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The Gugging Swallowing Screen (GUSS) was developed in 2006 by the Landesklinikum Donauregion Gugging in cooperation with the Department for Clinical Neurosciences and Preventive Medicine of the Danube University Krems, to assess the aspiration risk in acute stroke patients. In comparison to other screenings the test sequence is unique (saliva, semisolid, fluid and solid texture). According to the dysphagia severity, different diet recommendations are given to prevent aspiration pneumonia.

Projects in alphabetical order:

Center of Neurosciences

Head:  Michael Brainin, MD, FESO, FAHA ,   Univ.-Prof. Dr. Wilfried Lang

Stroke recurrence increases the risk of disability. Patients suffering recurrent strokes are older and often impaired by their previous stroke. Thus these patients may need special management to recover functional independence.

Head:  Michael Brainin, MD, FESO, FAHA

The department for Clinical Neurosciences and Preventive Medicine is engaged in a variety of clinical trials including pure academic trials and others sponsored by pharmaceutical industry. The special situation of having an office at the Neurological Department of the Donauklinikum Tulln opens the opportunity to involve medical specialists and physicians during their training in those trials. This allows both sides to profit from the synergetic potential between the Danube University and the Donauklinikum.

Head:  ,   Michael Brainin, MD, FESO, FAHA

In May 2011, the project e-PREDICE (Early prevention of diabetes complications in people with hyperglycaemia in Europe) of the Department of Clinical Medicine and Preventive Medicine has been evaluated favourably for a Grant by the European Commission. E-PREDICE aims at testing the long term efficacy of different therapeutic schemes for the early prevention of diabetic complications in people with hyperglycaemia currently under lifestyle intervention.

Head:  Michael Brainin, MD, FESO, FAHA

Post-stroke cognitive impairment including dementia occurs in approximately one third of stroke patients. So far no therapeutic strategy has shown convincing clinical evidence for preventing cognitive decline after stroke. However, multidomain interventions with rigorous control of vascular risk factors including lifestyle modification, treatment of neuropsychiatric symptoms and provision of a cognitive and social stimulating environment may potentially prevent the delayed cognitive impairment.

Head:  Michael Brainin, MD, FESO, FAHA

Dysphagia is frequent complication after acute stroke and has been observed in up to two third of patients. Dysphagia is associated with a higher risk of pneumonia, increased mortality and permanent disability. To prevent aspiration pneumonia, the stroke unit in Tulln uses the Gugging Swallowing Screen (GUSS) for the identification of high risk patients and applies its dietary recommendations.

Head:  Michael Brainin, MD, FESO, FAHA

The Gugginger Schluck Screen (GUSS) was developed in 2006 by the Department for Clinical Neurosciences and Preventive Medicine to assess the aspiration risk in stroke patients. Furthermore, the GUSS includes dietary recommendations according to the identified aspiration risk to prevent aspiration pneumonia.

Head:  Michael Brainin, MD, FESO, FAHA

The Post Stroke Checklist (PSC) was developed using Delphi methods to help health care professionals identify poststroke problems amenable to treatment and subsequent referral.

Head:  Michael Brainin, MD, FESO, FAHA

In experimental studies, laser stimulation not only prevents neuronal cell loss after ischemia, neurodegeneration or traumatic injury but also supports adult neurogenesis.

Head:  Michael Brainin, MD, FESO, FAHA

Intravenous thrombolysis performed within 90 minutes has a two-fold better outcome than thrombolysis performed at 3 hours or thereafter. In clinical practice, only a minority is treated within the Golden Hour.

Head:  Michael Brainin, MD, FESO, FAHA

Stroke-unit care is associated with a lower risk of mortality and disability. In high-income countries stroke units have become established as the central component of modern stroke services. Stroke-units should become accessible for stroke patients in low-income and middle-income countries.

Center of Neurorehabilitation

Center of Dementiastudies

Head:  Univ.-Prof. Dr. Stefanie R. Auer

A cooperative Project between Danube University, Austria and Charles University, Czech Republic

Center of vascular prevention