Deans' stroke musings
Use the labels in the right column to find what you want. Or you can go thru them one by one, there are only 34,047 posts. Searching is done in the search box in upper left corner. I blog on anything to do with stroke. DO NOT DO ANYTHING SUGGESTED HERE AS I AM NOT MEDICALLY TRAINED, YOUR DOCTOR IS, LISTEN TO THEM. BUT I BET THEY DON'T KNOW HOW TO GET YOU 100% RECOVERED. I DON'T EITHER BUT HAVE PLENTY OF QUESTIONS FOR YOUR DOCTOR TO ANSWER.
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, September 7, 2026
ENTF Neuromodulation Yields Reduced Disability After Stroke: An Individual Participant-Level Data Meta-Analysis
Compared With Body Mass Index, Abdominal Fat Better Predicts Cardiovascular Risk
Is your doctor competent on this?
Your do-it-yourself calculation.
Compared With Body Mass Index, Abdominal Fat Better Predicts Cardiovascular Risk
References:
Abdominal fat predicts heart disease risk better than BMI. News Release. Washington, DC: American College of Cardiology; August 11, 2026. https://www.acc.org/About-ACC/Press-Releases/2026/08/11/14/59/Abdominal-Fat-Predicts-Heart-Disease-Risk-Better-Than-BMI
Vitamin D3 Shows Greater Benefits Than D2 for Muscle and Heart Health: ICMR Study
Will your competent? doctor ever give you EXACT PROTOCOLS on your supplement use? NO? So, your INCOMPETENT DOCTOR doesn't acknowledge the need or have the ability to do it?
Vitamin D3 Shows Greater Benefits Than D2 for Muscle and Heart Health: ICMR Study
Gut Microbiome Linked to Brain Aging, Study Explores the Connection
Will your competent? doctor have EXACT PROTOCOLS to ensure this occurs? Nope? INCOMPETENCE PREVAILED!
Gut Microbiome Linked to Brain Aging, Study Explores the Connection
Healthy aging: Training the mind and emotional skills helps keep the brain healthy
Does your competent? doctor have EXACT PROTOCOLS to restore the cognitive reserve you lost because of your stroke? Doesn't even know of the need?
PURE INCOMPETENCE!
Healthy aging: Training the mind and emotional skills helps keep the brain healthy
Two studies from SISSA show that cognitive reserve built over a lifetime, together with emotional resources, helps preserve mental abilities in adults over 65
Peer-Reviewed PublicationScuola Internazionale Superiore di Studi Avanzati, intellectually stimulating work, and an active lifestyle help preserve cognitive abilities in adults over 65, leading to more effective verbal expression and stronger cognitive performance. But there is another important factor: emotions. The way we recognize and interpret them can significantly influence the efficiency of cognitive processes as we age.
These findings emerge from two new studies conducted by the laboratory of Professor Raffaella Rumiati at theScuola Internazionale Superiori di Studi Avanzati (SISSA) in Trieste, Italy, recently published in Neuropsychology and Brain Sciences. The researchers examined how a group of adults over the age of 65 performed on various tasks to identify factors that help preserve cognitive function later in life.
The first authors of the two studies, Elisabetta Pisanu and Stefania Lucia, focused in particular on the role of cognitive reserve—the set of mental resources accumulated throughout life through education, professional experience, and intellectually engaging leisure activities. The first study found that individuals with greater cognitive reserve performed better in language tasks, showing a greater ability to express themselves and retrieve the right words. Positive emotions also contributed to better language performance.
The second study showed that cognitive reserve also plays a key role in supporting working memory—the ability to temporarily retain, process, and use information to complete a task. Emotions also influence these cognitive processes: they not only improve performance, but also shape the way we respond to different stimuli. In particular, higher emotional intelligence, i.e. the ability to recognize, understand, and use emotions to guide thinking, behaviour, and relationships, was found to significantly influence participants' responses to emotional stimuli.
Overall, the findings confirm that an intellectually stimulating life helps preserve cognitive function as we grow older. They also suggest that cognitive and emotional resources do not operate independently but work together to support healthier and more efficient cognitive ageing. Both studies were carried out as part of Age-It: Ageing Well in an Ageing Society, a major Italian research programme investigating the challenges and opportunities associated with population ageing.
Finding the right words: Cognitive reserve and emotions shape language in later life
Cognitive reserve helps preserve language abilities as we age. The study published in Neuropsychology found that older adults with greater cognitive reserve maintained better language performance than their peers.
“Our findings show that older adults with higher cognitive reserve achieve language performance comparable to that of younger adults,” explains Elisabetta Pisanu, first author of the study. “In our experiments, we focused on what happens during the first ten seconds of a verbal fluency task, when people search for the right words to express their thoughts. This brief time window captures the fastest and most automatic processes involved in word retrieval, without the need for the traditional one-minute test. We found that these first ten seconds are already sufficient to reveal the effects of both ageing and cognitive reserve on language performance.”
The researchers observed that a decline in performance is already detectable during these initial moments in adults over 65. However, this decline is greatly reduced, and may even disappear, in individuals with high cognitive reserve. “In other words,” the researchers explain, “cognitive reserve helps keep the brain ‘young’, at least when it comes to language and word retrieval.”
The study also found that not all words are equally easy to retrieve. According to Pisanu: “Older adults retrieve words associated with positive emotions more easily than those linked to negative emotions. These findings suggest that, alongside the protective role of cognitive reserve, the emotional valence of words also contributes to language performance.”
Ageing and working memory: Experience and emotions support cognition in different ways
As we grow older, working memory—the ability to temporarily hold, process, and use information to complete a task—also tends to become less efficient. The study published in Brain Sciences investigated how cognitive reserve and emotional intelligence contribute to working memory, particularly when emotions are relevant to the task at hand.
To address this question, the researchers asked a group of adults over the age of 65 to complete a working memory task in which, depending on the condition, they had to focus either on the emotional expression or on the age of the faces presented to them. “We wanted to understand whether cognitive reserve and emotional intelligence play different roles depending on whether emotions are relevant—or irrelevant—to a working memory task,” explains Stefania Lucia, first author of the study.
The findings showed that cognitive reserve improves performance regardless of the type of task. “Our results indicate that cognitive reserve enhances performance accuracy independently of the experimental condition,” says Lucia. “This suggests that it plays a fundamental role in supporting the ability to maintain and manipulate the information needed to carry out a task.” The role of emotions also emerged clearly. “When the task involves emotional content, older adults perform better: they appear to become more efficient,” Lucia observes. Emotional intelligence, in turn, influences the way people process information and respond to the task.
“It affects how individuals process information and generate a response, ultimately shaping their performance. For example, people with higher emotional intelligence take longer to respond to emotional stimuli, probably because they devote greater attentional and cognitive resources to processing them. This does not reflect greater difficulty, but rather deeper and more thorough processing of emotional information.”
Raffaella Rumiati: Understanding cognitive ageing is a scientific and societal challenge
“Both of these studies were carried out as part of Age-It: Ageing Well in an Ageing Society, an ambitious national research programme that has laid the foundations for a research and data infrastructure dedicated to the study of ageing from multiple perspectives, including socio-economic, biomedical, and technological dimensions,” says Raffaella Rumiati, neuroscientist at SISSA and principal investigator of both studies.
“Italy is one of the world's longest-lived countries, together with Japan. While this is an extraordinary achievement, it also brings new challenges. As the older population continues to grow, so does the demand for healthcare and long-term care services. Understanding how to preserve cognitive abilities for as long as possible is therefore essential—not only to improve people's quality of life, but also to help ensure the sustainability of healthcare and social welfare systems.” According to Rumiati, cognitive decline and the strategies to counteract it are among the major challenges of an ageing society.“Our research can contribute in two important ways: by improving the methodological tools used to study cognitive ageing, and by identifying the factors that help protect cognitive functions as people grow older.”
She concludes: “Our findings show that an intellectually stimulating life helps preserve a wide range of cognitive functions, from language to working memory. They also highlight the important role of emotions, which, as our studies suggest, make a significant contribution to the efficiency of cognitive processes. Taken together, these findings indicate that cognitive reserve and emotional skills contribute to healthier and more efficient cognitive ageing. These are promising results that we intend to explore further in future studies.”
Journal
Brain Sciences
Sunday, September 6, 2026
Intervention Design for Individual Behavior Change in Stroke Prevention Trials
This is simple! You don't HAVE EXACT PROTOCOLS!
Your survivors know you don't have any clue what you are doing by just having guidelines/suggestions!
Intervention Design for Individual Behavior Change in Stroke Prevention Trials
Abstract
Stroke prevention requires that patients follow recommended health behaviors. However, few stroke behavioral interventions have been shown to produce clinically significant behavior change in clinical trials, likely thwarted in the design process by limited application of behavioral theoretical models and insight into mechanistic underpinnings during intervention testing. The National Institutes of Health Stage Model for Behavioral Intervention Development provides a systematic, nonlinear, iterative framework for advancing behavioral interventions from theory to practice. Here, we provide an overview of methods from behavioral medicine research that can be applied to improve the development of successful stroke preventive behavioral interventions. Behavioral change theories can provide a conceptual basis for theoretical frameworks for behavioral interventions as they identify individual-level influences on health behaviors using specified constructs tied to underlying psychosocial mechanisms. For example, interventions targeting self-efficacy behaviors for self-management after stroke may be guided by Social Cognitive Theory to deliver patient-centered care. Mixed methods that integrate qualitative and quantitative findings can be useful for identifying key patient barriers to target while designing behavioral interventions, and for evaluating intervention effects, including the extent to which they target putative behavioral mechanisms. Adaptive clinical trial methods such as SMART (Sequential Multiple Assignment Randomized Trials) for identifying optimal intervention sequences and JITAI (Just-in-Time Adaptive Interventions) that leverage real-time contextual data to tailor components can improve potency and personalization of theoretically supported behavioral interventions. Overall, in accordance with the National Institutes of Health Stage Model, successful behavioral trials to advance stroke prevention should be grounded in behavioral theory for intervention development, informed by design methods that enable assessment of behavioral mechanistic targets, and conducted with adaptive clinical trial methodologies to tailor interventions.Graphical Abstract

Get full access to this article
New injectable treatment helps the brain rebuild after stroke
Have your competent? doctor and hospital ensure that human testing occurs and EXACT PROTOCOLS ARE CREATED!
Not doing so IS PURE INCOMPETENCE!
New injectable treatment helps the brain rebuild after stroke
- Date:
- September 3, 2026
- Source:
- Duke University
- Summary:
- Duke researchers developed an injectable scaffold that helped stroke-damaged brains grow new blood vessels, support nerve regrowth, and recover movement in mice. The treatment appears to work partly by recruiting the body’s own immune cells, including neutrophils that may switch from damaging to helpful under the right conditions.
A Clinical Trial of Trontinemab in Participants With Early Symptomatic Alzheimer's Disease
With your extra risk of Alzheimers is your competent? doctor knowledgeable about this?
NO? So, PURE INCOMPETENCE!
Good to know to get rid of him/her now!
1. A documented 33% dementia chance post-stroke from an Australian study? May 2012.
2. Then this study came out and seems to have a range from 17-66%. December 2013.`
3. A 20% chance in this research. July 2013.
4. Dementia Risk Doubled in Patients Following Stroke September 2018
The latest here:
A Clinical Trial of Trontinemab in Participants With Early Symptomatic Alzheimer's Disease
Study Overview
Drug : TrontinemabOther : Placebo
- WN45447
Contacts and Locations
This section provides contact details for people who can answer questions about joining this study, and information on where this study is taking place.
To learn more, please see the
Name: Reference Study ID Number: WN45447 https://forpatients.roche.com/ No attachments to email below.
Phone Number:
Name: Fastest response: use the inquiry form. https://www.gene.com/contact-us/submit-medical-inquiry
Utility-Weighted Analysis of the Modified Rankin Scale: An Updated Review of Methods, Challenges, and Future Directions
mRS and the Berthel Index ARE NOT DAMAGE DIAGNOSES, they do not give you the 3d location of your dead and damaged neurons. In my opinion, they are FUCKING WORTHLESS to getting you recovered!
I consider the Rankin scale useless, not objective except for #6, dead? You can't use it to objectively point to the EXACT STROKE PROTOCOLS needed. The exact same deficit could have 9 causes.
See this example of nine reasons for a movement disability:
You can't tell me these all have the same solution, I'm not that stupid.
1. Penumbra damage to the motor cortex.
2. Dead brain in the motor cortex.
3. Penumbra damage in the pre-motor cortex.
4. Dead brain in the pre-motor cortex.
5. Penumbra damage in the executive control area.
6. Dead brain in the executive control area.
7. Penumbra damage in the white matter underlying any of these three.
8. Dead brain in the white matter underlying any of these three.
9. Spasticity preventing movement from occurring.
The latest here:
Utility-Weighted Analysis of the Modified Rankin Scale: An Updated Review of Methods, Challenges, and Future Directions
Abstract
The utility-weighted approach to analyzing the modified Rankin Scale (mRS) is increasingly being utilized in acute stroke clinical trials. This analytic approach assigns a patient-centered utility weight—the desirability or value of a health state to patients—to each level of the mRS. The utility-weighted-mRS analysis converts the mRS from a scale reflecting only the rank order of functional outcome after stroke into one that quantifies the value of each poststroke mRS health state from patients’ perspectives. The ability of the utility-weighted-mRS analysis to capture the unequal difference in patient health-related quality of life between each level of the mRS makes it an appealing patient-centered end point for acute stroke clinical trials. However, several concerns have historically raised skepticism regarding its value as a trial end point. Unfamiliarity with how utility weights are derived and used poses challenges to its use for shared decision-making between patients and clinicians. There are valid concerns that social, geographic, and demographic factors that differ between countries influence the mRS utility weights, so that use of uniform weights across all settings mildly reduces the precision of utility quantification, particularly in multinational stroke clinical trials. This narrative review aims to provide the clinical and research stroke community with a practical overview of key methodology in the utility-weighted-mRS analysis to aid in its interpretation, considers the advantages and challenges of using the utility-weighted-mRS analysis, and suggests future areas of study.Graphical Abstract

