Gaurav M Parmar

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BACKGROUND Lipid-modifying drug therapy (LMDT) is recommended in all patients having coronary or noncoronary atherosclerotic disease. However, the effect of LMDT after abdominal aortic aneurysm (AAA) repair, especially in the absence of other atherosclerotic manifestations, is unclear. We examined the distribution of prevalence of LMDT among patients(More)
Death certificates may lack accuracy and misclassify the cause of death. The validity of proxy-reported cause of death is not well established. The authors examined death records on 336 participants in the Reasons for Geographic and Racial Differences in Stroke (REGARDS) Study, a national cohort study of 30,239 community-dwelling US adults (2003-2010).(More)
BACKGROUND International guidelines recommend that the decision threshold for troponin should be the 99th percentile of a normal population, or, if the laboratory assay is not sufficiently precise at this low level, the level at which the assay achieves a 10% or better coefficient of variation (CV). Our objectives were to examine US hospital laboratory(More)
BACKGROUND Health Professional Shortage Areas (HPSA) receive extra federal resources, but recent reports suggest that HPSA may not consistently identify areas of need. PURPOSE To assess areas of need based on county-level ischemic heart disease (IHD) and stroke mortality regions. METHODS Need was defined by lack of awareness, treatment, or control of(More)
Individuals with cardiovascular disease (CVD) living in Health Professional Shortage Areas (HPSA) may receive less preventive care than others. The Reasons for Geographic And Racial Differences in Stroke Study (REGARDS) surveyed 30,239 African American (AA) and White individuals older than 45 years of age between 2003-2007. We compared medication use for(More)
This paper presents the control system design and tracking performance for a large range single-axis nanopositioning system that is based on a moving magnet actuator and a flexure bearing. While the physical system is designed to be free of friction and backlash, the nonlinearities in the electromagnetic actuator as well as the harmonic distortion in the(More)
BACKGROUND Limited financial and geographic access to primary care can adversely influence chronic disease outcomes. We examined variation in awareness, treatment, and control of hypertension, diabetes, and hyperlipidemia according to both geographic and financial access to care. METHODS We analyzed data on 17,458 participants in the REasons for(More)
OBJECTIVE Observational studies can avoid biases by blinding medical records to characteristics of interest before outcome adjudication. However, blinding is costly. We assessed the effect of blinding race and geography on outcome ascertainment. STUDY DESIGN AND SETTING The Reasons for Geographic and Racial Differences in Stroke - Myocardial Infarction(More)
Moving magnet actuators (MMAs) are direct-drive, single-phase electromagnetic linear actuators that provide frictionless and backlash-free motion over a range of several millimeters. This paper investigates the feasibility of using MMAs to simultaneously achieve large range, high speed, and high motion quality in flexure-based nanopositioning systems.(More)