Multidisciplinary approach may improve outcomes in young women with ischemic stroke

Their lazy goal is to improve outcomes, NOT 100% recovery.  Lazy bastards.
https://www.news-medical.net/news/20171227/Multidisciplinary-approach-may-improve-outcomes-in-young-women-with-ischemic-stroke.aspx
A multidisciplinary approach aimed at providing emergency physicians with a foundation of knowledge regarding ischemic stroke in young women and addressing the unique challenges in the evaluation and diagnosis of ischemic stroke in young women may improve outcomes for patients served in the ED. That is the primary finding of a study to be published in the January 2018 issue of Academic Emergency Medicine (AEM), a journal of the Society for Academic Emergency Medicine (SAEM).
The lead author of the study is Bernard P. Chang, MD, PhD, assistant professor of medicine in the Department of Emergency Medicine, at Columbia University Medical Center, New York. Dr. Chang's research interests are in psychological and cardiovascular outcomes following acute medical events such as stroke and acute coronary syndrome.

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The study, by Chang, et al, suggests that multiple opportunities exist for future research aimed at improving detection and treatment of young women with ischemic stroke. The authors propose that work aimed at creating and applying clinical decision rules, educational campaigns designed to educate young women and emergency medicine providers, and consideration of preventive strategies that might be applied in the emergency department may ultimately lead to interventions that can improve outcomes in young women with ischemic stroke.
The findings support the need to increase transparency and align incentives so that efficient, cost-effective, high-quality, definitive patient-centered care can be provided for all patients.
Andrew W. Asimos, MD, a professor in the Department of Emergency Medicine, Carolinas Medical Center and the Medical Director of the Carolinas Stroke Network, Carolinas HealthCare System commented:
"As with other thromboembolic disease processes, this review stresses the importance of recognizing non-atherosclerotic risk factors in premenopausal women that may predispose them to stroke. While future research in predictive modeling may lead to a decision rule that formally includes some or all of these risk factors, exploring for their existence in young women may help prompt diagnostic consideration for stroke, even with subtler clinical presentations. As machine learning and other artificial intelligence becomes increasingly integrated with the electronic medical record, I envision a future in which clinicians may be prompted to consider stroke in young woman, based on the presence of these risk factors."​

Source:

http://saem.org/

Study shows regular sex improves the memory of young women

If you fall into this category, how is your doctor fulfilling the prescription for regular sex? You do want good memory post stroke, don't you? I guess

Electrosex is not a valid substitute.

http://medicalxpress.com/news/2016-12-regular-sex-memory-young-women.html
A team of researchers with McGill University in Canada has found evidence that suggests that young women who engage in frequent sex experience memory improvements. In their paper published in Archives of Sexual Behavior, the researchers outline their study, which included asking young female volunteers to fill out surveys regarding their sex lives and taking memory tests.

Prior research has shown that frequent sex (penile-vaginal intercourse between a male and female) leads to better memory in young men and also in males of other species—in this new effort, the researchers sought to learn if the same might be true for young women.
To find out, the researchers enlisted the assistance of 78 young women between the ages of 18 to 29—each was asked to fill out a questionnaire and then to take a series of tests designed to measure their ability to remember things. The tests included face and word recognition tasks—pictures of each were shown and then the volunteers were later asked if they could remember what they had seen.
The researchers report that the women who reported having the most frequent sex scored higher on the tests than did those that reported lower sex frequency. They noted also that the improvement occurred for both facial and word recognition but that it was much more pronounced for words.
Prior research has suggested that having frequent sex can bolster neurogenesis in the hippocampus, which has been found to be involved in memory retention, particularly when it involves verbal communications. Additionally, researchers have previously learned that frequent sex leads to higher levels of neurotransmitters associated with good feelings. The scientists still can't say for sure why sex might improve memory, but some theories suggest it has to do with the physical exertion involved, which causes increased blood flow and a heightened metabolism. Still unclear is whether the quality or duration of the sex (or whether having an orgasm) has any measurable impact on memory retention. The researchers add that their experiments were part of a larger study meant to better understand the underlying relationship between memory retention and various activities.

Explore further: Who has the better memory—men or women?

More information: Larah Maunder et al. Frequency of Penile–Vaginal Intercourse is Associated with Verbal Recognition Performance in Adult Women, Archives of Sexual Behavior (2016). DOI: 10.1007/s10508-016-0890-4
Abstract
Previous studies have identified a number of factors that contribute to improved cognitive function, and to memory function specifically, in cognitively normal individuals. One such factor, frequency of penile–vaginal intercourse (PVI), has been reported in a number of animal studies to be advantageous to memory for previously presented objects by increasing neurogenesis in the dentate gyrus of the hippocampus. However, studies investigating the potential benefits of frequent PVI on memory function in young women are to the best of our knowledge absent from the literature. The current study thus investigated whether the self-reported frequency of sexual intercourse was related to memory function in healthy female college students. To determine whether variation in PVI would be associated with memory performance, we asked 78 heterosexual women aged 18–29 years to complete a computerized memory paradigm consisting of abstract words and neutral faces. Results showed that frequency of PVI was positively associated with memory scores for abstract words, but not faces. Because memory for words depends to a large extent on the hippocampus, whereas memory for faces may rely to a greater extent on surrounding extra-hippocampal structures, our results appear to be specific for memory believed to rely on hippocampal function. This may suggest that neurogenesis in the hippocampus is higher in those women with a higher frequency of PVI, in line with previous animal research. Taken together, these results suggest that PVI may indeed have beneficial effects on memory function in healthy young women.

Journal reference: Archives of Sexual Behavior

Young Women Who Survive Cardiovascular Event Have Long-Term Risks

Be careful out there.
http://dgnews.docguide.com/young-women-who-survive-cardiovascular-event-have-long-term-risks?
Young women who survive a myocardial infarction (MI) or a stroke still face long-term risks of death and illness, according to a study published online by JAMA Internal Medicine.
While death rates from the acute phase of cardiovascular events have decreased, the disease burden remains high in the increasing number of survivors, which is especially important for those affected at a young age. However, little information is available about the long-term outcomes of young patients, especially women, who survive cardiovascular events.
For the current study, Frits R. Rosendaal, MD, Leiden University Medical Center, Leiden, the Netherlands, and colleagues determined long-term mortality and morbidity in young women who survived a MI or an ischaemic stroke and compared them with a control group.
The study included 226 women who had a MI (mean age, 42 years), 160 women who had an ischaemic stroke (mean age, 40 years), and 782 women (mean age, 48 years) in the comparison group with no history of arterial thrombosis. The women were followed-up for a median of nearly 19 years.
Death rates were 3.7 times higher in women who had a MI (8.8 per 1,000 person-years) and 1.8 times higher in women who had an ischaemic stroke (4.4 per 1,000 person-years) compared with the control group (2.4 per 1,000 person-years). This elevated mortality lasted over time and was mainly supported by a high rate of deaths from acute vascular events.
When both fatal and nonfatal cardiovascular events were counted, the incidence rate was highest in women who had an ischaemic stroke (14.1 per 1,000 person-years) compared with the control group. The rate was 12.1 per 1,000 person-years in women who had a MI.
In women who had a MI, the risk of cardiac events was 10.1 per 1,000 person-years and the risk of cerebral events was 1.9 per 1,000 person-years. In women who had an ischaemic stroke, the risk of cerebral events was 11.1 per 1,000 person-years and the risk of cardiac events was 2.7 per 1,000 person-years.
The authors acknowledge a reduced generalisability of their results because procedures and risk factors change over time, which is a problem of all long-term follow-up studies.
“Our findings provide direct insight into the consequences of cardiovascular diseases in young women, which persist for decades after the initial event, stressing the importance of life-long prevention strategies,” the authors concluded.
SOURCE: JAMA Internal Medicine