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.

Wednesday, May 2, 2018

Black Rice (Oryza sativa L., Poaceae) Extract Reduces Hippocampal Neuronal Cell Death Induced by Transient Global Cerebral Ischemia in Mice

No followup in humans will be done.
Our fucking failures of stroke associations will DO NOTHING. Your doctor will DO NOTHING. Your stroke hospital will DO NOTHING.  You're screwed. No human testing will occur since there is NO leadership and NO strategy in stroke!

Black Rice (Oryza sativa L., Poaceae) Extract Reduces Hippocampal Neuronal Cell Death Induced by Transient Global Cerebral Ischemia in Mice 


Exp Neurobiol. 2018 Apr;27(2):129-138. English.
Published online April 25, 2018.  https://doi.org/10.5607/en.2018.27.2.129
Copyright © Experimental Neurobiology 2018.


Black Rice (Oryza sativa L., Poaceae) Extract Reduces Hippocampal Neuronal Cell Death Induced by Transient Global Cerebral Ischemia in Mice
Sun-Nyoung Hwang,1,† Jae-Cheon Kim,1,† Mohammad Iqbal Hossain Bhuiyan,1 Joo Youn Kim,1 Ji Seon Yang,2 Shin Hee Yoon,2 Kee Dong Yoon,3 and Seong Yun Kim1
1Department of Pharmacology, Catholic Neuroscience Institute, College of Medicine, The Catholic University of Korea, Seoul 06591, Korea.
2Department of Physiology, Catholic Neuroscience Institute, College of Medicine, The Catholic University of Korea, Seoul 06591, Korea.
3College of Pharmacy, The Catholic University of Korea, Bucheon 14662, Korea.

To whom correspondence should be addressed. TEL: 82-2-2258-7324, FAX: 82-2-536-2485, Email: syk@catholic.ac.kr
†These authors contributed equally to this work.

Received January 31, 2018; Revised April 23, 2018; Accepted April 23, 2018.
This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Rice is the most commonly consumed grain in the world. Black rice has been suggested to contain various bioactive compounds including anthocyanin antioxidants. There is currently little information about the nutritional benefits of black rice on brain pathology. Here, we investigated the effects of black rice (Oryza sativa L., Poaceae) extract (BRE) on the hippocampal neuronal damage induced by ischemic insult. BRE (300 mg/kg) was orally administered to adult male C57BL/6 mice once a day for 21 days. Bilateral common carotid artery occlusion (BCCAO) was performed for 23 min on the 8th day of BRE or vehicle administration. Histological analyses conducted on the 22nd day of BRE or vehicle administration revealed that administering BRE profoundly attenuated neuronal cell death, inhibited reactive astrogliosis, and prevented loss of glutathione peroxidase expression in the hippocampus when compared to vehicle treatment. In addition, BRE considerably ameliorated BCCAO-induced memory impairment on the Morris water maze test from the 15th day to the 22nd day of BRE or vehicle administration. These results indicate that chronic administration of BRE is potentially beneficial in cerebral ischemia.




Keywords: Oryza sativa; brain ischemia; neuroprotection; hippocampus; memory and learning tests
INTRODUCTION
Although brain ischemia is frequently induced by sudden cardiac arrest, which is the main cause of death and disability in developed countries [1, 2], no neuroprotective agents are currently clinically available [3]. The hippocampus, one of the brain areas responsible for cognitive function [4], is severely damaged following cerebral ischemia [5]. Various mechanisms, including excitotoxicity [6], oxidative stress [7, 8], and inflammation [9] have been rigorously studied to explain the neuronal cell death induced by brain ischemia. Among these mechanisms, oxidative stress has been considered a main pathogenic mechanism of brain ischemia/reperfusion (I/R) injury [7]. Overproduction of reactive oxygen species (ROS) such as superoxide anions, hydrogen peroxide, and hydroxyl radicals and/or decreases in the scavenging activity of antioxidants take place during I/R injury [7]. Consequent oxidative stress leads to cellular dysfunction through oxidation of proteins, lipids, and nucleic acids, eventually resulting in cell death [7]. On the other hand, antioxidant enzymes such as superoxide dismutase (SOD), glutathione peroxidase (GPx), and catalase play important roles in scavenging ROS and maintaining redox homeostasis [7]. In addition, there have been many reports on the neuroprotective effects of antioxidants against cerebral I/R injury [7, 10, 11]. Because the level of endogenous antioxidants is insufficient to relieve oxidative stress during I/R injury, interest in dietary natural antioxidants as alternative preventive and/or therapeutic agents has grown [12].
Rice is widely consumed by about half of the world's population [13]. Interest in rice increased after epidemiological studies showed a correlation between a low incidence of cancers and coronary heart disease and rice consumption [14, 15]. In particular, black rice (Oryza sativa L.) has antioxidant effects against oxidative-stress-related diseases such as atherosclerosis [16], inflammation [17] and Alzheimer's disease [18] due to its anthocyanin antioxidants [19, 20, 21]. However, information is lacking on the effects of black rice against brain I/R injury, in which oxidative stress plays a major role.
The aim of this study was to investigate the effects of black rice extract (BRE) on neuronal cell death in the mouse hippocampus using the bilateral common carotid artery (BCCAO) model of transient global cerebral ischemia. Additionally, we performed the Morris water maze test to examine whether BRE could alleviate BCCAO-induced spatial learning and memory impairment.

More at link. 

Physiotherapy based on problem-solving in upper limb function and neuroplasticity in chronic stroke patients: A case series

Useless for survivors and researchers trying to build on this. No protocols. And they have the guts to recommend followup rather than accomplishing efficacy during their research.
https://europepmc.org/abstract/med/29691951
Upper limb recovery is one of the main concerns of stroke neurorehabilitation. Neuroplasticity might underlie such recovery, particularly in the chronic phase. The purpose of this study was to assess the effect of physiotherapy based on problem-solving in recovering arm function in chronic stroke patients and explore its neuroplastic changes.A small sample research design with a n of 3 using a pre-post test design was carried out. Neuroplasticity and function were assessed by using functional magnetic resonance imaging (during motor imagery and performance), action research arm test, motor assessment scale, and Fugl-Meyer assessment scale, at 3 sequential time periods: baseline(m0-before a 4-week period without physiotherapy), pre-treatment(m1), and post-treatment(m2). Minimal clinical important differences and a recovery score were assessed. Assessors were blinded to moment assignment. Patients1 underwent physiotherapy sessions, 50 minutes, 5 days/week for 4 weeks. Four control subjects served as a reference for functional magnetic resonance imaging changes.All patients recovered more than 20% after intervention. Stroke patients had similar increased areas as healthy subjects during motor execution but not during imagination at baseline. Consequently, all patients increased activity in the contralateral precentral area after intervention.This study indicates that 4 weeks of physiotherapy promoted the recovery of arm function and neuroplasticity in all chronic stroke patients. Future research is recommended to determine the efficacy of this therapy.


Medical Dissertation on Coffee and Apoplexy - Jos. Delagrive (1718) - RARE In Latin

Maybe your doctor needs to go back to 1718 and read up on coffee and apoplexy. Hope s/he knows Latin and can afford $250. Does your doctor know anything newer than 300 years?
https://www.ebay.com/itm/323235050456?ul_noapp=true

Transcranial Direct Current Stimulation Enhances Motor Skill Learning but Not Generalization in Chronic Stroke

Useless, even though it didn't work the protocols are not available for the next researcher to avoid. 

Is anyone ever going to put together a protocol on using tDCS and which type?   Otherwise all this fucking research and reviews are totally worthless.  This is why we need strong stroke leadership, to actually help stroke survivors.



Transcranial Direct Current Stimulation Enhances Motor Skill Learning but Not Generalization in Chronic Stroke

Background. Motor training alone or combined with transcranial direct current stimulation (tDCS) positioned over the motor cortex (M1) improves motor function in chronic stroke. Currently, understanding of how tDCS influences the process of motor skill learning after stroke is lacking. Objective. To assess the effects of tDCS on the stages of motor skill learning and on generalization to untrained motor function.  
Methods. In this randomized, sham-controlled, blinded study of 56 mildly impaired chronic stroke patients, tDCS (anode over the ipsilesional M1 and cathode on the contralesional forehead) was applied during 5 days of training on an unfamiliar, challenging fine motor skill task (sequential visual isometric pinch force task). We assessed online and offline learning during the training period and retention over the following 4 months. We additionally assessed the generalization to untrained tasks. Results. With training alone (sham tDCS group), patients acquired a novel motor skill. This skill improved online, remained stable during the offline periods and was largely retained at follow-up. When tDCS was added to training (real tDCS group), motor skill significantly increased relative to sham, mostly in the online stage. Long-term retention was not affected by tDCS. Training effects generalized to untrained tasks, but those performance gains were not enhanced further by tDCS. Conclusions. Training of an unfamiliar skill task represents a strategy to improve fine motor function in chronic stroke. tDCS augments motor skill learning, but its additive effect is restricted to the trained skill.

Centre of Research Excellence - Stroke Rehabilitation and Brain Recovery

Since this is a consumer forum your doctor never heard about or read this stuff. 7 pages.
https://www.dropbox.com/s/l3x4gj5ac2qjhfl/FINAL%20STROKE%20CONSUMER%20RESEARCH%20REPORT.pdf?dl=0


Treating PTSD With Ecstasy? You Might Have Some Questions.

With your 23% chance of stroke survivors getting PTSD, you do expect your doctor to have a treatment plan for that? Don't you?

Treating PTSD With Ecstasy? You Might Have Some Questions.



The drug known by the street names Ecstasy or Molly could be a promising treatment for post-traumatic stress disorder, according to a new study.
Research published Tuesday in the British journal The Lancet Psychiatry found that after two sessions of psychotherapy with the party drug, officially known as MDMA, a majority of 26 combat veterans and first-responders with chronic PTSD who had not been helped by traditional methods saw dramatic decreases in symptoms.
The improvements were so dramatic that 68 percent of the patients no longer met the clinical criteria for PTSD. Patients taking the drug also experienced “drastic” improvements in sleep and became more conscientious, according to the study.
The results, which mirror those of similar, small-scale studies of the illegal drug in recent years, come as MDMA is about to enter larger, Phase 3 trials this summer. Based on previous results, the Food and Drug Administration has given MDMA breakthrough therapy status, which could speed approval. If large-scale trials can replicate safety and efficacy results, the drug could be approved for legal use by 2021.

Customized Brain Cells for Stroke Patients Using Pluripotent Stem Cells

Going for a moon shot rather than tackling the solvable problems in stroke or the 5 causes of the neuronal cascade of death. 
This crapola is why stroke survivors need to be in charge. Damn we need stroke leadership and we need it NOW.
http://stroke.ahajournals.org/content/49/5/1091.long
Zaal Kokaia, Irene L. Llorente, S. Thomas Carmichael
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Regenerative medicine in stroke involves therapies that induce tissue repair and recovery. This is a distinct approach from reducing stroke damage: restoring blood flow, reducing cell death, or limiting secondary progression of injury. These 3 areas have a very concise or limited focus: restoring blood flow involves lysing or removing clots. Reducing cell death means neuroprotection. Limiting secondary damage involves modulating process of inflammation or delayed apoptosis. In contrast, tissue regeneration after stroke relates to many potential therapeutic targets, such as enhancing angiogenesis, neurogenesis, or gliogenesis; promoting axonal sprouting; stabilizing injured synaptic connections; or modulating excitatory/inhibitory balance in brain circuits. Single molecular targets may promote 1 specific tissue repair process, but clinical success is likely to occur if many of these reparative events are stimulated by 1 therapeutic treatment. This concept has informed the stem cell field in stroke. In experiments with transplantation of stem/progenitor cells in stroke, tissue repair can occur through direct formation of or replacement to neurons or glia, production of growth factors and cytokines, and stimulation of the cellular progenitors that lead to angiogenesis, neurogenesis, and gliogenesis.
Tissue repair and recovery after stroke has been shown with the first wave of studies in the field: the application of the easiest to produce stem or progenitor cells, such as adult progenitor cells (mesenchymal stromal cells, multipotent adult progenitor cells, hematopoietic stem/progenitor cells) or very early neural precursor cells that are differentiated from embryonic stem cells (ESCs) or induced pluripotent stem cells (iPSCs). With adult progenitor cells, isolation and expansion of the cells is relatively straightforward and application to stroke has progressed into 2 clinical trial efforts (Athersys, SanBio). The differentiation of ESCs or iPSCs into a very early neural precursor is a default cellular program and can be done with relatively simple methods. As a result, ESC- …
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Egg consumption and the risk of cardiovascular disease and all-cause mortality: Guangzhou Biobank Cohort Study and meta-analyses

Ask your doctor for the definition of attenuation and how it relates to their protocols for your stroke prevention. 

Egg consumption and the risk of cardiovascular disease and all-cause mortality: Guangzhou Biobank Cohort Study and meta-analyses


European Journal of Nutrition — | May 02, 2018
Xu L, et al. - In this first prospective study in China, researchers assessed the link between egg consumption and cardiovascular disease (CVD) mortality in participants without CVD at baseline (2003-08). The Meta-analysis Of Observational Studies in Epidemiology reporting guidelines were followed and Cox proportional hazards regression was used. Eating one egg daily was not found to be related to an increase in CVD or all-cause mortality. A small attenuation in stroke risk was noted. Current guidelines recommending eggs as part of a healthy diet were supported and consideration in other dietary recommendations was also advised.
Read the full article on European Journal of Nutrition

Patients satisfied with Neofect’s rehab solution’: Stanford

Hard to tell if this actually works. Impossible to tell if the rehab goals were use of the glove or use of the hand in real life.  This is what that great stroke association president needs to do.  Get stroke research correctly designed and get protocols written that are usable and understood by patients, And the only way to accomplish that is to have a stroke association run and led by stroke survivors.
http://www.koreabiomed.com/news/articleView.html?idxno=3164
Neofect said Wednesday that Stanford University has presented a research result on the patient satisfaction of its Rapael Smart Rehab Solution, at the 2018 American Academy of Neurology (AAN) Annual Meeting in Los Angeles.

The research, led by Professor Kara Flavin at Stanford Neuroscience Health Center, studied the possibility of home rehabilitation and patient satisfaction in an environment without a medical staff when using the company’s Raphael Smart Glove Home.

Raphael Smart Glove Home is a therapeutic medical device that allows patients with central nervous system disorders, such as stroke, to rehabilitate their fingers, wrists and lower arms through various rehabilitation games. The games stimulate both the patient's sense of sight and auditory senses simultaneously to help improve brain plasticity.

The device also provides personalized software that allows patients to do rehabilitation work at home, similar to that of exercises done at hospitals. Just as physicians and therapists offer training schedules tailored to the patient's condition and progression, the artificial intelligence-equipped on the machine can identify the patient's condition and provide personalized training and control game difficulty in real time.

The device also allows patients to fill out a questionnaire at the end of each training game and recommend a training game more suited to the individual's tendency.

About 55 percent of patients participating in the study achieved daily rehabilitation goals each week. Patients used the device for an average of five days a week, 27 minutes a day.

All patients stated that they were satisfied with the Rafael Smart Gloves. In detail, 89 percent of the patients showed satisfaction with overall rehabilitation training, and 67 percent replied that they had very satisfying results. The 67 percent of patients said that the device allowed them to conduct the rehabilitation training that they needed.

“The study, published at the Stanford University Hospital, has shown that patients can enjoy rehabilitation training at home through games,” Neofect CEO Ban Ho-young said. “Based on the clinical results, we were able to accelerate efforts to enter the U.S. market and lay the groundwork for future insurance coverage.”

The company plans to collaborate with Stanford University Hospital for further clinical research, as well as creating a more efficient home rehabilitation training environment by applying the fourth industrial revolution technology such as artificial intelligence, IoT, and Big Data, Ban added.

The results of the research were published in Neurology, one of the most renowned journals in the field of neurology.
corea022@docdocdoc.co.kr
<© Korea Biomedical Review, All rights reserved.>

Tuesday, May 1, 2018

Wearable Fitness Monitors Useful in Cancer Treatment

I would suggest every stroke patient should have one, but that won't occur. Your doctor would have to analyze and summarize the data to make it useful.
https://www.rdmag.com/news/2018/05/wearable-fitness-monitors-useful-cancer-treatment?

A Harvard Study Says 5 Habits Can Help You Live Way Longer. This One Is the Most Important

You won't be able to do anything with this since moderate to vigorous exercise is not defined; moderate alcohol is not defined; high diet quality is not defined. This is why I hate most stroke research, none of it is usable without 'professional' translation.

Impact of Healthy Lifestyle Factors on Life Expectancies in the US Population


Yanping Li, An Pan, Dong D. Wang, Klodian Dhana, Oscar H. Franco, Stephen Kaptoge, Emanuele Di Angelantonio, Meir Stampfer, Walter C. Willett, Frank B. Hu
https://doi.org/10.1161/CIRCULATIONAHA.117.032047
Circulation. 2018;CIRCULATIONAHA.117.032047

—Americans have a shorter life expectancy compared with residents of almost all other high-income countries. We aim to estimate the impact of lifestyle factors on premature mortality and life expectancy in the US population.
(1)never smoking,  I'm pretty good, some cigars
.
(2)body mass index of 18.5 to 24.9 kg/m2, Nope, just over this
(3)≥30 min/d of moderate to vigorous physical activity, I get 120 minutes daily
(4)moderate alcohol intake, Moderate compared to what? my college years?
(5)high diet quality score (upper 40%), No clue on this  and estimated hazard ratios for the association of total lifestyle score (0-5 scale) with mortality. We used data from the NHANES (National Health and Nutrition Examination Surveys; 2013-2014) to estimate the distribution of the lifestyle score and the US Centers for Disease Control and Prevention WONDER database to derive the agespecific death rates of Americans. We applied the life table method to estimate life expectancy by levels of the lifestyle score.
Results—During up to 34 years of follow-up, we documented 42 167 deaths. The multivariable-adjusted hazard ratios for mortality in adults with 5 compared with zero low-risk factors were 0.26 (95% confidence interval [CI], 0.22-0.31) for all-cause mortality, 0.35 (95% CI, 0.27-0.45) for cancer mortality, and 0.18 (95% CI, 0.12-0.26) for cardiovascular disease mortality. The population-attributable risk of nonadherence to 5 low-risk factors was 60.7% (95% CI, 53.6-66.7) for all-cause mortality, 51.7% (95% CI, 37.1-62.9) for cancer mortality, and 71.7% (95% CI, 58.1-81.0) for cardiovascular disease mortality. We estimated that the life expectancy at age 50 years was 29.0 years (95% CI, 28.3-29.8) for women and 25.5 years (95% CI, 24.7-26.2) for men who adopted zero low-risk lifestyle factors. In contrast, for those who adopted all 5 low-risk factors, we projected a life expectancy at age 50 years of 43.1 years (95% CI, 41.3-44.9) for women and 37.6 years (95% CI, 35.8-39.4) for men. The projected life expectancy at age 50 years was on average 14.0 years (95% CI, 11.8-16.2) longer among female Americans with 5 lowrisk factors compared with those with zero low-risk factors; for men, the difference was 12.2 years (95% CI, 10.1-14.2).
Conclusions—Adopting a healthy lifestyle could substantially reduce premature mortality and prolong life expectancy in US adults.

At Last! A Vitamin That Can Make Your Blood Vessels Younger

Your doctor won't know the answer but ask anyway. Which intervention causes the arteries to be the most flexible and what is the protocol to accomplish that? An extremely simple question, why the hell doesn't your doctor know the answer?

Watermelon juice reverses hardening of the arteries Nov. 2011


Pomegranate juice consumption for 3 years by patients with carotid artery stenosis reduces common carotid intima-media thickness, blood pressure and LDL oxidation June 2004

Good News: Coffee Could Be Cleaning Out Your Arteries.  March 2018

New study shows aged garlic extract can reduce dangerous plaque buildup in arteries Jan. 2016

The latest one here. Did your doctor prescribe ANY of these earlier ones? Don't try any of these on your own. 

The latest here:

At Last! A Vitamin That Can Make Your Blood Vessels Younger



Heart disease in all its forms continues to be the top killer of Americans. Following a heart-healthy diet like this one and getting plenty of exercise can help, but health experts continue to search for even more effective treatment—and they may have found one: A new study suggests that an antioxidant can breathe new life into old and stiff arteries.
In the small study—published in the journal Hypertension—researchers from the University of Colorado Boulder gave ten volunteers between the ages of 60 and 79 a daily supplement called MitoQ (it's a refined version of the natural antioxidant coenzyme Q10); another ten got a placebo. After six weeks, the researchers analyzed the health and size of participants' arteries, then switched the supplement group to the placebo while the others began taking MitoQ.
At the conclusion of their testing, researchers noted when volunteers got the supplement, their arteries regained flexibility. Essentially, MitoQ seemed to reverse artery aging by as much as 15 to 20 years. The study's lead author, post-doctoral student Matthew Rossman said in a press release that "An improvement of that magnitude, if sustained, is associated with about a 13 percent reduction in heart disease." (These are the 5 types of heart disease and their warning signs.)
According to Rossman's co-author Doug Seals, PhD, the study "breathes new life into the discredited theory that supplementing the diet with antioxidants can improve health." He went on to note that "it suggests that targeting... mitochondria may be a better way to reduce oxidative stress and improve cardiovascular health with aging."
Both Rossman and Dr. Seals plan to conduct additional follow-up studies to confirm their findings. Dr. Seals noted that physical activity and proper eating habits continue to be the best ways of avoiding heart disease. "At the public health level, not enough people are willing to do that," he said. "We're looking for complementary, evidence-based options to prevent age-related changes that drive disease. These supplements may be among them."