TEXAS CVD AND STROKE DIGEST
This Digest is provided by the Cardiovascular Health and Wellness Program at the Texas
Department of State Health Services in support of the Texas CVD and Stroke Partnership. If
you did not receive this Digest as a subscriber and would like to subscribe, please visit
http://wwwstage.dshs.state.tx.us/wellness/partnershipdigest.shtm. Information about
educational opportunities, resources, tools, and reports is compiled from national, state, and
local partners. The Digest does not reflect endorsements by DSHS or the Partnership.
REPORTS and DATA
"Family History and Improving Health"
NIH has released a report based on the results of a systematic literature review and prepared
under contract with the Agency for Healthcare Research and Quality (AHRQ). Additionally,
results were also based on presentations by investigators working in areas relevant to the
conference questions during a 2-day public session, questions and statements from conference
attendees during open discussion periods that are part of the public session, and deliberations
by the panel. The independent report of the panel and is available at:
QuickStats: Age-Adjusted Death Rates* for the 10 Leading Causes of Death --- National
Vital Statistics System, United States, 2006 and 2007† MMWR, November 27, 2009. The 10
leading causes of death were the same in 2006 and 2007. The rankings also remained the
same, with one exception. In 2007, Alzheimer's disease was the sixth leading cause of death,
and diabetes the seventh; the ranks were reversed in 2006. Age-adjusted death rates for six of
the 10 leading causes of death declined from 2006 to 2007.
A June 2009 U.S. Department of Agriculture publication, Access to Affordable and Nutritious
Food—Measuring and Understanding Food Deserts and Their Consequences: Report to
Congress, summarizes findings of a national-level assessment of the extent and characteristics
of food deserts, analysis of the consequences of food deserts, lessons learned from related
federal programs, and a discussion of policy options for alleviating the effects of food deserts.
You can read the entire report at http://www.ers.usda.gov/Publications/AP/AP036/ or, for quick
reference, view the abstract, table of contents, and summary at
Twenty year scorecard of our nation’s health. This year’s report and data from the past 20
years are available at www.americashealthrankings.org.
Health Information Not Communicated Well to Minority Populations, Researcher Finds
ScienceDaily, 11/09/09. According to the Institute of Medicine, more than 90 million Americans
suffer from low health literacy, a mismatch between patients' abilities to understand healthcare
information and providers' abilities to communicate complex medical information in an
understandable manner. In two recent studies, researchers at the University of Missouri found
that two groups—those with limited English proficiency and those with disabilities—experience
significantly lower health literacy than the general population.
Smoking rates among U.S. adults remained stalled in 2008, halting the nation's progress in
ending the tobacco epidemic, according to a Center for Disease Control study.
Cigarette Smoking Among Adults and Trends in Smoking Cessation --- United States,
2008. MMWR November 13, 2009.
State-Specific Secondhand Smoke Exposure and Current Cigarette Smoking Among
Adults --- United States, 2008. MMWR November 13, 2009.
RESOURCES, TOOLS, EVIDENCE BASED PROGRAMS / PRACTICES
CPPW - Opportunities for State & Local Health Departments
As each state prepares its application for supplemental stimulus funding under the
Collaborative Cooperative Agreement, there may be infrastructure support that is needed but
not readily available within existing state resources. NACDD’s robust resources can strengthen
state and local approaches to chronic disease prevention and control. The Association focus on
policy and environmental change and use of evidence-based interventions offers tools ready for
inclusion in a multi-component approach to CPPW funding. For more information, go to: http://
The Division for Heart Disease and Stroke Prevention is pleased to announce the completion of
the Five-Part Webcast on Economic Evaluation. This series is designed to help you
understand the value of economic evaluation and how to incorporate these methods into your
DHDSP - CARES - Cardiac Arrest Registry to Enhance Survival
Measures aim to help healthcare providers prevent heart disease
• New performance measures focus on helping healthcare providers take appropriate steps to
head off cardiovascular disease—the nation’s No. 1 killer.
• The measures also aim to help providers and institutions gauge and improve their quality of
DALLAS, Sept. 21, 2009 – Thirteen key aspects of cardiovascular disease prevention are
addressed in a new, comprehensive set of detailed steps to help healthcare providers reduce
patients’ risk for heart problems. The performance measures, developed by a joint task force of
the American College of Cardiology and the American Heart Association, are simultaneously
published in Circulation: Journal of the American Heart Association and the Journal of the
American College of Cardiology. http://americanheart.mediaroom.com/index.php?
The National Association of Chronic Disease Directors provides a monthly News E Bulletin
packed with current events, resources, and information useful to all chronic disease programs.
The U.S. Department of Health and Human Services (HHS), Office of Disease Prevention and
Health Promotion has posted the proposed Healthy People 2020 objectives online.
Objectives for all focus areas can be accessed at the following link: www.healthypeople.gov.
EDUCATION AND TRAINING
Time Sensitive: Together Rx Access Webinar: Prescription Savings Program
Thursday, December 3, 2009, 3:00 to 4:00 p.m. Eastern. An informative webinar about ways in
which you can help uninsured Americans gain better access to prescription medicines. To
register: www.togetherrxaccessonline.com and click on webinars to access the NACDD
Hypertension, Inflammatory Markers More Common in Offspring of Patients With
Alzheimer's CME. News Author: Pauline Anderson. CME Author: Charles P. Vega, MD
CME Released: 11/12/2009; Valid for credit through 11/12/2010. This article is intended for
primary care clinicians, neurologists, geriatricians, and other specialists who care for patients at
risk for Alzheimer's disease. http://cme.medscape.com/viewarticle/712232?
Management of Cardiac Rehabilitation Reviewed CME. News Author: Laurie Barclay, MD.
CME Author: Laurie Barclay, MD; CME Released: 11/12/2009; Valid for credit through
11/12/2010. This article is intended for primary care clinicians, cardiologists, and other
specialists who care for patients in need of or are undergoing cardiac rehabilitation.
Reducing AF Hospitalizations: Beyond Rate vs Rhythm. Gerald V Naccarelli MD, Joseph S
Alpert MD, Deepak L Bhatt MD, Richard L Page MD. CME Released: 11/10/2009; Valid for
credit through 11/19/2009. Expert panel addresses strategies to reduce hospitalization rates
and discusses new data from the ATHENA trial presented at the 2008 AHA Scientific Sessions.
Time Sensitive: On behalf of the UT Center for Health Promotion Research
The 4th colloquium in CHPR's 2009-10 series: Emerging Research Topics & Methods.
TITLE: Inflammatory Markers in Health and Disease
SPEAKER: Dr. Jeanne Ruiz, PhD, RN, Associate Professor, School of Nursing, The University
of Texas at Austin
DATE: Friday, December 4, 2009
TIME: 12:00 - 1:00 P.M.
WHERE: NUR 4.180, 1700 Red River
ABSTRACT: A complex relationship exists between the environment, behavior, and health.
Biomarkers are the mediators of this complex interaction. Inflammation is implicated in a variety
of mental health problems, chronic disease (heart disease, diabetes, and obesity), and wound
healing, to name a few of a wide variety of acute and chronic health problems. A better
understanding of the biomarkers of inflammation can lead to improved interventions and health
TMF Health Quality Institute and Texas Health Institute invite you to attend Texas' Foremost
Conference on Health Information Technology.
Focus areas include e-prescribing, EHR implementation, HIE, federal stimulus funding and
Pre-Summit Workshops - January 14
Focused on EHR implementation core competencies
• Workflow re-design
• Project management by PMI
• Quality improvement
• Careers in HIT
Conference Sessions - January 15-16
Sessions led by national and state experts including:
• Health information exchange
• EHR implementation
• EHR funding
• Stimulus funding
• HIPAA security
• "Meaningful use"
Multiple Learning Opportunities for:
• Physicians, nurses, health care professionals,
government agency representatives and others wanting
to learn the basics and beyond of HIT
• Physicians and their staff considering adoption of EHR technology
• Those seeking a career in HIT
2010 Houston Wellness Symposium: "Strategies for Companies & Communities to
Impact Health in a Challenging Economy"
January 14 -16, 2010, George R. Brown Convention Center.
Intensified Blood Pressure Control May Improve Renal Function in Children With CKD
CME. News Author: Laurie Barclay, MD. CME Author: Charles P. Vega, MD
CME Released: 11/03/2009; Valid for credit through 11/03/2010. This article is intended for
primary care clinicians, nephrologists, and other specialists who care for children with renal
The Importance of Registries in the Study of AF-Related Stroke CME. Ajay K. Kakkar, MD;
Günter Breithardt, MD; Gregory Y.H. Lip, MD. CME Released: 11/09/2009; Valid for credit
through 11/09/2010. This program is intended for cardiologists and other healthcare
professionals treating patients who have AF. http://cme.medscape.com/viewarticle/710970?
SAVE THE DATE! Social Marketing in Public Health. Main Conference: June 11 & 12, 2010
Training Academy: June 13 & 14, 2010. Sheraton Sand Key, Clearwater Beach, Florida
The School of Rural Public Health at the Texas A&M Health Science Center will offer a
Master of Public Health (MPH) degree program this fall at the Department of State Health
Services facility in Austin. This degree program is designed with working professionals in mind.
Courses are offered in the early evenings, and classes meet two nights each week. If you are
interested in more information, please contact Sharli Nucker at 979-458-2246 or
email@example.com. Website www.srph.tamhsc.edu.
Cardiovascular Risk Attenuation: A Patient's Journey Through the Healthcare
System, a Multicultural Perspective CME. Karol E. Watson, MD, PhD. CME Released:
10/26/2009; Valid for credit through 10/26/2010. This activity is intended for Cardiologists. It
may also be of interest to other healthcare professionals involved in the management of
cardiovascular disease in multicultural populations.
Herpes Zoster Attacks Increase Stroke Risk By 30% CME. News Author: Susan
Jeffrey. CME Author: Désirée Lie, MD, MSEd. CME Released: 10/20/2009; Valid for
credit through 10/20/2010. This article is intended for primary care clinicians,
neurologists, infectious disease specialists, and other specialists who care for patients
with varicella zoster virus infection. . http://cme.medscape.com/viewarticle/710960?
Diuretics Effective as Second-Line Therapy for Hypertension CME. News Author:
Lisa Nainggolan. CME Author: Laurie Barclay, MD. CME Released: 10/20/2009. Valid for
credit through 10/20/2010. This article is intended for primary care clinicians, cardiologists, and
other specialists who care for patients with primary hypertension.
Texas Chapter of the American College of Sports Medicine Annual Meeting. The TACSM
conference will be held March 4-5 at the University of Houston. This annual event features two
days of programming spanning topics in kinesiology, nutrition and obesity, and includes a
special student competition for funding to attend the national conference of the American
College of Sports Medicine. http://www.tacsm.org/2010annualmeeting.html
NEWS FROM AND ABOUT OUR PARTNERS
City of Arlington Breaks World Record for CPR trainings. Fort Worth Star-Telegram - More
than 4,600 Arlington Independent School District eighth-graders learn CPR from a video and
members of the Arlington Fire Department Tuesday morning, November 17, 2009, at the
Cowbyos' Stadium in Arlington. The training session broke the Guinness World Record for the
largest CPR training session. The previous record was set in Oslo, Norway and had 3,692
participants. (Star-Telegram/Jen Friedberg) The CPaRlington Event at Dallas Cowboys Stadium
SET THE WORLD RECORD with 4,626 students who learned CPR at the stadium. Here’s a
link to some pictures from the day:http://www.star-telegram.com/photos/gallery/1769395.html
Here is what KSCS is http://www.kscs.com/Article.asp?id=1592740&spid=26845.
And here’s a link with some additional photos from the City of Arlington from the event:
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no responsibility for the factual accuracy of the items presented. The selection, omission, or content of items does not
imply any endorsement or other position taken by DSHS. Opinions expressed by the original authors of these items, or
persons quoted therein, are strictly their own and are in no way meant to represent the official position of DSHS.
References to products, trade names, publications, news sources, and non-DSHS Web sites are provided solely for
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