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Enhancing The Development And Approval Of Acute Stroke Therapies: Stroke Therapy Academic Industry Roundtable, Marc Fisher, Gregory W. Albers, Geoffrey A. Donnan, Anthony J. Furlan, James Grotta, Chelsea S. Kidwell, Ralph L. Sacco, Lawrence R. Wechsler 2010 University of Massachusetts Medical School

Enhancing The Development And Approval Of Acute Stroke Therapies: Stroke Therapy Academic Industry Roundtable, Marc Fisher, Gregory W. Albers, Geoffrey A. Donnan, Anthony J. Furlan, James Grotta, Chelsea S. Kidwell, Ralph L. Sacco, Lawrence R. Wechsler

Marc Fisher

BACKGROUND: Previous Stroke Therapy Academic Industry Roundtable (STAIR) meetings focused on preclinical evidence of drug efficacy and enhancing acute stroke trial design and performance. A fourth (STAIR-IV) was held to discuss relevant issues related to acute stroke drug development and regulatory approval. SUMMARY OF REVIEW: The STAIR-IV meeting had 3 main focus areas. The first topic was novel approaches to statistical design of acute stroke trials and appropriate outcome measures. The second focus was the need for better cooperation among participants in stroke therapy development that may be addressed through a national consortium of stroke trial centers in the United ...


Gender Differences Of Case-Fatality Rate In A Brazilian Stroke Registry, Paulo A. Lotufo 2010 Universidade de São Paulo

Gender Differences Of Case-Fatality Rate In A Brazilian Stroke Registry, Paulo A. Lotufo

Paulo A Lotufo

No abstract provided.


Characteristics Of Small Areas With A Higher Stroke Mortality, Paulo A. Lotufo 2010 Universidade de São Paulo

Characteristics Of Small Areas With A Higher Stroke Mortality, Paulo A. Lotufo

Paulo A Lotufo

No abstract provided.


The Prevalence Of Obesity In Children With Autism: A Secondary Data Analysis Using Nationally Representative Data From The National Survey Of Children's Health, Carol Curtin, Sarah E. Anderson, Aviva Must, Linda G. Bandini 2010 University of Massachusetts Medical School

The Prevalence Of Obesity In Children With Autism: A Secondary Data Analysis Using Nationally Representative Data From The National Survey Of Children's Health, Carol Curtin, Sarah E. Anderson, Aviva Must, Linda G. Bandini

Open Access Articles

BACKGROUND: The prevalence of childhood obesity has increased dramatically in the last two decades and numerous efforts to understand, intervene on, and prevent this significant threat to children's health are underway for many segments of the pediatric population. Understanding the prevalence of obesity in populations of children with developmental disorders is an important undertaking, as the factors that give rise to obesity may not be the same as for typically developing children, and because prevention and treatment efforts may need to be tailored to meet their needs and the needs of their families. The goal of the current study ...


Higher Frequency Of Stroke Deaths On Monday And Saturday, Paulo A. Lotufo 2010 Universidade de São Paulo

Higher Frequency Of Stroke Deaths On Monday And Saturday, Paulo A. Lotufo

Paulo A Lotufo

No abstract provided.


Physician Screening For Intimate Partner Violence In Vermont, Aleksey Androsov, Jessica Chao, Kira Fiset, Erin Hickman, Amy Huckins-Noss, Daniel Kim, Amy Kravetz, Makeda Semma, Scott Warhit 2010 University of Vermont

Physician Screening For Intimate Partner Violence In Vermont, Aleksey Androsov, Jessica Chao, Kira Fiset, Erin Hickman, Amy Huckins-Noss, Daniel Kim, Amy Kravetz, Makeda Semma, Scott Warhit

Public Health Projects, 2008-present

Introduction: The term intimate partner violence (or IPV) refers to a threat of abuse or actual psychological, physical, and/or sexual abuse perpetrated by a former or current intimate partner. IPV is an important public health issue that crosses socioeconomic lines. Approximately 4.8 million women experience physical or sexual assault perpetrated by their intimate partner each year in the US. There are no reliable statistics for how many women suffer psychological abuse, but the numbers are likely much higher. Physical, psychological, or sexual injuries can have wide ranging effects, including increased mortality. Although it has been firmly established that ...


The What’S, Where’S, And Why’S Of What Your Family Eats: The Burlington Children’S Space Farm To Table Program, Loren Babirak, Kelly Cunningham, James Dunlop, Jenny Nguyen, Cheddhi Thomas, Zea Schultz, Michael Visker, Nancy Drucker, Barbara Frankowski 2010 University of Vermont

The What’S, Where’S, And Why’S Of What Your Family Eats: The Burlington Children’S Space Farm To Table Program, Loren Babirak, Kelly Cunningham, James Dunlop, Jenny Nguyen, Cheddhi Thomas, Zea Schultz, Michael Visker, Nancy Drucker, Barbara Frankowski

Public Health Projects, 2008-present

Introduction: Preventing childhood obesity is a national priority, and changing dietary behavior in both children and adults is challenging. Burlington Children’s Space, Inc. (BCS), a private, non-profit early education and childcare center providing services for families in the Burlington area, is trying to do just that. The Farm to Table Project was designed to positively influence the food choices of students and their families as well as to cultivate a relationship between families and local farmers. In an effort to secure expanded funding for the school’s food program, BCS requested that we assess the effectiveness of their Food ...


Nutrition And Exercise Education Initiatives In A Community Setting, Andrew Erb, Patrick Huffer, Tri Luu, Elizabeth Mebrate, Alyse Rymer, Eleonore Werner, Eric Worthing, Hal Colston, Halle Sobel 2010 University of Vermont

Nutrition And Exercise Education Initiatives In A Community Setting, Andrew Erb, Patrick Huffer, Tri Luu, Elizabeth Mebrate, Alyse Rymer, Eleonore Werner, Eric Worthing, Hal Colston, Halle Sobel

Public Health Projects, 2008-present

Introduction: Maintaining a nutritious diet and physical activity is a challenge for many people,but especially for those with limited financial and social resources. Barriers to adequate exercise and healthy food include prohibitive costs of gym membership and high quality foods, lack of time during the day in which to exercise or prepare meals, and lack of access or transportation to exercise facilities or grocery stores. We assessed whether adoption of healthy exercise and eating habits could be established and sustained by educating participants on healthy diet guidelines and on non-traditional exercise forms. We encouraged family-centered activities such as walking ...


Food Shelf Friendly: Increasing The Nutritional Quality Of Food Shelf Donations, Daniel Carballo, Anne Kamarchik, Lindsay Nadeau, Isaac Noyes, Marianne Reed, Louisa Salisbury, Nathaniel Ward, Rob Meehan, Jan Carney 2010 University of Vermont College of Medicine

Food Shelf Friendly: Increasing The Nutritional Quality Of Food Shelf Donations, Daniel Carballo, Anne Kamarchik, Lindsay Nadeau, Isaac Noyes, Marianne Reed, Louisa Salisbury, Nathaniel Ward, Rob Meehan, Jan Carney

Public Health Projects, 2008-present

Introduction: Food insecurity is a household-level economic and social condition of limited access to nutritionally adequate and safe food. Food banks provide a major source of sustenance for individuals experiencing food insecurity, many of whom deal with obesity, diabetes and hypertension, however, the nutritional contents of many donations to these operations fail to meet the dietary recommendations set forth by the USDA for individuals with many chronic health conditions. In the present economy there is increasing demand for the services of local food shelves, however, often these organizations are unable to sufficiently meet the needs of their clients with regard ...


Identifying Barriers To Care In The Burmese And Bhutanese Refugee Populations Of Burlington, Vermont, William Arscott, Brian Costello, Kathryn DiPalma, Alex Folkl, Megan Malgeri, Amanda Miller, Rebecca Purtell, Jon Bourgo, Rodger Kessler 2010 University of Vermont

Identifying Barriers To Care In The Burmese And Bhutanese Refugee Populations Of Burlington, Vermont, William Arscott, Brian Costello, Kathryn Dipalma, Alex Folkl, Megan Malgeri, Amanda Miller, Rebecca Purtell, Jon Bourgo, Rodger Kessler

Public Health Projects, 2008-present

Introduction: Many refugees who escape persecution in their own country have trouble navigating and accessing the American health care system. Language barriers often impair effective communication, while financial challenges can be prohibitive after the eight-month government insurance subsidy for new refugees expires. In addition many refugees do not understand the concept of chronic disease, which is a concern considering the overall rise in hypertension (HTN) and type-two diabetes mellitus (T2DM) in the US population. Understanding how refugees access health care, and how well they understand chronic disease, is essential for organizations providing medical care for these populations. Little is known ...


Referral Patterns Between Allopathic Physicians And Complementary And Alternative Medicine Practitioners: A Followup Study, Molly Hubbard, Hany Khattab, Matthew LeComte, Lindsay Peet, Meghan Small, Khine Win, Asha Zimmerman, Margaret Eppstein, Helene Langevin, Phil Trabulsy 2010 University of Vermont

Referral Patterns Between Allopathic Physicians And Complementary And Alternative Medicine Practitioners: A Followup Study, Molly Hubbard, Hany Khattab, Matthew Lecomte, Lindsay Peet, Meghan Small, Khine Win, Asha Zimmerman, Margaret Eppstein, Helene Langevin, Phil Trabulsy

Public Health Projects, 2008-present

Introduction: • Despite the high prevalence of Complementary and Alternative Medicine (CAM) usage, several recent surveys suggest that the vast majority of patient visits to CAM practitioners are self-referred and that communication between conventional and CAM practitioners is limited. • There is a need for a better understandingof factors influencing referral patterns across these two groups of practitioners. • Network analysis provides a useful tool to quantify relationships between members of an interrelated social network. • The goal of this follow up study was to quantify the cross-class referral patterns between conventional and CAM classes of practitioners in Chittenden County Vermont as well as ...


Are Mandates The Answer? Improving Palliative Care And Pain Management In Vermont, Patrick O. Butsch, Laura C. DePouli, Nicholas A. Larochelle, Mckalyn G. Leclerc, Michael A. Maccini, Michael P. Morwood, Andrea M. Steely, Virginia Hood, George Phillips, William Wargo, Tom Delaney, Jan Carney 2010 University of Vermont College of Medicine

Are Mandates The Answer? Improving Palliative Care And Pain Management In Vermont, Patrick O. Butsch, Laura C. Depouli, Nicholas A. Larochelle, Mckalyn G. Leclerc, Michael A. Maccini, Michael P. Morwood, Andrea M. Steely, Virginia Hood, George Phillips, William Wargo, Tom Delaney, Jan Carney

Public Health Projects, 2008-present

Background: The Vermont legislature (bill H.435, Sec. 19) has tasked the Vermont Board of Medical Practice (VBMP) with making a formal recommendation on improving Vermont health professionals’ knowledge and practice of Palliative Care and Pain Management (PC/PM). In collaboration with the VBMP, our group set out to answer the following questions: • How confident/competent are VT physicians in the practice of PC/PM? • What are the barriers to achieving optimal patient care in PC/PM? • Do VT physicians believe mandatory CME would improve the overall quality of care in PC/PM? • What are the best methods of providing ...


Bisphenol A And Phthalates: Public Knowledge And Risk Perception, Marissa Bucci, Katie Casas, Emily Colgate, Holly Gunyan, Lincoln Heath, Matthew Hoffman, Ryan Smith, Bill Bress, Razelle Hoffman-Contois, Jan Carney, Charles Hulse 2010 University of Vermont College of Medicine

Bisphenol A And Phthalates: Public Knowledge And Risk Perception, Marissa Bucci, Katie Casas, Emily Colgate, Holly Gunyan, Lincoln Heath, Matthew Hoffman, Ryan Smith, Bill Bress, Razelle Hoffman-Contois, Jan Carney, Charles Hulse

Public Health Projects, 2008-present

Introduction: Bisphenol A (BPA) and phthalates are chemicals used in the production of many plastics, including food containers, water bottles, and medical intravenous tubing. These chemicals can leach from the plastic, especially when heated, and are found in varying concentrations in the human body. There is concern about the widespread exposure to BPA and phthalates since studies indicate they may cause adverse health effects, particularly related to endocrine development and regulation in young children.


Emergency And Scheduled Respite Care For Caregivers Of Persons With Dementia: A Model, Piyush Gupta, Benjamin King, Katherine McBride, Damoon Rejaei, Jennifer Springer, Tyler Stewart, Diana Swett, William Pendlebury, Linda Martinez 2010 University of Vermont

Emergency And Scheduled Respite Care For Caregivers Of Persons With Dementia: A Model, Piyush Gupta, Benjamin King, Katherine Mcbride, Damoon Rejaei, Jennifer Springer, Tyler Stewart, Diana Swett, William Pendlebury, Linda Martinez

Public Health Projects, 2008-present

Background: As the population of elderly citizens in the U.S. continues to expand paralleled by an increase in the prevalence of dementia, the role of respite care within the healthcare system will increase in importance. Respite care is defined as providing the primary caregiver with relief, or a reprieve, from care commitments on a short-term or emergency basis. The need for caregiver respite is well-documented; has been shown to decrease emotional stress,burnout, anxiety and depression; and is considered vital to the overall well-being of the caregiver. While studies have shown that respite care is effective, there is an ...


Tough Cookies: Hands On Nutrition At Woodside Juvenile Rehabilitation Center, Maura Adams, Meghan Beucher, Colleen Gerrity, Brock Libby, Ronald Masson, Michael McQuiggan, Johann Patlak, Laura Piper, Alan Rubin, Judith Christensen 2010 University of Vermont

Tough Cookies: Hands On Nutrition At Woodside Juvenile Rehabilitation Center, Maura Adams, Meghan Beucher, Colleen Gerrity, Brock Libby, Ronald Masson, Michael Mcquiggan, Johann Patlak, Laura Piper, Alan Rubin, Judith Christensen

Public Health Projects, 2008-present

Background: Woodside Juvenile Rehabilitation Center provides a safe and secure environment to teenagers who have been remanded here by the court system for either short or long term care. We focused on nutrition at the center, particularly the evening snacks provided. The foods teens choose to eat are extremely important as total nutrient needs are higher in adolescence than during any other time in the life cycle. Little prior research on the nutritional beliefs or habits of institutionalized youth has been done. Our goal was to improve the provided snacks, as some staff members were concerned that these were not ...


Double Red Blood Cell Donation Eligibility And Interest, Laura Anderson, Kovi Bessoff, Brandon Chapman, Angela Dunn, Michael Larochelle, Tessa Scripps, Jessica Wood, Christine Frenette, Carol Dembeck, Jan Carney, Mark K. Fung 2010 University of Vermont College of Medicine

Double Red Blood Cell Donation Eligibility And Interest, Laura Anderson, Kovi Bessoff, Brandon Chapman, Angela Dunn, Michael Larochelle, Tessa Scripps, Jessica Wood, Christine Frenette, Carol Dembeck, Jan Carney, Mark K. Fung

Public Health Projects, 2008-present

Introduction: The process of double RBC donation by apheresis (DRBC), which facilitates the donation of two units of red blood cells (RBC) in a single donation session, was estimated to account for approximately 4% of blood donations in 2005, and is believed to be growing at a rate of 40% per year. Blood shortages in this country could be corrected by converting as few as 10% of current single unit whole blood donors to DRBC donors. Advantages of DRBC donation may include reduction in donor-related exposures in recipients, improved cost-effectiveness of the donation process, and improved convenience for donors. The ...


Assessing Health Concerns & Obstacles To Diesel Exposure Reduction In Vermont Diesel Vehicle Operators, Melissa Marotta, Renee Bratspis, Maria Furman, Brett Porter, Joseph Yared, William Timbers, Quillan Huang, Rebecca Ryan, Gerald S. Davis, Jan Carney 2010 University of Vermont College of Medicine

Assessing Health Concerns & Obstacles To Diesel Exposure Reduction In Vermont Diesel Vehicle Operators, Melissa Marotta, Renee Bratspis, Maria Furman, Brett Porter, Joseph Yared, William Timbers, Quillan Huang, Rebecca Ryan, Gerald S. Davis, Jan Carney

Public Health Projects, 2008-present

Background and Objectives: Diesel vehicle idling reduction is an important national environmental and legislative issue. Exposure to diesel exhaust is associated with significant morbidity and mortality, including: • Lung & esophageal cancer • Asthma • Cardiovascular disease • Neurotoxicity • Decreased sperm count & testosterone deficiency Drivers of diesel vehicles have specifically been shown to have increased incidence and death from lung cancer. Diesel engines emit a number of known hazardous chemicals, including carbon monoxide, nitric oxide, sulfur dioxide, benzene, formaldehyde, and acrolein, into the air supply. While public health efforts to reduce diesel idling in Vermont and elsewhere have identified employers’ significant financial incentives in fuel ...


Assessing The Current State And Potential Needs Of The Community For Autism Spectrum Awareness In The Classroom, Megan Berube, Adam David, Shannon DeGroff, Sharif Nankoe, Kaitlin Petros, Steven Schaub, Scott Wasilko, Deb W. Lyons, Stephen Contompasis 2010 University of Vermont

Assessing The Current State And Potential Needs Of The Community For Autism Spectrum Awareness In The Classroom, Megan Berube, Adam David, Shannon Degroff, Sharif Nankoe, Kaitlin Petros, Steven Schaub, Scott Wasilko, Deb W. Lyons, Stephen Contompasis

Public Health Projects, 2008-present

Introduction: • Number of children with autism and related disorders has been growing in Vermont in the last ten years. • Puppets in Education, Inc (PiE) recently added a new program Friend 2 Friend Programs-Vermont (F2F), that will work with grades K?8 to educate students and teachers about autism spectrum disorders (ASD). • Goal is to promote understanding, acceptance, empathy and mutual friendships between children with ASD or other social communication disorders • Students from the University of Vermont College of Medicine partnered with PiE to evaluate the current needs of the community, determining what information would be most useful in the F2F ...


Nutrition And Social Eating Habits Among Seniors Living Independently, Carl Cappelletti, Lindsay Corse, Aaron Kinney, Suleiman Lapalme, Nolan Sandygren, Danielle Scribner, Mariah Stump, Tom Delaney, Margaret Holmes, Molly Dugan, Patricia Berry 2010 University of Vermont

Nutrition And Social Eating Habits Among Seniors Living Independently, Carl Cappelletti, Lindsay Corse, Aaron Kinney, Suleiman Lapalme, Nolan Sandygren, Danielle Scribner, Mariah Stump, Tom Delaney, Margaret Holmes, Molly Dugan, Patricia Berry

Public Health Projects, 2008-present

Background: Older adults have unique nutritional needs due to physiologic changes that occur as part of the normal aging process. Maintaining adequate nutrition has the potential to reduce morbidity and mortality related to chronic disease, fall risk, dementia and Alzheimer’s disease. Aging also poses an increased risk of isolation and lack of social interaction, particularly noted at meal times. Unintentional weight loss is an independent risk factor for early mortality. Social eating is related to higher food intake, and meal programs can improve nutritional risk for vulnerable seniors. We partnered with the Cathedral Square Corporation (CSC) to assess nutrition ...


Assessing Barriers To Utilization Of Adult Day Care Centers In A Rural County, William Ares, Michael Hart, Derek Huang, Laurel Karian, Maria Michael, Auna Otts, Donna LaFromboise-Perretta, Jill Jemison 2010 University of Vermont

Assessing Barriers To Utilization Of Adult Day Care Centers In A Rural County, William Ares, Michael Hart, Derek Huang, Laurel Karian, Maria Michael, Auna Otts, Donna Lafromboise-Perretta, Jill Jemison

Public Health Projects, 2008-present

Introduction: Adult Day Care programs provide cognitively or functionally impaired adults with medical, social, and therapeutic services as well as offer valuable respite and education to family caregivers. The Visiting Nurse Association’s Adult Day program manages three centers that offer these services and are located in Colchester, Williston, and South Burlington. We have explored the underutilization of these centers by comparing variables such as demographics, services provided, referrals, transportation constraints, and satisfaction surveys between centers and to national success guidelines for adult day services.


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