Long-Term Cognitive Impairment After First-Ever Ischemic Stroke in Young Adults

Schaapsmeerders, Pauline; Maaijwee, Noortje A.M.; Dijk, Ewoud J. van; Rutten-Jacobs, Loes C.A.; Arntz, Renate M.; Schoonderwaldt, Hennie C.; Dorresteijn, Lucille D.A.; Kessels, Roy P. C.; Leeuw, Frank‐Erik de

doi:10.1161/strokeaha.111.000792

Cited by 147 publications

(168 citation statements)

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“…[1][2][3] Stroke severity at admission, 4 stroke volume, and stroke location 5 are related to poststroke cognitive impairment. These factors, however, do not fully explain why some patients show good cognitive outcome after stroke and others do not.…”

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confidence: 99%

Remote Lower White Matter Integrity Increases the Risk of Long-Term Cognitive Impairment After Ischemic Stroke in Young Adults

Schaapsmeerders

Tuladhar

Arntz

et al. 2016

Stroke

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; however, this has never been investigated in young patients with stroke. A better understanding of Background and Purpose-Poststroke cognitive impairment occurs frequently in young patients with ischemic stroke (18 through 50 years of age). Accumulating data suggest that stroke is associated with lower white matter integrity remote from the stroke impact area, which might explain why some patients have good long-term cognitive outcome and others do not. Given the life expectancy of decades in young patients, we therefore investigated remote white matter in relation to long-term cognitive function. Methods-We included all consecutive first-ever ischemic stroke patients, left/right hemisphere, without recurrent stroke or transient ischemic attack during follow-up, aged 18 through 50 years, admitted to our university medical center between 1980 and 2010. One hundred seventeen patients underwent magnetic resonance imaging scanning including a T1-weighted scan, a diffusion tensor imaging scan, and completed a neuropsychological assessment. Patients were compared with a matched stroke-free control group (age, sex, and education matched). Cognitive impairment was defined as >1.5 SD below the mean cognitive index score of controls and no cognitive impairment as ≤1 SD. Tract-Based Spatial Statistics was used to assess the white matter integrity (fractional anisotropy and mean diffusivity). Results-About 11 years after ischemic stroke, lower remote white matter integrity was associated with a worse long-term cognitive performance. A lower remote white matter integrity, even in the contralesional hemisphere, was observed in cognitively impaired patients (n=25) compared with cognitively unimpaired patients (n=71). Conclusions-These findings indicate that although stroke has an acute onset, it might have long lasting effects on remote white matter integrity and thereby increases the risk of long-term cognitive impairment. (Stroke. 2016;47:2517-2525.

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confidence: 99%

Remote Lower White Matter Integrity Increases the Risk of Long-Term Cognitive Impairment After Ischemic Stroke in Young Adults

Schaapsmeerders

Tuladhar

Arntz

et al. 2016

Stroke

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“…Karier memiliki perspektif jangka panjang dan terkait dengan tujuan hidup (Hoekstra, 2011;King & Hinds, 2011;Schaapsmeerders et al, 2013;Shultz & Wang, 2011;Umberson, Pudrovska, & Reczek, 2010). Karier sangat berkaitan dengan perkembangan personal seseorang dan menjadi bagian penting dalam kesuksesan hidup (Duffy, Dik, & Steger, 2011;Komarraju, Musulkin, & Bhattacharya, 2010;Ostrom, 2011).…”

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The Responsibility of Counselor and Education in Millennium Era

Syahniar¹,

Ifdil²,

Ardi³

2018

Preprint

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Stress can arise as a result of pressure or tension that comes from dissonance between a person and his environment. Stress is an adaptive response to an external situation that results in physical and psychological aberrations. The result, too much stress can threaten a person's ability to face the environment, which ultimately disrupts his daily life. For that needed a therapy that can help in reducing the impact of stress. One of the therapies that can be used is color therapy. Color therapy is one of the non-pharmacological therapy that can reduce stress. Therapy is created because it is based on the assertion that each particular color contains healing energies. The effect of color affects the work of the sympathetic nerves parasympathetic, and improves mood. Color therapy provides an element of relaxation, which from various studies of relaxation can reduce anxiety or anxiety in individuals. Keywords AbstractIn Indonesia, sending your children to daycare is not the primary choice for working parents. In most cases, the parents are still able to afford a household assistant. They may also have some family member they can ask to take care of their children. This is not the case with workers in the palm oil plantations. The palm oil companies provide children day care as part of their facility for the workers. However, the condition in the day care centers are far from meeting the standards set for the establishment of children day care centre set by the Indonesian government regulation No. 58 of 2009. Improvements are still needed, such as: more or additional facilities, trained caretakers to help the children grow and develop well -the development of the children's social and emotional aspects and the development of their psychomotor (for children aged 0-5 years old).

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“…Presence of emotional symptoms such as anxiety [30] or Depression adversely affects HRQOL [30,31,32,33,34,35] more than the impairment of physical function [33] because depression negatively influence physical function [34]. Furthermore, stroke leads to substantial deterioration of cognitive function [36] and impaired cognitive function have negative influence on HRQOL [37,38].…”

Section: Psychological Healthmentioning

confidence: 99%

Untitled

2015

APGR

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Stroke care is aimed at improving physical, functional, psychological and social function and to eventually improve the overall health related quality of life (HRQOL). This paper critically reviewed published papers that reported on stroke survivors' HRQOL and the factors associated with it from the African region.A total of 19 articles met the inclusion criteria for the review and majority of them 12 (63%) are cross-sectional surveys. In Africa, HRQOL deteriorated significantly after stroke. The reported mean score of HRQOL ranges from below 50% to slightly below 70%. Severity of stroke related symptoms, impairment of physical function, and depression were the most important factors determining HRQOL. However, the influence of social function on HRQOL needs further study. The Studies have shown that stroke rehabilitation in Africa leads to significant improvement HRQOL.Finally, this review has highlighted some critical areas of HRQOL in which the intending African researcher needs examined adequately.

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Long-Term Cognitive Impairment After First-Ever Ischemic Stroke in Young Adults

Abstract: Even 11 years after ischemic stroke in young adults, a substantial proportion of patients must cope with permanent cognitive deficits. These results have implications for information given to patients and rehabilitation services.

Cited by 147 publications

References 40 publications

Remote Lower White Matter Integrity Increases the Risk of Long-Term Cognitive Impairment After Ischemic Stroke in Young Adults

Remote Lower White Matter Integrity Increases the Risk of Long-Term Cognitive Impairment After Ischemic Stroke in Young Adults

The Responsibility of Counselor and Education in Millennium Era

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