Long-term studies demonstrating the effect of pioglitazone use on primary prevention of ischemic cerebrovascular disease in older people with type 2 diabetes mellitus are lacking. This study investigated the relationship between pioglitazone use and first attack of ischemic cerebrovascular disease in Taiwan.We conducted a case-control study using the database of the Taiwan National Health Insur...

Introduction: The elderly represent a significant proportion of the populace and their mortality index is of public health significance. With dearth of vital registration, in-hospital based studies remains a desirable alternative. This study hopes to determine the epidemiologic pattern of elderly mortality with respect to sex, age, date and cause of death.  Methods: This is descriptive retrosp...

ACUTE STROKE CARE: HOW CAN MODERN STROKE CARE BE MADE AVAILABLE TO MORE PATIENTS? Much progress has been made in acute stroke management during the last 20 years. Today we can offer organized stroke unit care in many regions in Europe and some in the United States and Canada; we have an approved acute medical treatment for ischemic stroke, i.v. rtPA. Clot retrieval devices are approved and avai...

Ischemia or hemorrhage are the byproducts of cerebrovascular disease, manifest as sudden, focal neurological deficits related to specific vascular territories of the central nervous system. Impairment or loss of consciousness is a global deficit, which rarely is caused by simultaneous, extensive or multiple hemorrhages or ischemic infarctions, and is more commonly due to other causes such as ce...

Stroke is a complex disease, with both genetic and environmental factors having a role in its pathogenesis. A review of past studies shows some evidence of genetic influences in the development of stroke. This is supported by studies of cardiovascular disease, which indicate major genetic influences at several levels including the development of risk factors. New approaches to phenotypic classi...