Implementing the First ISTAT Survey of Homeless Population by Indirect Sampling and Weight Sharing Method

Author(s):  
Claudia De Vitiis ◽  
Stefano Falorsi ◽  
Francesca Inglese
2013 ◽  
Author(s):  
Kathryn M. Pavlik ◽  
Hannah L. Miller ◽  
Cynthia E. Munoz

Author(s):  
Benjamin Henwood ◽  
Eldin Dzubur ◽  
Harmony Rhoades ◽  
Patricia St. Clair ◽  
Robynn Cox

2020 ◽  
Vol 7 (Supplement_1) ◽  
pp. S400-S400
Author(s):  
Thomas D Dieringer ◽  
Glen Huang ◽  
Paul R Allyn ◽  
Jeffrey Klausner

Abstract Background Homelessness has been a growing issue in the United States and worldwide. Bartonella quintana, the causative agent of “Trench fever”, is a well known illness among homeless populations in urban centers. While many cases of B. quintana are self limited, the disease can have advanced presentations including endocarditis. We present a short case series of three cases of B. quintana infective endocarditis (IE) in homeless individuals in Los Angeles and review the literature of cases of B. quintana IE in the homeless population. Methods Here we report three cases of B. quintana IE encountered in homeless individuals at the University of California, Los Angeles (UCLA) hospital system. A literature review was also conducted. PubMed was searched for published cases of human IE secondary to B. quintana in homeless individuals. Results All three patients were male with ages ranging from 39 to 57 years old with a history of homelessness and alcohol use. Presentations were subacute to chronic in nature consisting of constitutional symptoms as well as a range of symptoms corresponding with heart and renal failure. Each patient was found to have varying degrees of aortic insufficiency with either identified aortic valve vegetation or valvular thickening. Diagnosis was made with a combination of Bartonella serologies and whole genome sequencing PCR. All three patient’s courses were complicated by renal failure at varying points limiting the use of gentamicin for the full treatment course. Two patients ultimately underwent aortic valve replacement due to severe aortic insufficiency and completed therapy with doxycycline and rifampin. A single patient was discharged with plan to complete doxycycline and rifampin therapy however was lost to follow up. A literature review of 10 manuscripts describing 13 cases of B. quintana IE were identified. All the patients were male and the median age was 45. Six of the cases were in Europe and eight were in North America. All cases had left sided valve involvement (10 aortic, 6 mitral, 3 both valves). No cases of right sided IE were identified. Conclusion B. quintana IE should be considered in homeless patients with a clinical presentation concerning for IE. A combination of serology and PCR testing can be useful in diagnosis of this uncommon cause of infective endocarditis. Disclosures Jeffrey Klausner, MD, MPH, Nothing to disclose


Author(s):  
Cristina Vellozzi-Averhoff ◽  
William W. Thompson ◽  
Claudia Vellozzi ◽  
Ike Okosun ◽  
Kathy Kinlaw ◽  
...  

2020 ◽  
Vol 4 (1) ◽  
Author(s):  
Anita M Souza ◽  
Jenny Hsin-Chin Tsai ◽  
Kenneth C Pike ◽  
Francesca Martin ◽  
Susan M McCurry

Abstract Background and Objectives Formerly homeless older adults residing in Permanent Supportive Housing (PSH) represent an invisible subsector of two distinct, yet related populations: the homeless population and the elderly population. Little research is focused on the complex health concerns facing this aging population within the homelessness response system. Of particular concern is the identification and support of individuals with cognitive impairment and co-occurring chronic conditions. We collaborated with a leading housing services provider to develop a systematic screening system for case managers to capture the cognitive, physical, and psychosocial health of older adults served within homeless housing programs. Research Design and Methods PSH residents aged ≥50 years in four sites screened as being without cognitive impairment on the Mini-Cog were enrolled. A brief demographic survey and selected PROMIS measures were used to characterize participants’ demographics, cognition, global physical and mental health, physical functioning, self-efficacy for social interactions, and instrumental support. PSH case managers were trained to recruit participants and collect data. PROMIS scales were scored using the Health Measures Scoring Service. Descriptive statistics, correlations, and one sample t-tests were performed. Results Fifty-three residents (mean age = 60.8 years, range 50–76 years) participated. The majority self-identified as male and were military veterans; 60% reported having a history of two or more episodes of homelessness. All PROMIS scores were significantly (p < .05) lower than reference U.S. population means, with global mental health and cognition having the lowest scores. Discussion and Implications Self-reported cognitive functioning and global mental health were residents’ greatest concerns. Strengthening housing case manager capacity to assess residents’ cognitive and health status could increase support for older adults in PSH. It is feasible to train PSH staff to conduct structured interviews to identify resident cognitive and health needs to help support this “invisible” population to successfully age in place.


2013 ◽  
Vol 103 (S2) ◽  
pp. S289-S293 ◽  
Author(s):  
Barbara Jones ◽  
Adi V. Gundlapalli ◽  
Jason P. Jones ◽  
Samuel M. Brown ◽  
Nathan C. Dean

2015 ◽  
Vol 66 (1) ◽  
pp. 27-32 ◽  
Author(s):  
Brian S. Fuehrlein ◽  
Alexander J. Cowell ◽  
David Pollio ◽  
Lori Cupps ◽  
Margaret E. Balfour ◽  
...  

QJM ◽  
2013 ◽  
Author(s):  
J. Scott ◽  
J. Gavin ◽  
A. M. Egan ◽  
G. Avalos ◽  
M. C. Dennedy ◽  
...  

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