Journal ArticleJMIR Public Health Surveill · November 20, 2024
BACKGROUND: Heart failure (HF) is a challenging clinical and public health problem characterized by high prevalence and mortality among US older adults, along with a recent decline in HF prevalence and increase in mortality. The changes of prevalence can b ...
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Journal ArticleExp Gerontol · April 2023
OBJECTIVES: Health forecasting is an important aspect of ensuring that the health system can effectively respond to the changing epidemiological environment. Common models for forecasting Alzheimer's disease and related dementias (AD/ADRD) are based on sim ...
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Journal ArticleCancer Causes Control · September 2022
PURPOSE: To quantitatively evaluate contributions of trends in incidence, relative survival, and stage at diagnosis to the dynamics in the prevalence of major cancers (lung, prostate, colon, breast, urinary bladder, ovaries, stomach, pancreas, esophagus, k ...
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Journal ArticleAm J Hypertens · August 1, 2022
BACKGROUND: Higher incidence levels of Alzheimer's disease (AD) in Black Americans are well documented. However, quantitative explanations of this disparity in terms of risk-factor diseases acting through well-defined pathways are lacking. METHODS: We appl ...
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Journal ArticleExp Gerontol · July 2022
BACKGROUND: We hypothesized that cumulative anesthesia exposure over the course of routine treatment of colorectal cancer in older adults can increase long-term risk of Alzheimer's disease (AD), Alzheimer's disease-related dementias (ADRD), and other chron ...
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Journal ArticleBMC Public Health · July 1, 2022
BACKGROUND: There are prominent geographic disparities in the life expectancy (LE) of older US adults between the states with the highest (leading states) and lowest (lagging states) LE and their causes remain poorly understood. Heart failure (HF) has been ...
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Journal ArticleJCO Oncol Pract · November 2021
PURPOSE: Evidence on the nature of the relationship between patients receiving chemotherapy as an essential part of guideline-concordant cancer care and the onset of Alzheimer's Disease (AD) and other adverse cognitive outcomes has been mixed. Biological m ...
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Journal ArticleJ Am Geriatr Soc · August 2021
OBJECTIVES: The regions with highest and lowest Alzheimer's disease (AD) mortality across the United States at state/county levels were identified and their contribution to the differences in total mortality rates between these regions was evaluated. The d ...
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Journal ArticleJ Alzheimers Dis · 2021
BACKGROUND: Understanding the dynamics of epidemiologic trends in Alzheimer's disease (AD) and related dementias (ADRD) and their epidemiologic causes is vital to providing important insights into reducing the burden associated with these conditions. OBJEC ...
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Journal ArticlePLoS One · 2021
Alzheimer's disease (AD), non-AD dementia, and Parkinson's disease (PD) are increasingly common in older adults, yet all risk factors for their onset are not fully understood. Consequently, environmental exposures, including air pollution, have been hypoth ...
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Journal ArticleJ Environ Public Health · 2020
The residents of southeastern North Carolina (NC) are exposed to multiple socioeconomic and environmental risk factors and have higher mortality rates for a number of diseases. Uterine cancer mortality is known to vary dramatically by race, so we analyzed ...
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Journal ArticleStat Med · July 30, 2019
BACKGROUND: Time trends of lung cancer prevalence and mortality are the result of three competing processes: changes in the incidence rate, stage-specific survival, and ascertainment at early stages. Improvements in these measures act concordantly to impro ...
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Journal ArticleMath Biosci · May 2019
A new model for disease prevalence based on the analytical solutions of McKendric-von Foerster's partial differential equations is developed. Derivation of the model and methods to cross check obtained results are explicitly demonstrated. Obtained equation ...
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Journal ArticleExp Gerontol · September 2018
Longer lifespan is accompanied by a larger number of chronic diseases among older adults. Because of a growing proportion of older adults in the U.S., this brings the problem of age-related morbidity to the forefront as a major contributor to rising medica ...
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Journal ArticleJ Diabetes Complications · April 2018
AIMS: To identify how efforts to control the diabetes epidemic and the resulting changes in diabetes mellitus, type II (T2D) incidence and survival have affected the time-trend of T2D prevalence. METHODS: A newly developed method of trend decomposition was ...
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Journal ArticleAm J Hypertens · January 12, 2018
BACKGROUND: This study identifies the effect of intensive drug therapy (IDT) in individuals age 65+ with diabetes (type 2 diabetes mellitus (T2D)) and hypertension on all-cause death, congestive heart failure (CHF), hospitalization for myocardial infarctio ...
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Journal ArticleJ Alzheimers Dis · 2018
BACKGROUND: Trends in the prevalence of cognitive impairment (CI) based on cognitive assessment instruments are often inconsistent with those of neurocognitive disorders (ND) based on Medicare claims records. OBJECTIVE: We hypothesized that improved ascert ...
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Journal ArticleN C Med J · 2018
BACKGROUND Life expectancy in southeastern North Carolina communities located in an area with multiple concentrated animal feeding operations (CAFOs) after adjusting for socioeconomic factors remains low. We hypothesized that poor health outcomes in this r ...
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Journal ArticleN C Med J · 2018
The North Carolina Clean Smokestacks Act and related policies led to substantial decreases of emitted air pollutants from coal-fired power plants. Improved air quality was associated with statewide improvements in respiratory, cardiovascular, and cerebrova ...
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Journal ArticleN C Med J · 2018
BACKGROUND In North Carolina, coal-burning power plants remain the major source of electrical production. Coal burning generates coal ash that is stored in landfills and slurry ponds that are often located near residential communities, signifying high pote ...
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Journal ArticleTheor Popul Biol · April 2017
In this study, we present a new theory of partitioning of disease prevalence and incidence-based mortality and demonstrate how this theory practically works for analyses of Medicare data. In the theory, the prevalence of a disease and incidence-based morta ...
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Chapter · October 6, 2016
Dietary factors have been estimated to account for about 35% of cancer deaths in the United States, although there is considerable uncertainty about which constituents of diet contribute to this risk. Recent meta-analyses suggest an association of colorect ...
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Chapter · October 6, 2016
Aging and nutrition interact: aging influences nutrient requirements, their absorption, and metabolism; and diet is a powerful risk factor for aging-associated diseases. Nutritional requirements in older adults differ from those in younger adults due to ag ...
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Journal ArticleJ Gen Intern Med · March 2016
BACKGROUND: Patient complexity is often operationalized by counting multiple chronic conditions (MCC) without considering contextual factors that can affect patient risk for adverse outcomes. OBJECTIVE: Our objective was to develop a conceptual model of co ...
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Chapter · January 1, 2016
It is well known from epidemiological research that values of indices describing physiological states at a given age may influence human morbidity and mortality risks. Studies of the connections between aging and life span suggest that the dynamic properti ...
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Chapter · January 1, 2016
The formulation of the recently developed Linear Latent Structures (LLS) analysis, its statistical properties, the algorithm for parameter estimation and its implementation, simulation studies, and application of LLS model to the National Long Term Care Su ...
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Chapter · January 1, 2016
The tremendous research potential of U.S. Medicare data for evaluation of current, and forecasting of future, patterns of aging-related diseases among older U.S. adults remains largely unexplored. In this chapter, we present and discuss the results of a se ...
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Chapter · January 1, 2016
Aging-related deterioration in health impacts an important economic component: the medical costs associated with disease diagnosis and treatment. Because almost all U.S. residents aged 65+ years old are covered by the Medicare system, prediction of future ...
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Journal ArticleCarcinogenesis · June 2015
An increasing number of studies suggest an important role of host immunity as a barrier to tumor formation and progression. Complex mechanisms and multiple pathways are involved in evading innate and adaptive immune responses, with a broad spectrum of chem ...
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Journal ArticleCarcinogenesis · June 2015
Lifestyle factors are responsible for a considerable portion of cancer incidence worldwide, but credible estimates from the World Health Organization and the International Agency for Research on Cancer (IARC) suggest that the fraction of cancers attributab ...
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Journal ArticleLung Cancer · April 2015
OBJECTIVES: To evaluate the role of cardiovascular disease (CVD) comorbidity in survival of patients with non-small cell lung cancer (NSCLC). MATERIALS AND METHODS: The impact of seven CVDs (at the time of NSCLC diagnosis and during subsequent follow-up) o ...
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Journal ArticlePLoS One · 2015
BACKGROUND: Treatment selection for elderly patients with lung cancer must balance the benefits of curative/life-prolonging therapy and the risks of increased mortality due to comorbidities. Lung cancer trials generally exclude patients with comorbidities ...
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Journal ArticleSci Total Environ · October 15, 2014
This cross-sectional study explores the relationships between children's F(-) exposure from drinking groundwater and urinary F(-) concentrations, combined with dental fluorosis (DF) in the Main Ethiopian Rift (MER) Valley. We examined the DF prevalence and ...
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Journal ArticleSci Total Environ · August 1, 2014
Elevated level of fluoride (F(-)) in drinking water is a well-recognized risk factor of dental fluorosis (DF). While considering optimization of region-specific standards for F(-), it is reasonable, however, to consider how local diet, water sourcing pract ...
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Journal ArticleEnviron Geochem Health · August 2014
There is an increasing public awareness of the relatively new and expanded industrial barium uses which are potential sources of human exposure (e.g., a shale gas development that causes an increased awareness of environmental exposures to barium). However ...
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Journal ArticleInt J Chron Obstruct Pulmon Dis · 2014
BACKGROUND: The respiratory tract is a major target of exposure to air pollutants, and respiratory diseases are associated with both short- and long-term exposures. We hypothesized that improved air quality in North Carolina was associated with reduced rat ...
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Journal ArticleJ Expo Sci Environ Epidemiol · 2014
Arsenic (As) contamination of drinking water is a worldwide phenomenon whose effect among vulnerable and rural communities in the Rift Valley of Ethiopia in eastern Africa is not well studied. This study examines As exposure and bioaccumulation from drinki ...
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Journal ArticleExp Gerontol · December 2013
Multi-morbidity is common among older adults; however, for many aging-related diseases there is no information for U.S. elderly population on how earlier-manifested disease affects the risk of another disease manifested later during patient's lifetime. Qua ...
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Journal Article2013 ACM Conference on Bioinformatics Computational Biology and Biomedical Informatics ACM Bcb 2013 · November 28, 2013
The model to evaluate and predict the effectiveness of treatment of the Major Depressive Disorder (MDD) was developed and estimated using MindLinc data. The clinical global impression (CGI) scale with seven categories was used to measure the patient's stat ...
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Journal ArticleExp Gerontol · August 2013
OBJECTIVES: Considering disease incidence to be a main contributor to healthy lifespan of the US elderly population may lead to erroneous conclusions when recovery/long-term remission factors are underestimated. Using two Medicare-based population datasets ...
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Journal ArticleAge Ageing · July 2013
OBJECTIVES: time trends of age-adjusted incidence rates of 19 ageing-related diseases were evaluated for 1992-2005 period with the National Long Term Care Survey and the Surveillance, Epidemiology and End RESULTS Registry data both linked to Medicare data ...
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Journal ArticleRes Aging · July 2013
Incidence rates of acute coronary heart disease (ACHD; including myocardial infarction and angina pectoris), stroke, and heart failure (HF) were studied for their age, disability, and comorbidity patterns in the U.S. elderly population using the National L ...
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Journal ArticleAm J Prev Med · March 2013
Global climate change is projected to increase the frequency and duration of periods of extremely high temperatures. Both the general populace and public health authorities often underestimate the impact of high temperatures on human health. To highlight t ...
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Journal ArticleEnviron Int · August 2012
This study aims to assess the link between fluoride content in groundwater and its impact on dental health in rural communities of the Ethiopian Rift. A total of 148 water samples were collected from two drainage basins within the Main Ethiopian Rift (MER) ...
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Journal ArticleMath Biosci · March 2012
In this paper we present a new multiple-pathway stochastic model of carcinogenesis with potential of predicting individual incidence risks on the basis of biomedical measurements. The model incorporates the concept of intracellular barrier mechanisms in wh ...
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Journal ArticleJ Am Geriatr Soc · February 2012
OBJECTIVES: To use the Medicare Files of Service Use (MFSU) to evaluate patterns in the incidence of aging-related diseases in the U.S. elderly population. DESIGN: Age-specific incidence rates of 19 aging-related diseases were evaluated using the National ...
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Journal ArticlePLoS One · 2012
BACKGROUND: HIV-1-positive patients clear the human papillomavirus (HPV) infection less frequently than HIV-1-negative. Datasets for estimating HPV clearance probability often have irregular measurements of HPV status and risk factors. A new transitional p ...
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Journal ArticlePLoS One · 2012
BACKGROUND: Adenocarcinomas (ACs) and squamous cell carcinomas (SCCs) differ by clinical and molecular characteristics. We evaluated the characteristics of carcinogenesis by modeling the age patterns of incidence rates of ACs and SCCs of various organs to ...
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Journal ArticleBreast Cancer Res Treat · July 2011
The observed bimodal patterns of breast cancer incidence in the U.S. suggested that breast cancer may be viewed as more than one biological entity. We studied the factors potentially contributing to this phenomenon, specifically focusing on how disease het ...
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Journal ArticleComput Math Methods Med · 2011
Time trajectories of medical costs-associated with onset of twelve aging-related cancer and chronic noncancer diseases were analyzed using the National Long-Term Care Survey data linked to Medicare Service Use files. A special procedure for selecting indiv ...
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Journal ArticleCurr Gerontol Geriatr Res · 2010
It is well known from epidemiology that values of indices describing physiological state in a given age may influence human morbidity and mortality risks. Studies of connection between aging and life span suggest a possibility that dynamic properties of ag ...
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Journal ArticleEnviron Sci Technol · August 15, 2009
An investigation of the potential environmental and health impacts in the immediate aftermath of one of the largest coal ash spills in U.S. history at the Tennessee Valley Authority (TVA) Kingston coal-burning power plant has revealed three major findings. ...
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Journal Article · December 1, 2008
Dietary factors have been estimated to account for about 35% of cancer deaths in the United States, although there is considerable uncertainty about which constituents of diet contribute to this risk. Recent meta-analyses suggest an association of colorect ...
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Journal Article · December 1, 2008
Aging and nutrition interact: Aging influences nutrient requirements, their absorption and metabolism, and diet is a powerful risk factor for aging-associated diseases. Nutritional requirements in the elderly differ from those in adults due to aging-associ ...
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Journal ArticleRisk Anal · April 2007
A microsimulation model, allowing one to forecast short- and long-term population changes conditional on the prevalence of a risk factor in a population, is presented. In this model, population changes result from the aggregation of changes in individual e ...
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Journal ArticleHealth Phys · March 2006
The paper deals with estimating radiation risks of non-cancer diseases of the circulatory system among the Chernobyl emergency workers based on data from the Russian National Medical and Dosimetric Registry. The results for the cohort of 61,017 people obse ...
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Journal ArticleRadiats Biol Radioecol · 2006
In this paper we review recently-developed extension frailty, quadratic hazard, stochastic process, microsimulation, and linear latent structure models, which have the potential to describe the health effects of human populations exposed to ionizing radiat ...
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Journal ArticleRadiats Biol Radioecol · 2006
Efforts to model the health effects of low-dose ionizing radiation (IR) have often focused on cancer. Meanwhile, significant evidence links IR and age-associated non-cancer diseases. Modeling of such complex processes, which are not currently well understo ...
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Journal ArticleScience of aging knowledge environment : SAGE KE · June 2005
Much of the increased risk for atherosclerosis progression with age may be a result of age-related declines in the capacity of precursor cells to repair damage in the arterial endothelium. To estimate the impact of progenitor cell therapy for atheroscleros ...
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