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Focused Update: Health Equity AHA Journals

This Health Equity edition of Focused Updates features an overview of the HEADS-UP 2020 symposium proceedings and articles covering the key scientific content of the major lectures delivered during the symposium. These articles focus on identifying interventions that potentially have a greater impact in reducing stroke disparities among racial

Actived: 5 days ago

URL: https://www.ahajournals.org/str/health-equity

A Primary Care Agenda for Brain Health: A Scientific

(Just Now) Promoting overall health, which includes brain health, is deeply embedded in this work, although this fact is rarely acknowledged in discussions with patients or even among professionals. 119 It is a hidden purpose and outcome of good primary care.

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Psychological Health, Well-Being, and the Mind-Heart-Body

(5 days ago) Health Psychol. 2018; 37:407–416. doi: 10.1037/hea0000593 Crossref Medline Google Scholar; 26. Dennis PA, Ulmer CS, Calhoun PS, Sherwood A, Watkins LL, Dennis MF, Beckham JC. Behavioral health mediators of the link between posttraumatic stress disorder and dyslipidemia. J Psychosom Res.

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Lower Extremity Peripheral Artery Disease: Contemporary

(5 days ago) Orchestrated efforts among different parties (eg, health care providers, researchers, expert organizations, and health care organizations) will be needed to increase the awareness and understanding of PAD and improve the diagnostic approaches, management, and prognosis of PAD.

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Cardiovascular Health Behavior and Health Factor Changes

(5 days ago) Methods. We used data from noninstitutionalized, nonpregnant, nonlactating adults aged ≥20 years in each age, sex, and race/ethnicity group as appropriate who were free from CVD and participated in the Third National Health and Nutrition Examination Survey (NHANES III, 1988–1994) and subsequent 2-year cycles (1999–2000, 2001–2002, 2003–2004, 2005–2006, 2007–2008).

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Worksite Wellness Programs for Cardiovascular Disease

(Just Now) Summary of Recommendations. Components of Wellness Programs . A comprehensive program aimed at improving employees’ cardiovascular and general health should include the following: Tobacco cessation and prevention, regular physical activity, stress management/reduction, early detection/screening, nutrition education and promotion, weight management, disease management, …

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Delay in Presentation and Evaluation for Acute Stroke

(8 days ago) lack of improvement throughout the past decade underscores the need for implementation of effective public health programs designed to minimize the time to evaluation and treatment of stroke. (Stroke. 2001;32:63-69.) Key Words: emergency service, hospital n registries n stroke, acute Stroke is one of the leading causes of death and serious,

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The Effect of Hurricane Sandy on Cardiovascular Events in

(9 days ago) The Effect of Hurricane Sandy on Cardiovascular Events in New Jersey Joel N. Swerdel, MS, MPH; Teresa M. Janevic, MPH, PhD; Nora M. Cosgrove, RN; John B. …

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Abstract 16089: Clinical Outcomes Associated With Anti

(2 days ago) Background: Octogenarians and nonagenarians are under-represented in major clinical trials studying the role of anticoagulation (AC) in atrial fibrillation (AF). These patients are at an increased risk of bleeding owing to their frailty, their propensity for …

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Medical Marijuana, Recreational Cannabis, and

(Just Now) However, our understanding of the health effects of cannabis has been limited by decades of worldwide illegality and continues to be limited in the United States by restrictions of federal law because cannabis remains a Schedule 1 controlled substance, deeming no accepted medical use, a high potential for abuse, and an unacceptable safety

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Ideal Cardiovascular Health Circulation

(Just Now) Cardiovascular health promotion in the schools: a statement for health and education professionals and child health advocates from the Committee on Atherosclerosis, Hypertension, and Obesity in Youth (AHOY) of the Council on Cardiovascular Disease in the Young, American Heart Association. Circulation. 2004; 110:2266–2275.

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Advancing Healthcare Reform: The American Heart

(Just Now) The mission of the American Heart Association is to be a relentless force for a world of longer, healthier lives. The American Heart Association has consistently prioritized the needs and perspective of the patient in taking positions on healthcare reform while recognizing the importance of biomedical research, providers, and healthcare delivery systems in advancing the care of patients and

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Health Status and Clinical Practice Circulation

(1 days ago) Health Status: Definition and Measurement. Health status is the impact of disease on patient function as reported by the patient. More specifically, health status can be defined as the range of manifestation of disease in a given patient including symptoms, functional limitation, and quality of life, in which quality of life is the discrepancy between actual and desired function ().

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Physical Activity and Public Health in Older Adults

(9 days ago) health in older adults. Participants—A panel of scientists with expertise in public health, behavioral science, epidemiology, exercise science, medicine, and gerontology. Evidence—The expert panel reviewed existing consensus statements and relevant evidence from primary research articles and reviews of the literature.

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Impact of Healthy Lifestyle Factors on Life Expectancies

(Just Now) Methods: Using data from the Nurses’ Health Study (1980–2014; n=78 865) and the Health Professionals Follow-up Study (1986–2014, n=44 354), we defined 5 low-risk lifestyle factors as never smoking, body mass index of 18.5 to 24.9 kg/m 2, ≥30 min/d of moderate to vigorous physical activity, moderate alcohol intake, and a high diet quality score (upper 40%), and estimated hazard …

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Improving Quality of Care Through Disease Management

(1 days ago) The 6 key recommendations for improving the quality of health care focus on system changes and are summarized as follows: (1) The healthcare system should adopt as its explicit purpose the continual reduction of the burden of conditions for the people of the United States; (2) the healthcare system should pursue safe, effective, patient

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Soy Protein, Isoflavones, and Cardiovascular Health

(Just Now) J Womens Health (Larchmt). 2005; 14: 253–262. Crossref Medline Google Scholar; 46 Tonstad S, Smerud K, Hoie L. A comparison of the effects of 2 doses of soy protein or casein on serum lipids, serum lipoproteins, and plasma total homocysteine in hypercholesterolemic subjects. Am J Clin Nutr. 2002; 76: 78–84. Crossref Medline Google Scholar

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Health Literacy Circulation

(Just Now) The prevalence of limited health literacy is higher for those with low educational attainment, the elderly, racial and ethnic minorities, and people with chronic disease. 7 Indeed, more than 50% of those 80 to 84 years old and more than 70% of patients 85 years old and older have marginal or limited health literacy. 8.

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Mobile Health Access and Use Among Individuals With or At

(5 days ago) Methods and Results. Data were from 3248 adults in the 2018 Health Information National Trends Survey. We defined CVD risk as reporting a heart condition, diabetes mellitus, hypertension, and/or current smoking (n=1903). Multivariable logistic regression, adjusting for demographics, was used to assess the relationship between CVD risk and mH ealth uptake.

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Addressing Social Determinants of Health in the Care of

(Just Now) Health literacy acts as a mediator between SES and health status, quality of life, use of health services, and healthy behavior. 189 Health literacy is considered a modifiable risk factor of SES, disparities in health, and poor health outcomes. Health literacy can be improved through screening and tailored patient education to improve

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Medical Marijuana, Recreational Cannabis, and

(4 days ago) health implications of cannabis include cardiovascular diseases, although they may be mediated by mechanisms of delivery. This statement critically reviews the use of medicinal and recreational cannabis from a clinical but also a policy and public health perspective by evaluating its

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Trends in Healthcare Expenditures Among US Adults With

(5 days ago) Womens Health Issues. 2010; 20:114–125. Crossref Medline Google Scholar; 13 Shao H, Mohammed MU, Thomas N, Babazadeh S, Yang S, Shi Q, Shi L. Evaluating excessive burden of depression on health status and health care utilization among patients with hypertension in a nationally representative sample from the Medial Expenditure Panel Survey

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Public Policy Approaches to the Prevention of Heart

(Just Now) The essential public health services use those functions used by public health agencies to modify population-wide risk behaviors. 34 The important roles of surveillance, education and media, organizational partnerships, and assurance of personal health services in changing population-wide behavior are beyond the scope of this review, although

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The Health ABC Heart Failure Score

(1 days ago) The Health ABC study is a population-based study of 3075 well-functioning, community-dwelling men and women aged 70 to 79 years at inception. Participants were identified from a random sample of white Medicare beneficiaries and all age-eligible black residents in designated zip codes areas surrounding Pittsburgh and Memphis.

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Quality and Value of Health Care in the Veterans Health

(5 days ago) The US Department of Veterans Affairs (VA) healthcare system has been intently focused on improving quality of care for the past 25 years. 1 Additionally, there is an increasing imperative for the VA to provide health care that is not only high in quality, but also high in value (ie, the ratio of good clinical outcomes produced per healthcare

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The Future of Cardiovascular Epidemiology Circulation

(5 days ago) A third of CVD deaths occur before 75 years of age, which is less than the average life expectancy of 78.8 years. 1 Thus, prevention of CVD is a public health priority. Major advances in cardiovascular epidemiology over the last 4 decades have improved our understanding of the pathogenesis of CVD, with the identification and treatment of

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Social Determinants of Risk and Outcomes for

(4 days ago) National Standards for Culturally and Linguistically Appropriate Services in Health and Health Care. Washington, DC: US Department of Health and Human Services Office of Minority Health; 2013. Google Scholar; 71. Ponce N, Gatchell M, Brown R. Cancer Screening Rates Among Asian Ethnic Groups (Health Policy Fact Sheet). 2003. UCLA Center for

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Use of Mobile Health Applications in Low-Income

(3 days ago) Hugo Health is a digital health company that produced its eponymic application, enables people to connect to their electronic health data, sync wearables, and participate in research. With patients’ permission, patients can opt to share portions of their data with research teams and answer surveys from researchers using their email or smart

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US Health Care Circulation

(1 days ago) First, no US citizen should be denied access to health care. The intuitive inference is that health care is an entitlement. Second, the current system for healthcare reimbursement is inadequate at multiple levels. More individuals must be provided healthcare coverage.

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Dietary Cholesterol and Cardiovascular Risk

(4 days ago) Health and Nutrition Examination Surveys), the mean cholesterol intake in US adults ≥20 years of age was 293 mg/d (95% CI, 284–302), corresponding to a cho-lesterol density of 137 mg/1000 kcal. However, there are racial/ethnic differences. Mexican Americans have the highest intake with a …

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Cardiovascular Health in Turner Syndrome: A Scientific

(Just Now) Health professionals should be cognizant that TS-specific z scores are significantly lower than z scores derived from a general reference population. 45 For example, an ascending aorta TS-specific z score >3 is equivalent to a z score of >5 derived from the general reference population.

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Cardiovascular Health in African Americans: A Scientific

(Just Now) Common sources of stress, job stress and strain, neighborhood-related safety concerns, socioeconomic concerns, and major life events combine with salient sources of stress for African Americans such as perceived discrimination. 270 – 273 Perceived racial discrimination is known to be associated with all aspects of health, including

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Salt, Blood Pressure, and Human Health Hypertension

(Just Now) Overall Health Effects of Sodium Restriction. The only way to assess the effect of sodium on health is to assess morbidity and mortality in human beings. Unfortunately, very few data currently exist linking salt intake to the duration or quality of life.

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Cardiovascular Health in American Indians and Alaska Natives

(4 days ago) Breathett et al CV Health in American Indians and Alaska Natives Circulation. 2020;141:e948–e959. DOI: 10.1161/CIR.0000000000000773 June 23/30, 2020 e949 CLINICAL STATEMENTS AND GUIDELINES C ardiovascular disease (CVD) is the leading cause of death among American Indians and Alaska Na-tives.1 CVD rates are particularly high in younger

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High-Value Home Health Care for Patients With Heart

(3 days ago) The Future of Home Health Care: A Strategic Framework for Optimizing Value. Home Health Care Manag Pract. 2016; 28:262–278. doi: 10.1177/1084822316666368. Crossref Medline Google Scholar; 25. Bowles KH, Ratcliffe SJ, Holmes JH, Liberatore M, Nydick R, Naylor MD.

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Coconut Oil and Heart Health

(9 days ago) to form a hierarchy of health effects of cooking oils. However, the effect on LDL cholesterol of additional di-etary comparisons may be estimated well by the meta-regression analysis on the component fatty acids.1 Although coconut oil increases plasma HDL cho-lesterol, it …

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Management of Prehypertension Hypertension

(6 days ago) The current model for implementing lifestyle recommendations involves public health and clinical strategies. Dietary guidelines for lowering BP (and other health benefits) are developed by a consensus panel, 58 incorporated into national goals, 59 promoted by national organizations, and publicized through various media. Encouragement to

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The Mediterranean Diet and Cardiovascular Health

(1 days ago) Diet has been traditionally considered as a main determinant of cardiovascular health. In fact, one of the 7 cardiovascular health metrics proposed in 2010 by the American Heart Association (Life’s simple 7) directly corresponds to a healthy diet. 1 But also, other 4 of the remaining 6 proposed health metrics (body mass index, blood pressure, total cholesterol, and blood glucose) are closely

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The Mediterranean Diet and Cardiovascular Health

(5 days ago) lic health is to make easier the healthiest choices. There is a clear clash of interests. Many published studies, particularly small trials with soft end points and reviews or commentar-ies, on the benefits of the MedDiet for cardiovascular health

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Considerations in Addressing Social Determinants of Health

(Just Now) Younger stroke survivors have reduced access to physician care and medications: National health interview survey from years 1998 to 2002. Arch Neurol. 2007; 64:37–42. Crossref Medline Google Scholar; 45. Adler NE, Cutler DM, Fielding J, Galea S, Glymour M, Koh HK, Satcher D. Addressing social determinants of health and health disparities

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Performance Improvement in Healthcare Circulation

(3 days ago) The Ascension Health journey to zero: lessons learned and leadership. Jt Comm J Qual Patient Saf. 2007; 33:739–749. Crossref Medline Google Scholar; 7. DeVore AD, Cox M, Heidenreich PA, Fonarow GC, Yancy CW, Eapen ZJ, Peterson ED, Hernandez AF. Cluster-randomized trial of personalized site performance feedback in Get With The Guidelines-Heart

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Recommendations for Cardiovascular Health and Disease

(Just Now) The County Health Rankings & Roadmaps program is a collaboration between the Robert Wood Johnson Foundation 66 and the University of Wisconsin Population Health Institute. 67 It measures health outcomes and risk factors, including high school graduation rates, obesity, smoking, unemployment, access to healthy foods, the quality of air and water

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Call to Action: Rural Health: A Presidential Advisory From

(Just Now) In school-based health centers, interdisciplinary teams provide comprehensive medical services within a school or on school grounds. 281 School-based health centers are a growing source of care for rural youth, in particular for black and Hispanic students, students with public or no health insurance, and students with disabilities. 282–285

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Cardiovascular Health: The Importance of Measuring Patient

(Just Now) Patient-reported health status is an important cardiovascular health outcome that includes 3 domains: symptom burden, functional status, and HRQL. Patient health status is also predictive of other health outcomes, including mortality, cardiovascular events, hospitalization, and costs of care.

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Home-Based Intervention in Congestive Heart Failure

(6 days ago) Hospitalizations for chronic congestive heart failure (CHF) impose a considerable burden on the healthcare system. 1,2 In the UK, the proportion of healthcare funding directly attributable to CHF has almost doubled since 1990 to 2% of health expenditure in the year 2000. 3,4 As in other developed countries, 5,6 hospital activity represents the greatest component of cost. 3,4 Although some

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An Updated Definition of Stroke for the 21st Century

(5 days ago) Public health surveillance of stroke can be done with various methods, each yielding a different perspective. 180 For example, the prevalence of stroke can be determined in several ways, including surveys using self-report, surveys using clinical and/or imaging evidence, from the review of claims databases, or from reviews of hospital records

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The Dilemma With the Soy Protein Health Claim Journal of

(5 days ago) Health claims can lead to positivity bias or health halo effects, 11 so this issue should be considered. In the case of the soy protein health claim, Moon et al 12 demonstrated that nonsoy users and infrequent soy users exposed to the soy protein health claim were more likely to state they would eat the soy‐containing product versus those not

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Key Issues in Outcomes Research

(9 days ago) clinical medicine and health services research.5,11–15 Federal encouragement of qualitative research is regularly reflected in funding program announcements issued by the National Institutes of Health.16 For more than a decade, federal agencies and foundations such as the National Science Foundation have demonstrated a commitment to supporting

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