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.

Saturday, February 16, 2019

Sex, race gap in secondary stroke prevention attributed to income, education

This is completely stupid research. Knowing the sex, race, income, or education of the stroke survivors tells you nothing of why there is a gap in secondary stroke prevention. The mentors and senior researchers on this need to be fired. 

Sex, race gap in secondary stroke prevention attributed to income, education


Income and education play a role in significant sex and racial disparities in secondary stroke preventive measures, according to data presented at the International Stroke Conference.
Paul M. Ndunda, MD, and Tabitha M. Muutu, MD, of the department of internal medicine at the University of Kansas School of Medicine, sought to study the sex and racial differences in the use of secondary preventive measures in patients with stroke and identify associated factors by analyzing data from the 2015 Behavioral Risk Factor Surveillance System composed of 18,269 patients (mean age, 67 years; 58% women, 75% white) with stroke. Outcomes analyzed included exercise, diet, smoking cessation, BMI, BP medication use and alcohol intake. (So these are the real factors that cause strokes. NOT sex, race, income, or education. You had the answer right in front of you but you went to useless categories in your title and writeup.))
“In the U.S., 795,000 people suffer a stroke and 133,000 die from it annually. Among the survivors, 185,000 get a recurrent stroke,” the researchers wrote in an abstract. “There are gender and racial disparities in stroke mortality, and there is need to understand the associated factors if the [American Heart Association]’s 2020 impact goal is to be achieved.”
Women were more likely to continue smoking (OR = 1.22; 95% CI. 1.13-1.32) and less likely to meet AHA exercise guidelines (OR = 0.87; 95% CI, 0.81-0.94). Women were also more likely to be obese or overweight (OR = 1.45; 95% CI, 1.35-1.54) and less likely to be on aspirin (OR = 0.57; 95% CI, 0.4-0.8) or BP medications (OR = 0.96; 95% CI, 0.85-1.09), Ndunda and Muutu reported.
Women were like likely to eat one or more servings of fruits (OR = 1.41; 95% CI, 1.33-1.5) and vegetables (OR = 1.32; 95% CI, 1.23-1.4) and were more likely to have medical insurance (OR = 1.21; 95% CI, 1.04-1.4) and a clinical provider (OR = 1.76; 95% CI, 1.75-1.76), the researchers wrote.
Hispanics were more likely to continue smoking compared with white patients (OR = 1.37; 95% CI, 1.15-1.63), whereas black (OR = 0.66; 95% CI, 0.61-0.72) and Hispanic patients (OR = 0.78; 95% CI, 0.68-0.88) were less likely to exercise compared with white patients, according to the data.
Black patients were less likely to eat fruits (OR = 0.7; 95% CI, 0.64-0.76) and vegetables (OR = 0.56, 95% CI, 0.51-0.61), but the effects were lessened by adjusting for income and education, the researchers wrote. – by Earl Holland Jr.
Reference:
Ndunda PM, et al. Abstract 192. Presented at: International Stroke Conference; Feb. 6-8, 2109; Honolulu.

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