Cerebrovascular Disorders

Publication Title: 
Wiener Medizinische Wochenschrift (1946)

The optimal treatment during stroke rehabilitation has not yet been identified. Several recent reports claim that acupuncture may be a useful addition to conventional stroke rehabilitation. The aim of this paper is to critically review these data. All controlled trials published on this subject were identified by systematic literature searches. Without exception, these trials suggest positive effects of acupuncture on functional recovery. None of them, however, attempted to account for a possible placebo effect. Several other methodological flaws must be considered as well.

Author(s): 
Ernst, E.
White, A. R.
Publication Title: 
Acupuncture in Medicine: Journal of the British Medical Acupuncture Society

BACKGROUND: Vascular mild cognitive impairment (VMCI) is the most common type of vascular cognitive impairment induced by cerebrovascular disease. No effective medicines are currently available for VMCI. OBJECTIVE: To assess the effectiveness and safety of acupuncture for VMCI. METHODS: Seven electronic databases were searched for randomised controlled trials which investigated the effects of acupuncture compared with no treatment, placebo or conventional therapies on cognitive function or other clinical outcomes in patients with VMCI.

Author(s): 
Cao, Huijuan
Wang, Yuyi
Chang, Dennis
Zhou, Li
Liu, Jianping
Publication Title: 
Psychiatric Research Reports
Author(s): 
Goldman, R.
Publication Title: 
Annals of Epidemiology

Favorable trends in risk factors have contributed to the decline in stroke mortality. Risk factors for stroke include older age, male sex, black race, low socioeconomic status, heart disease, hypertension, diabetes mellitus, certain medications, cigarette smoking, alcohol, and diet. Improvements in economic and living conditions may have contributed to the decline in stroke mortality. However, increasing longevity, growth in population size, and increased survival with coronary heart and other cardiovascular diseases are likely to increase the numbers of strokes in the future.

Author(s): 
Higgins, M.
Thom, T.
Publication Title: 
The Journal of Nutritional Biochemistry

Intermittent fasting (IF; reduced meal frequency) and caloric restriction (CR) extend lifespan and increase resistance to age-related diseases in rodents and monkeys and improve the health of overweight humans. Both IF and CR enhance cardiovascular and brain functions and improve several risk factors for coronary artery disease and stroke including a reduction in blood pressure and increased insulin sensitivity. Cardiovascular stress adaptation is improved and heart rate variability is increased in rodents maintained on an IF or a CR diet.

Author(s): 
Mattson, Mark P.
Wan, Ruiqian
Publication Title: 
Asia-Pacific Journal of Public Health / Asia-Pacific Academic Consortium for Public Health

Japan has the longest life expectancy at birth (LEB) in the world. Okinawa, Japan's poorest prefecture, previously had the highest longevity indices in the country. However, the latest LEB for men in Okinawa is no higher than the national average. The purpose of this study is to examine why the longevity indices in Okinawa were once the highest in Japan, and to examine the reasons for their recent decline. In 1990, in Okinawa, the age-adjusted death rates (ADR) of the three leading causes of death were lower than their national averages.

Author(s): 
Miyagi, S.
Iwama, N.
Kawabata, T.
Hasegawa, K.
Publication Title: 
Epigenomics

AIM: Altered DNA methylation is associated with important and common pathologies such as cancer. The origin of altered DNA methylation is unknown. The methyl groups for DNA methylation are provided by methionine metabolism. This metabolism is characterized by a high interindividual variability, which is in part explained by genetic variants.

Author(s): 
Bleich, Stefan
Semmler, Alexander
Frieling, Helge
Thumfart, L.
Muschler, Marc
Hillemacher, Thomas
Kornhuber, Johannes
Kallweit, Ulf
Simon, Matthias
Linnebank, Michael
Publication Title: 
Clinics in Geriatric Medicine

Medical ethics, as a scholarly and applied discipline, is concerned with the morality of behavior in medical matters. The field of cerebrovascular disease is a worthy paradigm of medical ethical issue. Victims, whether they be patients or their families, are vulnerable, and the ethical virtues of kindness, understanding, compassion, mercy, and justice are badly needed. A variety of hypothetical ethical scenarios faced by the physician are discussed in this article in addition to four actual patient studies with commentary.

Author(s): 
Foley, J. M.
Publication Title: 
Clinics in Geriatric Medicine

Medical ethics, as a scholarly and applied discipline, is concerned with the morality of behavior in medical matters. The field of cerebrovascular disease is a worthy paradigm of medical ethical issue. Victims, whether they be patients or their families, are vulnerable, and the ethical virtues of kindness, understanding, compassion, mercy, and justice are badly needed. A variety of hypothetical ethical scenarios faced by the physician are discussed in this article in addition to four actual patient studies with commentary.

Author(s): 
Foley, J. M.
Publication Title: 
The Journal of Neuroscience Nursing: Journal of the American Association of Neuroscience Nurses

While engaged in interviewing stroke patients, nurses found their research responsibilities conflicting with traditional patient care values. At the termination of the pilot project, the nurses, doubting their role, shared their concerns with the research team. They made recommendations regarding the appropriateness of tools and training needs of research assistants. Unresolved role conflict motivated the nurses to review the literature, seeking answers to the issue. Other nurses have experienced this same conflict.

Author(s): 
Namei, S. K.
King, M. O.
Byrne, M.
Proffitt, C.

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