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https://www.readbyqxmd.com/read/28916666/regional-evaluation-of-the-severity-based-stroke-triage-algorithm-for-emergency-medical-services-using-discrete-event-simulation
#1
Brittany M Bogle, Andrew W Asimos, Wayne D Rosamond
BACKGROUND AND PURPOSE: The Severity-Based Stroke Triage Algorithm for Emergency Medical Services endorses routing patients with suspected large vessel occlusion acute ischemic strokes directly to endovascular stroke centers (ESCs). We sought to evaluate different specifications of this algorithm within a region. METHODS: We developed a discrete event simulation environment to model patients with suspected stroke transported according to algorithm specifications, which varied by stroke severity screen and permissible additional transport time for routing patients to ESCs...
September 15, 2017: Stroke; a Journal of Cerebral Circulation
https://www.readbyqxmd.com/read/28892445/applying-the-15-public-health-emergency-preparedness-capabilities-to-support-large-scale-tuberculosis-investigations-in-complex-congregate-settings
#2
Alison Jaffe Levy, Katelynne Gardner Toren, Carina Elsenboss, Masahiro Narita
Public Health-Seattle and King County, a metropolitan health department in western Washington, experiences rates of tuberculosis (TB) that are 1.6 times higher than are state and national averages. The department's TB Control Program uses public health emergency management tools and capabilities sustained with Centers for Disease Control and Prevention grant funding to manage large-scale complex case investigations. We have described 3 contact investigations in large congregate settings that the TB Control Program conducted in 2015 and 2016...
September 2017: American Journal of Public Health
https://www.readbyqxmd.com/read/28891937/the-impact-of-a-city-level-minimum-wage-policy-on-supermarket-food-prices-in-seattle-king-county
#3
Jennifer J Otten, James Buszkiewicz, Wesley Tang, Anju Aggarwal, Mark Long, Jacob Vigdor, Adam Drewnowski
Background: Many states and localities throughout the U.S. have adopted higher minimum wages. Higher labor costs among low-wage food system workers could result in higher food prices. Methods: Using a market basket of 106 foods, food prices were collected at affected chain supermarket stores in Seattle and same-chain unaffected stores in King County (n = 12 total, six per location). Prices were collected at 1 month pre- (March 2015) and 1-month post-policy enactment (May 2015), then again 1-year post-policy enactment (May 2016)...
September 9, 2017: International Journal of Environmental Research and Public Health
https://www.readbyqxmd.com/read/28886604/the-imperial-county-community-air-monitoring-network-a-model-for-community-based-environmental-monitoring-for-public-health-action
#4
Paul B English, Luis Olmedo, Ester Bejarano, Humberto Lugo, Eduardo Murillo, Edmund Seto, Michelle Wong, Galatea King, Alexa Wilkie, Dan Meltzer, Graeme Carvlin, Michael Jerrett, Amanda Northcross
The Imperial County Community Air Monitoring Network (the Network) is a collaborative group of community, academic, nongovernmental, and government partners designed to fill the need for more detailed data on particulate matter in an area that often exceeds air quality standards. The Network employs a community-based environmental monitoring process in which the community and researchers have specific, well-defined roles as part of an equitable partnership that also includes shared decision-making to determine study direction, plan research protocols, and conduct project activities...
July 31, 2017: Environmental Health Perspectives
https://www.readbyqxmd.com/read/28876285/a-web-application-to-facilitate-syphilis-reactor-grid-evaluations
#5
Tigran Avoundjian, Christine M Khosropour, Matthew R Golden, Lindley A Barbee, Julia C Dombrowski
BACKGROUND: Many health departments use a "reactor grid" to determine which laboratory-reported syphilis serologic test results require investigation. We developed a Web-based tool, the Syphilis Reactor Grid Evaluator (SRGE), to facilitate health department reactor grid evaluations and test the tool using data from Seattle & King County, Washington. METHODS: We developed SRGE using the R Shiny Web application framework. When populated with a data set including titer results and final disposition codes, SRGE displays the percent of verified early syphilis cases by serologic titer result and patient age in each cell of the grid...
August 28, 2017: Sexually Transmitted Diseases
https://www.readbyqxmd.com/read/28845515/a-multi-sector-assessment-of-community-organizational-capacity-for-promotion-of-chinese-immigrant-worker-health
#6
Jenny H-C Tsai, Elaine A Thompson
BACKGROUND: Community-based collaborative approaches have received increased attention as a means for addressing occupational health disparities. Organizational capacity, highly relevant to engaging and sustaining community partnerships, however, is rarely considered in occupational health research. METHODS: To characterize community organizational capacity specifically relevant to Chinese immigrant worker health, we used a cross-sectional, descriptive design with 36 agencies from six community sectors in King County, Washington...
August 28, 2017: American Journal of Industrial Medicine
https://www.readbyqxmd.com/read/28829718/development-and-field-validation-of-a-community-engaged-particulate-matter-air-quality-monitoring-network-in-imperial-ca
#7
Graeme N Carvlin, Humberto Lugo, Luis Olmedo, Ester Bejarano, Alexa Wilkie, Dan Meltzer, Michelle Wong, Galatea King, Amanda Northcross, Michael Jerrett, Paul B English, Donald Hammond, Edmund Seto
The Imperial County Community Air Monitoring Network was developed as part of a community-engaged research study to provide real-time particulate matter (PM) air quality information at a high spatial resolution in Imperial County, California. The network augmented the few existing regulatory monitors and increased monitoring near susceptible populations. Monitors were both calibrated and field validated, a key component of evaluating the quality of the data produced by the community-monitoring network. This paper examines the performance of a customized version of the low-cost Dylos optical particle counter used in the community air monitors compared to both PM2...
August 22, 2017: Journal of the Air & Waste Management Association
https://www.readbyqxmd.com/read/28825639/a-geographical-analysis-of-emergency-medical-service-calls-and-extreme-heat-in-king-county-wa-usa-2007-2012
#8
Aubrey C DeVine, Phuong T Vu, Michael G Yost, Edmund Y W Seto, Tania M Busch Isaksen
This research analyzed the relationship between extreme heat and Emergency Medical Service (EMS) calls in King County, WA, USA between 2007 and 2012, including the effect of community-level characteristics. Extreme heat thresholds for the Basic Life Support (BLS) data and the Advanced Life Support (ALS) data were found using a piecewise generalized linear model with Akaike Information Criterion (AIC). The association between heat exposure and EMS call rates was investigated using a generalized estimating equations with Poisson mean model, while adjusting for community-level indicators of poverty, impervious surface, and elderly population (65+)...
August 20, 2017: International Journal of Environmental Research and Public Health
https://www.readbyqxmd.com/read/28809775/evaluation-of-an-automated-express-care-triage-model-to-identify-clinically-relevant-cases-in-a-sexually-transmitted-disease-clinic
#9
Laura C Chambers, Lisa E Manhart, David A Katz, Matthew R Golden, Lindley A Barbee, Julia C Dombrowski
BACKGROUND: Many sexually transmitted disease (STD) clinics offer testing-only "express" visits. We evaluated the express care triage algorithm that is based on a computer-assisted self-interview (CASI) used in the Public Health-Seattle and King County STD Clinic. METHODS: During the analysis period, patients received a clinician evaluation irrespective of triage status. In this cross-sectional study, we compared the algorithm triage status to a disease-focused outcome determined by medical record review...
September 2017: Sexually Transmitted Diseases
https://www.readbyqxmd.com/read/28803184/association-of-asthma-with-rheumatoid-arthritis-a-population-based-case-control-study
#10
Youn Ho Sheen, Mary C Rolfes, Chung-Il Wi, Cindy S Crowson, Richard S Pendegraft, Katherine S King, Euijung Ryu, Young J Juhn
BACKGROUND: TH1 and TH2 cells have counterregulatory relationships. However, the relationship between asthma, a TH2-predominant condition, and risk of systemic inflammatory diseases such as rheumatoid arthritis (RA), a TH1 condition, is poorly understood. OBJECTIVE: We aimed to determine whether asthma was associated with increased risks of incident RA among adults. METHODS: We conducted a retrospective population-based case-control study that examined existing incident RA cases and controls matched by age, sex, and registration year from the general population in Olmsted County, Minnesota, between January 2002 and December 2007...
August 9, 2017: Journal of Allergy and Clinical Immunology in Practice
https://www.readbyqxmd.com/read/28675882/characterizing-spatiotemporal-dynamics-in-phenology-of-urban-ecosystems-based-on-landsat-data
#11
Xuecao Li, Yuyu Zhou, Ghassem R Asrar, Lin Meng
Seasonal phenology of vegetation plays an important role in global carbon cycle and ecosystem productivity. In urban environments, vegetation phenology is also important because of its influence on public health (e.g., allergies), and energy demand (e.g. cooling effects). In this study, we studied the potential use of remotely sensed observations (i.e. Landsat data) to derive some phenology indicators for vegetation embedded within the urban core domains in four distinctly different U.S. regions (Washington, D...
December 15, 2017: Science of the Total Environment
https://www.readbyqxmd.com/read/28669288/incremental-benefit-cost-of-momcare-collaborative-care-for-perinatal-depression-among-economically-disadvantaged-women
#12
Nancy K Grote, Gregory E Simon, Joan Russo, Mary Jane Lohr, Kathy Carson, Wayne Katon
OBJECTIVE: Effectiveness of collaborative care for perinatal depression has been demonstrated for MOMCare, from early pregnancy up to 15 months postpartum, for Medicaid enrollees in a public health system. MOMCare had a greater impact on reducing depression and improving functioning for women with comorbid posttraumatic stress disorder (PTSD) than for those without PTSD. This study estimated the incremental benefit and cost and the net benefit of MOMCare for women with major depression and PTSD...
July 3, 2017: Psychiatric Services: a Journal of the American Psychiatric Association
https://www.readbyqxmd.com/read/28665517/a-cumulative-deficit-laboratory-test-based-frailty-index-personal-and-neighborhood-associations
#13
Katherine E King, Gerda G Fillenbaum, Harvey J Cohen
OBJECTIVES: To explore the association between a newly developed cumulative laboratory-based frailty index (FI) and intrinsic (personal) and extrinsic (social, environmental) characteristics. DESIGN: Cross-sectional longitudinal study. SETTING: The third and fourth waves of the community-representative, five-county, 10-year Duke Established Populations for Epidemiologic Studies of the Elderly study, carried out in a health service-rich area...
September 2017: Journal of the American Geriatrics Society
https://www.readbyqxmd.com/read/28594702/ozone-related-respiratory-morbidity-in-a-low-pollution-region
#14
Sheryl Magzamen, Brianna F Moore, Michael G Yost, Richard A Fenske, Catherine J Karr
OBJECTIVE: We evaluated the effects of ozone on respiratory-related hospital admissions in three counties in Washington State from 1990 to 2006. We further examined vulnerability to ozone by key demographic factors. METHOD: Using linked hospital admission and ambient monitoring data, we estimated the age-, sex-, and health insurance-stratified associations between ozone (0 to 3 days' lag) and respiratory-related hospital admissions in King, Spokane, and Clark County, Washington...
July 2017: Journal of Occupational and Environmental Medicine
https://www.readbyqxmd.com/read/28492448/drivers-and-barriers-for-adopting-accreditation-at-local-health-departments-for-their-performance-improvement-effort
#15
Sandra S Liu, Beth Meyerson, Jerry King, Yuehwern Yih, Mina Ostovari
CONTEXT: A national system of voluntary public health accreditation for state, local, and tribal health departments (local health departments [LHDs]) is part of a movement that aims to improve public health performance with ultimate impact on population health outcomes. Indiana is a good setting for the study of LHD accreditation adoption because several LHDs reported de-adopting accreditation in a recent statewide survey and because 71% of Indiana counties serve populations of 50 000 or less...
May 10, 2017: Journal of Public Health Management and Practice: JPHMP
https://www.readbyqxmd.com/read/28464175/risky-teen-driving-in-a-rural-southern-state
#16
Kathy Monroe, William Hardwick, Victoria Lawson, Elizabeth Nichols, Michele Nichols, William D King
OBJECTIVE: Alabama is one of the five US states with the highest teen driving mortality. We recruited teen drivers to participate in a questionnaire regarding high-risk driving behaviors. METHODS: Teens were recruited from a large county school system to participate in a voluntary anonymous survey. Questions were taken in part from the National Youth Risk Behavior Survey. Descriptive statistics and odds ratios with 95% confidence intervals were calculated. RESULTS: A total of 1023 teen drivers participated (46% boys, 47% African American, 39% white, 6% Latino, and 7% other)...
May 2017: Southern Medical Journal
https://www.readbyqxmd.com/read/28427882/effects-of-bystander-cpr-following-out-of-hospital-cardiac-arrest-on-hospital-costs-and-long-term-survival
#17
Guillaume Geri, Carol Fahrenbruch, Hendrika Meischke, Ian Painter, Lindsay White, Thomas D Rea, Marcia R Weaver
BACKGROUND: Bystander cardiopulmonary resuscitation (CPR) is associated with a greater likelihood of survival to hospital discharge after out-of-hospital cardiac arrest (OHCA). However the long-term survival benefits in relationship to cost have not been well-studied. We evaluated bystander CPR, hospital-based costs, and long-term survival following OHCA in order to assess the potential cost-effectiveness of bystander CPR. PATIENTS AND METHODS: We conducted a retrospective cohort study of consecutive EMS-treated OHCA patients >=12years who arrested prior to EMS arrival and outside a nursing facility between 2001 and 2010 in greater King County, WA...
June 2017: Resuscitation
https://www.readbyqxmd.com/read/28388619/gps-or-travel-diary-comparing-spatial-and-temporal-characteristics-of-visits-to-fast-food-restaurants-and-supermarkets
#18
COMPARATIVE STUDY
Jason Y Scully, Anne Vernez Moudon, Philip M Hurvitz, Anju Aggarwal, Adam Drewnowski
To assess differences between GPS and self-reported measures of location, we examined visits to fast food restaurants and supermarkets using a spatiotemporal framework. Data came from 446 participants who responded to a survey, filled out travel diaries of places visited, and wore a GPS receiver for seven consecutive days. Provided by Public Health Seattle King County, addresses from food permit data were matched to King County tax assessor parcels in a GIS. A three-step process was used to verify travel-diary reported visits using GPS records: (1) GPS records were temporally matched if their timestamps were within the time window created by the arrival and departure times reported in the travel diary; (2) the temporally matched GPS records were then spatially matched if they were located in a food establishment parcel of the same type reported in the diary; (3) the travel diary visit was then GPS-sensed if the name of food establishment in the parcel matched the one reported in the travel diary...
2017: PloS One
https://www.readbyqxmd.com/read/28338921/the-relationship-between-objectively-measured-walking-and-risk-of-pedestrian-motor-vehicle-collision
#19
D Alex Quistberg, Eric J Howard, Philip M Hurvitz, Anne V Moudon, Beth E Ebel, Frederick P Rivara, Brian E Saelens
Safe urban walking environments may improve health by encouraging physical activity, but the relationship between an individual's location and walking pattern and the risk of pedestrian-motor vehicle collision is unknown. We examined associations between individuals' walking bouts and walking risk, measured as mean exposure to the risk of pedestrian-vehicle collision. Walking bouts were ascertained through integrated accelerometry and global positioning system data and from individual travel-diary data obtained from adults in the Travel Assessment and Community Study (King County, Washington) in 2008-2009...
May 1, 2017: American Journal of Epidemiology
https://www.readbyqxmd.com/read/28323474/jail-booking-as-an-occasion-for-hiv-care-reengagement-a-surveillance-based-study
#20
McKenna C Eastment, Katelynne Gardner Toren, Lara Strick, Susan E Buskin, Matthew R Golden, Julia C Dombrowski
OBJECTIVES: To examine population and HIV care outcomes of people living with HIV/AIDS (PLWHA) at their first incarceration of 2014 in 2 county jails in King County, Washington. METHODS: Using HIV surveillance data linked with jail booking data, we examined demographic information, viral loads, CD4 counts, and incarceration details for the period prior to jail booking, during incarceration, and year following jail release. RESULTS: In 2014, 202 PLWHA were incarcerated, 51% of whom were virally nonsuppressed at booking...
May 2017: American Journal of Public Health
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