Query: stroke

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Total 434 results found since Jan 2013.

Relationship between calcium intake and impaired activities of daily living in a Japanese population: NIPPON DATA90.
CONCLUSIONS: After bootstrap analyses, calcium intake was inversely associated with impaired ADL, 10 years after the baseline survey. PMID: 32037365 [PubMed - as supplied by publisher]
Source: Journal of Epidemiology - February 12, 2020 Category: Epidemiology Tags: J Epidemiol Source Type: research

Incidence of Free of Charge Physiotherapy in a Danish National Cohort of Stroke, Parkinson & rsquo;s Disease, Multiple Sclerosis and Rheumatoid Arthritis Patients
Source: Clinical Epidemiology - January 14, 2020 Category: Epidemiology Tags: Clinical Epidemiology Source Type: research

Annual rate of newly treated atrial fibrillation by age and gender in France, 2010 –2016
The objective was to estimate the rate of AF patients newly treated with oral anticoagulants (OAC) in France each year between 2010 and 2016 and to describe age and gender differences. We used the French national health data system. For each year between 2010 and 2016, we identified patients aged over 20 initiating OAC. OAC indicated for the treatment of AF was determined by hospitalization diagnoses, specific procedures and registered long-term disease status, or a multiple imputation process for patients with no recorded information as to why they initiated OAC. Among the 421,453 individuals initiating OAC treatment in 2...
Source: European Journal of Epidemiology - December 23, 2019 Category: Epidemiology Source Type: research

Long-term exposure to ambient PM2.5 and impacts on health in Rome, Italy
ConclusionThis may be achieved through adoption of stringent air pollution regulations and sustainable city planning. Increase in urban green infrastructures and improving road transportation will reduce PM2.5 levels in urban environment, thereby safeguarding human health from air pollution and improving citizens’ well-being.
Source: Clinical Epidemiology and Global Health - December 14, 2019 Category: Epidemiology Source Type: research

Long-term exposure to ambient PM2.5 and health impacts in megacity of Rome, Italy
ConclusionThis may be achieved through adoption of stringent air pollution regulations and sustainable city planning. Increase in urban green infrastructures and improving road transportation will reduce PM2.5 levels in urban environment, thereby safeguarding human health from air pollution and improving citizens’ well-being.
Source: Clinical Epidemiology and Global Health - December 7, 2019 Category: Epidemiology Source Type: research

Change in the profile of causes of death after investigation of hospital deaths in Belo Horizonte, Brazil, 2017
Conclusion: The investigation on reported hospital deaths is one of the strategies to improve mortality statistics, reducing the occurrence of GC among reported deaths and changing the mortality profile in these facilities. The importance of continuous physician training in cause-of-death certification is emphasized.
Source: Revista Brasileira de Epidemiologia - November 29, 2019 Category: Epidemiology Source Type: research

Improving the usefulness of mortality data: reclassification of ill-defined causes based on medical records and home interviews in Brazil
Conclusion: High proportions of IDCD reassigned to more informative causes after review indicate the success of this approach to correct misclassification in the SIM, an initiative that should be maintained. Training physicians on death certification along with better quality of medical care and access to health services would lead to further improvement.RESUMO Introdu ção: As proporções de causas de morte mal definidas (CMD) foram elevadas no Brasil em 2000. Objetivo: Analisar causas específicas para óbitos originalmente como CMD no Sistema de Informação sobre Mortalidade (SIM), após investigação implementada n...
Source: Revista Brasileira de Epidemiologia - November 29, 2019 Category: Epidemiology Source Type: research

Profile of deaths from unspecified stroke after investigation of garbage codes in 60 cities in Brazil, 2017
Conclusion: The investigations allowed the identification of subgroups of deaths due to stroke. In addition to the research, however, it is important to conduct physician training in the adequate filling in of the DC, in order to improve estimates of specific stroke mortality, and to enable appropriate targeting of health actions and services.
Source: Revista Brasileira de Epidemiologia - November 29, 2019 Category: Epidemiology Source Type: research

Long-Term Trajectories of Body Weight, Diet, and Physical Activity From Midlife Through Late-Life and Subsequent Cognitive Decline in Women.
In conclusion, maintaining healthy lifestyle since midlife may help reduce cognitive decline in aging. At older ages, both deceleration of weight gain and decrease in physical activity may reflect early signs of cognitive impairment. PMID: 31781745 [PubMed - as supplied by publisher]
Source: Am J Epidemiol - November 29, 2019 Category: Epidemiology Authors: Wagner M, Grodstein F, Proust-Lima C, Samieri C Tags: Am J Epidemiol Source Type: research

Economic challenges of using innovative medical devices in major public health pathologies: Example of acute ischemic stroke management by mechanical thrombectomy.
CONCLUSION: The time required to evaluate MD reimbursement files is too long compared to their development. As a result, practitioners are in difficulty to be able to carry out acts according to the consensual practices of their learned societies, without causing any financial deficit of their institutions. PMID: 31662284 [PubMed - as supplied by publisher]
Source: Revue d Epidemiologie et de Sante Publique - October 31, 2019 Category: Epidemiology Tags: Rev Epidemiol Sante Publique Source Type: research

Walking on the Moon: A randomized clinical trial on the role of lower body positive pressure treadmill training in post-stroke gait impairment.
Abstract Body weight-supported treadmill training (BWSTT) can be usefully employed to facilitate gait recovery in patients with neurological injuries. Specifically, lower body positive pressure support system (LBPPSS) decreases weight-bearing and ground reaction forces with potentially positive effects on qualitative gait indices. However, which gait features are being shaped by LBPPSS in post-stroke patients is yet poorly predictable. A pilot study on the effects of LBPPSS on qualitative and quantitative gait indices was carried out in patients with hemiparesis due to stroke in the chronic phase. Fifty patients, ...
Source: Adv Data - October 25, 2019 Category: Epidemiology Authors: Calabrò RS, Billeri L, Andronaco VA, Accorinti M, Milardi D, Cannavò A, Aliberti E, Militi A, Bramanti P, Naro A Tags: J Adv Res Source Type: research

An Investigation of Selection Bias in Estimating Racial Disparity in Stroke Risk FactorsThe REGARDS Study
AbstractSelection due to survival or attrition might bias estimates of racial disparities in health, but few studies quantify the likely magnitude of such bias. In a large national cohort with moderate loss to follow-up, we contrasted racial differences in 2 stroke risk factors, incident hypertension and incident left ventricular hypertrophy, estimated by complete-case analyses, inverse probability of attrition weighting, and the survivor average causal effect. We used data on 12,497 black and 17,660 white participants enrolled in the United States (2003 –2007) and collected incident risk factor data approximately 10 yea...
Source: American Journal of Epidemiology - August 23, 2019 Category: Epidemiology Source Type: research

Prospectively collected lifestyle and health information as risk factors for white matter hyperintensity volume in stroke patients
AbstractMost studies of white matter hyperintensity volume (WMHV) in stroke patients lack reliable information on antecedent exposure to vascular risk factors. By leveraging prospective cohort data, we explored associations between lifestyle and health factors assessed 1  year prior to stroke and WMHV in individuals who experienced an ischemic stroke. This analysis was nested within two large prospective studies of initially healthy individuals. Information on lifestyle factors and health conditions was collected prior to the stroke event through annual or biannual questionnaires. For individuals who experienced their fir...
Source: European Journal of Epidemiology - August 9, 2019 Category: Epidemiology Source Type: research

Use of Antidepressants and Risk of Incident Stroke: A Systematic Review and Meta-Analysis
Conclusions: Despite the high heterogeneity, these results demonstrate that even after adjusting for depression, use of antidepressants retains an independent increased risk of stroke.Neuroepidemiology
Source: Neuroepidemiology - June 19, 2019 Category: Epidemiology Source Type: research

The Association of Social Isolation on the Risk of Stroke among Middle-aged and Older Adults in China.
Abstract Given there is limited research examining the specific role social isolation plays in stroke risk, we aimed to estimate the controlled direct effect of social isolation on stroke risk in China. A nationally representative sample (n=12,662) of individuals aged 45 and older (at baseline, 2011; with corresponding follow-ups in 2013 and 2015), was taken from the China Health and Retirement Longitudinal Study. Stroke was assessed through self- or proxy-reported physician diagnosis. Social isolation was measured by incorporating marital status; frequency of contact with friends, family, and children; and partic...
Source: Am J Epidemiol - May 31, 2019 Category: Epidemiology Authors: Zhou Z, Lin C, Ma J, Towne SD, Han Y, Fang Y Tags: Am J Epidemiol Source Type: research

Associations of occupant motor vehicle crash with future heart failure and ischemic stroke in older adults.
ASSOCIATIONS OF OCCUPANT MOTOR VEHICLE CRASH WITH FUTURE HEART FAILURE AND ISCHEMIC STROKE IN OLDER ADULTS. Am J Epidemiol. 2019 May 21;: Authors: Kalesan B, Andersson C, Torp-Pedersen C, Gislason GH, Vasan RS PMID: 31111859 [PubMed - as supplied by publisher]
Source: Am J Epidemiol - May 21, 2019 Category: Epidemiology Authors: Kalesan B, Andersson C, Torp-Pedersen C, Gislason GH, Vasan RS Tags: Am J Epidemiol Source Type: research

Intake of 12 food groups and disability-adjusted life years from coronary heart disease, stroke, type 2 diabetes, and colorectal cancer in 16 European countries
AbstractOur aim was to estimate and rank 12 food groups according to disability-adjusted life years (DALYs) from coronary heart disease (CHD), stroke, type 2 diabetes (T2D), and colorectal cancer (CRC) in 16 European countries. De novo published non-linear dose –response meta-analyses of prospective studies (based on 297 primary reports), and food consumption data from the European Food Safety Authority Comprehensive European Food Consumption Database in Exposure Assessment, and DALY estimates from the Institute for Health Metrics and Evaluation were use d. By implementing disease-specific counterfactual scenarios of the...
Source: European Journal of Epidemiology - April 27, 2019 Category: Epidemiology Source Type: research

The Association between Inflammatory Markers in the Acute Phase of Stroke and Long-Term Stroke Outcomes: Evidence from a Population-Based Study of Stroke
Conclusion: CRP has a significant direct, yet weak, correlation to the severity of stroke. In addition, the level of CRP at admission may have a clinical implication to identify those at a higher risk of death or recurrence.Neuroepidemiology
Source: Neuroepidemiology - April 16, 2019 Category: Epidemiology Source Type: research

Socioeconomic Status and Long-Term Stroke Mortality, Recurrence and Disability in Iran: The Mashhad Stroke Incidence Study
Conclusion: A comprehensive stroke strategy should also address socioeconomic disadvantages.Neuroepidemiology
Source: Neuroepidemiology - April 16, 2019 Category: Epidemiology Source Type: research

Disability-Adjusted Life-Years Due to Stroke in Kenya
Conclusion: The YLD, YLL, and DALYs observed reinforce the need for targeted prevention of risk factors and comprehensive stroke care initiatives in Kenya.Neuroepidemiology
Source: Neuroepidemiology - April 16, 2019 Category: Epidemiology Source Type: research

A Population-Based Survey of Stroke Knowledge in Argentina: The SIFHON Study
Conclusions: This study represents the largest stroke awareness survey in a Spanish-speaking population. There was good recognition of some basic facts of stroke. However, the population had poor knowledge of prevalence and severity of the disease, transient ischemic attacks, and treatment availability.Neuroepidemiology
Source: Neuroepidemiology - April 16, 2019 Category: Epidemiology Source Type: research

Perceptions of Stroke and Associated Health-Care-Seeking Behavior in Northern Tanzania: A Community-Based Study
Conclusions: Knowledge of stroke symptoms and perception of self-risk are low in northern Tanzania, but most residents would present to a hospital for stroke-like symptoms.Neuroepidemiology
Source: Neuroepidemiology - April 16, 2019 Category: Epidemiology Source Type: research

Blood –brain barrier transcytosis genes, risk of dementia and stroke: a prospective cohort study of 74,754 individuals
AbstractTo test whether genetic variants inPICALM,BIN1,CD2AP, andRIN3—suggested to be involved in blood–brain barrier amyloid-β transcytosis pathways—associate with Alzheimer’s disease, all dementia, suggested vascular dementia, and stroke, and whether such associations are independent of the strong ε4APOE risk allele. In a prospective cohort study of 74,754 individuals from the general population we genotypedPICALM (rs10792832),BIN1 (rs6733839),CD2AP (rs10948363), andRIN3 (rs10498633), and generated a weighted and a simple allele score. Multifactorially adjusted hazard ratios for the fourth quartile versus the f...
Source: European Journal of Epidemiology - March 4, 2019 Category: Epidemiology Source Type: research

Adherence to the Mediterranean diet and risk of stroke and stroke subtypes
AbstractSeveral meta-analyses including a small number of cohorts showed inverse associations between the Mediterranean Diet (MedDiet) and risk of stroke. However, it remains unclear whether such a relation varies by region of the study population or by major subtypes of stroke. We searched PubMed and EMBASE databases for relevant studies and we further included unpublished results from the Singapore Chinese Health Study (N = 57,078) and the Seguimiento Universidad de Navarra (SUN) study (N  =  12,670). We used a random-effects model to calculate summary relative risk (RR) with 95% confidence intervals (CI) of stro...
Source: European Journal of Epidemiology - March 2, 2019 Category: Epidemiology Source Type: research

Mortality and functional disability in heat stroke.
PMID: 30958948 [PubMed - in process]
Source: Salud Publica de Mexico - March 1, 2019 Category: Epidemiology Authors: Higareda-Basilio AE, Trujillo-Narvaez FA, Jaramillo-Ramirez HJ Tags: Salud Publica Mex Source Type: research

Reliability of Telephone Interview for Assessment of Long-Term Stroke Outcomes: Evidence from Interrater Analysis
Conclusion: It is reliable to get multiple raters in assessing mRS and BI using the telephone system. It is worthwhile to make use of a telephone interview to update clinicians on their acute clinical management towards long-term stroke prognosis.Neuroepidemiology 2019;52:214 –219
Source: Neuroepidemiology - February 21, 2019 Category: Epidemiology Source Type: research

Incidence and Current Treatment Gaps in Pediatric Stroke and TIA: An Ontario-Wide Population-Based Study
Conclusion: Our population-based study yielded a higher incidence rate than prior North-American studies. Important care gaps exist including delayed diagnosis, lack of expert care, and departure from published treatment guidelines. Variability in ICD PPV and yield underlines the need for prospective data collection and for improving the pediatric stroke and TIA coding processes.Neuroepidemiology 2019;52:119 –127
Source: Neuroepidemiology - January 18, 2019 Category: Epidemiology Source Type: research

Association of vegetable, fruit, and Okinawan vegetable consumption with incident stroke and coronary heart disease.
CONCLUSIONS: This study demonstrated that consumption of total vegetable and fruit, total Okinawan vegetables, and specific Okinawan vegetables in Japanese residents of Okinawa was not associated with risk of incident stroke and coronary heart disease. PMID: 30643101 [PubMed - as supplied by publisher]
Source: Journal of Epidemiology - January 17, 2019 Category: Epidemiology Tags: J Epidemiol Source Type: research

Impact of the Ageing Population on the Burden of Stroke: The Dijon Stroke Registry
Conclusions: Ageing and growth of the population led to a rise in the absolute number of strokes, especially in the elderly, that is expected to increase dramatically in the coming years. Improved stroke care was accompanied with an increase in stroke survivors that contributed to a rise in recurrent events. Urgent action is needed to meet this epidemiological challenge.Neuroepidemiology 2019;52:78 –85
Source: Neuroepidemiology - January 2, 2019 Category: Epidemiology Source Type: research

Body Mass Index and Risks of Incident Ischemic Stroke Subtypes: The Japan Public Health Center-Based Prospective (JPHC) Study.
CONCLUSION: Cumulative average BMI showed a positive linear effect on sub-distribution hazards of lacunar, large-artery occlusive, and cardioembolic strokes in both sexes, except for cardioembolic stroke in women. PMID: 30555115 [PubMed - as supplied by publisher]
Source: Journal of Epidemiology - December 19, 2018 Category: Epidemiology Tags: J Epidemiol Source Type: research

Association of serum markers of oxidative stress with myocardial infarction and stroke: pooled results from four large European cohort studies
AbstractOxidative stress contributes to endothelial dysfunction and is involved in the pathogenesis of myocardial infarction (MI) and stroke. However, associations of biomarkers of oxidative stress with MI and stroke have not yet been addressed in large cohort studies. A nested case –control design was applied in four population-based cohort studies from Germany, Czech Republic, Poland and Lithuania. Derivatives of reactive oxygen metabolites (d-ROMs) levels, as a proxy for the reactive oxygen species burden, and total thiol levels (TTL), as a proxy for the reductive capacity , were measured in baseline serum samples of ...
Source: European Journal of Epidemiology - November 7, 2018 Category: Epidemiology Source Type: research

Difference in Stroke Knowledge between Rural and Urban Communities in a Developing Country after Community-Based Stroke Educational Campaigns: Results from a Cross-Sectional Study
Conclusions: Rural and semi-urban regions performed better than the urban population. Receiving stroke information is a determinant factor for stroke knowledge. Stroke Educational Campaigns are a cost-effective method for raising stroke awareness, thus reducing stroke burden.Neuroepidemiology 2018;51:224 –229
Source: Neuroepidemiology - October 5, 2018 Category: Epidemiology Source Type: research

Forty-year Seasonality Trends in Occurrence of Myocardial Infarction, Ischemic Stroke, and Hemorrhagic Stroke
Conclusions: We found no substantial seasonality for MI, ischemic stroke, or hemorrhagic stroke occurrence during 1977−2016. Modest peak-to-trough ratios should be interpreted after considering bias induced by random variation.
Source: Epidemiology - October 5, 2018 Category: Epidemiology Tags: Environmental epidemiology Source Type: research

Associations of Daily Walking Time With Pneumonia Mortality Among Elderly Individuals With or Without a Medical History of Myocardial Infarction or Stroke: Findings From the Japan Collaborative Cohort Study.
CONCLUSIONS: Regular walking for ≥1 hour/day may reduce the risk of pneumonia mortality in elderly individuals with or without cardiovascular disease history. PMID: 30249944 [PubMed - as supplied by publisher]
Source: Journal of Epidemiology - September 27, 2018 Category: Epidemiology Tags: J Epidemiol Source Type: research

The mediating role of the venules between smoking and ischemic stroke
This study was part of a population-based study including 9109 stroke-free persons participated in the study in 1990, 2004, or 2006 (mean age: 63.7  years; 58% women). Smoking behavior (smoking versus non-smoking) was identified by interview. Retinal venular calibers were measured semi-automatically on retinal photographs. Incident strokes were assessed until January 2016. A regression-based approach was used with venular calibers as mediator to decompose the total effect of smoking compared to non-smoking into four components: controlled direct effect (neither mediation nor interaction), pure indirect effect (mediation o...
Source: European Journal of Epidemiology - September 4, 2018 Category: Epidemiology Source Type: research

Risk of Hemorrhagic Stroke in Patients Exposed to Nonsteroidal Anti-Inflammatory Drugs: A Meta-Analysis of Observational Studies
Conclusion: Our results indicated that the use of NSAIDs is significantly associated with a higher risk of developing hemorrhagic stroke. These results should be interpreted with caution because they may be confounded owing to the observational design of the individual studies. Nevertheless, we recommend that NSAIDs should be used judiciously, and their efficacy and safety should be monitored proactively.Neuroepidemiology 2018;51:166 –176
Source: Neuroepidemiology - September 2, 2018 Category: Epidemiology Source Type: research

Direct oral anticoagulants for stroke prevention in atrial fibrillation: treatment outcomes and dosing in special populations.
CONCLUSIONS: Overall, results of secondary analyses indicate that the recommended dosing strategy for each of the DOACs produces a consistent anticoagulant effect across a diverse patient population, including those at increased risk of stroke or bleeding. PMID: 30081727 [PubMed - in process]
Source: Adv Data - August 9, 2018 Category: Epidemiology Authors: Stacy ZA, Richter SK Tags: Ther Adv Cardiovasc Dis Source Type: research

Factors Associated with Stroke Misdiagnosis in the Emergency Department: A Retrospective Case-Control Study
Conclusions: Patients with stroke misdiagnosis were commonly FAST-negative with nonspecific symptoms including altered mental status, dizziness and nausea/vomiting often associated with PCS. Improved diagnostic accuracy may increase access to acute therapies.Neuroepidemiology 2018;51:123 –127
Source: Neuroepidemiology - August 9, 2018 Category: Epidemiology Source Type: research

Inpatient Cost of Stroke in Beijing: A Descriptive Analysis
Conclusion: Hospitalization cost of stroke was substantial. These findings provide health policymakers and healthcare professionals with evidence to help guide future spending.Neuroepidemiology 2018;51:115 –122
Source: Neuroepidemiology - August 8, 2018 Category: Epidemiology Source Type: research

Temporal Trends in Age at Ischemic Stroke Onset by Ethnicity
To explore temporal trends in age at first-ever ischemic stroke onset in a bi-ethnic, population-based study.
Source: Annals of Epidemiology - July 24, 2018 Category: Epidemiology Authors: Chengwei Li, Jonggyu Baek, Brisa N. Sanchez, Lewis B. Morgenstern, Lynda D. Lisabeth Tags: Original article Source Type: research

Presentation, Evaluation, Management, and Outcomes of Acute Stroke in Low- and Middle-Income Countries: A Systematic Review and Meta-Analysis
Conclusions: Our review revealed the low use of evidence-based practices for acute stroke care in LMIC. The true use in hospitals that do not conduct this research is probably even lower. Strategies to evaluate and improve health system performance for acute stroke care, including implantation of stroke units and making thrombolysis more available and affordable are needed in LMIC. Registration in Prospero: CRD42017069325.Neuroepidemiology 2018;51:104 –112
Source: Neuroepidemiology - July 19, 2018 Category: Epidemiology Source Type: research

Clinico-epidemiological profile of stroke patients admitted in a tertiary care Hospital of Assam
Conclusionhaemorrhagic CVA constitutes a larger percentage of stroke subtypes on this side of the globe effecting poor to lower middle class. Proper strategy to prevent and treat haemorrhagic CVA in this part of the world is the need of the hour.
Source: Clinical Epidemiology and Global Health - July 11, 2018 Category: Epidemiology Source Type: research

Impact of intensified pharmaceutical care on health related quality of life in patients with stroke in a tertiary care hospital
ConclusionThe study enables demonstration and application of a pharmaceutical care program among stroke patients to prevent complications to improve HRQoL. This study indicates that pharmaceutical care can be performed in both hospital and community settings as it provides more benefit and positive impact on patient’HRQoL.
Source: Clinical Epidemiology and Global Health - July 11, 2018 Category: Epidemiology Source Type: research

Development of a risk of stroke score in the Lebanese population
ConclusionIt is highly recommended to use the ROSS, particularly in the primary care setting, as a good assessment tool to predict stroke among high-risk people and encourage them to get involved in intervention programs to prevent this disease.
Source: Clinical Epidemiology and Global Health - July 11, 2018 Category: Epidemiology Source Type: research

Development of a diagnosis score for stroke in the Lebanese population
In conclusion, the DS-Stroke is a useful tool for emergency physicians, non-specialists and front-line clinicians. It is a good diagnosis tool for use to diagnose stroke at emergency, call for further emergency testing if necessary and speed up treatment.
Source: Clinical Epidemiology and Global Health - July 11, 2018 Category: Epidemiology Source Type: research

Impact of intensified pharmaceutical care on health related quality of life in patients with stroke in a tertiary care hospital
ConclusionThe study enables demonstration and application of a pharmaceutical care program among stroke patients to prevent complications to improve HRQoL. This study indicates that pharmaceutical care can be performed in both hospital and community settings as it provides more benefit and positive impact on patient’HRQoL.
Source: Clinical Epidemiology and Global Health - July 6, 2018 Category: Epidemiology Source Type: research

Development of a risk of stroke score in the Lebanese population
ConclusionIt is highly recommended to use the ROSS, particularly in the primary care setting, as a good assessment tool to predict stroke among high-risk people and encourage them to get involved in intervention programs to prevent this disease.
Source: Clinical Epidemiology and Global Health - July 6, 2018 Category: Epidemiology Source Type: research

Development of a diagnosis score for stroke in the Lebanese population
In conclusion, the DS-Stroke is a useful tool for emergency physicians, non-specialists and front-line clinicians. It is a good diagnosis tool for use to diagnose stroke at emergency, call for further emergency testing if necessary and speed up treatment.
Source: Clinical Epidemiology and Global Health - July 6, 2018 Category: Epidemiology Source Type: research

Short-term exposure to ambient ozone and stroke hospital admission: A case-crossover analysis
th & Robin C Puett
Source: Journal of Exposure Science and Environmental Epidemiology - September 2, 2015 Category: Epidemiology Authors: Jessica A Montresor-LópezJeff D YanoskyMurray A MittlemanAmir SapkotaXin HeJames D HibbertMichael D WirthRobin C Puett Tags: air pollution ozone stroke Source Type: research