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At least 19 recordsLinked to original sources

2003 update on the Hypertension Initiative of South Carolina. Bringing South Carolina from "worst to first" in cardiovascular health.

Hypertension and its related comorbidities continue to drain South Carolina of approximately $9 billion dollars a year in direct medical costs and indirectly through lost productivity. Improving control rates of blood pressure and associated cardiovascular risk factors in the primary care physician's office is a fundamental and crucial step to decrease the very high incidence of stroke and cardiorenal diseases. By monitoring prescribing patterns through the Initiatives' data feedback program, providing evidence-based management approaches through educational seminars, and by applying improved treatment protocols, physicians can have a profound impact on outcomes. The growing collaborative partnership spawned by the Hypertension Initiative now includes primary care providers, Hypertension Specialists in the local community, and the ASH Carolinas-Georgia Chapter. The growth and impact of the partnership is facilitated by a dynamic data auditing and feedback program that provides the basis for constructive change focused on optimizing cardiovascular risk factor control in patients across the State. By continuing to make progress in addressing the control of blood pressure and associated cardiovascular risk factors through a growing collaborative partnership with primary care providers statewide, South Carolina can move from worst to first in cardiovascular health. In the future, we hope to add a dynamic health promotion program to active disease management efforts. In the process, South Carolina can move from a leader in cardiovascular disease to a model of cardiovascular health.

Education, Medical, Continuing↗

Indoor 222Rn levels in New York State, North Carolina, and South Carolina.

Results are presented from approximately 9000 Rn measurements made in New York state, North Carolina, and South Carolina. The estimated statewide geometric mean concentrations were 28.1 Bq m-3 and 55.8 Bq m-3 for basements in New York state, 27.5 Bq m-3 for living rooms and 108.9 Bq m-3 for basements in North Carolina, and 25.0 Bq m-3 for living rooms in South Carolina.

Air Pollutants, Radioactive↗

The decline of mink in Georgia, North Carolina, and South Carolina: the role of contaminants.

Since the 1960s, mink (Mustela vision) populations in Georgia, North Carolina, and South Carolina have declined, especially in the coastal plain. A prior study suggested that the decline may stem from environmental contaminants. Based on water quality data from each state, we identified 17 substances potentially related to the decline: aldrin, dieldrin, endrin, DDD, DDE, DDT, PCBs, chlordane, alpha-BHC, toxaphene, dibenzofuran, copper, chromium, cadmium, lead, arsenic, and mercury. Mink livers were analyzed for PCB and organochlorine pesticides, and kidneys and femurs were analyzed for metals. Reference sample concentrations from piedmont, mountain, and foothill locations were compared to state coastal plain totals and counties. PCBs for Georgia, dieldrin for South Carolina, and endrin and aldrin for North Carolina were significantly higher than the piedmont reference group. Liver PCB concentrations were higher than those known to cause mink reproductive dysfunction. Mercury concentrations were significantly higher in coastal plain mink from all three states and were in the range of those known to cause impacts to reproduction, growth, and behavior to wild mink. It is unknown what concentrations of cyclodienes cause reduced reproduction or other physiological effects in mink, but the levels reported here probably indicate background concentrations that do not contribute to the decline.

Air Pollutants↗

Microclimates and energetics of free-living box turtles, Terrapene carolina, in South Carolina.

We measured microclimate, field metabolic rates (FMRs), water flux, and activity patterns of telemetered box turtles (Terrapene carolina) in South Carolina from September 1987 to October 1988. Turtles were inactive for most of the winter and were active only sporadically during the rest of the year. Using the doubly labeled water method, we found that water flux averaged 8.8, 18.9, and 26.4 mL kg(-1) d(-1) in winter, spring, and summer/fall, respectively. FMR for the same periods averaged 0.028, 0.065, and 0.124 mL CO(2) g(-1) h(-1). Differences in FMR among seasons were significant but not between sexes. Using operative temperatures, we predicted standard and maximum metabolic rates of turtles. In winter, FMR was elevated above standard metabolic rates and close to maximum metabolic rates, whereas in spring and summer/fall, FMR fell midway between standard and maximum metabolic rates. We used a model to predict metabolic rates, geographical distribution, and potential reproductive output of box turtles across latitudes in eastern North America. Low FMR and low annual reproductive output may allow box turtles to survive and flourish in unpredictable resource environments by minimizing costs and risks, thereby maintaining greater lifetime reproductive success.

Activity Cycles↗

Victim factor correlates of traumatic infant death in South Carolina.

In South Carolina over a nine-year period, the adjusted odds that infants who died of injuries had been of low birth weight were 2.65:1 as compared to a live-born control group. The odds that injury victims were black were 1.84:1 as compared to control subjects. For victims of accidents only, the odds ratio for low birth weight was 2.37, and for black race, 1.61. For victims of homicide, the odds ratio for low birth weight was 6.15, and for black race, 4.76. Male sex, high birth order, low Apgar score, and the presence of a congenital anomaly were not significant infant risk factors by multifactorial analyses.

Accidents↗