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Baltimore Highlands, MD, United States

Ward B.W.,University of Maryland University College | Shields R.T.,Florida State University | Cramer B.R.,Center for Health Promotion
Crisis | Year: 2011

Background: Recently, suicide in the United States has begun to be viewed as a preventable public health issue. This has led to the creation of a National Violent Death Reporting System that collects and integrates data on the social circumstances surrounding suicides. Aims: The study examines data on social circumstances surrounding suicides as collected by the medical examiner report (ME) and police report (PR) and subsequently integrated into the state of Maryland's violent death reporting system. Methods: Reported data on social circumstances surrounding suicides occurring in the years 2003-2006 in Maryland (n = 1,476) were analyzed by examining their prevalence in the ME and PR, strength of association, and integration. Results: With the exception of three circumstances, there was variation among reported circumstances in the ME and PR. Furthermore, there was only a moderately strong relationship between the ME and PR for most circumstances, while a significant increase occurred in the prevalence of these circumstances when ME and PR were integrated. Conclusions: The integration of ME and PR has the potential to increase our knowledge of the circumstances surrounding suicide and to better inform prevention efforts. However, before this potential can be reached, there are still issues that must be considered. © 2011 Hogrefe Publishing.

Prizment A.E.,University of Minnesota | Gross M.,University of Minnesota | Rasmussen-Torvik L.,Northwestern University | Peacock J.M.,Center for Health Promotion | Anderson K.E.,University of Minnesota
Pancreas | Year: 2012

Objectives: Type 2 diabetes is associated with increased pancreatic cancer risk; however, the nature of this relationship is not clear. We examined the link between 10 diabetes-related single-nucleotide polymorphisms and pancreatic cancer in a case-control study conducted in 1994 to 1998. Methods: Cases (n = 162) were ascertained from hospitals in the Twin Cities and Mayo Clinic, Minn. Controls (n = 540) from the general population were frequency matched by age, sex, and race. Unconditional logistic regression provided odds ratios of pancreatic cancer and 95% confidence intervals (95% CIs). Results: In a multivariate-adjusted model, a significant association was observed only for rs780094 in the glucokinase regulator (GCKR) gene: odds ratios for pancreatic cancer were 1.00 for TT, 1.35 (95% CI, 0.71-2.58) for CT, and 2.14 (95% CI, 1.12-4.08) for CC genotypes (P trend = 0.01) and did not change after the adjustment for diabetes. Conclusions: This study provides the first evidence that GCKR rs780094, a single-nucleotide polymorphism related to diabetes, may be associated with pancreatic cancer risk. Although the results from this analysis are preliminary, there is a biologic plausibility for such an association. Copyright © 2012 by Lippincott Williams & Wilkins.

Wei C.,Center for Health Promotion
Minnesota medicine | Year: 2012

The Centers for Disease Control and Prevention has identified traumatic brain injury (TBI) as a public health problem in the United States; it is notable that some variables of work-related TBI are different from those of non-work-related TBI. The Minnesota Department of Health has been conducting epidemiologic surveillance of cases of hospitalized TBI since 1993. Although most of the surveillance efforts have focused on all TBIs, the department does collect data on work-related TBIs and their associated outcomes. This article summarizes trends for nonfatal, work-related TBI cases over person, place, and time in Minnesota from 1999 to 2008. The greatest proportion of cases involved persons 35 to 44 years of age, and the most common causes were falls, motor vehicle traffic crashes, and being struck by objects. Most injuries occurred in the home, a location not routinely subjected to oversight for occupational safety concerns. The work-related TBI rate has been decreasing since 2004. This article also discusses the role of the physician in identifying and treating TBI.

Herbert L.,Center for Translational Science | Shemesh E.,Mount Sinai School of Medicine | Bender B.,Center for Health Promotion
Journal of Allergy and Clinical Immunology: In Practice | Year: 2016

Current estimates indicate that 4% to 8% of children in the United States are diagnosed with food allergy, and more than 40% of US children with food allergy experience severe allergic reactions. Families trying to avoid foods that may trigger an allergic reaction and ensure adequate treatment of allergic reactions that do occur face numerous challenges. The rise in the number of children diagnosed with food allergies underscores the importance of food allergy-related interventions to address elevated psychosocial concerns, such as parenting stress, anxiety, and worries about bullying. This review provides an overview of common psychosocial concerns among children with food allergy and their families across the developmental spectrum, and offers guidance to medical providers regarding the identification and treatment of food allergy-related psychosocial challenges. © 2016 American Academy of Allergy, Asthma & Immunology.

Peacock J.M.,Center for Health Promotion | Keo H.H.,University of Minnesota | Keo H.H.,University of Bern | Duval S.,University of Minnesota | And 6 more authors.
Preventing Chronic Disease | Year: 2011

Introduction: Critical limb ischemia (CLI) is the most severe manifestation of peripheral artery disease (PAD), is associated with high rates of myocardial infarction, stroke, and amputation, and has a high health economic cost. The objective of this study was to estimate the incidence of lower limb amputation, the most serious consequence of CLI, and to create a surveillance methodology for the incidence of ischemic amputation in Minnesota. Methods: We assessed the incidence of ischemic amputation using all inpatient hospital discharge claims in Minnesota from 2005 through 2008. We identified major and minor ischemic amputations via the International Classification of Diseases, 9th Revision, Clinical Modification (ICD-9-CM) procedure codes for lower limb amputation not due to trauma or cancer and assessed geographic and demographic differences in the incidence of ischemic amputation. Results: The age-adjusted annual incidence of lower limb ischemic amputation in Minnesota during the 4-year period was 20.0 per 100,000 (95% confidence interval, 19.4-20.6). Amputations increased significantly with age, were more common in men and in people with diabetes, and were slightly more common in rural residents. The number of amputation-related hospitalizations was steady over 4 years. The median total charge for each amputation was $32,129, and cumulative inpatient hospitalization charges were $56.5 million in 2008. Conclusion: The incidence of ischemic amputation is high and results in major illness and health economic costs. These data represent the first population-based estimate of ischemic amputation at the state level and provide a national model for state-based surveillance.

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