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Epidemiology of intracranial stenosis in asymptomatic Asian subjects.

Tang, Suk Yan Amy. / Thesis (M.Phil.)--Chinese University of Hong Kong, 2001. / Includes bibliographical references (leaves [207]-[227]). / Abstracts in English and Chinese. / ACKNOWLEDGEMENTS / ABSTRACTS / TABLE OF CONTENTS / "LIST OF APPENDIX, TABLES & FIGURES" / Chapter CHAPTER ONE --- INTRODUCTION --- p.1 / Chapter 1.1 --- Cerebrovascular disease --- p.1 / Chapter 1.1.1 --- Ischemic Stroke --- p.1 / Chapter 1.1.2 --- Hemorrhagic Stroke --- p.2 / Chapter 1.2 --- Laboratory diagnosis --- p.3 / Chapter 1.2.1 --- Transcranial Doppler ultrasonography --- p.4 / Chapter 1.2.1.1 --- Normal Brain --- p.4 / Chapter 1.2.1.2 --- Intracranial Large Artery Stenosis --- p.5 / Chapter 1.3 --- Asymptomatic Intracranial Stenosis --- p.6 / Chapter CHAPTER TWO --- LITERATURE REVIEW --- p.7 / Chapter 2.1 --- Global Stroke Facts --- p.7 / Chapter 2.2 --- Stroke Studies --- p.7 / Chapter 2.2.1 --- Risk profile of stroke --- p.7 / Chapter 2.2.2 --- Stroke epidemiological study --- p.8 / Chapter 2.2.2.1 --- Incidence --- p.8 / Chapter 2.2.2.2 --- Mortality --- p.10 / Chapter 2.2.2.3 --- Increased stroke rates with increased age --- p.12 / Chapter 2.2.2.4 --- Associated disease in stroke subjects --- p.12 / Chapter 2.2.3 --- Stroke risk factors --- p.13 / Chapter 2.3 --- Stroke Impact --- p.14 / Chapter 2.3.1 --- Stroke patients --- p.14 / Chapter 2.3.2 --- Medical burden --- p.15 / Chapter 2.3.3 --- Socioeconomic burden --- p.16 / Chapter 2.4 --- Stroke Prevention --- p.17 / Chapter 2.5 --- Stroke Facts in Hong Kong --- p.19 / Chapter 2.6 --- Stroke Facts in China --- p.21 / Chapter 2.7 --- Asymptomatic Intracranial Stenosis in Asian Subjects --- p.22 / Chapter 2.7.1 --- Asymptomatic individuals --- p.22 / Chapter 2.7.2 --- Intracranial occlusive disease --- p.23 / Chapter 2.8 --- Transcranial Doppler Sonography --- p.25 / Chapter CHAPTER THREE --- AIM & OBJECTIVES OF THE RESEARCH --- p.30 / Chapter 3.1 --- Aim of the research --- p.30 / Chapter 3.2 --- Objectives of this research --- p.30 / Chapter CHAPTER FOUR --- "CLINIC-BASED CROSS-SECTIONAL SCREENING IN AN URBAN CITY 226}0ؤ HONG KONG, THE PEOPLE'S REPUBLIC OF CHINA" --- p.31 / Chapter 4.1 --- Background & Purpose --- p.31 / Chapter 4.2 --- Methods --- p.34 / Chapter 4.2.1 --- Defining the population --- p.34 / Chapter 4.2.2 --- Procedures --- p.36 / Chapter 4.2.2.1 --- Standardized TCD Report Form --- p.39 / Chapter 4.2.2.2 --- Transcranial Doppler Screening --- p.39 / Chapter 4.2.2.3 --- Data collected --- p.40 / Chapter 4.2.3 --- Defining the Risk Factors --- p.43 / Chapter 4.3 --- Statistical Analyses --- p.45 / Chapter 4.3.1 --- Research Design --- p.46 / Chapter 4.3.2 --- Descriptive Summary --- p.46 / Chapter 4.3.2.1 --- Cross-tabulated between Gender --- p.46 / Chapter 4.3.2.2 --- Cross-tabulated between Normal & Abnormal MCA status --- p.47 / Chapter 4.3.3 --- Measures for Association --- p.48 / Chapter 4.3.3.1 --- Univariate analysis --- p.48 / Chapter 4.3.3.2 --- Multivariate analysis --- p.48 / Chapter 4.3.4 --- Modeling the Risks --- p.50 / Chapter 4.3.5 --- nfluence of the number of associated risk factors on the MCA status --- p.50 / Chapter 4.4 --- Result --- p.51 / Chapter 4.4.1 --- Baseline characteristics of all screened subjects by Gender --- p.51 / Chapter 4.4.1.1 --- Age by Gender --- p.53 / Chapter 4.4.1.2 --- "Medical History of HT, DM, Hyperlipidemia, IHD, Retinopathy and Albuminuria by Gender" --- p.55 / Chapter 4.4.1.3 --- Social habit in Smoking by Gender --- p.56 / Chapter 4.4.1.4 --- Body Mass Index and Waist-to-Hip Ratio by Gender --- p.57 / Chapter 4.4.2 --- Diseased Middle Cerebral Artery --- p.61 / Chapter 4.4.3 --- Characteristics between subjects with Normal TCD result and Abnormal TCD result in the MCA status --- p.62 / Chapter 4.4.3.1 --- Age --- p.64 / Chapter 4.4.3.2 --- Gender --- p.67 / Chapter 4.4.3.3 --- "Medical History of HT, DM, Hyperlipidemia, IHD, Retinopathy and Albuminuria" --- p.67 / Chapter 4.4.3.4 --- Social habit in cigarette smoking --- p.68 / Chapter 4.4.3.5 --- Body Mass Index and Waist-to-Hip Ratio --- p.71 / Chapter 4.4.3.6 --- "Other Measurements - on Blood Pressure, Fasting Plasma Glucose, HbAlc, Lipid profiles and Fibrinogen" --- p.79 / Chapter 4.4.4 --- Unadjusted Odds Ratio --- p.84 / Chapter 4.4.4.1 --- By contingency table method --- p.84 / Chapter 4.4.4.2 --- By logistic regression model --- p.86 / Chapter 4.4.5 --- Adjusted Odds Ratio --- p.92 / Chapter 4.4.5.1 --- Entering all explanatory variables: --- p.92 / Chapter 4.4.5.2 --- Using Forward and Backward Stepwise methods with the probability for entry of 0.05 and probability for removal of 0.10: --- p.95 / Chapter 4.4.5.3 --- Applying the Model-Building Strategy: --- p.100 / Chapter 4.4.6 --- Comparing the final fitted multiple logistic regression models made by the three approaches : --- p.103 / Chapter 4.4.7 --- Probability and Odds derived from the logistic regression model --- p.110 / Chapter 4.4.8 --- Relationship between the diseased MCA and the number of significant risk indicators that the subjects associated with..… --- p.112 / Chapter 4.4.8.1 --- Logistic regression analysis on number of risk indicators associated with the MCA status --- p.115 / Chapter 4.5 --- Discussion --- p.118 / Chapter 4.5.1 --- Research Design --- p.118 / Chapter 4.5.1.1 --- Advantage --- p.118 / Chapter 4.5.1.2 --- Disadvantage --- p.118 / Chapter 4.5.2 --- Sampling --- p.119 / Chapter 4.5.3 --- Data collected and Outcome variable classified --- p.119 / Chapter 4.5.3.1 --- Medical Record - Patients Characteristics --- p.119 / Chapter 4.5.3.2 --- Transcranial Doppler - Middle Cerebral Artery status --- p.120 / Chapter 4.5.4 --- Statistical Analyses --- p.121 / Chapter 4.5.4.1 --- Odds Ratio --- p.121 / Chapter 4.5.4.2 --- Logistic Regression Model --- p.122 / Chapter 4.5.4.3 --- Sources of Error --- p.123 / Chapter 4.5.5 --- Result --- p.125 / Chapter 4.5.5.1 --- Prevalence --- p.125 / Chapter 4.5.5.2 --- Risk indicators --- p.126 / Chapter CHAPTER FIVE --- "POPULATION-BASED CROSS-SECTIONAL SURVEY IN A RURAL VILLAGE OF HENAN, PEOPLE'S REPUBLIC OF CHINA" --- p.134 / Chapter 5.1 --- Background & Purpose --- p.134 / Chapter 5.2 --- Methods --- p.135 / Chapter 5.2.1 --- Defining the Population --- p.135 / Chapter 5.2.2 --- Procedures --- p.135 / Chapter 5.2.2.1 --- Standardized Screening Form --- p.136 / Chapter 5.2.2.2 --- Transcranial Doppler Examination --- p.137 / Chapter 5.2.3 --- Defining the Risk Factors --- p.137 / Chapter 5.3 --- Statistical Analyses --- p.140 / Chapter 5.3.1 --- Research Design --- p.141 / Chapter 5.3.2 --- Descriptive Summary --- p.141 / Chapter 5.3.2.1 --- Cross-tabulated between Gender --- p.141 / Chapter 5.3.2.2 --- Cross-tabulated between With & Without intracranial large artery stenosis --- p.142 / Chapter 5.3.3 --- Measures for Association --- p.143 / Chapter 5.3.3.1 --- Univariate analysis --- p.143 / Chapter 5.3.3.2 --- Multivariate analysis --- p.143 / Chapter 5.3.4 --- Modeling the Risks --- p.144 / Chapter 5.3.5 --- Influence of the number of associated risk factors on the prevalence of intracranial large artery stenosis --- p.144 / Chapter 5.4 --- Result --- p.145 / Chapter 5.4.1 --- Baseline characteristics of all examined villagers by Gender --- p.145 / Chapter 5.4.1.1 --- Age by Gender --- p.147 / Chapter 5.4.1.2 --- "Medical History of HT, DM and Heart disease by Gender" --- p.149 / Chapter 5.4.1.3 --- Social habit in Cigarette smoking and Alcoholic drinking by Gender --- p.149 / Chapter 5.4.1.4 --- "Family History of HT, DM, Stroke and Heart disease by Gender" --- p.149 / Chapter 5.4.1.5 --- Body Mass Index and Waist-to-Hip Ratio by Gender --- p.150 / Chapter 5.4.2 --- Distribution of the Diseased intracranial artery --- p.154 / Chapter 5.4.3 --- Characteristics between subjects with and without intracranial large artery stenosis --- p.155 / Chapter 5.4.3.1 --- Age --- p.157 / Chapter 5.4.3.2 --- Gender --- p.158 / Chapter 5.4.3.3 --- "Medical History of HT, DM and Heart disease" --- p.158 / Chapter 5.4.3.4 --- Social habit in cigarette smoking and alcohol drinking --- p.158 / Chapter 5.4.3.5 --- "Family History of HT, DM, Stroke and Heart Disease" --- p.159 / Chapter 5.4.3.6 --- Body Mass Index and Waist-to-Hip Ratio --- p.160 / Chapter 5.4.3.7 --- Other Measurements - on BP and Urine Glucose --- p.163 / Chapter 5.4.4 --- Unadjusted Odds Ratio --- p.165 / Chapter 5.4.4.1 --- By contingency table method --- p.165 / Chapter 5.4.4.2 --- By logistic regression model --- p.166 / Chapter 5.4.5 --- Adjusted Odds Ratio --- p.172 / Chapter 5.4.5.1 --- Entering all explanatory variables: --- p.172 / Chapter 5.4.5.2 --- Using the Stepwise methods available with the probability for entry is 0.05 and 0.10 for removal: --- p.175 / Chapter 5.4.5.3 --- Applying the Model-Building Strategy: --- p.180 / Chapter 5.4.6 --- Comparing the final multiple logistic regression models by the three approaches: --- p.182 / Chapter 5.4.7 --- Probability and Odds derived from the logistic regression model --- p.189 / Chapter 5.4.8 --- Relationship between the transcranial Doppler result on Intracranial large artery and the number of significant risk indicators that the subjects associated with --- p.190 / Chapter 5.4.8.1 --- Logistic Regression Model --- p.192 / Chapter 5.5 --- Discussion --- p.196 / Chapter 5.5.1 --- Research Design --- p.196 / Chapter 5.5.1.1 --- Advantage --- p.196 / Chapter 5.5.1.2 --- Disadvantage --- p.196 / Chapter 5.5.2 --- Sampling --- p.197 / Chapter 5.5.3 --- Data collected and the Outcome variable classified --- p.197 / Chapter 5.5.3.1 --- Self-Reported - Subjects Characteristics --- p.197 / Chapter 5.5.3.2 --- Transcranial Doppler - Intracranial Large Artery status --- p.198 / Chapter 5.5.4 --- Statistical Methods --- p.199 / Chapter 5.5.4.1 --- Odds Ratio --- p.199 / Chapter 5.5.4.2 --- Logistic Regression --- p.199 / Chapter 5.5.4.3 --- Sources of Error --- p.199 / Chapter 5.5.5 --- Result --- p.200 / Chapter 5.5.5.1 --- Prevalence --- p.200 / Chapter 5.5.5.2 --- Risk Indicators --- p.201 / Chapter CHAPTER SIX --- CONCLUSION --- p.204 / Chapter 6.1 --- The Clinic-based study of diseased middle cerebral artery among asymptomatic hong kong chinese --- p.204 / Chapter 6.2 --- The Population-base study of intracranial large artery stenosis among mid-aged & above chinese in rural china --- p.205 / REFERENCES / APPENDIX / Appendix I Neuroimaging - Transcranial Doppler Ultrasonography / Appendix II Statistical Methods / "Appendix III (a) Standardized TCD report form used in PWH, Hong Kong (b) Standardized Screening Form used In Yuzhou, China" / Appendix IV The ICD 9th Revision - Disease of the Circulatory System / "Appendix V Prospective Hospital-Based study in Asia, AASAP (a) Standardized Data Collection From used in AASAP" / Appendix VI Contributed in published papers

Identiferoai:union.ndltd.org:cuhk.edu.hk/oai:cuhk-dr:cuhk_323629
Date January 2001
ContributorsTang, Suk Yan Amy., Chinese University of Hong Kong Graduate School. Division of Medical Sciences.
Source SetsThe Chinese University of Hong Kong
LanguageEnglish, Chinese
Detected LanguageEnglish
TypeText, bibliography
Formatprint, 206, [69] leaves : ill. ; 30 cm.
CoverageHong Kong, China, Hong Kong, China, Hong Kong, China
RightsUse of this resource is governed by the terms and conditions of the Creative Commons “Attribution-NonCommercial-NoDerivatives 4.0 International” License (http://creativecommons.org/licenses/by-nc-nd/4.0/)

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