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.

Thursday, November 17, 2022

Digital brain health platform offers rapid, accurate assessment of dementia risk

 With your risk of dementia your doctor needs to use this test on you and if needed start the EXACT PROTOCOLS THAT WILL PREVENT SUCH DEMENTIA!

Oh, your doctor doesn't have dementia prevention protocols! Then you don't have a functioning stroke doctor.

Your risk of dementia, has your doctor told you of this?

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:

Digital brain health platform offers rapid, accurate assessment of dementia risk

A team of researchers at the University of Miami Miller School of Medicine have developed an online platform of metrics designed to assess a patient’s risk for developing Alzheimer’s disease and other neurological issues.

According to a university release, the Brain Health Platform is an advanced series of tests that determine the risk for dementia by combining three measures — a Resilience Index (RI), a Vulnerability Index (VI) and a Number-Symbol Coding Task (NSCT). When combined, the results help assess the risk for developing AD and other related conditions.

pictures of phone apps
Researchers from the University of Miami Miller School of Medicine have developed a novel digital platform for determining a patient’s risk for dementia. Source: Adobe Stock

“The Alzheimer’s Association estimates that roughly four out of 10 older adults will eventually develop Alzheimer’s disease,” James E. Galvin, MD, MPH, professor of neurology and director of the Comprehensive Center for Brain Health at the university, said during a virtual press conference where results of the study, recently published in the Journal of Alzheimer’s Disease, were revealed. “But we were interested in asking: What about the other six out of 10 that do not? Why don’t they develop disease?”

James E. Galvin, MD, MPH
James Galvin

Galvin acknowledged it can be difficult to determine brain health status and risk for cognitive impairment, particularly at an initial evaluation, which prompted the platform’s creation.

The Brain Health Platform is intended to “take a snapshot” of a patient’s brain health, the release stated, and provide an overview of a patient’s risk based on modifiable factors, such as physical activity and nutrition; nonmodifiable factors, including gender and medical history; and current cognitive performance.

In a cross-sectional study, Galvin and colleagues evaluated 230 participants (71 controls, 71 with mild cognitive impairment, 88 with AD and related disorders). Researchers determined VI and RI scores from physical assessments, lifestyle questionnaires, demographics, medical history and neuropsychological examination, including the NSCT.

Results showed that participants with abnormal test scores were 95.7% likely to be impaired, with a misclassification rate of 9.7%. The platform outperformed the Montreal Cognitive Assessment with a high level of accuracy (area under the curve = 0.923 ± 0.053).

Galvin noted that he has been working on the project for approximately 25 years, fueled by his grandfather’s dementia diagnosis when Galvin was in high school. Questions included on the platform were based on what those doctors failed to ask.

According to Galvin, the platform is currently being used in clinical practice, with the individual tests digitized for download onto electronic devices, and cross-validation of each test is underway. The platform also is being tested in several remote locations, including two reservations in South Dakota and American Samoa, he said.

“We hope to be able to offer this as an online tool for the everyday health care provider to be able to use in their clinical centers,” Galvin said. “By being able to tailor to an individual, we can stabilize cognitive performance or slow cognitive decline. We can improve health-related quality of life.”

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