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

Wednesday, August 9, 2017

Men, not women, may be having fewer strokes

News like this just reinforces the lazy stroke prevention stuff put out by the stroke associations. This means that they will never work on all the problems in stroke. They would rather sit on their asses doing absolutely nothing that would help any stroke survivors.
https://medicalxpress.com/news/2017-08-men-women.html
The overall rate of stroke in the United States has been declining in recent years and while that has been good news, a new study suggests it may be primarily good news for men. The research, published in the August 9, 2017, online issue of Neurology, the medical journal of the American Academy of Neurology, found that while the stroke rate for men declined during the study period, for women it remained the same.
"For years, women have had a lower overall rate of stroke compared with men, but now men appear to be approaching similar rates. While any decrease in rates of stroke is of course a good thing, it leaves one to wonder why women's rates are not going down to the same extent," said study author Tracy E. Madsen, MD, ScM, of the Alpert Medical School of Brown University in Providence, R.I. "At the end of our study, stroke rates for men and women were nearly the same."
Recent figures from the Centers for Disease Control and Prevention (CDC) show that stroke has decreased to the fifth leading cause of death for men yet it remains the fourth leading cause of death for women.
For the study, researchers collected data on adults with stroke from a population of 1.3 million people living in a five-county area of southwest Ohio and northern Kentucky between 1993 and 2010. They then looked at hospital, clinic and coroners' records to determine how many people had a first-ever stroke during four different one-year time periods, spaced approximately five years apart, during that time frame.
A total of 7,710 people had a first stroke, and 57 percent of those were women. Women had an average age at first stroke of 72. Men had an average age of 68.
Researchers found that overall stroke rates declined significantly for men but not women. For men, the rate went from 263 strokes per 100,000 men at the start of the study to 192 per 100,000 at the end of the study. For women, the rate went from 217 strokes per 100,000 women to 198 per 100,000, which is not a statistically significant difference.
When looking at specific kinds of stroke, researchers again found that the rate declined for men but not for women for , resulting from a lack of blood flow to the brain caused by clots or blocked arteries. The rate for men declined from 238 per 100,000 to 165 per 100,000. For women, the rate went from 193 per 100,000 to 173 per 100,000, which again was not statistically significant. For bleeding stroke, rates remained stable for women and men.
"The overall decrease in stroke was driven by men having fewer ischemic strokes, a type of stroke caused by a lack of blood flow to a specific area of the brain," said Madsen. "What is not clear is why stroke rates for women remained stable while the rates for men decreased."
One possible explanation for the study findings could be that risk factors are not as well controlled in women as in men, though this would require more studies to determine, Madsen said. Another possible reason for the more pronounced rate decrease in men may be changes in the study population over the time period. The percentage of people who were able to live independently decreased significantly over time and more so in women than men.
Limitations of the study include that information was not collected on risk factors that are unique to or more common in , such as migraine and the use of hormone replacement therapy.

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