Stroke falls under the umbrella of cardiovascular disease (CVD), which is the number one killer of Americans. CVD, including stroke and heart disease, takes about 267,000 women’s lives every year [1]. In the present ...Stroke falls under the umbrella of cardiovascular disease (CVD), which is the number one killer of Americans. CVD, including stroke and heart disease, takes about 267,000 women’s lives every year [1]. In the present study, a health risk assessment of a population of women residing in North-eastern Pennsylvania was conducted to provide an estimate of vulnerability to stroke on the basis of medical history, genetic predisposition, and other lifestyle factors. Using the Health Belief model of Rosenstock, Strecher, and Becker [2] and the stage model of Prochaska, Diflemente, and Norcross [3], a health promotion plan was developed to address the needs of that population. An evaluation of risks that can and cannot be modified is developed to help people understand the basic lifestyle changes that could be made to prevent CVD, which includes stroke. An action plan was developed to lower the risk of stroke among women based on their individual needs and to raise awareness throughout the United States. Individuals should take the essential precautions for their personal cases. This will substantially lower the risk of CVD, especially stroke, among women.展开更多
Introduction: The incidence of stroke has decreased in Sweden as well as in most developed countries, but a high number of migrants have arrived in Sweden, during the last decades, which may have influenced the incide...Introduction: The incidence of stroke has decreased in Sweden as well as in most developed countries, but a high number of migrants have arrived in Sweden, during the last decades, which may have influenced the incidence. Aim: The aim of this study was to examine the incidence of stroke in women, born outside as well as in Sweden. Furthermore, the aim was to examine how socio-economic factors, smoking, and physical activity could modify the risk for stroke. Method: Data from the “MalmöDiet and Cancer Study” was used for the analysis. In total, 16,857 women were included (14,849 of them born in and 2,008 born outside Sweden), aged 45 - 73 years with a mean age of 57.4 years. Result. A significantly increased relative risk (RR) was found for the incidence of stroke for current smokers in both Swedish-born and migrant women. In Swedish-born women the RR was 1.98 (CI: 1.66 - 2.36) and for migrant women the RR was 1.83(CI: 1.13 - 2.96). The adjusted relative risk for the incidence of stroke in Swedish-born women performing moderate/high physical activity was RR 0.71 (CI: 0.61 - 0.84) and for migrant women it was RR 0.77 (CI: 0.49 - 1.20). The relative risk in relation to low socio-economic circumstances (SES) was significant only for Swedish-born women (RR 0.85 [CI: 0.73 - 0.99]). Among currently smoking Swedish-born women with a low SES the RR was 1.27 (CI: 1.03 - 1.57) in comparison with smoking migrant women, whose RR was 1.68 (CI: 0.92 - 3.09). Conclusion: No differences were found indicating that migrant women in this population had a higher risk as compared to Swedish-born women. However, migrant smoking women were more vulnerable to stroke compared to Swedish-born women. Physical activity was effective in reducing the risk of stroke among the total population and especially in the Swedish-born women. To increase physical activity in middle-aged women, in both migrant and Swedish-born women, is a highly recommended public health strategy.展开更多
目的 探讨不同性别急性缺血性卒中神经影像及预后差异。方法 回顾性分析在我院就诊的急性前循环脑卒中患者200例。所有患者均于治疗前行多模MRI检查。按治疗方法将患者分为静脉溶栓治疗组及动脉取栓组。收集患者临床资料和神经影像资料...目的 探讨不同性别急性缺血性卒中神经影像及预后差异。方法 回顾性分析在我院就诊的急性前循环脑卒中患者200例。所有患者均于治疗前行多模MRI检查。按治疗方法将患者分为静脉溶栓治疗组及动脉取栓组。收集患者临床资料和神经影像资料,并评估治疗后结果及3个月预后(mRS评分)。统计学方法分析不同性别急性卒中患者神经影像及预后差异。结果 100例静脉溶栓治疗患者女性组(n=50)Tmax>6s体积(65.48±32.15 vs 89.13±34.77;t=9.431,P=0.036)、PWI/DWI不匹配体积(57.14±23.95 vs 77.12±36.73;t=7.569,P=0.044)及低灌注强度比值(HIR)(0.33±0.32 vs 0.37±0.31;t=8.274,P=0.044)低于男性组(n=50);女性组3个月预后良好比例明显高于男性组(72.00%vs 48.00%;χ^(2)=6.000;P=0.024)。与静脉溶栓治疗组相仿,动脉取栓治疗后女性组(n=50)Tmax>6s体积(109.35±27.49 vs 127.16±21.55;t=4.4 3 1;P=0.041)、 PWI/DWI不匹配体积(75.31±25.14vs90.19±20.48;t=6.993;P=0.039)及HIR(0.29±0.22vs0.40±0.34;t=7.530;P=0.029)同样低于男性组;女性组3个月预后良好比例同样明显高于男性组(64.00%vs 42.00%;χ^(2)=4.857;P=0.045)。结论 女性较男性急性卒中患者具有较小的灌注异常、较小的缺血半暗带、较好的侧枝循环及较好的功能预后。展开更多
文摘Stroke falls under the umbrella of cardiovascular disease (CVD), which is the number one killer of Americans. CVD, including stroke and heart disease, takes about 267,000 women’s lives every year [1]. In the present study, a health risk assessment of a population of women residing in North-eastern Pennsylvania was conducted to provide an estimate of vulnerability to stroke on the basis of medical history, genetic predisposition, and other lifestyle factors. Using the Health Belief model of Rosenstock, Strecher, and Becker [2] and the stage model of Prochaska, Diflemente, and Norcross [3], a health promotion plan was developed to address the needs of that population. An evaluation of risks that can and cannot be modified is developed to help people understand the basic lifestyle changes that could be made to prevent CVD, which includes stroke. An action plan was developed to lower the risk of stroke among women based on their individual needs and to raise awareness throughout the United States. Individuals should take the essential precautions for their personal cases. This will substantially lower the risk of CVD, especially stroke, among women.
文摘Introduction: The incidence of stroke has decreased in Sweden as well as in most developed countries, but a high number of migrants have arrived in Sweden, during the last decades, which may have influenced the incidence. Aim: The aim of this study was to examine the incidence of stroke in women, born outside as well as in Sweden. Furthermore, the aim was to examine how socio-economic factors, smoking, and physical activity could modify the risk for stroke. Method: Data from the “MalmöDiet and Cancer Study” was used for the analysis. In total, 16,857 women were included (14,849 of them born in and 2,008 born outside Sweden), aged 45 - 73 years with a mean age of 57.4 years. Result. A significantly increased relative risk (RR) was found for the incidence of stroke for current smokers in both Swedish-born and migrant women. In Swedish-born women the RR was 1.98 (CI: 1.66 - 2.36) and for migrant women the RR was 1.83(CI: 1.13 - 2.96). The adjusted relative risk for the incidence of stroke in Swedish-born women performing moderate/high physical activity was RR 0.71 (CI: 0.61 - 0.84) and for migrant women it was RR 0.77 (CI: 0.49 - 1.20). The relative risk in relation to low socio-economic circumstances (SES) was significant only for Swedish-born women (RR 0.85 [CI: 0.73 - 0.99]). Among currently smoking Swedish-born women with a low SES the RR was 1.27 (CI: 1.03 - 1.57) in comparison with smoking migrant women, whose RR was 1.68 (CI: 0.92 - 3.09). Conclusion: No differences were found indicating that migrant women in this population had a higher risk as compared to Swedish-born women. However, migrant smoking women were more vulnerable to stroke compared to Swedish-born women. Physical activity was effective in reducing the risk of stroke among the total population and especially in the Swedish-born women. To increase physical activity in middle-aged women, in both migrant and Swedish-born women, is a highly recommended public health strategy.
文摘目的 探讨不同性别急性缺血性卒中神经影像及预后差异。方法 回顾性分析在我院就诊的急性前循环脑卒中患者200例。所有患者均于治疗前行多模MRI检查。按治疗方法将患者分为静脉溶栓治疗组及动脉取栓组。收集患者临床资料和神经影像资料,并评估治疗后结果及3个月预后(mRS评分)。统计学方法分析不同性别急性卒中患者神经影像及预后差异。结果 100例静脉溶栓治疗患者女性组(n=50)Tmax>6s体积(65.48±32.15 vs 89.13±34.77;t=9.431,P=0.036)、PWI/DWI不匹配体积(57.14±23.95 vs 77.12±36.73;t=7.569,P=0.044)及低灌注强度比值(HIR)(0.33±0.32 vs 0.37±0.31;t=8.274,P=0.044)低于男性组(n=50);女性组3个月预后良好比例明显高于男性组(72.00%vs 48.00%;χ^(2)=6.000;P=0.024)。与静脉溶栓治疗组相仿,动脉取栓治疗后女性组(n=50)Tmax>6s体积(109.35±27.49 vs 127.16±21.55;t=4.4 3 1;P=0.041)、 PWI/DWI不匹配体积(75.31±25.14vs90.19±20.48;t=6.993;P=0.039)及HIR(0.29±0.22vs0.40±0.34;t=7.530;P=0.029)同样低于男性组;女性组3个月预后良好比例同样明显高于男性组(64.00%vs 42.00%;χ^(2)=4.857;P=0.045)。结论 女性较男性急性卒中患者具有较小的灌注异常、较小的缺血半暗带、较好的侧枝循环及较好的功能预后。
