Insight Into Health Care Services: A Characterization of Emergency Room Visits and Economic Hazards in the United States

2018 ◽  
Vol 13 (03) ◽  
pp. 470-475
Author(s):  
Hanadi Hamadi ◽  
Emma Apatu ◽  
Osayande Osagiede ◽  
Aaron Spaulding
Keyword(s):  
United States ◽  
Emergency Room ◽  
Emergency Departments ◽  
The United States ◽  
Emergency Room Visits ◽  
Cross Sectional ◽  
Data Set ◽  
Hospital Administrators ◽  
Preparedness Plan ◽  
The Impact

ABSTRACTObjectiveThis study explores the impact of economic hazard areas on hospital-based emergency departments to determine whether economically hazardous environments, characterized by the change of population, income per capita, and unemployment rate, experience a higher number of emergency room visits than areas of lower rated economic hazard risk in the United States.MethodA cross-sectional design was used of a nationally constructed data set of hospital-based emergency departments of over 6,000 hospitals in the United States. We identified our quality outcome measure as the emergency room visits rate within a hospital service area. We created the variable by dividing the number of emergency room visits by the population of the hospital services area in which the emergency room was located.ResultsResults indicate that there is a difference in the incident rate ratio of emergency room visits between environments considered to be experiencing greater amounts of hazard, compared to lower amounts of hazard.ConclusionHospital administrators and health policy-makers need to work in conjunction to focus efforts on public safety as a key objective in the delivery of emergency medical care. One crucial effort that hospital administrators need to focus on is improving emergency room capacity and efficiency as part of the disaster preparedness plan (Disaster Med Public Health Prep. 2019;13:470-475)

Feel the Burn! Fireworks-related Otolaryngologic Trauma

2021 ◽  
pp. 000348942110081
Author(s):  
Alexander J. Straughan ◽  
Luke J. Pasick ◽  
Vrinda Gupta ◽  
Daniel A. Benito ◽  
Joseph F. Goodman ◽  
...  
Keyword(s):  
United States ◽  
Head And Neck ◽  
Emergency Departments ◽  
Closed Head Injury ◽  
Penetrating Trauma ◽  
The United States ◽  
Neck Injuries ◽  
Chi Square ◽  
Injury Surveillance System ◽  
Cross Sectional

Objectives: Fireworks are used commonly for celebrations in the United States, but can lead to severe injury to the head and neck. We aim to assess the incidence, types, and mechanisms of head and neck injuries associated with fireworks use from 2010 to 2019. Methods: A retrospective cross-sectional study, using data from the National Electronic Injury Surveillance System, of individuals presenting to United States Emergency Departments with head and neck injuries caused by fireworks and flares from 2010 to 2019. Incidence, types, and mechanisms of injury related to fireworks use in the US population were assessed. Results: A total of 541 patients (349 [64.5%] male, and 294 [54%] under 18 years of age) presented to emergency departments with fireworks-related head and neck injuries; the estimated national total was 20 584 patients (13 279 male, 9170 white, and 11 186 under 18 years of age). The most common injury diagnoses were burns (44.7% of injuries), laceration/avulsion/penetrating trauma (21.1%), and otologic injury (15.2%), which included hearing loss, otalgia, tinnitus, unspecified acoustic trauma, and tympanic membrane perforation. The remaining 19% of injuries were a mix, including contusion, abrasion, hematoma, fracture, and closed head injury. Associations between fireworks type and injury diagnosis (chi-square P < .001), as well as fireworks type by age group (chi-square P < .001) were found. Similarly, associations were found between age groups and injury diagnoses (chi-square P < .001); these included children 5 years and younger and adults older than 30 years. Conclusions: Fireworks-related head and neck injuries are more likely to occur in young, white, and male individuals. Burns are the most common injury, while otologic injury is a significant contributor. Annual rates of fireworks-related head and neck injuries have not changed or improved significantly in the United States in the past decade, suggesting efforts to identify and prevent these injuries are insufficient.

scholarly journals Econometric Analysis Suggests Possible Crowding Out of Public Libraries by Book Superstores among Middle Income Families in the 1990s

2007 ◽  
Vol 2 (3) ◽  
pp. 94
Author(s):  
Stephanie Hall
Keyword(s):  
United States ◽  
Public Library ◽  
The United States ◽  
Econometric Analysis ◽  
Consumer Information ◽  
County Level ◽  
Data Set ◽  
Middle Income ◽  
Library Use ◽  
The Impact

Objective – To determine the effect of large bookstores (defined as those having 20 or more employees) on household library use. Design – Econometric analysis using cross-sectional data sets. Setting – The United States of America. Subjects – People in over 55,000 households across the U.S.A. Methods – Data from 3 1996 studies were examined using logit and multinomial logit estimation procedures: the National Center for Education Statistics’ National Household Education Survey (NHES) and Public Library Survey (PLS), and the U.S. Census Bureau’s County Business Patterns (CBP). The county level results of the NHES telephone survey were merged with the county level data from the PLS and the CBP. Additionally, data on Internet use at the state level from the Statistical Abstract of the United States were incorporated into the data set. A logit regression model was used to estimate probability of library use based on several independent variables, evaluated at the mean. Main results – In general, Hemmeter found that "with regard to the impact of large bookstores on household library use, large bookstores do not appear to have an effect on overall library use among the general population” (613). While no significant changes in general library use were found among high and low income households where more large bookstores were present, nor in the population taken as a whole, middle income households (between $25,000 and $50,000 in annual income) showed notable declines in library use in these situations. These effects were strongest in the areas of borrowing (200% less likely) and recreational purposes (161%), but were also present in work-related use and job searching. Hemmeter also writes that “poorer households use the library more often for job search purposes. The probability of library use for recreation, work, and consumer information increases as income increases. This effect diminishes as households get richer” (611). Finally, home ownership was also correlated with higher library use. Households with children were more than 20% more likely to use the library (610). Their use of the library for school-related purposes, general borrowing, program activities, and so on was not affected by the presence of book superstores. White families with children were somewhat less likely to use the library, while families with higher earning and education levels were more likely to use the library. Library use also increased with the number of children in the family. Shorter distances to the nearest branch and a higher proportion of AV materials were also predictive of higher library use. Educational level was another important factor, with those having less than high school completion being significantly less likely to use the library than those with higher levels of educational attainment. Conclusions – The notable decline in public library use among middle income households where more large bookstores are present is seen as an important threat to libraries, as it may result in a decline in general support and support for funding among an important voting block. More current data are needed in this area. In addition to the type of information examined in this study, the author recommends the inclusion of information on funding, support for library referenda, and library quality as they relate to the presence of large bookstores.

scholarly journals The Impact of Neighborhood Socioeconomic Status and Race on the Prescribing of Opioids in Emergency Departments Throughout the United States

2013 ◽  
Vol 28 (12) ◽  
pp. 1604-1610 ◽  
Author(s):  
Michael Joynt ◽  
Meghan K. Train ◽  
Brett W. Robbins ◽  
Jill S. Halterman ◽  
Enrico Caiola ◽  
...  
Keyword(s):  
United States ◽  
Socioeconomic Status ◽  
Emergency Departments ◽  
The United States ◽  
Neighborhood Socioeconomic Status ◽  
The Impact

“Justice of the Marketplace”: Legal Disputes and Economic Activity on America's Northeastern Frontier, 1700–1860

2008 ◽  
Vol 39 (1) ◽  
pp. 1-35 ◽  
Author(s):  
B. Zorina Khan
Keyword(s):  
United States ◽  
Eighteenth Century ◽  
Economic Activity ◽  
Critical Period ◽  
The United States ◽  
Market Exchange ◽  
Cross Sectional ◽  
Data Set ◽  
Community Norms ◽  
Over Time

The analysis of markets, courts, and civil litigation on the northeastern frontier of the United States provides a valuable opportunity to assess the evolution of institutions during economic development. The data set pools longitudinal and cross-sectional observations on 30,000 lawsuits filed in Maine during the critical period between 1700 and 1860. The earliest legal institutions moderated both social and economic norms, but courts quickly began to specialize in commercial issues. The residence of debtors and creditors and changes in spatial characteristics over time yield insights into the nature and extent of capital markets and impersonal exchange. The distribution and disposition of property and debt cases indicate that early markets were well developed and orderly; the evidence of “social tension” between debtors and creditors was minimal. The results do not support the standard claim of a transition from interactions based on community norms to impersonal market exchange late in the eighteenth century.

scholarly journals Racial, Economic and Health Inequality and COVID-19 Infection in the United States

2020 ◽  
Author(s):  
Vida Abedi ◽  
Oluwaseyi Olulana ◽  
Venkatesh Avula ◽  
Durgesh Chaudhary ◽  
Ayesha Khan ◽  
...  
Keyword(s):  
United States ◽  
New York ◽  
Health Care Access ◽  
Urban Areas ◽  
Death Rate ◽  
The United States ◽  
Preliminary Evidence ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
The Impact

AbstractBackgroundThere is preliminary evidence of racial and social-economic disparities in the population infected by and dying from COVID-19. The goal of this study is to report the associations of COVID-19 with respect to race, health and economic inequality in the United States.MethodsWe performed a cross-sectional study of the associations between infection and mortality rate of COVID-19 and demographic, socioeconomic and mobility variables from 369 counties (total population: 102,178,117 [median: 73,447, IQR: 30,761-256,098]) from the seven most affected states (Michigan, New York, New Jersey, Pennsylvania, California, Louisiana, Massachusetts).FindingsThe risk factors for infection and mortality are different. Our analysis shows that counties with more diverse demographics, higher population, education, income levels, and lower disability rates were at a higher risk of COVID-19 infection. However, counties with higher disability and poverty rates had a higher death rate. African Americans were more vulnerable to COVID-19 than other ethnic groups (1,981 African American infected cases versus 658 Whites per million). Data on mobility changes corroborate the impact of social distancing.InterpretationThe observed inequality might be due to the workforce of essential services, poverty, and access to care. Counties in more urban areas are probably better equipped at providing care. The lower rate of infection, but a higher death rate in counties with higher poverty and disability could be due to lower levels of mobility, but a higher rate of comorbidities and health care access.

scholarly journals The Economic Policy Uncertainty in China, the United States, and Europe: The Empirical Impact on Chinese Stock Markets

2019 ◽  
Vol 6 (5) ◽  
pp. 131
Author(s):  
Wannakomol Supachart
Keyword(s):  
United States ◽  
Economic Policy ◽  
Stock Markets ◽  
The United States ◽  
Policy Uncertainty ◽  
Cross Sectional ◽  
Economic Policy Uncertainty ◽  
Chinese Markets ◽  
Chinese Stock Markets ◽  
The Impact

The objective of this paper is to analyze the impact of economic policy uncertainty (EPU) in China, the United States, and Europe, which are influent to the Chinese stock markets. We employed Vector Autoregression (VAR) model with relative variables including the EPU indices and three Chinese stock markers indices to display the impulse responses of the markets to the EPUs. Our results indicate that the Chinese stock markets negatively respond to their domestic economic policy uncertainty in the first, second, and third month after the EPU shocks. Moreover, we also found the negative responses of the Chinese markets to the EPU from the United States that require five months to rebalance the markets. However, the Chinese markets seem positively respond to the shocks of the economic policy uncertainty in Europe and also took five months to archive market rebalancing. The significant correlation of the economic policy uncertainty between China and the United States resulted in cross-sectional correlation estimates among the EPU indices. Furthermore, there is the reasonable interesting result to claim that the economic policy uncertainty in China is statistically influenced by their own trade and fiscal policy uncertainty that may be considered to be related with China-US trade war in our conclusion.

scholarly journals Gender-Inclusive Fellowship Naming and Equity, Diversity, and Inclusion in Radiology: An Analysis of Radiology Department Websites in Canada and the United States

2022 ◽  
pp. 084653712110661
Author(s):  
Tyler D. Yan ◽  
Lauren E. Mak ◽  
Evelyn F. Carroll ◽  
Faisal Khosa ◽  
Charlotte J. Yong-Hing
Keyword(s):  
United States ◽  
Breast Imaging ◽  
The United States ◽  
Radiology Department ◽  
Imaging Data ◽  
Body Imaging ◽  
Cross Sectional ◽  
Diversity And Inclusion ◽  
The Us ◽  
The Impact

Purpose: Transgender and gender non-binary (TGNB) individuals face numerous inequalities in healthcare and there is substantial work to be done in fostering TGNB culturally competent care in radiology. A radiology department’s online presence and use of gender-inclusive language are essential in promoting an environment of equity, diversity, and inclusion (EDI). The naming of radiology fellowships and continuing medical education (CME) courses with terminology such as “Women’s Imaging” indicates a lack of inclusivity to TGNB patients and providers, which could result in suboptimal patient care. Methods: We conducted a cross-sectional analysis of all institutions in Canada and the United States (US) offering training in Breast Imaging, Women’s Imaging, or Breast and Body Imaging. Data was collected from each institution’s radiology department website pertaining to fellowship names, EDI involvement, and CME courses. Results: 8 Canadian and 71 US radiology fellowships were identified. 75% of Canadian and 90% of US fellowships had gender-inclusive names. One (12.5%) Canadian and 29 (41%) US institutions had EDI Committees mentioned on their websites. Among institutions publicly displaying CME courses about breast/body or women’s imaging, gender-inclusive names were used in only 1 (25%) of the Canadian CME courses, compared to 81% of the US institutions. Conclusions: Most institutions in Canada and the US have gender-inclusive names for their radiology fellowships pertaining to breast and body imaging. However, there is much opportunity to and arguably the responsibility for institutions in both countries to increase the impact and visibility of their EDI efforts through creation of department-specific committees and CME courses.

scholarly journals US Egg Production Data Set

2019 ◽  
Author(s):  
Samara Mendez
Keyword(s):  
United States ◽  
Egg Production ◽  
Laying Hens ◽  
The United States ◽  
Egg Laying ◽  
United States Department ◽  
Flock Size ◽  
Advocacy Organizations ◽  
Data Set ◽  
The Impact

Tracking the capability of the egg production industry to supply the food industry with enough cage-free eggs to meet retailers' and restaurants' animal welfare commitments is important to industry groups and farm animal advocacy organizations alike. In this project, we synthesize an analysis-ready data set that tracks cage-free hens and the supply of cage-free eggs relative to the overall numbers of hens and table eggs in the United States. The data set is based on reports produced by the United States Department of Agriculture (USDA), which are published weekly or monthly. The data will be updated periodically as new USDA reports are released. We supplement these data with definitions and a taxonomy of egg products drawn from USDA and industry publications. The data include flock size (both absolute and relative) and egg production of cage-free hens as well as all table-egg-laying hens in the US, collected to understand the impact of the industry's cage-free transition on hens. Data coverage ranges from December 2007 to present. Initial analysis of cage-free trends shows that, as of the most recent version of this report, 26% of all table-egg-laying hens lived in cage-free systems. This figure represents an increase of 23 percentage points over the entire sample period of December 2007 to April 2020.Revised: May 29, 2020

scholarly journals Relationship between Dietary Habits, Food Attitudes and Food Security Status among Adults Living within the United States Three Months Post-Mandated Quarantine: A Cross-Sectional Study

Nutrients ◽  
2020 ◽  
Vol 12 (11) ◽  
pp. 3468
Author(s):  
Aljazi Bin Zarah ◽  
Juliana Enriquez-Marulanda ◽  
Jeanette Mary Andrade
Keyword(s):  
United States ◽  
Food Security ◽  
Dietary Habits ◽  
The United States ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Food Security Status ◽  
Food Attitudes ◽  
The Impact

COVID-19 has disrupted the lives of many and may have influenced dietary habits through factors such as food security status and attitudes. The purpose of this study was to identify dietary habits and their associations with food insecurity and attitudes among adults living in the United States within three months post-mandated quarantine. An online cross-sectional study was conducted from April to June 2020. Participants (n = 3133) responded to a 71-item questionnaire regarding demographics (n = 7), health information (n = 5), lifestyle habits (n = 8), dietary habits (n = 37), food attitudes (n = 8), and food security status (n = 6). Frequency counts and percentages were tabulated, and multivariate linear regression was conducted to examine associations using STATA v14 at a statistical significance level of p < 0.05. Results showed that most participants indicated no change in dietary habits (43.6–87.4%), yet participants reported increased consumption of sweets (43.8%) and salty snacks (37.4%). A significant positive association for food attitude scores (1.59, 95% CI 1.48 to 1.70; p < 0.001) and food security scores (1.19, 95% CI 0.93 to 1.45; p < 0.001) on total dietary habit scores was found. Future extensive population studies are recommended to help public health authorities frame actions to alleviate the impact that mandated quarantine has on dietary habits.

The burden of prosthetic hip dislocations in the United States is projected to significantly increase by 2035

2020 ◽  
pp. 112070002092361
Author(s):  
Kevin Pirruccio ◽  
Ajay Premkumar ◽  
Neil P Sheth
Keyword(s):  
United States ◽  
Emergency Departments ◽  
Hip Dislocation ◽  
The United States ◽  
Injury Surveillance System ◽  
Cross Sectional ◽  
Hip Implant ◽  
Total Hip ◽  
National Burden ◽  
Linear Regression Modeling

Introduction: Prosthetic hip dislocation is a common, costly complication of total hip arthroplasty (THA). Despite this, the national burden of prosthetic hip dislocations remains uncharacterised in the United States, especially pertaining to injuries occurring years after the index procedure. This study examines historical and projected national estimates of prosthetic hip dislocations presenting to U.S. emergency departments between 2000 and 2035. Methods: We conducted a cross-sectional, retrospective epidemiological study using narratives in the National Electronic Injury Surveillance System (NEISS) database (2000–2017) to identify an estimated 64,671 prosthetic hip implant dislocations presenting to U.S. emergency departments. Estimates for the prevalence of individuals living with a total hip implant were derived from the literature. Results: The national estimate of prosthetic hip dislocations presenting to U.S. emergency departments rose significantly ( p < 0.001) between 2000 ( n = 2395; 95% CI, 1264–3526) and 2017 ( n = 8094; 95% CI, 4276–11,912). These increases are likely driven by increased numbers of people living with THA overall, since between 2000 and 2017, the average incidence of prosthetic hip dislocation (0.14%; CI 0.08–0.21%) in patients living with hip implants has not changed significantly. Linear regression modeling (R2 = 0.7, p < 0.01) projected an increasing number of dislocations through 2035, predicting 10,446 national cases per year by this date. Conclusions: Driven by increases in THA, the annual volume of prosthetic hip dislocations presenting to U.S. emergency departments has increased significantly since 2000 and is projected to continue to rise sharply. Future advances in surgical technique, prosthesis design, and injury prevention policies aimed at decreasing the rate of THA dislocation would help alleviate this mounting national health burden.

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