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Consiglio Superiore della Sanità Officiers

The largest ever Italian survey on 10-mortality rates for stroke was released this july by the large diffusion media Focus.

The survey was published after a governamental commision made available to journalist raw epidemiological data.

The list of smallest and high mortality Stroke centres is available on line as well. It is up to the political level the decision to keep this state of things or force resources to the best stroke-care provider.

Dr. Kazuo Minematsu, the Deputy Director General of the Hospital at National Cerebral and Cardiovascular Center Hospital, Osaka, Japan, has been selected as the recipient of the Mihara Award for the year of 2010, which carries grant-in-aid of 10 million yen.

On PubMed accounts 102 hits in 8 years !

Citations selected: 82.0 h-index: 4.0 g-index: >9

Stroke Track is an Acute Stroke Checklist developed at Michigan University as a training toolk for iPhone.

It nicely reports demo data of the lysis candidate, NIH measurement as well as rTPA dosage.  This free app available at iTunes store together with MediMath represent the most relevant iPhone tool available for stroke in the3 acute phase and recovery. Sill much may be improved to offer a better tailored panel of stroke tool for trainees as well as stroke doctors

Local newspapers in Sardinia reported the struggle of Sassari community to open up a stroke unit in the city hospital. The dramatic financial crisis reduced funding of  the city hospital. Offers are urgently requested by the local patients association to support the service activity (mostly the  equipment of the ward and monitoring system for an esteem of 140.000 €).

for offers Iban IT13Z0303217200010000000026

Microbubbles filled with xenon or other inhert gases as a drug delivery means in acute stroke are periodically reported in medical journals (circulation 2010) or newspapers as the latest frontier. This week the activities of the University College in London and Cincinnati/Houston University raised the attention of scientific journalists see at New Scientist and Daily Mail. But don’t panic this in US was just another experimental animal model. As usual with bubbles also Italians are there.

The Italian guidelines for stroke SPREAD (sponsored by Bayer health care) reported dabigatran as a safe alternative to warfarin. This is a sort of vital validation for the molecule since almost nothing can be done in stroke medicine without the  SPREAD committee approval at a national level. At a national level also the Mario Negri istitute for pharmacology gave its valuable opinion on Pradaxa.

From Manchester (UK) a meta-analysis reporting how dabigatran may be more effective than aspirin/placebo  in reducing risk of stroke, systemic embolization and mortality in AF… see on Thrombosis anf Haemostasis Oct issue

Any weapon is wellcome

I also provide some critical reflections on interdisciplinary approaches to engaging with religious experience with reference to a largely overlooked group of health care professionals-hospital chaplains.

J Relig Health. 2010 Oct 28.

From funny experiments to other initiatives publication bias is a big problem  for modern research. Researchers publish only favorable results, and it can have far-reaching consequences.

Pharmaceutical companies, for example, are notorious for manipulating the data in this way, potentially very dangerous when the lives of patients are at risk.

When a medical company has spent tens or hundreds of millions of dollars on research, it is tempting to bury any results that support the null hypothesis.

Unfortunately, pharmaceutical companies are businesses, attempting to maximize profits, and there is always the temptation to promote products, even when they have been shown to be ineffective or even potentially harmful.

Stroke is the second leading cause of death for people above the age of 60, and the fifth leading cause in people aged 15 to 59. Stroke also attacks children, including newborns.  Each year, nearly six million people die from stroke. In fact, stroke is responsible for more deaths every year than those attributed to AIDS, tuberculosis and malaria put together – three diseases which have set the benchmark for successful public health advocacy, capturing the attention of the world’s media and which consequently has provoked world leaders, governments and many sectors of civil society to act. by WSO