scholarly journals Integration of Doctors of Chiropractic Into Private Sector Health Care Facilities in the United States: A Descriptive Survey

2018 ◽  
Vol 41 (2) ◽  
pp. 149-155 ◽  
Author(s):  
Stacie A. Salsbury ◽  
Christine M. Goertz ◽  
Elissa J. Twist ◽  
Anthony J. Lisi
Keyword(s):  
United States ◽  
Health Care ◽  
Private Sector ◽  
The United States ◽  
Health Care Facilities ◽  
Care Facilities ◽  
Descriptive Survey

scholarly journals Three Unsuspected CT Diagnoses of COVID-19

2020 ◽  
Author(s):  
David Vu ◽  
Maryanne Ruggiero ◽  
Woo Sung Choi ◽  
Daniel Masri ◽  
Mark Flyer ◽  
...  
Keyword(s):  
United States ◽  
Health Care ◽  
Severe Acute Respiratory Syndrome ◽  
The United States ◽  
Health Care Facilities ◽  
Ground Glass ◽  
Imaging Findings ◽  
Adequate Supply ◽  
Imaging Characteristics ◽  
Care Facilities

Abstract PURPOSE: Coronavirus disease 2019 (COVID-19) is caused by a novel strain of coronavirus named severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) that has quickly spread around the globe. Health care facilities in the United States currently do not have an adequate supply of COVID-19 tests to meet the growing demand. Imaging findings for COVID-19 are nonspecific but include pulmonary parenchymal ground-glass opacities in a predominantly basal and peripheral distribution.METHODS: Three patients imaged for non-respiratory related symptoms with a portion of the lungs in the imaged field.RESULTS: Each patient had suspicious imaging findings for COVID-19, prompting the interpreting radiologist to suggest testing for COVID-19. All 3 patients turned out to be infected with COVID-19 and one patient is the first reported case of the coincident presentation of COVID-19 and an intraparenchymal hemorrhage.CONCLUSION: Using imaging characteristics of COVID-19 on abdominal or neck CT when a portion of the lungs is included, patients not initially suspected of COVID-19 infection can be quarantined earlier to limit exposure to others.

scholarly journals Three Unsuspected CT Diagnoses of COVID-19

2020 ◽  
Author(s):  
David Vu ◽  
Maryanne Ruggiero ◽  
Woo Sung Choi ◽  
Daniel Masri ◽  
Mark Flyer ◽  
...  
Keyword(s):  
United States ◽  
Health Care ◽  
Severe Acute Respiratory Syndrome ◽  
The United States ◽  
Health Care Facilities ◽  
Ground Glass ◽  
Imaging Findings ◽  
Adequate Supply ◽  
Imaging Characteristics ◽  
Care Facilities

Abstract PURPOSE: Coronavirus disease 2019 (COVID-19) is caused by a novel strain of coronavirus named severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) that has quickly spread around the globe. Health care facilities in the United States currently do not have an adequate supply of COVID-19 tests to meet the growing demand. Imaging findings for COVID-19 are nonspecific but include pulmonary parenchymal ground-glass opacities in a predominantly basal and peripheral distribution.METHODS: Three patients imaged for non-respiratory related symptoms with a portion of the lungs in the imaged field.RESULTS: Each patient had suspicious imaging findings for COVID-19, prompting the interpreting radiologist to suggest testing for COVID-19. All 3 patients turned out to be infected with COVID-19 and one patient is the first reported case of the coincident presentation of COVID-19 and an intraparenchymal hemorrhage.CONCLUSION: Using imaging characteristics of COVID-19 on abdominal or neck CT when a portion of the lungs is included, patients not initially suspected of COVID-19 infection can be quarantined earlier to limit exposure to others.

scholarly journals Characterizing the Rural Opioid Use Environment in Kentucky Using Google Earth: Virtual Audit

10.2196/14923 ◽  
2019 ◽  
Vol 21 (10) ◽  
pp. e14923 ◽  
Author(s):  
Natalie Danielle Crawford ◽  
Regine Haardöerfer ◽  
Hannah Cooper ◽  
Izraelle McKinnon ◽  
Carla Jones-Harrell ◽  
...  
Keyword(s):  
Health Care ◽  
Land Use ◽  
Substance Use ◽  
Rural Areas ◽  
Physical Environment ◽  
The United States ◽  
Google Earth ◽  
Health Care Facilities ◽  
Opioid Epidemic ◽  
Care Facilities

Background The opioid epidemic has ravaged rural communities in the United States. Despite extensive literature relating the physical environment to substance use in urban areas, little is known about the role of physical environment on the opioid epidemic in rural areas. Objective This study aimed to examine the reliability of Google Earth to collect data on the physical environment related to substance use in rural areas. Methods Systematic virtual audits were performed in 5 rural Kentucky counties using Google Earth between 2017 and 2018 to capture land use, health care facilities, entertainment venues, and businesses. In-person audits were performed for a subset of the census blocks. Results We captured 533 features, most of which were images taken before 2015 (71.8%, 383/533). Reliability between the virtual audits and the gold standard was high for health care facilities (>83%), entertainment venues (>95%), and businesses (>61%) but was poor for land use features (>18%). Reliability between the virtual audit and in-person audit was high for health care facilities (83%) and entertainment venues (62%) but was poor for land use (0%) and businesses (12.5%). Conclusions Poor reliability for land use features may reflect difficulty characterizing features that require judgment or natural changes in the environment that are not reflective of the Google Earth imagery because it was captured several years before the audit was performed. Virtual Google Earth audits were an efficient way to collect rich neighborhood data that are generally not available from other sources. However, these audits should use caution when the images in the observation area are dated.

Challenges of Designing and Implementing High Consequence Infectious Disease Response

2018 ◽  
Vol 12 (5) ◽  
pp. 563-566 ◽  
Author(s):  
Joan M. King ◽  
Chetan Tiwari ◽  
Armin R. Mikler ◽  
Martin O’Neill
Keyword(s):  
Public Health ◽  
Infectious Disease ◽  
Health Care ◽  
Spatial Configuration ◽  
The United States ◽  
Health Care Facilities ◽  
Disease Response ◽  
Response Planning ◽  
Care Facilities ◽  
State And Local

AbstractEbola is a high consequence infectious disease—a disease with the potential to cause outbreaks, epidemics, or pandemics with deadly possibilities, highly infectious, pathogenic, and virulent. Ebola’s first reported cases in the United States in September 2014 led to the development of preparedness capabilities for the mitigation of possible rapid outbreaks, with the Centers for Disease Control and Prevention (CDC) providing guidelines to assist public health officials in infectious disease response planning. These guidelines include broad goals for state and local agencies and detailed information concerning the types of resources needed at health care facilities. However, the spatial configuration of populations and existing health care facilities is neglected. An incomplete understanding of the demand landscape may result in an inefficient and inequitable allocation of resources to populations. Hence, this paper examines challenges in implementing CDC’s guidance for Ebola preparedness and mitigation in the context of geospatial allocation of health resources and discusses possible strategies for addressing such challenges. (Disaster Med Public Health Preparedness. 2018;12:563–566)

scholarly journals PERAN SARANA PELAYANAN KESEHATAN TERHADAP KEJADIAN MALARIA DI KECAMATAN SILIAN RAYA KABUPATEN MINAHASA TENGGARA

2015 ◽  
Vol 3 (1) ◽  
Author(s):  
Meilany Tangkilisan ◽  
Angle Sorisi ◽  
Josef S. B. Tuda
Keyword(s):  
Public Health ◽  
Health Care ◽  
Health Problem ◽  
Health Workers ◽  
Public Health Problem ◽  
Malaria Prevention ◽  
Health Care Facilities ◽  
Survey Study ◽  
Care Facilities ◽  
Descriptive Survey

Abstract: The problem of public health, especially in developing coutries such as Indonesia, is based on the physical aspects such as health facilities, the treatment of disease, and non physical aspects related to the health problem. Malaria is still a public health problem because it often creates exrtraordinary events, which has great impact on quality on life and economy, and may result death. The main keys of reducing the incidence of malaria especially in high endemic areas are prevention and treatment. This study aimed to determine the role of health care facilities on the incidence of malaria in Silian Raya sub-district of Southheast Minahasa district. This was a descriptive survey study. The population was the community in Silian Raya sub-district of Southeast Minahasa district with total samples 194 respondents. The results showed that the counseling done by health workers was at the most 2 times (39.2%). Spraying insecticide by health workers was 1 time (41.8%). People that used the available health care facilities in Silian Raya sub-district, the health center, were 51.0%.Keywords: malaria, prevention, treatmentAbstrak: Masalah kesehatan masyarakat terutama di negara-negara berkembang seperti Indonesia didasarkan pada, aspek fisik seperti sarana kesehatan dan pengobatan penyakit, dan aspek non fisik yang menyangkut masalah kesehatan.Malaria masih merupakan masalah kesehatan masyarakat karena sering menimbulkan Kejadian Luar Biasa (KLB), berdampak luas terhadap kualitas hidup dan ekonomi, serta dapat mengakibatkan kematian. Dalam upaya mengurangi angka kejadian malaria terutama di daerah endemis tinggi, upaya pencegahan dan pengobatan merupakan kunci utama. Tujuan penelitian ini untuk mengetahui peran sarana pelayanan kesehatan terhadap kejadian malaria di Kecamatan Silian Raya Kabupaten Minahasa Tenggara. Jenis penelitian ini adalah survey yang bersifat deskriptif. Populasi penelitian adalah masyarakat di Kecamatan Silian Raya Kabupaten Minahasa Tenggara dengan jumlah sampel 194 responden. Hasil penelitian menunjukkan penyuluhan yang dilakukan oleh tenaga kesehatan tertinggi 2 kali (39,2%). Penyemprotan insektisida oleh tenaga kesehatan tertinggi 1 kali (41,8%) dan masyarakat yang langsung memanfaatkan sarana pelayanan kesehatan yang tersedia di Kecamatan Silian Raya yaitu Puskesmas (51,0%).Kata kunci: malaria, pencegahan, pengobatan

scholarly journals Population-Level Interest and Telehealth Capacity of US Hospitals in Response to COVID-19: Cross-Sectional Analysis of Google Search and National Hospital Survey Data (Preprint)

2020 ◽  
Author(s):  
Young-Rock Hong ◽  
John Lawrence ◽  
Dunc Williams Jr ◽  
Arch Mainous III
Keyword(s):  
United States ◽  
Health Care ◽  
Population Level ◽  
The United States ◽  
Health Care Facilities ◽  
Care Providers ◽  
Internet Search ◽  
American Hospital ◽  
Search Volume ◽  
Google Search

BACKGROUND As the novel coronavirus disease (COVID-19) is widely spreading across the United States, there is a concern about the overloading of the nation’s health care capacity. The expansion of telehealth services is expected to deliver timely care for the initial screening of symptomatic patients while minimizing exposure in health care facilities, to protect health care providers and other patients. However, it is currently unknown whether US hospitals have the telehealth capacity to meet the increasing demand and needs of patients during this pandemic. OBJECTIVE We investigated the population-level internet search volume for telehealth (as a proxy of population interest and demand) with the number of new COVID-19 cases and the proportion of hospitals that adopted a telehealth system in all US states. METHODS We used internet search volume data from Google Trends to measure population-level interest in telehealth and telemedicine between January 21, 2020 (when the first COVID-19 case was reported), and March 18, 2020. Data on COVID-19 cases in the United States were obtained from the Johns Hopkins Coronavirus Resources Center. We also used data from the 2018 American Hospital Association Annual Survey to estimate the proportion of hospitals that adopted telehealth (including telemedicine and electronic visits) and those with the capability of telemedicine intensive care unit (tele-ICU). Pearson correlation was used to examine the relations of population search volume for telehealth and telemedicine (composite score) with the cumulative numbers of COVID-19 cases in the United States during the study period and the proportion of hospitals with telehealth and tele-ICU capabilities. RESULTS We found that US population–level interest in telehealth increased as the number of COVID-19 cases increased, with a strong correlation (<i>r</i>=0.948, <i>P</i>&lt;.001). We observed a higher population-level interest in telehealth in the Northeast and West census region, whereas the proportion of hospitals that adopted telehealth was higher in the Midwest region. There was no significant association between population interest and the proportion of hospitals that adopted telehealth (<i>r</i>=0.055, <i>P</i>=.70) nor hospitals having tele-ICU capability (<i>r</i>=–0.073, <i>P</i>=.61). CONCLUSIONS As the number of COVID-19 cases increases, so does the US population’s interest in telehealth. However, the level of population interest did not correlate with the proportion of hospitals providing telehealth services in the United States, suggesting that increased population demand may not be met with the current telehealth capacity. Telecommunication infrastructures in US hospitals may lack the capability to address the ongoing health care needs of patients with other health conditions. More practical investment is needed to deploy the telehealth system rapidly against the impending patient surge.

Facilitators and Barriers to Implementing the International Dysphagia Diet Standardisation Initiative in Care Facilities in Upstate New York

2021 ◽  
pp. 1-9
Author(s):  
Caileen Harvey ◽  
Rachel Flemming ◽  
Julia Davis ◽  
Victoria Reynolds
Keyword(s):  
Health Care ◽  
New York ◽  
Health Care Professionals ◽  
Geographical Area ◽  
The United States ◽  
Health Care Facilities ◽  
Successful Implementation ◽  
Upstate New York ◽  
Texture Modification ◽  
Care Facilities

Introduction: Dysphagia is a swallowing disorder that can result in aspiration, asphyxiation, or other complications. One method of facilitating safer swallowing is modification of the diet and fluids of individuals living with dysphagia. The International Dysphagia Diet Standardisation Initiative (IDDSI) is a globally standardized framework for texture modification. Its implementation has been recommended in the United States, but adoption is not yet universal. This study investigated implementation issues by surveying health care professionals in health care facilities in rural, Upstate New York. Method: A questionnaire created through the SurveyMonkey platform was distributed to health care facilities within a predetermined geographical area in Upstate New York. The survey consisted of 22 questions and utilized a mixed-methods design. Results: Forty-six participants from 10 individual professions and nine types of facilities completed the study. Twenty texture modification labels and 10 fluid modification labels were described. Analysis of qualitative data yielded three main barriers to implementation: funding, education, and communication. Within each barrier, awareness and resources were recurrent themes. Discussion: The variety of modification labels in comparison with the sample size demonstrates a lack of standardization of texture modification processes across facilities. While nearly half the respondents had not heard of IDDSI prior to the survey, 89% agreed that a standardized dysphagia diet would improve patient health and safety. This demonstrated a willingness to adopt IDDSI and indicated that staff attitudes may not be a barrier to its implementation. Participants felt that training was needed for successful implementation and expressed concern about the lack of availability of financial resources. Supplemental Material: https://doi.org/10.23641/asha.17270861

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