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https://www.readbyqxmd.com/read/28542117/prevalence-of-arthritis-and-arthritis-attributable-activity-limitation-by-urban-rural-county-classification-united-states-2015
#1
Michael A Boring, Jennifer M Hootman, Yong Liu, Kristina A Theis, Louise B Murphy, Kamil E Barbour, Charles G Helmick, Terry J Brady, Janet B Croft
Rural populations in the United States have well documented health disparities, including higher prevalences of chronic health conditions (1,2). Doctor-diagnosed arthritis is one of the most prevalent health conditions (22.7%) in the United States, affecting approximately 54.4 million adults (3). The impact of arthritis is considerable: an estimated 23.7 million adults have arthritis-attributable activity limitation (AAAL). The age-standardized prevalence of AAAL increased nearly 20% from 2002 to 2015 (3). Arthritis prevalence varies widely by state (range = 19%-36%) and county (range = 16%-39%) (4)...
May 26, 2017: MMWR. Morbidity and Mortality Weekly Report
https://www.readbyqxmd.com/read/28542020/ciclovia-in-a-rural-latino-community-results-and-lessons-learned
#2
Cynthia K Perry, Linda K Ko, Lidia Hernandez, Rosa Ortiz, Sandra Linde
CONTEXT: Ciclovias involve the temporary closure of roads to motorized vehicles, allowing for use by bicyclists, walkers, and runners and for other physical activity. Ciclovias have been held in urban and suburban communities in the United States and Latin America. OBJECTIVE: We evaluated the first ciclovia held in a rural, predominantly Latino community in Washington State. SETTING: Three blocks within a downtown area in a rural community were closed for 5 hours on a Saturday in July 2015...
July 2017: Journal of Public Health Management and Practice: JPHMP
https://www.readbyqxmd.com/read/28539231/buckle-of-the-bariatric-surgery-belt-an-analysis-of-regional-disparities-in-bariatric-surgery
#3
Dietric L Hennings, Thomas J O'Malley, Maria Baimas-George, Zaid Al-Qurayshi, Emad Kandil, Christopher DuCoin
BACKGROUND: Surgical options have emerged as effective treatments to mitigate obesity-associated co-morbidities leading to reduced mortality risk. Despite the benefits of bariatric surgery, a low portion of the eligible population undergoes weight loss procedures. OBJECTIVES: To determine if regional disparities exist among bariatric patients in the United States and potential effects of any difference SETTING: National Inpatient Sample (NIS). METHODS: We performed a retrospective, cross-sectional analysis of the NIS database from 2003-2010...
April 6, 2017: Surgery for Obesity and related Diseases: Official Journal of the American Society for Bariatric Surgery
https://www.readbyqxmd.com/read/28535822/social-determinants-of-traumatic-brain-injury-in-the-north-american-indigenous-population-a-review
#4
Kaitlin J Zeiler, Frederick A Zeiler
OBJECTIVE: Given the difficult to navigate literature on social determinants in Indigenous traumatic brain injury (TBI) we wished to identify all available literature on the social determinants of health linked to TBI in the North American Indigenous populations. METHODS: We performed a systematically conducted review. We searched MEDLINE, BIOSIS, EMBASE, Global Health, SCOPUS, and Cochrane Library from inception to January 2016. A two-step review process of the search results was performed, applying defined inclusion/exclusion criteria...
May 24, 2017: Canadian Journal of Neurological Sciences. le Journal Canadien des Sciences Neurologiques
https://www.readbyqxmd.com/read/28528742/patterns-of-gun-deaths-across-us-counties-1999-2013
#5
Bindu Kalesan, Sandro Galea
PURPOSE: We examined the socio-demographic distribution of gun deaths across 3143 counties in 50 United States' states to understand the spatial patterns and correlates of high and low gun deaths. METHODS: We used aggregate counts of gun deaths and population in all counties from 1999 to 2013 from the Centers for Disease Control and Prevention's Wide-ranging Online Data for Epidemiologic Research (WONDER). We characterized four levels of gun violence, as distinct levels of gun death rates of relatively safe, unsafe, violent, and extremely violent counties, based on quartiles of 15-year county-specific gun death rates per 100,000 and used negative binomial regression models allowing clustering by state to calculate incidence rate ratios and 95% confidence intervals (95% CIs)...
April 27, 2017: Annals of Epidemiology
https://www.readbyqxmd.com/read/28516800/undertriage-of-pediatric-major-trauma-patients-in-the-united-states
#6
Jin Peng, Krista Wheeler, Jonathan I Groner, Kathryn J Haley, Henry Xiang
Although trauma undertriage has been widely discussed in the literature, undertriage in the pediatric trauma population remains understudied. Using the 2009-2013 Nationwide Emergency Department Sample, we assessed the national undertriage rate in pediatric major trauma patients (age ≤16 years and injury severity score [ISS] >15), and identified factors associated with pediatric trauma undertriage. Nationally, 21.7% of pediatric major trauma patients were undertriaged. Children living in rural areas were more likely to be undertriaged ( P = ...
May 1, 2017: Clinical Pediatrics
https://www.readbyqxmd.com/read/28509947/-arboviruses-also-have-an-american-dream
#7
F Rodhain
Some arboviruses that originated in the Old World have been introduced by humans into the American continent. The first of them was the yellow fever virus, coming from the West African coast with slaves in the 17th-19th centuries, followed by dengue viruses, which were always prevalent within the Americas. Next was theWest Nile virus, introduced in New York in 1999, that spread in only a few years over the whole continent. Then, Chikungunya virus arrived on Saint Martin Island in 2013 after its outbreak in Polynesia; it is now widespread in the Caribbean Islands and on the American continent from the United States to Brazil...
May 16, 2017: Bulletin de la Société de Pathologie Exotique
https://www.readbyqxmd.com/read/28499425/hand-held-cell-phone-use-while-driving-legislation-and-observed-driver-behavior-among-population-sub-groups-in-the-united-states
#8
Toni M Rudisill, Motao Zhu
BACKGROUND: Cell phone use behaviors are known to vary across demographic sub-groups and geographic locations. This study examined whether universal hand-held calling while driving bans were associated with lower road-side observed hand-held cell phone conversations across drivers of different ages (16-24, 25-59, ≥60 years), sexes, races (White, African American, or other), ruralities (suburban, rural, or urban), and regions (Northeast, Midwest, South, and West). METHODS: Data from the 2008-2013 National Occupant Protection Use Survey were merged with states' cell phone use while driving legislation...
May 12, 2017: BMC Public Health
https://www.readbyqxmd.com/read/28499225/environmental-risk-assessment-of-polycyclic-musks-hhcb-and-ahtn-in-consumer-product-chemicals-in-china
#9
Ming Fan, Zhengtao Liu, Scott Dyer, Pu Xia, Xiaowei Zhang
An environmental risk assessment (ERA) framework was recently developed for consumer product chemicals in China using a tiered approach, applying an existing Chinese regulatory qualitative method in Tier Zero and, then, utilizing deterministic and probabilistic methods for Tiers One and Two. The exposure assessment methodology in the framework applied conditions specific to China including physical setting, infrastructure, and consumers' habits and practices. Furthermore, two scenarios were identified for quantitatively assessing environmental exposure: (1) Urban with wastewater treatment, and; (2) Rural without wastewater treatment (i...
May 9, 2017: Science of the Total Environment
https://www.readbyqxmd.com/read/28493860/hepatitis-c-virus-infection-among-women-giving-birth-tennessee-and-united-states-2009-2014
#10
Stephen W Patrick, Audrey M Bauer, Michael D Warren, Timothy F Jones, Carolyn Wester
Hepatitis C virus (HCV) affects an estimated 3.5 million persons in the United States (1), making it the most common bloodborne infection in the country. Recent surveillance data showed increased rates of HCV infection among adolescents and adults who are predominantly white, live in nonurban areas, and have a history of injection drug use.* U.S. birth certificate data were used to analyze trends and geographic variations in rates of HCV infection among women giving birth during 2009-2014. Birth certificates from Tennessee were used to examine individual characteristics and outcomes associated with HCV infection, using a multivariable model to calculate adjusted odds of HCV-related diagnosis in pregnancy among women with live births...
May 12, 2017: MMWR. Morbidity and Mortality Weekly Report
https://www.readbyqxmd.com/read/28492517/first-nations-approaches-to-childhood-obesity-healthy-lifestyles-in-canada-compared-with-alternatives-for-alaska-native-communities
#11
Peter A de Schweinitz, Janet M Wojcicki
Alaska Native and American Indian children have among the highest prevalence of obesity in the United States. Canadian Aboriginal populations including First Nations also have high rates of obesity but obesity rates among children are noticeably lower. We highlight some of the important differences between American and Canadian approaches to healthy lifestyles and Aboriginal/Native health, including diet and physical activity, which may in part explain the differences in obesity prevalence. Specifically, the Canadian government provides a food subsidy program to bring perishable fruits and vegetable to remote, rural Canadian areas and secondly supports the use of traditional foods and harvesting/gathering through a number of government supported programs...
May 11, 2017: Children
https://www.readbyqxmd.com/read/28491205/food-insecurity-among-american-indians-and-alaska-natives-a-national-profile-using-the-current-population-survey-food-security-supplement
#12
Valarie Blue Bird Jernigan, Kimberly R Huyser, Jimmy Valdes, Vanessa Watts Simonds
Food insecurity increases the risk for obesity, diabetes, hypertension, and cancer-conditions highly prevalent among American Indians and Alaska Natives (AI/ANs). Using the Current Population Survey Food Security Supplement, we analyzed the food insecurity trends of AI/ANs compared to other racial and ethnic groups in the United States from 2000 to 2010. From 2000 to 2010, 25% of AI/ANs remained consistently food insecure and AI/ANs were twice as likely to be food insecure compared to whites. Urban AI/ANs were more likely to experience food insecurity than rural AI/ANs...
2017: Journal of Hunger & Environmental Nutrition
https://www.readbyqxmd.com/read/28487448/incidence-of-primary-biliary-cholangitis-in-a-rural-midwestern-population
#13
Rajan Kanth, Ram Babu Shrestha, Indira Rai, Jeffrey J VanWormer, Praveen K Roy
BACKGROUND: Primary biliary cholangitis (PBC) is a rare disease with incidence that varies with time and geography. Only two studies have assessed PBC incidence of in the United States, with the most recent appearing over a decade ago. The objective of the present study was to assess PBC incidence in the United States in a more recent era. METHODS: The incidence of PBC was assessed in a population-based cohort in rural, Midwestern Wisconsin over two decades spanning from June 1992 through June 2011...
May 9, 2017: Clinical Medicine & Research
https://www.readbyqxmd.com/read/28486687/analysis-of-national-rates-cost-and-sources-of-cost-variation-in-adult-spinal-deformity
#14
Corinna C Zygourakis, Caterina Y Liu, Malla Keefe, Christopher Moriates, John Ratliff, R Adams Dudley, Ralph Gonzales, Praveen V Mummaneni, Christopher P Ames
BACKGROUND: Several studies suggest significant variation in cost for spine surgery, but there has been little research in this area for spinal deformity. OBJECTIVE: To determine the utilization, cost, and factors contributing to cost for spinal deformity surgery. METHODS: The cohort comprised 55 599 adults who underwent spinal deformity fusion in the 2001 to 2013 National Inpatient Sample database. Patient variables included age, gender, insurance, median income of zip code, county population, severity of illness, mortality risk, number of comorbidities, length of stay, elective vs nonelective case...
May 9, 2017: Neurosurgery
https://www.readbyqxmd.com/read/28481979/risk-of-non-targeted-infectious-disease-hospitalizations-among-u-s-children-following-inactivated-and-live-vaccines-2005-2014
#15
Barbara H Bardenheier, Michael M McNeil, A Patricia Wodi, Janet McNicholl, Frank DeStefano
Background: Recent studies have shown that some vaccines have beneficial effects that could not be explained solely by the prevention of their respective targeted disease(s). Methods: We used the MarketScan® United States (US) Commercial Claims Databases from 2005-2014 to assess the risk of hospital admission for non-targeted infectious diseases in children from 16 through 24 months according to the last vaccine type (live and/or inactivated). We included children continuously enrolled within a month of birth through 15 months who received at least three doses of Diphtheria-Tetanus-acellular Pertussis vaccine by end of 15 months of age...
May 6, 2017: Clinical Infectious Diseases: An Official Publication of the Infectious Diseases Society of America
https://www.readbyqxmd.com/read/28481656/multiple-naloxone-administrations-among-emergency-medical-service-providers-is-increasing
#16
Mark Faul, Peter Lurie, Jeremiah M Kinsman, Michael W Dailey, Charmaine Crabaugh, Scott M Sasser
BACKGROUND: Opioid overdoses are at epidemic levels in the United States. Emergency Medical Service (EMS) providers may administer naloxone to restore patient breathing and prevent respiratory arrest. There was a need for contemporary data to examine the number of naloxone administrations in an EMS encounter. METHODS: Using data from the National Emergency Medical Services Information System, we examined data from 2012-5 to determine trends in patients receiving multiple naloxone administrations (MNAs)...
May 8, 2017: Prehospital Emergency Care
https://www.readbyqxmd.com/read/28481167/impact-of-a-mobile-health-application-on-user-engagement-and-pregnancy-outcomes-among-wyoming-medicaid-members
#17
James Bush, Dilek E Barlow, Jennie Echols, Jasmine Wilkerson, Katherine Bellevin
BACKGROUND: Pregnancy and birth outcomes are a critical area of healthcare, yet negative outcomes like C-sections and preterm births remain widespread. Studies show that early and ongoing prenatal care can improve outcomes; however, in-person care is difficult to deliver in rural areas. This article examines the impact of mobile health technology on user engagement and birth outcomes in a Wyoming pilot study. The pilot did face some limitations; namely, the small app user group size and scant demographic information collected from users...
May 8, 2017: Telemedicine Journal and E-health: the Official Journal of the American Telemedicine Association
https://www.readbyqxmd.com/read/28470135/a-decade-of-health-assessments-in-appalachia
#18
E Scott Sills, Xiang Li
Purpose The purpose of this paper is to describe standardized clinical process of care and quality performance metrics at Roane Medical Center (RMC) and compare data from 2005 to 2015. Design/methodology/approach Information was extracted from a nationwide sample of short-term acute care hospitals using the Hospital Quality Alliance (HQA) database, evaluating multiple parameters measured at RMC. HQA data from RMC were matched against state and national benchmarks; findings were also compared with similar reports from the same facility in 2005...
May 8, 2017: International Journal of Health Care Quality Assurance
https://www.readbyqxmd.com/read/28467479/mechanistic-modeling-of-insecticide-risks-to-breeding-birds-in-north-american-agroecosystems
#19
Matthew Etterson, Kristina Garber, Edward Odenkirchen
Insecticide usage in the United States is ubiquitous in urban, suburban, and rural environments. There is accumulating evidence that insecticides adversely affect non-target wildlife species, including birds, causing mortality, reproductive impairment, and indirect effects through loss of prey base, and the type and magnitude of such effects differs by chemical class, or mode of action. In evaluating data for an insecticide registration application and for registration review, scientists at the United States Environmental Protection Agency (USEPA) assess the fate of the insecticide and the risk the insecticide poses to the environment and non-target wildlife...
2017: PloS One
https://www.readbyqxmd.com/read/28466241/newborn-screening-for-duchenne-muscular-dystrophy-in-china-follow-up-diagnosis-and-subsequent-treatment
#20
Qing Ke, Zheng-Yan Zhao, Robert Griggs, Veronica Wiley, Anne Connolly, Jennifer Kwon, Ming Qi, Daniel Sheehan, Emma Ciafaloni, R Rodney Howell, Petra Furu, Peter Sazani, Arvind Narayana, Michele Gatheridge
BACKGROUND: Newborn screening for Duchenne muscular dystrophy (DMD) is currently being initiated in Zhejiang Province, China and is under consideration in other countries, including the United States. As China begins to implement DMD newborn screening (DMDNBS), there is ongoing discussion regarding the steps forward for follow up care of positively identifi ed patients as well as false positive and false negative results. DATA SOURCES: Relevant papers related to DMD-NBS, and NBS in China were reviewed in PubMed...
May 2, 2017: World Journal of Pediatrics: WJP
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