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  • High Blood Pressure in 40s Linked to Increased Dementia Risk For Women

    http://neurosciencenews.com/dementia...pressure-7662/

    It is worth pointing out to those who claim that they want to "live hard, die young" that they may want to put preventative measures in place, in case they survive into old age.
    Jo Bowyer
    Chartered Physiotherapist Registered Osteopath.
    "Out beyond ideas of wrongdoing and rightdoing,there is a field. I'll meet you there." Rumi

    Comment


    • Development of a psychological intervention for fatigue after stroke


      http://journals.plos.org/plosone/art...l.pone.0183286


      Abstract

      Background and aim


      Post-stroke fatigue (PSF) is common and distressing, but there is insufficient evidence to recommend any effective treatment for it. Psychological interventions are effective in treating fatigue in other conditions. This paper describes the development and evaluation of the feasibility of a psychological intervention for PSF.

      Methods


      Based on psychological correlates of PSF and evidence-based psychological interventions for fatigue in other medical conditions, we developed a manualised psychological intervention for PSF, with input from stroke clinicians, psychological therapists, and stroke survivors. The intervention was delivered by a clinical psychologist to 12 participants with PSF to test its acceptability and feasibility. According to the feedback from participants and therapists, the intervention was refined for future use.

      Results


      The intervention consisted of six individual, face-to-face treatment sessions, and one follow-up, telephone-delivered booster session. It included psycho-education and discussion of strategies to promote physical and social activities and to challenge unhelpful thoughts. Four participants dropped out and the remaining eight participants completed the intervention. These eight participants also completed all assessments and feedback and reported fatigue levels as lower at the end of the study than at the baseline. All participants reported favourable opinions on the intervention and suggested that the last two treatment sessions be combined and the booster session be delivered in person as opposed to telephone.

      Conclusions


      This psychological intervention was acceptable to stroke patients and was feasible in the local health service. These findings suggest that a randomised controlled trial to test efficacy is warranted.
      Jo Bowyer
      Chartered Physiotherapist Registered Osteopath.
      "Out beyond ideas of wrongdoing and rightdoing,there is a field. I'll meet you there." Rumi

      Comment


      • Effect of statin on progression of symptomatic basilar artery stenosis and subsequent ischemic stroke


        http://journals.plos.org/plosone/art...l.pone.0183798


        Abstract

        Background and objective


        Symptomatic basilar artery stenosis (BAS) is associated with high risk of ischemic stroke recurrence. We aimed to investigate whether statin therapy might prevent the progression of symptomatic BAS and stroke recurrence.

        Methods


        We retrospectively analyzed the data of patients with acute ischemia with symptomatic BAS, which was assessed using magnetic resonance angiogram (MRA) imaging on admission day, and 1 year later (or the day of the clinical event). The clinical endpoints were recurrent ischemic stroke and its composites, transient ischemic attack, coronary disease, and vascular death.

        Results


        Of the 153 patients with symptomatic BAS, 114 (74.5%) were treated with a statin after experiencing a stroke. Statin therapy significantly prevented the progression of symptomatic BAS (7.0% vs 28.2%) and induced regression (22.8% vs 15.4%) compared to non-statin users (p = 0.002). There were 31 ischemic stroke incidences and 38 composite vascular events. Statin users showed significantly lower stroke recurrence (14.9% vs 35.9%, p = 0.05) and composite vascular events (17.5% vs 46.2%; odds ratio [OR], 0.29; 95% confidence interval [CI], 0.13–0.64) than those not using statins did. Recurrent stroke in the basilar territory and composite vascular events were more common in patients with progression of BAS than they were in other patients (OR, 5.16; 95% CI, 1.63–16.25 vs OR, 4.2; 95% CI, 1.56–11.34).

        Conclusion


        Our study suggests that statin therapy may prevent the progression of symptomatic BAS and decrease the risk of subsequent ischemic stroke. Large randomized trials are needed to confirm this result.
        Jo Bowyer
        Chartered Physiotherapist Registered Osteopath.
        "Out beyond ideas of wrongdoing and rightdoing,there is a field. I'll meet you there." Rumi

        Comment


        • Therapeutic heat and cold in cardiac rehabilitation

          http://www.hoajonline.com/phystherre...2055-2386/4/11 Abstract


          Background: Heart failure (HF) is an emerging epidemic that affects both sexes and all races. It is a complex clinical disease with symptoms caused from any structural or functional cardiac disorder, resulting in reduced longevity. HF is a weakening process that is difficult to treat and it exists in various conditions in which therapy needs to be customized. HF has reached epidemic scopes, mainly among the elderly, in whom it might be a reason for hospitalization. Common types of therapy for HF cases focus on pharmaceuticals and medical instrumentation. However, new approaches of patient-centered care that are based on complementary management strategies, improving quality of life without causing an economic worry or health side effects, are needed to decrease hospitalizations.

          Purpose: Epidemiology, public health, risk factors, HF management, and several therapeutic heat and cold modalities have been investigated and discussed.

          Results: Thermotherapy has a scientific evidence-based effect on the human body and can be used for treatment and rehabilitation of the heart.

          Conclusion: The progress made in bioheat transfer modelling and energy delivery techniques will have an impact on the development of effective therapeutic modalities that deliver controlled heat and/or cold to the human body.

          Keywords: Thermotherapy, epidemiology, risk profile, rehabilitation, heart failure management, heat transfer, thermoregulatory modeling

          Review


          The epidemic of the 21st century
          HF is an enormous public health burden [1] with a worldwide prevalence that seems to have been increasing over the past few decades in an aging population [2]. It is also considered a global priority where the World Health Organization (WHO) estimates that cardiovascular diseases including HF are now responsible for one third of all deaths globally. In 1997, HF was singled out as an emerging epidemic [3] and today as the cardiovascular epidemic of the 21st century [4]. However, its epidemiology is complex because of the multiple factors that interact in a complex manner to impact the prevalence and incidence of HF. Most HF-related hospitalizations and deaths are sustained by a subgroup of patients who are noncompliant to guideline-based medical management, a group categorized as having advanced HF [5]. The epidemiology of HF reflects increased incidence, improved survival leading to increased prevalence, or both factors combined [6].This track may reflect the need for improvement in the management of HF.
          Moving right along in the 19th and early 20th century centuries!

          Nature Cure/Naturopathy is not a walk in the park!

          I love it, I trained in it and I have delivered it...........to highly motivated compliant patients who were also prepared to do the diet and exercise component, for however long it took. I honestly can't see 21st century screen and junk food addicts complying, unless they have a "road to Damascus moment".
          Jo Bowyer
          Chartered Physiotherapist Registered Osteopath.
          "Out beyond ideas of wrongdoing and rightdoing,there is a field. I'll meet you there." Rumi

          Comment


          • Physically active white men at high risk for plaque buildup in arteries

            https://www.sciencedaily.com/release...1016144846.htm



            According to Laddu and study co-author Dr. Jamal Rana, similar population-based cohort studies on cumulate exercise dose have caused some controversy by showing U-shaped trends of association between physical activity and disease risk.

            "So we performed this study to see if we can solve part of this puzzle," said Rana, a cardiologist at Kaiser Permanente in Oakland.

            Unique to the new study is the evaluation of long-term exercise patterns, from young adulthood into middle age.

            "Because the study results show a significantly different level of risk between black and white participants based on long-term exercise trajectories, the data provides rationale for further investigation, especially by race, into the other biological mechanisms for CAC risk in people with very high levels of physical activity," said Laddu.

            "High levels of exercise over time may cause stress on the arteries leading to higher CAC," said Rana, "however this plaque buildup may well be of the more stable kind, and thus less likely to rupture and causes heart attack, which was not evaluated in this study." Rana says they plan to evaluate for outcomes, such as heart attacks and death, next.

            While the study suggests that white men who exercise at high levels may have a higher burden of CAC, "it does not suggest that anyone should stop exercising," Laddu said.
            Jo Bowyer
            Chartered Physiotherapist Registered Osteopath.
            "Out beyond ideas of wrongdoing and rightdoing,there is a field. I'll meet you there." Rumi

            Comment


            • Blood pressure medication does not completely restore vascular function

              https://www.sciencedaily.com/release...1016083203.htm
              Jo Bowyer
              Chartered Physiotherapist Registered Osteopath.
              "Out beyond ideas of wrongdoing and rightdoing,there is a field. I'll meet you there." Rumi

              Comment


              • High blood pressure linked to common heart valve disorder

                https://www.sciencedaily.com/release...1017153151.htm

                The study, published in the journal PLOS Medicine, followed 5.5 million adults in the UK over 10 years. It found that higher blood pressure in early life was associated with a significantly greater future risk of mitral regurgitation, a condition which makes the heart less efficient at pumping blood around the body, and in severe cases can lead to heart failure.

                "Our research suggests this common and disabling valve disorder is not an inevitable consequence of aging, as previously assumed, but may be preventable," said Professor Kazem Rahimi, lead author of the study and deputy director of The George Institute UK.

                "Given the large and growing burden of mitral valve disease, particularly among older people, we believe these findings are likely to have significant implications for medical policy and practice around the world."
                Jo Bowyer
                Chartered Physiotherapist Registered Osteopath.
                "Out beyond ideas of wrongdoing and rightdoing,there is a field. I'll meet you there." Rumi

                Comment


                • Study on association of working hours and occupational physical activity with the occurrence of coronary heart disease in a Chinese population


                  http://journals.plos.org/plosone/art...l.pone.0185598

                  Abstract

                  Objective


                  To explore the association of working hours and occupational physical activity (OPA) with the occurrence of coronary heart disease (CHD) in a Chinese population.

                  Methods


                  A total of 595 participants (354 and 241 patients with and without CHD, respectively) aged between 24 and 65 were enrolled in our study, which was conducted at the First Affiliated Hospital of Nanjing Medical University between December 2015 and October 2016. Participant characteristics were collected from face-to-face questionnaires, and logistic regression analysis was conducted to examine the association of working hours and OPA with the occurrence of CHD.

                  Results


                  Compared with non-employed people, long working hours (especially ≥55 hours/week) contributed to the occurrence of CHD (adjusted odds ratio[OR] = 2.213, 95% confidence interval [CI]: 1.125, 4.355, P = 0.021) after multivariate adjustment in the Chinese population. With the extension of worktime, the CHD risk increased (P for the dose-response trend = 0.022). Meanwhile, even after adjusting for engagement in physical activity during leisure time, sedentary behavior at work had an adverse effect on CHD risk (adjusted OR = 2.794, 95%CI: 1.526, 5.115, P = 0.001), and a linear relationship was also found between OPA and CHD (P for the trend = 0.005).

                  Conclusions


                  Long working hours and sedentary behavior at work are associated with a high risk of CHD. In addition, prolonged working hours in sedentary occupations increases the risk of CHD, independent of engagement in leisure time physical activity.
                  Jo Bowyer
                  Chartered Physiotherapist Registered Osteopath.
                  "Out beyond ideas of wrongdoing and rightdoing,there is a field. I'll meet you there." Rumi

                  Comment

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