Stephen P. Juraschek

ORCID: 0000-0003-4168-2696
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About
Contact & Profiles
Research Areas
  • Blood Pressure and Hypertension Studies
  • Cardiovascular Syncope and Autonomic Disorders
  • Heart Rate Variability and Autonomic Control
  • Nutritional Studies and Diet
  • Cardiovascular Health and Risk Factors
  • Sodium Intake and Health
  • Cardiovascular Health and Disease Prevention
  • Diet and metabolism studies
  • Gout, Hyperuricemia, Uric Acid
  • Cardiovascular and exercise physiology
  • Alcohol Consumption and Health Effects
  • Vitamin D Research Studies
  • Nutrition and Health in Aging
  • Physical Activity and Health
  • Cardiovascular Function and Risk Factors
  • Birth, Development, and Health
  • Liver Disease Diagnosis and Treatment
  • Hemodynamic Monitoring and Therapy
  • Heart Failure Treatment and Management
  • Pregnancy and preeclampsia studies
  • Obstructive Sleep Apnea Research
  • Health Systems, Economic Evaluations, Quality of Life
  • Cardiac Health and Mental Health
  • Chronic Kidney Disease and Diabetes
  • Diabetes, Cardiovascular Risks, and Lipoproteins

Beth Israel Deaconess Medical Center
2017-2025

Harvard University
2017-2025

Beth Israel Deaconess Hospital
2019-2025

Hadassah Medical Center
2018-2024

American College of Physicians
2022-2024

Lahey Hospital and Medical Center
2023-2024

Johns Hopkins University
2013-2023

Thomas Jefferson University
2023

University of Mississippi
2023

Hospital of the University of Pennsylvania
2023

Registered nurses (RNs) play a critical role in health care delivery. With an aging US population, demand is growing at unprecedented pace. Using projected changes population size and age, the authors developed supply models to forecast RN job shortage each of 50 states. Letter grades were assigned based on ratios. The number states receiving grade “D” or “F” for their ratio will increase from 5 2009 30 by 2030, total national deficit 918 232 (725 619 - 1 112 112) jobs. There be significant...

10.1177/1062860611416634 article EN American Journal of Medical Quality 2011-11-19

Poor cardiorespiratory fitness (CRF) is an independent risk factor for cardiovascular morbidity and mortality. However, the relationship between CRF atrial fibrillation (AF) less clear. The aim of this analysis was to investigate association incident AF in a large, multiracial cohort that underwent graded exercise treadmill testing.From 1991 2009, total 64 561 adults (mean age, 54.5±12.7 years; 46% female; 64% white) without testing at tertiary care center. Baseline demographic clinical...

10.1161/circulationaha.114.014833 article EN Circulation 2015-04-23

To determine the longer-term effects of metformin treatment and behavioral weight loss on gut microbiota short-chain fatty acids (SCFAs).We conducted a 3-parallel-arm, randomized trial. We enrolled overweight/obese adults who had been treated for solid tumors but no ongoing cancer them (n = 121) to either 1) (up 2,000 mg), 2) coach-directed loss, or 3) self-directed care (control) 12 months. collected stool serum at baseline 114), 6 months 109), 105). From stool, we extracted microbial DNA...

10.2337/dc20-2257 article EN Diabetes Care 2021-05-18

Although orthostatic hypotension (OH) has long been recognized as a manifestation of autonomic dysfunction, growing body literature identified OH common comorbidity hypertension. This connection is complex, related to pathophysiology in blood pressure regulation and the manner by which derived difference between 2 measurements. While traditional therapeutic approaches among patients with neurodegenerative disorders focus on increasing upright prevent cerebral hypoperfusion, management...

10.1161/hyp.0000000000000236 article EN Hypertension 2024-01-11

<h3>Importance</h3> β-Blockers are prescribed to most patients with heart failure (HF) a preserved ejection fraction (HFpEF), but their effect on HFpEF remains unclear. <h3>Objective</h3> To determine the association of β-blocker use HF hospitalizations and cardiovascular disease (CVD) mortality, overall in strata an (EF) 50% or greater less than 50%. <h3>Design, Setting, Participants</h3> For 1761 participants from North South America enrolled multicenter, double-blinded Treatment Preserved...

10.1001/jamanetworkopen.2019.16598 article EN cc-by-nc-nd JAMA Network Open 2019-12-04

Abstract Objective To determine the association and prevalence of gout among overweight, obese, morbidly obese segments US population. Methods Among participants (age ≥20 years) National Health Nutrition Examination Surveys in 1988–1994 2007–2010, status was ascertained by self‐report a physician diagnosis. Body mass index (BMI) examined categories &lt;18.5 kg/m 2 , 18.5–24.9 25–29.9 30–34.9 ≥35 as continuous variable. The cross‐sectional BMI category with adjusted for demographic...

10.1002/acr.21791 article EN Arthritis Care & Research 2012-11-20

Guidelines recommend assessing orthostatic hypotension (OH) 3 minutes after rising from supine to standing positions. It is not known whether measurements performed immediately predict adverse events as strongly closer minutes.To compare early vs later OH and their association with history of dizziness longitudinal outcomes.This was a prospective cohort study middle-aged (range, 44-66 years) participants in the Atherosclerosis Risk Communities Study (1987-1989).Orthostatic hypotension,...

10.1001/jamainternmed.2017.2937 article EN JAMA Internal Medicine 2017-07-24

Randomized trial data guiding dietary recommendations to lower serum uric acid (UA), the etiologic precursor of gout, are scarce. We undertook this study examine effects Dietary Approaches Stop Hypertension (DASH) diet (a well-established that lowers blood pressure) and levels sodium intake on UA.We conducted an ancillary a randomized, crossover feeding in 103 adults with prehypertension or stage I hypertension. Participants were randomly assigned receive either DASH control (typical average...

10.1002/art.39813 article EN Arthritis & Rheumatology 2016-08-15

To examine associations of orthostatic hypotension (OH) with dementia and long-term cognitive decline to update previously published results in the same cohort for stroke an additional 16 years follow-up.We analyzed data from 11,709 participants without a history coronary heart disease or who attended baseline examination (1987-1989) prospective Atherosclerosis Risk Communities (ARIC) study. OH was defined as drop systolic blood pressure (BP) at least 20 mm Hg diastolic BP 10 on standing....

10.1212/wnl.0000000000006027 article EN Neurology 2018-07-25

Letters15 October 2019Prevalence of Aspirin Use for Primary Prevention Cardiovascular Disease in the United States: Results From 2017 National Health Interview SurveyColin W. O'Brien, MD, Stephen P. Juraschek, PhD, and Christina C. Wee, MPHColin MDHarvard Medical School, Boston, Massachusetts (C.W.O.), PhDBeth Israel Deaconess Center Harvard (S.P.J., C.C.W.), MPHBeth C.C.W.)Author, Article, Disclosure Informationhttps://doi.org/10.7326/M19-0953 SectionsAboutFull TextPDF ToolsAdd to...

10.7326/m19-0953 article EN Annals of Internal Medicine 2019-07-22

BACKGROUND: Hypotensive episodes detected by 24-hour ambulatory blood pressure (BP) monitoring capture daily cumulative hypotensive stress and could be clinically relevant to cognitive impairment, but this relationship remains unclear. METHODS: We included participants from the Systolic Blood Pressure Intervention Trial (receiving intensive or standard BP treatment) who had measured near 27-month visit subsequent biannual assessments. evaluated associations of (defined as systolic drops ≥20...

10.1161/hypertensionaha.124.24222 article EN Hypertension 2025-01-22

BACKGROUND: Cardiovascular disease (CVD) risk differs across Asian subgroups, possibly due to differences in hypertension burden. We characterized lifetime blood pressure (BP) trajectories for East and South individuals compared their associations with CVD risk. METHODS: Among 148 872 UK Biobank participants primary care utilization data, life course BP were fitted as a function of age by sex according self-identified ethnicity. determined time-averaged young adulthood (18–39 years), middle...

10.1161/hypertensionaha.124.23985 article EN Hypertension 2025-02-12

Increased physical fitness is protective against cardiovascular disease. We hypothesized that increased would be inversely associated with hypertension.We examined the association of prevalent and incident hypertension in 57 284 participants from The Henry Ford ExercIse Testing (FIT) Project (1991–2009). Fitness was measured during a clinician‐referred treadmill stress test. Incident defined as new diagnosis on 3 separate consecutive encounters derived electronic medical records or...

10.1161/jaha.114.001268 article EN cc-by-nc-nd Journal of the American Heart Association 2014-12-17
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