Incidence of Shoulder Dislocation in the United States Military: Demographic Considerations from a High-Risk Population

2009 ◽  
Vol 91 (4) ◽  
pp. 791-796 ◽  
Author(s):  
Brett D Owens ◽  
Laura Dawson ◽  
Robert Burks ◽  
Kenneth L Cameron
Keyword(s):  
United States ◽  
High Risk ◽  
Shoulder Dislocation ◽  
The United States ◽  
High Risk Population ◽  
United States Military ◽  
Risk Population

Changes in Delivery Timing for High-Risk Pregnancies in the United States

2020 ◽  
Author(s):  
Sarah E. Little ◽  
Julian N. Robinson ◽  
Chloe A. Zera
Keyword(s):  
United States ◽  
Intensive Care Unit ◽  
Intensive Care ◽  
High Risk ◽  
Neonatal Morbidity ◽  
The United States ◽  
Assisted Ventilation ◽  
High Risk Population ◽  
Risk Population ◽  
Nicu Admission

Objective This study was aimed to assess whether the “39-week” rule is being extended to high-risk pregnancies and if so whether this has led to changes in neonatal morbidity or stillbirth. Study Design Birth certificate data between 2010 and 2014 from 23 states (55% of births in the United States) were used. Pregnancies were classified as high risk if they had any one of the following: maternal age greater than or equal to 40 years, prepregnancy body mass index (BMI) greater than or equal to 40 kg/m2, chronic (prepregnancy) hypertension, or diabetes (pregestational or gestational). Delivery timing changes for all pregnancies at term (37 weeks or greater) were compared with changes in the high-risk population. Neonatal morbidities (neonatal intensive care unit [NICU] admission, need for assisted ventilation, 5-minute Apgar score, and macrosomia), maternal morbidities (intensive care unit [ICU] admission, cesarean delivery, operative vaginal delivery, chorioamnionitis, and severe perineal laceration), and stillbirth rates were compared across time periods. Multivariate logistic regression was used to analyze whether gestational age–specific morbidity changes were due to shifts in delivery timing. Results For the overall population, there was a shift in delivery timing between 2010 and 2014, a 2.5% decrease in 38-week deliveries, and a 2.3% increase in 39-week deliveries (p < 0.01). This gestational age shift was identical in the high-risk population (2.7% decrease in 38-week deliveries and 2.9% increase in 39-week deliveries). For the high-risk population, NICU admission increased from 5.4 to 6.3% in 2014 (p < 0.01) and assisted ventilation rates declined from 3.8 to 2.9% (p < 0.01). These changes, however, were independent of changes in delivery timing. There was no increase in the rate of stillbirth (0.23% in 2010 and 0.23% in 2014; p = 0.50). Conclusion There was a significant shift in delivery timing for high-risk pregnancies in the United States between 2010 and 2014. This shift, however, did not result in statistically significant changes in either neonatal morbidity or stillbirth. Key Points

European/U.S. Comparison and Contrasts in Ovarian Cancer Screening and Prevention in a High-Risk Population

2017 ◽  
pp. 124-127
Author(s):  
Marian J. Mourits ◽  
G. H. de Bock
Keyword(s):  
United States ◽  
Ovarian Cancer ◽  
Cancer Screening ◽  
High Risk ◽  
The United States ◽  
High Risk Population ◽  
Genome Wide Association Studies ◽  
Hereditary Ovarian Cancer ◽  
Ovarian Cancer Screening ◽  
Screening And Prevention

The history of screening and prevention of ovarian cancer among high-risk women in the United States and Europe is one of mutual inspiration, with researchers learning from each others’ findings and insights and collaborating with investigators from both sides of the Atlantic ocean. Examples of simultaneous and joint development of knowledge and scientific points of view include the paradigm shift from ovarian to fallopian tube high-grade serous cancer and the cessation of simultaneous adoption of ovarian cancer screening by clinicians in both the United States and Europe. Examples of joint efforts with fruitful results include international collaboration in large population-based, genome-wide association studies and in epidemiologic database studies. Research in the field of hereditary ovarian cancer is a great example of mutual inspiration and joint efforts for the purpose of improving knowledge and health care for women with hereditary ovarian cancer.

Seroprevalence and seroconversion for tick-borne diseases in a high-risk population in the northeast United States

1999 ◽  
Vol 106 (4) ◽  
pp. 404-409 ◽  
Author(s):  
Eileen Hilton ◽  
James DeVoti ◽  
Jorge L Benach ◽  
Maria L Halluska ◽  
Dennis J White ◽  
...  
Keyword(s):  
United States ◽  
High Risk ◽  
High Risk Population ◽  
Risk Population ◽  
Northeast United States

scholarly journals Rheumatology Patient Satisfaction With Telemedicine During the COVID-19 Pandemic in the United States

2021 ◽  
Vol 8 ◽  
pp. 237437352110088
Author(s):  
Mahta Mortezavi ◽  
Sravani Lokineni ◽  
Megha Garg ◽  
Ya Li Chen ◽  
Allison Ramsey
Keyword(s):  
United States ◽  
Patient Satisfaction ◽  
High Risk ◽  
The United States ◽  
Physical Exam ◽  
High Risk Population ◽  
Main Concern ◽  
Virtual Care ◽  
Virtual Visits ◽  
First Time

The spread of COVID-19 in the United States has led to the use of virtual visits in lieu of in-person care for the high-risk population of patients in rheumatology. We asked patients to score their satisfaction with these visits and if they would have preferred in-person care instead. Of 679 patients seen in May 2020, 512 (75.4%) were virtual (267 [52.1%] by telephone and 245 [47.9%] by video), and 359 (70%) responded to the survey. The majority of patients (74%) were satisfied with their virtual visit, but they were more likely to be satisfied if their visit was over video rather than phone. They preferred an in-person visit if they were meeting a doctor for the first time, and patients who required a language interpreter were significantly less satisfied with virtual care. There was no correlation of age, sex, diagnosis, or testing ordered with satisfaction. The main concern against virtual care was the inability to have a physical exam, while the main reasons in favor of it were avoidance of potential infection and convenience.

POLIOMYELITIS IN A HIGH RISK POPULATION: DO WE NEED TO IMMUNIZE THE NEWBORN?

PEDIATRICS ◽  
1972 ◽  
Vol 49 (4) ◽  
pp. 532-535
Author(s):  
Louis W. Miller ◽  
John E. McGowan ◽  
Lois M. Leffingwell
Keyword(s):  
United States ◽  
High Risk ◽  
Latin American ◽  
Oral Polio Vaccine ◽  
The United States ◽  
South Texas ◽  
High Risk Population ◽  
Poliovirus Infection ◽  
Almost All

While the incidence of polio has declined steadily in the rest of the United States since 1966, the incidence of polio in Texas has not followed this pattern and almost all these cases have been associated with type 1 poliovirus. In 1970, a total of 38 cases of paralytic disease in children were investigated in Texas, and in 22 Texas residents, type 1 poliovirus infection was confirmed. The majority of these cases occurred in South Texas and the lower Rio Grande Valley. Of the 38 cases investigated, 33 (87%) were children under 2 years of age. Immunization records on 36 cases showed that 35 (97%) had inadequate or no immunization against polio, and all but one of the children were Caucasians of Latin-American descent. Some areas of South Texas are representative of regions of the United States that not only have a high risk of poliomyelitis in infants due to type 1 poliovirus infection, but also present special problems for health personnel in immunizing those at risk. In areas such as these, newborn feedings of type 1 oral polio vaccine is suggested.

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