tag:blogger.com,1999:blog-41322798563984637932024-02-07T13:00:31.375+11:00International Journal of Stroke The International Journal of Stroke is the flagship publication of the World Stroke Organization.Unknownnoreply@blogger.comBlogger421125tag:blogger.com,1999:blog-4132279856398463793.post-27274210846160784652020-05-07T22:56:00.000+10:002020-05-07T22:56:46.723+10:00Epidemiologic profiling for stroke in Nepal: Endeavour towards establishing database<div dir="ltr" style="text-align: left;" trbidi="on">
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<span style="font-family: "Times New Roman", serif; font-size: 12pt;">Resha Shrestha </span><span style="font-family: "Times New Roman";">@avi_neuro.</span><span style="font-family: "Times New Roman", serif; font-size: 12pt;">, MS</span><sup style="font-family: "Times New Roman", serif;">1</sup><span style="font-family: "Times New Roman", serif; font-size: 12pt;">, Avinash Chandra, MD</span><sup style="font-family: "Times New Roman", serif;">1</sup><span style="font-family: "Times New Roman", serif; font-size: 12pt;">, Samir Acharya, MS</span><sup style="font-family: "Times New Roman", serif;">1</sup><span style="font-family: "Times New Roman", serif; font-size: 12pt;">, Pranaya Shrestha, MS</span><sup style="font-family: "Times New Roman", serif;">1</sup><span style="font-family: "Times New Roman", serif; font-size: 12pt;">, Pravesh Rajbhandari, MS</span><sup style="font-family: "Times New Roman", serif;">1</sup><span style="font-family: "Times New Roman", serif; font-size: 12pt;">, Reema Rajbhandari, MD</span><sup style="font-family: "Times New Roman", serif;">1</sup><span style="font-family: "Times New Roman", serif; font-size: 12pt;">, Sharad Gajuryal, MBBS</span><sup style="font-family: "Times New Roman", serif;">1</sup><span style="font-family: "Times New Roman", serif; font-size: 12pt;">, Basant Pant, MD, Ph D</span><sup style="font-family: "Times New Roman", serif;">1</sup></div>
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<span><span lang="EN-US" style="font-family: "Times New Roman", serif; font-size: 12pt; line-height: 24px;">Affiliation:<o:p></o:p></span></span></div>
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<span><span lang="EN-US" style="font-family: "Times New Roman", serif; font-size: 12pt; line-height: 24px;">*1 Department of Neurosciences, Annapurna Neurological Institute and Allied Sciences, Maitighar Kathmandu, Nepal <o:p></o:p></span></span></div>
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<span style="font-family: "Times New Roman", serif; font-size: 12pt;"><b>Abstract</b></span></div>
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<span lang="EN-US" style="color: black; font-family: "Times New Roman", serif; font-size: 12pt; line-height: 24px;">Background<o:p></o:p></span></div>
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<span lang="EN-US" style="color: black; font-family: "Times New Roman", serif; font-size: 12pt; line-height: 24px;">Stroke is the second most common cause of death and disability worldwide. The burden of stroke is increasing in an exponential manner in low-income countries like Nepal. Despite this fact, the data of actual stroke patients in Nepal is very scarce. <o:p></o:p></span></div>
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<span lang="EN-US" style="color: black; font-family: "Times New Roman", serif; font-size: 12pt; line-height: 24px;"><b>Aims</b><o:p></o:p></span></div>
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<span lang="EN-US" style="color: black; font-family: "Times New Roman", serif; font-size: 12pt; line-height: 24px;">To collect and form a common and robust database online and to call the global community to in this regard.<o:p></o:p></span></div>
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<span lang="EN-US" style="color: black; font-family: "Times New Roman", serif; font-size: 12pt; line-height: 24px;"><b>Methods</b><o:p></o:p></span></div>
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<span lang="EN-US" style="color: black; font-family: "Times New Roman", serif; font-size: 12pt; line-height: 24px;">An electronic medical health record (MHR) was formed. Each patient at admission was assigned a unique identifier number in which all the information including diagnosis was stored which could be retrieved at the desired time. <o:p></o:p></span></div>
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<span lang="EN-US" style="color: black; font-family: "Times New Roman", serif; font-size: 12pt; line-height: 24px;"><b>Results</b><o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: "Times New Roman", serif; font-size: 12pt; line-height: 24px;">This prospective study was carried from 2016 January through 2018 May. More than 500 patients were identified as stroke of both types (total admitted patients 3942). Majority was (63%) were identified as ischemic stroke. Hypertension was present in 87.1% in hemorrhagic and 59.3% in ischemic stroke. Risk factors like smoking and alcohol were moderately prevalent (27 % smoking and alcohol consumption in ischemic and 30.9% smoking and 36.1% alcohol consumption in hemorrhagic population). Poor outcome was associated with presence of diabetes (OR: 1.31, 95% CI: 0.52-3.33, male sex (OR=1.53, 95% CI: 0.70-3.33). </span></div>
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<span lang="EN-US" style="color: black; font-family: "Times New Roman", serif; font-size: 12pt; line-height: 24px;"><b>Conclusions</b><o:p></o:p></span></div>
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<span lang="EN-US" style="color: black; font-family: "Times New Roman", serif; font-size: 12pt; line-height: 24px;">This epidemiologic study is established on a proper electronic database with majority of information stored and secured with good safety and privacy rules and is the first time ever done in Nepal. Common database on the global basis is necessary for stroke or cerebrovascular disorder.</span></div>
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<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjzQCqstY_YBP7Yi9glzCr3VD1DTyWOdwnV9KDVZrvFkl-6RPXM6CCb3j5vkjmBBXKIkktzuSyBQZhaJusFU7PWQm93FagYybc95oo226EGXpUgCUIlQhQ2iWSHQXVPh1Vc6M5eSoA-fXr-/s1600/Figure+1+.jpg" imageanchor="1" style="clear: left; float: left; margin-bottom: 1em; margin-right: 1em;"><img border="0" data-original-height="419" data-original-width="1600" height="164" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjzQCqstY_YBP7Yi9glzCr3VD1DTyWOdwnV9KDVZrvFkl-6RPXM6CCb3j5vkjmBBXKIkktzuSyBQZhaJusFU7PWQm93FagYybc95oo226EGXpUgCUIlQhQ2iWSHQXVPh1Vc6M5eSoA-fXr-/s640/Figure+1+.jpg" width="640" /></a><span lang="EN-US" style="font-family: "Times New Roman", serif; font-size: 12pt; line-height: 24px;"><b>Introduction </b><o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: "Times New Roman", serif; font-size: 12pt; line-height: 24px;">Stroke is rising in number as witnessed in several parts of the world especially in Asian countries. </span><span lang="EN-US" style="font-family: "Times New Roman", serif; font-size: 12pt; line-height: 24px;"><span>(<a href="applewebdata://F5DA83D8-9FFD-41C6-A6AF-F3A708067D8B#_ENREF_1" style="color: #954f72; text-decoration: underline;" title="Kim, 2014 #1"><span style="color: windowtext; text-decoration: none;">1</span></a>)</span></span><span lang="EN-US" style="font-family: "Times New Roman", serif; font-size: 12pt; line-height: 24px;"> However, there is lack of many epidemiologic studies representing a larger population. </span><span lang="EN-US" style="font-family: "Times New Roman", serif; font-size: 12pt; line-height: 24px;"><span>(<a href="applewebdata://F5DA83D8-9FFD-41C6-A6AF-F3A708067D8B#_ENREF_2" style="color: #954f72; text-decoration: underline;" title="Venketasubramanian, 2017 #2"><span style="color: windowtext; text-decoration: none;">2</span></a>)</span></span><span lang="EN-US" style="font-family: "Times New Roman", serif; font-size: 12pt; line-height: 24px;"> Similarly, there has been paucity of any kind of researches on the risk factor analysis for stroke. Although CDE of National Institute of Neurological Disorders and Stroke (NINDS) was developed as a part of the project in standardizing data in research,</span><span lang="EN-US" style="font-family: "Times New Roman", serif; font-size: 12pt; line-height: 24px;"><span>(<a href="applewebdata://F5DA83D8-9FFD-41C6-A6AF-F3A708067D8B#_ENREF_3" style="color: #954f72; text-decoration: underline;" title="Saver, 2012 #3"><span style="color: windowtext; text-decoration: none;">3</span></a>)</span></span><span lang="EN-US" style="font-family: "Times New Roman", serif; font-size: 12pt; line-height: 24px;"> there has been no uniformity in data in stroke research performed in Nepal and other many low-income countries. The reason for this is the lack of common stroke database. There has either been small single institutional study done or the case series that are not enough to depict the nationwide situation. As a result, there is also some level of uncertainty to the best approach for post stroke care including medical management, rehabilitation, or prevention of other complication in stroke sufferers. The low-income countries follow the guideline of management as published by the research done in the high-income countries which is unpragmatic to some extents. </span><span lang="EN-US" style="font-family: "Times New Roman", serif; font-size: 12pt; line-height: 24px;"><span>(<a href="applewebdata://F5DA83D8-9FFD-41C6-A6AF-F3A708067D8B#_ENREF_4" style="color: #954f72; text-decoration: underline;" title="Owolabi, 2015 #6"><span style="color: windowtext; text-decoration: none;">4</span></a>)</span></span><span lang="EN-US" style="font-family: "Times New Roman", serif; font-size: 12pt; line-height: 24px;"> In the last four decades, stroke incidence in low-income countries have more than doubled while it has declined to half in high in high-income countries.</span><span lang="EN-US" style="font-family: "Times New Roman", serif; font-size: 12pt; line-height: 24px;"><span>(<a href="applewebdata://F5DA83D8-9FFD-41C6-A6AF-F3A708067D8B#_ENREF_5" style="color: #954f72; text-decoration: underline;" title="Feigin, 2014 #5"><span style="color: windowtext; text-decoration: none;">5</span></a>)</span></span><span lang="EN-US" style="font-family: "Times New Roman", serif; font-size: 12pt; line-height: 24px;"><o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: "Times New Roman", serif; font-size: 12pt; line-height: 24px;"><b>Materials and Methods</b><o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: "Times New Roman", serif; font-size: 12pt; line-height: 24px;">In this study we have tried to analyze the different (traditional) risk factors among the patients with the diagnosis of stroke and put effort into establishing a common and uniform stroke database which can become a helpful resource for analyzing different risk factors, role of ethnic difference on stroke on a global basis. The cases and information was collected from the database that we established in our center. The study was prospectively carried in our institution and the study time period was from 2016 January through 2018 May. Stroke (hemorrhagic or ischemic type) was identified on the imaging basis (CT or MRI) and subsequently admitted at our center (a center dedicated for neurological care). The history and other details were obtained through the interview with the patients and their family members as well as the medical documents (if they had). Common elements for risk factors (modifiable and non modifiable) that were included in this study were: Sex, Age, Hypertension, Diabetes, Smoking, Alcohol consumption. Unpaired t-test, χ2 test and multiple logistic regression were used to analyze associations between risk factors and outcome.<span> </span><o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: "Times New Roman", serif; font-size: 12pt; line-height: 24px;"><b>Results</b><o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: "Times New Roman", serif; font-size: 12pt; line-height: 24px;">From total hospital admission (3942 patients) through this one and half years, nearly 531 (13.5%) patients were identified as stroke based on stroke imaging and clinical criteria. Patients were grouped into ischemic and hemorrhagic stroke 63% and 37% respectively.<span> </span>Age varied between 15 years till 95 years old but the mean (both type) age was 63.3 years old. <span> </span>Male preponderance was seen in both types of strokes (male 66.5%, female 33.8% in ischemic stroke and male 67.5%, female 32.55% in hemorrhagic stroke). Hypertension was seen to inclined more towards hemorrhagic stroke (87.1% in hemorrhagic and 59.3% in ischemic) while diabetes was seen to be inclined more towards ischemic stroke (16.5% in hemorrhagic and 24.9% in ischemic). Other factors like smoking and alcohol were moderately prevalent in our stroke population (27 % smoking and alcohol consumption in ischemic and 30.9% smoking and 36.1% alcohol consumption in hemorrhagic population). Risk factors were investigated, and primary outcomes were defined as mortality and morbidity measured via the Modified Rankin score (mRS). mRS of >3 was categorized as poor outcome. Poor outcome in hemorrhagic stroke was found to be associated with diabetes (OR: 1.86, 95% CI: 0.91-3.90) and alcohol consumption (OR: 1.62, 95% CI: 0.60-4.40). In patients with ischemic stroke, poor outcome was associated with presence of diabetes (OR: 1.31, 95% CI: 0.52-3.33, male sex (OR=1.53, 95% CI: 0.70-3.33), hypertension (OR=1.4795% CI: 0.65-3.38) and alcohol consumption (OR=1.56, 95% CI: 0.60-4.0) but none were significant. When all stroke cases were combined (ischemic and hemorrhagic), diabetes patients were significantly more than twice as likely to have a poor outcome (OR: 2.206, 95% CI: 1.24-3.90, p=0.006). There were few noticeable points from this research. <o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: "Times New Roman", serif; font-size: 12pt; line-height: 24px;"><b>Discussion and Conclusion</b><o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: "Times New Roman", serif; font-size: 12pt; line-height: 24px;">There is always a limited information available on stroke care in LMICs. Although it was a small study, we received numbers (>500) of stroke patients within short duration which depict the dreadful situation of stroke in Nepal. Unfortunately, the robust record keeping system in Nepal is not yet practiced in any systematic way and as a result, the nation-wide epidemiologic study of stroke has not yet been possible and we still do not know the exact number of stroke patients. The weakness of our study was that it was a small centered study, and the NIHS score was not available for each patient. We hope the findings of the risk factors and their association with stroke in this study will help garner the attention of the global scientific community to sit together and make a common stroke database where the data of low-income countries can also be kept. The analysis of such study can help health policy makers to bring or modify their future policy on public health basis. The uniformity in data collection and establishing a common database on the global basis will help the further research in future. <o:p></o:p></span></div>
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<span style="font-family: "Times New Roman", serif; font-size: 12pt;">Statement of Ethics</span></div>
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<span lang="EN-US" style="font-family: "Times New Roman", serif; font-size: 12pt; line-height: 24px;">An informed consent was taken for each patient and the study protocol was approved by the Institution’s review committee.<o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: "Times New Roman", serif; font-size: 12pt; line-height: 24px;">Disclosure Statement<o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: "Times New Roman", serif; font-size: 12pt; line-height: 24px;">The authors have no conflicts of interest to declare.<o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: "Times New Roman", serif; font-size: 12pt; line-height: 24px;">Funding Sources<o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: "Times New Roman", serif; font-size: 12pt; line-height: 24px;">This study has no funding source to declare.<o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: "Times New Roman", serif; font-size: 12pt; line-height: 24px;">Authors Contribution<o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: "Times New Roman", serif; font-size: 12pt; line-height: 24px;">Resha Shrestha- Study concept, draft<o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: "Times New Roman", serif; font-size: 12pt; line-height: 24px;"><span> </span>Avinash Chandra - Study concept, analysis and design, editing and revision of draft<o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: "Times New Roman", serif; font-size: 12pt; line-height: 24px;">Samir Acharya- Study concept, administrative works<o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: "Times New Roman", serif; font-size: 12pt; line-height: 24px;">Pranaya Shrestha- Study design<o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: "Times New Roman", serif; font-size: 12pt; line-height: 24px;">Basant Pant - Critical revision of the manuscript for important intellectual content<o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: "Times New Roman", serif; font-size: 12pt; line-height: 24px;">Pravesh Rajbhandari - Acquisition and interpretation of data<o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: "Times New Roman", serif; font-size: 12pt; line-height: 24px;">Sharad Gajuryal- Acquisition and interpretation of data<o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: "Times New Roman", serif; font-size: 12pt; line-height: 24px;">Reema Rajbhandari- Studydesign<o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: "Times New Roman", serif; font-size: 12pt; line-height: 24px;"><b>References: </b></span></div>
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<span lang="EN-US"><span><a href="https://www.ncbi.nlm.nih.gov/pubmed/?term=Kim+JS.+Stroke+in+Asia%3A+a+global+disaster.+Int+J+Stroke.+2014+Oct%3B9(7)%3A856-7." target="_blank">1.<span> </span>Kim JS. Stroke in Asia: a global disaster. Int J Stroke. 2014 Oct;9(7):856-7.</a></span><span><o:p></o:p></span></span></div>
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<span lang="EN-US"><a href="https://www.ncbi.nlm.nih.gov/pubmed/?term=Venketasubramanian+N%2C+Yoon+BW%2C+Pandian+J%2C+Navarro+JC.+Stroke+Epidemiology+in+South%2C+East%2C+and+South-East+Asia%3A+A+Review.+J+Stroke.+2017+Sep%3B19(3)%3A286-94." target="_blank">2.<span> </span>Venketasubramanian N, Yoon BW, Pandian J, Navarro JC. Stroke Epidemiology in South, East, and South-East Asia: A Review. J Stroke. 2017 Sep;19(3):286-94.</a></span><span lang="EN-US"><o:p></o:p></span></div>
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<a href="https://www.ncbi.nlm.nih.gov/pubmed/?term=Saver+JL%2C+Warach+S%2C+Janis+S%2C+Odenkirchen+J%2C+Becker+K%2C+Benavente+O%2C+et+al.+Standardizing+the+structure+of+stroke+clinical+and+epidemiologic+research+data%3A+the+National+Institute+of+Neurological+Disorders+and+Stroke+Stroke+Common+Data+Element+project.+Stroke." target="_blank"><span lang="EN-US">3.<span> </span>Saver JL, Warach S, Janis S, Odenkirchen J, Becker K, Benavente O, et al. Standardizing the structure of stroke clinical and epidemiologic research data: the National Institute of Neurological Disorders and Stroke (NINDS) Stroke Common Data Element (CDE) project. Stroke. 2012 Apr;43(4):967-73.</span><span lang="EN-US"><o:p></o:p></span></a></div>
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<span lang="EN-US"><a href="https://www.ncbi.nlm.nih.gov/pubmed/?term=Owolabi+MO%2C+Akarolo-Anthony+S%2C+Akinyemi+R%2C+Arnett+D%2C+Gebregziabher+M%2C+Jenkins+C%2C+et+al.+The+burden+of+stroke+in+Africa%3A+a+glance+at+the+present+and+a+glimpse+into+the+future.+Cardiovasc+J+Afr." target="_blank">4.<span> </span>Owolabi MO, Akarolo-Anthony S, Akinyemi R, Arnett D, Gebregziabher M, Jenkins C, et al. The burden of stroke in Africa: a glance at the present and a glimpse into the future. Cardiovasc J Afr. 2015 Mar-Apr;26(2 Suppl 1):S27-38.</a></span><span lang="EN-US"><o:p></o:p></span></div>
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<span lang="EN-US"><a href="https://www.ncbi.nlm.nih.gov/pubmed/?term=Feigin+VL%2C+Forouzanfar+MH%2C+Krishnamurthi+R%2C+Mensah+GA%2C+Connor+M%2C+Bennett+DA%2C+et+al.+Global+and+regional+burden+of+stroke+during+1990-2010%3A+findings+from+the+Global+Burden+of+Disease+Study+2010.+Lancet.+2014" target="_blank">5.<span> </span>Feigin VL, Forouzanfar MH, Krishnamurthi R, Mensah GA, Connor M, Bennett DA, et al. Global and regional burden of stroke during 1990-2010: findings from the Global Burden of Disease Study 2010. Lancet. 2014 Jan 18;383(9913):245-54.</a></span><span lang="EN-US"><o:p></o:p></span></div>
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Unknownnoreply@blogger.comtag:blogger.com,1999:blog-4132279856398463793.post-90975622400580415542020-05-07T20:05:00.000+10:002020-05-07T20:08:07.062+10:00Organization of stroke care in Japan<div dir="ltr" style="text-align: left;" trbidi="on">
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<span lang="EN-US">Takafumi Kubota<sup>1,2</sup>, Arsalan Anwar<sup>3,</sup> and Sidra Saleem<sup>3<o:p></o:p></sup></span></div>
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<span style="font-size: x-small;"><span lang="EN-US" style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin;"><span style="mso-list: Ignore;">1.<span style="font-family: "times new roman"; font-stretch: normal; font-style: normal; font-weight: normal; line-height: normal;"> </span></span></span><!--[endif]--><span lang="EN-US">Department of Neurology, Teine Keijinkai Hospital, Sapporo, Japan<br /><o:p></o:p></span><span lang="EN-US" style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin;"><span style="mso-list: Ignore;">2.<span style="font-family: "times new roman"; font-stretch: normal; font-style: normal; font-weight: normal; line-height: normal;"> </span></span></span><!--[endif]--><span lang="EN-US">Department of Neurology, University Hospitals of Cleveland Medical Center/Case Western Reserve University, OH, U.S.A.<br /><o:p></o:p></span><span lang="EN-US">3.<span style="font-family: "times new roman"; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--></span><span lang="EN-US"><span style="font-size: x-small;">Department of Internal Medicine, Dr. Ruth Pfau Hospital, Karachi, Pakistan.</span><o:p></o:p></span></div>
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<b><u><span lang="EN-US">Abstract<o:p></o:p></span></u></b></div>
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<span lang="EN-US">In Japan, stroke is one of the major health problems. In particular, stroke has become a major factor in disability-adjusted life-years as the population ages, and is a significant burden on medical expenses. Therefore, Japan makes many efforts to lower age-adjusted mortality from stroke and extend a healthy life expectancy.</span></div>
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<span lang="EN-US">Stroke is the second most common cause of mortality and disability-adjusted life-years (DALYs), worldwide [1]. In Japan, the mortality rate of stroke has declined from 180 per 10000 in 1970 to 87 per 10000 in 2018, however, it still remains the fourth most common cause of death after cancer, cardiovascular disease, and senility [2]. The DALYs impact produced by this disease is 30% of the Japanese population. Therefore, the economic health care burden produced by stroke is 1.56 trillion dollars in health costs and 1.74 trillion dollars in nursing care costs [3]. The subtypes of ischemic stroke have also been changing. In the last four decades, as a result of changes in the salty traditional diet to the western fatty diet as well as the prevention of hypertension, the incidence of lacunar infarction in ischemic stroke steadily declined by 59% for men and by 28% for women [4]. On the other hand, the percentage of cardio-embolic and atherothrombotic stroke in ischemic stroke increased from 44.9% in 1984-1998 to 60.7% in 1998-2000 [5]. <o:p></o:p></span></div>
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<span lang="EN-US"> The decline in stroke incidence is due to the contribution of Japan Stroke Society (JSS), which was established in 1975. It has provided a wide range of initiatives such as acute care, prevention, education, and rehabilitation. Currently, the JSS works with the Japanese Circulation Society (JCS) on two main goals to improve individual lives and reduce the economic burden. The first goal is to lower age-adjusted mortality from stroke and cardiovascular disease by 5% in 5 years and by 10% in 10 years. The second goal is extending a healthy life expectancy. To achieve these two goals, the JSS has five strategies as follows; (1) Human resource development, (2) Enhancement of the medical system, (3) Promotion of registration business, (4) Prevention, and (5) Strengthening of clinical and basic research [6]. <o:p></o:p></span></div>
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<span lang="EN-US"> In Japan, there are 1,369 certified training institutions of the Japan Neurosurgical Society, the Japanese Society of Neurology, and/or the JSS. The institutions are divided into two types of the center. First, the primary stroke center (PSS) can perform standard evaluations such as MRI or CT and treatment including recombinant tissue plasminogen activator (rtPA) at any time in twenty-hour seven. The necessary requirements for PSS were published in 2017, and the application of the primary stroke center was started in July 2019. Second, the comprehensive stroke center (CSC) is capable of advanced neurosurgery, endovascular surgery, stroke care unit and/or intensive care unit in addition to PSS requirements. The distribution, number, and mutual relationship of each other will be organized within a few years [3,7-9].<o:p></o:p></span></div>
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<span lang="EN-US"> For functional recovery after acute stroke care, rehabilitation medicine for stroke in Japan has improved since the beginning of the convalescent rehabilitation ward in 2000. The patients can be hospitalized for rehabilitation up to 180 days with national health insurance, 3 hours per day including weekends of rehabilitation. The convalescent rehabilitation hospitals have increased up to 1,348 hospitals and 76,631 beds (60 beds per 100,000) in 2015 which can cover the demand of 25 beds per 100,000 [10]. After being discharged from the convalescent rehabilitation hospitals, the patients are treated by the regional comprehensive care system such as outpatient clinics, visiting nursing stations, and home rehabilitation [7].<o:p></o:p></span></div>
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<span lang="EN-US"> The JSS also actively works to prevent stroke through lifestyle modifications and educating people about prevention. The prevention is primarily divided into four stages based on the severity as follows; (1) Improvement of lifestyle through public education, (2) Intervention for lifestyle-related diseases through primary care, (3) Early detection and intervention of stroke, and (4) Decrease in the mortality associated with stroke. The JSS sets each goal in four stages and monitors the results [7].<o:p></o:p></span></div>
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<span lang="EN-US"> In conclusion, Japan is aware of the impact of stroke on individual life and economic burden. In the last 40 years, Japan makes many efforts to lower age-adjusted mortality from stroke and improve the outcomes.<o:p></o:p></span></div>
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<b><u><span lang="EN-US">Reference<o:p></o:p></span></u></b></div>
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<span lang="EN-US"><a href="https://www.ncbi.nlm.nih.gov/pubmed/30871944" target="_blank">[1] Johnson CO, Nguyen M, Roth GA, Nichols E, Alam T, Abate D, Abd-Allah F, Abdelalim A, Abraha HN, Abu-Rmeileh NM, Adebayo OM. Global, regional, and national burden of stroke, 1990–2016: a systematic analysis for the Global Burden of Disease Study 2016. The Lancet Neurology. 2019 May 1;18(5):439-58.<o:p></o:p></a></span></div>
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<span lang="EN-US"><a href="https://www.mhlw.go.jp/toukei/saikin/hw/jinkou/geppo/nengai18/dl/gaikyou30.pdf." target="_blank">[2] Statistics and Information Department, Ministry of Health, Labor and Welfare (MHLW), Japan. Overview of Demographic Statistics Monthly Report 2018. https://www.mhlw.go.jp/toukei/saikin/hw/jinkou/geppo/nengai18/dl/gaikyou30.pdf. (accessed Dec 23, 2019).</a><o:p></o:p></span></div>
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<span lang="EN-US"><a href="https://www.jstage.jst.go.jp/article/jsnt/35/3/35_188/_pdf/-char/ja." target="_blank">[3] Toyoda K, Sonoda K, Sato S, Yoshimura Sl. The Japan Stroke Databank Current stroke care in Japan and ideal stroke registries. Shinkeichiryo 2018;35(3)192. https://www.jstage.jst.go.jp/article/jsnt/35/3/35_188/_pdf/-char/ja. (accessed Dec 23, 2019).</a><o:p></o:p></span></div>
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<span lang="EN-US"><a href="https://www.ncbi.nlm.nih.gov/pubmed/16717214" target="_blank">[4] Kubo M, Kiyohara Y, Ninomiya T, Tanizaki Y, Yonemoto K, Doi Y, Hata J, Oishi Y, Shikata K, Iida M. Decreasing incidence of lacunar vs other types of cerebral infarction in a Japanese population. Neurology 2006;66:1539–1544</a><o:p></o:p></span></div>
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<span lang="EN-US"><a href="https://www.ncbi.nlm.nih.gov/pubmed/16479098" target="_blank">[5] Yukito Shinohara. Regional Differences in Incidence and Management of Stroke – Is There Any Difference between Western and Japanese Guidelines on Antiplatelet Therapy?. Crebrovasc Dis 2006;21(suppl 1):17–24 DOI: 10.1159/000090358</a><o:p></o:p></span></div>
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<span lang="EN-US"><a href="http://www.jacd.info/library/jjcdp/review/52-3_01_%20kokubo.pdf." target="_blank">[6] Kokubo K. Changes in stroke Japan and other countries. Japanese Journal of Cardiovascular Disease Prevention 2017; 52(3) 223-232. http://www.jacd.info/library/jjcdp/review/52-3_01_%20kokubo.pdf. (accessed Dec 23, 2019).</a><o:p></o:p></span></div>
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<span lang="EN-US"><a href="http://www.jsts.gr.jp/img/five_year_plan.pdf" target="_blank">[7] The Japan Stroke Society. 5-year plan to overcome stroke and cardiovascular diseases. http://www.jsts.gr.jp/img/five_year_plan.pdf. (accessed Nov 23 2019).</a><o:p></o:p></span></div>
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<span lang="EN-US">[8] <a href="https://www.ncbi.nlm.nih.gov/pubmed/24828409" target="_blank">Iihara K, Nishimura K, Kada A, Nakagawara J, Ogasawara K, Ono J, Shiokawa Y, Aruga T, Miyachi S, Nagata I, Toyoda K. Effects of comprehensive stroke care capabilities on in-hospital mortality of patients with ischemic and hemorrhagic stroke: J-ASPECT study. PloS one. 2014 May 14;9(5):e96819.</a><o:p></o:p></span></div>
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<span lang="EN-US">[9] <a href="https://www.ahajournals.org/doi/full/10.1161/JAHA.119.013306" target="_blank">Toyoda K, Inoue M, Koga M. Small but steady steps in stroke medicine in Japan. Journal of the American Heart Association. 2019 Aug 20;8(16):e013306.</a><o:p></o:p></span></div>
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<span lang="EN-US"><a href="https://www.jstage.jst.go.jp/article/jsnt/33/3/33_389/_pdf" target="_blank">[10] Miyai I. Update on stroke rehabilitation. Shinkeichiryo 2016;33(3)389-393. https://www.jstage.jst.go.jp/article/jsnt/33/3/33_389/_pdf. (accessed Dec 23, 2019).</a><o:p></o:p></span></div>
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Unknownnoreply@blogger.comtag:blogger.com,1999:blog-4132279856398463793.post-19442237607690332072020-03-02T16:34:00.002+11:002020-03-02T16:34:59.581+11:00🎧Peter Knapp on the 📻Frequency of #anxiety after #stroke<div dir="ltr" style="text-align: left;" trbidi="on">
🎧Peter Knapp on the 📻Frequency of #anxiety after #stroke: an updated systematic review and meta-analysis of #observationalstudies👉<a href="https://www.blogger.com/%F0%9F%8E%A7Peter%20Knapp%20on%20the%20%F0%9F%93%BBFrequency%20of%20#anxiety after #stroke: an updated systematic review and meta-analysis of #observationalstudies%F0%9F%91%89 https://www.podbean.com/eu/pb-vzczm-d52f2c#.XlyV9qyzlBI.twitter" target="_blank">CLICK HERE TO LISTEN</a><br />
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Unknownnoreply@blogger.comtag:blogger.com,1999:blog-4132279856398463793.post-26358442834814989592020-02-19T14:57:00.001+11:002020-02-19T14:57:17.927+11:00Eivind Berge 1964-2020<div dir="ltr" style="text-align: left;" trbidi="on">
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<span style="font-size: 11pt;">It is with great sadness we announce the death of Professor Eivind Berge. </span></div>
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<span style="font-size: 11pt;">He died in early February from aggressive prostate cancer. He was a major contributor to stroke science and to evidence-based medicine. </span></div>
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<span style="font-size: 11pt;">He ran large clinical trials of his own, but also had major roles in key international stroke trials. </span></div>
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<span style="font-size: 11pt;">He was a research leader, a mentor to junior researchers, and a good friend to many in the stroke community. </span></div>
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<span style="font-size: 11pt;">His wise judgement and broad experience were highly valued by colleagues around the world. </span></div>
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<span style="font-size: 11pt;">His work with trials, systematic reviews and guidelines have improved the treatment and prognosis of stroke patients. Eivind had a unique combination of wisdom, kindness and determination and our community has lost a wonderful friend and colleague. </span></div>
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<span style="font-size: 11pt;">Our thoughts are with Eivinds’s family. </span></div>
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Unknownnoreply@blogger.comtag:blogger.com,1999:blog-4132279856398463793.post-20109242768481931682019-12-16T14:58:00.003+11:002019-12-16T14:58:44.447+11:00POCAST RELEASE IJS 🎧 LISTEN Informal caregivers in stroke: life impact, support and psychological well-being - a Swedish🇸🇪 Stroke Register (Riksstroke) study with Stefan Sennfalt<div dir="ltr" style="text-align: left;" trbidi="on">
<span data-offset-key="ca24b-0-0" style="caret-color: rgb(20, 23, 26); color: #14171a; font-family: system-ui, -apple-system, BlinkMacSystemFont, "Segoe UI", Roboto, Ubuntu, "Helvetica Neue", sans-serif; font-size: 19px; white-space: pre-wrap;"><span data-text="true" style="-webkit-text-fill-color: transparent; background-image: url("https://abs-0.twimg.com/emoji/v2/svg/1f3a7.svg"); background-position: center center; background-repeat: no-repeat no-repeat; background-size: 1em 1em; padding: 0.15em;">🎧</span></span><span data-offset-key="ca24b-1-0" style="caret-color: rgb(20, 23, 26); color: #14171a; font-family: system-ui, -apple-system, BlinkMacSystemFont, "Segoe UI", Roboto, Ubuntu, "Helvetica Neue", sans-serif; font-size: 19px; white-space: pre-wrap;">LISTEN Informal caregivers in stroke: life impact, support and psychological well-being - a Swedish</span><span data-offset-key="ca24b-2-0" style="caret-color: rgb(20, 23, 26); color: #14171a; font-family: system-ui, -apple-system, BlinkMacSystemFont, "Segoe UI", Roboto, Ubuntu, "Helvetica Neue", sans-serif; font-size: 19px; white-space: pre-wrap;"><span data-text="true" style="-webkit-text-fill-color: transparent; background-image: url("https://abs-0.twimg.com/emoji/v2/svg/1f1f8-1f1ea.svg"); background-position: center center; background-repeat: no-repeat no-repeat; background-size: 1em 1em; padding: 0.15em;">🇸🇪</span></span><span data-offset-key="ca24b-3-0" style="caret-color: rgb(20, 23, 26); color: #14171a; font-family: system-ui, -apple-system, BlinkMacSystemFont, "Segoe UI", Roboto, Ubuntu, "Helvetica Neue", sans-serif; font-size: 19px; white-space: pre-wrap;"> Stroke Register (Riksstroke) study with Stefan Sennfalt </span><span style="color: #1b95e0; font-family: system-ui, -apple-system, BlinkMacSystemFont, "Segoe UI", Roboto, Ubuntu, "Helvetica Neue", sans-serif; font-size: 19px; white-space: pre-wrap;">https://www.podbean.com/media/share/pb-p349q-cb7e4c#.Xfb8LUMrH_I.twitter</span><br />
<span data-offset-key="ca24b-5-0" style="caret-color: rgb(20, 23, 26); color: #14171a; font-family: system-ui, -apple-system, BlinkMacSystemFont, "Segoe UI", Roboto, Ubuntu, "Helvetica Neue", sans-serif; font-size: 19px; white-space: pre-wrap;"><br /></span>
<span style="caret-color: rgb(20, 23, 26); color: #14171a; font-family: system-ui, -apple-system, BlinkMacSystemFont, "Segoe UI", Roboto, Ubuntu, "Helvetica Neue", sans-serif; font-size: 19px; white-space: pre-wrap;"> </span><a href="https://journals.sagepub.com/doi/full/10.1177/1747493019858776" style="caret-color: rgb(20, 23, 26); font-family: system-ui, -apple-system, BlinkMacSystemFont, "Segoe UI", Roboto, Ubuntu, "Helvetica Neue", sans-serif; font-size: 19px; white-space: pre-wrap;" target="_blank">Find the article here!</a><br />
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Unknownnoreply@blogger.comtag:blogger.com,1999:blog-4132279856398463793.post-45991177992174939312019-10-31T02:37:00.003+11:002019-10-31T02:37:22.273+11:00Hundreds gathered to raise awareness and support life after stroke in Singapore and Malaysia <div dir="ltr" style="text-align: left;" trbidi="on">
<i style="mso-bidi-font-style: normal;"><span style="font-family: "arial" , sans-serif;">WSO Stroke Support Organisations in Singapore
and Malaysia led inspiring events to raise awareness and celebrate life after
stroke. The events also raised the flag for the World Stroke Campaign virtual relay Asia route #DontBeTheOne</span></i><br />
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<b style="mso-bidi-font-weight: normal;"><span style="font-family: "arial" , sans-serif;">Stepping out for Stroke in Singapore<o:p></o:p></span></b><br />
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<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgZUgqSOxJrBlFKdny3QACyFJ-OwrYyYLK6XUYnQ473GKumMTNoyMikD2aXJPcjd9JYHmHnPo1Vc6-t80WZIO4xCGyj4ORaDozzhWBpi54yTYN3vhJC240auLGJErij3HbBdCta2p83qoZ_/s1600/Singapore.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="191" data-original-width="569" height="107" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgZUgqSOxJrBlFKdny3QACyFJ-OwrYyYLK6XUYnQ473GKumMTNoyMikD2aXJPcjd9JYHmHnPo1Vc6-t80WZIO4xCGyj4ORaDozzhWBpi54yTYN3vhJC240auLGJErij3HbBdCta2p83qoZ_/s320/Singapore.jpg" width="320" /></a></div>
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<span style="font-family: arial, sans-serif;">Singapore
National Stroke Association (SNSA) held its fourth Stepping out for Stroke
event on Saturday 12</span><sup style="font-family: arial, sans-serif;">th</sup><span style="font-family: arial, sans-serif;"> October. The event had over 800 registered
participants including nearly 100 stroke survivors and carers.</span></div>
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<span style="font-family: "arial" , sans-serif;">Stepping out for
Stroke is SNSA’s annual fundraising event, where it encourages participation
from people affected by stroke, medical professionals, students and the wider
community in whatever way they choose; walking, running, cycling, and in
wheelchairs and pushchairs. The Mayor of Central Singapore CDC, Denise Phua was
the guest of honour and talked passionately about the need to prevent avoidable
strokes and to support life after stroke.<o:p></o:p></span><br />
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<span style="font-family: "arial" , sans-serif;">Aanandha Sharurajah, who had a stroke in 2012 and is a member of the SNSA Executive Committee said, 'Stepping out for Stroke was a really important day for me, as it was a day my whole family was involved in. We all wore our purple t-shirts, showing that we were standing for stroke survivors and greater awareness of this illness, and it was the largest number of people I've witnessed so far standing for stroke'.</span><span style="font-family: Calibri, sans-serif; font-size: 11pt;"> </span></div>
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<span style="font-family: "arial" , sans-serif;">The event was
an opportunity to mobilise the community to raise funds, increase awareness of
stroke and engage in physical activity. The day also included the launch of
the FAST Heroes 995 Programme in Singapore, which is a collaboration between
SNSA, Boehinger Ingelheim’s Angels Initiative and the World Stroke Organization
<a href="https://worldstrokeorganization.blogspot.com/2019/07/be-stroke-superhero-be-fast.html">https://worldstrokeorganization.blogspot.com/2019/07/be-stroke-superhero-be-fast.html</a>.
The programme is a </span><span lang="EN-US" style="font-family: "arial" , sans-serif; mso-ansi-language: EN-US;">kindergarten-level education initiative </span><span style="font-family: "arial" , sans-serif;">aimed at equipping children with knowledge
about what stroke looks like and what to do in an emergency.<o:p></o:p></span></div>
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<span style="font-family: "arial" , sans-serif;">The event also
joined the World Stroke Campaign virtual relay Asia Route, getting behind the
#DontBeTheOne 2019 Campaign theme.<o:p></o:p></span></div>
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<span style="font-family: "Arial",sans-serif;">Ng Wai May,
President of SNSA said 'Our signature Stepping out for Stroke community
event was held on 12<sup>th</sup> October 2019. The event was very
successful with over 800 participants and we have raised over $60,000 so that
we can offer free programmes for stroke survivors and caregivers'.<o:p></o:p></span></div>
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<b style="mso-bidi-font-weight: normal;"><span style="font-family: "arial" , sans-serif;"><o:p>For more information about SNSA visit:</o:p></span></b></div>
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<b style="mso-bidi-font-weight: normal;"><span style="font-family: "arial" , sans-serif;"><o:p>www.</o:p></span></b><span style="font-family: "arial" , "helvetica" , sans-serif;"><b><a href="https://www.snsa.org.sg/">snsa.org.sg</a> </b></span><b><span lang="EN-US" style="font-family: "arial" , sans-serif;"> | </span></b><a href="https://www.facebook.com/SNSA.SG/"><span style="font-family: "arial" , "helvetica" , sans-serif;"><b>https://www.facebook.com/SNSA.SG</b></span></a></div>
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<b><span lang="EN-US" style="font-family: "arial" , sans-serif; mso-ansi-language: EN-US;">Stroke Games 2019 – paving the way for more champions<o:p></o:p></span></b><br />
<b><span lang="EN-US" style="font-family: "arial" , sans-serif; mso-ansi-language: EN-US;"><br /></span></b>
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<span style="font-family: arial, sans-serif;">Stroke Games 2019 kicked off on Saturday 19</span><sup style="font-family: arial, sans-serif;">th</sup><span style="font-family: arial, sans-serif;">
October with a vibrant opening ceremony, with flags from
Malaysia, the National Stroke Association of Malaysia (NASAM), World Stroke
Organization #DontBeTheOne and the nine NASAM contingents from across Malaysia. The event was
declared open by YABhg Tun Jeanne Abdullah, Patron of the Malaysian Paralympic
Council. Before its arrival into the stadium, the Stroke Games torch was
passed on by a relay of stroke champions who ran, walked or wheelchaired it
along the way.</span></div>
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<span lang="EN-US" style="font-family: "arial" , sans-serif; mso-ansi-language: EN-US;">'How do you inspire someone who is down and out after
a debilitating stroke?' asked Janet Yeo, </span><span style="font-family: "arial" , sans-serif; mso-bidi-font-weight: bold;">Founder Chairperson of NASAM, </span><span lang="EN-US" style="font-family: "arial" , sans-serif; mso-ansi-language: EN-US;">in
her opening speech.<span style="mso-spacerun: yes;"> '</span>How do you inspire
that person to climb mountains, to aim high and excel? To aspire to be a
champion and to believe there is life after stroke?'</span><b><span style="font-family: "arial" , sans-serif;"><o:p></o:p></span></b></div>
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<span lang="EN-US" style="font-family: "arial" , sans-serif; mso-ansi-language: EN-US;">'When you are inside a stroke damaged body, believe me
the last thing on your mind is sports or competitiveness,' said Yeo, a stroke
survivor herself.<span style="mso-spacerun: yes;"> '</span>We at NASAM want to
reach out and mend such broken spirits and one of the ways is through sports. For
a whole year we carefully crafted and designed sporting events and then
transferred them into our daily rehab regime before our first
Games in 2017.<span style="mso-spacerun: yes;"> </span>Suddenly rehab was no
longer a boring word. It was not a passive, repetitive routine'.<span style="mso-spacerun: yes;"> </span><o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: "arial" , sans-serif; mso-ansi-language: EN-US;">Yeo added that the Stroke Games 2019 is bigger and will
generate more champions who will inspire others to achieve greater
recovery.<span style="mso-spacerun: yes;"> '</span>The Games is NASAM’s
contribution to the stroke community around the world. We wish that this
fighting spirit of a stroke champion is ignited into every person affected by a
stroke no matter where they are’.<span style="mso-spacerun: yes;"> </span><o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: "arial" , sans-serif; mso-ansi-language: EN-US;">The Games involved more than 800 participants from
NASAM’s nine clubs across Malaysia as well as volunteers from corporations,
universities and hospitals. There were 25 events including: 50m and 300m walk/run;
hand cycle; modified weight lifting and seated volleyball. The youngest athlete was Lee Yong Xian aged
16, who represented Kuantan in the 300m for men.<span style="mso-spacerun: yes;"> </span>The oldest was Mariya Pillay aged 81,
representing Malacca in hand cycle for women.<span style="mso-spacerun: yes;">
</span><o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: "arial" , sans-serif; mso-ansi-language: EN-US;">NASAM Petaling Jaya and Malacca emerged as champions
with a tie, with Perak finishing runner-up.</span><br />
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<b><span lang="EN-US" style="font-family: "arial" , sans-serif; mso-ansi-language: EN-US;">For more information about NASAM visit:</span></b></div>
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<b><span lang="EN-US" style="font-family: "arial" , sans-serif; mso-ansi-language: EN-US;">www.nasam.org |
facebook.com/NationalStrokeAssociationMalaysia</span></b></div>
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Sarah Belsonhttp://www.blogger.com/profile/07525375977513637375noreply@blogger.comtag:blogger.com,1999:blog-4132279856398463793.post-28600639363152589532019-10-29T01:23:00.001+11:002019-10-29T21:32:30.683+11:00World Stroke Organization Launches Strategy to Cut Stroke in Half<div class="MsoNormal" style="-webkit-text-size-adjust: auto; -webkit-text-stroke-width: 0px; caret-color: rgb(0, 0, 0); color: black; font-family: Cambria; font-size: medium; font-style: normal; font-variant-caps: normal; font-weight: normal; letter-spacing: normal; margin: 0cm 0cm 0.0001pt; orphans: auto; text-align: start; text-decoration: none; text-indent: 0px; text-transform: none; white-space: normal; widows: auto; word-spacing: 0px;">
NEWS RELEASE<br />
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<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjf5OSqNpp5nlvo1ASZtX3CSgRMpKzTfG2soTXmevbaLBSV-mPOuji02xoPUVCuxyjanhDWBcWVQZIhzgt_q0WfApmxz9KyMLGkJ_shaS0cBAwsfhoPcuB1h5W-hQGHX9uBxDdOGouBDkJx/s1600/WSO_EmailBanner.jpg" imageanchor="1" style="clear: left; float: left; margin-bottom: 1em; margin-right: 1em;"><img border="0" data-original-height="534" data-original-width="1600" height="132" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjf5OSqNpp5nlvo1ASZtX3CSgRMpKzTfG2soTXmevbaLBSV-mPOuji02xoPUVCuxyjanhDWBcWVQZIhzgt_q0WfApmxz9KyMLGkJ_shaS0cBAwsfhoPcuB1h5W-hQGHX9uBxDdOGouBDkJx/s400/WSO_EmailBanner.jpg" width="400" /></a></div>
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<b><span lang="EN-US" style="font-size: 14pt;"><br /></span></b></div>
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<span style="font-size: 11pt;">On World Stroke Day Oct 29th, the World Stroke Organization has announced the launch of an ambitious global strategic framework that has the potential to cut global stroke incidence by half.</span><span style="font-size: 11pt;"> </span></div>
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<span lang="EN-US" style="font-size: 11pt; line-height: 22px;">The framework, developed by an international network of leading stroke clinicians and researchers, builds on strong evidence of impact in the prevention of stroke and circulatory disease. It provides a roadmap for governments and health systems that points prevention focus towards low and medium risk populations with an approach that combines improved access to stroke preventive treatment, development of a stroke trained community health workforce, improved public awareness and mobile technologies that support the identification of risk factors and individual behavior change. </span><span style="background-color: white; color: black; font-size: 11.5pt; line-height: 23px;">A study trial that aims to prove the efficacy of the WSO strategy and the feasibility of implementation in other locations is scheduled to start in Brazil, through a partnership of the Ministry of Health and the Hospital Moinhos de Vento.</span><span lang="EN-US" style="font-size: 11pt; line-height: 22px;"><o:p></o:p></span></div>
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<span lang="EN-US" style="font-size: 11pt; line-height: 22px;">‘The latest data analysis shows that 1 in 4 of us will have a stroke in our lifetime, just 10 years ago that risk was 1 in 6. Stroke is a devastating disease and is </span><span style="font-size: 11pt;">a leading cause of disability and death worldwide. It is essential that we act urgently and focus our efforts on where we can have greatest impact on prevention’ said WSO President Prof Michael Brainin. ‘We need action at every level, from governments we need policies to address the drivers of stroke such as taxation of diet, alcohol and tobacco. We also need them to invest to ensure access to screening and preventive treatments. For individuals we need everyone to understand their risk and to commit to taking the steps they can to prevent a stroke.’</span></div>
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<span lang="EN-US" style="font-size: 11pt; line-height: 22px;">This year’s World Stroke Day #DontBeTheOne campaign aims to raise public awareness of stroke with a high profile social media campaign a </span><span lang="EN-US"><a href="http://www.worldsstrokecampaign.org/" style="color: purple; text-decoration: underline;"><span style="font-size: 11pt; line-height: 22px;">patient information website</span></a></span><span lang="EN-US" style="font-size: 11pt; line-height: 22px;"> complemented by on the ground activities by WSO members urging people to get informed about stroke risk.<o:p></o:p></span></div>
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<span lang="EN-US" style="font-size: 11pt; line-height: 22px;">For more information contact campaign@world-stroke.org <o:p></o:p></span></div>
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Anita Wisemanhttp://www.blogger.com/profile/11677807661271691048noreply@blogger.comtag:blogger.com,1999:blog-4132279856398463793.post-82856493387569050802019-10-25T01:09:00.001+11:002019-10-25T01:09:10.608+11:00Stroke in Sierra Leone (SISLE) research group aims to understand and improve stroke care<div dir="ltr" style="text-align: left;" trbidi="on">
<i style="font-family: arial, helvetica, sans-serif;">Stroke in Sierra
Leone (SISLE) is a research collaboration funded by the National Institute of
Health Research (NIHR), the UK’s largest funder of health and care research, between
King's College London and the College of Medicine and Allied Health Sciences (Freetown).
This group is carrying out mixed methods research to try and understand stroke
in Sierra Leone.</i><br />
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<b style="mso-bidi-font-weight: normal;"><span style="font-family: "arial" , "helvetica" , sans-serif;">Here in this
introductory blog, the team gives us an overview of the project, and the impact
of stroke in this country. <o:p></o:p></span></b></div>
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<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEj7wOMSaIhnw_KLF1EOEiqm_B2itZbPLmge-37NPPqgufaskIwJtcyud9aYsTM0i7d05BuMknRP0ae5s_47s8FjfkDZ_rlcTYN6aWE76EGXgcJUYcmC5h75PyKhxjMYRBo8Dk_vfzA0i1j8/s1600/SISLE.png" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="311" data-original-width="667" height="148" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEj7wOMSaIhnw_KLF1EOEiqm_B2itZbPLmge-37NPPqgufaskIwJtcyud9aYsTM0i7d05BuMknRP0ae5s_47s8FjfkDZ_rlcTYN6aWE76EGXgcJUYcmC5h75PyKhxjMYRBo8Dk_vfzA0i1j8/s320/SISLE.png" width="320" /></a></div>
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<b style="mso-bidi-font-weight: normal;"><u><span style="font-family: "arial" , "helvetica" , sans-serif;">Pa Alusine</span></u></b></div>
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<span style="color: black;"><span style="font-family: "arial" , "helvetica" , sans-serif;">The Kamara family were enjoying a
boisterous Sunday lunch in the family home after church. As usual Pa
Alusine, the head of the family presided over the lunch, his sense of humour and
playful nature had the grandchildren squealing with laughter. <o:p></o:p></span></span></div>
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<span style="color: black;"><span style="font-family: "arial" , "helvetica" , sans-serif;">He excused himself briefly to go
to the bathroom, when his daughter looked back and saw him gripping the door
frame and making a funny face, she thought it was another joke for the grandchildren.
<o:p></o:p></span></span></div>
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<span style="color: black;"><span style="font-family: "arial" , "helvetica" , sans-serif;">It took a few moments to realise
something wasn't quite right.<o:p></o:p></span></span></div>
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<span style="color: black;"><span style="font-family: "arial" , "helvetica" , sans-serif;">Pa Alusine was gripping the doorframe because
he had lost the strength in his right leg. He was unable to speak, he couldn’t ask
for help. <o:p></o:p></span></span></div>
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<br /></div>
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<span style="color: black;"><span style="font-family: "arial" , "helvetica" , sans-serif;">The family reacted quickly and
laid him on the bed. They called a nurse who lived in the community nearby, she
arrived at the bedside soon after. On her advice the family placed him in a car
and drove directly to Connaught Hospital. <o:p></o:p></span></span></div>
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<span style="font-family: "arial" , "helvetica" , sans-serif;"><span style="color: black;">Pa Alusine had had a stroke,
something that is not well understood in Sierra Leone. <br style="mso-special-character: line-break;" />
<!--[if !supportLineBreakNewLine]--><br style="mso-special-character: line-break;" />
<!--[endif]--></span><o:p></o:p></span></div>
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<b style="mso-bidi-font-weight: normal;"><u><span style="font-family: "arial" , "helvetica" , sans-serif;">Stroke in Sub
Saharan Africa <o:p></o:p></span></u></b></div>
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<span style="font-family: "arial" , "helvetica" , sans-serif;">The disease burden of stroke is increasing in this region
because of increases in poor diets, smoking, alcohol consumption and lack of
exercise. <o:p></o:p></span></div>
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<span style="font-family: "arial" , "helvetica" , sans-serif;">As a result of these changes more people in cities like
Freetown are at risk of non-communicable diseases such as stroke. <o:p></o:p></span></div>
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<br /></div>
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<span style="font-family: "arial" , "helvetica" , sans-serif;">However, many things about stroke in this region are not
understood, such as; which ethnic groups are most at risk? How long does it
take patients to come to the hospital after a stroke? What is the cost of care?
How do survivors’ lives change as a result of stroke?</span></div>
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<b style="mso-bidi-font-weight: normal;"><u><span style="font-family: "arial" , "helvetica" , sans-serif;">The Connaught
Hospital Stroke Register <o:p></o:p></span></u></b></div>
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<span style="font-family: "arial" , "helvetica" , sans-serif;">The SISLE project is using a stroke register model to
collect data about strokes.<o:p></o:p></span></div>
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<span style="font-family: "arial" , "helvetica" , sans-serif;">A stroke register is an observational database that is
focussed on gathering clinical information and data on the outcomes of
patients. These observations can then be used to both understand and improve
stroke care. <o:p></o:p></span></div>
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<span style="font-family: "arial" , "helvetica" , sans-serif;">The stroke register that we have launched at Connaught
Hospital, the main government referral Hospital in Freetown, is Sierra Leone’s
first. It is collecting data, at admission, 90 days, 12 months, and 2 years
post stroke. <o:p></o:p></span></div>
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<span style="font-family: "arial" , "helvetica" , sans-serif;">The information being collected is on sociodemographic
factors, stroke risk factors, stroke severity, treatment, and outcomes. We have
now been collecting for 199 consecutive days and have 221 participants on the
register <o:p></o:p></span></div>
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<br /></div>
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<span style="font-family: "arial" , "helvetica" , sans-serif;">We are beginning to understand stroke in Sierra Leone much
better, however there are some aspects of stroke in this country, that a stroke
register will not help us to research. <o:p></o:p></span></div>
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<span style="font-family: "arial" , "helvetica" , sans-serif;">These are the aspects of stroke that are linked to societal
and cultural perspectives, and inherent beliefs. To be able to understand this
we have reached out into the community. The Stroke survivors’ group is
educating physicians and researchers on the experiences in Sierra Leone. <o:p></o:p></span></div>
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<b style="mso-bidi-font-weight: normal;"><u><span style="font-family: "arial" , "helvetica" , sans-serif;">Life after Stroke
in Sierra Leone <o:p></o:p></span></u></b></div>
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<span style="font-family: "arial" , "helvetica" , sans-serif;">We are beginning to understand through our work with the stroke
survivors’ group, the challenges of living with stroke disability in Sierra
Leone <o:p></o:p></span></div>
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<span style="font-family: "arial" , "helvetica" , sans-serif;">Lack of public awareness about stroke has led to there being
societal stigma and discrimination directed towards stroke survivors, this
makes their post stroke life more difficult. <o:p></o:p></span></div>
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<span style="font-family: "arial" , "helvetica" , sans-serif;">One of the survivors highlighted how taxi drivers wouldn’t
allow people with disability into their vehicle <o:p></o:p></span></div>
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<span style="font-family: "arial" , "helvetica" , sans-serif;">Some survivors even highlighted how because they now had
some form of disability, they felt like their communities were shutting them
out, they felt ostracised. <o:p></o:p></span></div>
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<b style="mso-bidi-font-weight: normal;"><u><span style="font-family: "arial" , "helvetica" , sans-serif;">World Stroke Day <o:p></o:p></span></u></b></div>
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<span style="font-family: "arial" , "helvetica" , sans-serif;">With this in mind, the stroke survivors suggested that we
carry out a walk for World Stroke Day to raise awareness of disability and
hopefully reduce social stigma. <o:p></o:p></span></div>
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<span style="font-family: "arial" , "helvetica" , sans-serif;">On the 29<sup>th</sup> October, the stroke survivors,
members of the SISLE team, and the general public will be carrying out an
awareness walk on city beach, Freetown. This will form the Sierra Leone leg of
the World Stroke Organization World Stroke Day Relay. <o:p></o:p></span></div>
<br /></div>
Sarah Belsonhttp://www.blogger.com/profile/07525375977513637375noreply@blogger.comtag:blogger.com,1999:blog-4132279856398463793.post-38823050793968058792019-10-23T23:35:00.000+11:002019-10-23T23:45:17.272+11:00Preventing heart disease and stroke, saving lives and promoting recovery and wellbeing in the west of Ireland<div dir="ltr" style="text-align: left;" trbidi="on">
<i style="font-family: arial, helvetica, sans-serif;"><span lang="EN-IE">Patricia Hall, Cardiovascular Nurse Specialist at </span><span lang="EN-IE">Croí, the Heart and Stroke Charity based in </span><span style="background-color: white; color: #454545;">the west of Ireland, tells us about the history of the organisation that has recently become a member of the World Stroke Organization.</span></i><br />
<i style="font-family: arial, helvetica, sans-serif;"><span style="background-color: white; color: #454545;"><br /></span></i>
<table align="center" cellpadding="0" cellspacing="0" class="tr-caption-container" style="margin-left: auto; margin-right: auto; text-align: center;"><tbody>
<tr><td style="text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgQxCEnb2n-CuuLIySxBhq_7wXbXk9-AOr01wVhRjEdiJ0NtKynTibbXR2g1z6WyLCiKsVj6xTbUWllTbNJ3Frgc5uo0DkvsCfG8bsIUAQFShWzUgZwa-_O-7QuQMtlJe6YYEpKyvdylBm-/s1600/Patricia+Hall+%2528centre%2529+with+members+of+Cro%25C3%25AD%2527s+Stroke+Support+Group.jpeg.png" imageanchor="1" style="margin-left: auto; margin-right: auto;"><img border="0" data-original-height="334" data-original-width="505" height="131" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgQxCEnb2n-CuuLIySxBhq_7wXbXk9-AOr01wVhRjEdiJ0NtKynTibbXR2g1z6WyLCiKsVj6xTbUWllTbNJ3Frgc5uo0DkvsCfG8bsIUAQFShWzUgZwa-_O-7QuQMtlJe6YYEpKyvdylBm-/s200/Patricia+Hall+%2528centre%2529+with+members+of+Cro%25C3%25AD%2527s+Stroke+Support+Group.jpeg.png" width="200" /></a></td></tr>
<tr><td class="tr-caption" style="text-align: center;">Patricia Hall (centre) with members of Croí's Stroke Support Group</td></tr>
</tbody></table>
<span lang="EN-IE" style="font-family: "arial" , "helvetica" , sans-serif;">Croí, established in Galway, Ireland in 1985 initially focused on the development of
local and regional cardiac services and facilities, our mission has now shifted </span><span style="font-family: "arial" , "helvetica" , sans-serif;">to cardiovascular disease prevention and
rehabilitation, which encompasses stroke. Our goal is to prevent heart disease
and stroke, save lives and promote recovery and wellbeing.</span><br />
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<span style="font-family: "arial" , "helvetica" , sans-serif;"><span style="mso-ansi-language: EN-GB;"><br /></span></span></div>
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<span style="font-family: "arial" , "helvetica" , sans-serif;"><span style="mso-ansi-language: EN-GB;">Each year </span><span lang="EN-IE">approximately 10,000 people have a stroke-related event in Ireland,
with an estimated 30,000 people living with disabilities as a result of a
stroke. Our goals include raising awareness</span><span lang="EN-IE" style="color: #656d73; font-size: 12pt; line-height: 115%;"> </span><span style="mso-ansi-language: EN-GB;">of
the risk factors, signs of stroke</span><span style="color: #656d73; font-size: 12pt; line-height: 115%;"> </span><span style="mso-ansi-language: EN-GB;">and promote healthy lifestyles.<o:p></o:p></span></span></div>
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<b style="mso-bidi-font-weight: normal;"><span lang="EN-IE"><span style="font-family: "arial" , "helvetica" , sans-serif;"><br /></span></span></b></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-IE"><span style="font-family: "arial" , "helvetica" , sans-serif;">Stroke support services<o:p></o:p></span></span></b></div>
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<span style="font-family: "arial" , "helvetica" , sans-serif;"><span lang="EN-IE"><br /></span></span></div>
<div class="MsoNormal">
<span style="font-family: "arial" , "helvetica" , sans-serif;"><span lang="EN-IE">Our experience in </span><span style="mso-ansi-language: EN-GB;">cardiovascular disease prevention has informed
our development of stroke specific educational programmes and we support stroke
survivors and family carers on their journey to live the best possible life
after stroke. The Croí Heart and Stroke Centre provides a meeting place for
people who have been affected by stroke – patients, family members, carers and
friends, which enables them to come together and participate in various
activities. While everyone’s experience of having a stroke is different,
meeting other stroke survivors or caregivers who understand what they are going
through can help with recovery.</span> <span lang="EN-IE">Making this connection
can be vital – to learn more about stroke recovery options and to share the
experiences of recovery from stroke.</span></span></div>
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<b style="font-family: Arial, Helvetica, sans-serif; text-indent: -18pt;"><br /></b></div>
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<span style="font-family: "arial" , sans-serif;">Croí offers a
range of stroke support services, which include:<o:p></o:p></span></div>
<br />
<div class="MsoNormal" style="margin-left: 18.0pt; mso-list: l0 level1 lfo1; tab-stops: list 36.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "symbol"; font-size: 10.0pt;">·<span style="font-family: "times new roman"; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "arial" , sans-serif;">Stroke
support groups which meet in Galway and in Mayo.<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-left: 54.0pt; mso-list: l0 level2 lfo1; tab-stops: list 54.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "courier new"; font-size: 10.0pt;">o<span style="font-family: "times new roman"; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "arial" , sans-serif;">Our
stroke support groups meet once a month, coming together to
participate in various activities including a chance to have fun, learn skills
and meet new people. Whether it’s a listening ear or practical guidance and
information, we support members in rebuilding their lives after stroke –
regardless of where they are in the stroke journey.<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-left: 54.0pt; mso-list: l0 level2 lfo1; tab-stops: list 54.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "courier new"; font-size: 10.0pt;">o<span style="font-family: "times new roman"; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "arial" , sans-serif;">Our
stroke family carers’ group also meets separately throughout the year. Coming
together to share experiences, reduce isolation and provide support to others
in similar situations.<o:p></o:p></span></div>
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<br /></div>
<div class="MsoNormal" style="margin-left: 18.0pt; mso-list: l0 level1 lfo1; tab-stops: list 36.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "symbol"; font-size: 10.0pt;">·<span style="font-family: "times new roman"; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "arial" , sans-serif;">Specialised
physical activity programmes and Yoga, designed specifically for those who have
had a stroke.<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-left: 18.0pt; mso-list: l0 level1 lfo1; tab-stops: list 36.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "symbol"; font-size: 10.0pt;">·<span style="font-family: "times new roman"; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "arial" , sans-serif;">Communication
group run by a speech and language therapist for those with speech and
communication difficulties following stroke.<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-left: 18.0pt; mso-list: l0 level1 lfo1; tab-stops: list 36.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "symbol"; font-size: 10.0pt;">·<span style="font-family: "times new roman"; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "arial" , sans-serif;">Health
and lifestyle educational programmes that focus on risk reduction.<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-left: 18.0pt; mso-list: l0 level1 lfo1; tab-stops: list 36.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "symbol"; font-size: 10.0pt;">·<span style="font-family: "times new roman"; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "arial" , sans-serif;">Fun
activities, like our summer day out, World Stroke Day event and Christmas party
every year.<o:p></o:p></span></div>
<div class="MsoNormal" style="margin-left: 18.0pt;">
<br /></div>
<div class="MsoNormal">
<b><span style="font-family: "arial" , sans-serif;">The aims of
Croí’s stroke support group are:</span></b><span style="font-family: "arial" , sans-serif;"><o:p></o:p></span></div>
<div class="MsoListParagraphCxSpFirst" style="margin-left: 18.0pt; mso-add-space: auto; mso-list: l0 level1 lfo1; tab-stops: list 18.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "symbol"; font-size: 10.0pt;">·<span style="font-family: "times new roman"; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "arial" , sans-serif;">To
create a positive environment to meet others and share experiences.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 18.0pt; mso-add-space: auto; mso-list: l0 level1 lfo1; tab-stops: list 18.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "symbol"; font-size: 10.0pt;">·<span style="font-family: "times new roman"; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "arial" , sans-serif;">To
provide advice, education and support on stroke and good health.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 18.0pt; mso-add-space: auto; mso-list: l0 level1 lfo1; tab-stops: list 18.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "symbol"; font-size: 10.0pt;">·<span style="font-family: "times new roman"; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "arial" , sans-serif;">To
encourage participation in enjoyable activities beneficial to your wellbeing.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 18.0pt; mso-add-space: auto; mso-list: l0 level1 lfo1; tab-stops: list 18.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "symbol"; font-size: 10.0pt;">·<span style="font-family: "times new roman"; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "arial" , sans-serif;">To
provide information on how to access services local to you.<o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: "symbol"; font-size: 10.0pt;">·<span style="font-family: "times new roman"; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "arial" , sans-serif;">Peer
support and friendship.<o:p></o:p></span></div>
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<b><span style="font-family: "arial" , sans-serif;">Additional
activities this year included:</span></b><span style="font-family: "arial" , sans-serif;"><o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: "symbol"; font-size: 10.0pt;">·<span style="font-family: "times new roman"; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "arial" , sans-serif;">Roll
out of the MyStroke Programme. This is a 4 week educational programme focused
on risk reduction for stroke survivors and family/carers.<o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: "courier new"; font-size: 10.0pt;">o<span style="font-family: "times new roman"; font-size: 7pt; font-stretch: normal; line-height: normal;">
</span></span><!--[endif]--><span style="font-family: "arial" , sans-serif;">Topics
included:- what is a stroke and how to prevent recurrence; dealing with
emotions, self-esteem and intimacy after stroke; stroke specific exercise;
healthy eating after stroke.<o:p></o:p></span></div>
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<b><span style="font-family: "arial" , sans-serif;">World Stroke Day<o:p></o:p></span></b></div>
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<span style="font-family: "arial" , sans-serif;">In recognition
of World Stroke Day, Croí
is hosting a Public Talk and Short Film screening to help raise awareness of
stroke and offer information to stroke survivors.<o:p></o:p></span></div>
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<span style="font-family: "arial" , sans-serif;">This FREE event
will start at 7pm on October 29<sup>th</sup> in the Croí Centre in
Newcastle, Galway, and will include a talk by Dr. Tom Walsh, Stroke Specialist,
Galway University Hospital and a local Galway stroke survivor, followed by a
special screening of the award-winning documentary, <i>A Tiny Spark.</i><o:p></o:p></span></div>
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<span style="font-family: "arial" , sans-serif;">As an
independent not-for-profit organisation, our work is entirely funded from our
own fundraising and revenue generating activities. For more information, please
visit </span><span lang="EN-IE" style="font-family: "arial" , sans-serif; mso-ansi-language: EN-IE;"><a href="http://www.croi.ie/"><span lang="EN-GB">www.croi.ie</span></a></span><span style="font-family: "arial" , sans-serif;"> and follow Croí on Facebook,
Twitter and Instagram at @croiheartstroke.<o:p></o:p></span></div>
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<table align="center" cellpadding="0" cellspacing="0" class="tr-caption-container" style="margin-left: auto; margin-right: auto; text-align: center;"><tbody>
<tr><td style="text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgfDaEDgcLwrM4KdO-xCzSfkNP4keILiNL9fxp4tf9VH_-Yg3m_PCLM4Poh4iz9kJ1Fa68GEdb3bmGNv7wR0-6eQdfnb8JVEPj8CkacGpKJu1aONNsB3bEv08jOKoR_BiE_4CROZ0JxOqzR/s1600/Cro%25C3%25AD+Centre+Galway+Ireland.jpg" imageanchor="1" style="margin-left: auto; margin-right: auto;"><img border="0" data-original-height="816" data-original-width="1600" height="163" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgfDaEDgcLwrM4KdO-xCzSfkNP4keILiNL9fxp4tf9VH_-Yg3m_PCLM4Poh4iz9kJ1Fa68GEdb3bmGNv7wR0-6eQdfnb8JVEPj8CkacGpKJu1aONNsB3bEv08jOKoR_BiE_4CROZ0JxOqzR/s320/Cro%25C3%25AD+Centre+Galway+Ireland.jpg" width="320" /></a></td></tr>
<tr><td class="tr-caption" style="text-align: center;">Croí Centre Galway Ireland</td></tr>
</tbody></table>
<br /></div>
Sarah Belsonhttp://www.blogger.com/profile/07525375977513637375noreply@blogger.comtag:blogger.com,1999:blog-4132279856398463793.post-74027475767908806852019-10-23T16:28:00.000+11:002019-10-23T16:28:30.379+11:00Seven minutes in stroke - Dr A Antonio Arauz<div dir="ltr" style="text-align: left;" trbidi="on">
<div style="margin-bottom: 2px; margin-top: 2px;">
Dr A Antonio Aruz</div>
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Stroke Clinic</div>
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Instituto Nacional de Neurologia y Neurocirugía Manuel Velasco Suárez</div>
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Mexico City</div>
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<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjgzqFUkPffMZFZpVVPnGlO_LVphtuGudObqAmS1cKx6WKUwhPliPH4mhDgDSmQEyqqWssM6n3XiIoiUmuOtEmOsRzEE5G17Rezj7cHdCO-s_-jmZhT0uG2kAV5caj6LvxJu9Hr_vmSHuON/s1600/Arauz-Gongora.jpg" imageanchor="1" style="clear: right; float: right; margin-bottom: 1em; margin-left: 1em;"><img border="0" data-original-height="222" data-original-width="222" height="320" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjgzqFUkPffMZFZpVVPnGlO_LVphtuGudObqAmS1cKx6WKUwhPliPH4mhDgDSmQEyqqWssM6n3XiIoiUmuOtEmOsRzEE5G17Rezj7cHdCO-s_-jmZhT0uG2kAV5caj6LvxJu9Hr_vmSHuON/s320/Arauz-Gongora.jpg" width="320" /></a></div>
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1.<span class="Apple-tab-span" style="white-space: pre;"> </span>What inspired you towards neuroscience?</div>
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Honestly, my first option was cardiology, but I was accepted into a great Mexican Neuroscience Institution (Instituto Nacional de Neurología y Neurocirugía Manuel Velasco Suárez) and there I began to deepen in Neurosciences. It has been a great adventure. The challenge of neurological diagnosis, the exact location of brain lesions, based on clinical findings. The breakthrough in diagnostic and treatment methods are fascinating. </div>
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2. Why stroke?</div>
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Stroke is one of the leading causes of death in Mexico, but mainly it is the leading cause of disability. In the 80s the study of patients with stroke was completely different, but it was a major clinical diagnostic challenge. That’s why I decided cerebrovascular field. I’am lucky to have witnessed the great changes in the diagnosis and treatment of stroke. At the beginning (20 years ago) that I began the study of cerebral vascular diseases, there was little that could be done in the acute treatment of ischemic stroke. Things are now, totally different. </div>
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3.<span class="Apple-tab-span" style="white-space: pre;"> </span>What have been the highs so far?</div>
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To be able to work in a multidisciplinary team, including neurosurgeons, interventionists and rehabilitation specialists, and with colleagues from other countries, in multinational groups, but mainly participate in the training of medical doctors, neurologists, and stroke neurologists.</div>
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I still feel excited that our manuscripts are accepted and see them published. And of course, seeing the recovery of a patient after stroke is always a great achievement. </div>
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4.<span class="Apple-tab-span" style="white-space: pre;"> </span>What have been the lows?</div>
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It has always been frustrating to have nothing to offer to our patients and this is frequent in many cases. Although there are great advances in acute ischemic stroke, there is little we can do in intracerebral hemorrhages, in some vascular malformations, etc. </div>
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Driving change in the national/local stroke care system it is often frustrating. The public policies in my country are almost impossible to modify and try to have an acute stroke treatment system, is still a pending issue in Mexico. </div>
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5.<span class="Apple-tab-span" style="white-space: pre;"> </span>How do you balance work life with the needs of home life?</div>
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It is always a challenge. In my case, it has been changing over time, with the different stages of growth of my sons. However, family is always the priority. Thankfully my wife Alma, and my son’s Eduardo and Fernando have been very supportive.</div>
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6.<span class="Apple-tab-span" style="white-space: pre;"> </span>Who are your most important mentors and how did you find them?</div>
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I am very grateful to Fernando Barinagarrementeria for introducing me to the field of vascular Neurology. Over the time Fernando has been not only an academic mentor. He has been a friend and I have had the privilege of sharing with him many projects, meetings, trips, as well as discussions about stroke, politics and life itself.</div>
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During my time as a Neurology resident, in addition to Fernando, there were some other professors who undoubtedly influenced my training. </div>
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7.<span class="Apple-tab-span" style="white-space: pre;"> </span>What are your most important collaborations and how have you built them?</div>
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I am also fortunate to have been able to have very important collaborations. For example with Peter Sandercook and the IST3 group, or in the SPS3 project with Oscar Benavente and Bob Hart. </div>
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Other important collaborations have arisen from my interest in arterial dissections and cerebral venous thrombosis in our population, which has allowed us to participate in collaborative work groups. </div>
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More recently in the ESUS working group and NAVIGATE ESUS trial. Although this was a negative trial, it has generated many manuscripts published in high impact journals. A good example is the sub-analysis of the regional, sex and age differences in Diagnostic testing published in International Journal of Stroke. </div>
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These collaborations have been built by the publication on specific topics, by reference of other colleagues or by previous collaborations. </div>
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Unknownnoreply@blogger.comtag:blogger.com,1999:blog-4132279856398463793.post-129495897813494792019-10-15T21:09:00.000+11:002019-10-15T21:14:09.159+11:00Dr George Ntaois on 'Oral anticoagulation versus antiplatelet/placebo for stroke prevention in patients with heart failure and sinus rhythm'<div dir="ltr" style="text-align: left;" trbidi="on">
PODCAST release: <a href="https://www.podbean.com/media/share/pb-4x3wv-c356da#.XaV2QmdvgAQ.blogger">Dr George Ntaois on 'Oral anticoagulation versus antiplatelet/placebo for stroke prevention in patients with heart failure and sinus rhythm'</a><br />
<br />
<br />
<div class="separator" style="clear: both; text-align: center;">
<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhMhE8uIs8wrce-qD_68En5eR98MDOujqUxInOrQ5-9wjb5_61e-ISsYQfBCgAqh1xcRMBQ5e-9c3_KeVdaUgcNAjkndYCpzVzmk9iTcFQty2coPbjIsSJobHOVBEBtUv2iKtOS1sni9ZIh/s1600/Screen+Shot+2019-10-15+at+6.34.27+pm+copy.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="133" data-original-width="413" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhMhE8uIs8wrce-qD_68En5eR98MDOujqUxInOrQ5-9wjb5_61e-ISsYQfBCgAqh1xcRMBQ5e-9c3_KeVdaUgcNAjkndYCpzVzmk9iTcFQty2coPbjIsSJobHOVBEBtUv2iKtOS1sni9ZIh/s1600/Screen+Shot+2019-10-15+at+6.34.27+pm+copy.jpg" /></a></div>
<br />
<a href="https://journals.sagepub.com/doi/full/10.1177/1747493019877296" target="_blank">Link to article here</a><br />
<br /></div>
Unknownnoreply@blogger.comtag:blogger.com,1999:blog-4132279856398463793.post-37241390976264342892019-10-09T21:12:00.001+11:002019-10-09T21:12:26.314+11:00New Philippine stroke support organisation makes public stroke awareness its priority #DontBeTheOne<div dir="ltr" style="text-align: left;" trbidi="on">
<i><span style="font-family: Arial, Helvetica, sans-serif;">Jacob Eagan Bright, founder of Stroke and Aneurysm Support Philippines, </span><span style="font-family: Arial, Helvetica, sans-serif;">shares his experience of stroke and his motivation to create public awareness and support life after stroke.</span></i><br />
<i><span style="font-family: Arial, Helvetica, sans-serif;"><br /></span></i>
<table align="center" cellpadding="0" cellspacing="0" class="tr-caption-container" style="margin-left: auto; margin-right: auto; text-align: center;"><tbody>
<tr><td style="text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEi0_Pft91YBT25i06RXIWocsyh3L5B9quRbTkCmVPYuA91VBcaqjSM8mZrW-pxmPwZsXwPEZgkZMC6XovxjgFAvHf1rT4UTwcMaq33Ej5S4eVzDWSpcr8hPyD311HvreafuYLJQATLvWfFy/s1600/Eagan.png" imageanchor="1" style="margin-left: auto; margin-right: auto;"><img border="0" data-original-height="905" data-original-width="762" height="200" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEi0_Pft91YBT25i06RXIWocsyh3L5B9quRbTkCmVPYuA91VBcaqjSM8mZrW-pxmPwZsXwPEZgkZMC6XovxjgFAvHf1rT4UTwcMaq33Ej5S4eVzDWSpcr8hPyD311HvreafuYLJQATLvWfFy/s200/Eagan.png" width="168" /></a></td></tr>
<tr><td class="tr-caption" style="text-align: center;">Jacob Eagan Bright</td></tr>
</tbody></table>
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-family: "arial" , sans-serif; mso-ansi-language: EN-US;">What has
inspired you to be involved in stroke support?</span></b><br />
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<span lang="EN-US" style="font-family: "arial" , sans-serif; mso-ansi-language: EN-US;">In 2018 I lost a brilliant colleague to stroke, his
loss made me sad and also bewildered as to why this happened to him and his
young family, who were left to grieve. Then in 2019 my grandmother woke up in
middle of the night, trying to use the bathroom she dropped down, face and
mouth instantly twisted, her left hand became stiff and cold and unmovable. Months
later my comrade, a 48 year old retired army officer experienced a transient
ischaemic attack (TIA), and then a burst aneurysm and a </span><span style="font-family: "arial" , sans-serif;">haemorrhagic stroke</span><span lang="EN-US" style="font-family: "arial" , sans-serif; mso-ansi-language: EN-US;">. <o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: "arial" , sans-serif; mso-ansi-language: EN-US;">Seeing my friends and family touched by stroke and its
devastating effects, I realized that anyone can be affected. Stroke is the
second leading cause of death in the Philippines. I became motivated to create
public awareness to prevent strokes and to work with stroke survivors as
advocates. <o:p></o:p></span></div>
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<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-family: "arial" , sans-serif; mso-ansi-language: EN-US;">What does stroke
care look like in your country?<o:p></o:p></span></b></div>
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<span lang="EN-US" style="font-family: "arial" , sans-serif; mso-ansi-language: EN-US;">The Department of Health has now made alteplase, the </span><span style="font-family: "arial" , sans-serif;">clot-busting drug,</span><span style="font-family: "arial" , sans-serif; mso-ansi-language: EN-US;"> <span lang="EN-US">available for free in 26 government hospitals nationwide. This
effort is highly commendable, but there is no support for local patient care
organizations carrying out awareness and education on prevention and recovery
programs for survivors. <o:p></o:p></span></span></div>
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<span lang="EN-US" style="font-family: "arial" , sans-serif; mso-ansi-language: EN-US;">The public are interested in attending stroke
education and awareness sessions but due to low income levels there is a lack
of public fundraising. <span style="mso-spacerun: yes;"> </span><o:p></o:p></span></div>
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<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-family: "arial" , sans-serif; mso-ansi-language: EN-US;">How did the
project come about?<o:p></o:p></span></b></div>
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<span lang="EN-US" style="font-family: "arial" , sans-serif; mso-ansi-language: EN-US;">After many conversations, it became clear that many
people affected by stroke were not previously aware of stroke risk factors, and
that caregivers and families were totally ignorant of the symptoms and effects.
So right there is was glaringly obvious that public education is desperately
needed, especially on healthy lifestyles and coming to terms with life after
stroke. <o:p></o:p></span></div>
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<div class="MsoNormal">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-family: "arial" , sans-serif; mso-ansi-language: EN-US;">What have been
some of the outcomes of the project?<o:p></o:p></span></b></div>
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<span lang="EN-US" style="font-family: "arial" , sans-serif; mso-ansi-language: EN-US;">After two months we are still in the pilot phase of
our work, but it is amazing how receptive survivors and those wanting to
prevent stroke are to full information and education on how to prevent a stroke
and life after stroke. At the moment our sessions and outreach are well
attended. People call to ask when next we are due for a speaking engagement, and
many health professionals link up with us for outreach engagements. Our home
visits to survivors seem to be very encouraging to them in believing there is a
reason to live. <o:p></o:p></span></div>
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<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-family: "arial" , sans-serif; mso-ansi-language: EN-US;">What has been
the feedback from stroke survivors to the project?<o:p></o:p></span></b></div>
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<span lang="EN-US" style="font-family: "arial" , sans-serif; mso-ansi-language: EN-US;">Engaging survivors in public meetings has given them a
sense of belonging and reason to live and to become active. Survivors are happy
there is an organization that brings them together, where they can share their experiences,
both challenges and successes, in their journey after stroke. The project also
checks in with them and supports them to sustain healthy behavior that
contributes to their recovery. <o:p></o:p></span></div>
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<b><span lang="EN-US" style="font-family: "arial" , sans-serif; mso-ansi-language: EN-US;">What has been
the response from others – community, doctors, politicians?</span></b></div>
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<span lang="EN-US" style="font-family: "arial" , sans-serif; mso-ansi-language: EN-US;">The community has responded collaboratively to our
project and engaged with our<b style="mso-bidi-font-weight: normal;"> </b>efforts
and programs. Our contact number keeps ringing, but unfortunately the community
expectation is that we can deal with all their requests – including supplying
an ambulance if a member of the public has a suspected stroke.<span style="mso-spacerun: yes;"> </span>Public doctors seem to be very happy with the
program and are willing to participate in public events as speakers; this is
something that we want to build on. Private doctors seem to be a little
uncomfortable because we may be perceived as a competitor. We want to pursue
building a relationship with them.<span style="mso-spacerun: yes;"> </span><o:p></o:p></span></div>
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<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-family: "arial" , sans-serif; mso-ansi-language: EN-US;">What would you
say to other people to make them take stroke prevention seriously?<o:p></o:p></span></b></div>
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<span lang="EN-US" style="font-family: "arial" , sans-serif; mso-ansi-language: EN-US;">You could be the next person hit by stroke. Don’t Be
The One.<o:p></o:p></span></div>
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<table align="center" cellpadding="0" cellspacing="0" class="tr-caption-container" style="margin-left: auto; margin-right: auto; text-align: center;"><tbody>
<tr><td style="text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEi6McWysk7iGvGFG5PYJ8H0E9u3uaZRCUuFTgZsjuW0WbPJivHOk6DRDuLSLDgDU_AduFTAeLFGEoNzb8ls5Y-8MmGiXxc-htUm1R14tsw9-_cwqvdm697LkOztM1McBckgoCJ6PVTuIG2M/s1600/Philippines.png" imageanchor="1" style="margin-left: auto; margin-right: auto;"><img border="0" data-original-height="739" data-original-width="572" height="200" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEi6McWysk7iGvGFG5PYJ8H0E9u3uaZRCUuFTgZsjuW0WbPJivHOk6DRDuLSLDgDU_AduFTAeLFGEoNzb8ls5Y-8MmGiXxc-htUm1R14tsw9-_cwqvdm697LkOztM1McBckgoCJ6PVTuIG2M/s200/Philippines.png" width="154" /></a></td></tr>
<tr><td class="tr-caption" style="text-align: center;">Steve Davis, a stroke survivor, climbing 42 steps as part of exercise for recovery activity</td></tr>
</tbody></table>
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Sarah Belsonhttp://www.blogger.com/profile/07525375977513637375noreply@blogger.comtag:blogger.com,1999:blog-4132279856398463793.post-44083870297890058282019-10-07T00:12:00.000+11:002019-10-07T00:12:23.133+11:00Seven minutes in stroke - Dr Anderson Tsang <div dir="ltr" style="text-align: left;" trbidi="on">
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There are so many components when it comes to stroke research, and the Seven Minutes in Stroke series highlights the part played by researchers. Over the years we've covered so many researchers and their motivations, highs and lows, and the ever important quesiton of personal life balance. We love to hear your responses and invite researchers to email Seven minutes in stroke answers to carmenl@world-stroke.com. Now, let me introduce Dr Anderson Tsang submitting author fo the article 'Overview of endovascular thrombectomy accessibility gap for acute ischemic stroke in Asia: a multi-national survey' that has recently been published in the Interntional Journal of Stroke. </div>
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<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiTkQolNn-tdWG4rLrjp-gtXETwhM0ZISsMiIHKr9RxIxAglSn_Z-lgQrvaBBaxpQ1hvCXOBlXE-M8qawAcKDBYOryXdoYD3QTfRCzaXjhSxLwhvaTkuyZpWUav1dpSWi8vxZP8F4wqO0EM/s1600/6N0A3666-2.jpg" imageanchor="1" style="clear: left; float: left; margin-bottom: 1em; margin-right: 1em;"><img border="0" data-original-height="1233" data-original-width="945" height="320" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiTkQolNn-tdWG4rLrjp-gtXETwhM0ZISsMiIHKr9RxIxAglSn_Z-lgQrvaBBaxpQ1hvCXOBlXE-M8qawAcKDBYOryXdoYD3QTfRCzaXjhSxLwhvaTkuyZpWUav1dpSWi8vxZP8F4wqO0EM/s320/6N0A3666-2.jpg" width="245" /></a></div>
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1. What inspired you towards neuroscience?</div>
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I have always been intrigued with the functional eloquence of the central nervous system and became interested in clinical neuroscience during my formative years in medical school. The localization of cognitive abilities to different areas and circuits of the brain and the plasticity of the developing brain was fascinating to me. As a medical student, I was fortunate to be exposed to laboratory work on neuro-regeneration as well as the rapidly developing field of neurosurgery, which further strengthened my conviction in a neuroscience career.</div>
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2. Why stroke?</div>
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Stroke is one of the most common, unpredictable and devastating disease faced by mankind. While previously considered an irreversible event with much of the care focused on rehabilitation, the development of acute revascularization therapies such as thrombolysis and thrombectomy in the past decade have completely shifted the attention to emergency stroke reperfusion. Successful acute reperfusion therapy can potentially reverse the debilitating deficits of a severe stroke, and witnessing the quick recovery of these patients is extremely gratifying for the medical team. I am excited to be part of this paradigm shift in stroke treatment.</div>
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3. What have been the highs so far?</div>
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To be able to work with a great team of dedicated neurosurgeons and nurses is a blessing. I am fortunate to have wonderful colleagues who love what we do. The position as an academic neurosurgeon enabled me to make international friends with common interest and inspired my continuous pursuit in this field.</div>
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4. What have been the lows?</div>
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Driving change in the local stroke care system has been painfully difficult, in part due to bureaucracy and politics. The lack of support and interest in clinical research locally in comparison to other developed healthcare systems is also disappointing. </div>
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5. How do you balance work life with the needs of home life?</div>
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It is an ongoing challenge and I can’t say I have this figured out, especially with a new baby in the house now. Family will always be the priority and thankfully my wife Jennie has been very supportive. I do believe that balanced and quality family / personal time is essential to a productive professional life.</div>
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6. Who are your most important mentors and how did you find them?</div>
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I am very grateful to Dr. Wai Man Lui for introducing me to the field of vascular and endovascular neurosurgery. His genuine care for the patient set a high standard for the team. Prof. Gilberto Ka Kit Leung is instrumental in my development as an academic neurosurgeon and has given me countless opportunities. My interventional neuroradiology fellowship mentors Prof. Timo Krings and Prof. Vitor Mendes Pereira are phenomenal teachers in neurovascular anatomy and endovascular techniques. To be able to work alongside these giants is an inspiring experience.</div>
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7. What are your most important collaborations and how have you built them?</div>
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<b></b><br /></div>
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Multi-disciplinary research is often the most exciting and our projects with engineers, statisticians and computer scientists in machine learning and artificial intelligence application in stroke is rapidly progressing. My time in Toronto during my fellowship training has also build a network of personal and professional friendships which supported my work and generated many new ideas.</div>
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<b></b><br /></div>
<div style="color: #454545; font-family: "Helvetica Neue"; font-size: 12px; font-stretch: normal; line-height: normal;">
Dr. Anderson Chun On TSANG</div>
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<div style="color: #454545; font-family: "Helvetica Neue"; font-size: 12px; font-stretch: normal; line-height: normal;">
Clinical Assistant Professor, Division of Neurosurgery, Queen Mary Hospital, The University of Hong Kong, Hong Kong.</div>
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Unknownnoreply@blogger.comtag:blogger.com,1999:blog-4132279856398463793.post-88010955223931953212019-10-04T22:06:00.000+10:002019-10-04T22:08:42.741+10:00With hindsight Moyosore Ayah knows the importance of stroke awareness and prevention #DontBeTheOne<div dir="ltr" style="text-align: left;" trbidi="on">
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<span style="font-family: "arial" , "helvetica" , sans-serif;"><i>Moyosore Ayah, founder of new WSO stroke support organisation member, </i></span><i style="font-family: Arial, Helvetica, sans-serif;">IDA Stroke Awareness Foundation in Nigeria, tells us about her commitment to stroke prevention and awareness</i></div>
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<span style="font-family: "arial" , "helvetica" , sans-serif;"><b><span style="mso-fareast-font-family: "Times New Roman";">What
has inspired you to be involved in stroke support?</span></b><span style="mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></span></div>
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<span style="font-family: "arial" , "helvetica" , sans-serif;">Around
spring 2010, my precious mother had a stroke, which not
only came with its physical impediments but also emotional and mental. The
physical impediments meant that she was paralyzed on the left side of her body
along with speech impairments that affected her communication.</span></div>
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<span style="mso-fareast-font-family: "Times New Roman";"><span style="font-family: "arial" , "helvetica" , sans-serif;">I
always thought to myself in hindsight that if my sister and I were enlightened
on the signs and symptoms of stroke, we could have taken preventive measures to
avoid a stroke and coma after she complained of fatigue. This experience taught me a lot of basic and essential
facts about stroke, which acted as a catalyst to inspire and motivate me to
create and spread awareness and consciousness about stroke. Plus connecting
with others to help ease the depression and isolation so common after a stroke. <o:p></o:p></span></span></div>
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<span style="font-family: "arial" , "helvetica" , sans-serif;"><b>What
does stroke support look like in your country?</b> </span></div>
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<span style="font-family: "arial" , "helvetica" , sans-serif;">Stroke
remains a huge problem in Nigeria and globally. There is not adequate support for stroke patients in Nigeria, for
example in the biggest National Hospital only 3 hours a week is dedicated for
stroke clinics to attend to the needs of stroke patients.</span></div>
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<span style="color: #391171;"><span style="font-family: "arial" , "helvetica" , sans-serif;"><o:p></o:p></span></span></div>
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<b style="font-family: Arial, Helvetica, sans-serif;">How
did the project come about?</b></div>
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<span style="font-family: "arial" , "helvetica" , sans-serif;">This
project was born out of my emotions from the experience with my mum, which led
to me having this insatiable passion to educate people on the risks, signs
and symptoms of a stroke.</span></div>
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<b style="font-family: Arial, Helvetica, sans-serif;">What
have been some of the outcomes of the projects?</b><span style="font-family: "arial" , "helvetica" , sans-serif;"> </span></div>
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<span style="font-family: "arial" , "helvetica" , sans-serif;">I
consider all IDA Stroke Awareness Foundation projects as successful; creating
awareness about stroke, giving medical recovery accessories to those who need
them during our outreach and organizing a stroke clinic in a rural community
with minimal health care.</span></div>
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<b style="font-family: Arial, Helvetica, sans-serif;">What
has been the feedback from stroke survivors to the project?</b></div>
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<span style="font-family: "arial" , "helvetica" , sans-serif;">The
response and feedback from all our outreach has constantly reminded us of the
reason why we embarked on this mission. The joy and satisfaction derived from
this act of altruism cannot be quantified. The testimonies from stroke
survivors and individuals who benefited from our outreach has been the fuel
that drives us to continue this mission.</span></div>
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<b style="font-family: Arial, Helvetica, sans-serif;">What
has been the response from others – community, doctors, and politicians?</b></div>
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<span style="font-family: "arial" , "helvetica" , sans-serif;">Doctors
and medical professionals are willing and ready to help in any way they can and
we always get volunteers. Volunteers have the passion and willingness to serve
and we are elated to provide this platform with an opportunity to serve
humanity. </span></div>
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<b style="font-family: Arial, Helvetica, sans-serif;">What
would you say to other people to make them take stroke prevention seriously?</b></div>
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<span style="font-family: "arial" , "helvetica" , sans-serif;">Stroke
is a brain attack that can lead to disabilities and ultimately death.
Please pay close attention to your health, always monitor your blood pressure
if you have a history, heart disease, diabetics, go for medical
check ups and always take your medications as directed. All the signs
of stroke shouldn’t be taken lightly: face numbness, arm weakness and speech
difficulty. If you consider someone may be having a
stroke, call an emergency service if available or have someone call for
you and get to the hospital immediately. Please do not wait for the next
second. DON’T BE THE ONE.</span></div>
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Sarah Belsonhttp://www.blogger.com/profile/07525375977513637375noreply@blogger.comtag:blogger.com,1999:blog-4132279856398463793.post-22911709762578684872019-09-26T00:22:00.000+10:002019-09-26T01:01:15.041+10:00 Young stroke survivor Nicky Bruno reminds us of the importance of self advocacy<div dir="ltr" style="text-align: left;" trbidi="on">
<span style="font-family: Arial, Helvetica, sans-serif;"><i><span style="font-size: 12pt;">Two years ago Nicky Bruno had a stroke, </span><span style="font-size: 16px;">a</span><span style="font-size: 16px;">s a young adult working and coaching in collegiate athletics in the USA, this was absolutely devastating. H</span></i><i style="font-size: 12pt;">ere Nicky shares her story and encourages us all to take the initiative in preventing a stroke.</i></span><br />
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<span style="font-family: "arial" , "helvetica" , sans-serif;"><b><span style="color: black;">Where were you when you had your stroke? <i>-</i></span></b><i><span style="color: #500050;"> </span></i><span style="color: black;">I had my
stroke at my home at the age of 30.</span></span></div>
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<span style="font-family: "arial" , "helvetica" , sans-serif;"><o:p></o:p></span></div>
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<span style="font-family: "arial" , "helvetica" , sans-serif;"><b><span style="color: black;">Could you access hospital?</span></b><i><span style="color: black;"> <b>-</b> </span></i><span style="color: black;">I
was in the vicinity of two hospitals (within 30 minutes) of my home. One
was a Primary Stroke Center and one was a Comprehensive Stroke
Center. </span><span style="color: #500050;"><o:p></o:p></span></span></div>
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<span style="font-family: "arial" , "helvetica" , sans-serif;"><b><span style="color: black;">What expectations did you have for your treatment,
rehabilitation and recovery?</span></b><i><span style="color: black;"> - </span></i><span style="color: black;"> I was diagnosed with a spontaneous vertebral artery dissection, </span>which is a tear that formed in the artery of my
neck, that produced a clot which disrupted the flow of blood to my brain. This
led to my<span style="color: black;"> cerebellar stroke. Following my
diagnosis, I expected that there would be more information known about my
specific condition and that there would be a set plan for recovery already in
place. </span><o:p></o:p></span></div>
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<span style="font-family: "arial" , "helvetica" , sans-serif;"><b><span style="color: black;">What was your experience of treatment and rehabilitation?</span></b><span style="color: black;"> - </span>Since
my condition is rare, I had to research and visit a young stroke
specialist to help me devise a rehabilitation plan. The stroke affected
my cerebellum and left me unable to walk, balance, or read. Entering a
rehabilitation and nursing facility and then finding an outpatient physical
therapy clinic that could help create innovative vestibular exercises was
crucial to my recovery. <o:p></o:p></span></div>
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<span style="font-family: "arial" , "helvetica" , sans-serif;"><b><span style="color: black;">What has helped you in your recovery?</span></b><span style="color: black;"> <b>-</b> Directly following my stroke, I
dedicated myself to learning as much as I possibly could about my condition and
focused relentlessly on my rehabilitation. Having been an athlete all of my
life and a collegiate coach at the time of my stroke, I transferred my
focus to retraining my brain. Currently, </span>I have slowly regained my
balance and the ability to not only walk on my own but jog again. With time,
dedication and practice, I was also able to manage my visual symptoms enough to
be able to type, read, and drive. Each day I continue to work to find ways to
modify my daily life to fit my new normal. <o:p></o:p></span><br />
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<span style="font-family: "arial" , "helvetica" , sans-serif;"><b><span style="color: black;">What have been/are your fears?<i> - </i></span></b><span style="color: black;">I would have to say my biggest fear was/is sustaining
another stroke since mine was spontaneous. </span><o:p></o:p></span></div>
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<span style="font-family: "arial" , "helvetica" , sans-serif;"><b><span style="color: black;">How did your family and friends feel and respond?
<i>- </i></span></b><span style="color: black;">Following my stroke, I
was unable to work or care for myself. Without the help and support of my
family and their tireless pursuit to get me the best possible care, I would not
be where I am today! </span></span></div>
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<span style="color: black; font-family: "arial" , "helvetica" , sans-serif;"><b>Do you have a message for our World Stroke Campaign this year?</b></span></div>
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<span style="font-family: "arial" , "helvetica" , sans-serif;">I firmly believe that it is equally important to
be your own advocate when it comes to your health if you are able. This begins
with taking the initiative to employ prevention strategies,
knowing your individual risk factors, and identifying the various signs and symptoms of a stroke! </span></div>
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<span style="font-family: "arial" , "helvetica" , sans-serif;">While stroke is typically thought of as something that affects only older individuals, this experience has opened my eyes to the fact that young stroke is more common than we think. I am passionate about advocating for young stroke, and I wanted to reach out in the hope that I can help others! </span></div>
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Sarah Belsonhttp://www.blogger.com/profile/07525375977513637375noreply@blogger.comtag:blogger.com,1999:blog-4132279856398463793.post-40726523881523916162019-09-25T23:17:00.003+10:002019-11-02T02:49:40.057+11:00Exploring solutions for multimorbidities prevention and control<br />
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<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEh7YV33qpZDZAYK_TJqPp18rj3Ldj7mKpNqlCfegAbLqQ-1eeZc5Jj7k-oVhIDl4OO94SSb6ClNcxOpnO1RXpOxYIi_kKvCk9RIARObgYQ8IsStPWqLB1uttD0fY31MVm8SFhf-JKnAKcYx/s1600/IMG_20190924_112722.jpg" imageanchor="1" style="clear: right; float: right; margin-bottom: 1em; margin-left: 1em;"><img border="0" data-original-height="1600" data-original-width="1291" height="320" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEh7YV33qpZDZAYK_TJqPp18rj3Ldj7mKpNqlCfegAbLqQ-1eeZc5Jj7k-oVhIDl4OO94SSb6ClNcxOpnO1RXpOxYIi_kKvCk9RIARObgYQ8IsStPWqLB1uttD0fY31MVm8SFhf-JKnAKcYx/s320/IMG_20190924_112722.jpg" width="258" /></a>The Global Coalition for Circulatory Health gathered for a side event around the UN General Assembly this week. WSO Global Policy Chair Prof Bo Norrving contributed to the event - 'Exploring solutions for multi-morbidities prevention and control: the case for circulatory health". Other participants in the panel included David Wood (past WHF President) and Vivekanand Jha (President of the International Society of Nephrology). </div>
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Multi-morbidity, the concept under discussion is core to stroke, heart disease, kidney disease, and vascular diseases, which together form a strong cluster along with hypertension driving premature morbidity and disability globally. Multi morbidity, where patients experience several conditions needs to be recognized as a major prognostic factor on its own right and clinicians and health systems need to be able to respond to multiple needs of patients to reduce mortality, disability and improve quality of life.<br />
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While multi-morbidities are expected to increase largely as a result of demographic change, circulatory diseases share many risk factors and show incredible potential for prevention. This potential provides a strong "glue" that binds partner members of the Global Coalition for Circulatory Health in their work towards global health goals. </div>
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Prof Norrving presented recent epidemiological data from Sweden, which demonstrates that incidence of first and recurrent strokes can be substantially decreased with effective intervention on risk factors, providing proof of principle that prevention works. The priority now is to ensure that inequalities in access to preventive and acute care are reduced, so that those countries currently experiencing the greatest increase in stroke and circulatory disease - typically LMICs - can get ahead of the curve on prevention.<br />
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Multimorbidity and strengthening of the workforces will be themes for future discussions within the Global Coalition for Circulatory Health, which will have a next next summit in June 2020.</div>
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For more on the shared agenda between stroke and circulatory disease download <a href="https://www.world-heart-federation.org/wp-content/uploads/2018/11/White-Paper-for-Circulatory-Health.pdf" target="_blank">Sustainable Action for Circulatory Health White Paper</a></div>
Anita Wisemanhttp://www.blogger.com/profile/11677807661271691048noreply@blogger.comtag:blogger.com,1999:blog-4132279856398463793.post-70760041479707766592019-09-13T16:10:00.000+10:002019-09-13T20:02:25.213+10:00Improving stroke prevention and support in Tanzania through primary health care<div dir="ltr" style="text-align: left;" trbidi="on">
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<span style="font-family: "arial" , sans-serif;"><i>Joel Samson Ruvugo is a primary health care consultant in </i></span><i><span style="font-family: "arial" , "helvetica" , sans-serif;">Dar es Salaam</span></i><br />
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<i><span style="font-family: "arial" , "helvetica" , sans-serif;"><o:p></o:p></span></i></div>
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<i><span style="font-family: "arial" , "helvetica" , sans-serif;">Tanzania, here he talks about his commitment to increasing stroke prevention and support through his public health skills and knowledge.</span></i><br />
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<b><span style="font-family: "arial" , sans-serif;">What has
inspired you to be involved in stroke support?<o:p></o:p></span></b></div>
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<span style="font-family: "arial" , sans-serif;">For me getting
involved in stroke support is both an informed and worthwhile decision. Stroke
support, and organisations that provide it, are needed urgently in Tanzania. I
feel a responsibility to invest the knowledge and skills that I have gained in
my public health work in communities through a cascading approach.</span></div>
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<b><span style="font-family: "arial" , sans-serif;">What does
stroke support look like in your country?</span></b></div>
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<span style="font-family: "arial" , sans-serif;">There are a good
number of health facilities in Tanzania that offer cardiovascular disease (CVD)
treatment services, including clinical assessment, MRI, CT-SCAN, ECHO, ECG,
X-ray, and weight, body and waist mass indexes. However,
CVD prevention and post stroke care services for stroke survivors need to be
improved in order to ensure long term impact for stroke survivors, family
members and the general community.</span></div>
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<b><span style="font-family: "arial" , sans-serif;">How did the
project come about?<o:p></o:p></span></b></div>
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<span style="font-family: "arial" , sans-serif;"><o:p> </o:p></span><span style="font-family: "arial" , sans-serif;">As a tutor with
the People’s Open Access Education Initiative, which partners with </span><a href="https://www.euclid.int/" style="font-family: Arial, sans-serif;">EUCLID</a>,<span style="font-family: "arial" , sans-serif;"> I facilitate a topic on NCDs, in
particular CVD and diabetes mellitus. In collaboration with different research
institutions we provide public health capacity building to health care
professionals in low and middle income countries, where the burden of NCDs is growing.
I am in close contact with people affected by stroke and we have discussed many
issues in regard to the impact of stroke, and family and community needs. I have
used this learning and insight to develop my stroke support activities.</span></div>
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<b><span style="font-family: "arial" , sans-serif;">What have
been some of the outcomes of the project?<o:p></o:p></span></b></div>
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<span style="font-family: "arial" , sans-serif;">There is increasing
awareness of stroke and sensitisation of health services to the needs of stroke
patients and their carers. They are increasingly accessing available health
facilities for stroke assessment and rehabilitation.
There are now health and heart clubs in different parts of the country as a
result of the project’s stroke management cascading model.</span></div>
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<b><span style="font-family: "arial" , sans-serif;">What has
been the feedback from stroke survivors to the project?<o:p></o:p></span></b></div>
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<span style="font-family: "arial" , sans-serif;">The feedback
from stroke survivors is that there has to be public health promotion, which promotes
healthier lifestyle behaviours and support for the development of approaches that
enable behaviour change. I see the need for regular provision of stroke
education and health promotion, information systems that best support the stroke
strategy, ICT materials and the promotion of widespread and consistent use of
patient care guidelines in all settings in the country.</span></div>
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<b><span style="font-family: "arial" , sans-serif;">What has
been the response from others – <span style="color: black;"><span style="color: black;">community, doctors,
politicians</span>?</span><o:p></o:p></span></b></div>
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<span style="font-family: "arial" , sans-serif;">The community,
doctors and politicians recognise the need to have stroke support organisations that are accessible and reliable, with focal centres and human and financial resources to be able to
execute integrated stroke interventions in any given local setting in Tanzania.</span></div>
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<span style="font-family: "arial" , sans-serif;"><o:p> </o:p></span><span style="font-family: "arial" , sans-serif;"> </span></div>
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<b><span style="font-family: "arial" , sans-serif;">What would
you say to other people to make them take stroke prevention seriously?<o:p></o:p></span></b></div>
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<span style="font-family: "arial" , sans-serif;">Primary health
care is key to stroke prevention. There is a need to establish a framework for educating
health care professionals to address the social determinants of health in
Tanzania. </span><span style="font-family: "arial" , sans-serif;">CVDs are silent
killers, therefore, individuals, family members and communities must be aware of
the impact of CVDs to their health, and risk factors that they can manage.</span></div>
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Sarah Belsonhttp://www.blogger.com/profile/07525375977513637375noreply@blogger.comtag:blogger.com,1999:blog-4132279856398463793.post-84910205448933623002019-09-12T01:05:00.000+10:002019-09-12T01:09:22.466+10:00An inspiring personal testimony about aphasia post stroke<div dir="ltr" style="text-align: left;" trbidi="on">
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<span style="font-family: "arial" , "helvetica" , sans-serif;"><i>François Grosjean, Professor Emeritus at the University of Neuchâtel, Switzerland, shares a recent interview he undertook with a multilingual aphasic stroke survivor</i></span></div>
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<span style="font-family: "arial" , "helvetica" , sans-serif;">My interest in aphasia - language and
speech impairment due to brain damage most often resulting from a stroke -
started many years ago when I was writing my first book on bilingualism, </span><span style="font-family: "arial" , "helvetica" , sans-serif;">Life with two
languages: An introduction to bilingualism</span><span style="font-family: "arial" , "helvetica" , sans-serif;">. I had a whole section on
multilingual aphasic patients and related the many fascinating recovery
patterns that have been reported in the literature.</span></div>
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<span style="font-family: "arial" , "helvetica" , sans-serif;"><span lang="EN-US">I then collaborated with the Lausanne University Hospital
(CHUV) in Switzerland for which my laboratory did a number of projects for
their aphasia unit (see </span><span lang="EN-US"><a href="https://www.francoisgrosjean.ch/aphasia_en.html">here</a></span><span lang="EN-US">
for a list of publications). The most notable project concerned a battery of
on-line perception and comprehension tests for aphasic patients. <o:p></o:p></span></span><br />
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<span style="font-family: "arial" , "helvetica" , sans-serif;"><span lang="EN-US">When I started a blog for Psychology Today a number of
years ago, it was only normal that I talk about aphasia in bi- and multilingual patients. A few weeks ago, a colleague in Singapore, Dr. Valerie Lim,
told me that she had a multilingual aphasic patient who was willing to be
interviewed for my blog. </span><span lang="EN-US" style="mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">I was thrilled as a
personal testimony can be of interest to others recovering from aphasia, their
family members and friends, and the general public. It can also be motivating
for the person herself who is struggling to recuperate her language(s).<o:p></o:p></span></span></div>
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<span style="font-family: "arial" , "helvetica" , sans-serif;"><span lang="EN-US" style="mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">The interview, for which I have already
received wonderful feedback ("an amazing and inspiring story",
"this interview is fascinating", etc.) can be found </span><span lang="EN-US"><a href="https://www.psychologytoday.com/intl/blog/life-bilingual/201909/multilingual-aphasia-personal-testimony"><span style="mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">here</span></a></span><span lang="EN-US" style="mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">.<o:p></o:p></span></span></div>
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Sarah Belsonhttp://www.blogger.com/profile/07525375977513637375noreply@blogger.comtag:blogger.com,1999:blog-4132279856398463793.post-42933472154950961162019-09-02T00:33:00.000+10:002019-09-02T00:33:07.457+10:00Seven minutes in stroke - Dr Xia Wang<div dir="ltr" style="text-align: left;" trbidi="on">
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<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhYstypj_s72A7MGob0hnPK5a0w35LXlEnlEoadVibfyyZ277Itc3ALoaXhoomvGTU0Jvd4bmyul8ZFy4mjhfmIKBxGDqkfv9RQoTqPBoOEFMdm77dwq_jltFPDl2AsNGzIGIM_t3AojIYH/s1600/Xia+Wang+.jpg" imageanchor="1" style="clear: right; float: right; margin-bottom: 1em; margin-left: 1em;"><img border="0" data-original-height="1248" data-original-width="950" height="320" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhYstypj_s72A7MGob0hnPK5a0w35LXlEnlEoadVibfyyZ277Itc3ALoaXhoomvGTU0Jvd4bmyul8ZFy4mjhfmIKBxGDqkfv9RQoTqPBoOEFMdm77dwq_jltFPDl2AsNGzIGIM_t3AojIYH/s320/Xia+Wang+.jpg" width="242" /></a>Dr Xia Wang in collaboration with Dr Tom Moullaali and Professor Rustam Salman at the University of Edinburgh submitted the article </div>
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‘Who will benefit more from low - dose alteplase in acute ischaemic stroke?’ to the International Journal of Stroke. Dr Wang answered our Seven minutes in stroke giving us a little insight into where our stroke researchers and clinicians began their relationship with stroke.</div>
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<b>1. What inspired you towards neuroscience?</b></div>
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Neuroscience is pretty cool! It is one of the last great frontiers of knowledge spanning from molecules, through cells and pathways, all the way up to complex human behaviour. Clever neuroscience tricks have been applied to all the aspects of our lives. For example, Instagram used it in the logo design to appeal to human being’s subconscious minds. The thick white line of the camera on the logo against the rich colourful background creates high levels of eye-catching visual saliency. Designs that are visually salient get looked at earlier, more often, and for longer.<br />
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<b>2. Why stroke?</b></div>
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Stroke is the leading cause of death in China, with the country accounting for roughly one third of worldwide stroke mortality.<b> </b>Stroke burden is much higher in northern rural area where I am from. Compared with other parts of China, the prevalence of major risk factors for stroke remains high; the salt intake is much higher; tobacco use is highly prevalent; the awareness rate, treatment rate, and control rate of hypertension and diabetes are low. After stroke, stroke care quality and secondary prevention are all in a very low quality therefore the recurrent stroke rate is higher. Stroke research could help me to understand this area more and helpful to tackle the great challenge in my hometown.</div>
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<b>3. What have been the highs so far?</b></div>
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I have produced 20 publications in the last 2 years including in lead international journals – NEJM, Lancet, Lancet Neurology, and JAMA Neurology. The new knowledge I produced has been recognised by 39 countries across 5 continents of Asia, Europe, North America, South America, and Australia. It has been adopted by 160 academic institutes/industries and influenced beyond medicine area in other 12 area including Engineering, Agricultural and Biological Sciences, and Computer Science.</div>
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The paper I co-authored – from the ENhanced Control of Hypertension And Thrombolysis strokE stuDy (ENCHANTED) – has been cited by multiple clinical practice guidelines including the American Heart Association (AHA)/American Stroke Association (ASA). Australian Commission on Safety and Quality in Health Care found a profound reduction of healthcare cost of ADU $50 million per year through improvements in patient outcomes by applying ENCHANTED findings in Australia <a href="http://apo.org.au/node/100526" target="_blank">(http://apo.org.au/node/100526)</a>. I presented a subgroup analysis in the plenary session in European Stroke Conference in Milan in May.</div>
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<b>4. What have been the lows?</b></div>
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Pressure from multiple applications including grants and fellowship to do every year, hard feelings from rejections and insecurity of funding.<br />
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<b>5. How do you balance work life with the needs of home life?</b></div>
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I like cooking and swimming in my spare time, really look forward to hanging out with friends on the weekend.<br />
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<b>6. Who are your most important mentors and how did you find them?</b></div>
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Professor Craig Anderson.</div>
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An email attached my resume with emphasis on excellent statistical skills reached Professor Craig Anderson in 2012. Then he decided to offer me an opportunity to be the statistician for INTERACT2, moved me from HIV research to stroke.</div>
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Collaboration with Dr Tom Moullaali and Professor Rustam Salman at the University of Edinburgh</div>
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I co-supervised Dr Tom Moullaali while he was undertaking the visiting scholar at the George Institute Australia in 2016 and 2018. We worked on individual patient data (IPD) meta analysis on blood pressure (BP) lowering treatment for acute intracerebral haemorrhage and the paper has been accepted by Lancet Neurology. Prof Rustam Salman, the supervisor of Dr Tom Moullaali, worked closely with me during his sabbatical leave at the George Institute Australia in 2014. We have co-authored some papers. I have applied an exchange award from the National Heart Foundation, if successful, it would be a great opportunity to visit them and immerse myself in a different research institute environment.</div>
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Unknownnoreply@blogger.comtag:blogger.com,1999:blog-4132279856398463793.post-48148409746916832019-08-31T00:57:00.000+10:002019-09-03T00:10:47.479+10:00WSO President highlights role of mobile technologies in stroke prevention<div class="MsoNormal" style="font-family: Calibri, sans-serif; margin: 0cm 0cm 0.0001pt;">
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<b> <span style="font-size: large;">Global Summit on Circulatory Health, Paris, August 2019</span></b><o:p></o:p></div>
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<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiogK9k_AZ57RAXoteFCTLcdsFVXh67Ti-t6IHHrlOTO3y2nFlq-vubdZ4Y_A2BKJlQyFqbGa0dnTHXoshv13EvAfVmE2xd4YCw7ZlZaD1b4vyh6Wy8FU3D8hzvu0VZ7g1OYd0lRlqbW24b/s1600/f7c65cc2-3550-438e-91a6-45616b47ec43.jpg" imageanchor="1" style="clear: left; float: left; margin-bottom: 1em; margin-right: 1em;"><img border="0" data-original-height="610" data-original-width="680" height="285" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiogK9k_AZ57RAXoteFCTLcdsFVXh67Ti-t6IHHrlOTO3y2nFlq-vubdZ4Y_A2BKJlQyFqbGa0dnTHXoshv13EvAfVmE2xd4YCw7ZlZaD1b4vyh6Wy8FU3D8hzvu0VZ7g1OYd0lRlqbW24b/s320/f7c65cc2-3550-438e-91a6-45616b47ec43.jpg" width="320" /></a>The <a href="https://www.world-heart-federation.org/global-summit/4th-global-summit-on-circulatory-health/" target="_blank">4<sup>th </sup>Global Summit on Circulatory Health</a>, held in Paris this week, brought together stakeholders from around the world to focus on Innovations in Circulatory Care and Technologies. Hosted by the World Heart Federation on behalf of partners in the <a href="https://www.world-heart-federation.org/programmes/global-coalition-circulatory-health/" target="_blank">Global Coalition for Circulatory Health</a>, the conference explored the role, potential and challenges of harnessing established and emerging technology to address the leading cause of death and disability globally.</div>
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In a session on the Implications of Digital Health for Health Systems, WSO President Michael Brainin, highlighted the evidence that supports the use of mobile technologies within an overall prevention strategy that encompasses policy, community interventions and pharmacological innovation. </div>
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Interventions such as the WSO endorsed <a href="https://www.strokeriskometer.com/" target="_blank">Stroke Riskometer</a>, he said, had opened a new chapter for stroke prevention, putting the tools for change in the hands of huge numbers of people and thereby offering unprecedented potential to achieve substantive reductions in stroke incidence. Prof Brainin referenced the WSO endorsed Stroke Riskometer, which delivers evidence based individual risk assessment, paired with motivational and behaviour change via mobile phone. The Riskometer is a prime example of a digital tool that ‘allows us to make advances on prevention for low and medium risk populations in ways that have not been possible before.’ </div>
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Anita Wisemanhttp://www.blogger.com/profile/11677807661271691048noreply@blogger.comtag:blogger.com,1999:blog-4132279856398463793.post-39170086085698477922019-08-29T19:54:00.001+10:002019-08-29T19:54:29.897+10:00Kavita Basi shares her inspiring story of stroke recovery<div dir="ltr" style="text-align: left;" trbidi="on">
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<span style="font-family: Arial, Helvetica, sans-serif;"><i><span style="color: #2f2e2e;">In March 2015 at the age of 38,</span><span style="color: #2f2e2e;"> Kavita Basi </span><span style="background-color: white; color: #444444;">suffered a subarachnoid brain haemorrhage, </span><span style="background-color: white; color: #222222;">a life-threatening type of stroke caused by </span><span style="background-color: white; color: #222222;">bleeding</span><span style="background-color: white; color: #222222;"> on the surface of the brain</span><span style="background-color: white; color: #222222;">. H</span><span style="background-color: white; color: #444444;">ere Kavita shares her story to continue to raise awareness of stroke. </span></i></span></div>
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<span lang="EN-US"><span style="font-family: Arial, Helvetica, sans-serif;">I was taken into the accident and emergency
wing of the hospital on 17 March, 2015, with a life-threatening subarachnoid
haemorrhage. I was only thirty-eight years old and had always been a healthy
person. I was successful, career-oriented, and travelled the world while
working too many hours with no time to relax and think. Then, one night, I
suddenly became extremely ill, and my whole world fell apart. I was in the
hospital for nearly two months, and after four intense brain surgeries, I had
difficulty understanding what was happening to me and why.</span></span></div>
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<b><span style="font-family: Arial, Helvetica, sans-serif;">What expectations did you have for your treatment,
rehabilitation and recovery?</span></b></div>
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<span style="font-family: Arial, Helvetica, sans-serif;">I didn’t understand what had happened to me therefore I was
not in the right frame of mind to be able to have any expectations , also
considering that this had never happened to me before it was all a new
experience. However I was given very basic detail on how my recovery would
progress and didn’t find this helpful. <o:p></o:p></span></div>
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<b><span style="font-family: Arial, Helvetica, sans-serif;">What was your experience of treatment and/or rehabilitation?<o:p></o:p></span></b></div>
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<span style="font-family: Arial, Helvetica, sans-serif;">My journey to recovery has been challenging, my perspective
has drastically changed, as I now see the important things in life I had to
relearn how to do the simplest tasks, like climbing stairs, re-tuning noises due
to losing some sense of hearing, severe constant headaches as a result of
watching any TV, leaning how to use my mobile devices without having motion
sickness. My personality changed, and I was left with short term memory loss,
intense mood swings, an emotional state of mind, being very direct when
talking, having the black and white thinking and losing that middle ground of
understanding. This new life also had a major effect on my relationships,
family, and view of work.<b><o:p></o:p></b></span></div>
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<b><span style="font-family: Arial, Helvetica, sans-serif;">What has helped you in your recovery?</span></b></div>
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<li><span style="font-family: Arial, Helvetica, sans-serif;">Starting
my own blog and youtube channel</span></li>
<li><span style="font-family: Arial, Helvetica, sans-serif;">Writing
a diary to get my emotions out and help with memory loss</span></li>
<li><span style="font-family: Arial, Helvetica, sans-serif;">Tools
on mobile device like notes and sharing calendars have helped with memory loss</span></li>
<li><span style="font-family: Arial, Helvetica, sans-serif;">Therapy
at the priory – with confidence and understanding</span></li>
<li><span style="font-family: Arial, Helvetica, sans-serif;">Neuropsychology
– which I still attend helped with other tools to adapt to give me a more
normal life</span></li>
<li><span style="font-family: Arial, Helvetica, sans-serif;">Neuropsychology
for my family – this has helped my relationships as they now understand</span></li>
<li><span style="font-family: Arial, Helvetica, sans-serif;">Talking
to others – by joining health unlocked forum</span></li>
<li><span style="font-family: Arial, Helvetica, sans-serif;">Walking
– daily to help my high anxiety and keep my focus and fitness</span></li>
<li><span style="font-family: Arial, Helvetica, sans-serif;">Diet
– eating healthier to keep my fitness</span></li>
<li><span style="font-family: Arial, Helvetica, sans-serif;">Not
going to loud places – it hurts my head and ears when I’m tired.</span></li>
</ul>
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<b><span style="font-family: Arial, Helvetica, sans-serif;">What have been/are your fears?<o:p></o:p></span></b></div>
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<span style="font-family: Arial, Helvetica, sans-serif;">That
it will happen again<o:p></o:p></span></div>
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<b><span style="font-family: Arial, Helvetica, sans-serif;">How did your family and friends feel and respond?<o:p></o:p></span></b></div>
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<span style="font-family: Arial, Helvetica, sans-serif;">Its
been very difficult for my family to understand this just as much as me and
maybe even more difficult for them as they have not experienced the daily
challenges. By making some of them go to talks from charities or neuropsychology
with me has really helped them to understand better. </span></div>
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<span style="font-family: Arial, Helvetica, sans-serif;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhC-QcbMxm7fmkGONR1GnHtvGm0I1WMhyphenhypheniTbeiqfyjH1ZjtxdO7u5ChYYpcbeogCyeFUEGSt8KxQqFYb8wnm7U9bDy1GF2_WoHGzYNT8dCMzJtwS-O_l0K5M7B0Db36YkeSiBtgLtDQiGgQ/s1600/Kavita+Basi.png" imageanchor="1" style="clear: right; float: right; margin-bottom: 1em; margin-left: 1em;"><img border="0" data-original-height="369" data-original-width="369" height="200" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhC-QcbMxm7fmkGONR1GnHtvGm0I1WMhyphenhypheniTbeiqfyjH1ZjtxdO7u5ChYYpcbeogCyeFUEGSt8KxQqFYb8wnm7U9bDy1GF2_WoHGzYNT8dCMzJtwS-O_l0K5M7B0Db36YkeSiBtgLtDQiGgQ/s200/Kavita+Basi.png" width="200" /></a></span></div>
<span style="font-family: Arial, Helvetica, sans-serif;">My
social circle has changed as a result of lack of understanding.</span><br />
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<b><span style="font-family: Arial, Helvetica, sans-serif;">How and why have you got involved in stroke awareness and
advocacy?<o:p></o:p></span></b></div>
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<span style="font-family: Arial, Helvetica, sans-serif;">I
have got involved since I came out of hospital because I felt so alone in my
early days of recovery and didn’t want anyone else to feel the same which is
why I started to get so involved in helping others. So I started my blog,
website <a href="http://www.kavitabasi.com/">www.kavitabasi.com</a> and then I
wrote my book Room 23 Surviving a Brain Haemorrhage.</span><span style="font-family: Arial, sans-serif;"><o:p></o:p></span></div>
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<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEisOZwhLzMEq1SwX3GAyVC4qR2965u3pDManph6ACf-xoi2P4CVG_Eg61s_CmtUituknQxSvLswKp3kGteilgxxZ1NIsNVAAbPz9Iw5sNahmnKOqmeNK5cCAQhwLuXCywCMDOK5m7LeV0l_/s1600/Kavita+3.png" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="264" data-original-width="401" height="210" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEisOZwhLzMEq1SwX3GAyVC4qR2965u3pDManph6ACf-xoi2P4CVG_Eg61s_CmtUituknQxSvLswKp3kGteilgxxZ1NIsNVAAbPz9Iw5sNahmnKOqmeNK5cCAQhwLuXCywCMDOK5m7LeV0l_/s320/Kavita+3.png" width="320" /></a></div>
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Sarah Belsonhttp://www.blogger.com/profile/07525375977513637375noreply@blogger.comtag:blogger.com,1999:blog-4132279856398463793.post-91808044654181009942019-08-26T00:18:00.000+10:002019-08-26T00:18:03.103+10:00Seven minutes in stroke - Dr Li Xiaofeng<div dir="ltr" style="text-align: left;" trbidi="on">
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In the coming weeks we will online publish the article Granulocyte Colony-Stimulating Factor and Stromal Cell-Derived Factor-1 Combination Therapy: A More Effective Treatment for Cerebral Ischemic Stroke the subitting author Dr Li Xiaofeng has answered our Seven Minutes in Stroke. </div>
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<span style="font-size: 12px;">1. What inspired you towards neuroscience? </span><b></b></div>
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Neuroscience is the final frontier of the human body, and many mysteries remain to be revealed. Most importantly, there are many intractable neurological diseases, such as AD, PD and stroke, that still need to be further investigated to elucidate the mechanims and develop new therapeutic strategies. </div>
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2. Why stroke? Among those intractable neurological diseases, stroke is currently the first cause of death in Chinese residents. Currently, one person has a new stroke every 12 seconds, and one person dies of a stroke every 21 seconds. My grandfather died of ICH, so I chose neurology as my profession after graduating from college, and I hope I can devote myself and make my contributions in stroke research and clinical treatment.</div>
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3. What have been the highs so far? Our research team will be very excited when our animal experiments have made significant progress. The conclusion of our study are useful for guiding clinicians in clinical practice. Although the results cannot be used directly in the clinic, the can allow clinicians to keep thinking and be prudent in their treatment, which is a good thing for patients.</div>
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4. What have been the lows? The data obtained from our current study in animas cannot be immediately applied in clinical practice. The safety and side effects of drug combinations in our study are unknown, and further preclinical studies and clinical trials are needed for translation.</div>
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<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhlWU5_PWzNOscbSqK1igZR5qSPbsiIHwILH-nK8lCyeUagbrrZzcMGRUyebo04r-6scSPqHsVfguzlBLxuBOmKr6FAQTkHYRH1EubRtdTfRaiRo3BVig-aTA_3TJNykcvDXZBew-jPpR3w/s1600/Niger+working+picture.jpg" imageanchor="1" style="clear: right; float: right; margin-bottom: 1em; margin-left: 1em;"><img border="0" data-original-height="800" data-original-width="600" height="200" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhlWU5_PWzNOscbSqK1igZR5qSPbsiIHwILH-nK8lCyeUagbrrZzcMGRUyebo04r-6scSPqHsVfguzlBLxuBOmKr6FAQTkHYRH1EubRtdTfRaiRo3BVig-aTA_3TJNykcvDXZBew-jPpR3w/s200/Niger+working+picture.jpg" width="150" /></a></div>
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5. How do you balance work life with the needs of home life? I have always regarded the work of neurology as an interest rather than just a career, doing a good job at work time, taking care of my family during the rest time, and taking neuroscience research as an interest if there is extra rest time.</div>
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6. Who are your most important mentors and how did you find them?</div>
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Professor Mei YuanWu, Department of Neurology, Union Hospital of Huazhong University of Science and Technology, was my doctoral tutor. As of this year, Professor Mei has been working in neurology for 50 years. I met him at a domestic stroke meeting. I studied at Union Hospital for three years.</div>
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<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiI0eJzFE_hRf3-LQ-ech0pkFj0-UtdFTSubDw2uiT3c71ip7DEEucuMSt54y4qtoN05j22br_b5GmcLMpMFYXf5iaK2tpQ_1b1J2bNEIdqTD3b3OdDrXSkpt-lZHve-uYksj5-DLGd9kOO/s1600/Hospital.jpg" imageanchor="1" style="clear: left; display: inline !important; float: left; margin-bottom: 1em; margin-right: 1em; text-align: center;"><img border="0" data-original-height="800" data-original-width="757" height="200" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiI0eJzFE_hRf3-LQ-ech0pkFj0-UtdFTSubDw2uiT3c71ip7DEEucuMSt54y4qtoN05j22br_b5GmcLMpMFYXf5iaK2tpQ_1b1J2bNEIdqTD3b3OdDrXSkpt-lZHve-uYksj5-DLGd9kOO/s200/Hospital.jpg" width="188" /></a>7. What are your most important collaborations and how have you built them? In 2005, our neurology department established a cooperative relationship with the Department of Neurology of Tiantan Hospital. Professor Wang Yongjun of Tiantan Hospital has been a visiting professor of our hospital. I met Professor Wang in 2002 and studied in Tiantan Hospital for half a year. Professor Wang is the first scholar to promote the Stroke Unit in China. I respect Professor Wang and his achievements in the field of stroke prevention in China.</div>
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Li Xiaofeng</div>
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Chief physician</div>
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<span style="font-family: "helvetica neue";">Department of Neurology,The People's Hospital of Guangxi Zhuang Autonomous Region, </span><span style="font-family: "pingfang sc";"> </span><span style="font-family: "helvetica neue";">China. </span></div>
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Unknownnoreply@blogger.comtag:blogger.com,1999:blog-4132279856398463793.post-75982280491533672742019-08-14T19:29:00.001+10:002019-08-14T19:29:21.179+10:00Ghana stroke support organisation is honoured and motivated by World Stroke Campaign Award 2018 <div dir="ltr" style="text-align: left;" trbidi="on">
<i><span style="font-family: "verdana" , sans-serif;">Stroke Association
Support Network Ghana (SASNET Ghana)<span style="background: 0px 0px rgb(255, 255, 255); border: 0px; box-sizing: border-box; outline: 0px; padding: 0px; transition: all 0.5s ease 0s; vertical-align: baseline;"><span style="background: 0px 0px; border: 0px; box-sizing: border-box; outline: 0px; padding: 0px; transition: all 0.5s ease 0s; vertical-align: baseline;"> share their thoughts on being selected as </span></span>the winner of the World Stroke Campaign Award 2018 in the Low-Middle Income
Country category. </span></i><br />
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<span lang="EN-US"><i><span style="font-family: "verdana" , sans-serif;"><o:p></o:p></span></i></span></div>
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<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjonMEaWlnlQOO5aZ8t7R7DIrxiMf4o9TMe844Y0Nl-Rg1NaXqp6_doUo_cB8cXTLX5p97EDwmmDm4oYsSjQQ5F8FWmfEPq4jW2AvJOL6GSVZYW6FkZaAfiEUuFsz1FMo3EO1voGCsnKb5T/s1600/Adams.jpg" imageanchor="1" style="clear: right; float: right; margin-bottom: 1em; margin-left: 1em;"><img border="0" data-original-height="880" data-original-width="564" height="200" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjonMEaWlnlQOO5aZ8t7R7DIrxiMf4o9TMe844Y0Nl-Rg1NaXqp6_doUo_cB8cXTLX5p97EDwmmDm4oYsSjQQ5F8FWmfEPq4jW2AvJOL6GSVZYW6FkZaAfiEUuFsz1FMo3EO1voGCsnKb5T/s200/Adams.jpg" width="128" /></a></div>
<span style="font-family: "verdana" , sans-serif;">SASNET Ghana has been involved in organising World Stroke Day events since our establishment in 2012. SASNET Ghana's year round work is focused on raising awareness of stroke and supporting people living with stroke to
improve their quality of life though our</span><span style="font-family: "verdana" , sans-serif;"> outreach program, Community Stroke/NCDs Awareness and</span><span style="font-family: "verdana" , sans-serif;"> </span><span style="font-family: "verdana" , sans-serif;">the Community Life After
Stroke Program (CLASP). </span><br />
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<span style="font-family: "verdana" , sans-serif;">The 29th October every year is a special
day in the calendar for SASNET Ghana and we use World Stroke Day to:</span></div>
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<span style="font-family: "verdana" , sans-serif;">1. Remind Ghanaians that stroke is a global health burden
and the incidence of stroke is increasing in Africa<o:p></o:p></span></div>
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<span style="font-family: "verdana" , sans-serif;">2. Take the opportunity to involve the media in issues relating to stroke and so raise the profile of stroke across the country <o:p></o:p></span></div>
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<span style="font-family: "verdana" , sans-serif;">3. Engage a range of health professionals to contribute in raising awareness at their respective hospitals,
clinics and health centers across the country<o:p></o:p></span></div>
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<span style="font-family: "verdana" , sans-serif;">4. Challenge the myths ,superstitions and other
beliefs around stroke and to provide full and accurate stroke information<o:p></o:p></span></div>
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<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEh91KV20kuKYu85VjB8b5patIilFv7vZbOngH3saWj6hJTb3dZtUkDgEPxK6i3ahkcyCZ5fPQuHHWQQTNdBF8olqkjWejk_RIKglph8HZZUBwQqmTuoG-IWPh99zQPYHQDHk_25RWCa0x2H/s1600/Ghana.jpg" imageanchor="1" style="clear: left; float: left; margin-bottom: 1em; margin-right: 1em;"><img border="0" data-original-height="720" data-original-width="1080" height="133" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEh91KV20kuKYu85VjB8b5patIilFv7vZbOngH3saWj6hJTb3dZtUkDgEPxK6i3ahkcyCZ5fPQuHHWQQTNdBF8olqkjWejk_RIKglph8HZZUBwQqmTuoG-IWPh99zQPYHQDHk_25RWCa0x2H/s200/Ghana.jpg" width="200" /></a><span style="font-family: "verdana" , sans-serif;">World Stroke Day events over the
years continue to give SASNET Ghana the opportunity to involve
academics, researchers and government officials in our work and their inputs
and research are an invaluable resource for our activities.<o:p></o:p></span></div>
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<span style="font-family: "verdana" , sans-serif;">SASNET Ghana's </span><span style="font-family: "verdana" , sans-serif;"><i>World Stroke Campaign Award 2018 in the Low-Middle Income Country category </i></span><span style="font-family: "verdana" , sans-serif;">is an honour.
The award is motivation for all members of SASNET Ghana. This gives us
the reason to go the extra mile, especially as we are determined to use an
innovative approach to educate and to disseminate stroke information in
Ghana. The award must also be attributed to the work of the Ministry of Health, the
Ghana Health Service and members of the Health Committee in
Parliament, all of which have supported our work. </span><br />
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<span style="font-family: "verdana" , sans-serif;">The Ghanaian Government is developing strategies to achieve the targets of Sustainable Development Goal 3, Good Health and Well Being and SASNET Ghana will use this opportunity to gain support from the Government to
launch The National Act F.A.S.T Campaign.</span></div>
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<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEidwA3FwCnk-SDWuujTByculkWjzFmzglYljrpP7-_pifSGbLB7U4I3gvZMgVEuVIaW07HUBO17InpY83yD0b9QbvqycBNDUdos5tGUkUT1_s5hCeAjJMXNRVewRgkfB_0oXLPvmB3Zwy-M/s1600/Ghana+2.jpg" imageanchor="1" style="clear: right; float: right; margin-bottom: 1em; margin-left: 1em;"><img border="0" data-original-height="877" data-original-width="621" height="200" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEidwA3FwCnk-SDWuujTByculkWjzFmzglYljrpP7-_pifSGbLB7U4I3gvZMgVEuVIaW07HUBO17InpY83yD0b9QbvqycBNDUdos5tGUkUT1_s5hCeAjJMXNRVewRgkfB_0oXLPvmB3Zwy-M/s200/Ghana+2.jpg" width="141" /></a><span style="font-family: "verdana" , sans-serif;"><br /></span></div>
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<span style="font-family: "verdana" , sans-serif;">Our special thanks goes to: Rev.Dr.
Immanuel Alpha-Christ, Chief Dr.Ben S.Jabuni and the entire SASNET Ghana Campaign team led by
Faustina Larbi, Stroke Health Promotion Manager, all the stroke survivor members, the stroke multidisciplinary team, Korle Bu Teaching
Hospital, Military Hospital, Komfo Anokye Teaching Hospital, Ridge Hospital,
Trust Hospital and last but not least, Ad Adams
Ebenezer ,the Executive Director for Stroke Support Operations at SASNET Ghana.</span><span style="font-family: "helvetica" , sans-serif; font-size: 10pt;"><o:p></o:p></span></div>
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Sarah Belsonhttp://www.blogger.com/profile/07525375977513637375noreply@blogger.comtag:blogger.com,1999:blog-4132279856398463793.post-52284792739365716492019-08-12T18:20:00.000+10:002019-08-12T18:20:03.277+10:00Seven Minutes in Stroke - Benjamn T. King <div dir="ltr" style="text-align: left;" trbidi="on">
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Dr Benjamin King from the Department of Neurology, Dell Medical School and the University of Texas submitting author of the manuscript 'Optimal Delay Time to Initiate Anticoagulation after Ischemic Stroke in Atrial Fibrillation (START): methodology of a pragmatic, response-adaptive, prospective randomized clinical trial.' published in the International Journal of Stroke. </div>
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1. What inspired you towards neuroscience?</div>
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Unsurprisingly, I came to the field of neuro-epidemiology in a roundabout way, but the neurosciences were always a focus. My undergraduate program at Bard College provided the opportunity to partner with a team building a zebrafish neuroscience lab from the ground up. I was thrilled by my time studying the mechanism of addiction in this model, but I was also determined to move on to human subjects research. From there I went to work at inpatient psychiatric care facilities for a while, but never left the mind/brain question behind.</div>
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2. Why stroke?<br />
As we all know, stroke results in a massive amount of disability and death. Public health training recognizes the benefits of addressing the largest drivers of disease burden such as this. Moving the needle even slightly in the prevention, care, or recovery from stroke can lead to inflated population health benefits. I was developing and managing research in emergency medicine when our first acute ischemic stroke trial came along. It didn’t take long before that became our focus.</div>
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I'm lucky to really love the work I do</blockquote>
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<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgvtZ2ygu-WX03ZY6CeedGbD6XXlxCTrIYiYuQEcW5IeGb7N2DibXk25cHXgqPmEhN2b_ZAwWSyW8ZB9URc9_rbBWGd7aH76-lHguMugJBcMh3Klr6-5WXNiXPUNVd2lWddpwK8Nv3kxp-n/s1600/Ben+King.jpg" imageanchor="1" style="clear: left; float: left; margin-bottom: 1em; margin-right: 1em;"><img border="0" data-original-height="1600" data-original-width="1067" height="320" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgvtZ2ygu-WX03ZY6CeedGbD6XXlxCTrIYiYuQEcW5IeGb7N2DibXk25cHXgqPmEhN2b_ZAwWSyW8ZB9URc9_rbBWGd7aH76-lHguMugJBcMh3Klr6-5WXNiXPUNVd2lWddpwK8Nv3kxp-n/s320/Ben+King.jpg" width="213" /></a>3. What have been the highs so far?</div>
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I’m lucky to really love the work I do. There is something special that happens when a completely new research question gets introduced – usually when one of my clinician partners kicks down my door out of the blue – and we get to start solving a design question from scratch. There is also a great feeling when you get to see the work you do as an epidemiologist lead to changes in service delivery. Add to that any and every time I get to take a crack at a clean dataset …and there are too many highs to count.</div>
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4. What have been the lows?<br />
Peer-reviewed rejections of grant proposals never seem to get easier. I’m proud of our wins, but I’m still learning to shake off the losses.</div>
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5. How do you balance work life with the needs of home life?<br />
My wife and I both work long hours. She has a background in social work, from before her law career, and does a good job of reminding both of us about the importance of self-care. Setting aside time for ourselves is key. It requires hard work at both ends of the spectrum.</div>
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6. Who are your most important mentors and how did you find them?<br />
Dr. Truman Milling hired me to build the Emergency Medicine research program in Austin and we have been working and writing together ever since. It is a truly rare thing to find a clinician with his gift for writing and the technical aspects of research design. When Dr. Steven Warach relocated to Austin from his position as the head of intramural research at NINDS our team leapt at the chance to manage his research program. I have been benefiting from his leadership ever since. His perspective and insights have literally helped to shape the modern era of vascular neurology practice.</div>
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Finally, my epidemiologic training was mentored by some of the greatest methodologists in both epidemiology and biostatistics. My doctoral advisor, Dr. Steven Kelder, has shown me over and over that the field of epidemiology can be used to enact real, systemic changes by studying and testing solutions to complex problems. I first met Dr. Kelder during the master’s program, when I walked into his office unannounced and asked for a job… over a decade before asking him to be my advisor.</div>
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7. What are your most important collaborations and how have you built them?</div>
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As an epidemiologist I get to work in and around a lot of different specialties. One of my favorite endeavors is the collaboration built to connect our work in the tertiary care setting with housing and homelessness service agencies in our local community. In fact, my dissertation was a deep dive into the psychometric and validation testing of a popular vulnerability score measure used for housing resource prioritization. Honorable mentions go to our collaborators in the Lone Star Stroke Consortium, my partners in the Dell Medical School’s Department of Population Health and the Division of Psychology.</div>
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Unknownnoreply@blogger.comtag:blogger.com,1999:blog-4132279856398463793.post-64797132743744223792019-08-07T21:21:00.000+10:002019-08-08T00:39:53.446+10:00World Stroke Campaign award a testament to life after stroke<div dir="ltr" style="text-align: left;" trbidi="on">
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<i style="mso-bidi-font-style: normal;"><span style="font-family: "arial" , "sans-serif";">Michael Uchunor, founder of the stroke
support organisation Michael and Francisca Foundation in Nigeria, wins the
'Award for Individual Achievement' in recognition of his work in support of the
World Stroke Day campaign 2018. <o:p></o:p></span></i></div>
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<br />
</span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; mso-ansi-language: EN-US;">I was 33 years old when I had my stroke in 2012. I used to drink a lot
of alcohol and smoke cigarettes. I think I may have been hypertensive before
the stroke occurred but I have no way of knowing since I had never checked my
blood pressure before then. <br style="mso-special-character: line-break;" />
<!--[if !supportLineBreakNewLine]--><br style="mso-special-character: line-break;" />
<!--[endif]--></span><span style="font-family: "arial" , "sans-serif";"><o:p></o:p></span></div>
<div class="MsoNormal">
<span style="font-family: "arial" , "sans-serif";">I now want to
identify stroke survivors so that we can advocate together for better stroke
awareness and care for stroke survivors in Nigeria. </span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; mso-ansi-language: EN-US;">Stroke
advocacy and campaigning are important in order to educate the public about the
symptoms of stroke and the importance of getting to the hospital quickly. It
also raises awareness on profound and universal impact of stroke on individuals
and families so that decision makers understand the importance of resourcing quality
education, treatment and long term care and support for stroke survivors and care
givers. <o:p></o:p></span></div>
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<br /></div>
<div class="MsoNormal">
<span lang="EN-US" style="font-family: "arial" , "sans-serif"; mso-ansi-language: EN-US;">Stroke support organisations like Michael and
Francisca Foundation still have to focus on grassroots outreach to raise
awareness as many people in Nigeria do not have access to media campaigns. This
outreach also gives us greater understanding of the lived experience of stroke
that we can share with decision makers.<o:p></o:p></span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<span lang="EN-US" style="font-family: "arial" , "sans-serif"; mso-ansi-language: EN-US;">I get involved in World Stroke Day on 29<sup>th</sup>
October every year to underscore the serious nature and high rates of stroke, to
raise awareness of the prevention and treatment of the condition and ensure
better care for survivors.<b style="mso-bidi-font-weight: normal;"><o:p></o:p></b></span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<span lang="EN-US" style="font-family: "arial" , "sans-serif"; mso-ansi-language: EN-US;">When I had my stroke, there was nothing like a stroke
support group near me that I could access, but I know that my recovery would
have been easier if I had been connected with such a group. A group where I
could meet other stroke survivors with similar effects; get to know and
communicate with one another, share stories, challenges and inspiration, learn
about promising treatment and new research. This gap gave birth to the Michael
and Francisca Foundation which is a place where stroke survivors and their
relatives connect with one another. We now have 128 members and still counting.
<o:p></o:p></span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<span lang="EN-US" style="font-family: "arial" , "sans-serif"; mso-ansi-language: EN-US;">Receiving the </span><span style="font-family: "arial" , "sans-serif";">Award
for Individual Achievement from the World Stroke Campaign is testament to me
and other stroke survivors that there can be life after stroke. I am thankful
for my faith and to </span><span lang="EN-US" style="font-family: "arial" , "sans-serif"; mso-ansi-language: EN-US;">my family and friends who stood by me. This is just
the beginning of my stroke campaigning in Nigeria.<o:p></o:p></span></div>
<br /></div>
Sarah Belsonhttp://www.blogger.com/profile/07525375977513637375noreply@blogger.com