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, June 19, 2017

Racial disparities evident in risk factors for stroke

Send these researchers back to the drawing board because there is no such thing as race as far as the body is concerned. Go back and find the real reason. Their mentors/senior researchers should have stopped this report. This is all because we have NO fucking stroke leadership or strategy.

Genetically speaking race does not exist  

Bill Nye: "There's No Such Thing as Race"


https://www.healio.com/cardiology/stroke/news/online/%7B7b150654-ece5-4aec-a5db-d1f835a522f7%7D/racial-disparities-evident-in-risk-factors-for-stroke?
The risk for stroke decreased in the United States, but racial disparities still exist, according to a research letter in The New England Journal of Medicine.
Wilson Nadruz Jr., MD, PhD, of the department of internal medicine at the University of Campinas in Brazil, and colleagues analyzed data from 15,350 participants (56% women; 26% black) from the Atherosclerosis Risk in Communities cohort, collected from 1987 to 2013. Risk factors for stroke, including obesity, hypertension, hypercholesterolemia, diabetes and smoking, were reviewed. Participants were followed up for a median of 24 years.
New-onset stroke occurred in 1,243 participants. The rate of risk factors for stroke decreased from 73% in 1990 to 41% in 2010 throughout the cohort (P = .02), which was attributed to the decline in smoking (P < .001), hypertension (P = .001) and diabetes (P = .004). The decrease of the prevalence of risk factors was also linked to the increased use of cholesterol-lowering, glucose-lowering and antihypertensive medications. The trend persisted once data were adjusted for atrial fibrillation.
From 1990 to 2010, white participants experienced a greater decrease in the risk for stroke (66% to 34%; P = .07) compared with black participants (84% to 63%; P = .4). The decrease was linked to a greater reduction in population-attributable risk for hypertension in white individuals (47% to 20%; P = .001) vs. black individuals (65% to 51%; P = .34). The HR for hypertension also declined more in white adults, from 2.9 (95% CI, 2-4.2) to 1.4 (95% CI, 1.1-1.9), than black adults, which declined from 3.8 (95% CI, 2.1-7) to 2.2 (95% CI, 1.1-4.1).
Smoking as a risk factor for stroke decreased more in white participants, and the prevalence of diabetes decreased more in black participants.
“There has been a disparity between blacks and whites in the rates at which the contributions of risk factors for stroke have diminished, with the most striking difference observed in hypertension,” Nadruz and colleagues wrote. “Given the potential for interventions to modify the risk of stroke, targeted efforts to address particular risk factors may reduce the overall burden of stroke among blacks.” – by Darlene Dobkowski

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