Medicine and Health Sciences Commons^™

Natural History Of Concentric Left Ventricular Geometry In Community-Dwelling Older Adults Without Heart Failure During Seven Years Of Follow-Up, Ravi Desai, Mustafa Ahmed, Marjan Mujib, Inmaculada Aban, Michael Zile, Ali Ahmed

Ravi V Desai MD

No abstract provided.

Absence Of Obesity Paradox In Patients With Chronic Heart Failure And Diabetes Mellitus: A Propensity-Matched Study, Chris Adamopoulos, Philippe Meyer, Ravi Desai, Kyparissi Karatzidou, Fernando Ovalle, Michel White, Inmaculada Aban, Thomas Love, Prakash Deedwania, Stefan Anker, Ali Ahmed

Ravi V Desai MD

No abstract provided.

Relation Of Baseline Systolic Blood Pressure And Long-Term Outcomes In Ambulatory Patients With Chronic Mild To Moderate Heart Failure, Maciej Banach, Vikas Bhatia, Margaret Feller, Marjan Mujib, Ravi Desai, Mustafa Ahmed, Jason Guichard, Inmaculada Aban, Thomas Love, Wilbert Aronow, Michel White, Prakash Deedwania, Gregg Fonarow, Ali Ahmed

Ravi V Desai MD

No abstract provided.

Warfarin Use And Outcomes In Patients With Advanced Chronic Systolic Heart Failure Without Atrial Fibrillation, Prior Thromboembolic Events, Or Prosthetic Valves, Marjan Mujib, Abu-Ahmed Rahman, Ravi Desai, Mustafa Ahmed, Margaret Feller, Inmaculada Aban, Tomas Love, Michel White, Prakash Deedwania, Wilbert Aronow, Gregg Fonarow, Ali Ahmed

Ravi V Desai MD

No abstract provided.

Influence Of Co-Existing Atrial Fibrillation On The Efficacy Of Atorvastatin Treatment In Patients With Dilated Cardiomyopathy: A Pilot Study, Agata Bielecka-Dabrowa, Jan Goch, Jacek Rysz, Marek Maciejewski, Ravi Desai, Wilbert Aronow

Ravi V Desai MD

No abstract provided.

Rheumatic Heart Disease And Risk Of Incident Heart Failure Among Community-Dwelling Older Adults: A Prospective Cohort Study, Marjan Mujib, Ravi Desai, Mustafa Ahmed, Jason Guichard, Margaret Feller, O Ekundayo, Prakash Deedwania, Mahboob Ali, Inmaculada Aban, Thomas Love, Michel White, Wilbert Aronow, Shahbudin Rahimtoola, Robert Bonow, Ali Ahmed

Ravi V Desai MD

No abstract provided.

Relationship Between Left And Right Ventricular Ejection Fractions In Chronic Advanced Systolic Heart Failure: Insights From The Best Trial, Ravi Desai, Philippe Meyer, Mustafa Ahmed, Marjan Mujib, Chris Adamopoulos, Michel White, Inmaculada Aban, Ami Iskandrian, Ali Ahmed

Ravi V Desai MD

No abstract provided.

Design And Rationale Of Studies Of Neurohormonal Blockade And Outcomes In Diastolic Heart Failure Using Optimize-Hf Registry Linked To Medicare Data, Yan Zhang, Meredith Kilgore, Tarun Arora, Marjan Mujib, O. Ekundayo, Inmaculada Aban, Margaret Feller, Ravi Desai, Thomas Love, Richard Allman, Gregg Fonarow, Ali Ahmed

Ravi V Desai MD

No abstract provided.

A Propensity-Matched Study Of The Association Of Diabetes Mellitus With Incident Heart Failure And Mortality Among Community-Dwelling Older Adults, Brita Roy, Pushkar Pawar, Ravi Desai, Gregg Fonarow, Marjan Mujib, Yan Zhang, Margaret Feller, Fernando Ovalle, Inmaculada Aban, Thomas Love, Ami Iskandrian, Prakash Deedwania, Ali Ahmed

Ravi V Desai MD

No abstract provided.

Heart Failure Is A Risk Factor For Incident Driving Cessation Among Community-Dwelling Older Adults: Findings From A Prospective Population Study, Richard Sims, Marjan Mujib, Gerald Mcgwin, Yan Zhang, Mustafa Ahmed, Ravi Desai, Inmaculada Aban, Patrick Sawyer, Stefan Anker, Ali Ahmed

Ravi V Desai MD

No abstract provided.

Managed Care, Hospice Use, Site Of Death, And Medical Expenditures In The Last Year Of Life, Ezekiel Emanuel, Arlene Ash, Wei Yu, Gail Gazelle, Norman Levinsky, Olga Saynina, Mark Mcclellan, Mark Moskowitz

wei yu

BACKGROUND: We examined deaths of Medicare beneficiaries in Massachusetts and California to evaluate the effect of managed care on the use of hospice and site of death and to determine how hospice affects the expenditures for the last year of life.

METHODS: Medicare data for beneficiaries in Massachusetts (n = 37 933) and California (n = 27 685) who died in 1996 were merged with each state's death certificate files to determine site and cause of death. Expenditure data were Health Care Financing Administration payments and were divided into 30-day periods from the date of death back 12 months.

RESULTS: …

Estimating The Effect Of A Community-Based Intervention With Two Communities, Mark Van Der Laan, Maya Petersen, Wenjing Zheng

Wenjing Zheng

Due to the need to evaluate the effectiveness of community-based programs in practice, there is substantial interest in methods to estimate the causal effects of community-level treatments or exposures on individual level outcomes. The challenge one is confronted with is that different communities have different environmental factors affecting the individual outcomes, and all individuals in a community share the same environment and intervention. In practice, data are often available from only a small number of communities, making it difficult if not impossible to adjust for these environmental confounders. In this paper we consider an extreme version of this dilemma, in …

Compliance With The Centers For Disease Control And Prevention Recommendations For The Diagnosis And Treatment Of Sexually Transmitted Diseases, Bryan Kane, Linda Degutis, Helen Sayward, Gail D'Onofrio

Bryan G Kane MD

No abstract provided.

Evaluation Of Student Outcomes In Online Vs. Campus Biostatistics Education In A Graduate School Of Public Health, John Mcgready, Ron Brookmeyer

Ron Brookmeyer

Objective: To compare student outcomes between concurrent online and on-campus sections of an introductory biostatistics course offered at a U.S. school of public health in 2005. Methods: Enrolled students (95 online, 92 on-campus) were invited to participate in a confidential online survey. The course outcomes were compared between the two sections adjusting for differences in student characteristics. Results: Seventy-two online (76%) and 66 (72%) on-campus enrollees participated. Unadjusted final exam scores for the online and on-campus sections were respectively 85.1 and 86.3 (p = 0.50) in term 1, and 87.7 and 86.9 (p=0.58) in term 2. After adjustment for student …

Estimation Of Hiv Incidence Using Multiple Biomakers, Ron Brookmeyer, Jacob Konikoff, Oliver Laeyendecker, Susan Eshleman

Ron Brookmeyer

The incidence of human immunodeficiency virus (HIV) is the rate at which new HIV infections occur in populations. The development of accurate, practical, and cost-effective approaches to estimation of HIV incidence is a priority among researchers in HIV surveillance because of limitations with existing methods. In this paper, we develop methods for estimating HIV incidence rates using multiple biomarkers in biological samples collected from a cross-sectional survey. An advantage of the method is that it does not require longitudinal follow-up of individuals. We use assays for BED, avidity, viral load, and CD4 cell count data from clade B samples collected …

Improved Cardiovascular Risk Prediction Using Nonparametric Regression And Electronic Health Record Data, Edward Kennedy, Wyndy Wiitala, Rodney Hayward, Jeremy Sussman

Edward H. Kennedy

Use of the electronic health record (EHR) is expected to increase rapidly in the near future, yet little research exists on whether analyzing internal EHR data using flexible, adaptive statistical methods could improve clinical risk prediction. Extensive implementation of EHR in the Veterans Health Administration provides an opportunity for exploration. Our objective was to compare the performance of various approaches for predicting risk of cerebrovascular and cardiovascular (CCV) death, using traditional risk predictors versus more comprehensive EHR data. Regression methods outperformed the Framingham risk score, even with the same predictors (AUC increased from 71% to 73% and calibration also improved). …