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The effects of a stroke vary from person to person, depending on which part of the brain is damaged and the extent of that damage.
NASAM centres function as places for stroke survivors to help themselves in their rehabilitation process, to interact with fellow survivors, and to get information and group support for themselves as well as for their carers. This is an excerpt from Endurance Sports Nutrition, Third Edition by Suzanne Girard Eberle. Our ability to run, bicycle, ski, swim, and row hinges on the capacity of the body to extract energy from ingested food. Our daily food choices resupply the potential energy, or fuel, that the body requires to continue to function normally.
The capacity of your body to store muscle and liver glycogen, however, is limited to approximately 1,800 to 2,000 calories worth of energy, or enough fuel for 90 to 120 minutes of continuous, vigorous activity. Fat is the body’s most concentrated source of energy, providing more than twice as much potential energy as carbohydrate or protein (9 calories per gram versus 4 calories each per gram). Keeps the brain and nervous system functioning—When blood glucose runs low, you become irritable, disoriented, and lethargic, and you may be incapable of concentrating or performing even simple tasks.
Aids the metabolism of fat—To burn fat effectively, your body must break down a certain amount of carbohydrate. Provides a concentrated source of energy—Fat provides more than twice the potential energy that protein and carbohydrate do (9 calories per gram of fat versus 4 calories per gram of carbohydrate or protein). Helps fuel low- to moderate-intensity activity—At rest and during exercise performed at or below 65 percent of aerobic capacity, fat contributes 50 percent or more of the fuel that muscles need.
Aids endurance by sparing glycogen reserves—Generally, as the duration or time spent exercising increases, intensity decreases (and more oxygen is available to cells), and fat is the more important fuel source. Provides energy in late stages of prolonged exercise—When muscle glycogen stores fall, as commonly occurs in the latter stages of endurance activities, the body breaks down amino acids found in skeletal muscle protein into glucose to supply up to 15 percent of the energy needed. Provides energy when daily diet is inadequate in total calories or carbohydrate—In this situation, the body is forced to rely on protein to meet its energy needs, leading to the breakdown of lean muscle mass.
One bright day in late autumn a family of Ants were bustling about in the warm sunshine, drying out the grain they had stored up during the summer, when a starving Grasshopper, his fiddle under his arm, came up and humbly begged for a bite to eat. With his head full of this foolish idea, he became so puffed up with pride and vanity that he halted and started to bray loudly.
A Raven, which you know is black as coal, was envious of the Swan, because her feathers were as white as the purest snow. So he left his home in the woods and fields and flew down to live on the lakes and in the marshes. Two Goats, frisking gayly on the rocky steeps of a mountain valley, chanced to meet, one on each side of a deep chasm through which poured a mighty mountain torrent.
A Merchant, driving his Ass homeward from the seashore with a heavy load of salt, came to a river crossed by a shallow ford.
The angry Merchant immediately turned about and drove the Ass back to the seashore, where he loaded him with two great baskets of sponges.
The Gnat buzzed away to tell the whole world about his victory, but instead he flew straight into a spider's web. A certain man who visited foreign lands could talk of little when he returned to his home except the wonderful adventures he had met with and the great deeds he had done abroad. A Cock was busily scratching and scraping about to find something to eat for himself and his family, when he happened to turn up a precious jewel that had been lost by its owner. At a great celebration in honor of King Lion, the Monkey was asked to dance for the company. At last, when one of his huge feet came within an inch of King Lion's nose, the animals were so disgusted that they set upon the Camel in a rage and drove him out into the desert. Shortly afterward, refreshments, consisting mostly of Camel's hump and ribs, were served to the company. A Wild Boar was sharpening his tusks busily against the stump of a tree, when a Fox happened by.
Just as a great Bear rushed to seize a stray kid, a Lion leaped from another direction upon the same prey. Just then a Fox dashed up, and seizing the kid, made off with it as fast as he could go, while the Lion and the Bear looked on in helpless rage.
The Fox one day thought of a plan to amuse himself at the expense of the Stork, at whose odd appearance he was always laughing. The hungry Stork was much displeased at the trick, but he was a calm, even-tempered fellow and saw no good in flying into a rage.
At that moment he scented a panther and in an instant was bounding away through the forest.
The Peacock, they say, did not at first have the beautiful feathers in which he now takes so much pride. Presently the Peacock saw an Eagle soaring high up in the blue sky and felt a desire to fly, as he had been accustomed to do.
To distinguish themselves from the soldiers in the ranks, the new leaders proudly bound on their heads lofty crests and ornaments of feathers or straw. The Weasels accepted the challenge with eagerness, for they were always ready for a fight when a meal was in sight. The Wolf could not help thinking how nice it would be to have a fine fat Dog to eat instead of the scrawny object before him. There was a fascinating article in the Washington Post last May about Dilbert creator Scott Adams’ battle with focal dystonia. If focal dystonia affects not only our ability to control muscles, but also planning muscle movement, maybe it affects how we think about movement as well. Mirta Fiorio, Michele Tinazzi, and Salvatore Aglioti realized that they could apply Shepard and Metzler’s method to people with focal dystonia. Participants with hand cramps mentally rotated photos of hands more slowly than normal participants. Though there is a trend towards rotating feet more slowly as well, this result failed to achieve statistical significance. The key here is that there are larger differences for larger rotations, and that those differences are significant — thus mental rotation is clearly impaired for people with focal dystonia, but only when they mentally rotate images of the affected body part. Maybe focal dystonia makes it slower to set up the image of a poised hand before starting mental rotation. Wanda, I’m not a neurologist, but I think your situation is different from Scott Adams. The Gorre & Daphetid is considered a small model railroad by HO scale standards, so how will it work when building to 1:64 scale?
For some, the effects are relatively minor and short-lived; others are left with more severe, long term disabilities. Because the right side of the brain controls the left side of the body (and vice versa), hemiplegia occurs on the opposite side of the body where the stroke occurred. As potential fuel sources, the carbohydrate, fat, and protein in the foods that you eat follow different metabolic paths in the body, but they all ultimately yield water, carbon dioxide, and a chemical energy called adenosine triphosphate (ATP). If you’ve ever hit the wall while exercising, you know what muscle glycogen depletion feels like.
During exercise, stored fat in the body (in the form of triglycerides in adipose or fat tissue) is broken down into fatty acids. Rather, protein is used to build, maintain, and repair body tissues, as well as to synthesize important enzymes and hormones.


Carbohydrate is increasingly vital during high-intensity exercise when the body cannot process enough oxygen to meet its needs. Because carbohydrate stores are limited compared to the body’s fat reserves, consuming a diet inadequate in carbohydrate essentially limits fat metabolism.
Dietary protein is much better utilized to build, maintain, and repair body tissues, as well as to synthesize hormones, enzymes, and neurotransmitters. Stored carbohydrate (muscle and liver glycogen) are subsequently used at a slower rate, thereby delaying the onset of fatigue and prolonging the activity.
It was mounted on an Ass adorned with garlands and gorgeous trappings, and a grand procession of priests and pages followed it through the streets. But in the midst of his song, his driver guessed what the Ass had got into his head, and began to beat him unmercifully with a stick. The foolish bird got the idea that if he lived like the Swan, swimming and diving all day long and eating the weeds and plants that grow in the water, his feathers would turn white like the Swan's. But though he washed and washed all day long, almost drowning himself at it, his feathers remained as black as ever.
The trunk of a fallen tree formed the only means of crossing the chasm, and on this not even two squirrels could have passed each other in safety. They had crossed this river many times before without accident, but this time the Ass slipped and fell when halfway over. On the way home the Ass, remembering what had happened at the ford, purposely let himself fall into the water, and again got rid of most of his burden. At the ford the Ass again tumbled over; but when he had scrambled to his feet, it was a very disconsolate Ass that dragged himself homeward under a load ten times heavier than before. Mad with rage, the Lion struck fiercely at the Gnat, but only succeeded in tearing himself with his claws. And there, he who had defeated the King of beasts came to a miserable end, the prey of a little spider.
His dancing was very clever indeed, and the animals were all highly pleased with his grace and lightness. He was very sure that he could dance quite as well as the Monkey, if not better, so he pushed his way into the crowd that was gathered around the Monkey, and rising on his hind legs, began to dance. While the Ass cropped a fresh bit of greens, the Fox would devour a chicken from the neighboring farmyard or a bit of cheese filched from the dairy. But when the Lion saw that the Ass was his for the taking, he first of all struck down the traitor Fox. Such deceit was unpardonable, and Birds and Beasts made common cause to drive out the Bats. The two fought furiously for the prize until they had received so many wounds that both sank down unable to continue the battle. That very same morning a hungry Wolf came by farther up the stream, hunting for something to eat.
The Stork gladly accepted the invitation and arrived in good time and with a very good appetite. But it was set out in a very shallow dish, and all the Stork could do was to wet the very tip of his bill. But his plans were very much changed when he met a Lion, who, without making any excuses, took the Lamb away from him. He greatly admired the graceful arch of his antlers, but he was very much ashamed of his spindling legs. But as he ran his wide-spreading antlers caught in the branches of the trees, and soon the Panther overtook him. These, Juno, whose favorite he was, granted to him one day when he begged her for a train of feathers to distinguish him from the other birds.
In every battle the Weasels carried off the victory, as well as a large number of the Mice, which they ate for dinner next day. Then after long preparation of the Mouse army in all the arts of war, they sent a challenge to the Weasels. It happened to be a very lean and bony Dog, and Master Wolf would have turned up his nose at such meager fare had he not been more hungry than usual. Though the symptoms of this disorder are involuntary muscle contractions (in Adams’ case, his right pinky finger), the root of the problem is in the brain. Neuroimaging has found that the basal ganglia is the affected area of the brain — not surprisingly, this is the area responsible for motor control.
Remember, we’ve discussed how memory for visual images appears to make use of the visual system.
It appears that focal dystonia has an impact not only on muscle movement, but also thinking about moving body parts. So focal dystonia really appears to affect thinking only on the specific muscle groups affected by the condition.
Adams’ current practice of using a large digital tablet may be less vulnerable to this problem, since he is using the larger muscle groups of his arm to draw with, instead of his hand.
Your symptoms always occur on the same side of your face, but Adams has had symptoms on both sides of his body.
I've been wracking my brain trying to come up with a good model railroad track plan for a 4 x 8 Sn42 layout. As we exercise, our muscle glycogen reserves continually decease, and blood glucose plays an increasingly greater role in meeting the body’s energy demands. Our weight would double if we stored the same amount of energy as glycogen (plus the water that glycogen holds) that we store as body fat. Under ordinary circumstances, protein meets only 5 percent of the body’s energy needs.
As the Ass walked along, the people bowed their heads reverently or fell on their knees, and the Ass thought the honor was being paid to himself.
And as the water weeds he ate did not agree with him, he got thinner and thinner, and at last he died.
A great many persons in Rhodes had seen him do it and would prove that what he told was true. But the big hulking Camel made himself very ridiculous as he kicked out his knotty legs and twisted his long clumsy neck.
It is said the quarrel grew out of the persecution the race of Geese suffered at the teeth of the Fox family. So when they saw the Birds getting the better of it, they were Birds for all there was in it.
And since then the Bat family hides in dark towers and deserted ruins, flying out only in the night.
The Fox arrived promptly at the time that had been set, and the Stork served a fish dinner that had a very appetizing smell.
Then the Stag perceived that the legs of which he was so ashamed would have saved him had it not been for the useless ornaments on his head.
Then, decked in his finery, gleaming with emerald, gold, purple, and azure, he strutted proudly among the birds.
In despair the Mice called a council, and there it was decided that the Mouse army was always beaten because it had no leaders. People suffering from focal dystonia are also limited in their ability to plan and execute muscle movements.


But Fiorio’s team took this analysis one step further: is it possible, since focal dystonia only affects certain regions of the body, that mental rotation is only impaired for those body parts?
The body parts were displayed in standard (0-degree) orientation, and also rotated in 60-degree increments.
Interestingly, however, even though these patients only showed symptoms of focal dystonia on their right hands, they were slower at mental rotations for both hands. But also notice that reaction time was not zero for either group — it took 1100 milliseconds for the normal group to respond at 0 degrees. I want kind of a western theme with some mountains (or at least hills), a tunnel or trestle (or both), and good operation and scenery potential. That was the name of a real narrow guage railroad that was to be built between Bishop and Laws, CA to interchange with Southern Pacific's Slim Princess narrow guage railroad.
Carbohydrates, such as sugar and starch, for example, are readily broken down into glucose, the body’s principal energy source. To keep up with this greatly elevated demand for glucose, liver glycogen stores become rapidly depleted.
This process occurs relatively slowly as compared with the mobilization of carbohydrate for fuel. Most of us have sufficient energy stores of fat (adipose tissue or body fat), plus the body readily converts and stores excess calories from any source (fat, carbohydrate, or protein) as body fat. In some situations, however, such as when we eat too few calories daily or not enough carbohydrate, as well as during latter stages of endurance exercise, when glycogen reserves are depleted, skeletal muscle is broken down and used as fuel. Neither would give way, and so they both fell, to be swept away by the roaring torrent below. Delighted to find how much lighter his burden had become, the Ass finished the journey very gayly. At last, worn out with rage and covered with wounds that his own teeth and claws had made, the Lion gave up the fight.
But while they were debating how best to meet death, they thought they heard a noise and in a flash were scampering off to the warren.
But the Fox lapped it up easily, and, to increase the disappointment of the Stork, made a great show of enjoyment. Instead of flying up to greet the first rays of the morning sun or to bathe in the rosy light among the floating clouds at sunset, he would have to walk the ground more encumbered and oppressed than any common barnyard fowl. So a large number of generals and commanders were appointed from among the most eminent Mice.
The privates easily slipped into their holes, but the Mouse leaders could not squeeze through the narrow openings because of their head-dresses. The first time, he taught himself to draw with his left hand, only to see the symptoms reappear there.
In a pioneering experiment in 1971, Roger Shepard and Jacqueline Metzler found that when people try to determine if two objects are the same, the time the decision takes corresponds to how far the objects are rotated. They worked with 15 people who suffered from writer’s cramp in their right hands, and 15 normal individuals. So other mental processing besides rotation is necessary for people to respond — those abilities are apparently also partially impaired for people with focal dystonia. It turns out the right layout was in front of me all the time - John Allen's Gorre & Daphetid.
My Sn42 locomotives are built on small HO scale mechanisms that can easily go around a 15 inch radius curve. ATP, in fact, is the only molecule able to provide energy to muscle fibers to power muscle contractions. Glucose can be used immediately as fuel, or can be sent to the liver and muscles and stored as glycogen. Fat is also stored within muscle fibers, where it can be more easily accessed during exercise. In order for fat to fuel exercise, however, sufficient oxygen must be simultaneously consumed. This sacrifice is necessary to access certain amino acids (the building blocks of protein) that can be converted into glucose. Wolf snapped up such delicious morsels without making any bones about it, but this Lamb looked so very helpless and innocent that the Wolf felt he ought to have some kind of an excuse for taking its life. On the way they passed a pond where a family of Frogs was sitting among the reeds on the bank.
If one object is rotated, say 90 degrees compared to the other, then the comparison takes less time than if the object is rotated by 180 degrees. The Gorre & Daphetid is a compact model railroad that fits into my space and has all the visual and operational elements that I want.
During exercise, muscle glycogen is converted back into glucose, which only the muscle fibers can use as fuel.
Foods that you eat or drink during exercise that supply carbohydrate can help delay the depletion of muscle glycogen and prevent hypoglycemia. Unlike your glycogen stores, which are limited, body fat is a virtually unlimited source of energy for athletes. The second part of this chapter briefly explains how pace or intensity, as well as the length of time that you exercise, affects the body’s ability to use fat as fuel.
Remember, your brain also needs a constant, steady supply of glucose to function optimally. His most recent effort to battle dystonia has been drawing his cartoons using a computer graphics tablet. They concluded that people must mentally rotate the objects in order to make the comparison. There were actually 2 versions of the original track plan published - the "original" original had an engine terminal inside the loop of track, while the "as built" original moved the engine terminal outside the loop and replaced it with an industrial siding.
It’s another high-energy compound that can be rapidly mobilized to help fuel short, explosive efforts. Even those who are lean and mean have enough fat stored in muscle fibers and fat cells to supply up to 100,000 calories—enough for over 100 hours of marathon running!
This modification makes the Gorre & Daphetid take up more than 4 feet in width, so I'm still working on trying to decide whether to put the engine terminal inside the loop or just leave it off all together. During exercise, your muscles pick up some of this glucose and use it in addition to their own private glycogen stores. Blood glucose also serves as the most significant source of energy for the brain, both at rest and during exercise.
The extra length will be used to spread things out a little so the 1:64 scenery and buildings don't look so jammed together.
I've got 11 days off over Christmas break so hopefully I can get a train table built and start laying track. The carbohydrate content of your diet and the type and amount of training that you undertake influence the size of your glycogen stores.



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