Abstract:
OBJECTIVE:To investigate the risk of epilepsy in stroke patients receiving and not receiving acupuncture treatment. DESIGN:Retrospective cohort study. SETTING:This study was based on Taiwan's National Health Insurance Research Database that included information on stroke patients hospitalised between 1 January 2000 and 31 December 2004. PARTICIPANTS:We identified 42 040 patients hospitalised with newly diagnosed stroke who were aged 20 years and above. PRIMARY AND SECONDARY OUTCOME MEASURES:We compared incident epilepsy during the follow-up period until the end of 2009 in stroke patients who were and were not receiving acupuncture. The adjusted HRs and 95% CIs of epilepsy associated with acupuncture were calculated using multivariate Cox proportional hazard regression. RESULTS:Stroke patients who received acupuncture treatment (9.8 per 1000 person-years) experienced a reduced incidence of epilepsy compared to those who did not receive acupuncture treatment (11.5 per 1000 person-years), with an HR of 0.74 (95% CI 0.68 to 0.80) after adjustment for sociodemographic factors and coexisting medical conditions. Acupuncture treatment was associated with a decreased risk of epilepsy, particularly among stroke patients aged 20-69 years. The log-rank test probability curve indicated that stroke patients receiving acupuncture treatment had a reduced probability of epilepsy compared with individuals who did not receive acupuncture treatment during the follow-up period (p<0.0001). CONCLUSIONS:Stroke patients who received acupuncture treatment had a reduced risk of epilepsy compared with those not receiving acupuncture treatment. However, the protective effects associated with acupuncture treatment require further validation in prospective cohort studies.
journal_name
BMJ Openjournal_title
BMJ openauthors
Weng SW,Liao CC,Yeh CC,Chen TL,Lane HL,Lin JG,Shih CCdoi
10.1136/bmjopen-2015-010539subject
Has Abstractpub_date
2016-07-13 00:00:00pages
e010539issue
7issn
2044-6055pii
bmjopen-2015-010539journal_volume
6pub_type
杂志文章相关文献
BMJ Open文献大全abstract:INTRODUCTION:Physical activity (PA) has diverse benefits for physical and mental health and can reduce symptoms of mental illness. Adults with mental illness face practical, psychosocial and socioeconomic barriers to adopting and maintaining PA, and it is unclear how to effectively promote PA in this group. Supervised ...
journal_title:BMJ open
pub_type: 杂志文章,随机对照试验
doi:10.1136/bmjopen-2018-023460
更新日期:2018-09-08 00:00:00
abstract:OBJECTIVE:To clarify the pathophysiological basis of persistent geotropic positional nystagmus (PGN) in patients with the horizontal canal type of benign paroxysmal positional vertigo (H-BPPV), the time constant (TC) of nystagmus and the relationship between its slow phase eye velocity (SPV) and the angle of head rotat...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2014-006607
更新日期:2015-01-13 00:00:00
abstract:OBJECTIVES:National guidelines for identifying physiological deterioration and sepsis in hospitals depend on thresholds for blood pressure that do not account for age or sex. In populations outside hospital, differences in blood pressure are known to occur with both variables. Whether these differences remain in the ho...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2019-033618
更新日期:2020-05-05 00:00:00
abstract:OBJECTIVE:To evaluate the efficiency of county public hospitals in Shandong Province following China's new medical reform and compare the efficiency of hospitals with different bed sizes for improving efficiency. DESIGN AND SETTING:This was a cross-sectional study on the efficiency and size of 68 county public hospita...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2019-035703
更新日期:2020-06-15 00:00:00
abstract:INTRODUCTION:Despite the proven effectiveness of coordinated specialty care (CSC) programmes for first episode psychosis in the USA, CSC programmes often have low levels of engagement in family psychoeducation, and engagement of racial and ethnic minority family members is even lower than that for non-Latino white fami...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2020-036907
更新日期:2020-08-26 00:00:00
abstract:OBJECTIVE:Evidence on the impact of legislative changes on individual alcohol consumption is limited. Using an observational study design, we assessed trends in individual alcohol consumption of a Swiss adult population following the public policy changes that took place between 1993 and 2014, while considering individ...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2016-014828
更新日期:2017-03-15 00:00:00
abstract:OBJECTIVES:To estimate the relationship between patient characteristics and referral decisions made by musculoskeletal hubs, and to assess the possible impact of an evidence-based referral tool. DESIGN:Retrospective analysis of medical records and decision tree model evaluating policy changes using local and national ...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2019-028915
更新日期:2020-07-02 00:00:00
abstract:OBJECTIVES:Most studies reporting evidence of adverse effects of lead and cadmium on the ability to balance have been conducted in high-exposure groups or have included adults. The effects of prenatal exposure have not been well studied, nor have the effects in children been directly studied. The aim of the study was t...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2015-009635
更新日期:2015-12-30 00:00:00
abstract:OBJECTIVES:This study aimed to investigate whether violent and non-violent offending were related to elevated risk of suicide. We also investigated whether the risk was higher among those with repeated offences and how experiences of substance misuse and suicide attempt modified the relationship. DESIGN:A nationwide p...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2013-003497
更新日期:2014-02-03 00:00:00
abstract:INTRODUCTION:Chronic inguinal pain is a frequently occurring problem in athletes. A diagnosis of inguinal disruption is performed by exclusion of other conditions causing groin pain. Up to now, conservative medical management is considered to be the primary treatment for this condition. Relevant large and prospective c...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2015-010014
更新日期:2016-01-06 00:00:00
abstract:INTRODUCTION:Health interventions often target pregnant women and their unborn children. Interventions in rural India targeting pregnant women, however, often do not cover the critical early windows of susceptibility during the first trimester and parts of the second trimester. This pilot seeks to determine if targetin...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2020-044127
更新日期:2020-10-05 00:00:00
abstract:OBJECTIVES:We conducted a systematic survey of the methodological literature to identify recommended approaches for how and what randomised clinical trial (RCT) authors should report on missing participant data and, on the basis of these approaches, to propose guidance for RCT authors. METHODS:We defined missing parti...
journal_title:BMJ open
pub_type: 杂志文章,评审
doi:10.1136/bmjopen-2015-008431
更新日期:2015-12-30 00:00:00
abstract:INTRODUCTION:In recent years, it has been demonstrated that photobiomodulation therapy (PBMT) using low-level laser therapy and/or light-emitting diode therapy combined to static magnetic field (sMF) has ergogenic effects, improving muscular performance and accelerating postexercise recovery. However, many aspects rela...
journal_title:BMJ open
pub_type: 杂志文章,随机对照试验
doi:10.1136/bmjopen-2019-030194
更新日期:2019-10-28 00:00:00
abstract:INTRODUCTION:Persistent infection with sexually transmitted, high-risk human papillomavirus (HPV) types is the cause of all cervical cancers and some anogenital and oropharyngeal cancers. HPV is an extremely common asymptomatic infection but little known and poorly understood by the public. Patients with HPV-related ca...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2016-011205
更新日期:2016-04-25 00:00:00
abstract:OBJECTIVE:To analyse the association between different domains of physical activity (PA) and health-related domains of health-related quality of life (HRQoL) in older adults, independent of confounding variables. DESIGN:Cross-sectional study. PARTICIPANTS:In total, 400 individuals 60 years or above were randomly sele...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2018-027751
更新日期:2019-06-27 00:00:00
abstract:OBJECTIVES:This study reviews the current state of the published peer-reviewed literature related to physician burnout and two quality of care dimensions. The purpose of this systematic literature review is to address the question, 'How does physician burnout affect the quality of healthcare related to the dimensions o...
journal_title:BMJ open
pub_type: 杂志文章,评审
doi:10.1136/bmjopen-2016-015141
更新日期:2017-06-21 00:00:00
abstract:INTRODUCTION:Many studies have assessed the predictors of morbidity/mortality of patients with traumatic brain injury (TBI) in acute care. However, with the increasing rate of survival after TBI, more attention has been given to discharge destinations from acute care as an important measure of clinical priorities. This...
journal_title:BMJ open
pub_type: 杂志文章,评审
doi:10.1136/bmjopen-2017-016694
更新日期:2017-08-31 00:00:00
abstract:OBJECTIVE:To identify what women report influences their preferred mode of birth after caesarean section. DESIGN:Systematic review of qualitative literature using meta-ethnography. DATA SOURCES:Medline, EMBASE, ASSIA, CINAHL and PsycINFO (1996 until April 2013; updated September 2015). Hand-searched journals, referen...
journal_title:BMJ open
pub_type: 杂志文章,评审
doi:10.1136/bmjopen-2015-008881
更新日期:2016-01-08 00:00:00
abstract:OBJECTIVES:Patients with liver disease frequently require hospitalisation with infection often the trigger. Influenza vaccination is an effective infection prevention strategy in healthy and elderly but is often perceived less beneficial in patients with liver disease. We investigated whether influenza vaccination trig...
journal_title:BMJ open
pub_type: 杂志文章,meta分析
doi:10.1136/bmjopen-2019-031070
更新日期:2019-09-06 00:00:00
abstract:OBJECTIVES:National guidelines recommend mobilisation in bed as early as possible after acute stroke. Little is known about the influence of upright positioning on real-time cerebral flow variables in patients with stroke. We aimed to assess whether cerebral blood flow velocity (CBFV) changes significantly after uprigh...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2013-002960
更新日期:2013-08-14 00:00:00
abstract:OBJECTIVES:To estimate the potential impact of the addition of culture-based screening for group B streptococcus (GBS) carriage in pregnancy to a risk-based prevention policy in the UK. We aimed to establish agreement within a multidisciplinary group of key stakeholders on the model input parameters. DESIGN:Determinis...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2018-024324
更新日期:2019-03-23 00:00:00
abstract:INTRODUCTION:Rapid technology development due to the introduction of Industrial Revolution 4.0 and Internet of Things has created a demand and gradual transition from traditional teaching and learning to technology-based learning in higher education, including healthcare education. The COVID-19 pandemic has accelerated...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2020-041153
更新日期:2020-11-23 00:00:00
abstract:OBJECTIVES:Evidence of the extent of poor oral health in the older UK adult population is limited. We describe the prevalence of oral health conditions, using objective clinical and subjective measures, in a population-based study of older men. DESIGN:Cross-sectional study. SETTING AND PARTICIPANTS:A representative s...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2015-009476
更新日期:2015-12-29 00:00:00
abstract:INTRODUCTION:Several retrospective or single-centre studies demonstrated the efficacy of transplacental treatment of fetal tachyarrhythmias. Our retrospective nationwide survey showed that the fetal therapy will be successful at an overall rate of 90%. For fetuses with hydrops, the treatment success rate will be 80%. H...
journal_title:BMJ open
pub_type: 杂志文章,多中心研究
doi:10.1136/bmjopen-2017-016597
更新日期:2017-08-29 00:00:00
abstract:PURPOSE:The ChicagO Multiethnic Prevention and Surveillance Study or 'COMPASS' is a population-based cohort study with a goal to examine the risk and determinants of cancer and chronic disease. COMPASS aims to address factors causing and/or exacerbating health disparities using a precision health approach by recruiting...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2020-038481
更新日期:2020-09-16 00:00:00
abstract:OBJECTIVES:Lay people or non-pharmacy health workers with training could dispense antiretroviral therapy (ART) in resource-constrained countries, freeing up time for pharmacists to focus on more technical tasks. We assessed the effectiveness of such task-shifting in low-income and middle-income countries. METHOD:We co...
journal_title:BMJ open
pub_type: 杂志文章,meta分析,评审
doi:10.1136/bmjopen-2016-015072
更新日期:2017-08-29 00:00:00
abstract:OBJECTIVES:We examined impacts and interactions of COVID-19 response involvement, health-related behaviours and health literacy (HL) on anxiety, depression, and health-related quality of life (HRQoL) among healthcare workers (HCWs). DESIGN:A cross-sectional study was conducted. Data were collected 6 April to 19 April ...
journal_title:BMJ open
pub_type: 杂志文章,多中心研究
doi:10.1136/bmjopen-2020-041394
更新日期:2020-12-07 00:00:00
abstract:OBJECTIVE:To evaluate the costs, benefits and cost-effectiveness of complex workplace dietary interventions, involving nutrition education and system-level dietary modification, from the perspective of healthcare providers and employers. DESIGN:Single-study economic evaluation of a cluster-controlled trial (Food Choic...
journal_title:BMJ open
pub_type: 杂志文章,多中心研究
doi:10.1136/bmjopen-2017-019182
更新日期:2018-03-03 00:00:00
abstract:INTRODUCTION:Despite advances in infection prevention and control, catheter-associated urinary tract infections (CAUTIs) are common and remain problematic. A number of measures can be taken to reduce the risk of CAUTI in hospitals. Appropriate urinary catheter insertion procedures are one such method. Reducing bacteria...
journal_title:BMJ open
pub_type: 杂志文章,多中心研究,随机对照试验
doi:10.1136/bmjopen-2017-018871
更新日期:2017-11-28 00:00:00
abstract:OBJECTIVES:To determine the prevalence of potentially inappropriate prescribing (PIP) in a cohort of community-dwelling middle-aged people and assess the relationship between PIP and emergency department (ED) visits, general practitioner (GP) visits and quality of life (QoL). DESIGN:Prospective cohort study. SETTING:...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2017-016562
更新日期:2017-10-16 00:00:00