In this article, the results of the authors' research, including analysis of the clinical and instrumental data concerning 203 patients with stroke, are presented. The factors significantly affecting the recovery of patients in the rehabilitation are determine, viz. the age, the presence of the chronic pain, the level of education, the nature of the pathological process in the brain (the stroke type), the localization of the lesion (hemispheric, stem), right/left-sided localization of the lesion, the width of the lesion, the volume of the lesion (the atrophic post-ischemic changes, the volume of hematoma), the presence of cerebral atrophy (the width of the third ventricle), the presence of leukoareosis, the presence and the severity of stenosis in the internal carotid artery, the operations on the main arteries in the medical history, the presence of focal lesions on the electroencephalogram, the presence of the perifocal brain edema, accompanied by a shift of midline structures in the acute phase of stroke, the incidence of the stroke. We distinguished the "rehabilitation subgroups" according to the representation of the basic and additional risk factors. The influence of leukoareosis on the recovery of patients after hemorrhagic stroke in shown for the first time. The values of each risk factor for the patients presenting with ischemic stroke of hemisphere and stem localization, as well as for the patients with intracerebral hematomas were calculated. The prognostically significant percentage of the clinical improvement of the patients' conditions in the course of rehabilitation for each of the subgroups is estimated.
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http://dx.doi.org/10.17116/kurort201554-11 | DOI Listing |
Background: Wearable activity-measurement devices are increasingly popular among the public, but there is little information regarding their use among patients undergoing sports medicine procedures. The purpose of this study was to compare accelerometer-measured data with traditional patient-reported measures and to determine the trajectory of physical activity from before surgery to 1 year after anterior cruciate ligament reconstruction.
Materials And Methods: Adult patients undergoing primary anterior cruciate ligament reconstruction were enrolled in this prospective cohort pilot study.
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March 2025
Department of Neurology and Experimental Neurology, Charité - Universitätsmedizin Berlin, corporate member of Freie Universität Berlin and Humboldt- Universität zu Berlin.
Background And Objectives: Cognitive deficits represent a major long-term complication of anti-leucine-rich, glioma-inactivated 1 encephalitis (LGI1-E). Although severely affecting patient outcomes, the structural brain changes underlying these deficits remain poorly understood. In this study, we hypothesized a link between white matter (WM) networks and cognitive outcomes in LGI1-E.
View Article and Find Full Text PDFChirurgie (Heidelb)
January 2025
Klinik für Allgemein- und Viszeralchirurgie, SRH Zentralklinikum Suhl, Albert-Schweitzer-Straße 2, 98527, Suhl, Deutschland.
Colorectal surgery in multimorbid patients requires a comprehensive interdisciplinary planning of the treatment approach, from preoperative to posthospital care, in order to minimize complications and improve the patient's outcome. Therefore, the integration of the outpatient and inpatient sectors is essential as is a perioperative interdisciplinary coordinated approach. Preoperatively, all possible risks of concomitant diseases must be considered and optimized if necessary.
View Article and Find Full Text PDFInt J Surg
January 2025
Department of Anesthesiology, Xiangya Hospital, Central South University, Changsha, Hunan, China.
Background: Acute kidney injury (AKI) is a common postoperative complication, and hypotension may contribute. We therefore tested the primary hypothesis that individualized intraoperative blood pressure regulation reduces postoperative AKI in older surgical patients.
Methods: We enrolled patients ≥60 years old scheduled for elective major abdominal surgery with invasive arterial pressure monitoring.
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