Physiological Assessment in Stroke Research

Author(s):  
Casey Lee Hall ◽  
Osama Mohamad ◽  
Shan Ping Yu ◽  
Ling Wei
Author(s):  
Andrey M. Geregey ◽  
Evgeny S. Shuporin ◽  
Ivan V. Fateev

Today, there are personal protective equipment, which due to their weight and size characteristics and design features can aggravate professional activity. This is characterized by an increase in the load on several major systems of the employee's body, including the cardiorespiratory system, which can cause the development of occupational pathology. The study of the functions of the cardiorespiratory system of humans in the process of his work is an important task in biomedical tests such as PPE, aggravating their professional activities and future means of individual protection from heavy labor and industrial exoskeletons. The aim of the study is to determine the possibility of using ergospirometry for the physiological assessment of personal protective equipment and industrial exoskeletons. Main part. In medical practice and high-performance sports, ergospirometry is considered the "gold standard" for functional assessment of the cardiorespiratory system. There are very few studies showing the use of ergospirometry for the purpose of physiological assessment of personal protective equipment. Results of research works in which ergospirometry was used in medicine, sports, as well as on the physiological and hygienic assessment of combat equipment, various types of personal protective equipment, including new promising personal protective equipment of the musculoskeletal system-industrial exoskeletons. The use of ergospirometry made it possible to register the main indicators of the human cardiorespiratory system both in field and laboratory conditions and allowed forming an objective conclusion about the dynamics of the degree of stress of the human cardiorespiratory system when using personal protective equipment and industrial exoskeletons with various weight and size characteristics. Thus, the use of ergospirometry both in isolation and in combination with other methods allows us to solve problems related to biomedical testing of personal protective equipment and industrial exoskeletons.


1976 ◽  
Vol 22 (11-12) ◽  
pp. 781
Author(s):  
P.A. Lynn ◽  
W.R. Parker ◽  
G.A.L. Reed
Keyword(s):  

2021 ◽  
pp. jnnp-2020-324005
Author(s):  
Klaus Fassbender ◽  
Fatma Merzou ◽  
Martin Lesmeister ◽  
Silke Walter ◽  
Iris Quasar Grunwald ◽  
...  

Since its first introduction in clinical practice in 2008, the concept of mobile stroke unit enabling prehospital stroke treatment has rapidly expanded worldwide. This review summarises current knowledge in this young field of stroke research, discussing topics such as benefits in reduction of delay before treatment, vascular imaging-based triage of patients with large-vessel occlusion in the field, differential blood pressure management or prehospital antagonisation of anticoagulants. However, before mobile stroke units can become routine, several questions remain to be answered. Current research, therefore, focuses on safety, long-term medical benefit, best setting and cost-efficiency as crucial determinants for the sustainability of this novel strategy of acute stroke management.


2021 ◽  
pp. 174749302110064
Author(s):  
Hugh S Markus ◽  
Sheila Cristina Ouriques Martins

A year ago the World Stroke Organisation (WSO) highlighted the enormous global impact of the COVID-19 pandemic on stroke care. In this review we consider a year later where we are now, what the future holds, and what the long term effects of the pandemic will be on stroke. Stroke occurs in about 1.4% of patients hospitalised with COVID-19 infection, who show an excess of large vessel occlusion and increased mortality. Despite this association, stroke presentations fell dramatically during the pandemic, although emerging data suggests that total stroke mortality may have risen with increased stroke deaths at home and in care homes. Strategies and guidelines have been developed to adapt stroke services worldwide, and protect healthcare workers. Adaptations include increasing use of telemedicine for all aspects of stroke care. The pandemic is exacerbating already marked global inequalities in stroke incidence and mortality. Lastly the pandemic has had a major impact on stroke research and funding, although it has also emphasised the importnace of large scale collaborative research initiatives.


2021 ◽  
pp. 0271678X2110337
Author(s):  
Jui-Lin Fan ◽  
Ricardo C Nogueira ◽  
Patrice Brassard ◽  
Caroline A Rickards ◽  
Matthew Page ◽  
...  

Restoring perfusion to ischemic tissue is the primary goal of acute ischemic stroke care, yet only a small portion of patients receive reperfusion treatment. Since blood pressure (BP) is an important determinant of cerebral perfusion, effective BP management could facilitate reperfusion. But how BP should be managed in very early phase of ischemic stroke remains a contentious issue, due to the lack of clear evidence. Given the complex relationship between BP and cerebral blood flow (CBF)—termed cerebral autoregulation (CA)—bedside monitoring of cerebral perfusion and oxygenation could help guide BP management, thereby improve stroke patient outcome. The aim of INFOMATAS is to ‘ identify novel therapeutic targets for treatment and management in acute ischemic stroke’. In this review, we identify novel physiological parameters which could be used to guide BP management in acute stroke, and explore methodologies for monitoring them at the bedside. We outline the challenges in translating these potential prognostic markers into clinical use.


2021 ◽  
Vol 47 ◽  
pp. 101227
Author(s):  
Mohamad Awada ◽  
Runhe Zhu ◽  
Burcin Becerik-Gerber ◽  
Gale Lucas ◽  
Erroll Southers

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