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Decreased stroke risk with combined traditional Chinese and western medicine in patients with ischemic heart disease: A real-world evidence
Both ischemic heart disease (IHD) and stroke are major causes of death worldwide. We investigated the effects of combined Traditional Chinese medicine (TCM) and western medicine (WM) on stroke risk in IHD patients. Taiwanese patients with IHD were enrolled in the TCM study during their outpatient visit. Stroke events after TCM or non-TCM treatment were examined. Chi-square tests and Student t-tests were used to examine differences between patients using and not using TCM. The Cox proportional hazards regression model was used to estimate hazard ratios (HRs). Sex, age, and comorbidities were included in a multivariable Cox...
Source: Medicine - October 16, 2020 Category: Internal Medicine Tags: Research Article: Observational Study Source Type: research

Admitting the Patient With Acute Stroke to the Right House
The goal of any prehospital sorting function is to allocate patients to the most appropriate destination that will maximize their outcomes as defined by their preferences, goals, needs, and resources. In much the same way, the Sorting Hat at Hogwarts School of Witchcraft and Wizardry in J. K. Rowling ’s world of Harry Potter seeks to place each student in the proper “house.” Just as there are competing schools of wizardry, there are also multiple organizations that seek to certify stroke centers by differing criteria, although The Joint Commission (JC) Primary Stroke Center (PSC) program i s by far the oldest and largest.
Source: JAMA Internal Medicine - July 25, 2016 Category: Internal Medicine Source Type: research

Attitudes to outcomes measured in clinical trials of cardiovascular prevention
Conclusion: Cognitive and functional outcomes are important patient-relevant outcomes, sometimes more important than major vascular events. Incorporating these outcomes into trials may encourage patient participation and adherence to preventative regimens.
Source: QJM - June 8, 2016 Category: Internal Medicine Authors: Canavan, M., Smyth, A., Robinson, S. M., Gibson, I., Costello, C., OKeeffe, S. T., Walsh, T., Mulkerrin, E. C., ODonnell, M. J. Tags: Original papers Source Type: research

Successful endovascular therapy for an adolescent patient with cerebral venous sinus thrombosis: A case report
Rationale: Cerebral venous sinus thrombosis associated with protein S deficiency is rare in adolescent patients and has high disability and fatality. Patient concerns: A 15-year-old male student presented in the hospital with sudden headache, nausea, and vomiting and was diagnosed with protein S deficiency by gene testing. Diagnoses: Cerebral venous sinus thrombosis due to protein S deficiency was diagnosed in this adolescent patient, who underwent successful endovascular therapy (EVT). Interventions: The patient was treated with standard anti-coagulation therapy including low-molecular-weight heparin ...
Source: Medicine - September 3, 2021 Category: Internal Medicine Tags: Research Article: Clinical Case Report Source Type: research

Reflecting on the importance of work experience for the next generation of doctors
Br J Hosp Med (Lond). 2021 Dec 2;82(12):1-2. doi: 10.12968/hmed.2021.0480. Epub 2021 Dec 28.ABSTRACTA stroke consultant and pre-medical student discuss the benefits of work experience and their respective engagement in placement programmes.PMID:34983233 | DOI:10.12968/hmed.2021.0480
Source: British Journal of Hospital Medicine - January 5, 2022 Category: Internal Medicine Authors: Rahkul Sathiapal Aravinth Sivagnanaratnam Source Type: research

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