacientes, 45,45% morreram, sendo que 27,27% nos 30 dias após o primeiro Acidente Vascular Cerebral. Os cuidados aos pacientes estão diretamente relacionados às suas incapacidades, quanto mais incapazes mais dependentes serão dos seus cuidadores. A dinâmica com os familiares relaciona-se ao esforço físico, às adaptações que precisam fazer na residência, ao medo em lidar com o paciente e às necessidades financeiras para dar o suporte ao mesmo. Esse estudo ressaltou a importância das orientações de enfermagem durante a hospitalização, e o acompanhamento desses pacientes no domicílio, dando continuidade a toda assistência. Palavras-chave: 1. Cuidadores; 2. Acidente cerebrovascular; 3. Enfermagem.

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Dissertations / Theses on the topic 'Cerebrovascular accident (stroke)'

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