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:

Wednesday, February 22, 2017

After Stroke, 'Blue' Light May Help Beat the Blues

I bet this is not enough to get stroke hospitals off their asses and apply research that helps survivors. A great stroke association president would be contacting all the stroke hospitals and get commitments as to when these new interventions would be rolled out as protocols.
Other reasons for blue:

Blue light reduces organ injury from ischemia and reperfusion

Book “Blue Mind: The Surprising Science That Shows How Being Near, In, On, Or Under Water Can Make You Happier, Healthier, More Connected, And Better At What You Do” 

Residential exposure to visible blue space (but not green space) associated with lower psychological distress in a capital city

Or is nature better for you?

Nature prescription for stroke?

Nature experience reduces rumination and subgenual prefrontal cortex activation

Health Benefits from Nature Experiences Depend on Dose


After Stroke, 'Blue' Light May Help Beat the Blues

Depression is always a danger for people recovering from a debilitating stroke. But new research suggests that tweaking a rehabilitation facility's lighting system may help patients keep depression at bay.
Specifically, the Danish study of stroke rehab patients found they were less prone to depression if the facility used "blue" light in its lighting system.
Sunlight is humans' largest source of blue-spectrum light, noted a team led by Dr. Anders West, a stroke specialist at the University of Copenhagen. So, blue light is key to the circadian (day-night) "body clock" that helps guide bodily processes, the study authors explained.
As such, blue light has been shown to increase memory and thinking skills, as well as alertness, the Danish team said.
However, stroke patients are often kept in indoor rehabilitation facilities with artificial lighting systems that lack adequate blue light in daytime. Or, they only receive blue light at night -- the "wrong" time of day -- through TV screens or indoor lighting, West's team noted.
The new study tracked outcomes for 84 patients in an acute stroke unit. The patients engaged in at least 14 days of rehabilitation in either a unit with blue-light lighting systems or standard lighting.
The researchers reported that patients in the blue-light units were significantly less depressed at the time of discharge from the unit, compared to those in the standard-lighting unit.
Two experts in stroke care agreed with the study authors that perhaps "circadian" lighting should become standard in rehab units.
"This study reconfirmed the beneficial effect of blue-light therapy for depression well known to psychiatrists for many years," said Dr. Ajay Misra, chair of neurosciences at Winthrop-University Hospital in Mineola, N.Y. The findings suggest that's true for stroke patients as well, he said.
Dr. Anand Patel is a vascular neurologist at Northwell Health's Neuroscience Institute in Manhasset, N.Y. He said that "post-stroke depression is the most common emotional disorder, and often under-recognized after stroke. Traditionally, antidepressant medications have been used to treat depression after stroke."
But now the Danish study suggests that an update to a rehab unit's lighting system might help. The finding needs further research and confirmation, Patel said, but "if proven effective, this provides an opportunity to treat depression after stroke without medications, thus avoiding potential side effects."
The study findings were scheduled to be presented Wednesday at the International Stroke Conference in Houston. Research presented at medical meetings is typically considered preliminary until published in a peer-reviewed journal.
More information
Find out the warning signs of stroke at the American Stroke Association.

-- E.J. Mundell SOURCES: Ajay Misra, M.D., chairman, department of neurosciences, Winthrop-University Hospital, Mineola, N.Y.; Anand Patel, M.B.B.S., vascular neurologist, Northwell Health's Neuroscience Institute, Manhasset, N.Y.; Feb. 22, 2017, presentation, International Stroke Conference, Houston

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