scholarly journals Factors which are predictive of return work after stroke

2013 ◽  
Vol 69 (4) ◽  
Author(s):  
M. V. Ntsiea ◽  
H. Van Aswegen ◽  
S. Olorunju
Keyword(s):  
Barthel Index ◽  
Cognitive Assessment ◽  
Cognitive Impairments ◽  
Cross Sectional Study ◽  
Montreal Cognitive Assessment ◽  
Stroke Survivors ◽  
Cross Sectional ◽  
Mobility Index ◽  
Community Activities ◽  
Working Age

Stroke impacts on a survivor’s ability to participate in community activities such as return to work (RTW) and affects people who are within the working age. There is a dearth of literature on RTW after stroke in developing countries. This study aimed to bridge this gap in South Africa, and was conducted within the Gauteng province as it comprises the largest share of the South African population. Seventy-two stroke survivors participated in this cross-sectional study. A demographic questionnaire; Barthel index; Modified Rivermead mobility index and Montreal cognitive assessment were used to determine the characteristics of study participants. The mean (standard deviation) scores for the Barthel Index (BI), Modified Rivermead mobility index (MRMI) and Montreal cognitive assessment (MoCA) were 19.6 (±0.2), 39.5 (±0.9) and 25.1 (±4.8) respectively. Thirty-one (43%) of the stroke survivors returned to work at six months after stroke. Stroke survivors with left hemiplegia had a greater chance of RTW than those with right hemiplegia (odds ratio 7.7). For every unit increase in the BI and MoCA score, the likelihood of RTW increased by 1.6 and 1.3 respectively. Conclusion: Side of hemiplegia, independence in activities of daily living and cognitive ability were found to be predictors of RTW at six months after stroke. It is important to identify people with cognitive impairments after stroke so that efforts can be made to increase awareness of the potential role that cognitive impairments may play in RTW.

Evaluation of a Telephone Version for the Montreal Cognitive Assessment: Establishing a Cutoff for Normative Data From a Cross-Sectional Study

2021 ◽  
pp. 089198872110026
Author(s):  
Sivan Klil-Drori ◽  
Natalie Phillips ◽  
Alita Fernandez ◽  
Shelley Solomon ◽  
Adi J. Klil-Drori ◽  
...  
Keyword(s):  
Cognitive Assessment ◽  
Cross Sectional Study ◽  
Montreal Cognitive Assessment ◽  
Cutoff Score ◽  
Cognitive Screening ◽  
Cross Sectional ◽  
A Prospective Study ◽  
Sectional Analysis ◽  
State Examination ◽  
Normal Cognition

Objective: Compare a telephone version and full version of the Montreal Cognitive Assessment (MoCA). Methods: Cross-sectional analysis of a prospective study. A 20-point telephone version of MoCA (Tele-MoCA) was compared to the Full-MoCA and Mini Mental State Examination. Results: Total of 140 participants enrolled. Mean scores for language were significantly lower with Tele-MoCA than with Full-MoCA (P = .003). Mean Tele-MoCA scores were significantly higher for participants with over 12 years of education (P < .001). Cutoff score of 17 for the Tele-MoCA yielded good specificity (82.2%) and negative predictive value (84.4%), while sensitivity was low (18.2%). Conclusions: Remote screening of cognition with a 20-point Tele-MoCA is as specific for defining normal cognition as the Full-MoCA. This study shows that telephone evaluation is adequate for virtual cognitive screening. Our sample did not allow accurate assessment of sensitivity for Tele-MoCA in detecting MCI or dementia. Further studies with representative populations are needed to establish sensitivity.

Everyday Technology Use and Overall Needed Assistance to Function in the Home and Community Among Urban Older Adults

2019 ◽  
Vol 39 (10) ◽  
pp. 1115-1123 ◽  
Author(s):  
Ryan J. Walsh ◽  
Jenica Lee ◽  
Ruxandra M. Drasga ◽  
Caniece S. Leggett ◽  
Holly M. Shapnick ◽  
...  
Keyword(s):  
Older Adults ◽  
Technology Use ◽  
Cognitive Assessment ◽  
High Specificity ◽  
Montreal Cognitive Assessment ◽  
Cross Sectional ◽  
Logistic Regression Models ◽  
Community Activities ◽  
Specificity And Sensitivity ◽  
The Everyday

Background: Older adults manage increasing numbers of everyday technologies to participate in home and community activities. Purpose: We investigated how assessing use of everyday technologies enhanced predictions of overall needed assistance among urban older adults. Method: We used a cross-sectional design to analyze responses from 114 participants completing the Everyday Technology Use Questionnaire, the Montreal Cognitive Assessment, and a sociodemographic questionnaire. We estimated overall needed assistance based on definitions in the Assessment of Motor and Process Skills. We created logistic regression models and receiver operator characteristic curves to analyze variables predicting overall needed assistance. Findings: With high specificity and sensitivity, the Everyday Technology Use Questionnaire and the Montreal Cognitive Assessment were the strongest predictors of overall needed assistance. Implications: Assessing everyday technology use enhanced predictions of overall needed assistance among urban older adults.

scholarly journals The Correlation between the Indonesian Version of Montreal Cognitive Assessment and Homocysteine Levels in Bataknese Male with Schizophrenia in Prof. DR. M. Ildrem Psychiatric Hospital Medan

2021 ◽  
Vol 9 (T3) ◽  
pp. 135-137
Author(s):  
Yoseva Hotnauli ◽  
Bahagia Loebis ◽  
Muhammad Surya Husada ◽  
Nazli Mahdinasari Nasution ◽  
Elmeida Effendy
Keyword(s):  
Dna Methylation ◽  
Cognitive Assessment ◽  
Homocysteine Level ◽  
Cross Sectional Study ◽  
Cellular Level ◽  
Montreal Cognitive Assessment ◽  
Sectional Study ◽  
Cross Sectional ◽  
Maximum Score ◽  
Minimum Score

BACKGROUND: The pathogenesis of schizophrenia and its mechanism is not convinced. Several studies indicate that schizophrenia pathogenesis can be related to changes at the cellular level. The studies show homocysteine in people with schizophrenia was significantly increased, abnormal homocysteine metabolism can lead to DNA methylation. AIM: This study aimed to establish the correlation between the Indonesian Montreal Cognitive Assessment Version (MoCA-Ina) scores and homocysteine levels in males with Bataknese schizophrenia. METHODS: This study is a numerical correlative analytic study with an approach to cross-sectional study; by evaluating the correlation between the MoCA-Ina scores and the level of homocysteine in males with Bataknese schizophrenia. RESULTS: The median of the MoCA-Ina score in the study subjects was 22, with a minimum score of 18 and a maximum score of 26. There was a significant correlation between the MoCA-Ina scores and Homocysteine levels (p = 0.001). CONCLUSION: The interpretation obtained from this study is that the higher Homocysteine level, the lower the MoCA-Ina scores in Bataknese men with schizophrenia is.

scholarly journals HUBUNGAN ANTARA JUMLAH LIMFOSIT TCD4+ DENGAN GANGGUAN FUNGSI KOGNITIF PADA PASIEN TERINFEKSI HIV

2020 ◽  
Vol 36 (3) ◽  
Author(s):  
Rilia Datan Sampepajung ◽  
Audry Devisanty Wuysang ◽  
Abdul Muis
Keyword(s):  
Human Immunodeficiency Virus ◽  
Cognitive Impairment ◽  
Cognitive Function ◽  
T Lymphocyte ◽  
Cognitive Assessment ◽  
Cross Sectional Study ◽  
Montreal Cognitive Assessment ◽  
Hiv Patients ◽  
Cross Sectional ◽  
Immunodeficiency Virus

  CORRELATION BETWEEN QUANTITY OF CD4+ T LYMPHOCYTE AND COGNITIVE IMPAIRMENT IN PATIENTS WITH HIV INFECTIONABSTRACTIntroduction: CD4+T lymphocyte is a T-lymphocyte that has CD4 glycoprotein on its surface. The quantity of CD4+ T lymphocyte is associated with cognitive function impairment.Aim: To determine the correlation between the quantity of CD4+ T lymphocyte with the cognitive function impairment in patients infected by human immunodeficiency virus (HIV).Methods: This is a cross-sectional  study on HIV patients at Wahidin Sudirohusodo Hospital, Makassar  from October to December 2018. Cognitive function was assessed using Montreal Cognitive Assessment of Indonesian version (MoCA-Ina) and all infected HIV patients’ CD4+ T lymphocyte was counted through blood laboratory examination. The data processing used SPSS program.Results: There were 40 subjects with male majority (70%). Most subjects (75%) had low count of CD4+ T lymphocytes (<200cel/µL) and most of them (72.5%) had cognitive function impairment.Discussion: The CD4+T lymphocyte was associated significantly with executive and memory impairment in patients with HIV.Keywords: CD4+ T lymphocyte, cognitive impairment, HIVABSTRAKPendahuluan: Limfosit TCD4+ adalah limfosit T yang memiliki glikoprotein CD4 pada permukaan selnya. Jumlah limfosit TCD4+ telah diketahui berhubungan dengan gangguan fungsi kognitif.Tujuan: Mengetahui hubungan antara jumlah limfosit TCD4+  dengan gangguan fungsi kognitif pada pasien terinfeksi human immunodeficiency virus (HIV).Metode: Penelitian observasional dengan rancangan potong lintang terhadap pasien yang terinfeksi HIV di RSUP Dr. Wahidin Sudirohusodo, Makassar pada bulan Oktober-Desember 2018. Subjek dinilai fungsi kognitif menggunakan Montreal Cognitive Assessment versi Indonesia (MoCA-Ina) dan penghitungan jumlah limfosit TCD4+. Pengolahan data menggunakan program SPSS.Hasil: Terdapat 40 subjek yang mayoritas (70%) laki-laki. Terdapat 75% subjek memiliki kadar limfosit TCD4+ yang rendah (<200sel/µL) yang sebagian besarnya (72,5%) mengalami gangguan fungsi kognitif.Diskusi: Jumlah limfosit TCD4+ memiliki hubungan yang signifikan dengan komponen eksekutif dan memori dari fungsi kognitif pada pasien yang terinfeksi HIV.Kata kunci: Gangguan kognitif, HIV, limfosit TCD4+  

scholarly journals SKRINING COGNITIVE IMPAIRMENT PADA PASIEN HIPERTENSI DI BANDUNG

2019 ◽  
Vol 5 (2) ◽  
pp. 114-120
Author(s):  
Irma Darmawati ◽  
Heni Purnama ◽  
Linlin Lindayani
Keyword(s):  
Cognitive Impairment ◽  
White Matter ◽  
Cognitive Assessment ◽  
Cross Sectional Study ◽  
Montreal Cognitive Assessment ◽  
Sectional Study ◽  
Cross Sectional

Hipertensi merupakan salah satu faktor resiko tertinggi untuk gangguan fungsi kognitif. Studi sebelumnya melaporkan bahwa terjadi peningkatan white matter lession pada pasien hipertensi. Akan tetapi, penelitian tentang deteksi dini gangguan fungsi kognitif pada pasien hipertensi di Indonesia masih terbatas. Tujuan dari penelitian ini adalah mengidentifikasi gangguan fungsi kognitif pada pasien dengan hipertensi. Jenis penelitian yanga akan digunakan adalah cross-sectional study. Peserta dalam penelitian adalah seseorang berusia lebih dari 18 tahun yang didiagnosa hipertensi, tidak ada riwayat penyakit yang berhubungan dengan fungsi kognitif seperti stroke, epilepsy atau riwayat bedah otak. Fungsi Kognitif diukur dengan menggunakan The Montreal Cognitive Assessment (MoCA). Sebanyak 120 pasien dengan hipertensi berhasil direkrut dalam penelitian ini. Sebanyak 68.9% mengalami gangguan fungsi kognitif dengan nilai rata-rata paling rendah adalah dalam kemampuan mengingat angka, huruf, pengurangan, dan orientasi. Deteksi dini gangguan kognitif pada pasien hipertensi harus dilakukan secara rutin di klinik ataupun pusat pelayanan kesehatan primer lainnnya.

scholarly journals Concurrent validity of the short version of Montreal Cognitive Assessment (MoCA) for patients with stroke

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Yali Feng ◽  
Jiaqi Zhang ◽  
Yi Zhou ◽  
Bo Chen ◽  
Ying Yin
Keyword(s):  
Neurological Disorders ◽  
Cognitive Assessment ◽  
Concurrent Validity ◽  
Operating Characteristic ◽  
Cognitive Impairments ◽  
Characteristic Curve ◽  
Cognitive Status ◽  
Montreal Cognitive Assessment ◽  
Short Version ◽  
External Criterion

AbstractThe aim of the present study was to examine the concurrent validity of 2 Chinese versions of the short version of the Montreal Cognitive Assessment (MoCA) in patients with stroke, i.e., MoCA 5-minute protocol and National Institute for Neurological Disorders and Stroke and Canadian Stroke Network (NINDS-CSN) 5-minute Protocol. A total of 54 patients and 27 healthy controls were enrolled in this study. In this study, the Neurobehavioural Cognitive Status Examination (NCSE) was used as an external criterion of cognitive impairment. We found that the 5-min protocol did not differ from the MoCA in differentiating patients with cognitive impairments from those without (area under the receiver operating characteristic curve, AUC, of 0.948 for the MoCA 5-min protocol v.s. 0.984 for MoCA, P = 0.097). These three assessments demonstrated equal performance in differentiating patients with stroke from controls. The Chinese version of the MoCA 5-min protocol can be used as a valid screening for patients with stroke.

To Study the Clinical Profile and Management of Cellulitis of Lower Limb in Northern India

2021 ◽  
pp. 153473462098667
Author(s):  
Tripta S. Bhagat ◽  
Luv Kumar ◽  
Prakhar Garg ◽  
Apoorv Goel ◽  
Amit Aggarwal ◽  
...  
Keyword(s):  
Bacterial Infection ◽  
Lower Limb ◽  
Surgical Intervention ◽  
Significant Risk ◽  
Cross Sectional Study ◽  
Common Complication ◽  
Cross Sectional ◽  
Medical College ◽  
Northern India ◽  
Working Age

Cellulitis is a bacterial infection of the dermis and subcutaneous tissues occupying a large proportion of hospital beds. This study was conducted for analysis of patients with cellulitis according to their demographics and clinical presentation and to examine their comorbidities, complications, and its management. This observational cross-sectional study was conducted in the Department of Surgery at Santosh Medical College and Hospitals involving a total of 60 cases having cellulitis and other soft tissue infections of lower limb. Analysis of their demographic profile, management, and complications was done. Cellulitis is seen commonly in males, 46 (76.6%). The mean age of patients affected by cellulitis in the study was 36.4 ± 1.23 years. The most common site affected is leg involving more people in field jobs. The most common risk factor was trauma in 46.6%, and other factors were diabetes mellitus and smoking, while abscess formation was the most common complication observed in 36.6% of cases. A total of 56.6% cases were managed conservatively, while 43.3% cases required surgical intervention. Mean hospital stay in this study was 5.02 ± 0.23 days. It was concluded that cellulitis is subcutaneous, spreading bacterial infection is more common in males, and its incidence is highest in working age group population. Lower limb is commonly involved. Trauma, smoking, and diabetes are significant risk factors for development of cellulitis. Abscess is the most common complication. About 50% patients with cellulitis can be managed conservatively and the rest require surgical intervention.

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