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.

Friday, June 21, 2019

Long work hours associated with increased risk of stroke

You have to worry about this because if you have a stroke you are completely screwed.  With NO STROKE LEADERSHIP none of the following problems are being addressed.  

All the failures here in one list; My nihilism list;

1. 30% get spasticity NOTHING THAT WILL CURE IT.

2. At least half of all stroke survivors experience fatigue Or is it 70%?

Or is it 40%?

NOTHING THAT WILL CURE IT.

3. Over half of stroke patients have attention problems.

NOTHING THAT WILL CURE IT.

NO PROTOCOLS THAT WILL CURE IT.

4.  The incidence of constipation was 48%.

NO PROTOCOLS THAT WILL CURE IT.

5. No EXACT stroke protocols that address any of your muscle limitations.

6. Poststroke depression(33% chance)

NO PROTOCOLS THAT WILL ADDRESS IT. 

7.  Poststroke anxiety(20% chance) NO PROTOCOLS THAT WILL ADDRESS IT. 

8. Posttraumatic stress disorder(23% chance)  NO PROTOCOLS THAT WILL ADDRESS IT.

  9.  12% tPA efficacy for full recovery NO ONE IS WORKING ON SOMETHING BETTER.

10.  10% seizures post stroke NO PROTOCOLS THAT WILL ADDRESS IT. 

11. 21% of patients had developed cachexia NO PROTOCOLS THAT WILL ADDRESS IT. 

 

12. You lost 5 cognitive years from your stroke  NO PROTOCOLS THAT WILL ADDRESS IT.

13.  33% dementia chance post-stroke from an Australian study?

       Or is it 17-66%?

       Or is it 20% chance in this research?

NO PROTOCOLS THAT WILL ADDRESS THIS

 

My expert perspective on this is that the ASA is leaderless because they are ignoring what survivors need, 100% RECOVERY.   Stroke is in their name but they are not even trying to solve stroke.

Long work hours associated with increased risk of stroke


Study Highlights:
  • Working long hours for 10 years or more may be associated with stroke.
  • People under age 50 had a higher risk of stroke when working long hours for a decade or more.
Embargoed until 4 a.m. CT / 5 a.m. ET Thursday, June 20, 2019
DALLAS, June 20, 2019 — People who worked long hours had a higher risk of stroke, especially if they worked those hours for 10 years or more, according to new research in the American Heart Association’s journal Stroke.
Researchers reviewed data from CONSTANCES, a French population-based study group started in 2012, for information on age (18-69), sex, smoking and work hours derived from questionnaires from 143,592 participants. Cardiovascular risk factors and previous stroke occurrences were noted from separate medical interviews.
Researchers found:
  • overall 1,224 of the participants, suffered strokes;
  • 29% or 42,542, reported working long hours;
  • 10% or 14,481, reported working long hours for 10 years or more; and
  • participants working long hours had a 29% greater risk of stroke, and those working long hours for 10 years or more had a 45% greater risk of stroke.
Long work hours were defined as working more than 10 hours for at least 50 days per year. Part-time workers and those who suffered strokes before working long hours were excluded from the study.
“The association between 10 years of long work hours and stroke seemed stronger for people under the age of 50,” said study author Alexis Descatha, M.D., Ph.D., a researcher at Paris Hospital, Versailles and Angers University and at the French National Institute of Health and Medical Research (Inserm). “This was unexpected. Further research is needed to explore this finding.
“I would also emphasize that many healthcare providers work much more than the definition of long working hours and may also be at higher risk of stroke,” Descatha said. “As a clinician, I will advise my patients to work more efficiently and plan to follow my own advice.”
Previous studies noted a smaller effect of long work hours among business owners, CEOs, farmers, professionals and managers. Researchers noted that it might be because those groups generally have greater decision latitude than other workers. In addition, other studies have suggested that irregular shifts, night work and job strain may be responsible for unhealthy work conditions.
Co-authors are Marc Fadel, M.D.; Grace Sembajwe, Sc.D.; Diana Gagliardi, M.D.; Fernando Pico, M.D., Ph.D.; Jian Li, M.D., Ph.D.; Anna Ozguler, M.D., Ph.D.; Johanes Siegrist, Ph.D.; Bradley Evanoff, M.D., M.P.H.; Michel Baer, M.D.; Akizumi Tsutsumi, M.D., D. Ms.; Sergio Iavicoli, M.D., Ph.D.; Annette Leclerc, Ph.D.; Yves Roquelaure, M.D., Ph.D.; and Alexis Descatha, M.D., Ph.D. Author disclosures are on the manuscript. 
No funding is reported by researchers.
Additional Resources:
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Statements and conclusions of study authors published in American Heart Association scientific journals are solely those of the study authors and do not necessarily reflect the association’s policy or position. The association makes no representation or guarantee as to their accuracy or reliability. The association receives funding primarily from individuals; foundations and corporations (including pharmaceutical, device manufacturers and other companies) also make donations and fund specific association programs and events. The association has strict policies to prevent these relationships from influencing the science content. Revenues from pharmaceutical and device corporations and health insurance providers are available at https://www.heart.org/en/about-us/aha-financial-information.
About the American Stroke Association
The American Stroke Association is devoted to saving people from stroke — the No. 2 cause of death in the world and a leading cause of serious disability. We team with millions of volunteers to fund innovative research, fight for stronger public health policies and provide lifesaving tools and information to prevent and treat stroke. The Dallas-based association officially launched in 1998 as a division of the American Heart Association. To learn more or to get involved, call 1-888-4STROKE or visit StrokeAssociation.org. Follow us on Facebook and Twitter. 
For Media Inquiries and AHA/ASA Expert Perspective: 214-706-1173
Karen Astle : 214-706-1392; karen.astle@heart.org
For Public Inquiries: 1-800-AHA-USA1 (242-8721)
heart.org and strokeassociation.org
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