Problems in stroke;
1. There is no
fast, easy and objective way to diagnose a stroke. Maybe when the
Qualcomm Tricorder X Prize is available. A number of friends have waited
hours in ERs until stroke symptoms have visibly manifested themselves.
http://oc1dean.blogspot.com/
2. Only 10% get to almost full recovery.http://oc1dean.blogspot.com/
http://www.ninds.nih.gov/
3. 12% tPA efficacy
http://wrkf.org/post/more-stroke-patients-now-get-clot-busting-drug
4. Nothing being done to stop the neuronal cascade of death during the first week.
http://newswire.rockefeller.
5. No one knows how to cure spasticity.
6. No one knows how to cure fatigue.
7. F.A.S.T is actually a failure because even at its best tPA is only delivered to 33% of those eligible and then of those that get it it only works to completely reverse the stroke 12% of the time.
http://www.channelnewsasia.com/news/singapore/singapore-to-set-up/1382292.html
About S$100 million will be pumped into setting up a new rehabilitation research institute in Singapore to develop innovative solutions for better patient outcomes.
Announced by Health Minister Gan Kim Yong at the opening of the Singapore Health and Biomedical Congress 2014 on Friday (Sep 26), the Rehabilitation Research Institute of Singapore (RRIS)’s key areas of study will include stroke and neurological rehabilitation, clinical robotics and biomechanics as well as the development of computer games for rehabilitation.
The institute, a collaboration between the Agency for Science, Technology and Research (A*STAR), Nanyang Technological University (NTU) and the National Healthcare Group (NHG), will leverage the expertise of scientists, clinicians and engineers.
There are up to 9,000 new stroke cases in Singapore yearly, and about one in three stroke survivors requires various types of rehabilitation. Advanced technology that combines the use of innovative robots and simulation games with traditional rehabilitation therapy have helped stroke patients' with their mobility at Tan Tock Seng Hospital, and the aim is for similar projects to be developed at the new research institute.
A*STAR Executive Director Tan Geok Leng pinpointed nutrition as one of the areas the institute will focus on: "In an Asian society, we have an idea that if we take tonic you would speed up your healing. So in A*STAR, we have a site that's called nutrition research. We intend to bring that in so that we not just look at the mechanical part, but also at how nutrition helps rehab."
The centre will also leverage the expertise of scientists, clinicians and engineers to develop such innovative technology solutions for patients. Scientists at NTU will play a key role in translating basic science and clinical findings into real-life applications, through the use of cutting-edge technology.
Meanwhile A*STAR will provide a wide range of expertise in biomedical sciences and physical sciences while NHG, through Tan Tock Seng Hospital will lend clinical expertise from its team of rehabilitation physicians. A multi-disciplinary team of therapists will also provide expertise to bring research from bench to bedside and develop solutions for patients.
In order to tackle the complex challenges of a growing ageing population, partners of this collaboration said inter-disciplinary research combining biomedical engineering with medicine is the way forward. The research institute plans to come up with two new projects yearly.
Mr Gan stressed that research, constant innovation and manpower development are all crucial for transforming the care model in Singapore. All stakeholders, such as acute and community hospitals, polyclinics, home care and day-rehab providers, also play an important role in redefining the care delivery. "By integrating care across settings within a regional health system, we want to gradually change the focal point for care, from acute hospitals, to the patients at the centre," he said.
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