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November 2009


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November 2009

  1. 1. TEXAS CVD AND STROKE DIGEST November 2009 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 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 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 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. 1
  2. 2. 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 programs. DHDSP - CARES - Cardiac Arrest Registry to Enhance Survival Measures aim to help healthcare providers prevent heart disease Study highlights: • 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 care. 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. s=43&item=825 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. recipient_id=24322333&message_id=852430&user_id=ACDD 2
  3. 3. 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: 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: and click on webinars to access the NACDD registration page. 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. src=cmemp&uac=122388MJ 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 outcomes. 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 "meaningful use". 3
  4. 4. 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 • E-prescribing • 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 disease. 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. src=cmemp&uac=122388MJ 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 Website 4
  5. 5. 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. . src=cmemp&uac=122388MJ 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. 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: Here is what KSCS is And here’s a link with some additional photos from the City of Arlington from the event: Disclaimer: Content is selected solely on the basis of newsworthiness and potential interest to readers. DSHS assumes 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 informational purposes and do not imply endorsement. 5