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Elucidating the Association Between Depressive Symptoms, Coronary Heart Disease, and Stroke in Black and White Adults: The REasons for Geographic And Racial Differences in Stroke (REGARDS) Study Epidemiology
Conclusions Proximal depressive symptoms were associated with incident fatal and nonfatal stroke and CVD death even after controlling for multiple explanatory factors, further supporting the urgent need for timely management of depressive symptoms.
Source: JAHA:Journal of the American Heart Association - August 11, 2016 Category: Cardiology Authors: Moise, N., Khodneva, Y., Richman, J., Shimbo, D., Kronish, I., Safford, M. M. Tags: Quality and Outcomes Epidemiology Source Type: research

Exit Strategy: Planning for the Unexpected Closure of Your Practice
Conclusion Once drafted, your plan should be regularly updated to reflect changes in your practice and the practices of the colleagues who have agreed to assist in an emergency. Remember to include contact information for others who may be able to assist your family and/or staff, such as your malpractice carrier and your business attorney. The plan need not be complex, but it must be documented and readily available to anyone who may need to implement it. Your patients, your staff, and your family will thank you for it.
Source: Innovations in Clinical Neuroscience - June 1, 2016 Category: Neuroscience Authors: ICN Online Editor Tags: Current Issue Practice Management Psychiatry Risk Management exit strategy office closing Source Type: research

What The Government's Latest Asian-American Health Report Got Wrong
Asian-Americans fare better than the general population on five different measures of health, according to a new national study.  But though it may appear that the "model minority" myth about the 15 million Asians in America extends even to physical and mental health, experts say this finding obscures the truth about vast disparities between Asian subgroups -- and that the study's methodology may have prevented the elderly, immigrants and people who don't speak English from contributing to a more nuanced picture of the health status of Asians in America.  The report, published by the U.S. Center fo...
Source: Science - The Huffington Post - May 20, 2016 Category: Science Source Type: news

Stroke Unit Support and Certification Program of Korean Stroke Society - The First Term Report (P2.322)
Conclusion: Stroke unit support and certification program has successfully implemented in nationwide stroke care hospitals in Korea. Further strengthened criteria will be applied for the 2nd term program from 2015 and the key elements will be presented. For further dissemination of stroke unit, support from Korean health insurance system is required.Disclosure: Dr. Rha has nothing to disclose. Dr. Park has nothing to disclose. Dr. Yoon has nothing to disclose.
Source: Neurology - April 3, 2016 Category: Neurology Authors: Rha, J.-H., Park, H.-K., Yoon, C. Tags: Stroke Systems of Care Source Type: research

Socioeconomic and lifestyle factors associated with chronic conditions among older adults in Ecuador.
CONCLUSIONS: Older age in Ecuador is marked by low educational levels and poverty. Female gender and living in coastal areas were associated with higher risks of self-reported chronic conditions. PMID: 26758001 [PubMed - in process]
Source: Pan American Journal of Public Health - January 16, 2016 Category: Global & Universal Tags: Rev Panam Salud Publica Source Type: research

Economic Hardship and Biological Weathering: The Epigenetics of Aging in a U.S. Sample of Black Women
Conclusions These findings support the view that chronic financial pressures associated with low income exerts a weathering effect that results in premature aging.
Source: Social Science and Medicine - December 11, 2015 Category: Psychiatry & Psychology Source Type: research

The Quality Of Health Care You Receive Likely Depends On Your Skin Color
Unequal health care continues to be a serious problem for black Americans. More than a decade after the Institute of Medicine issued a landmark report showing that minority patients were less likely to receive the same quality health care as white patients, racial and ethnic disparities continue to plague the U.S. health care system. That report, which was published in 2002, indicated that even when both groups had similar insurance or the same ability to pay for care, black patients received inferior treatment to white patients. This still hold true, according to our investigation into dozens of studies about black health...
Source: Healthy Living - The Huffington Post - June 29, 2015 Category: Consumer Health News Source Type: news

Long-term Mortality Risk After Hyperglycemic Crisis Episodes in Geriatric Patients With Diabetes: A National Population-Based Cohort Study
CONCLUSIONS Patients with diabetes had a higher mortality risk after HCE during the first 6 years of follow-up. Referral for proper education, better access to medical care, effective communication with a health care provider, and control of comorbidities should be done immediately after HCE.
Source: Diabetes Care - April 23, 2015 Category: Endocrinology Authors: Huang, C.-C.; Weng, S.-F.; Tsai, K.-T.; Chen, P.-J.; Lin, H.-J.; Wang, J.-J.; Su, S.-B.; Chou, W.; Guo, H.-R.; Hsu, C.-C. Tags: Clinical Care/Education/Nutrition/Psychosocial Research Source Type: research

Stroke Suggests Increased Risk of Dementia.
Conclusions: The findings of this study suggest that stroke confers an increased risk of dementia, especially in the elderly and in patients with hemorrhagic stroke. We advocate the need for close observation and enhanced health education programs to benefit patients with stroke. PMID: 25731623 [PubMed - as supplied by publisher]
Source: Current Alzheimer Research - March 2, 2015 Category: Neurology Authors: Huang CY, Li YC, Wang HK, Sung PS, Wang LC, Sun YT, Pan CH, Tsai KJ Tags: Curr Alzheimer Res Source Type: research

Long-term Mortality Risk After Hyperglycemic Crisis Episodes in Geriatric Patients With Diabetes: A National Population-Based Cohort Study.
CONCLUSIONS: Patients with diabetes had a higher mortality risk after HCE during the first 6 years of follow-up. Referral for proper education, better access to medical care, effective communication with a health care provider, and control of comorbidities should be done immediately after HCE. PMID: 25665811 [PubMed - as supplied by publisher]
Source: Diabetes Care - February 9, 2015 Category: Endocrinology Authors: Huang CC, Weng SF, Tsai KT, Chen PJ, Lin HJ, Wang JJ, Su SB, Chou W, Guo HR, Hsu CC Tags: Diabetes Care Source Type: research

Media dementia scare over hay fever and sleep drugs
Conclusion This large US prospective cohort study suggests a link between those taking high levels of anticholinergic medicines for more than three years and developing dementia in adults over 65. The main statistically significant finding was in a group taking the equivalent of any of the following medications daily for more than three years: xybutynin chloride, 5mg chlorpheniramine maleate, 4mg olanzapine, 2.5mg meclizine hydrochloride, 25mg doxepin hydrochloride, 10mg These are not unrealistic doses of medicine, so the results may be applicable to a significant proportion of older adults. The main lim...
Source: NHS News Feed - January 27, 2015 Category: Consumer Health News Tags: Medication Neurology Source Type: news

Prescription sleeping pills linked to Alzheimer's risk
Conclusion This case control study has suggested that long-term use of benzodiazepines (over six months) may be linked with an increased risk of Alzheimer’s disease in older people. These findings are reported to be similar to other previous studies, but add weight to these by showing that risk increases with increasing length of exposure to the drugs, and with those benzodiazepines that remain in the body for longer. The strengths of this study include that it could establish when people started taking benzodiazepines and when they had their diagnosis using medical insurance records, rather than having to ask people to ...
Source: NHS News Feed - September 10, 2014 Category: Consumer Health News Tags: Neurology Mental health Source Type: news

Burden of stroke in Egypt: current status and opportunities
Middle East and North Africa (MENA) countries have a diversity of populations with similar life style, dietary habits, and vascular risk factors that may influence stroke risk, prevalence, types, and disease burden. Egypt is the most populated nation in the Middle East with an estimated 85.5 million people. In Egypt, according to recent estimates, the overall prevalence rate of stroke is high with a crude prevalence rate of 963/100 000 inhabitants. In spite of disease burden, yet there is a huge evidence practice gap. The recommended treatments for ischemic stroke that are guideline include systematic supportive care in ...
Source: International Journal of Stroke - July 7, 2014 Category: Neurology Authors: Foad Abd‐Allah, Ramez Reda Moustafa Tags: Panorama Source Type: research

Impact of living and socioeconomic characteristics on cardiovascular risk in ischemic stroke patients
ConclusionVascular risk in stroke patients in low‐ and middle‐income countries varies not only with the number of arterial beds involved but also with socioeconomic variables.
Source: International Journal of Stroke - June 13, 2014 Category: Neurology Authors: Pierre Amarenco, Halim Abboud, Julien Labreuche, Antonio Arauz, Alan Bryer, Pablo M. Lavados, Ayrton Massaro, Mario Munoz Collazos, Philippe Gabriel Steg, Bassem I. Yamout, Eric Vicaut, Tags: Research Source Type: research

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