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.

Sunday, June 7, 2020

Few US adults participate in all recommended healthy behaviors

What the fuck do you expect you blithering idiots? These are just guidelines, NOT PROTOCOLS. You want us to do something based on guesses?  This is just lazy blame the patient crapola.

Few US adults participate in all recommended healthy behaviors


Less than 7% of U.S. adults engaged in all five healthy behaviors recommended by public health institutions, including HHS, the CDC, the American Lung Association and the American Cancer Society, researchers reported. These behaviors include exercise, maintaining a healthy diet and normal BMI, and avoiding cigarette smoking and excessive alcohol consumption.
The analysis was based on 26,194 National Health and Nutrition Examination Survey responses from adults aged 20 to 79 years. The results were recently published in the American Journal of Preventive Medicine.
“The data may have relevance toward the current pandemic where underlying health has an impact regarding case fatality rates,” Eric M. Hecht, MD, PhD, associate professor in the department of public health sciences at the University of Miami Miller School of Medicine, told Healio Primary Care. “Individuals vulnerable to COVID-19 include those with obesity, smokers and illnesses tied to failure to perform healthy behaviors.”
Eric Hecht
Eric M. Hecht
Hecht and colleagues tracked respondents’ BMI over a 12-year period. They assessed other healthy behaviors — alcohol and cigarette use, healthy diet and exercise — using the following survey questions:
  • Do you now smoke cigarettes?
  • In the past 12 months, how often did you drink any type of alcoholic beverage?
  • In the past 12 months, on those days that you drank alcoholic beverages, on average, how many drinks did you have?
  • In a typical week, do you do any vigorous-intensity sports, fitness or recreational activities that cause large increases in breathing or heart rate like running or basketball for at least 10 minutes continuously?
  • In a typical week, on how many days do you do vigorous-intensity sports, fitness or recreational activities?
  • How much time do you spend doing vigorous-intensity sports, fitness or recreational activities on a typical day?
  • How healthy is your overall diet?
The researchers found that smoking rates (P = .01) and adherence to a healthy BMI declined over time (P = .03). The percentage of respondents who participated in all five healthy behaviors over time ranged from 4.4% to 6.3%. Engagement in at least four behaviors ranged from 20.2% to 22.8% and participation in two or fewer behaviors ranged from 45.4% to 48.3%. The average number of total behaviors for the study cohort was 2.6.

Reference: Hecht EM, et al. Am J Prev Med. 2020;doi:10.1016/j.amepre.2020.02.013.
According to Hecht, there is no easy way for physicians to help increase patient participation rates.
“Most practitioners and public health educators tend to focus on one behavior, like smoking,” he said. “If the focus were on a number of behaviors, more substantial claims could be made by practitioners and public educators regarding substantial health benefits.”
Primary care physicians can consider using the “five A’s” model — Ask, Advise, Assess, Assist and Arrange — to facilitate discussions with patients about changing unhealthy behaviors, according to research published in American Family Physician.
Sample talking points include asking patients about engagement in unhealthy behaviors, describing the risks of negative behaviors, providing resources and discussing the next steps toward healthy behavior.
When having discussions, “patients are likely to respond more favorably to ‘I’ statements (‘I recommend...’) rather than ‘You’ statements (‘You should...’),” H. Russell Seabright, PhD, MPH, professor of psychology at Lake Superior State University, wrote. – by Janel Miller
References:
Hecht EM, et al. Am J Prev Med. 2020;doi:10.1016/j.amepre.2020.02.013.
Larzelere M, et al. Am Fam Physician. 2012;85:591-598.
Meriwether RA, et al. Am Fam Physician. 2008;77:1129-1136.
Seabright HR. Am Fam Physician. 2018;98:719-728.

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