Laparoscopic splenectomy in a comorbid patient in the early recovery period of cerebral infarction on the background of pneumonia COVID-19 etiology

The article describes a clinical case demonstrating the results of the lungs ultrasound examination in the COVID-19 patient during the acute period of the disease and early recovery period.

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Neurorehabilitation in the Early Recovery Period of Ischemic Stroke. Pharmacology Support

Acta Balneologica ◽

10.36740/abal202101103 ◽

2021 ◽

Vol 63 (1) ◽

pp. 22-25

Author(s):

Denys N. Khramtsov ◽

Olexandr N. Stoyanov ◽

Tetiana N. Muratova ◽

Olexandr R. Pulyk

Keyword(s):

Ischemic Stroke ◽

Acute Stroke ◽

Recovery Period ◽

Rehabilitation Medicine ◽

Neuroprotective Agents ◽

Early Recovery ◽

National Medical ◽

Cholinergic Agents ◽

Early Recovery Period ◽

Medical University

Aim: The aim of the study was to evaluate the clinical outcome in the use of neuroprotective agents in the acute period of ischemic stroke. Material and Methods: The study was performed on the basis of the stroke of the Center for Reconstructive and Rehabilitation Medicine (University Clinic) of the Odessa National Medical University. A retrospective analysis of clinical outcomes of 115 patients with acute stroke was conducted. Results: An average NIHSS score at discharge was 4.1±0.1 points when treated with no refinery, then it reached 3.6±0.1 points when using peptidergic drugs, and 3.4±0.1 when using D-fdf. 3.1±0.1 points. When using D-FDF, the MMSE score was 3.5±0.1 points, whereas when using cholinergic agents, this index did not exceed 26.9±1.5 points, and when using peptidergic agents - 26.8±1.4 points. Conclusion: The use of neuroprotective agents positively affects the effectiveness of neuro-rehabilitation in patients with acute stroke. The best results in three months after the hospitalization were obtained for peptidergic agents and D-fructose-1,6-diphosphate.

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SOCIO - MEDICAL ASPECTS OF REHABILITATION OF PATIENTS AFTER SUFFERING A STROKE IN EARLY RECOVERY PERIOD

Russian and International Trends and Strategies in Social Development ◽

10.15216/rgsu-xiv-474 ◽

2015 ◽

Author(s):

M. V. Shumilova ◽

N. V. Makarova ◽

K. V. Nesterin ◽

L. V. Beloglazova

Keyword(s):

Recovery Period ◽

Early Recovery ◽

Early Recovery Period

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Practical Care Support During the Early Recovery Period After Acute Coronary Syndrome

Journal of Applied Gerontology ◽

10.1177/0733464816684621 ◽

2016 ◽

Vol 37 (7) ◽

pp. 881-903 ◽

Cited By ~ 2

Author(s):

Alexandra M. Hajduk ◽

Jacquelyn E. Hyde ◽

Molly E. Waring ◽

Darleen M. Lessard ◽

David D. McManus ◽

...

Keyword(s):

Acute Coronary Syndrome ◽

Recovery Period ◽

Patient Characteristics ◽

Informational Support ◽

Post Discharge ◽

Early Recovery ◽

Coronary Syndrome ◽

Practical Support ◽

Impaired Health ◽

Early Recovery Period

Objective: To describe the prevalence and predictors of receipt of practical support among acute coronary syndrome (ACS) survivors during the early post-discharge period. Method: 406 ACS patients were interviewed about receipt of practical (instrumental and informational) support during the week after discharge. Demographic, clinical, functional, and psychosocial predictors of instrumental and informational practical support were examined. Results: 81% of participants reported receiving practical support during the early post-discharge period: 75% reported receipt of instrumental support and 51% reported receipt of informational support. Men were less likely to report receiving certain types of practical support, whereas married participants and those with higher education, impaired health literacy, impaired activities of daily living, and in-hospital complications were more likely to report receiving certain types of practical support. Conclusion: Receipt of practical support is very common among ACS survivors during the early post-discharge period, and type of support received differs according to patient characteristics.

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Septic Arthritis of the Small Joints of the Hand

Journal of Hand Surgery (European Volume) ◽

10.1016/j.jhsb.2006.08.011 ◽

2006 ◽

Vol 31 (6) ◽

pp. 665-672 ◽

Cited By ~ 20

Author(s):

M. SINHA ◽

S. JAIN ◽

D. A. WOODS

Keyword(s):

Recovery Period ◽

Postal Questionnaire ◽

Significant Loss ◽

Early Recovery ◽

Joint Pathology ◽

Significant Disability ◽

Early Recovery Period ◽

And Function ◽

Loss Of Motion

Twenty-five patients with sepsis of 26 hand joints were treated by urgent debridement, antibiotics and early hand therapy. We reviewed 15 patients (16 joints) in a clinic and three patients by postal questionnaire after a mean follow-up of 54 (range 10–94) months. Of the 26 involved joints, 14 had restricted motion at discharge. Stiffness increased with increase in delay between onset and treatment. At final review, one joint with painful degenerative changes had been fused. Seven patients had regained full movements. The remaining six had some stiffness but, nevertheless, had undergone significant improvement in the ranges of movement. There were two cases with radiological joint degeneration in this group of six patients. Three patients had mild, intermittent pain. No patient had significant disability. While there is significant loss of motion after this joint pathology in the early recovery period, overall motion and function appears to improve over the longer term.

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Changes in PHQ-9 depression scores in acute stroke patients shortly after returning home

PLoS ONE ◽

10.1371/journal.pone.0259806 ◽

2021 ◽

Vol 16 (11) ◽

pp. e0259806

Author(s):

Brent Strong ◽

Michele C. Fritz ◽

Liming Dong ◽

Lynda D. Lisabeth ◽

Mathew J. Reeves

Keyword(s):

Depressive Symptoms ◽

Acute Stroke ◽

Recovery Period ◽

Stroke Severity ◽

Stroke Survivors ◽

Stroke Patients ◽

Early Recovery ◽

Post Stroke ◽

Early Recovery Period ◽

Over Time

Introduction Post-stroke depression is a disabling condition that occurs in approximately one-third of stroke survivors. There is limited information on changes in depressive symptoms shortly after stroke survivors return home. To identify factors associated with changes in post-stroke depressive symptoms during the early recovery period, we conducted a secondary analysis of patients enrolled in a clinical trial conducted during the transition period shortly after patients returned home (MISTT). Methods The Michigan Stroke Transitions Trial (MISTT) tested the efficacy of social worker case management and access to online information to improve patient-reported outcomes following an acute stroke. Patient Health Questionnaire-9 (PHQ-9) scores were collected via telephone interviews conducted at 7 and 90 days post-discharge; higher scores indicate more depressive symptoms. Generalized estimating equations were used to identify independent predictors of baseline PHQ-9 score at 7 days and of changes over time to 90 days. Results Of 265 patients, 193 and 185 completed the PHQ-9 survey at 7 and 90 days, respectively. The mean PHQ-9 score was 5.9 at 7 days and 5.1 at 90 days. Older age, being unmarried, and having moderate stroke severity (versus mild) were significantly associated with lower 7-day PHQ-9 scores (indicating fewer depressive symptoms). However, at 90 days, both unmarried patients and those with moderate or high stroke severity had significant increases in depressive symptoms over time. Conclusions In stroke patients who recently returned home, both marital status and stroke severity were associated with depressive symptom scores; however, the relationships were complex. Being unmarried and having higher stroke severity was associated with fewer depressive symptoms at baseline, but both factors were associated with worsening depressive symptoms over time. Identifying risk factors for changes in depressive symptoms may help guide effective management strategies during the early recovery period.

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Post-stroke depression and the abilities of antidepressants to enhance the effectiveness of neurorehabilitation

Neurology neuropsychiatry Psychosomatics ◽

10.14412/2074-2711-0-0- ◽

2020 ◽

Vol 12 (6) ◽

pp. 110-116

Author(s):

S. V. Kotov ◽

E. V. Isakova ◽

Yu. V. Egorova

Keyword(s):

Serotonin Reuptake ◽

Selective Serotonin Reuptake Inhibitors ◽

Recovery Period ◽

Serotonin Reuptake Inhibitors ◽

Selective Serotonin ◽

Early Recovery ◽

Post Stroke ◽

Optimal Drug ◽

Post Stroke Depression ◽

Early Recovery Period

Stroke is the leading cause of disability in adults. Depression after a stroke is detected in one third of patients, complicating physical rehabilitation, worsening functional outcome, increasing mortality rates. The question of the use of antidepressants in the treatment of post-stroke depression is currently not completely resolved, there is no consensus on the most optimal drug. The drugs of choice are selective serotonin reuptake inhibitors, the use of tricyclic antidepressants is possible. A number of clinical studies indicate the effectiveness of selective serotonin reuptake inhibitors in the treatment of post-stroke depression, including through mechanisms including increased neuroplasticity and stimulation of neurogenesis, while others disprove their effectiveness. The article presents a clinical case of the use of vortiroxetin in the patient’s neurorehabilitation in the early recovery period of a stroke, its safety and positive effect are shown.

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Immunological indices in flu patients

Epidemiology and Infectious Diseases (Russian Journal) ◽

10.17816/eid40692 ◽

2012 ◽

Vol 17 (5) ◽

pp. 16-21

Author(s):

N. V. Svistunova ◽

I. P. Baranova

Keyword(s):

Recovery Period ◽

Tnf Alpha ◽

Early Recovery ◽

Necrosis Factor Alpha ◽

Ifn Gamma ◽

Ifn Alpha ◽

Moderate Disease ◽

Course Changes ◽

Cytokine Tumor Necrosis Factor ◽

Early Recovery Period

The results of the analysis of immunological features of influenza during the epidemic rise in incidence are presented. In 39 patients aged from 8 to 34 years with moderate disease course changes in the serum concentration of the proinflammatory cytokine tumor necrosis factor alpha (TNF-alpha) and levels of production of interferons alpha and gamma (IFN = alpha and IFN=gamma) at beginning of the disease and in early recovery period were studied. The features and differences of the cytokine response during influenza in dependence on the etiology of the disease, presence of complications, gender, age of the patient, in women during pregnancy, as well as the various types of causal treatment have been revealed. Based on the characteristics of the dynamic fluctuations in the concentration of IFN-alpha, IFN gamma =, TNF-alpha in flu patients predictors of adverse clinical course are identified.

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