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Day two of David Pecker testimony wraps in NY Trump trial; Supreme Court hears arguments on Idaho's near-total abortion ban; ND sees a flurry of campaigning among Native candidates; and NH lags behind other states in restricting firearms at polling sites.

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The Senate moves forward with a foreign aid package. A North Carolina judge overturns an aged law penalizing released felons. And child protection groups call a Texas immigration policy traumatic for kids.

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The urban-rural death divide is widening for working-age Americans, many home internet connections established for rural students during COVID have been broken and a new federal rule aims to put the "public" back in public lands.

Indiana Expert: Post-stroke Depression Often Goes Undiagnosed

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Monday, June 4, 2012   

INDIANAPOLIS - In addition to being the number-four killer of Americans, stroke is also one of the leading causes of long-term disability. The American Stroke Association says post-stroke depression, which affects up to half of stroke survivors, can significantly affect recovery.

Indiana University associate professor of neurology, Dr. Linda Williams, says there are reasons post-stroke depression is not diagnosed right away.

"For patients themselves, it can be hard to recognize the symptoms of depression because they might expect a symptom that they're having is just sort of a natural thing that happens after a stroke, like they're tired all the time or less interested in things."

Dr. Williams, who is also a stroke researcher at the Roudebush VA Hospital, says doctors get caught up treating the physical issues after the stroke and don't always notice changes that would suggest depression. She says treating depression early can help patients recover more quickly by keeping them more engaged socially.

She says there are a couple of ways depression affects a stroke patient's recovery.

"This chemical change in the brain may actually impair some of the chemical changes and the plasticity that's going on in the brain after stroke to help the patient recover."

And, Dr. Williams says, a lack of wanting to participate and be active socially keeps the stroke patient from getting the physical activity necessary to aid in the recovery. She says there's less of a stigma today about depression, and getting treatment as early as possible is important.

She says new technology is having an impact on better care.

"As the use of electronic medical records increases, we can use them to tailor, to remind us, to do the things that otherwise when we're busy we might forget to do."

You can learn the signs of stroke and get further information at strokeassociation.org.



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