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Author: <span>Stewart Cromar</span>

The MRC spine stabilization trial: surgical methods, outcomes, costs, and complications of surgical stabilization.

A review of the surgical costs and results in a group of patients randomly allocated to surgery as part of a large prospective randomized trial of patients with chronic back pain. OBJECTIVE: To report the observational data from the surgical arm of a randomized trial comparing surgery with intensive rehabilitation …

Smoke-free legislation and hospitalizations for acute coronary syndrome

Previous studies have suggested a reduction in the total number of hospital admissions for acute coronary syndrome after the enactment of legislation banning smoking in public places. However, it is unknown whether the reduction in admissions involved nonsmokers, smokers, or both. Mar 21, 2014

Assessing the impact of the requirement for consent in a hospital-based stroke study

Background Increasing regulation of medical research, in particular the requirement for explicit consent, may reduce the quantity and quality of clinical epidemiological research. Aim To assess the potential biases arising from the need for explicit consent in our hospital-based stroke research register. Design Comparison of patients enrolled into our stroke …

Validity of self-reported smoking status: comparison of patients admitted to hospital with acute coronary syndrome and the general population

Many studies rely on self-reported smoking status. We hypothesized that patients with acute coronary syndrome (ACS), a smoking-related condition, would be more prone to misclassify themselves as ex-smokers, because of pressure to quit. We compared patients admitted with ACS with a general population survey conducted in the same country at …

The monitoring and surveillance of the psychosocial work environment in Canada: A forgotten determinant of health

The psychosocial working environment is an important determinant of health status and health inequalities in Canada. Particular dimensions of the psychosocial work environment such as low job control, job strain and imbalances between perceived efforts and rewards have been related to cardiovascular disease (the leading cause of mortality in Canada) …

Are there health benefits associated with comprehensive smoke-free laws

Introduction In the past few years, comprehensive smoke-free laws that prohibit smoking in all workplaces have been introduced in many jurisdictions in the US, Canada, and Europe. In this paper, we review published studies to ascertain if there is any evidence of health benefits resulting from the implementation of these …

Differences between ischaemic stroke subtypes in recurrent stroke and myocardial infarction support a distinct lacunar ischaemic stroke arteriopathy: a prospective, hospital-based study

Background and Purpose’€” Whether and how the arterial pathology underlying lacunar ischemic stroke differs from the atherothrombotic processes causing most other ischemic strokes is still debated. Different risks of recurrent stroke and MI after lacunar versus nonlacunar ischemic stroke may support a distinct lacunar arteriopathy. Methods’€” We prospectively followed a …

Association between secondhand smoke exposure and survival following acute coronary syndrome: prospective cohort study of 1,261 consecutive admissions among never smokers

Objective: To determine whether exposure to secondhand smoke is associated with early prognosis following acute coronary syndrome. Design, setting and participants: We interviewed consecutive patients admitted to nine Scottish hospitals over 23 months. Information was obtained, via questionnaire, on age, sex, smoking status, postcode of residence and admission serum cotinine …

C-Reactive protein, fibrinogen and interleukin-6 and poor outcome after stroke: a prospective cohort study

Background The objective of this study was to determine whether: (a) markers of acute inflammation (white cell count, glucose, interleukin-6, C-reactive protein, and fibrinogen) are associated with poor outcome after stroke and (b) the addition of markers to previously validated prognostic models improves prediction of poor outcome. Methods and Findings …

Patterns of sick-leave and health outcomes in injured workers with back pain

Little is known about the sick-leave experiences of workers who make a workers’€™ compensation claim for back pain. Our objective is to describe the 1-year patterns of sick-leave and the health outcomes of a cohort of workers who make a workers’€™ compensation claim for back pain. We studied a cohort …

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