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.

Sunday, February 25, 2024

The MAPSTROKE project: a Computational Strategy to Improve Access to Acute Stroke Care

You braindead fucking blithering idiots! Survivors don't want 'access'; they want recovery and results! Contact me at oc1dean@gmail.com and I'll try to explain in small words how fucking wrong you are! Scared to talk to me?

Your tyranny of low expectations is showing and survivors want more than that!

The MAPSTROKE project: a Computational Strategy to Improve Access to Acute Stroke Care

Abstract

Background:

Global access to acute stroke treatment is variable worldwide, with notable gaps in low and middle-income countries (LMIC), especially in rural areas. Ensuring a standardized method for pinpointing the existing regional coverage and proposing potential sites for new stroke centers is essential to change this scenario.(This is only the first step, What are your followon steps to get to 100% recovery? No plan is not OK!)

Aims:

To create and apply computational strategies (CS) to determine optimal locations for new Acute Stroke Centers (ASCs), with a pilot application in nine Latin-American regions/countries.

Methods:

Hospitals treating Acute Ischemic Stroke (AIS) with intravenous thrombolysis (IVT) and meeting the minimum infrastructure requirements per structured protocols were categorized as ASCs. Hospitals with emergency departments, non-contrast CT scanners, and 24/7 laboratories were identified as Potential Acute Stroke Centers (PASCs). Hospital geolocation data were collected and mapped using the OpenStreetMap® dataset. A 45-minute drive radius was considered the ideal coverage area for each hospital based on the drive speeds from the OpenRouteService® database. Population data, including demographic density, was obtained from the Kontur Population® datasets. The proposed CS assessed the population covered by ASCs and proposed new ASCs or artificial points (APs) settled in densely populated areas to achieve a target population coverage (TPC) of 95%.

Results:

The observed coverage in the region presented significant disparities, ranging from 0% in the Bahamas to 73.92% in Trinidad and Tobago. No country/region reached the 95% TPC using only its current ASCs or PASCs, leading to the proposal of APs. For example, in Rio Grande do Sul, Brazil, the introduction of 132 new centers was suggested. Furthermore, It was observed that most ASCs were in major urban hubs or university hospitals, leaving rural areas largely underserved.

Conclusions:

The MAPSTROKE project has the potential to provide a systematic approach to identify areas with limited access to stroke centers and propose solutions for increasing access to AIS treatment.

Data Access Statement:

Data used for this publication are available from the authors upon reasonable request.

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