Journal of Stroke Research

  • ASSESSMENT OF THE PROFILE OF PATIENTS AFFECTED BY ACCIDENT BRAIN VASCULAR

    The cerebrovascular accident (CVA) is defined as a neurological disease capable of debilitating or leading to death. It develops through the obstruction or rupture of a blood vessel, causing the tissues around the lesion to lack oxygen and compatible substrates for correct functioning. The aforementioned pathology is a case of great concern for public health worldwide. Every year, about 17 million individuals are affected by stroke and 6.5 million of these patients die, leaving 26 million with sequelae and/or permanently incapacitated. The risk factors for the onset of stroke are divided into two classes, the first of which comprises the non-modifiable, which include age, color, ethnicity and heredity, and the second, the modifiable ones: arterial hypertension, cardiovascular pathologies, dyslipidemias, overweight, diabetes mellitus, smoking, alcoholism, high hematocrit/inflammatory process, periodontal disease and antiphospholipid antibody. Hypertension is the most prevalent risk factor, with about 80% of the cause among the types of stroke. The prevention of stroke in relation to risk factors consists of small daily and consecutive gestures. Adhering to a good diet is essential, this action will prevent overweight and facilitate the reduction of cholesterol, as well as the practice of daily physical activities is extremely important to keep away from sedentary lifestyle. There are many risk factors, although there is more emphasis on high hypertension, diabetes mellitus and smoking.

  • Analysis of chosen factors affecting the incidence of a brain stroke – a preliminary report

    The risk of stroke is directly proportional to the occurrence of hypertension and the simultaneous occurrence of other risk factors. The main goal was to find out which age group was most at risk of having a stroke. The study was performed among 138 people randomly chosen from Michałowo borough in the Białystok county.The examined were divided into the following 5 age group. The following measurements were performed: arterial blood pressure, blood glucose level, total cholesterol and its fractions level, triglycerides level, sodium and potassium level, prothrombine time, activity. Additionally, a patient’s history was taken and an author’s survey questionnaire was completed. Due to the small number of men surveyed (13 persons), statistically significant analysis of data within this group cannot be carried out. An analysis was made, broken down by age, of data obtained after examining 125 women. People in age group III are most at risk of developing stroke. People in the IV and V age groups are those who are at risk of having a stroke or who have had a stroke. People in groups 1 and 2 are at moderate risk of stroke. In the III age group people are the most at risk of having a stroke.

  • Cerebrovascular Accident: Elaboration Of Psychoeducational Intervention For Caregivers

    Introduction: Cerebrovascular accident (CVA), also known as stroke, is characterized by the interruption of blood flow in a particular area of the brain, being of the ischemic or hemorrhagic type. Its involvement can lead to emotional dysfunctions, among which depression, mania, bipolar disorder and post-stroke anxiety disorder. Objective: To propose psychoeducational intervention in a group of caregivers of the patients who were affected with stroke, aiming at a better understanding of the emotional aspects. Methodology: A welcome space will be provided for the companions to share their experiences through a conversation, followed by the delivery of psychoeducational material on the stroke. Results: It is known that there is usually a deficiency related to the qualification of the caregivers regarding the continuity of the physical and emotional assistance of the patient, which can lead to doubts, unrealistic expectations and inadequate management of the patient. Therefore, psychoeducation is a tool that can be used in the hospital context, since it is understood that the hospital psychologist has been increasingly active in the definition of behaviors and treatments within a multidisciplinary team. Conclusion: The need for a psychoeducational intervention in caregivers of patients diagnosed by CVA is necessary because of its abrupt character and reverberation on the caregiver, who needs guidelines to face the possible post-stroke psychological complications in the patient.

  • NURSING ACTIVITIES IN SELF-CARE AND REHABILITATION OF PATIENT VICTIM OF STROKE: A CASE REPORT

    Introduction: The brain is a seriously complex organ that controls and modulates bodily functions. However, it can be affected by vascular alterations, such as a stroke, which is characterized by the total or partial decrease of blood flow in a certain region of the brain, constituting one of the major causes of morbidity and mortality worldwide. The present study brings to the systematization of nursing care to a patient with sequelae of stroke. Objective: To describe the nursing interventions performed to a patient with a stroke sequelae during the period of the Nursing course at the Federal University of Pernambuco. Methods: An exploratory study of the case report, developed based on the steps of the nursing process, considering the results of laboratory tests and chart analysis, during the period of hospitalization in a public hospital in the city of Vitória de Santo Antão, in the period of May 2018. Results: In view of the clinical findings and after the history and elaboration of the nursing diagnoses were found, a nursing care plan was carried out with subsequent nursing interventions such as: checking of vital signs, cephalocaudal physical examination, daily dressing on pressure lesions, guidelines to the companion as to the importance of moving the decubitus, preserving the raised limbs on the bed, keeping the patient’s skin always hydrated, performing limb movements, intolerance of the patient. It was possible to perceive an improvement of the general picture of the client in question, after the nursing interventions were put into practice. Conclusion: It is concluded that nursing interventions, in the promotion of self-care and rehabilitation capacity, corroborate in the reduction of damages and disabilities, promoting a better quality of life for the patient with stroke sequelae and awareness of family members in the importance such care.

  • Alterations in Neuropsychological Functions after the Right Hemisphere Stroke: a Literature Review

    INTRODUCTION: Neuropsychological functions can suffer damage after a lesion in the right hemisphere of the brain. OBJECTIVE: To present an overview of existing publications concerning the study of changes in associated neuro-psychological functions after right hemisphere vascular lesion. METHODOLOGY: Electronic databases of scientific articles were searched for in the internet databases, such as Latin American and Caribbean Literature in Health Sciences (LILACS) and Scientific Electronic Library Online (SCIELO). RESULTS: The studies that evaluate neuropsychological functions and alterations in the Right Hemisphere after a Stroke vary from one to the other, showing convergences and divergences between authors in this relation of injured area and impaired function. However, in general, the authors agree that patients injured in the right hemisphere after a stroke present homogeneously in several neuropsychological functions. CONCLUSION: In the course of the study, it was noticed that some of these functions such as attention, perception, visual perception, memory, language and executive functions are highlighted more often and by more than one author, which are then considered the most associated functions with HD after a stroke. More studies on changes in neuropsychological functions following the right hemisphere stroke are needed to identify different clinical profiles and contribute to the increased effectiveness of assessment and rehabilitation procedures.

  • EVALUATION OF ATRIAL ELECTROMECHANICAL DELAY IN SILENT CEREBRAL ISCHEMIA PATIENTS

    Objective: Silent cerebral ischemia (SSI) is found on cranial imaging, with no signs of stroke and has similar risk factors as stroke. There are few studies evaluating the relationship between SSI and AF. In this study, we aimed to evaluate left atrial functions and atrial mechanical delay (AED) in SSI cases with noninvasive tissue doppler imaging (TDI). Method: 39 SSI and 29 healthy subjects as control group included in this study. Atrial conduction times calculated by Tissue Doppler Imaging (TDI), demographic features, laboratory findings, ECG, transthoracic ECO were recorded. AED was calculated by measuring the lateral mitral annulus (PA lateral), septal mitral annulus (PA septum) and right ventricular tricuspid annulus (PA tricuspid) by TDI. Left atrial volumes were measured in the apical fourchamber view with the disk method. Left atrial mechanical functions were evaluated. The heart rate variability parameters of the patient group were compared by the holter. Results: The mean age of 39 patients (32K/7E) was 51 ± 10 years and the mean age of 29 healthy controls (24K/5E) was 48.8±5.9 years. There was no difference between the two groups in demographic characteristics (p>0,05). Blood glucose was significantly higher in the SSI group (p=0.034). Parameters related to AED were not statistically significant in the SSI group but were found longer (p>0.05). The parameters of left atrial function such as LAPEF (0,3±0,1 versus 0,2±0,1, p=0,050), LAPEV (12,1± 6,8 versus 10,3±8, p=0,197) and LATEV (23,6±11,1 versus 21,6±9,4 p=0,496) were higher but were not statistically significant. Conduit volüm (26,8±12,7 versus 21,5±16,5, p=0,017), LVEDV (91,8±24,4 versus 74,8±25,3. P=0,002) and LVESV (41,4±13,4 versus 31,7,8±15,7. P=0,003) was found statistically significant. Conclusion: Regulation of blood glucose of SSI cases and follow-up the patienst for cardiac diastolic functions, and taking into consideration that these changes may lead to prolongation at the time of atrial conduction are important.

  • Interruption of Breastfeeding and Obesity: an Integrative Review

    Introduction: Obesity is understood as a global epidemic due to its degree of expansion in the last decades. Early Interruption of breastfeeding, in turn, has a significant influence on the prevalence of obesity in children and adolescents, taunting a high negative impact on public health. Objective: Had as objective to make a literature review to rate the association between duration of breastfeeding, relating it to risks and comorbidities of obesity. Methodology: The applied methodology consists of a review of scientific articles indexed in the databases LILACS, PubMed/ MEDLINE, BDENF and SciELO, using the terms “breastfeeding”, “childhood obesity”, “food introduction” as the descriptor of the article and “nursing” as a word throughout the text without period from 2006 to 2016. Results and Discussion: Several articles on obesity and breastfeeding were found, the review it consisted of 9 scientific papers. Where 06 shows obesity and other metabolic detrimental effects in the child’s body due to lack of breast milk benefits and 03 discuss inadequate nutritional practices, initiated concurrently after the early interruption of breastfeeding. Conclusion: Exclusive breastfeeding up to six months of age, as well as complementary feeding practices, allows the prevention of obesity, promoting the physical and mental health of the infants and the woman who breastfeeds, being extremely important for the growth and development of the child. Therefore, the incentive to breastfeed by the nurse should be intense, so that the children have an adequate and healthy development, since Breastfeeding, included as one of the national priorities, is considered the strategy that most prevents infant morbimortality.

  • Treatment for Homeopathy in Andropause (Male Menopause)

    In this review article the author argues that complete presentation of various homeopathy remedies can reduce the Andropause and related all mental and physical illnesses Life is neither Possible to overcome safely.

  • Stress and Spirituality

    In this review article the author argues that complete presentation of various Spiritual methods can reduce the stress and related mental and physical illnesses like Stress anxiety, depression etc.. Life is neither Possible to overcome safely. Spiritual methods like Prayer, Meditation, Mantra and some epic methods are increasing in Physical and mental health and reducing stress is an important stimulus of human growth and creativity as well an inevitable part of life.

  • Anxiety disorders and homeopathy

    The review article states that homeopathic remedies have been used throughout the world for thousands of years and their benefits have been repeatedly documented by physiological and psychological problems. Homeopathic medicines can formulate a positive change in people suffering from these distressing states of mind and behaviour it is proved can help the reducing their anxiety levels and thus capable of dealing with stressful situations this remedies work towards balancing the excitatory neurotransmitter levels in the brain.