Preeclampsia Increases Risk of Early Stroke Incidence: The California Teachers Study
|
|
- Ashley Mildred Stone
- 6 years ago
- Views:
Transcription
1 Preeclampsia Increases Risk of Early Stroke Incidence: The California Teachers Study Eliza C. Miller MD, 1 Amelia K. Boehme PhD MSPH, 1 Nadia T. Chung MPH, 2 James V. Lacey, Jr. PhD, 2 Jeanine Genkinger PhD, 3 Yeseon Park Moon MS, 1 Leslie Bernstein PhD, 2 Sophia S. Wang PhD, 2 Mary D Alton MD, 4 Mitchell S.V. Elkind MD MS, 1,3 Ronald Wapner MD, 4 Joshua Z. Willey MD MS 1 1. Department of Neurology, Columbia University Vagelos College of Physicians and Surgeons, New York, NY. 2. City of Hope National Medical Center, Duarte, CA. 3. Department of Epidemiology, Columbia University Mailman School of Public Health, New York, NY. 4. Department of Obstetrics and Gynecology, Columbia University Vagelos College of Physicians and Surgeons, New York, NY.
2 Disclosures: None Funding: NIH NINDS StrokeNet Training Core
3 Some recent patients
4 Preeclampsia: a complex disorder Common and under-recognized CV risk factor Severe effects on cerebral vasculature Quadruples risk of hypertension & heart failure, doubles long term stroke risk Associated with metabolic syndrome later in life Increased white matter hyperintensities and carotid intima-media thickening years later Mongraw-Chaffin et al., Hypertension, 2010 Jong Shiuan Yeh et al. J Am Heart Assoc 2014;3:e Hammer & Cipolla, Current Hypertension Reports, 2015
5 Aspirin and preeclampsia ASPRE trial, NEJM 2017: aspirin 150 mg started at wks gestation reduced incidence of preterm preeclampsia in high risk women (1.6% vs 4.3%; NNT 38) USPSTF/ACOG guidelines recommend low dose aspirin starting in first trimester for high risk women No recommendations for aspirin use after preeclampsia Obstetric history not incorporated into CV risk calculators Rolnick et al, ASPRE trial NEJM 2017
6 Hypotheses: 1. Women with history of preeclampsia have higher risk of stroke before age Risk is modified by aspirin use Jean-Auguste-Dominique Ingres, Comtesse d Haussonville, 1845 (Frick Collection)
7 Methods Prospective longitudinal cohort study Serial questionnaires since 1995, outcomes via linkage with CA hospitals/death records
8 Total n=133,479 n=83,790 4,072 with preeclampsia (4.9%)
9 Demographics Mean age at start of study (range) Preeclampsia (n=4072) No preeclampsia (n=79,718) 44.2 ( ) 45.8 ( ) Mean age at first pregnancy (SD) 25.8 (5.1) 25.7 (4.9) Average # of pregnancies (SD) 2.6 (1.4) 2.0 (1.5) Race/ethnicity (self-identified) White 3424 (84.1%) 67,684 (84.9%) Black 119 (2.9%) 2079 (2.6%) Hispanic 240 (5.9%) 4384 (5.5%) Asian/Pacific Islander 157 (3.9%) 3311 (4.2%) Native American 45 (1.1%) 482 (.6%) Other/mixed 59 (1.5%) 1241 (1.6%) Unknown 28 (.69%) 537 (.67%)
10 Patient characteristics Preeclampsia (n=4072) No preeclampsia (n=79,718) Obesity 881 (21.6%) 10,658 (13.4%) Smoking 1052 (25.8%) 22,053 (27.7%) Migraine 1090 (26.8%) 17,041 (21.4%) Diabetes 459 (11.3%) 4482 (5.6%) Hypertension 1662 (40.8%) 17,310 (21.7%) Chronic kidney disease 101 (4%) 865 (1.9%) Reported aspirin use 1069 (26.3%) 19,369 (24.3%)
11 Results: Risk of stroke before age 60 Preeclampsia: 38 of 4072 women (.93%) No preeclampsia: 495 of 79,718 women (0.62%) Cox PH time-to-event analysis: Unadjusted HR 1.5 ( ) Adjusted for age, race, tobacco use: HR 1.5 ( ) Additional adjustments for hypertension, diabetes and obesity: HR 1.2 ( )
12 Stroke before 60 in women with and without history of preeclampsia, stratified by aspirin use No aspirin Aspirin PEC (n=3003) No PEC (n=60,349) PEC (n=1069) No PEC (n=19,369) Stroke before (1.03%) 359 (0.59%) 7 (0.65%) 136 (0.70%) Unadjusted HR (95%CI) 1.7 ( ) 0.9 ( ) Adjusted* HR (95%CI) 1.4 ( ) 0.7 ( ) *adjusted for age, race, smoking, obesity, diabetes, hypertension PEC: preeclampsia
13 Conclusions Preeclampsia: sex-specific risk factor for stroke in young and middle aged women Risk may be mediated by, but is not entirely explained by hypertension and other comorbidities Aspirin may modify risk Emilie du Chatelier, physicist, mathematician and natural philosopher, died in childbirth in 1749 at age 42 Portrait by Maurice Quentin de la Tour
14 Next steps Confirm results in more diverse cohorts Develop cardiovascular risk scores that incorporate obstetric history Early intervention opportunity (especially postpartum)? Time for a prevention trial? Vincent van Gogh, Sien Nursing Baby, 1882
15 Thank you! CTS team: Jim Lacey, Sophia Wang, Nadia Chung, Leslie Bernstein Mentors and Collaborators: Josh Willey, Randy Marshall, Mitch Elkind, Amelia Boehme, Jeanine Genkinger, Ronald Wapner, Kirsten Cleary, Mary D alton, Natalie Bello
Diversity and Dementia
Diversity and Dementia Kala M. Mehta, DSc, MPH January 17, 2012 Overview Background Incidence and Prevalence of Dementia Why are these differences found? What s important for diverse dementia patients
More informationType 2 Diabetes in Adolescents
Type 2 Diabetes in Adolescents Disclosures Paid consultant, Eli Lilly, Inc, Pediatric Type 2 Diabetes Clinical Trials Outline The burden of diabetes Treatment and Prevention Youth Diabetes Prevention Clinic
More informationChronic Kidney Disease is Associated with Cognitive Decline: the Northern Manhattan Study (NOMAS) Seattle VA Chief of Medicine Rounds June 9, 2009
Chronic Kidney Disease is Associated with Cognitive Decline: the Northern Manhattan Study (NOMAS) Seattle VA Chief of Medicine Rounds June 9, 2009 Minesh Khatri Internal Medicine R2 Background Patients
More informationBlood Pressure Measurement in SPRINT
Blood Pressure Measurement in SPRINT Karen C. Johnson, MD, MPH, FAHA Vice Chair, SPRINT Steering Committee University of Tennessee Health Science Center, Department of Preventive Medicine For the SPRINT
More informationSex Differences in Stroke Risk and Quality of Life after Stroke
Sex Differences in Stroke Risk and Quality of Life after Stroke Cheryl Bushnell, MD, MHS Associate Professor of Neurology Director, WFB Stroke Center Disclosures Research funding from: World Federation
More informationDescriptive Statistics and Trends for Michigan Community Health Centers Region 4
September 2018 Descriptive Statistics and Trends for Michigan Community Health Centers Region 4 Michigan Primary Care Association www.mpca.net Overview Demographics Health Center Trends Health Indicators
More information10-Year Mortality of Older Acute Myocardial Infarction Patients Treated in U.S. Community Practice
10-Year Mortality of Older Acute Myocardial Infarction Patients Treated in U.S. Community Practice Ajar Kochar, MD on behalf of: Anita Y. Chen, Puza P. Sharma, Neha J. Pagidipati, Gregg C. Fonarow, Patricia
More informationTreatment of Cardiovascular Risk Factors. Kevin M Hayes D.O. F.A.C.C. First Coast Heart and Vascular Center
Treatment of Cardiovascular Risk Factors Kevin M Hayes D.O. F.A.C.C. First Coast Heart and Vascular Center Disclosures: None Objectives What do risk factors tell us What to check and when Does treatment
More informationPresenter Disclosure Information Karine Sahakyan, MD, PhD, MPH
Presenter Disclosure Information Karine Sahakyan, MD, PhD, MPH Disclosed no conflict of interest Normal-weight central obesity and cardiovascular mortality risk in the US population K. Sahakyan, VK. Somers,
More informationCancers with Increasing Incidence Trends in the United States: Edgar P. Simard, PhD MPH
Cancers with Increasing Incidence Trends in the United States: 1999 2008 Edgar P. Simard, PhD MPH Background Although incidence rates for the most common cancers in the U.S. have been declining, incidence
More informationExercise Behavior & Major Cardiac Events: CCSS 1 STUDY TITLE
STUDY TITLE Exercise Behavior & Major Cardiac Events: CCSS 1 Association Between Exercise Behavior and Incidence of Major Cardiac Events in Adult Survivors of Childhood Cancer: A Report from the Childhood
More informationCadmium body burden and gestational diabetes mellitus in American women. Megan E. Romano, MPH, PhD
Cadmium body burden and gestational diabetes mellitus in American women Megan E. Romano, MPH, PhD megan_romano@brown.edu June 23, 2015 Information & Disclosures Romano ME, Enquobahrie DA, Simpson CD, Checkoway
More informationDeclaration of Conflict of Interest. No potential conflict of interest to disclose with regard to the topics of this presentations.
Declaration of Conflict of Interest No potential conflict of interest to disclose with regard to the topics of this presentations. Clinical implications of smoking relapse after acute ischemic stroke Furio
More informationCounseling and Long-term Follow up After Gestational Disorders
Counseling and Long-term Follow up After Gestational Disorders Tanya Melnik, MD Assistant Professor, University of Minnesota Sarina Martini, MD Ob/Gyn Resident, PGY4 University of Minnesota Counseling
More informationCONSTITUTION Smoking Before, During and After Pregnancy: Colorado Trends
A N D health COLORADO DEPARTMENT OF PUBLIC HEALTH AND ENVIRONMENT watch April 21 No. 75 UNION CONSTITUTION Smoking Before, During and After Pregnancy: Colorado Trends Health Statistics Section Alyson Shupe,
More informationPredictors of Antenatal Depression in Unmarried Pregnant Women
, pp.72-77 http://dx.doi.org/10.14257/astl.2015.104.16 Predictors of Antenatal Depression in Unmarried Pregnant Women Sung Hee Lee 1* 1 College of Nursing, Kyungpook National University, Daegu, Korea.
More informationNIH Public Access Author Manuscript JAMA Intern Med. Author manuscript; available in PMC 2015 August 01.
NIH Public Access Author Manuscript Published in final edited form as: JAMA Intern Med. 2014 August ; 174(8): 1397 1400. doi:10.1001/jamainternmed.2014.2492. Prevalence and Characteristics of Systolic
More informationJAMA, January 11, 2012 Vol 307, No. 2
JAMA, January 11, 2012 Vol 307, No. 2 Dementia is associated with increased rates and often poorer outcomes of hospitalization Worsening cognitive status Adequate chronic disease management is more difficult
More informationHarborview Lunch Conference June 17, Minesh Khatri Internal Medicine R1
The Effects of Kidney Disease on the Brain: an Epidemiological Perspective Harborview Lunch Conference June 17, 2008 Minesh Khatri Internal Medicine R1 What does this have to do with this? Background Patients
More informationOptimizing Postpartum Maternal Health to Prevent Chronic Diseases
Optimizing Postpartum Maternal Health to Prevent Chronic Diseases Amy Loden, MD, FACP, NCMP Disclosures Research: None Financial: none applicable to this presentation PRIUM QEssentials Market Research
More informationMATERNAL AND CHILD HEALTH AND DISPARITIES FOR ASIAN AMERICANS, NATIVE HAWAIIANS, AND PACIFIC ISLANDERS
MATERNAL AND CHILD HEALTH AND DISPARITIES FOR ASIAN AMERICANS, NATIVE HAWAIIANS, AND PACIFIC ISLANDERS Why does maternal and child health matter for realizing health justice in AA and NHPI communities?
More informationDietary sodium (Na) and potassium (K) are increasingly
Dietary Sodium to Potassium Ratio and Risk of Stroke in a Multiethnic Urban Population The Northern Manhattan Study Joshua Willey, MD; Hannah Gardener, ScD; Sandino Cespedes, MD; Ying K. Cheung, PhD; Ralph
More informationNonsteroidal Anti-Inflammatory Drug Use and Breast Cancer Risk by Stage and Hormone Receptor Status
Nonsteroidal Anti-Inflammatory Drug Use and Breast Cancer Risk by Stage and Hormone Receptor Status 1 Journal of the National Cancer Institute, Vol. 97, No. 11, 805-812, June 1, 2005 Sarah F. Marshall,
More informationWellness Coaching for People with Prediabetes
Wellness Coaching for People with Prediabetes PUBLIC HEALTH RESEARCH, PRACTICE, AND POLICY Volume 12, E207 NOVEMBER 2015 ORIGINAL RESEARCH Wellness Coaching for People With Prediabetes: A Randomized Encouragement
More informationNot Just a Man s Disease: Cardiovascular Disease in Women. February Emily Lau, MD Cardiology Fellow Massachusetts General Hospital
Not Just a Man s Disease: Cardiovascular Disease in Women February 2019 Emily Lau, MD Cardiology Fellow Massachusetts General Hospital 2 No disclosures 3 4 The scope of the problem 5 More women than men
More informationWomen s Heart Health: Risk, Diagnosis and Management Differences MANAGEMENT
Women s Heart Health: Risk, Diagnosis and Management Differences MANAGEMENT C. Noel Bairey Merz MD Medical Director and Barbra Streisand Women s Heart Center Preventive Cardiac Center Cedars-Sinai Heart
More informationNevada Journal of Public Health, (2010). Vol. 7 Shen et al., 27
Nevada Journal of Public Health, (2010). Vol. 7 Shen et al., 27 Adverse Maternal Outcomes in Nevada: Does Asthma Matter? Jay J. Shen, Ph.D. Department of Health Care Administration and Policy School of
More informationHealthy Montgomery Obesity Work Group Montgomery County Obesity Profile July 19, 2012
Healthy Montgomery Obesity Work Group Montgomery County Obesity Profile July 19, 2012 Prepared by: Rachel Simpson, BS Colleen Ryan Smith, MPH Ruth Martin, MPH, MBA Hawa Barry, BS Executive Summary Over
More informationComparing Cancer Mortality Rates Among US and Foreign-Born Persons: United States,
National Center for Chronic Disease Prevention and Health Promotion Comparing Cancer Mortality Rates Among US and Foreign-Born Persons: United States, 2005-2014 Benjamin D. Hallowell, PhD, MPH NAACCR 2018
More informationSCHS Studies North Carolina Public Health
SCHS Studies North Carolina Public Health A Special Report Series by the 1908 Mail Service Center, Raleigh, N.C. 27699-1908 www.schs.state.nc.us/schs/ No. 138 October 2003 Tobacco Use Among Pregnant Women
More information1. Study Title. Exercise and Late Mortality in 5-Year Survivors of Childhood Cancer: a Report from the Childhood Cancer Survivor Study.
CCSS Analysis Concept Proposal Exercise, Mortality, & Childhood Cancer 1 1. Study Title. Exercise and Late Mortality in 5-Year Survivors of Childhood Cancer: a Report from the Childhood Cancer Survivor
More informationMulti-institutional Evaluation of Adherence to Comprehensive Postoperative Venous Thromboembolism Chemoprophylaxis
Multi-institutional Evaluation of Adherence to Comprehensive Postoperative Venous Thromboembolism Chemoprophylaxis D. Brock Hewitt MD MPH, Eddie Blay Jr MD, Lindsey J Kreutzer MPH, Thomas E Kmiecik PhD,
More informationThe Muscatine Study Heart Health Survey
The Muscatine Study Heart Health Survey PARTICIPANT ID LABEL (include study ID, name, DOB, gender) Today s Date: - - (MM-DD-YYYY) Thank you for agreeing to participate in the International Childhood Cardiovascular
More informationA n aly tical m e t h o d s
a A n aly tical m e t h o d s If I didn t go to the screening at Farmers Market I would not have known about my kidney problems. I am grateful to the whole staff. They were very professional. Thank you.
More informationRecreational physical activity and risk of triple negative breast cancer in the California Teachers Study
Ma et al. Breast Cancer Research (2016) 18:62 DOI 10.1186/s13058-016-0723-3 RESEARCH ARTICLE Open Access Recreational physical activity and risk of triple negative breast cancer in the California Teachers
More informationMARICOPA COUNTY COMMUNITY HEALTH ASSESSMENT. Maricopa County Board of Health July 23, 2012 Eileen Eisen-Cohen, PhD
MARICOPA COUNTY COMMUNITY HEALTH ASSESSMENT Maricopa County Board of Health July 23, 2012 Eileen Eisen-Cohen, PhD 1 What? Why? We Are Here 2 Local Public Health System Faith Instit. Military Dentists Labs
More informationScarlett Gomez, MPH, PhD Cancer Prevention Institute of California NAACCR 2017 conference, Albuquerque NM June 2017
The influence of socioeconomic status and ethnic enclave on endometrial cancer mortality among Hispanic and Asian American/Pacific Islander women in California Scarlett Gomez, MPH, PhD Cancer Prevention
More informationBiostatistics and Epidemiology Step 1 Sample Questions Set 1
Biostatistics and Epidemiology Step 1 Sample Questions Set 1 1. A study wishes to assess birth characteristics in a population. Which of the following variables describes the appropriate measurement scale
More informationOverview of Health Disparities in Arkansas
Overview of Health Disparities in Arkansas Annual Critical Access Hospital Conference August 9, 2018 Joyce Biddle, MPH, MPA Chronic Disease Epidemiologist Office of Minority Health and Health Disparities
More informationDescriptive Statistics and Trends for Michigan Community Health Centers Region 1
August 2018 Descriptive Statistics and Trends for Michigan Community Health Centers Region 1 Michigan Primary Care Association www.mpca.net Overview Demographics Health Center Trends Health Indicators
More informationSmoking Status and Body Mass Index in the United States:
Smoking Status and Body Mass Index in the United States: 1996-2000 Jun Yang, MD, PhD and Gary Giovino, PhD Roswell Park Cancer Institute Elm and Carlton Streets Buffalo, NY 14263, USA Society for Research
More informationKaren Nieves-Lugo, PhD George Washington University
Effect of chronic pulmonary lung disease on the decline in physical function in HIV infected and uninfected veterans in the Veterans Aging Cohort Study Karen Nieves-Lugo, PhD George Washington University
More informationThe Gender Divide Women, Men and Heart Disease February 2017
The Gender Divide Women, Men and Heart Disease February 2017 Nandita S. Scott, MD FACC Co-Director MGH Heart Center Corrigan Women s Heart Health Program Massachusetts General Hospital Heart Disease For
More informationTuberculosis Epidemiology
Tuberculosis Epidemiology TB CLINICAL INTENSIVE COURSE Curry International Tuberculosis Center October 18, 2017 Varsha Hampole, MPH Tuberculosis Control Branch California Department Of Public Health Outline
More information2/13/2018. Update on Gestational Diabetes. Disclosure. Objectives. I have no financial conflicts of interest.
Update on Gestational Diabetes Lorie M. Harper, MD, MSCI Department of Obstetrics & Gynecology Division of Maternal-Fetal Medicine 2/18/2018 Disclosure I have no financial conflicts of interest. Objectives
More informationLipoprotein(a), PCSK9 Inhibition and Cardiovascular Risk: Insights from the FOURIER Trial
Lipoprotein(a), PCSK9 Inhibition and Cardiovascular Risk: Insights from the FOURIER Trial Michelle L. O Donoghue, Robert P. Giugliano, Anthony C. Keech, Estella Kanevsky, KyungAh Im, Peter S. Sever, Terje
More informationEngaging community leaders & youth in promoting smoke free policies for parks
Engaging community leaders & youth in promoting smoke free policies for parks October 31, 2012 APHA 140 th Annual Meeting & Expo Nicole Coxe, MPH(c), Janie Burkhart, MPH, Whitney Webber, MS, Tonya Veitch,
More informationMaternal Child Health and Chronic Disease
Maternal Child Health and Chronic Disease The Odd Couple or A Marriage Made in Heaven? AMCHP Women and Perinatal Health Information Series July 17, 2008 Joan Ware, MSPH, RN, Consultant, Women s s Health
More informationPerinatal Mental Health: Racial Disparities and Rural Mental Health Needs
Perinatal Mental Health: Racial Disparities and Rural Mental Health Needs Nothing to disclose. Disclosures PERINATAL MENTAL HEALTH DISORDERS Perinatal mental health disorders are the leading causes of
More informationMortality Slide Series. National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention Division of HIV/AIDS Prevention
Mortality Slide Series National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention Division of HIV/AIDS Prevention HIV Mortality Slides An analysis of trends in rates and distributions of deaths
More informationPCOS. pregnancy complications. Prof. Bart CJM Fauser. Dept. Reproductive Medicine and Gynecology. University Medical Center, Utrecht, The Netherlands
PCOS pregnancy complications Prof. Bart CJM Fauser Dept. Reproductive Medicine and Gynecology University Medical Center, Utrecht, The Netherlands Disclosure of interest, Fauser Professor of Reproductive
More informationORIGINAL INVESTIGATION. C-Reactive Protein Concentration and Incident Hypertension in Young Adults
ORIGINAL INVESTIGATION C-Reactive Protein Concentration and Incident Hypertension in Young Adults The CARDIA Study Susan G. Lakoski, MD, MS; David M. Herrington, MD, MHS; David M. Siscovick, MD, MPH; Stephen
More informationSurvival among Native American Adolescent and Young Adult Cancer Patients in California
Survival among Native American Adolescent and Young Adult Cancer Patients in California Cyllene R. Morris, 1 Yi W. Chen, 1 Arti Parikh-Patel, 1 Kenneth W. Kizer, 1 Theresa H. Keegan 2 1 California Cancer
More informationSupplementary Online Content
Supplementary Online Content Huybrechts KF, Hernández-Díaz S, Patorno E, et al. Antipsychotic use in pregnancy and the risk for congenital malformations. JAMA Psychiatry. Published online August 17, 2016.
More information9/29/2015. Primary Prevention of Heart Disease: Objectives. Objectives. What works? What doesn t?
Primary Prevention of Heart Disease: What works? What doesn t? Samia Mora, MD, MHS Associate Professor, Harvard Medical School Associate Physician, Brigham and Women s Hospital October 2, 2015 Financial
More informationCOMPLICATIONS OF PRE-GESTATIONAL AND GESTATIONAL DIABETES IN SAUDI WOMEN: ANALYSIS FROM RIYADH MOTHER AND BABY COHORT STUDY (RAHMA)
COMPLICATIONS OF PRE-GESTATIONAL AND GESTATIONAL DIABETES IN SAUDI WOMEN: ANALYSIS FROM RIYADH MOTHER AND BABY COHORT STUDY (RAHMA) Prof. Hayfaa Wahabi, King Saud University, Riyadh Saudi Arabia Hayfaa
More informationPharmacologic Considerations in the Pregnant Patient (For the PCP)
Pharmacologic Considerations in the Pregnant Patient (For the PCP) Aspirin Use in Pregnancies At Risk Contemporary Treatment of the A2 Diabetic Statin Exposure in Early Pregnancy Continuation of SSRI Rx
More informationInsulin, Insulin Resistance, and Exposure to Ambient Particulate Matter Air Pollution
Insulin, Insulin Resistance, and Exposure to Ambient Particulate Matter Air Pollution Archana P. Lamichhane, PhD Research Assistant Professor University of North Carolina, Chapel Hill WHI Investigator
More informationPrevention What It s All About
Prevention What It s All About Dr James Schuppert Director, January 14, 2015 Information Security This presentation contains Corning Restricted information and is intended solely for those with a need
More informationChildhood brain tumors in California
Childhood brain tumors in California Danielle N. Rodriguez, MPH Eric Stewart, BA Cancer Registry of Greater California Agenda Background Methods of Analysis Results Discussion Future Directions Background
More informationEarly Ambulation Reduces the Risk of Venous Thromboembolism After Total Knee Replacement. Marilyn Szekendi, PhD, RN
Early Ambulation Reduces the Risk of Venous Thromboembolism After Total Knee Replacement Marilyn Szekendi, PhD, RN ANA 7 th Annual Nursing Quality Conference, February 2013 Research Team Banafsheh Sadeghi,
More informationImproving Influenza Vaccination Rates in Pregnant Women
Improving Influenza Vaccination Rates in Pregnant Women Melissa J. Sherman, M.D., Christina A. Raker, Sc.D., and Maureen G. Phipps, M.D., M.P.H. The Journal of Reproductive Medicine ORIGINAL ARTICLES OBJECTIVE:
More informationNew Clinical Trials For ICH: MISTIE III Minimally invasive techniques for hemorrhagic stroke
New Clinical Trials For ICH: MISTIE III Minimally invasive techniques for hemorrhagic stroke 1 Wendy Ziai, MD, MPH Daniel F. Hanley, MD Johns Hopkins Medical Institutions Dept. of Neurology Division of
More informationHEALTH OF WOMEN AND CHILDREN REPORT
HEALTH OF WOMEN AND CHILDREN REPORT MARCH 2018 The full report is available at www.americashealthrankings.org OVERVIEW Promoting the health of women, infants and children is fundamental to keeping our
More informationDiabetes and the Heart
Diabetes and the Heart Jeffrey Boord, MD, MPH Advances in Cardiovascular Medicine Kingston, Jamaica December 6, 2012 Outline Screening for diabetes in patients with CAD Screening for CAD in patients with
More informationChronic kidney disease (CKD) has received
Participant Follow-up in the Kidney Early Evaluation Program (KEEP) After Initial Detection Allan J. Collins, MD, FACP, 1,2 Suying Li, PhD, 1 Shu-Cheng Chen, MS, 1 and Joseph A. Vassalotti, MD 3,4 Background:
More informationAdjunct Lecturer. National Yang-Ming University, Taiwan. Taipei Veterans General Hospital, Taiwan
Kuan-Po Peng MD Adjunct Lecturer National Yang-Ming University, Taiwan Taipei Veterans General Hospital, Taiwan Nothing to declare Disclosure Experience from the Taiwan National Health Insurance Research
More informationPREVENTION OF CARDIOVASCULAR DISEASE IN WOMEN
1980 to 2000: Death rate fell from: 542.9 to 266.8 per 100K men 263.3 to 134.4 per 100K women 341,745 fewer deaths from CHD in 2000 Ford ES, NEJM, 2007 47% from CHD treatments, 44% from risk factor modification
More informationSociety for Behavioral Medicine 33 rd Annual Meeting New Orleans, LA
Society for Behavioral Medicine 33 rd Annual Meeting New Orleans, LA John M. Violanti, PhD* a ; LuendaE. Charles, PhD, MPH b ; JaK. Gu, MSPH b ; Cecil M. Burchfiel, PhD, MPH b ; Michael E. Andrew, PhD
More information2018 Standard of Medical Care Diabetes and Pregnancy
2018 Standard of Medical Care Diabetes and Pregnancy 2018 Standard of Medical Care Diabetes and Pregnancy Marjorie Cypress does not have any relevant financial relationships with any commercial interests
More informationStroke in Special Populations
Stroke in Special Populations Julie Fussner BSN, RN, CPHQ, SCRN Melissa Richardson MSN, RN, SCRN Alicia Harness BSN, RN, CNRN, SCRN Disclosures The authors of this presentation have no disclosures 1 Objectives
More informationAnalytical Methods: the Kidney Early Evaluation Program (KEEP) The Kidney Early Evaluation program (KEEP) is a free, community based health
Analytical Methods: the Kidney Early Evaluation Program (KEEP) 2000 2006 Database Design and Study Participants The Kidney Early Evaluation program (KEEP) is a free, community based health screening program
More informationWhich Hospitals Treat Patients with the Most Severe Acute Ischemic Strokes? Implications for Hospital Mortality Reporting
Which Hospitals Treat Patients with the Most Severe Acute Ischemic Strokes? Implications for Hospital Mortality Reporting Risk adjustment is critical for assessing outcomes and reporting clinical outcomes
More informationMortality Slide Series. National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention Division of HIV/AIDS Prevention
Mortality Slide Series National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention Division of HIV/AIDS Prevention HIV Mortality Slides An analysis of trends in rates and distributions of deaths
More informationImproving Process of Care for Women with Gestational Diabetes: Lessons From an Outpatient Obstetrics Clinic
Improving Process of Care for Women with Gestational Diabetes: Lessons From an Outpatient Obstetrics Clinic Mary Emmett, PhD, 1 Dara Seybold, MAA, 1 Gina Wood, RD, LD 2, Byron Calhoun, MD 3 1 Center for
More informationDiet, obesity, lifestyle and cancer prevention:
Diet, obesity, lifestyle and cancer prevention: Epidemiologic perspectives Graham A Colditz, MD DrPH Niess-Gain Professor Chief, November, 2017 Outline Review evidence on contribution of diet, obesity,
More informationPrimary Prevention of Stroke
Primary Prevention of Stroke Dr Chris Ellis Cardiologist Green Lane CVS Service, Auckland City Hospital & Auckland Heart Group, Mercy Hospital, Auckland 67 Pages Long, 735 References 29 Sub-Headings for
More informationNIH Public Access Author Manuscript Parkinsonism Relat Disord. Author manuscript; available in PMC 2009 August 1.
NIH Public Access Author Manuscript Published in final edited form as: Parkinsonism Relat Disord. 2009 August ; 15(7): 535 538. doi:10.1016/j.parkreldis.2008.10.006. Embarrassment in Essential Tremor:
More informationBLOOD PRESSURE VARIABILITY AND STROKE ADAM DE HAVENON, MD UNIVERSITY OF UTAH
BLOOD PRESSURE VARIABILITY AND STROKE ADAM DE HAVENON, MD UNIVERSITY OF UTAH OBJECTIVES Why blood pressure variability (BPV)? Measurement of BPV Association with outcome after stroke Association with incident
More informationMR RESCUE: Primary Results
MR RESCUE: Primary Results (Mechanical Retrieval and REcanalization of Stroke Clots Using Embolectomy) Funded by NIH-NINDS UCLA SPOTRIAS Grant: P50 NS044378 Clinical Trials.gov Number NCT00389467 FDA IDE
More informationTrends in HPV-Associated Cancers United States,
National Center for Chronic Disease Prevention and Health Promotion Trends in HPV-Associated Cancers United States, 1999 2014 Elizabeth A. Van Dyne, MD, MPH Division of Cancer Prevention and Control Epidemiology
More informationMoving Forward in 2010 Health Status by Race and Ethnicity
Health Status by Race and Ethnicity 2005 Versus 2010 April Young Bennett, MPA Utah Department of Health, Center for Multicultural Health/ Office of Health Disparities Reduction Methods Analysis Years:
More informationDIABETES. A growing problem
DIABETES A growing problem Countries still grappling with infectious diseases such as tuberculosis, HIV/AIDS and malaria now face a double burden of disease Major social and economic change has brought
More informationTime to Colonoscopy After a Positive Fecal Test and Risk of Colorectal Cancer Outcomes
Time to Colonoscopy After a Positive Fecal Test and Risk of Colorectal Cancer Outcomes Douglas Corley MD, PhD Kaiser Permanente, Northern California For Corley DA, Jensen CD, Quinn VP, Doubeni CA, Zauber
More informationNutrition and Health of Low-income Populations: Changes Over Time
Nutrition and Health of Low-income Populations: Changes Over Time Jackson P. Sekhobo, PhD, MPA Methods & Approaches to the of WIC Food Packages: IOM Phase I Data Gathering Workshop March 12 13, 2015, Washington,
More informationDiscrimination, Psycho-Social Stress and the Relationship to Non-Atopic Neutrophilic Asthma and Other Asthma Phenotypes
Discrimination, Psycho-Social Stress and the Relationship to Non-Atopic Neutrophilic Asthma and Other Asthma Phenotypes November 3, 2017 Neeta Thakur, MD MPH Neeta.Thakur@ucsf.edu OVERVIEW Asthma as a
More informationBiostats Final Project Fall 2002 Dr. Chang Claire Pothier, Michael O'Connor, Carrie Longano, Jodi Zimmerman - CSU
Biostats Final Project Fall 2002 Dr. Chang Claire Pothier, Michael O'Connor, Carrie Longano, Jodi Zimmerman - CSU Prevalence and Probability of Diabetes in Patients Referred for Stress Testing in Northeast
More informationRacial and ethnic disparities in diabetes risk after gestational diabetes mellitus
Diabetologia (2011) 54:3016 3021 DOI 10.1007/s00125-011-2330-2 ARTICLE Racial and ethnic disparities in diabetes risk after gestational diabetes mellitus A. H. Xiang & B. H. Li & M. H. Black & D. A. Sacks
More informationSUPPLEMENTAL MATERIAL
SUPPLEMENTAL MATERIAL Supplemental Table 1. Distribution of Participants Characteristics by Treatment Group at Baseline - The Vitamin D and calcium (CaD) Trial of the Women s Health Initiative (WHI) Study,
More informationT. Suithichaiyakul Cardiomed Chula
T. Suithichaiyakul Cardiomed Chula The cardiovascular (CV) continuum: role of risk factors Endothelial Dysfunction Atherosclerosis and left ventricular hypertrophy Myocardial infarction & stroke Endothelial
More informationPlacebo-Controlled Statin Trials EXPLAINING THE DECREASE IN DEATHS FROM CHD! PREVENTION OF CARDIOVASCULAR DISEASE IN WOMEN EXPLAINING THE DECREASE IN
PREVENTION OF CARDIOVASCULAR DISEASE IN WOMEN Robert B. Baron MD MS Professor and Associate Dean UCSF School of Medicine Declaration of full disclosure: No conflict of interest EXPLAINING THE DECREASE
More informationCHRONIC DISEASE PREVALENCE AMONG ADULTS IN OHIO
OHIO MEDICAID ASSESSMENT SURVEY 2012 Taking the pulse of health in Ohio CHRONIC DISEASE PREVALENCE AMONG ADULTS IN OHIO Amy Ferketich, PhD Ling Wang, MPH The Ohio State University College of Public Health
More information4/4/17 HYPERTENSION TARGETS: WHAT DO WE DO NOW? SET THE STAGE BP IN CLINICAL TRIALS?
HYPERTENSION TARGETS: WHAT DO WE DO NOW? MICHAEL LEFEVRE, MD, MSPH PROFESSOR AND VICE CHAIR DEPARTMENT OF FAMILY AND COMMUNITY MEDICINE UNIVERSITY OF MISSOURI 4/4/17 DISCLOSURE: MEMBER OF THE JNC 8 PANEL
More informationNSAID all (Warner-Schmidt) includes all (NSAIDs, Salicytes, and Cox-2 inhibitors)
Table S1. Medications categorized as s all (Warner-Schmidt) includes all (s, Salicytes, and Cox-2 inhibitors) Nonsteroidal anti-inflammatory agents Bromfenac Diclofenac Diclofenac-misoprostol Etodolac
More informationDisclosure. No relevant financial relationships. Placebo-Controlled Statin Trials
PREVENTING CARDIOVASCULAR DISEASE IN WOMEN: Current Guidelines for Hypertension, Lipids and Aspirin Disclosure Robert B. Baron, MD MS Professor and Associate Dean UCSF School of Medicine No relevant financial
More informationFindings from the American Society of Clinical Oncology Obesity Working Group
Findings from the American Society of Clinical Oncology Obesity Working Group Jennifer Ligibel, MD Dana-Farber Cancer Institute Chair, ASCO Energy Balance Work Group National Obesity Collaborative Care
More informationMATERNAL MORTALITY IN TEXAS Using Precision Public Health to Improve Maternal Outcomes
MATERNAL MORTALITY IN TEXAS Using Precision Public Health to Improve Maternal Outcomes In an article by MacDorman et al. appearing in the 2016 September issue of Obstetrics and Gynecology, McDorman s data
More informationHealth Status Disparities in New Mexico Identifying and Prioritizing Disparities
Health Status Disparities in New Mexico Identifying and Prioritizing Disparities Public Health Division March 23 Health Status Disparities in New Mexico Identifying and Prioritizing Disparities New Mexico
More informationTestimony to the California State Assembly Select Committee on Delinquency Prevention and Youth Development, Los Angeles CA, April 4, 2014
Steve Wirtz, Ph.D., Chief, Injury Surveillance and Epidemiology Section Safe and Active Communities Branch, California Department of Public Health (CDPH) Testimony to the California State Assembly Select
More informationPopulation Health Observatory
University at Buffalo The State University of New York School of Public Health and Health Professions Population Health Observatory Dedicated to improving health through population based research. community
More information