scholarly journals System-level performance and degradation of 21 GWDC of utility-scale PV plants in the United States

2020 ◽  
Vol 12 (4) ◽  
pp. 043501
Author(s):  
Mark Bolinger ◽  
Will Gorman ◽  
Dev Millstein ◽  
Dirk Jordan
Keyword(s):  
United States ◽  
The United States ◽  
System Level ◽  
Utility Scale ◽  
Level Performance

scholarly journals Media Systems and Attention Cycles: Volume and Topics of News Coverage on COVID-19 in the United States and China

2021 ◽  
pp. 107769902110494
Author(s):  
Christopher D. Wirz ◽  
Anqi Shao ◽  
Luye Bao ◽  
Emily L. Howell ◽  
Hannah Monroe ◽  
...  
Keyword(s):  
United States ◽  
News Coverage ◽  
The United States ◽  
Newspaper Coverage ◽  
System Level ◽  
Outbreak Response ◽  
Rich Media ◽  
Issue Attention ◽  
Media Systems ◽  
Over Time

We examined initial newspaper coverage of the COVID-19 outbreak (January–May 2020) in the United States and China, countries with contrasting media systems and pandemic experiences. We join the context-rich media systems literature and the longitudinal nature of the issue-attention literature to expand each by providing more system-level context for explaining how media cover an issue over time. U.S. coverage peaked later and stayed consistently high, while Chinese coverage was more variable. The most prominent topics in Chinese coverage were related to domestic outbreak response, while U.S. coverage focused on politics, highlighting how issue-attention cycles differ across countries.

scholarly journals Building access to care in adult sickle cell disease: defining models of care, essential components, and economic aspects

2020 ◽  
Vol 4 (16) ◽  
pp. 3804-3813
Author(s):  
Julie Kanter ◽  
Wally R. Smith ◽  
Payal C. Desai ◽  
Marsha Treadwell ◽  
Biree Andemariam ◽  
...  
Keyword(s):  
United States ◽  
Sickle Cell Disease ◽  
Access To Care ◽  
Sickle Cell ◽  
The United States ◽  
Models Of Care ◽  
System Level ◽  
Cell Disease ◽  
Blood Disorder ◽  
Essential Components

Abstract Sickle cell disease (SCD) is the most common inherited blood disorder in the United States. It is a medically and socially complex, multisystem illness that affects individuals throughout the lifespan. Given improvements in care, most children with SCD survive into adulthood. However, access to adult sickle cell care is poor in many parts of the United States, resulting in increased acute care utilization, disjointed care delivery, and early mortality for patients. A dearth of nonmalignant hematology providers, the lack of a national SCD registry, and the absence of a centralized infrastructure to facilitate comparative quality assessment compounds these issues. As part of a workshop designed to train health care professionals in the skills necessary to establish clinical centers focused on the management of adults living with SCD, we defined an SCD center, elucidated required elements of a comprehensive adult SCD center, and discussed different models of care. There are also important economic impacts of these centers at an institutional and health system level. As more clinicians are trained in providing adult-focused SCD care, center designation will enhance the ability to undertake quality improvement and compare outcomes between SCD centers. Activities will include an assessment of the clinical effectiveness of expanded access to care, the implementation of SCD guidelines, and the efficacy of newly approved targeted medications. Details of this effort are provided.

scholarly journals Racial disparities in pedestrian-related injury hospitalizations in the United States

2020 ◽  
Author(s):  
Cara Hamann ◽  
Corinne Peek-Asa ◽  
Brandon Butcher
Keyword(s):  
United States ◽  
Length Of Stay ◽  
Racial Disparities ◽  
Hospital Admissions ◽  
The United States ◽  
System Level ◽  
United States Census ◽  
Pedestrian Injury ◽  
Race Ethnicity ◽  
Pedestrian Injuries

Abstract Background. Racial/ethnic disparity has been documented in a wide variety of health outcomes, and environmental components are contributors. For example, food deserts have been tied to obesity rates. Pedestrian injuries are strongly tied to environmental factors, yet no studies have examined racial disparity in pedestrian injury rates. We examine a nationally-representative sample of pedestrian-related hospitalizations in the United States to identify differences in incidence, severity, and cost by race/ethnicity.Methods. Patients with ICD diagnosis E-codes for pedestrian injuries were drawn from the United States Nationwide Inpatient Sample (2009-2016). Rates were calculated using the United States Census. Descriptive statistics and generalized linear regression were used to examine characteristics (age, sex, severity of illness, mortality rates, hospital admissions, length of stay, total costs) associated with hospitalizations for pedestrian injuries.Results. Hospitalization rates were The burden of injury was higher among Black, Hispanic, and Multiracial/Other groups in terms of admission rates, costs per capita, proportion of children injured, and length of stay compared to Whites and Asian or Pacific Islander race/ethnicities. Extreme and major loss of function proportions were also highest among Black and Multiracial/Other groups.Discussion. Results from this study show racial disparities in pedestrian injury hospitalizations and outcomes, particularly among Black, Hispanic, and Multiracial/Other race/ethnicity groups and support population and system-level approaches to prevention. Access to transportation is an indicator for health disparity, and these results indicate that access to safe transportation also shows inequity by race/ethnicity.

scholarly journals Parents’ pandemic NICU experience in the United States: a qualitative study

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Ashlee J. Vance ◽  
Kathryn J. Malin ◽  
Jacquelyn Miller ◽  
Clayton J. Shuman ◽  
Tiffany A. Moore ◽  
...  
Keyword(s):  
United States ◽  
Emotional Distress ◽  
The United States ◽  
System Level ◽  
Free Text ◽  
Family Centered Care ◽  
Parental Presence ◽  
Centered Care ◽  
Family Centered ◽  
Parents Experiences

Abstract Background Prior to the COVID-19 pandemic, parents of infants in the Neonatal Intensive Care Unit (NICU) frequently reported high levels of stress, uncertainty, and decreased parenting confidence. Early research has demonstrated that parents have had less access to their infants in the hospital due to restrictions on parental presence secondary to the pandemic. It is unknown how parents have perceived their experiences in the NICU since the beginning of the COVID-19 pandemic. The purpose of this study was to describe the lived experience of parents who had an infant in the NICU in the context of the COVID-19 pandemic to inform healthcare providers and policy makers for future development of policies and care planning. Methods The study design was a qualitative description of the impact of the COVID-19 pandemic on parents’ experiences of having an infant in the NICU. Free-text responses to open-ended questions were collected as part of a multi-method study of parents’ experiences of the NICU during the first six months of the pandemic. Participants from the United States were recruited using social media platforms between the months of May and July of 2020. Data were analyzed using a reflexive thematic approach. Findings Free-text responses came from 169 parents from 38 different states in the United States. Three broad themes emerged from the analysis: (1) parents’ NICU experiences during the COVID-19 pandemic were emotionally isolating and overwhelming, (2) policy changes restricting parental presence created disruptions to the family unit and limited family-centered care, and (3) interactions with NICU providers intensified or alleviated emotional distress felt by parents. A unifying theme of experiences of emotional distress attributed to COVID-19 circumstances ran through all three themes. Conclusions Parents of infants in the NICU during the first six months of the COVID-19 pandemic experienced emotional struggles, feelings of isolation, lack of family-centered care, and deep disappointment with system-level decisions. Moving forward, parents need to be considered essential partners in the development of policies concerning care of and access to their infants.

scholarly journals A continuously updated, geospatially rectified database of utility-scale wind turbines in the United States

2020 ◽  
Vol 7 (1) ◽  
Author(s):  
Joseph T. Rand ◽  
Louisa A. Kramer ◽  
Christopher P. Garrity ◽  
Ben D. Hoen ◽  
Jay E. Diffendorfer ◽  
...  
Keyword(s):  
United States ◽  
Wind Turbines ◽  
The United States ◽  
Utility Scale

scholarly journals A preliminary assessment of avian mortality at utility-scale solar energy facilities in the United States

2016 ◽  
Vol 92 ◽  
pp. 405-414 ◽  
Author(s):  
Leroy J. Walston ◽  
Katherine E. Rollins ◽  
Kirk E. LaGory ◽  
Karen P. Smith ◽  
Stephanie A. Meyers
Keyword(s):  
United States ◽  
Solar Energy ◽  
The United States ◽  
Preliminary Assessment ◽  
Utility Scale
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