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When Resources Become Stressors: Dynamics of the Stress Process in the Flint Water Crisis.
Cult Med Psychiatry
January 2025
Michigan State University, East Lansing, USA.
Disasters create and intensify stress for communities, with many factors contributing to how that stress results in mental health outcomes. Guided by the stress process model, this article presents findings from a qualitative investigation of the meaning of stress among community leaders in the context of the water crisis in Flint, Michigan. Semi-structured interviews were conducted with six community leaders in Flint and analyzed using grounded theory techniques.
View Article and Find Full Text PDFEconomic hardships during COVID-19 and maternal mental health: Combining samples with low incomes across three cities.
Soc Sci Med
December 2024
NYU Grossman School of Medicine, 550 First Avenue, New York, NY, 10016, USA.
The COVID-19 pandemic increased maternal depression and anxiety, imperiling both mothers' own wellbeing and that of their children. To date, however, little is known about the extent to which these increases are attributable to economic hardships commonly experienced during the pandemic: income loss, job loss, and loss of health insurance. Few studies have examined the individual impacts of these hardships, and none have lasted beyond the first year of the pandemic.
View Article and Find Full Text PDFRelationship Between Severity of Ischemia and Coronary Artery Disease for Different Stress Test Modalities in the ISCHEMIA Trial.
Circ Cardiovasc Interv
December 2024
Cardiovascular Clinical Research Center, Department of Medicine, NYU Grossman School of Medicine, New York, NY (H.R.R., L.P., S.B., J.S.H.).
Background: The relationship between the extent and severity of stress-induced ischemia and the extent and severity of anatomic coronary artery disease (CAD) in patients with obstructive CAD is multifactorial and includes the intensity of stress achieved, type of testing used, presence and extent of prior infarction, collateral blood flow, plaque characteristics, microvascular disease, coronary vasomotor tone, and genetic factors. Among chronic coronary disease participants with site-determined moderate or severe ischemia, we investigated associations between ischemia severity on stress testing and the extent of CAD on coronary computed tomography angiography.
Methods: Clinically indicated stress testing included nuclear imaging, echocardiography, cardiac magnetic resonance imaging, or nonimaging exercise tolerance test.
Cardiovascular outcomes of patients with atrial fibrillation and concomitant cardiac amyloidosis undergoing percutaneous catheter ablation.
Curr Probl Cardiol
December 2024
Department of Cardiology West Virginia University, Morgantown, WV, United States of America.
Article Synopsis
- * Among 73,160 patients, only 595 had ablation, and while AB patients were younger and had more heart failure, they had higher hospitalization costs and longer stays (7 days vs. 5 days).
- * There was no significant difference in all-cause mortality, stroke, or major bleeding between the two groups, but AB patients had increased odds of acute heart failure after undergoing the procedure.
Frailty Trajectories Preceding Dementia in the US and UK.
JAMA Neurol
January 2025
Institute of Social Medicine and Epidemiology, Medical University of Graz, Graz, Austria.
Importance: An accessible marker of both biological age and dementia risk is crucial to advancing dementia prevention and treatment strategies. Although frailty is a candidate for that role, the nature of the relationship between frailty and dementia is not well understood.
Objective: To clarify the temporal relationship between frailty and incident dementia by investigating frailty trajectories in the years preceding dementia onset.
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