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Time is brain when it comes to the treatment of acute ischemic stroke. For every minute of delay in seeking treatment for a stroke, 1.9 million neurons die. In cases with completed reperfusion in acute ischemic stroke, 1.2 billion neurons die. A third of those who survive a stroke are left with severe and chronic disabilities.
There are three levels of disabilities that could impact an individual affected by a stroke:
Those who suffer from a major stroke tend to have significant disabilities. In those with dominant brain strokes (left side in most individuals), along with the weakness on the right side, they have residual language issues (difficulty in comprehending or expression) and in the majority, swallowing issues. Some posterior circulation strokes (affecting the back area of your brain) can cause vision changes (Hemianopia), gait imbalance, and at times, swallowing difficulty. There may be issues with bladder and bowel control as well.
Cognition and memory abnormality is seen commonly after a major stroke or those involving strategic areas of the brain. Up to 30 percent stroke, survivors can have lasting cognitive impairment leading to dementia in the years to come.
Emotional and Behavioural Impairment
The dependence on seeking help with basic functions can lead to frustration and embarrassment. In addition, those who are disabled by stroke often feel guilty and anxious about being dependent on others. Stroke can also lead to emotional outbursts which can be distressing for both the patient and their caregiver.
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Early stroke rehabilitation is important after an acute stroke. Depending on the dominant disability
(weakness, loss of coordination, swallowing problems, bladder bower control, or emotional/ cognition deficits), exercise regimes are planned. Apart from the severity of the residual disability, successful Stroke Rehabilitation is also dependent on the patient’s mood and motivation and also support from friends and family.
Stroke rehabilitation should start in the hospital inpatient rehabilitation unit, on discharge in the outpatient unit and eventually, home-based programs should be planned. The duration and frequency of these exercises depend on the nature and severity of the disability.
What is involved in Stroke Rehabilitation?
Improvement of Physical Function
Motor skill exercises- These are aimed to improve limb muscle strength, coordination, and also swallowing exercises. The physiotherapist can take the help of technology to improve motor function in selected muscles: use of a computer or video games to simulate real-life situations like cooking, picking up objects from the floor, or crossing the road, to help train the brain better. Some centers use robotic devices that assist impaired limbs to perform repetitive action and help in regaining lost function. Functional electric stimulation is used commonly to stimulate weakened muscles. The use of an ankle or knee brace and the use of walking aids like walkers or canes add to gait stability during therapy. An interesting concept used is ï¿½Constraint-Induced Therapy’. Here the unaffected limb is restrained and the patient is encouraged to use the affected limb to help recover lost function in that limb.
Cognition and Psychological Treatment
Speech and cognitive therapy are aimed at improving memory, problem-solving, and judgment. A trained Psychologist is an integral part of this rehabilitation that helps the patient get adjusted to their disability, and also keep them motivated for rehabilitation.
Want to read more in Hindi? Checkout: दुनिया सुनेगी अब पन्ना के ‘हीरे’ की कहानी
Patients need to be reassessed periodically for stiffness in the limbs or use of anti-depressants to improve outcomes from the rehabilitation program.
In most individuals, recovering from a Stroke can take time, leaving them frustrated. However, a good rehabilitation program, a motivated patient, and support from the family will help overcome these hurdles. (IANS)
Designer Payal Singhal launched her first ever shop in New Delhi at Aza, Ambawatta One, Mehrauli. At this new location, she also unveiled "Suroor" her Winter Festive' 2021 collection for Women that stays true to the brand's DNA of deconstructing and reimagining traditional Indian silhouettes for the modern aesthete.
The collection is replete with hybrid lehenga with cut-outs, sharara sets, kaftan kurtas and anarkalis; all enhanced with intricate mukaish, zardozi, gota, nakshi, pitta and mirror work. Statement yokes, the latest take on the House's signature back-tie choli, and a new burst of #PSPrints are also an integral part of the collection. For the first time, Payal has worked with bandhanis developed in Jaipur, but with her inimitable twist - using the technique on tussar instead of silks. (IANS/ MBI)
Keywords: Winter, Suroor, New Delhi, Designer, Payal Singhal, shop
Today marks the 114th birth anniversary of Harivansh Rai Bachchan, a renowned Indian poet. He is popularly known for his poem ‘Madhushala’.
Early life of Harivansh Rai Bachchan
Harivansh Rai Bachchan was born on the same date in 1907 in the village of Bahupatti, United Provinces of Agra and Oudh in British India. From the year 1941 to 1957, he taught English at the Allahabad University, and after that, Bachchan spent the next two years at St. Catharine’s College, Cambridge, completing his PhD W.B. Yeats. Interestingly, when Harivansh Rai started writing, instead of using his real surname, Shrivastava, he started using Bachchan.
Career of Harivansh Rai Bachchan
It must be noted that Harivansh Rai Bachchan was well fluent in many languages including Hindustani and Awadhi. Though, Bachchan did not know how to read Persian script, still he was very much influenced by Persian and Urdu poetry. Omar Khayyam was one such personality who influenced Bachchan big time. Some of the most celebrated works of this stalwart are Madhushala (1935-36), Agneepath, Khadi Ke Phool (1948), Dhaar Ke Idhar Udhar (1957), Jal Sameta (1973), etc. Bachchan was awarded with the esteemed Padma Bhushan in the year 1976.
So, on the occasion of 114th birth anniversary of one of the greatest poets of India, we must pay a heartfelt tribute to the legendary Harivansh Rai Bachchan for leaving behind his golden words!
Keywords: India, Artists, Poets, Harivansh Rai Bachchan, Literature.
The Yogi Adityanath government in Uttar Pradesh is setting up industrial corridors along both sides of Lucknow-Faizabad-Gorakhpur four-lane national highway within the 65 km periphery of the Ayodhya Development Authority's (ADA) jurisdiction.
The industry hub, spread over 100 acres, will form part of Ayodhya Master Plan-2031 that is being prepared by the ADA.
According to ADA Vice Chairman Vishal Singh, the master plan is expected to be finalised next month and will be sent for state government's approval.
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Unlike other development projects, the ADA will not acquire land from farmers.
"Industrialists will directly buy plots from land owners and ADA will provide infrastructure. The industrial hub will cover an area of 100 acres," he said.
The new master plan extends from the Ring Road with proposed industrial corridors along both sides. Around 114 development projects approved by the state government have been incorporated in the master plan.
Amid construction of the Ram temple, Ayodhya is undergoing a makeover with modern infrastructure and facilities. The town soon will have grand gates called 'Ram Dwaars' at all entry points along with gardens with invoking the ambience of 'Treta Yug'.
another proposal to include villages of Basti and Gonda districts under the ADA.Unsplash
Also read: Ram Mandir to be built in Ayodhya by 2022
Principal secretary, housing and urban development Deepak Kumar said that project deadlines will be met on a war footing.
There is another proposal to include villages of Basti and Gonda districts under the ADA. (IANS/PR)
Keywords: Ayodhya, Industrial area, Development projects