The Impact of Certificate of Need Laws on Heart Attack Mortality: Evidence from County Borders

2021 ◽  
pp. 102518
Author(s):  
Kevin Chiu
Keyword(s):  
Heart Attack ◽  
Certificate Of Need ◽  
The Impact

scholarly journals Did people really drink bleach to prevent COVID-19? A tale of problematic respondents and a guide for measuring rare events in survey data

2020 ◽  
Author(s):  
Leib Litman ◽  
Zohn Rosen ◽  
Cheskie Rosenzweig ◽  
Sarah L. Weinberger-Litman ◽  
Aaron J. Moss ◽  
...  
Keyword(s):  
Public Health ◽  
Best Practices ◽  
Health Outcomes ◽  
Survey Research ◽  
Iron Content ◽  
Heart Attack ◽  
Public Health Research ◽  
Similar Rate ◽  
The Impact ◽  
The Relationship

AbstractSociety is becoming increasingly dependent on survey research. However, surveys can be impacted by participants who are non-attentive, respond randomly to survey questions, and misrepresent who they are and their true attitudes. The impact that such respondents can have on public health research has rarely been systematically examined. In this study we examine whether Americans began to engage in dangerous cleaning practices to avoid Covid-19 infection. Prior findings reported by the CDC have suggested that people began to engage in highly dangerous cleaning practices during the Covid-19 pandemic, including ingesting household cleansers such as bleach. In a series of studies totaling close to 1400 respondents, we show that 80-90% of reports of household cleanser ingestion are made by problematic respondents. These respondents report impossible claims such as ‘recently having had a fatal heart attack’ and ‘eating concrete for its iron content’ at a similar rate to ingesting household cleaners. Additionally, respondents’ frequent misreading or misinterpreting the intent of questions accounted for the rest of such claims. Once inattentive, mischievous, and careless respondents are taken out of the analytic sample we find no evidence that people ingest cleansers to prevent Covid-19 infection. The relationship between dangerous cleaning practices and health outcomes also becomes non-significant once problematic respondents are taken out of the analytic sample. These results show that reported ingestion of household cleaners and other similar dangerous practices are an artifact of problematic respondent bias. The implications of these findings for public health and medical survey research, as well as best practices for avoiding problematic respondents in surveys are discussed.

scholarly journals COVID-19 pandemic and STEMI: pathway activation and outcomes from the pan-London heart attack group

Open Heart ◽  
2020 ◽  
Vol 7 (2) ◽  
pp. e001432
Author(s):  
Callum D Little ◽  
Tushar Kotecha ◽  
Luciano Candilio ◽  
Richard J Jabbour ◽  
George B Collins ◽  
...  
Keyword(s):  
Heart Attack ◽  
Clinical Presentation ◽  
Response Times ◽  
Coronary Intervention ◽  
St Segment Elevation ◽  
Segment Elevation Myocardial Infarction ◽  
Pathway Activation ◽  
St Segment ◽  
Percutaneous Coronary ◽  
The Impact

ObjectivesTo understand the impact of COVID-19 on delivery and outcomes of primary percutaneous coronary intervention (PPCI). Furthermore, to compare clinical presentation and outcomes of patients with ST-segment elevation myocardial infarction (STEMI) with active COVID-19 against those without COVID-19.MethodsWe systematically analysed 348 STEMI cases presenting to the PPCI programme in London during the peak of the pandemic (1 March to 30 April 2020) and compared with 440 cases from the same period in 2019. Outcomes of interest included ambulance response times, timeliness of revascularisation, angiographic and procedural characteristics, and in-hospital clinical outcomesResultsThere was a 21% reduction in STEMI admissions and longer ambulance response times (87 (62–118) min in 2020 vs 75 (57–95) min in 2019, p<0.001), but that this was not associated with a delays in achieving revascularisation once in hospital (48 (34–65) min in 2020 vs 48 (35–70) min in 2019, p=0.35) or increased mortality (10.9% (38) in 2020 vs 8.6% (38) in 2019, p=0.28). 46 patients with active COVID-19 were more thrombotic and more likely to have intensive care unit admissions (32.6% (15) vs 9.3% (28), OR 5.74 (95%CI 2.24 to 9.89), p<0.001). They also had increased length of stay (4 (3–9) days vs 3 (2–4) days, p<0.001) and a higher mortality (21.7% (10) vs 9.3% (28), OR 2.72 (95% CI 1.25 to 5.82), p=0.012) compared with patients having PPCI without COVID-19.ConclusionThese findings suggest that PPCI pathways can be maintained during unprecedented healthcare emergencies but confirms the high mortality of STEMI in the context of concomitant COVID-19 infection characterised by a heightened state of thrombogenicity.

The impact of certificate of need on CT scanning in Massachusetts

1984 ◽  
Vol 9 (3) ◽  
pp. 71-80 ◽  
Author(s):  
Ann Lawthers-Higgins ◽  
Cynthia Taft ◽  
Jane Hodgman
Keyword(s):  
Ct Scanning ◽  
Certificate Of Need ◽  
The Impact

scholarly journals The Impact of the 2002 Delaware Smoking Ordinance on Heart Attack and Asthma

2010 ◽  
Vol 7 (12) ◽  
pp. 4169-4178 ◽  
Author(s):  
John Moraros ◽  
Yelena Bird ◽  
Shande Chen ◽  
Robert Buckingham ◽  
Richard S. Meltzer ◽  
...  
Keyword(s):  
Heart Attack ◽  
The Impact

scholarly journals Study The Impact Of Disturbance Fulfillment Sexuality Needs After Heart Attack On Acute Myocardial Infarction In Men Patients On Cardiac Poly Clinic Dr. Iskak Hospital Tulungagung

2017 ◽  
Vol 6 (1) ◽  
pp. 39
Author(s):  
Eko Arik Susmiatin ◽  
Rika Yolanda Sari
Keyword(s):  
Myocardial Infarction ◽  
Acute Myocardial Infarction ◽  
Heart Attack ◽  
Sampling Technique ◽  
Interference Effects ◽  
Human Needs ◽  
The Family ◽  
Basic Human Needs ◽  
The Impact ◽  
Provide Health Education

Basic human needs is the most basic physiological needs, including sexual needs in it. Sexual  fulfillment in the husband-wife not everything can be done well because of several factors, one of them due to heart disease (acute myocardial infarction). AMI patients are usually the same as the other pair, really wants her sexual needs fulfilled, but they are afraid to do it because they fear an attack recurrence. Impacts that could result from unfulfilled sexual needs including couples will quickly get angry or suspicious, unhappy, cynical, psychological relation between husband and wife is getting worse, decreasing the frequency of coitus, having psychosomatic illness. The research objective was to determine the impact of sexual fulfillment disorders after cardiac arrest in patients with acute myocardial infarction (AMI) in men Poly Clinic Heart Dr.Iskak Hospital Tulungagung. The study design used is descriptive design. Population of outpatients each month reaches 5-8, the sample used 8 people, taken with accidental sampling technique. Results of research obtained from all respondents stating no interference effects occur sexuality needs. This is due to the coping meccanism of the respondent and couple, and mutual understanding, and the support the family, so there is no impact of interference sexuality needs.Expected partner (wife) will understand situation the disturbed husband after Acute Myocardial Infarction attack occurred, and should be more active respondents also asked the doctor when the control, so the impact was not to happen. And for nurses, should provide health education about sexuality needs of post-heart attack.

scholarly journals An unusual case of heart attack

2018 ◽  
Vol 0 (0) ◽  
Author(s):  
Joyce Kit-Yu Young ◽  
Daniel Kam Hung Ng
Keyword(s):  
Myocardial Infarction ◽  
Lupus Erythematosus ◽  
Heart Attack ◽  
Coronary Artery Bypass Surgery ◽  
Bypass Surgery ◽  
Unusual Case ◽  
Artery Bypass ◽  
Graft Occlusion ◽  
Systemic Lupus ◽  
The Impact

Abstract We reported a patient with antiphospholipid syndrome (APS) secondary to systemic lupus erythematosus (SLE) who suffered from myocardial infarction and graft occlusion after coronary artery bypass surgery. Our patient illustrates the impact of accelerated atherosclerosis in patients with SLE and APS and the importance of early institution of antithrombotic therapies. In this article, the treatment of APS is summarized. Although the main stay of treatment is anticoagulation, there is emerging evidence to support rituximab as an option for “refractory” cases of APS.

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