RESUMO
BACKGROUND: Post-stroke cognitive impairment (PSCI) lessens quality of life, restricts the rehabilitation of stroke, and increases the social and economic burden stroke imposes on patients and their families. Therefore effective treatment is of paramount importance. However, the treatment of PSCI is very limited. The primary aim of this protocol is to propose a lower cost and more effective therapy, and to confirm the long-term effectiveness of a therapeutic regimen of Traditional Chinese Medicine (TCM) rehabilitation for PSCI. METHODS/DESIGN: A prospective, multicenter, large sample, randomized controlled trial will be conducted. A total of 416 eligible patients will be recruited from seven inpatient and outpatient stroke rehabilitation units and randomly allocated into a therapeutic regimen of TCM rehabilitation group or cognitive training (CT) control group. The intervention period of both groups will last 12 weeks (30 minutes per day, five days per week). Primary and secondary outcomes will be measured at baseline, 12 weeks (at the end of the intervention), and 36 weeks (after the 24-week follow-up period). DISCUSSION: This protocol presents an objective design of a multicenter, large sample, randomized controlled trial that aims to put forward a lower cost and more effective therapy, and confirm the long-term effectiveness of a therapeutic regimen of TCM rehabilitation for PSCI through subjective and objective assessments, as well as highlight its economic advantages. TRIAL REGISTRATION: This trial was registered with the Chinese Clinical Trial Registry (identifier: ChiCTR-TRC-14004872 ) on 23 June 2014.
Assuntos
Terapia por Acupuntura , Transtornos Cognitivos/reabilitação , Cognição , Terapia Cognitivo-Comportamental , Reabilitação do Acidente Vascular Cerebral , Terapia por Acupuntura/efeitos adversos , Terapia por Acupuntura/economia , China , Protocolos Clínicos , Transtornos Cognitivos/diagnóstico , Transtornos Cognitivos/economia , Transtornos Cognitivos/psicologia , Terapia Cognitivo-Comportamental/economia , Análise Custo-Benefício , Custos de Cuidados de Saúde , Humanos , Estudos Prospectivos , Projetos de Pesquisa , Método Simples-Cego , Acidente Vascular Cerebral/diagnóstico , Acidente Vascular Cerebral/economia , Acidente Vascular Cerebral/psicologia , Fatores de Tempo , Resultado do TratamentoRESUMO
La perforación corporal es una actividad cada vez más común en nuestro medio, por lo tanto es de importancia tanto para el médico como para el especialista en medicina legal pues ya se les exige que tengan un amplio conocimiento acerca de la técnica correcta de la perforación corporal, de los cuidados necesarios y las principales complicaciones de los piercings. En la prática hospitalaria hoy día es frecuente encontrarse con personas que consultan ya sea porque desean colocarse un piercing y quieren escuchar un consejo de su médico o personas que consultan a causa de las múltiples complicaciones que pueden ocurrir.