Sunday, October 25, 2026
Application of InterCriteria Analysis for Evaluating Factors Influencing Quality of Life after Rehabilitation in Patients with Hemorrhagic Stroke
QUALITY OF LIFE WOULD BE GREAT IF YOU BLITHERING IDIOTS did the proper research of 100% recovery protocols instead of this useless crapola! You're all fired!
Application of InterCriteria Analysis for Evaluating Factors Influencing Quality of Life after Rehabilitation in Patients with Hemorrhagic Stroke
The personality trait that lowers your risk of dementia: study
I'd rather be an optimist and die joyfully than be miserable and live longer. I make sure I don't engage with pessimists and whiners. But I'm also helping prevent dementia by my consumption of coffee and social connections. Social connections are lubricated by happy persons, nobody wants to be around a whiner.
Pessimists May Live Longer
The latest here, which I think completely nullifies the above link to pessimists:
The personality trait that lowers your risk of dementia: study
An estimated 42% of Americans over the age of 55 are expected to develop dementia at some point, but there’s a bright side to that dark statistic.
Researchers from the Harvard T. H. Chan School of Public Health are adding to growing evidence that one particular personality trait can lower the risk of dementia — optimism.
“Together with previous studies, our findings provide support for the possibility that optimism causally contributes to cognitive health and may be considered an asset for brain health,” the researchers recently wrote in the Journal of the American Geriatrics Society.
Remaining optimistic by reframing negative thoughts may help lower an adult’s risk of developing dementia. InsideCreativeHouse – stock.adobe.com
Past research has consistently linked higher optimism to better cognitive function, slower cognitive decline and a lower risk of dementia among older adults.
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For this study, Harvard researchers utilized data from the Health and Retirement Study, a representative sample of US adults 50 and older.
Over 9,000 dementia-free adults reported their optimism levels by filling out a questionnaire.
Researchers assessed their optimism within two years of measuring their cognitive function. The average participant age was 74, and the average follow-up period was 6.7 years.
During this time, some 3,000 participants developed dementia. Those with higher optimism scores demonstrated a lower risk of dementia during the follow-up period, researchers observed.
More than 6 million Americans are living with dementia, which affects memory, communication, reasoning and planning. Satjawat – stock.adobe.com
Each six-point score increase was associated with a 15% lower risk of dementia after adjusting for factors such as age, sex, race/ethnicity, education, depression and chronic health conditions.
“Although optimism is a complex construct, and it is not clear exactly how it might translate in terms of future dementia prevention initiatives, this is an area which merits future research,” the researchers wrote.
6 things you can do right now to lower your dementia risk
“This is important given the rising prevalence of dementia and the current lack of effective treatments.”
More than 6 million Americans are living with dementia, which affects memory, communication, reasoning and planning.
Cases are expected to double by 2060 due to the aging population and the prevalence of conditions like hypertension, diabetes and obesity.
There is no cure for dementia, but certain treatments can manage symptoms, improve quality of life and even slow disease progression.
For those looking to add “optimism” to their regimen of proper nutrition, quality sleep and regular exercise, knowing where to start may not be so clear.
UTHealth Houston experts say optimism isn’t just being upbeat — it’s also facing life with hope and confidence that obstacles can be overcome.
They recommend engaging in cognitive behavioral therapy to reframe negative thoughts, expressing appreciation often, practicing mindfulness and adopting problem-solving strategies.
Low Levels Of This Mineral Are Linked To Uncontrolled Blood Sugar, Study Shows by mindbodygreen
Your competent? doctor already has had AN EXACT PROTOCOL ON MAGNESIUM FOR WELL OVER A DECADE, RIGHT?
- magnesium
(50 posts to January 2012)
- magnesium-enriched salt
(1 post to January 2018)
OH! You're finally realizing NOW that you don't have a functioning stroke doctor or hospital?
Low Levels Of This Mineral Are Linked To Uncontrolled Blood Sugar, Study Shows
Blue Zone Centenarians Share This Overlooked Trait, New Study Finds by mindbodygreen
I think I've handled the stress of my doctor's COMPLETEE FUCKING FAILURE TO GET ME RECOVERED!
Just got back from a 10 day trip to Japan and in a couple days will do South Africa, Zimbabwe, Victoria Falls. ABSOLUTELY NOTHING came from my doctor who knew nothing and did nothing!
My social connections are extensive and I keep learning new things keeping this blog up-to-date; better than your doctor!
Blue Zone Centenarians Share This Overlooked Trait, New Study Finds
Researchers Suggest Walking 3,000 Steps Daily Could Help Delay Alzheimer's Progression
Have your competent? doctor weigh in with an EXACT amount. And DEMAND 100% RECOVERY so you can achieve that goal!
Well, there's all these other numbers for walking that your doctor already told you about, right? Choose one.
Other walking prevention items:
My numbers for steps.
10,000 Steps A Day? How Many You Really Need To Boost Longevity - 4,400
This one suggests 8900 steps a day:
Can Exercise Protect Against Alzheimer's?
Exactly How Many Steps You Need to Take a Day to Not Gain Weight - 15,000
Every 2,000 steps a day could help keep premature death at bay
Scientists Reveal the Right Number of Steps to Walk to Stay Healthy (Hint: It's Not 10K)4 min read
World Walking Day: Experts Recommend 30-Minute Daily Walk To Prevent Cancer, Stroke, Others October 2024
Science Has Found the Number of Steps That Can Keep Your Brain Healthy—And It’s Not That Many
And the pace you need to do it at; 15 Minutes of Walking (at This Walking Pace) Adds Years to Your Life, Study Says
The latest here:
Researchers Suggest Walking 3,000 Steps Daily Could Help Delay Alzheimer's Progression
Acute Stroke Rehabilitation:Clinical Recommendations and Practical Guidance for Stroke Specialists
Guidance is not needed! EXACT RECOVERY PROTOCOLS are! GET THERE! You absolutely mentally challenged blithering idiots!
Acute Stroke Rehabilitation:Clinical Recommendations and Practical Guidance for Stroke Specialists
Abstract
Acute stroke rehabilitation is essential for preventing disuse syndrome and other post-stroke complications, promoting neurological recovery, improving activities of daily living, and facilitating social reintegration. However, acute stroke rehabilitation programs and service-delivery systems vary considerably among institutions in Japan. To address this issue, the Japan Stroke Society established a project team to promote the standardization and equitable provision of acute stroke rehabilitation. Based on a nationwide cross-sectional web-based questionnaire survey of 959 primary stroke centers and a literature review, the first clinical recommendations for acute stroke rehabilitation were made publicly available on the Japan Stroke Society's website in June 2023. In this article, we summarize the key concepts and clinical considerations of the acute stroke recommendations with a focus on issues relevant to stroke specialists. In-bed exercises and dysphagia screening should be promptly initiated after admission. Mobilization is generally appropriate 24-48 h after stroke onset, whereas very early, high-dose mobilization within 24 h should be performed cautiously. In selected patients with acute complications, rehabilitation training may be continued provided that neurological symptoms and systemic conditions remain stable. Adequate training duration and frequency, provision of rehabilitation on nonworking days, early dysphagia management, and nutritional support are also important components of acute stroke rehabilitation. Safe and effective rehabilitation requires a multidisciplinary approach and standardized institutional protocols. Stroke specialists should assess neurological and systemic stability, complications, comorbidities, and stroke pathophysiology to determine when rehabilitation training and mobilization can be initiated safely.
Perfusion Mismatch Ratio Predictive in Medium Vessel Occlusion Strokes
Since NOTHING WILL BE DONE with this to get survivors recovered; TOTALLY FUCKING USELESS! With NO leadership or strategy in stroke, better plan on not having one! Prognostication alone has never gotten anyone recovered; prove me wrong, you blithering idiots!
Perfusion Mismatch Ratio Predictive in Medium Vessel Occlusion Strokes
Small trial suggests potential for CT imaging measure in prognostication, treatment selection
For medium vessel occlusion strokes, perfusion mismatch ratio predicted follow-up infarct volume, a multinational trial showed, supporting a role similar to that in large vessel occlusion.
In the 94 isolated M2-segment occlusion patients studied, higher mismatch ratio had a beta score of -0.26 (95% CI -0.37 to -0.14, P<0.001) for smaller follow-up infarct volume. The relationship remained significant on multivariate analysis (beta -0.14, 95% CI -0.27 to -0.02, P=0.026).
However, absolute mismatch volume -- hypoperfused volume minus the ischemic core volume -- wasn't predictive (P=0.84), Hamza Adel Salim, MD, of the University of Texas MD Anderson Cancer Center in Houston, reported at the at the American Society of Functional Neuroradiology meeting in Newport Beach, California.
Mismatch ratio -- a CT-based calculation of the volume of hypoperfused tissue that is potentially salvageable to the volume of the irrecoverable ischemic core -- has largely been studied in large vessel occlusion stroke. Clinical trials have shown strong benefit of both thrombolytics and endovascular thrombectomy among patients with higher mismatch, although low mismatch hasn't necessarily proven a good rule out for thrombectomy selection.
"The performance of mismatch ratio in this population was consistent with its performance in large vessel occlusion," Salim told MedPage Today. "Predictive value was consistent with what we expected."
But unlike in large vessel ischemic strokes, trials have had mixed results on benefit of mechanical thrombectomy in distal medium vessel occlusion, he noted: "So the question that needs to be answered here is which distal medium vessel occlusion patient could benefit from thrombectomy? In this study, we've shown that mismatch ratio does represent fall of infarct volume in these patients. So this study should pave the way for future studies that could assess whether the treatment of distal medium vessel occlusion patients who had low mismatch ratio is not that beneficial compared to patients who have high mismatch ratio."
The study included 94 patients in an international registry with prospectively collected data who had been treated from September 2017 through July 2021 for acute ischemic stroke with isolated M2-segment occlusion. Participants had to have baseline perfusion imaging and follow-up CT or MRI for infarct volume assessment.
Other predictors of greater follow-up infarct volume were higher baseline NIH Stroke Scale score, lower Alberta Stroke Program Early CT Score (ASPECTS), and right-sided occlusion (all P<0.05).
Limitations centered on the retrospective observational design, which made selection bias and residual confounding possible. The small cohort was predominantly treated with thrombectomy, limiting treatment comparisons, and the local perfusion processing and CT/MRI-based infarct measurements varied across centers.
Also, high mismatch ratios are sensitive to small estimated core volumes, the researchers cautioned. They called for prospective external validation to confirm mismatch ratio as a biomarker to triage patients for mechanical thrombectomy.
Salim emphasized that the study did not establish that patient's treatment should be selected based on mismatch ratios in medium vessel occlusion stroke.
It might be useful in the clinical framework as a complement to imaging-based prognostication, he said. However, pending trials demonstrating utility in treatment selection, "its use should be exclusive to the prognosis to tell patients or their families or the clinicians or the neurologists that in these patients we expect to have higher follow-up infarct volume compared to patients who had high mismatch ratio," Salim said.
Salim disclosed no relevant conflicts of interest.
The #1 food you should limit to reduce stroke risk, according to dietitians
Your incompetent doctor didn't tell you about this over a decade ago, right?
Only out since April 2012 so your doctor has had plenty of time to get a protocol written up. But I bet nothing was done by your incompetent doctors and stroke hospital.
The Food That Slows Down The Brain and what counteracts that
The latest here:
The #1 food you should limit to reduce stroke risk, according to dietitians
Spoiler alert: It’s not about the salt!
Reviewed by Dietitian Karen Ansel, M.S., RDN
Key Points
- Eating too many added sugars may harm heart health and increase stroke risk.
- They do this by increasing inflammation and blood sugar, which can damage blood vessels.
- Dietitians recommend eating less added sugar and sodium and more fiber and omega-3 fats.
We often talk about our brain and heart health separately. Yet, the two are closely related. Your brain depends on the oxygenated blood from your heart to carry out all its functions. However, when a stroke occurs, an artery leading to or within the brain becomes blocked or ruptured. As a result, that part of the brain cannot get the oxygen it needs, and those brain cells die, leading to life-changing effects.
According to the American Heart Association, stroke is the fifth leading cause of death in the U.S. and a top cause of disability. That’s why it’s never too soon to take action to support your brain and heart health. The good news is that strokes are largely preventable. And adopting a heart-healthy diet is one of the most powerful steps you can take to reduce your risk. But a heart-supporting diet isn’t just about what you do eat. It’s also about what you don’t, especially sugary foods like sugar-sweetened beverages, candy, cookies, cakes and muffins. To learn more about the link between sugar-filled foods and stroke, we spoke to registered dietitians. Here’s what they told us, plus their top nutrition tips to cut your odds of stroke.
How Sugary Foods Can Increase The Risk of Stroke
Over the long term, excess sugar intake can trigger a cascade of unfavorable effects on heart health, which collectively increase your risk of stroke.
They May Trigger Inflammation
Research reveals that a high-sugar diet is an underlying cause of chronic inflammation. That can lead to a long list of chronic illnesses, including stroke. “Chronic inflammation in the body can lead to damaged blood vessels and plaque buildup, narrowed or hardened arteries, factors that can raise the risk of a stroke,” says Roxana Ehsani, M.S., RD, CSSD. However, that’s not the only way inflammation may trigger a stroke. According to one study, inflammation-related damage to organs throughout the body may prompt the release of harmful substances that travel to the brain, increasing stroke risk and hindering stroke recovery.
If you’re wondering how much added sugar is OK, the American Heart Association recommends a daily max of 6 teaspoons for women or 9 for men.
They Can Raise Blood Sugar
Most of us consume too much sugar. Even if you aren’t drinking sugary sodas, the sugar in desserts, cereals, flavored yogurt and sweet snacks can quickly add up. When eating too much sugar becomes a regular event, it can lead to large blood sugar fluctuations that can damage blood vessels, says Ehsani. This, in turn, may increase your risk of developing stroke-causing blood clots in the brain. In fact, one study found that for every 5% increase in total calories a person consumed from added sugars, their stroke risk rose by 10%. Yet, not all added sugars are created equal. Research reveals that added sugars from sugar-sweetened beverages have the greatest impact on stroke risk.
They Often Travel with Unhealthy Fats
Eating too many high-sugar foods not only increases your blood sugar levels, but it may indirectly raise cholesterol levels, which can also raise the risk of stroke. That’s because many sugary foods like cookies and pastries are also high in cholesterol-raising saturated fat, yet are lacking in blood sugar-regulating fiber. “Eating more refined grains in your diet can indirectly raise your LDL or your ‘bad’ cholesterol,” explains Patricia Kolesa, M.S., RDN. “LDL can create plaque buildup of fatty deposits in your arteries, which can lead to a stroke.”
Nutrients to Focus on for Heart Health
Here are a few nutrients to prioritize to keep your heart healthy and protect against stroke.
- Fiber: Fiber isn’t just about better digestive health. “Fiber helps bind the bad LDL cholesterol in the body and helps remove it from the body,” says Ehsani. “This can reduce the buildup of plaque in arteries and lower the risk of a stroke. Specifically soluble fiber found in whole grains like oats and barley helps flush bad cholesterol out of the body.”
- Eat Less Sodium: Excessive sodium intake can contribute to high blood pressure, which is a major risk factor for stroke. So, it’s important to keep tabs on how much of this mineral you are consuming. Since most of the sodium we eat comes from packaged foods and foods from restaurants, taking the time to read nutrition labels can help you avoid sneaky sources of sodium.
- Omega-3 Fatty Acids: “Studies have found higher intake of omega-3s may lower risk of stroke,” says Ehsani. “They help calm down inflammation, lower triglyceride levels and may even help support healthy blood pressure.” Yet, despite their potential benefits, most of us aren’t eating nearly enough of these heart-healthy fats. The best way to get them is from fatty fish such as salmon, herring, mackerel, anchovies and sardines.
- High Potassium: This mineral helps counteract the blood pressure-raising effects of sodium, making it a key ally for stroke protection. There are plenty of foods that contain potassium (not just bananas!). To get your fill, try adding more salmon, avocado, beans and dark leafy greens to your plate.
The Bottom Line
Eating too much added sugar can trigger a cascade of events that can adversely impact your heart health and increase your stroke risk. It may do this in multiple ways, such as triggering inflammation and elevating blood sugar. Plus, added sugars also tend to travel in foods that are high in cholesterol-raising saturated fat, like cakes, cookies and pastries. If you’re ready to tackle your added sugar intake, start by making small incremental changes that feel sustainable to you. These may include swapping out sugar-sweetened beverages for sparkling water, trading refined grains for whole grains or enjoying sweet treats and snacks in moderation. Your heart will thank you for it!
Read the original article on EatingWell
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