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:http://oc1dean.blogspot.com/2010/11/my-background-story_8.html

Monday, March 13, 2017

Changes in ischemic stroke occurrence following daylight saving time transitions

This might be something even our fucking failures of stroke associations could do, it would only require press releases and mobilizing people to contact their legislators.
http://www.sleep-journal.com/article/S1389-9457%2816%2930222-2/abstract?cc=y=

Highlights

  • Ischemic stroke (IS) occurrence is altered after daylight saving time transitions.
  • Occurrence rate of the following first two days, but not the whole week, is elevated.
  • Altered occurrence is more apparent in women than in men.
  • Patients with malignancy and those over 65 years of age are more susceptible.

Abstract


Background

Circadian rhythm disruption has been associated with increased risk of ischemic stroke (IS). Daylight saving time (DST) transitions disrupt circadian rhythms and shifts the pattern of diurnal variation in stroke onset, but effects on the incidence of IS are unknown.

Methods

Effects of 2004–2013 DST transitions on IS hospitalizations and in-hospital mortality were studied nationwide in Finland. Hospitalizations during the week following DST transition (study group, n = 3033) were compared to expected hospitalizations (control group, n = 11,801), calculated as the mean occurrence during two weeks prior to and two weeks after the index week.

Results

Hospitalizations for IS increased during the first two days (Relative Risk 1.08; CI 1.01–1.15, P = 0.020) after transition, but difference was diluted when observing the whole week (RR 1.03; 0.99–1.06; P = 0.069). Weekday-specific increase was observed on the second day (Monday; RR 1.09; CI 1.00–1.90; P = 0.023) and fifth day (Thursday; RR 1.11; CI 1.01–1.21; P = 0.016) after transition. Women were more susceptible than men to temporal changes during the week after DST transitions. Advanced age (>65 years) (RR 1.20; CI 1.04–1.38; P = 0.020) was associated with increased risk during the first two days, and malignancy (RR 1.25; CI 1.00–1.56; P = 0.047) during the week after DST transition.

Conclusions

DST transitions appear to be associated with an increase in IS hospitalizations during the first two days after transitions but not during the entire following week. Susceptibility to effects of DST transitions on occurrence of ischemic stroke may be modulated by gender, age and malignant comorbidities.

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