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https://www.readbyqxmd.com/read/28274221/effectiveness-of-a-community-paramedic-led-health-assessment-and-education-initiative-in-a-seniors-residence-building-the-community-health-assessment-program-through-emergency-medical-services-chap-ems
#1
G Agarwal, R Angeles, M Pirrie, F Marzanek, B McLeod, J Parascandalo, L Dolovich
BACKGROUND: Seniors living in subsidized housing have lower income, poorer health, and increased risk for cardiometabolic diseases and falls. Seniors also account for more than one third of calls to Emergency Medical Services (EMS). This study examines the effectiveness of the Community Health Assessment Program through EMS (CHAP-EMS) in reducing blood pressure, diabetes risk, and EMS calls. METHODS: Paramedics on modified duty (e.g. injured) conducted weekly, one-on-one drop-in sessions in a common area of one subsidized senior's apartment building in Hamilton, Ontario...
March 9, 2017: BMC Emergency Medicine
https://www.readbyqxmd.com/read/28210860/a-heat-vulnerability-index-to-improve-urban-public-health-management-in-san-juan-puerto-rico
#2
Pablo Méndez-Lázaro, Frank E Muller-Karger, Daniel Otis, Matthew J McCarthy, Ernesto Rodríguez
Increased frequency and length of high heat episodes are leading to more cardiovascular issues and asthmatic responses among the population of San Juan, the capital of the island of Puerto Rico, USA. An urban heat island effect, which leads to foci of higher temperatures in some urban areas, can raise heat-related mortality. The objective of this research is to map the risk of high temperature in particular locations by creating heat maps of the city of San Juan. The heat vulnerability index (HVI) maps were developed using images collected by satellite-based remote sensing combined with census data...
February 17, 2017: International Journal of Biometeorology
https://www.readbyqxmd.com/read/28057245/alcohol-abuse-and-cardiac-disease
#3
Isaac R Whitman, Vratika Agarwal, Gregory Nah, Jonathan W Dukes, Eric Vittinghoff, Thomas A Dewland, Gregory M Marcus
BACKGROUND: Understanding the relationship between alcohol abuse, a common and theoretically modifiable condition, and the most common cause of death in the world, cardiovascular disease, may inform potential prevention strategies. OBJECTIVES: The study sought to investigate the associations among alcohol abuse and atrial fibrillation (AF), myocardial infarction (MI), and congestive heart failure (CHF). METHODS: Using the Healthcare Cost and Utilization Project database, we performed a longitudinal analysis of California residents ≥21 years of age who received ambulatory surgery, emergency, or inpatient medical care in California between 2005 and 2009...
January 3, 2017: Journal of the American College of Cardiology
https://www.readbyqxmd.com/read/27960212/severity-assessment-and-the-immediate-and-long-term-prognosis-in-community-acquired-pneumonia
#4
Martin Kolditz, Dionne Braeken, Santiago Ewig, Gernot Rohde
Severity assessment is a crucial step in the initial management of patients with community-acquired pneumonia (CAP). While approximately half of patients are at low risk of death and can be safely treated as outpatients, around 20% are at increased risk. While CURB-65 (confusion, respiratory rate, blood pressure, urea) and pneumonia severity index (PSI) scores are equally useful as an adjunct to clinical judgment to identify patients at low risk, the so-called minor American Thoracic Society/Infectious Diseases Society of America criteria are predictive of patients in need of intensified treatment (i...
December 2016: Seminars in Respiratory and Critical Care Medicine
https://www.readbyqxmd.com/read/27729055/gaps-in-awareness-of-peripheral-arterial-disease-in-sri-lanka-a-cross-sectional-study
#5
Janaka Weragoda, Manuj C Weerasinghe, Rohini Seneviratne, S M Wijeyaratne
BACKGROUND: Peripheral arterial disease (PAD) is an emerging problem in Sri Lanka, particularly with the ageing population. A considerable number of patients are detected at a late stage with severe limb ischemia or chronic non-healing leg ulceration. Public awareness about PAD is important in developing preventive strategies. METHODS: A cross sectional study was conducted to assess awareness of PAD among adults aged 40-74 years in a district in Sri Lanka. In total, 2912 adults were selected for the study using a multistage probability proportionate to size sampling technique...
October 12, 2016: BMC Public Health
https://www.readbyqxmd.com/read/27720883/pediatric-osa-syndrome%C3%A2-morbidity-biomarkers-the-hunt-is-finally-on
#6
REVIEW
Leila Kheirandish-Gozal, David Gozal
Since initial reports 40 years ago on pediatric OSA syndrome (OSAS) as a distinct and prevalent clinical entity, substantial advances have occurred in the delineation of diagnostic and treatment approaches. However, despite emerging and compelling evidence that OSAS increases the risk for cognitive, cardiovascular, and metabolic end-organ morbidities, routine assessment of such morbidities is seldom conducted in clinical practice. One of the major reasons for such discrepancies resides in the relatively labor-intensive and onerous steps that would be required to detect the presence of any of such morbidities, further adding to the already elevated cost of diagnosing the disorder...
February 2017: Chest
https://www.readbyqxmd.com/read/27625997/gut-microbiota-a-contributing-factor-to-obesity
#7
REVIEW
Steve M Harakeh, Imran Khan, Taha Kumosani, Elie Barbour, Saad B Almasaudi, Suhad M Bahijri, Sulaiman M Alfadul, Ghada M A Ajabnoor, Esam I Azhar
Obesity, a global epidemic of the modern era, is a risk factor for cardiovascular diseases (CVD) and diabetes. The pervasiveness of obesity and overweight in both developed as well as developing populations is on the rise and placing a huge burden on health and economic resources. Consequently, research to control this emerging epidemic is of utmost importance. Recently, host interactions with their resident gut microbiota (GM) have been reported to be involved in the pathogenesis of many metabolic diseases, including obesity, diabetes, and CVD...
2016: Frontiers in Cellular and Infection Microbiology
https://www.readbyqxmd.com/read/27508819/-op-7a-10-common-and-emergent-factors-associated-with-hypertension-control-in-romania
#8
R Darabont, O Tautu, M Ardeleanu, M Dorobantu
OBJECTIVE: Romania is an East European country with high mortality rates for ischemic heart and cerebrovascular diseases largely attributable to an increased level of uncontrolled hypertension. We aimed to analyze the data of SEPHAR II epidemiological study (Study for the Evaluation of Prevalence of Hypertension and Cardiovascular Risk in Romania) in order to identify common and emergent factors associated with treatment control in Romanian hypertensives. DESIGN AND METHOD: A total of 1975 subjects, selected on the base of stratified proportional sampling and consented to participate in the study, were evaluated during the two study visits...
September 2016: Journal of Hypertension
https://www.readbyqxmd.com/read/27508590/-op-lb03-01-central-blood-pressure-and-salt-intake-in-a-population-cohort-from-a-high-stroke-incidence-area-the-guimar%C3%A3-es-vizela-study
#9
P Guimarães Cunha, J Cotter, P Oliveira, I Vila, P Boutouyrie, S Laurent, P M Nilsson, A Scuteri, N Sousa
OBJECTIVE: The value of central blood pressure (CBP) over peripheral blood pressure is under debate, i.e. concerning its independent predictive power for cardiovascular (CV) events / target organ damage (TOD) and its use as a therapeutic target. OBJECTIVES: To characterize the distribution of CBP values in a population residing in an area of high stroke incidence through comparison with published reference values for healthy subjects; to identify subjects at higher CV risk; to analyze the influence of salt intake on CBP, and to assess whether CBP plays a role in risk stratification and treatment...
September 2016: Journal of Hypertension
https://www.readbyqxmd.com/read/27404681/heat-heat-waves-and-out-of-hospital-cardiac-arrest
#10
Si-Hyuck Kang, Il-Young Oh, Jongbae Heo, Hyewon Lee, Jungeun Kim, Woo-Hyun Lim, Youngjin Cho, Eue-Keun Choi, Seung-Muk Yi, Do Shin Sang, Ho Kim, Tae-Jin Youn, In-Ho Chae, Seil Oh
OBJECTIVE: Cardiac arrest is one of the common presentations of cardiovascular disorders and a leading cause of death. There are limited data on the relationship between out-of-hospital cardiac arrest (OHCA) and ambient temperatures, specifically extreme heat. This study investigated how heat and heat waves affect the occurrence of OHCA. METHODS: Seven major cities in Korea with more than 1 million residents were included in this study. A heat wave was defined as a daily mean temperature above the 98th percentile of the yearly distribution for at least two consecutive days...
October 15, 2016: International Journal of Cardiology
https://www.readbyqxmd.com/read/27338429/addressing-emerging-risks-scientific-and-regulatory-challenges-associated-with-environmentally-persistent-free-radicals
#11
REVIEW
Tammy R Dugas, Slawomir Lomnicki, Stephania A Cormier, Barry Dellinger, Margaret Reams
Airborne fine and ultrafine particulate matter (PM) are often generated through widely-used thermal processes such as the combustion of fuels or the thermal decomposition of waste. Residents near Superfund sites are exposed to PM through the inhalation of windblown dust, ingestion of soil and sediments, and inhalation of emissions from the on-site thermal treatment of contaminated soils. Epidemiological evidence supports a link between exposure to airborne PM and an increased risk of cardiovascular and pulmonary diseases...
2016: International Journal of Environmental Research and Public Health
https://www.readbyqxmd.com/read/27305986/long-noncoding-rna-variations-in-cardiometabolic-diseases
#12
Sariya Dechamethakun, Masaaki Muramatsu
Cardiometabolic diseases are characterized as a combination of multiple risk factors for cardiovascular disease (CVD) and metabolic diseases including diabetes mellitus, dyslipidemia, hypertension and abdominal obesity. This cluster of abnormalities individually and interdependently leads to atherosclerosis and CVD morbidity and mortality. In the past decade, genome-wide association studies (GWASs) have identified a series of cardiometabolic disease-associated variants that can collectively explain a small proportion of the variability...
June 16, 2016: Journal of Human Genetics
https://www.readbyqxmd.com/read/27042453/assessment-of-anthropometric-indices-salt-intake-and-physical-activity-in-the-aetiology-of-prehypertension
#13
Arsalan Moinuddin, Rani Gupta, Yogesh Saxena
INTRODUCTION: Globally, prehypertension is responsible for approximately 62% of cardiovascular and 49% of ischemic heart disease (IHD) episodes. Current data from the Indian subcontinent suggests that prevalence of prehypertension was 47% amongst young urban residents. Considering its serious prognosis, the current study was undertaken to assess risk factors such as for cardiovascular diseases in prehypertensives adult males in Uttarakhand region. MATERIALS AND METHODS: This cross-sectional analytical study was conducted in the Department of Physiology, HIMS, Dehradun, over a period of 12 months...
February 2016: Journal of Clinical and Diagnostic Research: JCDR
https://www.readbyqxmd.com/read/26927689/syncope-and-motor-vehicle-crash-risk-a-danish-nationwide-study
#14
Anna-Karin Numé, Gunnar Gislason, Christine B Christiansen, Deewa Zahir, Mark A Hlatky, Christian Torp-Pedersen, Martin H Ruwald
IMPORTANCE: Syncope may have serious consequences for traffic safety. Current clinical guideline recommendations on driving following syncope are primarily based on expert consensus. OBJECTIVE: To identify whether there is excess risk of motor vehicle crashes among patients with syncope compared with the general population. DESIGN, SETTING, AND PARTICIPANTS: Danish nationwide cohort study from January 1, 2008, to December 31, 2012. Through individual-level linkage of nationwide administrative registers, all Danish residents 18 years or older were identified...
April 2016: JAMA Internal Medicine
https://www.readbyqxmd.com/read/26876459/emergency-responses-and-health-consequences-after-the-fukushima-accident-evacuation-and-relocation
#15
REVIEW
A Hasegawa, T Ohira, M Maeda, S Yasumura, K Tanigawa
The Fukushima accident was a compounding disaster following the strong earthquake and huge tsunami. The direct health effects of radiation were relatively well controlled considering the severity of the accident, not only among emergency workers but also residents. Other serious health issues include deaths during evacuation, collapse of the radiation emergency medical system, increased mortality among displaced elderly people and public healthcare issues in Fukushima residents. The Fukushima mental health and lifestyle survey disclosed that the Fukushima accident caused severe psychological distress in the residents from evacuation zones...
April 2016: Clinical Oncology: a Journal of the Royal College of Radiologists
https://www.readbyqxmd.com/read/26744636/-our-commonality-is-our-past-a-qualitative-analysis-of-re-entry-community-health-workers-meaningful-experiences
#16
Precious Bedell, John L Wilson, Ann Marie White, Diane S Morse
BACKGROUND: Re-entry community health workers (CHWs) are individuals who connect diverse community residents at risk for chronic health issues such as Hepatitis C virus and cardiovascular disease with post-prison healthcare and re-entry services. While the utilization of CHWs has been documented in other marginalized populations, there is little knowledge surrounding the work of re-entry CHWs with individuals released from incarceration. Specifically, CHWs' experiences and perceptions of the uniqueness of their efforts to link individuals to healthcare have not been documented systematically...
2015: Health & Justice
https://www.readbyqxmd.com/read/26671338/acute-cardiovascular-events-after-herpes-zoster-a-self-controlled-case-series-analysis-in-vaccinated-and-unvaccinated-older-residents-of-the-united-states
#17
Caroline Minassian, Sara L Thomas, Liam Smeeth, Ian Douglas, Ruth Brauer, Sinéad M Langan
BACKGROUND: Herpes zoster is common and can have serious consequences. Additionally, emerging data suggest an increased risk of acute cardiovascular events following herpes zoster. However, to our knowledge, existing association studies compare outcomes between individuals and are therefore vulnerable to between-person confounding. In this study, we used a within-person study design to quantify any short-term increased risk of acute cardiovascular events (stroke and myocardial infarction [MI]) after zoster and to assess whether zoster vaccination modifies this association...
December 2015: PLoS Medicine
https://www.readbyqxmd.com/read/26652126/resident-physicians-choices-of-anticoagulation-for-stroke-prevention-in-patients-with-nonvalvular-atrial-fibrillation
#18
Zardasht Oqab, William F McIntyre, Kieran L Quinn, Tyler Lamb, Kenneth Quadros, Payam Yazdan-Ashoori, Erik van Oosten, Karen Chu, Jasmine Lamba, Walid Barake, Kiarash Mohajer, Jeffrey N Marr, Adrian Baranchuk
Atrial fibrillation (AF) is a common cardiac arrhythmia and is associated with an increased risk of ischemic stroke. The aim of this study was to identify practice patterns of Canadian resident physicians pertaining to stroke prevention in nonvalvular AF according to the Canadian Cardiovascular Society guidelines. A Web-based survey consisting of 16 multiple-choice questions was distributed to 11 academic centres. Questions involved identification of risks of stroke, bleeding, and selection of appropriate therapy in clinical scenarios that involve a patient with AF with a Congestive Heart Failure, Hypertension, Age, Diabetes, Stroke/Transient Ischemic Attack (CHADS2) score of 3 and no absolute contraindications to anticoagulation...
June 2016: Canadian Journal of Cardiology
https://www.readbyqxmd.com/read/26548310/air-pollution-exposure-and-blood-pressure-an-updated-review-of-the-literature
#19
REVIEW
Paolo Giorgini, Paolo Di Giosia, Davide Grassi, Melvyn Rubenfire, Robert D Brook, Claudio Ferri
Both high arterial blood pressure (BP) and elevated levels of fine particulate matter (PM2.5) air pollution have been associated with an increased risk for several cardiovascular (CV) diseases, including stroke, heart failure, and myocardial infarction. Given that PM2.5 and high BP are each independently leading risk factors for premature mortality worldwide, a potential relationship between these factors would have tremendous public health repercussions. Therefore, the aim of this review is to summarize recent evidence linking air pollution and BP...
2016: Current Pharmaceutical Design
https://www.readbyqxmd.com/read/26446390/epidemiology-of-elevated-blood-pressure-and-associated-risk-factors-in-chinese-children-the-snec-study
#20
MULTICENTER STUDY
Y Zhou, Z Qian, M G Vaughn, B B Boutwell, M Yang, X-W Zeng, R-Q Liu, X-D Qin, Y Zhu, G-H Dong
Despite the association of childhood blood pressure (BP) with hypertension later in the life course, there remains dearth of information regarding the prevalence and emergence of hypertension in children, especially in China. To investigate the current status of BP, prevalence of elevated BP and related factors in Chinese children, a cross-sectional survey in a representative sample of 9354 Chinese children 5-17 years old was conducted in seven cities in Northeastern China during 2011 and 2012. BP measurements were taken by mercury sphygmomanometer...
April 2016: Journal of Human Hypertension
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