Evaluation of Programs of Coordinated Care and Disease Management
Congestive Heart FailureDiabetes7 moreThis is a Congressionally mandated study. In the original study, 16 demonstration programs provided care coordination services to beneficiaries with chronic illness in Medicare's fee-for-service program. A five-year CMS-funded study tested whether the programs can improve patients' use of medical services, improve patients' outcomes and satisfaction with care, and reduce Medicare costs. The study also assessed physicians' satisfaction with the programs. In 2008 Congress extended the project for two of the original programs--Mercy Medical Center - North Iowa and Health Quality Partners in Pennsylvania--and they will enroll Medicare beneficiaries and provide care coordination services into the spring of 2010.
Functional Recovery Effects on Comprehensive Rehabilitation for Post-acute Care -Cerebrovascular...
Cerebrovascular DiseasesThe purpose of the study is to investigate the effects and outcome predictors on functional recovery after comprehensive rehabilitation for post-acute care -cerebrovascular diseases.
The SaeboGlove Evaluation Trial
StrokeCerebral Vascular Disorder5 moreThis study evaluates the safety, feasibility and usability of a SaeboGlove rehabilitation device in the treatment of patients who have reduced ability to open their hand due to weakness after an acute stroke.
RESTORE-IT-Study of Rifalazil in Chlamydia Pneumoniae Seropositive Patients With a History of Atherosclerotic...
Coronary Artery DiseaseCerebrovascular Disease1 moreThe objective of this study is to evaluate an antibiotic therapy called Rifalazil to determine its effect on hardening of the carotid arteries.
Stroke and Cerebrovascular Diseases Registry
StrokeAcute Stroke10 moreThis is a single institutional registry database for the patients with stroke and cerebrovascular diseases. Stroke is the fifth leading cause of death in the United States. Despite extensive research, most of the patients die or suffer from varying degree of post-stroke disabilities due to neurologic deficits. This registry aims to understand the disease and examine the disease dynamics in the local community.
Quality of Life of Stable Stroke Survivors in Pakistan
Cerebrovascular DiseaseIn study the investigators sought to Assess the quality of life experience in stable post stroke survivors in Pakistan and detail important factors influencing quality of life. Explore the association between primary care giver's quality of life and stroke survivor's quality of life. To validate the quality of life tools and experience via in depth interviews and focus group discussion with the primary care giver of stroke patients to report the quality of life of the primary care giver.
Pulmonary Hypertension, Hypoxia and Sickle Cell Disease
Chuvash PolycythemiaCerebrovascular Disease2 moreThe study will look at the risk factors for pulmonary hypertension (high blood pressure in the lungs) in children and adolescents with sickle cell anemia (SCA) and examine the role of hypoxia (oxygen shortage) in the disease. In patients with SCA, red blood cells become sickle-shaped and tend to form clumps that get stuck in blood vessels, blocking blood flow to the limbs and organs. Blocked blood vessels can cause pain, serious infections, and organ damage. Many patients with SCA also develop pulmonary hypertension. Children and adolescents with SCA or Chuvash polycythemia (another blood disorder that carries an increased risk for pulmonary hypertension) may be eligible for this study. Participants undergo the following procedures at the beginning (baseline) and end of the study: History, physical examination and blood tests . Echocardiography (ultrasound study of heart function). Transcranial doppler (brain ultrasound study to measure brain blood flow). Lung function tests. 6-minute walk (measure of the distance covered in 6 minutes of walking). In addition, patients are followed by telephone or by clinic visits every 6 months for a review of their medical history and medications. A physical examination is also done at 12 months.
Honolulu Heart Program-Study of Stroke and Dementia
Cardiovascular DiseasesCerebrovascular Accident2 moreTo clarify the relationship of the arterial lesions to aging, define the influence of the arterial changes on the development of stroke, brain infarction, and dementia, and provide a better understanding of vascular dementia.
Quantitative Non-Invasive Brain Imaging Using QUTE-CE MRI
Cerebrovascular DisordersThis trial will evaluate a non-invasive brain imaging technique QUTE-CE MRI and validate the method with first-in-human studies.
Health Promotion in the Elderly--Prevention of Cardiovascular Disorders
Cardiovascular DiseasesHeart Diseases1 moreTo develop an epidemiologic model to estimate the benefits, costs and risks of disease prevention in the elderly.