Epidemiological studies have shown a strong association between dermatitis and stroke. Systemic corticosteroid, the mainstay treatment for dermatitis, could enhance the atherosclerotic process. Traditional Chinese Medicine (TCM) has been used for dermatitis to decrease the side effects of corticosteroid. However, the different stroke risk in dermatitis patients treated with systemic corticosteroid or TCM remains unclear. This study identified 235,220 dermatitis patients and same comorbidity matched subjects between 2000 and 2009 from database of NHRI in Taiwan. The two cohorts were followed until December 31, 2011. The primary outcome of interest was new diagnosis of stroke. The crude hazard ratio (HR) for future stroke among dermatitis patients treated with systemic corticosteroid was 1.40 (95% CI, 1.34–1.45; P < 0.0001) and TCM was 1.09 (95% CI, 1.05–1.13; P < 0.0001). The log-rank test showed a higher cumulative incidence of ischemic stroke in the patient treated with only systemic corticosteroid group than that treated with systemic corticosteroid and TCM, only TCM, and neither systemic corticosteroid nor TCM in the matched cohort during the follow-up period (P < 0.0001). We demonstrated that patients treated with systemic corticosteroid had an increased risk of stroke and that the risk probably decreased by TCM treatment.
Video messages are easier to receive than text messages because of the lack of language and text barriers. In the past, when on-the-job training for junior employees were conducted in the manufacturing industry, they often carried out technical training with "mentorship system" or "work manual". This study aims at how video makes effects to those who work in manufacturing industries, especially those from other countries. Migrant workers from abroad or companies with manufacturing plants overseas have gradually used video manual as teaching materials for enterprise education and training, especially when COVID-19 becomes a global epidemic crisis. This study used in-depth interview research methods to investigate both workers and managers in the same manufacturing industry. The results found that when using digital cameras to record and edit, the production line equipment can achieve the following effects: (1) Promoting junior workers' self-efficacy; (2) Use of different language translations can provide simultaneous education and training for workers from multiple countries; (3) Putting digital teaching materials on cloud will make employees to use digital mobile vehicles to download and learn, that can save more time for employees.
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