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CPAP treatment for sleep apnea improves stroke outcomes: JAHA
Sleep apnea is a known risk factor for stroke, now a new study suggests that the use of -- CPAP (continuous positive airway pressure) mask -- is associated with improved neurological functioning among patients with acute ischemic stroke/transient ischemic attack with sleep apnea.
Patients in the study, published in the Journal of the American Heart Association, typically used the CPAP mask -- "continuous positive airway pressure" -- to ease their nighttime breathing difficulties.
Obstructive sleep apnea (OSA) is common among patients with acute ischemic stroke and transient ischemic attack. Dawn M. Bravata, an investigator at the Regenstrief Institute in Indianapolis, Indiana, and colleagues evaluated whether CPAP for OSA among patients with recent ischemic stroke or transient ischemic attack improved clinical outcomes.
This randomized controlled trial among patients with ischemic stroke/transient ischemic attack compared 2 strategies (standard or enhanced) for the diagnosis and treatment of OSA versus usual care over 1 year.
Primary outcomes were the National Institutes of Health Stroke Scale and modified Rankin Scale scores. Among 252 patients (84, control; 86, standard; 82, enhanced), OSA prevalence was as follows: control, 69%; standard, 74%; and enhanced, 80%. CPAP use occurred on average 50% of nights and was similar among standard (3.9±2.1 mean hours/nights used) and enhanced (4.3±2.4 hours/nights used; P=0.46) patients.
Also Read: Treatment with CPAP for Sleep apnea improves Erectile dysfunction
Key Findings:
- In intention‐to‐treat analyses, changes in National Institutes of Health Stroke Scale and modified Rankin Scale scores were similar across groups.
- In as‐treated analyses among patients with OSA, increasing continuous positive airway pressure use was associated with improved National Institutes of Health Stroke Scale score (no/poor, −0.6±2.9; some, −0.9±1.4; good, −0.3±1.0; P=0.0064) and improved modified Rankin Scale score (no/poor, −0.3±1.5; some, −0.4±1.0; good, −0.9±1.2; P=0.0237).
- In shift analyses among patients with OSA, 59% of intervention patients had best neurological symptom severity (National Institutes of Health Stroke Scale score, 0–1) versus 38% of controls (P=0.038); absolute risk reduction was 21% (number needed to treat, 4.8).
The investigators found that, among stroke patients, "treatment of sleep apnea with CPAP therapy provides significant benefits, even greater than the benefits of tPA, the FDA-approved drug treatment for stroke," said study lead researcher Dr. Dawn Bravata.
"Although changes in neurological functioning and functional status were similar across the groups in the intention‐to‐treat analyses, continuous positive airway pressure use was associated with improved neurological functioning among patients with acute ischemic stroke/transient ischemic attack with OSA," concluded the authors.
For further reference follow the link: https://doi.org/10.1161/JAHA.118.008841
Disclaimer: This site is primarily intended for healthcare professionals. Any content/information on this website does not replace the advice of medical and/or health professionals and should not be construed as medical/diagnostic advice/endorsement or prescription. Use of this site is subject to our terms of use, privacy policy, advertisement policy. © 2020 Minerva Medical Treatment Pvt Ltd

subset: commoncrawl


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Tag Archives: real people
Nothing = 2020
***Warning, contains truth***
If you dislike an objective view of things then you best stop reading.
You won't be judged, shamed or have your profile smeared.
Yet if you are someone interested in hearing a few bitter pills to swallow then please continue on.
I've heard many a conversation in many a gym over the years.
In the last decade though there has been an underlying tone in a lot of them; life, the world or however you describe it seems to owe 'them' (the collective them, as in everyone) something.
The world, people, what/whoever doesn't own you jack shit.
In this life while there are those born with a silver spoon in far better stead than others and are presented all the opportunities, that doesn't mean that just because you haven't had this that you're owed something.
People have become very weak-minded these days.
Take the example above, I'm sure you know someone who has it all.
They never asked for it all, they just happened to be one of those few who happened to get it due to the hard work and sacrifice of someone in their daily at some point.
Same will be true for your progeny.
Whatever you achieve and the foundations you lay will be used but hem to get a better foothold in life.
The people of the 20's, 30's, 40's all did this for their young.
Then there was a time of bountiful harvests, follow day people gaining the attitude of being entitled and this is where things started to go wrong.
Sadly we are entitled to nothing in this life.
To be alive and have things as good as we have them is already a gift.
Don't believe me?
If you're reading this then I'd say you've already got it better than some who either will never have the chance to use modern technologies or others who have had their basic humans rights stripped away, not naming any northern countries or anything.
This is why I love fitness.
It keeps you humble because you don't get results without effort, sacrifice and time given to the iron gods.
True enough some people have better genetics.
If you feel yours are lacking and that you should have better ones then I truly hope that txt time you choose to be born of better parents.
Think back to school, you had all the gifted kids and most of them now will be nothing more than a memory because they wasted the 3 space head start they had and rested on their laurels.
Anyone who gets a head start in life while lucky isn't guaranteed success because the world doesn't owe it to them, remember that.
So my dear friends, have you ever felt that you deserve more than you have?
That you're owed something for nothing because reasons.
Sorry buttercup, you ain't.
Neither am I.
We may not ever get what we feel we deserve, yet is what we feel we deserve actually what we are due? – Now there is a good thought.
Do what you can without the thought of reward just because you can.
In the end if you've given whatever you see as a priority everything you have to give you'll probably be satisfied with what you have in the end.
Don't except the world to cater to you for nothing.
Life doesn't work that way for most of us.
Also if you've been one of the few to start severals steps ahead of the rest I am happy for you, truly. Now use that opportunity to do great things and don't fuck it up.
To everyone else I will say one last thing….
There's always a bigger fish.
Beware the Company You Keep
Curious Clients – One for PT's
What are some people really asking?
Good Morning All,
I've heard a lot of different questions over my years in this industry I cherish, yet there is often one commonality.
While not true for all it does apply to the large majority.
In regards to asking said questions you'll find that a lot of people are not actually looking for an answer, or at least not an objective one.
To some they are not asking for an answer, merely for agreement in their current through process.
Confirmation bias you might call it.
I've spoken about this before, even did a whole section in a webinar on it, alas I feel my explanation wasn't good enough.
As such I have three key words or sentence additives that you can listen out for to gain a quick insight in to knowing if you've got someone who wants to learn or not.
1 – "Okay, cool. But…."
More the word but, did you know it's a deleting word where anything that precedes it is now considered invalid by said person who put in the ominous – 'but'.
2 – "Right, so what if…."
While this might seem trivial it's quite eye opening, the next time you have a conversation listen to what people are saying, truly listen and you'll be amazed what you hear people say and realise what they actually mean.
Time for one that relates to our online world now, I have this one happen often in a group I run, same on Instagram in the comments section.
3 – No reply.
Yep, in the online world a lack of reply often means the answer you gave wasn't the one they wanted to the question they asked, so they'll post the same one somewhere else until they get the answer they are after.
You might be wondering what gives me such insight.
Well my friends I will tell you.
I've used all of the above many times in my formative years, well, the first two anyway, not so much the third one due to a teenage life without the internet.
When you begin working with clients you'll try your best to answer their questions.
You may even find your clients as the same ones in different ways, now this can either be because you didn't explain the answer well enough or because you've not given them the answer they desire.
This will be frustrating, don't worry though.
Just keep the above in mind when working with the public.
Of course this doesn't make them bad people or anything.
It just means they need a little more time, understanding and empathy.
More Energy in 2 Easy Tips
The 10 Habits of Highly Successful Fat Loss
You are now 2 steps closer to knowing what people do a their 10 Habits of Highly Successful Fat loss.
1 – They Write Things Down.
2 – They Say No.
The third habit however is very different from the first two.
If you've read any of my other blogs you will notice that I often speak about trying to learn all you can and to never discount anything until you've researched it and tried it, however the third habit of these highly successful people goes against my normal advise… and do you know what?
I think it's absolutely BRILLIANT!
Here it is:
Habit 3: They Don't Listen to Every Single Opinion.
I know right? It seems counter intuitive, but it is the single most brilliant thing I've ever really heard.
Lets look at the facts:
– Everyone will have an opinion on the 'secret' fat loss formula.
– There are hundreds of diet books with thousands of methods to lose fat.
– The internet is filled with tips, tricks and remedies to aid in shedding the pounds.
– Everyone's and expert in their own right when it comes to THEIR body. THEIR BODY… not yours.
The last fact will make you giggle
– Everything works to some degree for a certain light of time.
As you can see, with all of the advice floating around it's ease for people to get confused. Weight watchers works for some, not for others, slimming world is great for Aunt Mavis but not Lady Brenda and the 1000cal diet will certainly help you lose weight but your health won't be far behind either.
This is why I really really like the third habit of these highly successful people. They know their own mind and stick with what is working for them.
Simply because a new fad piece of advice comes out it doesn't mean YOU need to listen to it. It's the old adage: Just because you can doesn't mean you should.
If you have been following advice that is working for you then don't change it until you need to it's that simple.
Once again this useful habit can be applied to your normal life. A 'helpful neighbour is offering some advice on how to cut your grass differently for a better result (Perhaps you like your grass the way it is.), you can just say "That's great advice, I shall bear that in mind." secretly meaning "That's the silliest thing I've ever heard and I will never use your advice EVER.".
Filed under Fitness
The 10 Habits of Highly Successful Fat Loss
After giving your the first habit of highly successful fat loss – Writing things down.
I trust you have put this simple yet powerful tool in to action? Trust me it really does work and it can also be applied to other aspects of your life too – Business, Fitness are only two examples.
Now I've gotten the quick reminder of the first habit out of the way it's time to move on to the second habit.
Habit 2: They Say No.
As humans and half decent people we don't really like the word 'No'. It just seems so rude doesn't it?
However that particular word can help you avoid over indulging when you don't even really want too. Often people will accept an extra slice of pie, or another beer because it was offered to them, lets face it, nobody wants to be 'that guy or girl' who turns down a token gesture of good will.
The hardest part of fat loss is by far the psychological aspect, people will offer you temptations not because they are trying to sabotage your progress (Ok, some might) but because they can see you're doing really well and feel you deserve a treat. This kind gesture is what makes saying 'No' so hard, but don't worry, I have a nice simple line that will help you acknowledge their offer and not leave them feeling rejected when you say the ominous word.
All you need to do is the following:
Smile and say "Thank you for the offer. I appreciate it, but I'm not feeling hungry quite just yet, thanks for considering if I was though."
This will show them that you genuinely care that they have thought about you, but it doesn't leave them feeling rejected, more so the simple fact that you're just not hungry yet.
You don't need to use that particular example, you can use what ever language you like, just be polite, sincere and smile when you say it.
I am not saying you need to say no to every food or beverage that comes your way, I would just advise you to think about whether you are actually hungry or just bored. We will eat when we are bored, mostly because everyone else is doing it and we don't want to be out from the crowd.
Learning to say 'No' will also be helpful in the world place when your boss ask's you to do an additional mountain of paper work that you don't have time for. I find the old "I would be happy to do that, who will be finishing this other work I won't have time for? Because I wouldn't want the quality to slip on either project.", this often eaves them slightly stunned but helps to deter them from giving you anymore.
Learn to say 'No' more, it's not rude, it's your choice.
Filed under Fitness


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To make sure you get every episode of Covering the Spread right as it is posted, make sure you subscribe to the podcast on Apple Podcasts, Google Play, Spotify, Stitcher, or wherever you get your podcasts. You can also download the podcast by clicking the down arrow in the bottom row of the module below.


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|Tips and Tricks to Buy a Used Car
It is essential for you to collect the data you need to enable you to create a wise choice before you actually venture out to purchase a used car.
First, you need to understand your particular requirements, and what kind of used vehicle you're going to purchase, so you can arrange the car's funding or cost-in essense, can you afford to purchase the vehicle? Remember that apart from this initial cost, the costs of getting the car on the road are related, such as car insurance, car inspection and road certificate issuance, registration transfer fees, etc.
The age of the vehicle is one of the main considerations that affects the cost of the used car. So you'll look at the car's era in terms of the cost you can afford to purchase. You'll also look at the car's energy, whether you need a four-cylinder, six-cylinder or eight-cylinder motor. This is essential because you may want to use the car tow a caravan or a boat if you're an outgoing.
The motor, accessories and type of vehicle will influence not only the car's energy, but also consumption and efficiency, and the output may not be in the best condition when you buy a used car. Initially, these are variables to consider.
Used car dealers provide various warranties that are linked to the car's price and the car's make. There is no warranty when you buy a used car from a private seller, and it is your responsibility to ensure that you are happy with the car's performance and handling on the road before you buy. So, before you purchase, you should test drive the vehicle.
The vendor should demonstrate you an up-to-date certificate of registration and vehicle safety certificate. It will be wise for you to verify that there is no cash owing to the vehicle and to do so you can check with the REV service. Get a signed payment receipt when paying for the vehicle.
Tips For Buying A Used Car
Buying a vehicle is one of many people's biggest investments in their lives-and more and more individuals are bypassing new vehicles for used models. Used vehicles have actually become big business in the U.S. and customers today have decisions that extend beyond the big lots and dealerships.
Just remember that it's essential to get the facts first when you buy a car-new or used. Doing so can assist you make sure you get the vehicle you want at the correct cost.
Buyers should take all the angles from mileage, model and car history to warranties and funding into consideration.
12 Tips and Tricks to Buy a Used Car
A person who can't afford to purchase a fresh vehicle can always move forward and purchase a used car. It takes a lot of money to purchase a car without any doubts, but that doesn't mean that only rich people can buy it. Remember always before you purchase it, the achievement of purchasing a used car is to do your research. If you're looking for a perfect deal, you'll have to prepare yourself for all the stress. Make sure you're the best used car dealer to make sure you get the best offer.
Before you buy a used car, you need to go through the following data.
1) Always decide on your budget to purchase your vehicle. Because you buy the used car, the price of the vehicle, repair and maintenance costs of the car, car insurance, and so on are always included.
2) Decide which car you want to purchase. The best choice is to go for a mid-sized vehicle as these vehicles are accessible at excellent shops.
3) Used vehicles may be covered by a manufacturer's guarantee or a service contract bought individually. Note, though, that they might not be transferable. Always make sure to go through the warranty or service contract before you buy any used cars.
4) You can also check the car's effectiveness and convenience with a test drive. If you take a test drive on distinct kinds of highways, it would be better. Have at least 10 to 15 miles of drive to guarantee the car's smoothness.
Take a severe drive of the exam. Test the acceleration and do a workout for the brakes. Make sure you don't wander or shake the steering wheel from left to right. Drive mountains up and down, roads down and traffic stop-and-go.
5) Find out how old the vehicle you'll purchase is. Try to purchase a two or three-year-old vehicle. It would likely be a lot to buy a two or three-year-old vehicle as this would offer you the chance to drive the recent model. If you decide to go for a much older vehicle, you'd be asking for trouble.
6) If the car doesn't satisfy you 100 percent, avoid purchasing it. Don't just purchase a vehicle because it's inexpensive because in the long run it could turn into a large cost.
7) The car should be checked by the mechanic you are hiring. If you neglect it, after you purchase the car, you will have to pay for all the maintenance. A mechanic can placed the vehicle on the lift and recognize any prior damage, corrosions, etc. instantly.
8) If you buy a 4 to 5 year ancient vehicle, the warranty period should be expanded. Otherwise you'll have to bear the heavy loss brunt.
9) Every dealer has a price below which the car won't be sold to you. The retailer is willing to lower the car's price to this price point, but still manages a good profit. If they find a specific customer inexperienced, however, they take advantage of such customers and are happy to create a very nice profit. Therefore, before going to a car dealer, it is very essential to teach yourself carefully.
10) Check the history of the car. Run a vehicle history report before you drive through town to see the car you're interested in. You can get a comprehensive report of the car's history from Carfax or AutoCheck using the vehicle identification number (VIN). Whether you should seriously consider purchasing this vehicle is a fast way to learn.
11) You should add it to your insurance policy before taking possession of the car. Then you just have to pay for the car — usually with cash or a check from a cashier. Make sure you get a name and get it signed properly by the vendor. If in doubt, visit the website of the state registry for more data. Most states allow the car to be registered in your name for about 10 days.
12) Beware of advertisements that offer tempting deals to people with bad credit or first-time buyers when funding. Find out the exact price you're paying for the vehicle, how much you're financing, the financial charge, the APR, and how many payments you're facing.
Finally, you understand the highest value for you, regardless of whether the car is discounted or not, if you have completed your studies. At the end of the day.
It likely is when it sounds too nice to be true. There is probably a good reason for this if a car is priced substantially below other comparable cars in the market. Before moving forward, make sure you know why.
This is it! This is it! Now you're prepared to buy a big used car, get a lot and buy a car that you're not going to regret.


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