Racial/ethnic Variations in Acute Stroke

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Publisher :
ISBN 13 :
Total Pages : 107 pages
Book Rating : 4.:/5 (89 download)

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Book Synopsis Racial/ethnic Variations in Acute Stroke by : Tefera Gezmu

Download or read book Racial/ethnic Variations in Acute Stroke written by Tefera Gezmu and published by . This book was released on 2012 with total page 107 pages. Available in PDF, EPUB and Kindle. Book excerpt: The burden of stroke is well understood for whites, blacks and Hispanics in the United States, yet its nature, outcome, and medical care profiles have not been examined for other immigrant groups, including South Asians. Previous studies on gender differences document higher stroke incidence rates for men but worse outcomes for women. Factors related to stroke hospitalization have been shown to include failure to identify symptoms of stoke onset, delay in emergency department arrival or extended waiting time, and lack of insurance coverage. This dissertation asks whether these results can be further understood by examining stroke data among a multiracial/multiethnic cohort. Specifically it asks: (1) whether racial/ethnic-specific risk factors allow the prediction of subtypes of stroke; that is, large versus small vessel stroke, (2) whether total cholesterol and triglyceride levels can be used as predictors of risk for stroke between genders of the different races/ethnicities, and (3) whether access to emergency care and other health services for stroke differ by race/ethnicity and by stroke type. Stroke registry data were obtained from the New Jersey Neuroscience Institute, John F. Kennedy Medical Center. Data on 3,290 subjects who met the inclusion criteria were examined for socio-demographic, stroke risk, clinical and health profile variables. Results showed that South Asians were younger than whites at the time of admission for acute stroke. Gender comparisons revealed that South Asian and Hispanic men had higher proportions of patients with ischemic stroke than women, while the inverse was true for whites and African Americans. Twice as many young patients (18-44 years) suffered hemorrhagic stroke compared to ischemic stroke. Important predictive factors for stroke outcome included insurance status and use of emergency medical services as a mode of transport to hospitals following stroke symptom recognition. Variations in stroke incidence and outcomes may be partially explained by dietary and life style choices; however consideration must be given to competing morbidity, failure to recognize warning signs for stroke, and failure to use emergency services due to lack of knowledge, language barriers, or lack of insurance. These factors need to be more clearly examined in future studies.

Stroke in Blacks

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Publisher : Karger Medical and Scientific Publishers
ISBN 13 : 3805567138
Total Pages : 242 pages
Book Rating : 4.8/5 (55 download)

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Book Synopsis Stroke in Blacks by : Richard F. Gillum

Download or read book Stroke in Blacks written by Richard F. Gillum and published by Karger Medical and Scientific Publishers. This book was released on 1999 with total page 242 pages. Available in PDF, EPUB and Kindle. Book excerpt: This is an excellent, easily perused book that will be useful to anyone interested in stroke in general and in blacks specifically. The importance of primary prevention is a message that emerges resoundingly.

Unequal Treatment

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Publisher : National Academies Press
ISBN 13 : 030908265X
Total Pages : 781 pages
Book Rating : 4.3/5 (9 download)

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Book Synopsis Unequal Treatment by : Institute of Medicine

Download or read book Unequal Treatment written by Institute of Medicine and published by National Academies Press. This book was released on 2009-02-06 with total page 781 pages. Available in PDF, EPUB and Kindle. Book excerpt: Racial and ethnic disparities in health care are known to reflect access to care and other issues that arise from differing socioeconomic conditions. There is, however, increasing evidence that even after such differences are accounted for, race and ethnicity remain significant predictors of the quality of health care received. In Unequal Treatment, a panel of experts documents this evidence and explores how persons of color experience the health care environment. The book examines how disparities in treatment may arise in health care systems and looks at aspects of the clinical encounter that may contribute to such disparities. Patients' and providers' attitudes, expectations, and behavior are analyzed. How to intervene? Unequal Treatment offers recommendations for improvements in medical care financing, allocation of care, availability of language translation, community-based care, and other arenas. The committee highlights the potential of cross-cultural education to improve provider-patient communication and offers a detailed look at how to integrate cross-cultural learning within the health professions. The book concludes with recommendations for data collection and research initiatives. Unequal Treatment will be vitally important to health care policymakers, administrators, providers, educators, and students as well as advocates for people of color.

Critical Perspectives on Racial and Ethnic Differences in Health in Late Life

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Publisher : National Academies Press
ISBN 13 : 0309092116
Total Pages : 753 pages
Book Rating : 4.3/5 (9 download)

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Book Synopsis Critical Perspectives on Racial and Ethnic Differences in Health in Late Life by : National Research Council

Download or read book Critical Perspectives on Racial and Ethnic Differences in Health in Late Life written by National Research Council and published by National Academies Press. This book was released on 2004-10-16 with total page 753 pages. Available in PDF, EPUB and Kindle. Book excerpt: In their later years, Americans of different racial and ethnic backgrounds are not in equally good-or equally poor-health. There is wide variation, but on average older Whites are healthier than older Blacks and tend to outlive them. But Whites tend to be in poorer health than Hispanics and Asian Americans. This volume documents the differentials and considers possible explanations. Selection processes play a role: selective migration, for instance, or selective survival to advanced ages. Health differentials originate early in life, possibly even before birth, and are affected by events and experiences throughout the life course. Differences in socioeconomic status, risk behavior, social relations, and health care all play a role. Separate chapters consider the contribution of such factors and the biopsychosocial mechanisms that link them to health. This volume provides the empirical evidence for the research agenda provided in the separate report of the Panel on Race, Ethnicity, and Health in Later Life.

Racial and Ethnic Differences in the Health of Older Americans

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Publisher : National Academies Press
ISBN 13 : 0309175569
Total Pages : 312 pages
Book Rating : 4.3/5 (91 download)

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Book Synopsis Racial and Ethnic Differences in the Health of Older Americans by : National Research Council

Download or read book Racial and Ethnic Differences in the Health of Older Americans written by National Research Council and published by National Academies Press. This book was released on 1997-09-23 with total page 312 pages. Available in PDF, EPUB and Kindle. Book excerpt: Older Americans, even the oldest, can now expect to live years longer than those who reached the same ages even a few decades ago. Although survival has improved for all racial and ethnic groups, strong differences persist, both in life expectancy and in the causes of disability and death at older ages. This book examines trends in mortality rates and selected causes of disability (cardiovascular disease, dementia) for older people of different racial and ethnic groups. The determinants of these trends and differences are also investigated, including differences in access to health care and experiences in early life, diet, health behaviors, genetic background, social class, wealth and income. Groups often neglected in analyses of national data, such as the elderly Hispanic and Asian Americans of different origin and immigrant generations, are compared. The volume provides understanding of research bearing on the health status and survival of the fastest-growing segment of the American population.

Race-ethnicity, Sex, and Acculturation Differences in Ischemic Stroke Mortality and in Presention for Care

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Publisher :
ISBN 13 :
Total Pages : 138 pages
Book Rating : 4.:/5 (31 download)

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Book Synopsis Race-ethnicity, Sex, and Acculturation Differences in Ischemic Stroke Mortality and in Presention for Care by : Melinda Smith Cox

Download or read book Race-ethnicity, Sex, and Acculturation Differences in Ischemic Stroke Mortality and in Presention for Care written by Melinda Smith Cox and published by . This book was released on 2007 with total page 138 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Communities in Action

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Publisher : National Academies Press
ISBN 13 : 0309452961
Total Pages : 583 pages
Book Rating : 4.3/5 (94 download)

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Book Synopsis Communities in Action by : National Academies of Sciences, Engineering, and Medicine

Download or read book Communities in Action written by National Academies of Sciences, Engineering, and Medicine and published by National Academies Press. This book was released on 2017-04-27 with total page 583 pages. Available in PDF, EPUB and Kindle. Book excerpt: In the United States, some populations suffer from far greater disparities in health than others. Those disparities are caused not only by fundamental differences in health status across segments of the population, but also because of inequities in factors that impact health status, so-called determinants of health. Only part of an individual's health status depends on his or her behavior and choice; community-wide problems like poverty, unemployment, poor education, inadequate housing, poor public transportation, interpersonal violence, and decaying neighborhoods also contribute to health inequities, as well as the historic and ongoing interplay of structures, policies, and norms that shape lives. When these factors are not optimal in a community, it does not mean they are intractable: such inequities can be mitigated by social policies that can shape health in powerful ways. Communities in Action: Pathways to Health Equity seeks to delineate the causes of and the solutions to health inequities in the United States. This report focuses on what communities can do to promote health equity, what actions are needed by the many and varied stakeholders that are part of communities or support them, as well as the root causes and structural barriers that need to be overcome.

Understanding Racial and Ethnic Differences in Health in Late Life

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Publisher : National Academies Press
ISBN 13 : 0309165865
Total Pages : 184 pages
Book Rating : 4.3/5 (91 download)

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Book Synopsis Understanding Racial and Ethnic Differences in Health in Late Life by : National Research Council

Download or read book Understanding Racial and Ethnic Differences in Health in Late Life written by National Research Council and published by National Academies Press. This book was released on 2004-09-08 with total page 184 pages. Available in PDF, EPUB and Kindle. Book excerpt: As the population of older Americans grows, it is becoming more racially and ethnically diverse. Differences in health by racial and ethnic status could be increasingly consequential for health policy and programs. Such differences are not simply a matter of education or ability to pay for health care. For instance, Asian Americans and Hispanics appear to be in better health, on a number of indicators, than White Americans, despite, on average, lower socioeconomic status. The reasons are complex, including possible roles for such factors as selective migration, risk behaviors, exposure to various stressors, patient attitudes, and geographic variation in health care. This volume, produced by a multidisciplinary panel, considers such possible explanations for racial and ethnic health differentials within an integrated framework. It provides a concise summary of available research and lays out a research agenda to address the many uncertainties in current knowledge. It recommends, for instance, looking at health differentials across the life course and deciphering the links between factors presumably producing differentials and biopsychosocial mechanisms that lead to impaired health.

Stroke Genetics

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Publisher : Oxford Medical Publications
ISBN 13 : 0198515863
Total Pages : 362 pages
Book Rating : 4.1/5 (985 download)

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Book Synopsis Stroke Genetics by : Hugh S. Markus

Download or read book Stroke Genetics written by Hugh S. Markus and published by Oxford Medical Publications. This book was released on 2003 with total page 362 pages. Available in PDF, EPUB and Kindle. Book excerpt: Stroke is a major cause of death and the major cause of adult neurological disability in most of the world. Despite its importance on a population basis, research into the genetics of stroke has lagged behind that of many other disorders. However, the situation is now changing. Anincreasing number of single gene disorders causing stroke are being described, and there is growing evidence that polygenic factors are important in the risk of apparently "sporadic" stroke.Stroke Genetics provides an up-to-date review of the area, suitable for clinicians treating stroke patients, and both clinical and non-clinical researchers in the field of cerebrovascular disease. The full range of monogenic stroke disorders causing cerebrovascular disease, including ischaemicstroke, intracerebral haemorrhage, aneurysms and arteriovenous malformations, are covered. For each, clinical features, diagnosis, and genetics are described. Increasing evidence suggest that genetic factors are also important for the much more common multifactorial stroke; this evidence isreviewed along with the results of genetic studies in this area. Optimal and novel strategies for investigating multifactorial stroke, including the use of intermediate phenotypes such as intima-media thickness and MRI detected small vessel disease are reviewed. The book concludes by describing apractical approach to investigating patients with stroke for underlying genetic disorders. Also included is a list of useful websites.

Textbook of Stroke Medicine

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Publisher : Cambridge University Press
ISBN 13 : 1107047498
Total Pages : 425 pages
Book Rating : 4.1/5 (7 download)

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Book Synopsis Textbook of Stroke Medicine by : Michael Brainin

Download or read book Textbook of Stroke Medicine written by Michael Brainin and published by Cambridge University Press. This book was released on 2014-09-11 with total page 425 pages. Available in PDF, EPUB and Kindle. Book excerpt: Fully revised throughout, the new edition of this concise textbook is aimed at doctors preparing to specialize in stroke care.

Blood Groups and Red Cell Antigens

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Publisher :
ISBN 13 :
Total Pages : pages
Book Rating : 4.:/5 (225 download)

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Book Synopsis Blood Groups and Red Cell Antigens by : Laura Dean

Download or read book Blood Groups and Red Cell Antigens written by Laura Dean and published by . This book was released on 2005 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt:

Mental Health

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Publisher :
ISBN 13 :
Total Pages : 28 pages
Book Rating : 4.3/5 (91 download)

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Book Synopsis Mental Health by :

Download or read book Mental Health written by and published by . This book was released on 2001 with total page 28 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Measuring the Quality of Health Care

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Publisher : National Academies Press
ISBN 13 : 0309570689
Total Pages : 42 pages
Book Rating : 4.3/5 (95 download)

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Book Synopsis Measuring the Quality of Health Care by : The National Roundtable on Health Care Quality

Download or read book Measuring the Quality of Health Care written by The National Roundtable on Health Care Quality and published by National Academies Press. This book was released on 1999-02-23 with total page 42 pages. Available in PDF, EPUB and Kindle. Book excerpt: The National Roundtable on Health Care Quality was established in 1995 by the Institute of Medicine. The Roundtable consists of experts formally appointed through procedures of the National Research Council (NRC) who represent both public and private-sector perspectives and appropriate areas of substantive expertise (not organizations). From the public sector, heads of appropriate Federal agencies serve. It offers a unique, nonadversarial environment to explore ongoing rapid changes in the medical marketplace and the implications of these changes for the quality of health and health care in this nation. The Roundtable has a liaison panel focused on quality of care in managed care organizations. The Roundtable convenes nationally prominent representatives of the private and public sector (regional, state and federal), academia, patients, and the health media to analyze unfolding issues concerning quality, to hold workshops and commission papers on significant topics, and when appropriate, to produce periodic statements for the nation on quality of care matters. By providing a structured opportunity for regular communication and interaction, the Roundtable fosters candid discussion among individuals who represent various sides of a given issue.

America Becoming

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Publisher : National Academies Press
ISBN 13 : 0309172489
Total Pages : 523 pages
Book Rating : 4.3/5 (91 download)

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Book Synopsis America Becoming by : National Research Council

Download or read book America Becoming written by National Research Council and published by National Academies Press. This book was released on 2001-01-25 with total page 523 pages. Available in PDF, EPUB and Kindle. Book excerpt: The 20th Century has been marked by enormous change in terms of how we define race. In large part, we have thrown out the antiquated notions of the 1800s, giving way to a more realistic, sociocultural view of the world. The United States is, perhaps more than any other industrialized country, distinguished by the size and diversity of its racial and ethnic minority populations. Current trends promise that these features will endure. Fifty years from now, there will most likely be no single majority group in the United States. How will we fare as a nation when race-based issues such as immigration, job opportunities, and affirmative action are already so contentious today? In America Becoming, leading scholars and commentators explore past and current trends among African Americans, Hispanics, Asian Americans, and Native Americans in the context of a white majority. This volume presents the most up-to-date findings and analysis on racial and social dynamics, with recommendations for ongoing research. It examines compelling issues in the field of race relations, including: Race and ethnicity in criminal justice. Demographic and social trends for Hispanics, Asian Americans, and Native Americans. Trends in minority-owned businesses. Wealth, welfare, and racial stratification. Residential segregation and the meaning of "neighborhood." Disparities in educational test scores among races and ethnicities. Health and development for minority children, adolescents, and adults. Race and ethnicity in the labor market, including the role of minorities in America's military. Immigration and the dynamics of race and ethnicity. The changing meaning of race. Changing racial attitudes. This collection of papers, compiled and edited by distinguished leaders in the behavioral and social sciences, represents the most current literature in the field. Volume 1 covers demographic trends, immigration, racial attitudes, and the geography of opportunity. Volume 2 deals with the criminal justice system, the labor market, welfare, and health trends, Both books will be of great interest to educators, scholars, researchers, students, social scientists, and policymakers.

Oxford Textbook of Vascular Surgery

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Publisher : Oxford University Press
ISBN 13 : 0191022535
Total Pages : 912 pages
Book Rating : 4.1/5 (91 download)

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Book Synopsis Oxford Textbook of Vascular Surgery by : Matthew M. Thompson

Download or read book Oxford Textbook of Vascular Surgery written by Matthew M. Thompson and published by Oxford University Press. This book was released on 2016-07-28 with total page 912 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Oxford Textbook of Vascular Surgery draws on the expertise of over 130 specialist contributors to encompass the field of vascular surgery. Through the use of figures, findings of contemporary trials, and additional online content, this textbook is an excellent study material for surgical trainees entering their final two years of training, in addition to serving as an effective reference source for practicing surgeons. This volume discusses the epidemiology, vascular biology, clinical features and management of diseases that affect the vasculature and contains dedicated chapters which address topics such as paediatric surgery, damage control surgery, and amputations. The text follows a logical framework which complements the published Intercollegiate Surgery Curriculum making it particularly useful in preparation for the Intercollegiate Examination. The online version of The Oxford Textbook of Vascular Surgery is free for twelve months to individual purchasers of this book and contains the full text of the print edition, links to external sources and informative videos demonstrating current surgical techniques, making this a valuable resource for practicing surgeons. The field of vascular surgery has advanced rapidly in recent years and has expanded to include the techniques of interventional radiology and cardiology which are also extensively covered in this volume, making it an authoritative modern text. By combining contemporary evidence-based knowledge with informative figures, online resources and links to the current training curriculum, The Oxford Textbook of Vascular Surgery is a highly valuable source of information and will become the standard reference text for all who study vascular disease and its treatment.

Future Directions for the Demography of Aging

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Publisher : National Academies Press
ISBN 13 : 0309474108
Total Pages : 409 pages
Book Rating : 4.3/5 (94 download)

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Book Synopsis Future Directions for the Demography of Aging by : National Academies of Sciences, Engineering, and Medicine

Download or read book Future Directions for the Demography of Aging written by National Academies of Sciences, Engineering, and Medicine and published by National Academies Press. This book was released on 2018-07-21 with total page 409 pages. Available in PDF, EPUB and Kindle. Book excerpt: Almost 25 years have passed since the Demography of Aging (1994) was published by the National Research Council. Future Directions for the Demography of Aging is, in many ways, the successor to that original volume. The Division of Behavioral and Social Research at the National Institute on Aging (NIA) asked the National Academies of Sciences, Engineering, and Medicine to produce an authoritative guide to new directions in demography of aging. The papers published in this report were originally presented and discussed at a public workshop held in Washington, D.C., August 17-18, 2017. The workshop discussion made evident that major new advances had been made in the last two decades, but also that new trends and research directions have emerged that call for innovative conceptual, design, and measurement approaches. The report reviews these recent trends and also discusses future directions for research on a range of topics that are central to current research in the demography of aging. Looking back over the past two decades of demography of aging research shows remarkable advances in our understanding of the health and well-being of the older population. Equally exciting is that this report sets the stage for the next two decades of innovative researchâ€"a period of rapid growth in the older American population.

Hispanics and the Future of America

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Publisher : National Academies Press
ISBN 13 : 0309164818
Total Pages : 502 pages
Book Rating : 4.3/5 (91 download)

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Book Synopsis Hispanics and the Future of America by : National Research Council

Download or read book Hispanics and the Future of America written by National Research Council and published by National Academies Press. This book was released on 2006-02-23 with total page 502 pages. Available in PDF, EPUB and Kindle. Book excerpt: Hispanics and the Future of America presents details of the complex story of a population that varies in many dimensions, including national origin, immigration status, and generation. The papers in this volume draw on a wide variety of data sources to describe the contours of this population, from the perspectives of history, demography, geography, education, family, employment, economic well-being, health, and political engagement. They provide a rich source of information for researchers, policy makers, and others who want to better understand the fast-growing and diverse population that we call "Hispanic." The current period is a critical one for getting a better understanding of how Hispanics are being shaped by the U.S. experience. This will, in turn, affect the United States and the contours of the Hispanic future remain uncertain. The uncertainties include such issues as whether Hispanics, especially immigrants, improve their educational attainment and fluency in English and thereby improve their economic position; whether growing numbers of foreign-born Hispanics become citizens and achieve empowerment at the ballot box and through elected office; whether impending health problems are successfully averted; and whether Hispanics' geographic dispersal accelerates their spatial and social integration. The papers in this volume provide invaluable information to explore these issues.