7 research outputs found
Stroke coach: a pilot study of a personal digital coaching program for patients after ischemic stroke
Despite recent advances in acute stroke care, the risk of recurrent stroke remains high. On behalf of the Belgian Stroke Council (BSC), a nurse-led self-management program was developed, using a personal coach and digital platform with the aim of improving cardiovascular risk factor control in patients after ischemic stroke. The program was implemented in four Belgian hospitals. The stroke coach provided one educational session during hospitalization. After discharge, the patient received tips and tricks concerning a healthy lifestyle through the customized platform. The stroke coach set up video appointments through the platform at regular intervals. Primary endpoint of our study was the change in SCORE (Systematic COronary Risk Evaluation: High and Low cardiovascular Risk Charts) risk at baseline and 6 months compared with a historical control group who received standard care. A total of 147 patients were included for a follow-up period of 6 months. The mean SCORE in the intervention group showed a statistically significant reduction of 3.2 (p < 0.001) at 6 months. However, comparison between control and intervention groups was non-significant (p = 0.55). Secondary endpoints are promising with a medication adherence of 96%. Reported quality of life also improved (p < 0.001). No significant improvement in the modified Rankin scale (mRS) was observed (p = 0.720). Five percent of patients suffered a recurrent stroke. Our project consisting of a coached lifestyle intervention and digital platform shows promise in improving stroke recurrence rates, therapeutic adherence and quality of life in a Belgian healthcare setting.status: publishe
Stroke coach: a pilot study of a personal digital coaching program for patients after ischemic stroke
Clinical validation of a 13-lead electrocardiogram derived from a self-applicable 3-lead recording for diagnosis of myocardial supply ischaemia and common non-ischaemic electrocardiogram abnormalities at rest.
Comparison of cephalometric measurements from three radiological clinics Comparação de grandezas cefalomĂ©tricas obtidas em trĂŞs clĂnicas radiolĂłgicas
The orthodontic documentation carried out in radiological clinics is essential for diagnosis, planning and control of the orthodontic treatment. Amongst the diagnosis elements used are the cephalometric measurements, and errors can be incorporated as they are obtained. The objective of this work was to evaluate the values of some cephalometric measurements obtained in three radiological clinics using 30 lateral cephalometric radiographs of the head randomly chosen from the archives of the Department of Child Dentistry (Discipline of Orthodontics), School of Dentistry of Piracicaba, UNICAMP. These values were compared with the measurements obtained manually (control group) using variance analysis and Tukey’s and Friedman’s tests. Of the fourteen cephalometric measurements evaluated, the results demonstrated that only four of them presented statistically significant differences: IMPA, 1-NA, FMA, and H-nose. We concluded that although the majority of the mean cephalometric values did not present statistically significant differences, a great variability in the results was found when all the radiographic values were compared. This variability may influence the interpretation of the cephalometric measurements. Hence, we suggest that when the practitioner receives orthodontic documentation, he/she should redo the cephalometric analysis and compare the measurement values found with those presented to him. In addition, the practitioner should be prepared to use other elements for diagnosis, planning and control of the orthodontic treatment.<br>A documentação ortodĂ´ntica realizada em clĂnicas radiolĂłgicas Ă© essencial para diagnĂłstico, planejamento e controle do tratamento ortodĂ´ntico. Dentre os elementos de diagnĂłstico utilizados estĂŁo as grandezas cefalomĂ©tricas, e erros podem ser incorporados durante a obtenção das mesmas. O objetivo deste trabalho foi avaliar os valores de algumas grandezas cefalomĂ©tricas obtidas em trĂŞs clĂnicas radiolĂłgicas, utilizando-se 30 telerradiografias da cabeça em norma lateral, escolhidas ao acaso, do arquivo do Departamento de ClĂnica Infantil (Disciplina de Ortodontia) da Faculdade de Odontologia de Piracicaba - UNICAMP. Esses valores foram comparados com os das grandezas obtidas manualmente (grupo controle), utilizando-se a análise de variância e os testes de Tukey e Friedman. Os resultados demonstraram que das 14 medidas cefalomĂ©tricas avaliadas, apenas 4 apresentaram diferenças estatisticamente significantes: IMPA, 1-NA, FMA, e H-nariz. ConcluĂmos que apesar de a maioria dos valores mĂ©dios das grandezas cefalomĂ©tricas nĂŁo apresentarem diferenças estatisticamente significantes, ao compararmos todos os valores obtidos em cada uma das radiografias, encontramos grande variabilidade nos resultados, o que pode interferir na interpretação das grandezas cefalomĂ©tricas. Assim, os autores sugerem ao ortodontista, quando receber a documentação ortodĂ´ntica, realizar novamente as análises cefalomĂ©tricas para comparar os valores das grandezas, e utilizar outros elementos para diagnĂłstico, planejamento e controle do tratamento ortodĂ´ntico