Changing stroke rehab and research worldwide now.Time is Brain! trillions and trillions of neurons that DIE each day because there are NO effective hyperacute therapies besides tPA(only 12% effective). I have 523 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:

My blog is not to help survivors recover, it is to have the 10 million yearly stroke survivors light fires underneath their doctors, stroke hospitals and stroke researchers to get stroke solved. 100% recovery. The stroke medical world is completely failing at that goal, they don't even have it as a goal. 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 lays out what needs to be done to get stroke survivors closer to 100% recovery. It's quite disgusting that this information is not available from every stroke association and doctors group.

Monday, July 16, 2018

Occupational cognitive complexity in earlier adulthood is associated with brain structure and cognitive health in midlife: The CARDIA study

The real question yet to be answered; is my cognitive reserve from all the programming languages I learned in my job or my physical fitness? And how much additional cognitive reserve do I need to prevent cognitive decline as I further age? I'm assuming I wiped out most, if not all of my cognitive reserve from my stroke. Any stroke doctor in the world should be able to answer that simple question every stroke survivor has. Do you ever talk to stroke survivors at all? Not a single stroke doctor or researcher ever has contacted me. Someplace in this research they have to define complexity, hopefully it is objective rather than subjective.

Occupational cognitive complexity in earlier adulthood is associated with brain structure and cognitive health in midlife: The CARDIA study

(PMID:29985017)

Allison R Kaup

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Affiliations
  • 1 author
    1.San Francisco Veterans Affairs Health Care System.
  • 1 author
    2.Northern California Institute for Research and Education.
  • 1 author
    3.National Institute on Aging.
  • 1 author
    4.Kaiser Permanente Division of Research.
  • 2 authors
    5.Department of Radiology.
  • 1 author
    6.Department of Preventive Medicine-Epidemiology.
  • 1 author
    7.Department of Psychiatry.
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Neuropsychology [09 Jul 2018]
Type: Journal Article
DOI: 10.1037/neu0000474 The Digital Object Identifier (DOI) System enables identification of digital entities

Abstract

In line with cognitive reserve theory, higher occupational cognitive complexity is associated with reduced cognitive decline in older adulthood. How and when occupational cognitive complexity first exerts protective effects during the life span remains unclear. We investigated associations between occupational cognitive complexity during early to midadulthood and brain structure and cognition in midlife.Participants were 669 adults from the Coronary Artery Risk Development in Young Adults study (aged 18-30 years at baseline, 52% female, 38% Black). We calculated scores reflecting occupational cognitive complexity using Census Occupation Codes (years 10 and 15) and Occupational Information Network (O*NET) data. At year 25, participants had structural brain magnetic resonance imaging, diffusion tensor imaging, and cognitive testing (Rey Auditory Verbal Learning Test, Digit Symbol Substitution Test, Stroop). In adjusted mixed models, we examined associations between occupational cognitive complexity during early to midadulthood and midlife brain structure, specifically gray matter volume and white matter fractional anisotropy, and cognition in midlife (all outcomes converted to z-scores).Higher occupational cognitive complexity was associated with greater white matter fractional anisotropy (estimate = 0.10, p = .01) but not gray matter volume. Higher occupational cognitive complexity was associated with better Digit Symbol Substitution Test (estimate = 0.13, p < .001) and Stroop (estimate = 0.09, p = .01) performance but not Rey Auditory Verbal Learning Test performance.Occupational cognitive complexity earlier in adulthood is associated with better white matter integrity, processing speed, and executive function in midlife. These associations may capture how occupational cognitive complexity contributes to cognitive reserve. (PsycINFO Database Record

Funding

US Department of Veterans Affairs; Rehabilitation Research and Development Service
National Institute on Aging/National Heart, Lung, and Blood Institute
National Institute on Aging; Intramural Research Program
National Heart, Lung, and Blood Institute
National Institute on Aging

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