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

Tuesday, April 18, 2017

Unemployment may increase risk for stroke

So you have a great Catch-22 here. Your doctor didn't get you to 100% recovery so you likely lost your job and now you are at a greater risk for getting a stroke. 
http://www.healio.com/cardiology/stroke/news/online/%7B73dd5bf7-6ec3-4178-bf12-7aeec6aca689%7D/unemployment-may-increase-risk-for-stroke 
 
Periods of unemployment increased the risk for stroke in men and women in Japan, according to findings published in Stroke.

Japan’s employment system is different than in the United States, as employees are part of a “lifetime employment system” who will dedicate themselves to a steady job, Ehab S. Eshak, MD, MSc, PhD, visiting associate professor at Osaka University in Japan, said in a press release. If they happen to lose the position, it is possible that they will be re-employed into substandard or lower positions, he said.
Eshak and colleagues reviewed data from men (n = 21,902) and women (n = 19,826) aged 40 to 59 years in Japan. Those with a history of CVD or cancer at baseline were excluded from the study. Participants were categorized by employment status, which was determined through pre-baseline and baseline surveys: continuously employed, job loss, re-employed and continuously unemployed. Participants were followed until incidence of first stroke, death, relocation from the study area or the end of the study.
Throughout the follow-up period (mean, 15 years), men experienced 973 cases (577 ischemic, 396 hemorrhagic) of newly diagnosed stroke, and women experienced 460 cases (219 ischemic, 133 hemorrhagic).
The multivariable HR for stroke incidence in men who lost their jobs was 1.58 (95% CI, 1.18-2.13) and 1.51 (95% CI, 1.08-2.29) in women. The HR for mortality in women who lost their jobs was 2.48 (95% CI, 1.26-4.77) vs. 2.22 (95% CI, 1.34-3.68) in men.
Re-employed men experienced an increase in stroke incidence (multivariable HR = 2.96; 95% CI, 1.89-4.62) and mortality (multivariable HR = 4.21; 95% CI, 1.97-8.9), but re-employed women did not (multivariable HR for mortality = 1.28; 95% CI, 0.76-2.17; multivariable HR for incidence = 1.3; 95% CI, 0.98-1.69).
“For re-employed women, it is plausible not seeing an increased risk as that in men because the pattern of Japanese women’s participation in the labor force by age group is represented by an M shape, reflecting their tendency to have a career break during their 30s, in response to their family responsibilities, and then return to the labor force in their 40s, which is different from men in whom to proportion of working age men without job is relatively low in Japan,” Eshak and colleagues wrote.
Higher risks for stroke mortality was seen in men (multivariable HR = 5.24; 95% CI, 2.66-10.31) and women (multivariable HR = 5.35; 95% CI, 2.44-7.76) who were continuously unemployed.

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