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Mechanisms of early and delayed stroke after systematic off-pump coronary artery bypass
Conclusion The incidence of stroke after systematic OPCAB was low. Early and delayed strokes were equally distributed. Stroke mechanisms were predominantly embolic. Early and delayed stroke differed in their mechanisms. Early and delayed stroke should be considered as two separate entities and different preventive strategies should be applied in future intervention.
Source: Journal of the Formosan Medical Association - September 27, 2015 Category: Journals (General) Source Type: research

The effect and associated factors of dispatcher recognition of stroke: A retrospective observational study
Conclusions The dispatchers should spend more time identifying stroke patients by following the dispatch protocol. Recognition of stroke by dispatchers was associated with improved stroke care.
Source: Journal of the Formosan Medical Association - November 29, 2017 Category: General Medicine Source Type: research

Improved performance of new prenotification criteria for acute stroke patients
Conclusion The accuracy of the new prehospital stroke criteria has higher PPV and specificity compared to previous CPSS validation studies.
Source: Journal of the Formosan Medical Association - May 13, 2015 Category: Journals (General) Source Type: research

Ischemic stroke risk in a southeastern Chinese population: Insights from 5-lipoxygenase activating protein and phosphodiesterase 4D single-nucleotide polymorphisms
Conclusion No association was found between SNPs of ALOX5AP or PDE4D and the risk of overall ischemic stroke in a southeastern Chinese population. Interactions between these two genes were not risk factors for cerebral infarction. In atherothrombotic and small-artery disease subtypes, none of the seven SNPs was associated with any stroke risk; however, the ALOX5AP gene might be related to ischemic stroke incidence in females.
Source: Journal of the Formosan Medical Association - May 20, 2015 Category: Journals (General) Source Type: research

A functional recovery profile for patients with stroke following post-acute rehabilitation care in Taiwan
ConclusionsThis study showed that the PAC rehabilitation unit was beneficial for patients with acute stroke who had functional impairments. The study results may call for further investigation to identify and develop better models for the delivery of rehabilitation in the stroke PAC unit.
Source: Journal of the Formosan Medical Association - May 29, 2019 Category: General Medicine Source Type: research

Time cost of a nonclosing intravenous thrombolysis service for acute ischemic stroke
Conclusion Our results demonstrate a large variation in the time cost of a nonclosing service for intravenous thrombolysis. Payment based on piece-rate compensation may not be appropriate and requires improvement.
Source: Journal of the Formosan Medical Association - August 2, 2015 Category: Journals (General) Source Type: research

Utilization of emergency medical service increases chance of thrombolytic therapy in patients with acute ischemic stroke
Conclusion Utilization of EMS can not only help acute ischemic stroke patients in early presentation to ED, but also effectively facilitate thrombolytic therapy and shorten the onset-to-needle time.
Source: Journal of the Formosan Medical Association - November 9, 2014 Category: Journals (General) Source Type: research

Calycosin-7-O-β-D-glucoside reduces myocardial injury in heat stroke rats
ConclusionWe thus conclude that myocardial injury can be a pressing need for the design of diagnostic and therapeutic modalities for heat stroke. In particular, our data indicate that CG protects against heat stroke in rats by mitigating myocardial injury.
Source: Journal of the Formosan Medical Association - September 22, 2018 Category: General Medicine Source Type: research

Validating the diagnosis of acute ischemic stroke in a National Health Insurance claims database
Conclusion The PPV of a diagnosis of AIS in the NHI claims data was high. Using five-digit ICD-9 codes to identify AIS cases will markedly decrease the false-positive rate compared with using the commonly used three-digit method.
Source: Journal of the Formosan Medical Association - March 14, 2015 Category: Journals (General) Source Type: research

Endovascular thrombectomy for acute ischemic stroke: A single-center experience in Taiwan
Conclusions This study demonstrated the therapeutic promise of endovascular thrombectomy for treatment of AIS with large vessel occlusion in a clinical setting.
Source: Journal of the Formosan Medical Association - November 10, 2017 Category: General Medicine Source Type: research

Evaluation of cerebral blood flow in acute ischemic stroke patients with atrial fibrillation: A sonographic study
Conclusion Cerebral blood flow is markedly reduced in ischemic stroke patients with AF as compared with that in patients with small vessel disease but without AF.
Source: Journal of the Formosan Medical Association - July 8, 2016 Category: Journals (General) Source Type: research

10-Point CT-ASPECTS-based reperfusion therapy for unknown onset stroke
Publication date: Available online 15 December 2017 Source:Journal of the Formosan Medical Association Author(s): Che-Cheng Chang, Hsu-Ling Yeh, Chen-Yu Hsiao, Li-Ming Lien Under the time-based criteria, patients with unknown onset stroke (UOS) are ineligible for reperfusion therapies. However, previous studies suggest that some patients with UOS may benefit from reperfusion. Several imaging modalities have been suggested to select patients for intervention, but the optimal imaging criteria are still controversial. Herein we present a series of four cases using 10-point CT-ASPECTS to support our decision of reperfusion th...
Source: Journal of the Formosan Medical Association - December 16, 2017 Category: General Medicine Source Type: research

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