Deans' stroke musings

Changing stroke rehab and research worldwide now.Time is Brain!Just think of all the trillions and trillions of neurons that DIE each day because there are NO effective hyperacute therapies besides tPA(only 12% effective). I have 493 posts on hyperacute therapy, enough for researchers to spend decades proving them out. These are my personal ideas and blog on stroke rehabilitation and stroke research. Do not attempt any of these without checking with your medical provider. Unless you join me in agitating, when you need these therapies they won't be there.

What this blog is for:

Shortly after getting out of the hospital and getting NO information on the process or protocols of stroke rehabilitation and recovery I started searching on the internet and found that no other survivor received useful information. This is an attempt to cover all stroke rehabilitation information that should be readily available to survivors so they can talk with informed knowledge to their medical staff. It's quite disgusting that this information is not available from every stroke association and doctors group.
My back ground story is here:

Tuesday, August 30, 2016

FDA OKs Concussion Screening App

 Why not use objective tests rather than subjective ones for a concussion diagnosis? Who around here actually has two functioning neurons they can rub together for some intelligence?

SyncThink gets FDA approval for eye-tracking device to test for concussions in 60 seconds  April, 2016 

Concussions in Kids Are Detectable by Blood Test  Nov. 2015 

A Simple Flashcard Test to Detect Concussions - Maybe stroke too?  March, 2015


Handheld device could detect concussion with a single drop of blood Jan. 2015

Blood Test Diagnoses Concussion, Gauges Severity  March, 2014 

Oculogica - eye tracking technology unveils how well the brain is functioning June, 2013 

FDA OKs Concussion Screening App

  • by Satish Misra MD

The FDA announced last week that it had approved the ImPACT software and medical app, designed to help clinicians test cognitive skills after a head injury.
Concussions and other head injuries, particularly related to sports, have garnered a lot of attention in recent years. We've covered a number of medical apps designed to help clinicians assess for concussions at the point of care. NYU Langone also recently launched the Concussion Tracker ResearchKit app to better characterize symptom evaluation after a concussion, which is critical to designing medical apps aimed at diagnosing concussions.
Immediate Post-Concussion Assessment and Cognitive Testing (ImPACT) has two versions. The first is designed for patients between 12 to 59 years old and runs on a laptop. The other, ImPACT Pediatric, is for kids younger than 12 years old and runs on an iPad. It's designed to perform a clinician-guided test of cognitive skills like word memory, reaction time and word recognition to aid in assessment of head injuries. Tests take about 25 minutes and results can be compared to an age-matched cohort from the company's large database of "normal" patients or to pre-injury baseline test taken by the patient. As the FDA points out in its press release, ImPACT is not designed to diagnose a concussion or recommend treatment.
ImPACT was approved through a special regulatory pathway for some novel medical devices, which would typically automatically be Class III devices and therefore garner the most stringent oversight. Through the FDA's de novo classification process for low- to moderate-risk devices, devices like ImPACT can be evaluated through a more risk-based approach. According to the FDA, ImPACT was classified as Class II medical device and evaluated accordingly. That fact has important implications for other similar medical apps and software that may follow, using ImPACT as a predicate device.
While recent guidance from the FDA on general health apps showed us the areas of digital health of which the FDA is going to steer clear, the agency's review of ImPACT offers some insights into where it intends to focus its attention.
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