Stroke

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https://hdl.handle.net/20.500.14426/118

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    Prevalence and Patterns of Seizure-related Injuries: A Study of People Living with Epilepsy Found in a Community-based Door-to-door Survey in Southeast Nigeria.
    (Wolters Kluwer, 2024-08-13) Anaje, Obiora Daniel; Nwani, Paul Osemeke; Nwosu, Maduaburochukwu Cosmas; Asomugha, Lasbrey Azuoma; Anaje, Chetanna Chioma; Amaechi, Ifeoma Adaigwe; Ebeogu, Olisaeloka Ginikachi; Oriji, Sunday Onyemaechi; Ndukwe, Chinwe Chioma; Eze, Linda Ifunanya; Morah, Nnamdi Joseph; Omaga, Imelda Chinenye; Ogunniyi, Adesola; Stroke; MedicalAndDental; Morah, Nnamdi Joseph
    Epileptic seizures and the unpredictable falls resulting from epileptic seizures predispose the people living with epilepsy (PLWE) to various physical injuries as well as postictal cognitive and behavioral changes. Aims: The aim of the study was to determine the frequency and patterns of seizure-related physical injuries, postictal cognitive impairments, and behavioral changes. Settings and design: This was a cross-sectional descriptive study in a Southeast Nigeria local government area. Results: There were 56 cases of active convulsive seizures comprising 33 (58.9%) males and 23 (41.1%) females, with a mean age of 32.9 ± 14.2. The lifetime prevalence of seizure-related physical injuries, postictal behavioral changes, and postictal cognitive impairments was 9.8 per 1000 (95% confidence interval [CI]: 9.1-10.0), 8.4 per 1000 (95% CI: 7.2-9.2), and 6.3 per 1000 (95% CI: 4.9-7.5), respectively. Skin/soft-tissue injuries and tongue laceration were the most frequent physical injuries found in 66.1% (n = 37/56) and 60.7% (n = 34/56) of cases, respectively. The frequency of soft-tissue injuries was significantly higher (χ2 = 5.038; P = 0.0248) in the females 78.3% (n = 18/23) than the males 48.5% (n = 16/33). About a third of the females 39.1% had burn injuries compared to 18.1% of the males. Conclusions: Seizure-related injuries are common and have the tendency to increase the burden of epilepsy and epilepsy-related stigma from deformities and the chronic disfiguring scars resulting from such injuries.
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    Expiratory muscle strength training - stroke and dysphagia (evidence summary)
    (Somerset NHS Foundation Trust Knowledge and Library Service, 2024-07-18) Newell, Cate; Newell, Cate
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    Iowa Oral Performance Instrument (IOPI) in stroke population for dysphagia and communication management (evidence summary)
    (Somerset NHS Foundation Trust Knowledge & Library Service, 2024-07-16) Newell, Cate; Newell, Cate