Journal of Stroke Research

Cerebrovascular Accident: Elaboration Of Psychoeducational Intervention For Caregivers

Research Article of Journal of Stroke Research Cerebrovascular Accident: Elaboration Of Psychoeducational Intervention For Caregivers Mírian Rique de Souza Brito Dias1 *, Edlon Vitor Souza de Moura1, Moema Nunes Cordeiro de Assunção1, Maria do Socorro Cavalcanti2, Juliana Monteiro Costa3, Eliane Nóbrega Alburquerque3 1Graduating in the Biological Sciences degree from the Federal University of Pernambuco; 2Graduating in the Course of Dentistry by the Federal University of Pernambuco;  3Graduated in Zootecnia from the Federal Rural University of Pernambuco; Master's degree in Zootecnia from the Federal Rural University of Pernambuco; PhD in PhD Program integrated in Zootecnia by UFRPE 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 ...


Case Report of Journal of Stroke Research NURSING ACTIVITIES IN SELF-CARE AND REHABILITATION OF PATIENT VICTIM OF STROKE: A CASE REPORT Joseilma de Lima Silva¹*, Ísis Catharine Rodrigues Nascimento¹, Ieda Beatriz dos Santos Peixoto¹, Luana Cristina da Silva¹, Sandrelly Paula de Andrade Barros¹, Leduard Leon Bezerra Soares Silva¹ 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 ...

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

Review Article of Journal of Stroke Research Alterations in Neuropsychological Functions after the Right Hemisphere Stroke: a Literature Review Mirtes Queiroz de Alencar Melo * 1; Artemísia Ruth Arruda de Lucena Veras2; Bruna Santiago Lira3; Isabelle Cristine Freitas da Silva 4; Thaís Priscila de Lima Oliveira 5; Milka Laenya Oliveira da Silva 6 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. Keywords: Keywords:Stroke, Neuropsychology, Alterations ...


Research Article of Journal of Stroke Research EVALUATION OF ATRIAL ELECTROMECHANICAL DELAY IN SILENT CEREBRAL ISCHEMIA PATIENTS Esengül LİMAN YAZICI1, Turgut KARABAĞ2, Saadet GÜVEN2, İrem BAŞ1, Tuğçe GÜVEN1, Ufuk EMRE1 1 Istanbul Training and Research Hospital, Neurology Clinic Fatih, İstanbul, Turkey. 2 Istanbul Training and Research Hospital, Cardiology Clinic Fatih, İstanbul, Turkey. 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, ...

Dr. Jun-ichi Kira

Professor and Chairman, Department of Neurology, Neurological Institute, Graduate School of Medical Sciences, Kyushu University

Dr. Kejie Yin
Assistant Professor, Department of Neurology, University of Pittsburgh School of Medicine

Dr. Rajendra D Badgaiyan
Professor of Psychiatry and Neuromodulation scholar, Director of the Laboratory of Molecular and Functional Imaging and the Laboratory of Advanced Radiochemistry. University of Minnesota, USA

Dr. Randall Higashida
Clinical Professor of Radiology, Neurological Surgery, Neurology, & Anesthesiology, Chief, Neuro Interventional Radiology, UCSF Medical Center, San Francisco,  CA , USA

Dr. Vijay K. Sharma
Associate Professor, Yong Loo Lin School of Medicine, National University of Singapore, Singapore; Senior Consultant, Division of Neurology, Department of Medicine, National University Hospital, Singapore

Dr. Tauheed Ishrat
Assistant Research Scientist, Stroke Research Lab, Department of Clinical and Administrative Pharmacy, University of Georgia, Augusta, GA, USA

Dr. Dale Ding
Resident Physician, Department of Neurosurgery, University of Virginia, Charlottesville, VA, USA.

Dr. Md Haider Ali.
Head Department of Rehabilitaion, Bachcha Hospital,  Katihar, Bihar, India.

Dr. P. ShnamugaRaju
Assoc.Professor & I/C Head, Department of Physical Medicine & Rehabilitation, Chalmeda AnandRao Institute of Medical Sciences

Dr. Narayanaswamy Venketasubramanian Ramani
Consultant Neurologist, Raffles Hospital, Singapore

Dr. Andrew J. Butler
Associate Dean for Research & Professor, Byrdine F. Lewis School of Nursing and Health Professions, Georgia State University, Urban Life Building |8th Floor-Suite 819, 140 Decatur St. | Atlanta GA, 30303, USA.

Dr. Yasuo Iwasaki
Professor and Chairman, Department of Neurology, Toho University Omori Medical Center, 6-11-1 Omorinishi Ota-ku Tokyo, JAPAN.

Dr. Kurt Jellinger
Professor & Director, Institute of Clinical Neurobiology, Vienna, Austria.

Dr. Hua Su
Professor & Associate Director, Center for Cerebrovascular Research, Dept. of Anesthesia, Box 1363, University of California, San Francisco, USA.

Dr. Wai Kwong Tang
Professor, Department of Psychiatry, Chinese University of Hong Kong,Hong Kong, China.

Dr. Ulvi Bayraktutan
Associate Professor, Stroke, Division of Clinical Neuroscience, Clinical Sciences Building, School of Medicine, The University of Nottingham, Hucknall Road, Nottingham NG5 1PB, United Kingdom.

Dr. Mushfiquddin Khan
Associate Professor, Department of Pediatrics, Medical University of South Carolina, 508 CRI, 173 Ashley Ave, Charleston, SC, USA.

Dr. Shicheng Guo
Department of Bioengineering, The University of California, San Diego, 9500 Gilman Drive MC 0412, La Jolla, CA, USA.

Dr. Ghazi Sharique Ahmad
Associate professor, Department of Pediatrics, Katihar Medical College, Katihar, Bihar, India

Dr. Mario Bernardo-Filho
Professor Titular, Universidade do Estado do Rio de Janeiro

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Journal of Stroke Research is a peer reviewed open access journal publishing research manuscripts, review articles, case reports, editorials, letters to the editor in stroke (Indexing information).

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