ABSTRACT
OBJECTIVE: The objective of this study was to examine whether the National Institute of Health Stroke Scale was associated with the short- and long-term prognosis of patients with acute ischemic stroke treated with intravenous thrombolysis. METHODS: A total of 247 patients with acute ischemic stroke admitted to the hospital from April 2019 to October 2020 were retrospectively selected as study subjects, and the immediate and long-term prognosis after thrombolysis was assessed using the modified Rankin Scale and divided into good prognosis group (119 cases) and poor prognosis group (128 cases) based on the effect of thrombolysis. Both groups were treated with alteplase, the National Institute of Health Stroke Scale of the two groups was compared, and the factors affecting the prognosis of acute ischemic stroke were analyzed. RESULTS: After intravenous thrombolysis, 24 h, and 7 days of treatment, the National Institute of Health Stroke Scale in the poor prognosis group was higher than those of patients in the good prognosis group, and the differences were statistically significant (p<0.05). The results of the multivariate analysis suggested that National Institute of Health Stroke Scale before treatment was an independent factor associated with the 3-month (OR: 1.068, 95%CI 1.015-1.123, p=0.011) and long-term poor prognosis (OR: 1.064, 95%CI 1.012-1.119, p=0.015) in patients with acute ischemic stroke receiving intravenous thrombolysis after adjustment of age, gender, body mass index, smoking, alcohol consumer, onset-to-door time, door-to-needle time, and imaging score. CONCLUSION: The National Institute of Health Stroke Scale could be a promising indicator for the prognosis, and active intervention is needed to improve the quality of life in patients with acute ischemic stroke.
ABSTRACT
ABSTRACT Introduction: The level of soccer athletics develops rapidly, requiring athletes to be more capable of training, strengthening, and competitive readiness. Often, these characteristics are compromised by preventable injuries resulting from excessive or unreasonable training, especially in winter. The outcome is the athlete's absence from games during the season, compromising the team's qualification. Objective: Improve the treatment and prevention of the major injuries caused to soccer athletes in winter. Methodology: The main injuries resulting from poor training and the best practices of awareness and recovery were researched. The selected actions were implemented on ten athletes with follow-up during the entire annual season, totaling 50 games. Results: An increase in the number of active athletes during the competition phase was observed in 7 games, and competition efficiency was increased by 14%. Conclusion: Soccer players can get better rehabilitation through practical strength maintenance training in the rehabilitation phase between winter training and competitions. This scientific and rational method has a significantly positive effect on the physical performance of athletes. Evidence Level II; Therapeutic Studies - Investigating the results.
RESUMO Introdução: O nível do atletismo do futebol desenvolve-se rapidamente, exigindo que os atletas sejam mais capazes de treinar, fortalecerem-se e prepararem-se para a competição. Muitas vezes, essas características são comprometidas por lesões evitáveis resultantes de treinamento excessivo ou irracional, especialmente no inverno. O resultado é a ausência do atleta nos jogos durante a temporada, comprometendo a qualificação da equipe. Objetivo: Melhorar o tratamento e a prevenção das maiores lesões ocasionadas aos atletas de futebol durante o inverno. Metodologia: As principais lesões resultantes do mau treinamento e as melhores práticas de conscientização e recuperação foram pesquisadas. As ações selecionadas foram implementadas em dez atletas com acompanhamento durante toda a temporada anual, totalizando 50 jogos. Resultados: Um aumento no número de atletas ativos durante a fase de competição foi observado em 7 jogos, e a eficiência da competição foi aumentada em 14%. Conclusão: Os jogadores de futebol podem obter melhor reabilitação através de treinamento prático de manutenção de força na fase de reabilitação entre o treinamento de inverno e as competições. Esse método científico e racional tem um efeito significativamente positivo sobre o desempenho físico dos atletas. Nível de evidência II; Estudos Terapêuticos - Investigação de Resultados.
RESUMEN Introducción: El nivel del atletismo de fútbol se desarrolla rápidamente, lo que exige de los atletas una mayor capacidad de entrenamiento, fortalecimiento y preparación para la competición. Con frecuencia, estas características se ven comprometidas por lesiones evitables derivadas de un entrenamiento excesivo o no adecuado, en particular durante el invierno. El resultado es la no participación del atleta en los partidos de la temporada, lo que compromete la clasificación del equipo. Objetivo: Mejorar el tratamiento y la prevención de las principales lesiones causadas a los deportistas de fútbol en el invierno. Metodología: Se investigaron las principales lesiones derivadas de un mal entrenamiento y las mejores prácticas de sensibilización y recuperación. Las acciones seleccionadas se aplicaron en diez atletas con seguimiento durante toda la temporada anual, con un total de 50 partidos. Resultados: Se observó un aumento del número de atletas activos durante la fase de competición en 7 partidos, y la eficacia de la competición se incrementó en un 14%. Conclusión: Los futbolistas pueden conseguir una mejor rehabilitación mediante un entrenamiento práctico de mantenimiento de la fuerza en la fase de rehabilitación entre el entrenamiento invernal y las competiciones. Este método científico y racional tiene un efecto significativamente positivo en el rendimiento físico de los atletas. Nivel de evidencia II; Estudios terapéuticos - Investigación de resultados.