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https://www.readbyqxmd.com/read/28320067/patterns-of-low-acuity-patient-presentations-to-emergency-departments-in-new-south-wales-australia
#1
Alexandre S Stephens, Richard A Broome
OBJECTIVE: To explore the patterns of low acuity patient (LAP) presentations to EDs in New South Wales (NSW), Australia. METHODS: Retrospective study of NSW public hospital ED presentations between January 2013 and December 2014 that were registered in the NSW Emergency Department Data Collection (n = 409 035). LAPs were defined according to the Australian Institute of Health and Welfare (AIHW), Sprivulis and multiple ACEM methods. Multivariable logistic regression was used to assess the adjusted odds of LAP ED presentation by a suite of sociodemographic factors...
March 20, 2017: Emergency Medicine Australasia: EMA
https://www.readbyqxmd.com/read/28317204/cockroach-allergen-serine-proteinases-isolation-sequencing-and-signalling-via-proteinase-activated-receptor-2-par2
#2
Danny J Polley, Koichiro Mihara, Rithwik Ramachandran, Harissios Vliagoftis, Bernard Renaux, Mahmoud Saifeddine, Michael O Daines, Scott Boitano, Morley D Hollenberg
BACKGROUND: Allergy to the German cockroach (Blattella germanica) is a significant asthma risk factor for inner-city communities. Cockroach, like other allergens, contains trypsin-like enzyme activity that contributes to allergenicity and airway inflammation by activating proteinase-activated receptors (PARs). To date, the enzymes responsible for the proteolytic activity of German cockroach allergen have not been characterized. OBJECTIVES: We aimed to identify, isolate and characterize the trypsin-like proteinases in German cockroach allergen extracts used for clinical skin tests...
March 20, 2017: Clinical and Experimental Allergy: Journal of the British Society for Allergy and Clinical Immunology
https://www.readbyqxmd.com/read/28316908/exploring-childhood-obesity-prevention-among-diverse-ethnic-groups-in-schools-and-places-of-worship-recruitment-acceptability-and-feasibility-of-data-collection-and-intervention-components
#3
Maria Maynard, Graham Baker, Seeromanie Harding
Small-scale, detailed exploration of the recruitment, assessment, and evaluation processes of obesity intervention among minority ethnic children. The study took place in schools and places of worship during 2008-2010 in London, UK. Measures included 3-day food diaries, 24 h dietary recalls, the Youth Physical Activity Questionnaire, accelerometry, and diet and physical activity self-efficacy questionnaires. Potential intervention components were evaluated via observation, questionnaires, and focus group discussions...
June 2017: Preventive Medicine Reports
https://www.readbyqxmd.com/read/28304336/study-on-climate-and-grassland-fire-in-hulunbuir-inner-mongolia-autonomous-region-china
#4
Meifang Liu, Jianjun Zhao, Xiaoyi Guo, Zhengxiang Zhang, Gang Tan, Jihong Yang
Grassland fire is one of the most important disturbance factors of the natural ecosystem. Climate factors influence the occurrence and development of grassland fire. An analysis of the climate conditions of fire occurrence can form the basis for a study of the temporal and spatial variability of grassland fire. The purpose of this paper is to study the effects of monthly time scale climate factors on the occurrence of grassland fire in HulunBuir, located in the northeast of the Inner Mongolia Autonomous Region in China...
March 17, 2017: Sensors
https://www.readbyqxmd.com/read/28290007/impact-of-urban-neighborhood-disadvantage-on-late-stage-breast-cancer-diagnosis-in-virginia
#5
Pam Baker DeGuzman, Wendy F Cohn, Fabian Camacho, Brandy L Edwards, Vanessa N Sturz, Anneke T Schroen
Research suggests that residents of inner-city urban neighborhoods have higher rates of late stage cancer diagnosis. Identifying urban neighborhoods with high rates of both concentrated disadvantage and late stage cancer diagnosis may assist health care providers to target screening interventions to reduce disparities. The purposes of this study were to (1) create an index to evaluate concentrated disadvantage (CD) using non-racial measures of poverty, (2) determine the impact of neighborhood CD on late stage breast cancer diagnosis in US cities, and (3) to understand the role of obesity on this relationship...
March 13, 2017: Journal of Urban Health: Bulletin of the New York Academy of Medicine
https://www.readbyqxmd.com/read/28288007/clinical-utility-of-the-heart-score-in-patients-admitted-with-chest-pain-to-an-inner-city-hospital-in-the-usa
#6
Soumya Patnaik, Mahek Shah, Yaser Alhamshari, Pradhum Ram, Ritika Puri, Marvin Lu, Percy Balderia, John B Imms, Obiora Maludum, Vincent M Figueredo
BACKGROUND: Chest pain is one of the most common presentations to a hospital, and appropriate triaging of these patients can be challenging. The HEART score has been used for such purposes in some countries and only a few validation studies from the USA are available. We aim to determine the utility of the HEART score in patients presenting with chest pain to an inner-city hospital in the USA. PATIENTS AND METHODS: We retrospectively screened 417 consecutive patients admitted with chest pain to the observation/telemetry units at Einstein Medical Center Philadelphia...
March 10, 2017: Coronary Artery Disease
https://www.readbyqxmd.com/read/28286001/understanding-high-utilization-of-unscheduled-care-in-pregnant-women-of-low-socioeconomic-status
#7
Pooja K Mehta, Tamala Carter, Cjloe Vinoya, Shreya Kangovi, Sindhu K Srinivas
BACKGROUND: Pregnant high utilizers of unscheduled care may be at particular risk for poor perinatal outcomes, but the drivers of this association have not been explored from the patient perspective. PURPOSE: We sought to understand maternal preference for unscheduled hospital-based obstetric care to inform interventions and improve value of publicly funded care during pregnancy. METHODS: We conducted a comparative qualitative analysis of in-depth semistructured interviews...
March 9, 2017: Women's Health Issues: Official Publication of the Jacobs Institute of Women's Health
https://www.readbyqxmd.com/read/28283418/urban-residence-neighborhood-poverty-race-ethnicity-and-asthma-morbidity-among-children-in-medicaid
#8
Corinne A Keet, Elizabeth Matsui, Meredith C McCormack, Roger Peng
BACKGROUND: Although poor-urban (inner-city) areas are thought to have high asthma prevalence and morbidity, we recently found that inner-cities do not have higher prevalent pediatric asthma. Whether asthma morbidity is higher in inner-city areas across the U.S. not known. OBJECTIVE: To examine relationships between residence in poor and urban areas, race/ethnicity, and asthma morbidity among children with asthma enrolled in Medicaid. METHODS: Children aged 5-19 enrolled in Medicaid in 2009-2010 were included...
March 7, 2017: Journal of Allergy and Clinical Immunology
https://www.readbyqxmd.com/read/28278021/exercise-as-an-adjunct-treatment-for-postpartum-depression-for-women-living-in-an-inner-city-a-pilot-study
#9
Jacky Forsyth, Elizabeth Boath, Carol Henshaw, Hannah Brown
To examine the effectiveness of exercise in the management of postpartum depression, women living in an inner-city, who were diagnosed using the Structured Clinical Interview for DSM-IV (Perinatal Version) (SCID-PN), were randomly assigned to an exercise group (N = 12) or control group (N = 12). A focus group was carried out to explore women's views of the trial. There were no significant differences between the two groups for SCID-PN. Although women who had engaged in the exercise viewed it positively (based on focus group data), low adherence to exercise meant that significant improvements in postpartum depression were not found...
February 14, 2017: Health Care for Women International
https://www.readbyqxmd.com/read/28277318/factors-associated-with-missed-appointments-at-an-academic-pain-treatment-center-a-prospective-year-long-longitudinal-study
#10
Charles A Odonkor, Sandy Christiansen, Yian Chen, Asmitha Sathiyakumar, Hira Chaudhry, Denise Cinquegrana, Jessica Lange, Cathy He, Steven P Cohen
BACKGROUND: Interventional pain treatment centers represent an integral part of interdisciplinary care. Barriers to effective treatment include access to care and financial issues related to pain clinic operations. To address these challenges, specialty clinics have taken steps to identify and remedy missed clinic appointments. However, no prospective study has sought to identify factors associated with pain clinic "no-shows." METHODS: We performed a prospective, longitudinal year-long study in an inner-city, academic pain clinic in which patients scheduled for office visits and procedures were categorized as to whether they showed up or did not show up for their scheduled appointment without cancelling the day before...
March 8, 2017: Anesthesia and Analgesia
https://www.readbyqxmd.com/read/28277088/do-changes-in-socio-demographic-characteristics-impact-up-to-date-immunization-status-between-3-and-24-months-of-age-a-prospective-study-among-an-inner-city-birth-cohort-in-the-united-states
#11
Susmita Pati, Jiayu Huang, Angie Wong, Zeinab Baba, Svetlana Ostapenko, Alexander G Fiks, Avital Cnaan
INTRODUCTION: Low-income child populations remain under-vaccinated. Our objective was to determine differences in the relative importance of maternal health literacy and socio-demographic characteristics that often change during early childhood on up-to-date (UTD) immunization status among a low-income population. METHODS: We performed secondary data analysis of a longitudinal prospective cohort study of 744 Medicaid-eligible mother-infant dyads recruited at the time of the infant's birth from an inner-city hospital in the United States and surveyed every 6 months for 24 months...
February 27, 2017: Human Vaccines & Immunotherapeutics
https://www.readbyqxmd.com/read/28274345/making-the-cut-depression-screening-in-urban-general-hospital-clinics-for-culturally-diverse-latino-populations
#12
Damara Gutnick, Carole Siegel, Eugene Laska, Joseph Wanderling, Ellen Cogen Wagner, Gary Haugland, Mary K Conlon
OBJECTIVES: We examined whether the cut-point 10 for the Patient Health Questionnaire-9 (PHQ9) depression screen used in primary care populations is equally valid for Mexicans (M), Ecuadorians (E), Puerto Ricans (PR) and non-Hispanic whites (W) from inner-city hospital-based primary care clinics; and whether stressful life events elevate scores and the probability of major depressive disorder (MDD). METHODS: Over 18-months, a sample of persons from hospital clinics with a positive initial PHQ2 and a subsequent PHQ9 were administered a stressful life event questionnaire and a Structured Clinical Interview to establish an MDD diagnosis, with oversampling of those between 8 and 12: (n=261: 75 E, 71 M, 51 PR, 64 W)...
March 2017: General Hospital Psychiatry
https://www.readbyqxmd.com/read/28268950/a-case-study-for-integrated-stem-outreach-in-an-urban-setting-using-a-do-it-yourself-vertical-jump-measurement-platform
#13
John F Drazan, Heather Danielsen, Matthew Vercelletto, Amy Loya, James Davis, Ron Eglash
The purpose of this study was to develop and deploy a low cost vertical jump platform using readily available materials for Science, Technology, Engineering, and Mathematics (STEM) education and outreach in the inner city. The platform was used to measure the jumping ability of participants to introduce students to the collection and analysis of scientific data in an engaging, accessible manner. This system was designed and fabricated by a student team of engineers as part of a socially informed engineering and design class...
August 2016: Conference Proceedings: Annual International Conference of the IEEE Engineering in Medicine and Biology Society
https://www.readbyqxmd.com/read/28260652/a-modified-qwasi-model-for-fate-and-transport-modeling-of-mercury-between-the-water-ice-sediment-in-lake-ulansuhai
#14
Yu Liu, Changyou Li, Bruce Anderson, Sheng Zhang, Xiaohong Shi, Shengnan Zhao
Mercury contamination from industrial and agricultural drainage into lakes and rivers is a growing concern in Northern China. Lake Ulansuhai, located in Hetao irrigation district in Inner Mongolia, is the only sink for the all industrial and agricultural drainage and sole outlet for this district to the Yellow River, which is one of the main source of drinking water for the numerous cities and towns downstream. Because Ulansuahi is ice-covered during winter, the QWASI model was modified by adding an ice equation to get a more accurate understanding of the fate and transport of mercury within the lake...
February 23, 2017: Chemosphere
https://www.readbyqxmd.com/read/28255096/investigating-the-meaning-of-good-or-very-good-patient-evaluations-of-care-in-english-general-practice-a-mixed-methods-study
#15
Jenni Burt, Jenny Newbould, Gary Abel, Marc N Elliott, Julia Beckwith, Nadia Llanwarne, Natasha Elmore, Antoinette Davey, Chris Gibbons, John Campbell, Martin Roland
OBJECTIVE: To examine concordance between responses to patient experience survey items evaluating doctors' interpersonal skills, and subsequent patient interview accounts of their experiences of care. DESIGN: Mixed methods study integrating data from patient questionnaires completed immediately after a video-recorded face-to-face consultation with a general practitioner (GP) and subsequent interviews with the same patients which included playback of the recording...
March 2, 2017: BMJ Open
https://www.readbyqxmd.com/read/28238748/can-we-predict-fall-asthma-exacerbations-validation-of-the-seasonal-asthma-exacerbation-index
#16
Heather E Hoch, Agustin Calatroni, Joseph B West, Andrew H Liu, Peter J Gergen, Rebecca S Gruchalla, Khurana G K Hershey, Carolyn M Kercsmar, Haejin Kim, Carin I Lamm, Melanie M Makhija, Herman E Mitchell, Stephen J Teach, Jeremy J Wildfire, William W Busse, Stanley J Szefler
BACKGROUND: A Seasonal Asthma Exacerbation Predictive Index (saEPI) was previously reported based on two prior NIAID Inner City Asthma Consortium trials. OBJECTIVE: We sought to validate the saEPI in a separate trial designed to prevent fall exacerbations with omalizumab therapy. METHODS: The saEPI and its components were analyzed to characterize those who had an asthma exacerbation during the PROSE (Preventative Omalizumab or Step-Up Therapy for Fall Exacerbations) study...
February 23, 2017: Journal of Allergy and Clinical Immunology
https://www.readbyqxmd.com/read/28235511/increasing-body-mass-index-predicts-increasing-difficulty-failure-rate-and-time-to-discovery-of-failure-of-epidural-anesthesia-in-laboring-patients
#17
Ayse O Kula, Matthias L Riess, Elizabeth H Ellinas
STUDY OBJECTIVE: Obese parturients both greatly benefit from neuraxial techniques, and may represent a technical challenge to obstetric anesthesiologists. Several studies address the topic of obesity and neuraxial analgesia in general, but few offer well described definitions or rates of "difficulty" and "failure" of labor epidural analgesia. Providing those definitions, we hypothesized that increasing body mass index (BMI) is associated with negative outcomes in both categories and increased time needed for epidural placement...
February 2017: Journal of Clinical Anesthesia
https://www.readbyqxmd.com/read/28227156/a-case-study-for-integrated-stem-outreach-in-an-urban-setting-using-a-do-it-yourself-vertical-jump-measurement-platform
#18
John F Drazan, Heather Danielsen, Matthew Vercelletto, Amy Loya, James Davis, Ron Eglash, John F Drazan, Heather Danielsen, Matthew Vercelletto, Amy Loya, James Davis, Ron Eglash, Heather Danielsen, Ron Eglash, John F Drazan, Matthew Vercelletto, Amy Loya, James Davis
The purpose of this study was to develop and deploy a low cost vertical jump platform using readily available materials for Science, Technology, Engineering, and Mathematics (STEM) education and outreach in the inner city. The platform was used to measure the jumping ability of participants to introduce students to the collection and analysis of scientific data in an engaging, accessible manner. This system was designed and fabricated by a student team of engineers as part of a socially informed engineering and design class...
August 2016: Conference Proceedings: Annual International Conference of the IEEE Engineering in Medicine and Biology Society
https://www.readbyqxmd.com/read/28220312/preventing-hiv-and-hepatitis-infections-among-people-who-inject-drugs-leveraging-an-indiana-outbreak-response-to-break-the-impasse
#19
EDITORIAL
Jeffrey S Crowley, Gregorio A Millett
Providing clean needles through syringe services programs (SSPs) prevents the spread of disease among people who inject drugs (PWID). The recent HIV outbreak in Scott County, Indiana was a wakeup call with particular significance because modeling suggests that Scott County is but one of many counties in the United States highly vulnerable to an HIV outbreak among PWID. It is a painful recognition that some policy makers ignored the evidence in support of SSPs when it was primarily blacks in inner cities that were affected, yet swung into action in the wake of Scott County where 99% of the cases were white...
February 20, 2017: AIDS and Behavior
https://www.readbyqxmd.com/read/28219424/health-risk-assessment-of-china-s-main-air-pollutants
#20
Jian Sun, Tiancai Zhou
BACKGROUND: With the rapid development of China's economy, air pollution has attracted public concern because of its harmful effects on health. METHODS: The source apportioning of air pollution, the spatial distribution characteristics, and the relationship between atmospheric contamination, and the risk of exposure were explored. The in situ daily concentrations of the principal air pollutants (PM2.5, PM10, SO2, NO2, CO and O3) were obtained from 188 main cities with many continuous air-monitoring stations across China (2014 and 2015)...
February 20, 2017: BMC Public Health
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