Emotional Changes Can Be Further Burden of Stroke Damage

Dear Carol: My husband’s an experienced carpenter so there’s rarely been a house problem that he couldn’t fix. Now that’s changed because he had a stroke a year ago which took away most of his ability to use his tools. He gets upset when he notices things around our home that need fixing because he can’t do the work. I can live with imperfections, but seeing the look on his face when our swollen front door sticks or a deck board cracks makes me want to cry. We can afford to hire the work done but he refuses to consider it. Is it better to just let it be, which hurts him, or should I insist on having things fixed at the risk of hurting him even more? – CT Read the full column on Inforum about how strokes can cause emotional challenges and some ways to deal with this: Carol Bradley Bursack is the Candid Caregiver MedicareFAQ – Medicare Resource Center Support a caregiver or jump-start discussion in support groups with real stories - for bulk orders of Minding Our Elders e-mail Carol                        Related StoriesSome Risk Is Often the Price of Living - Even for Older AdultsPros and Cons of Aging-in-Place vs Assisted LivingPreserving an Aging Parent's Dignity: Some Tips 
Source: Minding Our Elders - Category: Geriatrics Authors: Source Type: blogs

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Right ventricular function in pulmonary (arterial) hypertension. Herz. 2019 May 17;: Authors: Tello K, Gall H, Richter M, Ghofrani A, Schermuly R Abstract The right ventricle (RV) is the main determinant of prognosis in pulmonary hypertension. Adaptation and maladaptation of the RV are of crucial importance. In the course of disease, RV contractility increases through changes in muscle properties and muscle hypertrophy. At a certain point, the point of "uncoupling," the afterload exceeds contractility, and maladaptation as well as dilation occurs to maintain stroke volume (SV). To u...
Source: Herz - Category: Cardiology Tags: Herz Source Type: research
Authors: Zhu H, Chandra A, Geng X, Cheng Z, Tong Y, Du H, Ding Y Abstract BACKGROUND: Acute ischemic stroke (AIS) is associated with significant morbidity and mortality and has a very narrow window of treatment with fibrinolytics. We investigated the safety and efficacy of combined chlorpromazine and promethazine (C+P) treatment in AIS. METHODS: A total of 64 consecutive patients diagnosed with AIS were selected and were randomly (double-blind) assigned into either the control group (standard of care [SOC] treatment) or the treatment group (SOC+C+P [12.5+12.5 mg BID or 25+25 mg BID]) which were treated for 2 we...
Source: Journal of Neurosurgical Sciences - Category: Neurosurgery Tags: J Neurosurg Sci Source Type: research
Authors: Yeom JS, Cho JY, Woo HO Abstract Kawasaki disease (KD) is a systemic vasculitis in infants and young children. The natural history of KD has not been fully elucidated because the first case of KD was reported in late 1960s and patients who have recovered will just now entering middle age. Nevertheless, several evidences have raised concerns regarding the subclinical vascular changes in post-KD patients. KD have focused on the coronary artery aneurysms because which are directly associated with fatality. However, aneurysms have been reported in other extra-cardiac muscular arteries and their fate seems to r...
Source: Korean Journal of Pediatrics - Category: Pediatrics Tags: Korean J Pediatr Source Type: research
Authors: Otterman NM, Maas M, Schiemanck SK, Vab der Wees P, Kwakkel G Abstract OBJECTIVE: To evaluate the validity of a script concordance test to assess guideline-consistent clinical reasoning by physical therapists in stroke rehabilitation, and to identify critical features of physical therapists specializing in stroke rehabilitation. METHODS: A script concordance test was developed according to current standards. Four subgroups of physical therapists (those specializing in neurology, those focusing on neurology or geriatrics, other, and non-specialized undergraduate students) were asked to complete the test...
Source: Journal of Rehabilitation Medicine - Category: Rehabilitation Tags: J Rehabil Med Source Type: research
PEOPLE who have had a flu or pneumonia may be six times more likely to suffer from a heart attack or stroke in the days after an infection. Who is at risk and how can this be prevented?
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New research in mice suggests that molecules derived from a species of parasitic fish could help tackle cancer and other conditions in the brain.
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ConclusionsThe low lead level today means more effect of COPD on the occurrence of heart attack and stroke. More studies required to understand the pathways of the association of COPD, CVD and lead due to their shared risk factors.
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Comedian Markus Birdman had a stroke at 40, and talks about the experience in his stand-up routine to raise awareness.
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CONCLUSION: Gluconeogenesis was induced in human neural cells exposed to fine particles (DEP), in association with cell damage and oxidative stress. These findings suggest that the pathogenesis of cerebrovascular injury due to fine particle pollutant exposure may proceed through derangements in gluconeogenic metabolism. ABBREVIATIONS: DEP: diesel exhaust particles, ICA: intracranial atherosclerosis, ROS: reactive oxygen species. PMID: 31099309 [PubMed - as supplied by publisher]
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We report here that genetic knockout (KO) of MLCK210 protects against cerebral microhemorrhages and neuroinflammation induced by chronic dietary hyperhomocysteinemia. Overall, the results are consistent with an accumulating body of evidence supporting MLCK210 as a potential therapeutic target for tissue barrier dysfunction and specifically implicate it in BBB dysfunction and neuroinflammation in a model of VCID.
Source: AGE - Category: Geriatrics Source Type: research
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