Longitudinal Impact of Community-Based Rehabilitation Programs on Functional Recovery After Stroke: A Scoping Review

2021 ◽  
pp. 108482232110355
Author(s):  
Ingyu Yoo
Keyword(s):  
Scoping Review ◽  
Relevant Literature ◽  
Walking Ability ◽  
Longitudinal Impact ◽  
Long Term Effects ◽  
Stroke Patients ◽  
Community Based ◽  
Therapeutic Benefits ◽  
Significant Difference

The purpose of this scoping review is to guide the effects of long-term application of CBRP in stroke patients and to help make recommendations for developing treatment protocols for therapeutic application. The study examined relevant literature published between 2009 and 2020 using searches of 4 scientific databases. CBRP may have long-term effects on the functional effectiveness of stroke patients. In particular, long-term effects on walking ability and level of daily living activities have been identified. However, disease-related health conditions and quality of life were less effective in the long run. The effect decreased over time, but the long-term effect was maintained. Long-term intervention after discharge has proven to make a significant difference in the outcome of the goal. Given the potential therapeutic benefits of this process, the results of this review highlight the lack of further research to establish the effectiveness of this form of community-based long-term rehabilitation therapy for stroke patients.

scholarly journals Impacts of treatments on recurrence and 28-year survival of ischemic stroke patients

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Ting-Ann Wang ◽  
Tzy-Haw Wu ◽  
Shin-Liang Pan ◽  
Hsiu-Hsi Chen ◽  
Sherry Yueh-Hsia Chiu
Keyword(s):  
Ischemic Stroke ◽  
Cerebrovascular Disease ◽  
Cox Regression ◽  
Controlled Trial ◽  
Stroke Recurrence ◽  
Long Term Effects ◽  
Stroke Patients ◽  
Double Blind ◽  
Term Survival

AbstractAspirin and nicametate are well-established therapies for preventing recurrence and mortality from stroke in patients diagnosed as ischemic stroke. However, their respective effects on the recurrence, making allowance for the duration of recurrence and death without the occurrence of recurrence, and long-term survival have not been well elucidated. We aimed to evaluate long-term effect of two kinds of treatment on cerebrovascular death among ischemic stroke patients with or without the recurrence of stroke. Data used in this study were derived from the cohort based on a multicenter randomized double-blind controlled trial during 1992 to 1995 with the enrollment of a total of 466 patients with first-time non-cardioembolic ischemic stroke who were randomly allocated to receive aspirin (n = 222) or nicametate (n = 244). The trial cohort was followed up over time to ascertain the date of recurrence within trial period and death until Sep of 2019. The time-dependent Cox regression model was used to estimate the long-term effects of two treatments on death from cerebrovascular disease with and without recurrence. A total of 49 patients experienced stroke recurrence and 89 cerebrovascular deaths was confirmed. Patients treated with nicametate were more likely, but non statistically significantly, to have recurrence (aHR: 1.73, 95% CI 0.96–3.13) as compared with those treated by aspirin. Nicametate reduced the risk of cerebrovascular death about 37% (aHR: 0.63, 95% CI 0.41–0.97) compared with aspirin. The aspirin group had a lower recurrence rate than the nicametate group even with recurrence after 1–2 years of follow-up of first stroke but the latter had significantly reduced death from cerebrovascular disease for nicametate group, which requires more research to verify.

scholarly journals Transitional Cell Carcinomas of the Urinary Tract in a Colony of Beagle Dogs

1989 ◽  
Vol 26 (6) ◽  
pp. 455-461 ◽  
Author(s):  
K. J. Nikula ◽  
S. A. Benjamin ◽  
G. M. Angleton ◽  
A. C. Lee
Keyword(s):  
Urinary Tract ◽  
Transitional Cell ◽  
Clinical Signs ◽  
Conclusive Evidence ◽  
Whole Body ◽  
Beagle Dogs ◽  
Long Term Effects ◽  
Significant Difference ◽  
Microscopic Features

Gross and light microscopic features of transitional cell carcinomas (TCC) of the urinary tract were examined in Beagle dogs used for the study of the long-term effects of low-dose, whole-body, 60Co gamma radiation. Thirty-eight cases of TCC occurred among 990 dogs that were from 0 to 14 years of age. There was no conclusive evidence of a radiation effect. The 38 TCC were equally divided between male and female dogs, but there was a significant difference in the sex distribution of urethra-origin TCC. Eleven males had a primary urethral TCC compared to only two females. There was no significant difference between the urethra-origin and bladder-origin TCCs in the number of tumors that caused clinical signs, metastasized, or that contributed to the death of the dog. All cases of urethral TCC in male dogs occurred in the prostatic urethra. The majority of these cases were not recognized to be neoplasms at gross necropsy, but microscopic examination revealed the TCC. Our findings differ from previous reports stating that TCC occurs more frequently in female than male dogs, and they especially differ from reports claiming that urethra-origin TCC is predominately a disease of female dogs.

The Relationship Between Adverse Childhood Experiences and Recidivism in a Sample of Juvenile Offenders in Community-Based Treatment

2015 ◽  
Vol 61 (11) ◽  
pp. 1210-1242 ◽  
Author(s):  
Kevin T. Wolff ◽  
Michael T. Baglivio ◽  
Alex R. Piquero
Keyword(s):  
Juvenile Offenders ◽  
Adverse Childhood Experiences ◽  
Life Outcomes ◽  
Long Term Effects ◽  
Community Based ◽  
Childhood Experiences ◽  
Adverse Childhood ◽  
Juvenile Justice Policy ◽  
The Relationship

Adverse childhood experiences (ACEs) have been identified as a key risk factor for a range of negative life outcomes, including delinquency. Much less is known about how exposure to negative experiences relates to continued offending among juvenile offenders. In this study, we examine the effect of ACEs on recidivism in a large sample of previously referred youth from the State of Florida who were followed for 1 year after participation in community-based treatment. Results from a series of Cox hazard models suggest that ACEs increase the risk of subsequent arrest, with a higher prevalence of ACEs leading to a shorter time to recidivism. The relationship between ACEs and recidivism held quite well in demographic-specific analyses. Implications for empirical research on the long-term effects of traumatic childhood events and juvenile justice policy are discussed.

The Election Campaign as a Liminal Stage — Negotiations over Meanings

1987 ◽  
Vol 35 (3) ◽  
pp. 559-574 ◽  
Author(s):  
Hanna Herzog
Keyword(s):  
Social Construction ◽  
Science Communication ◽  
Relevant Literature ◽  
Election Campaigns ◽  
Long Term Effects ◽  
Conceptual Frame ◽  
Social Meanings ◽  
Symbolic World ◽  
The Way

The paper deals with the role and significance of election campaigns through a consideration of the relevant literature in political science, communication and anthropology. The current interpretation of elections as ritual and drama is altered by focusing on V. Turner's concept of liminality. As liminal periods, it is claimed, election campaigns are an active arena for social construction of political worlds. They take an active part in moulding political cognition and thus produce long-term effects. Perceiving elections in this conceptual frame focuses the empirical concern on the different actors participating in moulding old or new social meanings, the way challenging alternatives are presented, negotiated, included or excluded, the way events as well as symbols become meaningful. It reveals the contested as well as the taken-for-granted, unquestioned and thus reinforced political symbolic world.

scholarly journals The long-term effects of hyaluronic acid on hemiplegic shoulder pain and injury in stroke patients

Medicine ◽  
2018 ◽  
Vol 97 (35) ◽  
pp. e12078 ◽  
Author(s):  
Yu-Chi Huang ◽  
Chau-Peng Leong ◽  
Hui-Hsin Tso ◽  
Mei-Ju Chen ◽  
Mei-Yun Liaw ◽  
...  
Keyword(s):  
Hyaluronic Acid ◽  
Shoulder Pain ◽  
Long Term Effects ◽  
Stroke Patients

scholarly journals Food for People in Place: Reimagining Resilient Food Systems for Economic Recovery

2020 ◽  
Vol 12 (22) ◽  
pp. 9369
Author(s):  
Kelly Dombroski ◽  
Gradon Diprose ◽  
Emma Sharp ◽  
Rebekah Graham ◽  
Louise Lee ◽  
...  
Keyword(s):  
New Zealand ◽  
Food Systems ◽  
Food System ◽  
Central Government ◽  
Long Term Effects ◽  
Community Based ◽  
Short Supply ◽  
Aotearoa New Zealand ◽  
Essential Services

The COVID-19 pandemic and associated response have brought food security into sharp focus for many New Zealanders. The requirement to “shelter in place” for eight weeks nationwide, with only “essential services” operating, affected all parts of the New Zealand food system. The nationwide full lockdown highlighted existing inequities and created new challenges to food access, availability, affordability, distribution, transportation, and waste management. While Aotearoa New Zealand is a food producer, there remains uncertainty surrounding the future of local food systems, particularly as the long-term effects of the pandemic emerge. In this article we draw on interviews with food rescue groups, urban farms, community organisations, supermarket management, and local and central government staff to highlight the diverse, rapid, community-based responses to the COVID-19 pandemic. Our findings reveal shifts at both the local scale, where existing relationships and short supply chains have been leveraged quickly, and national scale, where funding has been mobilised towards a different food strategy. We use these findings to re-imagine where and how responsibility might be taken up differently to enhance resilience and care in diverse food systems in New Zealand.

scholarly journals Short- and Long-Term Reduction of Door-to-Needle Time in Thrombolysis for Acute Stroke

2016 ◽  
Vol 44 (3) ◽  
pp. 255-260 ◽  
Author(s):  
Bing Yu Chen ◽  
Aimen Moussaddy ◽  
Mark R. Keezer ◽  
Yan Deschaintre ◽  
Alexandre Y. Poppe
Keyword(s):  
Computed Tomography ◽  
Intracerebral Hemorrhage ◽  
Acute Stroke ◽  
Hospital Treatment ◽  
Long Term Effects ◽  
Symptomatic Intracerebral Hemorrhage ◽  
Significant Difference ◽  
Clinical Benefits ◽  
Short And Long Term

AbstractBackground: More timely administration of tissue plasminogen activator (alteplase) for patients with acute ischemic stroke yields greater clinical benefits. We implemented door-to-needle (DTN) time reduction strategies at our center and evaluated their short- and long-term effects on in-hospital treatment delays and clinical outcomes. Methods: Strategies, including stroke team prenotification, direct computed tomography transfer, not routinely waiting for laboratory results and alteplase delivery on the computed tomography table, were implemented in June 2013. We included all thrombolysed patients admitted directly to our hospital between January 2012 and March 2015. In-hospital delays and symptomatic intracerebral hemorrhage rates were compared between patients pre- and postmodification, and the latter period was divided into early (first 6 months) and late (beyond 6 months) phases to assess the durability of our modifications. Results: Forty-eight individuals were treated premodification compared with 58 postmodification. The median DTN time was reduced from 75 to 46 minutes (p<0.0001). The median DTN time in the early and late postmodification phases was not significantly different (41 vs 46 minutes, p=0.4085). There was no significant difference in rates of symptomatic intracerebral hemorrhage (4.2 vs 1.7%, p=0.361) or stroke mimics (2.1 ves 5.2%, p=0.625) Conclusions: We were able to decrease our DTN time for acute stroke thrombolysis by implementing relatively simple modifications and these improvements persisted over time.

scholarly journals Securitization and Community-Based Protection Among Chin Refugees in Kuala Lumpur

2018 ◽  
Vol 28 (2) ◽  
pp. 158-178 ◽  
Author(s):  
Kirsten McConnachie
Keyword(s):  
Identity Construction ◽  
Forced Migration ◽  
Community Organizations ◽  
Kuala Lumpur ◽  
Long Term Effects ◽  
Community Based ◽  
Dynamic Relationship ◽  
Local Protection ◽  
And Migration

This article examines refugee-led community organizations among Chin refugees from Myanmar in Kuala Lumpur. It uses a structuration analysis that recognizes refugee-led organizations as complex governance entities engaged in a dynamic relationship with (among others) national policies of securitization of forced migration and international humanitarian governance. This approach expands the existing literature on the securitization of forced migration by exploring refugees’ lived experiences in a context of south–south migration. It expands the literature on community-based protection by going beyond recognizing the existence of refugee-led organizations to analyse their construction, constitution and consequences. Three primary areas of work by Chin refugee groups are analysed in relation to their immediate activity and longer term effects: organization (‘building ethnic unity in adversity’), documentation (‘asserting a bureaucratic identity’) and socialization (‘learning to be illegal’). These long-term effects indicate the possible impact of local protection activities on macrostructural processes such as identity construction and migration choices.

Sign in / Sign up

Export Citation Format

Share Document