A5059250642- Global Public Health Policies and Epidemiology
- Glaucoma and retinal disorders
- Health disparities and outcomes
- Retinal Diseases and Treatments
- Blood Pressure and Hypertension Studies
- Obesity, Physical Activity, Diet
- Diabetes, Cardiovascular Risks, and Lipoproteins
- Retinal Imaging and Analysis
- Cardiovascular Health and Risk Factors
- Acute Ischemic Stroke Management
- Global Cancer Incidence and Screening
- Ophthalmology and Visual Impairment Studies
- Aging, Health, and Disability
- Health Systems, Economic Evaluations, Quality of Life
- Healthcare Systems and Reforms
- Global Health Care Issues
- Systemic Lupus Erythematosus Research
- Nutritional Studies and Diet
- Diabetes and associated disorders
- Atherosclerosis and Cardiovascular Diseases
- Corneal surgery and disorders
- Chronic Disease Management Strategies
- Stroke Rehabilitation and Recovery
- Gestational Diabetes Research and Management
- Obesity and Health Practices
University of the West Indies
2010-2024
World Health Organization Regional Office for the Americas
2015-2024
Pan American Health Organization (Cuba)
2015-2017
University of the West Indies System
2002-2015
University of the West
2015
Stony Brook Medicine
2012-2014
Ministry of Health
2002-2012
Stony Brook University
2007-2011
Stony Brook University Hospital
2008-2011
University Hospital of North Durham
2010
<h3>Background</h3> The risk of open-angle glaucoma (OAG) may be related to low blood pressure(BP) relative intraocular pressure (IOP), ie, perfusion pressure(PP). Alternatively, systemic hypertension increase OAG risk. <h3>Objective</h3> To clarify these possible relationships by evaluating and PP (where = BP − IOP) as factors for incident in a black population. <h3>Design</h3> Population-based cohort study (85% participation); simple random sample residents Barbados, West Indies, aged 40...
El presente documento reseña la metodología de encuesta SABE y los desafíos que impone a sociedad en general servicios salud particular el rápido envejecimiento población América Latina Caribe. La Región esta envejeciendo un ritmo no se ha observado mundo desarrollado, evaluación problemas discapacidad indica adultos mayores están con más limitaciones funcionales peor sus semejantes países desarrollados. Además, las redes familiares cambiando rápidamente tienen menos capacidad suplir falta...
To describe the distribution of central corneal thickness (CCT) and evaluate its relationship to intraocular pressure (IOP) in predominantly black population Barbados Eye Studies (BES).Participants received a standardized examination, including pachymetry, applanation tonometry, comprehensive ophthalmologic evaluation. Analyses were based on data from all eyes, generalized estimating equation methods applied account for correlation between eyes.Among 1142 consecutive participants with...
The goal was to describe the temporal pattern of neonatal plasma glucose levels and associations with maternal levels, cord serum C-peptide size adiposity.A total 17,094 mothers infants were included in Hyperglycemia Adverse Pregnancy Outcome Study (15 centers 9 countries). Mothers underwent a 75-g, 2-hour, oral tolerance test (OGTT) at 24 32 weeks gestation. Cord blood samples collected. Biochemical hypoglycemia defined as <10th percentile (2.2 mmol/L). Clinically identified ascertained...
Hypertension is the leading remediable risk factor for cardiovascular disease, affecting more than 1 billion people worldwide, and responsible 10 million preventable deaths globally each year. While hypertension can be successfully diagnosed treated, only one in seven persons with have controlled blood pressure. To meet challenge of improving control hypertension, particularly low‐ middle‐income countries, authors developed Standardized Treatment Prevention Project, which involves a health...
A successful approach to reducing the burden of non-communicable disease requires action at all stages life, argue Bente Mikkelsen and colleagues
Public health progress in the Americas has reduced burden of many infectious diseases, helping more people live longer lives. At same time, non-communicable diseases (NCDs) is increasing. NCD prevention rightly focuses on lifestyle risk factors, social, and economic determinants health. There less published information importance population growth aging to regional burden.For 33 countries Americas, we used United Nations data describe rates over two generations (1980-2060). We World Health...
Abstract Background Diabetes has been increasing worldwide and is now among the 10 leading causes of death globally. Diabetic kidney disease (DKD), a complication poorly managed diabetes, related to high mortality risk. To better understand situation in Americas region, we evaluated diabetes DKD trends over past 20 years. Methods We analysed for 33 countries from 2000 2019. Data were extracted World Health Organization (WHO) Global Estimates Population Prospects, 2019 Revision, estimating...
Objective To determine whether prophylactic, low dose controlled‐release aspirin improves outcome for pregnant women and their babies in Barbados. Design Randomised placebo‐controlled trial. Setting The Queen Elizabeth Hospital, Population All attending antenatal clinics between 12 32 weeks of gestation were eligible, if without specific contraindications to unlikely deliver immediately. Methods Randomisation was computer‐generated the clinic; 1822 allocated receive 75 mg 1825 matching...
The purpose of this study was to confirm previously reported associations common variants in or near CDC7/TGFBR3, ZP4, SRBD1, ELOVL5, CAV1/CAV2, TLR4, CDKN2B, CDKN2B-AS1, ATOH7, PLXDC2, TMTC2, SIX1, and CARD10, with primary open angle glaucoma (POAG) the Afro-Caribbean population Barbados, West Indies. A total 437 unrelated subjects from Barbados Family Study Open Angle Glaucoma (BFSG), including 272 POAG 165 unaffected individuals were included study. Eighteen SNPs genotyped by using...
To assess the epidemiology, clinical features, and outcomes of systemic lupus erythematosus (SLE) in predominantly African Caribbean population Barbados.
This article describes the situation of noncommunicable diseases (NCDs) in Americas, implementation NCD interventions according to key progress indicators, impact COVID-19 on services, and ways reprioritize NCDs following COVID-19. Information was retrieved from institutional data through a supplementary scoping review published articles related Americas April 2020-November 2021. While account for 80.7% all deaths set has been limited, with only three countries reporting 12 or more 19...
Objective This article presents the Americas regional results of WHO non-communicable diseases (NCDs) Country Capacity Survey from 2019 to 2021, on NCD service capacity and disruptions COVID-19 pandemic. Setting Information public sector primary care services for NCDs, related technical inputs 35 countries in region are provided. Participants All Ministry Health officials managing a national programme, Member State region, were included throughout this study. Government health that not...
Abstract Multimorbidity increases the risk of all-cause mortality, and along with age, is an independent factor for severe disease mortality from COVID-19. Inequities in social determinants health contributed to increased COVID-19 among disadvantaged populations. This study aimed evaluate prevalence multimorbid conditions associations US prior pandemic. Methods Data 2017–18 cycle NHANES were used determine 13 chronic conditions, having 0, 1, or 2 more those adult population aged ≥ 20 years....
The clinical features of seven patients with non-ketotic hyperglycaemia who developed focal seizures are presented. All were alert except one was mildly confused. Glucose values varied from 17.8 to 55.1 mmol/l, while calculated osmolarity elevated in all cases a mild or moderate extent (299.1 346.5 mmol/l). In three diabetes mellitus new diagnosis. Four had recurrent episodes when glycaemic control lost. Movement induced kinesigenic seen and epilepsia partialis continua case. Seizures...
OBJECTIVE—Diabetes-related lower-extremity amputation (LEA) rates are elevated in blacks compared with whites the U.S., but lower African Caribbeans U.K., whereas anecdotal reports suggest high Caribbean. We aimed to establish incidence and risk factors for diabetes-related LEA a Caribbean population. RESEARCH DESIGN AND METHODS—We conducted an incident prospective case-control study of case patients (individuals diabetes having LEA) community-based control subjects without Barbados, West...