Publications by authors named "J J Sico"

In 2018, the Veterans Health Administration (VHA) established the original 19 Headache Centers of Excellence (HCoE) program, and an evaluation center. This study utilized a Veteran engagement group method to elicit input from Veteran patients living with chronic headache on daily needs, social determinants of health, and preferences and suggestions for headache programs, services, and research priorities. Four engagement groups were conducted between July 13 and August 22 of 2022 with Veterans who experience headache and received care at a VHA HCoE.

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AHA/ASA guidelines recommend patients with ischemic stroke or transient ischemic attack (TIA) be considered for obstructive sleep apnea (OSA) evaluation, given the high prevalence of OSA and improved outcomes for cerebrovascular disease when OSA is treated. However, OSA testing has not been incorporated into routine cerebrovascular management. We interviewed 30 patients hospitalized for acute stroke/TIA at six Veterans Affairs facilities participating in a stepped-wedge implementation trial to improve timely OSA testing after stroke/TIA.

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Article Synopsis
  • The study investigates the effectiveness of rebuilding the phrenic nerve and using diaphragm pacing for patients with diaphragm paralysis caused by nerve injury, based on a review of 34 patients.
  • The majority of patients (88%) reported improved respiratory function, with significant increases in lung capacity and diaphragm motor activity.
  • The findings suggest that this surgical approach is safe, effective, and should be included in treatment plans for those affected by diaphragmatic paralysis.
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Description: Headache medicine and therapeutics evidence have been rapidly expanding and evolving since the 2020 U.S. Department of Veterans Affairs (VA) and U.

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