SOCIAL DEPRIVATION AND HAND INJURY

2007 ◽  
Vol 32 (3) ◽  
pp. 256-261 ◽  
Author(s):  
T. C. HORTON
Keyword(s):  
Census Data ◽  
Social Deprivation ◽  
Hand Surgery ◽  
Socioeconomic Deprivation ◽  
Hand Trauma ◽  
Process Of Care ◽  
Older Children ◽  
Unit Costs ◽  
Using Data ◽  
Patterns Of Injury

This study investigated the relationship between socioeconomic deprivation and the incidence, patterns of injury, process of care and outcome of hand trauma using data collected prospectively on 1,234 injuries presented during six months. The Index of Multiple Deprivation 2004 was derived from census data and postcodes. Socioeconomic deprivation is significantly associated with hand trauma. The odds ratio for suffering hand injuries in the most deprived quintile is 1.6 (SE 0.09 95% CI 1.45, 1.83) compared to the least deprived quintile. This is most marked among older children and adults. Fractures, sprains and ligament injuries showed the strongest association with the degree of deprivation. Injuries related to sport were not associated with deprivation. Surgical time utilised is greater in more deprived patients and their self reported physical outcome is worse. Hand surgery units working in areas of high socioeconomic deprivation will have higher trauma workloads and unit costs. Social deprivation may also influence physical outcomes.

P0439THE RELATIONSHIP BETWEEN SOCIO-ECONOMIC STATUS AND RENAL VASCULITIS IN SCOTLAND

2020 ◽  
Vol 35 (Supplement_3) ◽  
Author(s):  
Oshorenua Aiyegbusi ◽  
Marina Frleta-Gilchrist ◽  
Malcolm MacKinnon ◽  
Jamie Traynor ◽  
Kate Stevens ◽  
...  
Keyword(s):  
Socioeconomic Status ◽  
Renal Function ◽  
Kidney Disease ◽  
Census Data ◽  
Kidney Biopsy ◽  
Social Deprivation ◽  
Socioeconomic Deprivation ◽  
Significant Difference ◽  
Renal Vasculitis ◽  
The Impact

Abstract Background and Aims Individuals living in areas of multiple socioeconomic deprivation have reduced life expectancy and experience health inequalities. Chronic kidney disease is more common in areas of social deprivation and these patients are more likely to develop end stage kidney disease. Vasculitis is a rare but significant cause of kidney disease. The impact of socioeconomic status on disease activity or outcomes in patients with ANCA Associated Vasculitis (AAV) is yet to be fully explored. The aim of this study was to establish whether there is an association between the incidence of biopsy-proven renal vasculitis and socioeconomic status, as measured by the Scottish Index of Multiple Deprivation (SIMD). Method Using the Scottish renal biopsy registry, we identified all adult native renal biopsies performed across Scotland between 2014 and 2018 with a diagnosis of AAV. Patient’s postcode and SIMD (2016) rank were recorded. Patients were separated into quintiles of SIMD rank. Baseline demographics were recorded. We derived the denominator population from the 2016 SIMD census. Data were calculated per million population (PMP) served. Results 339 biopsy proven cases of AAV were identified. 6 cases were excluded as postcode was unavailable. Overall, mean age was 65.9 (±13.0) years and 45% of patients were male. At time of diagnosis, mean estimated glomerular filtration rate (eGFR) was 61.7 (±25.7) ml/min/1.73m2 and median urinary protein creatinine ratio (uPCR) was 134mg/mmol (IQR 64-21). Microscopic Polyangiits n=205(65%) was more common than Granulomatosis with Polyangiits n=128(35%). The incidences of kidney biopsy proven AAV were similar across all quintiles of deprivation. In the most deprived 20% of population, incidence rate of kidney biopsy proven AAV was 11.2 per million person-years vs 13.0 per million person-years in least deprived 20% of population. Patients in areas of greatest relative deprivation were younger (64.0 (±12.3) vs. 68.1 (±12.7) years) and had slightly less proteinuria at diagnosis (99mg/mmol (IQR 35-211) vs. 138mg/mmol (IQR 78-281)) when compared to patients living in least deprived areas. However, there was no difference in level of renal function at diagnosis (33.8 (±29.6) ml/min/1.73m2 vs 31.5 (±23.2) ml/min/1.73m2). Conclusion Our complete national dataset shows that there is no significant difference in incidence of renal AAV across the spectrum of socioeconomic deprivation. The analysis of renal function at presentation suggests no evidence of an association between deprivation and delay in diagnosis in a healthcare system free at the point of access.

scholarly journals The Impact of COVID-19 on Hand Trauma

Hand ◽  
2021 ◽  
pp. 155894472110289
Author(s):  
Serag Saleh ◽  
Harrison Faulkner ◽  
Kelsi Golledge ◽  
David J. Graham ◽  
Richard D. Lawson ◽  
...  
Keyword(s):  
Motor Vehicle ◽  
Health Care Systems ◽  
Length Of Hospital Stay ◽  
Hand Surgery ◽  
Hand Trauma ◽  
Royal North Shore Hospital ◽  
Vehicle Accidents ◽  
Care Systems ◽  
Patterns Of Injury ◽  
The Impact

Background The Coronavirus Disease 2019 (COVID-19) pandemic has had a dramatic impact on individual and societal behaviors, as well as on health care systems. It confers a unique opportunity to examine the relationship among disease, policies, and patterns of activity, as well as their impacts on surgical unit functionality. This study aims to compare the distribution and patterns of injury at a tertiary hand surgery trauma center before and during the COVID-19 pandemic. Methods A retrospective analysis of all patients presenting to the Royal North Shore Hospital hand surgery service in the 5-week period from March 16 to April 21 in 2019 and 2020 was undertaken, forming 2 cohorts for comparison. Demographic, injury, and operative data were collected and compared descriptively using comparative statistics. Results There were 114 primary operative presentations during the 5-week period in 2020, representing a 27.4% decrease from the 157 presentations during the equivalent period in 2019. There was an increase in the proportion of emergency presentations from 73.9% in 2019 to 85.1% in 2020 ( P = .03), with a corresponding decrease in elective presentations during 2020. The incidence of sporting injuries and motor vehicle accidents decreased in 2020, whereas falls and accidents involving knives and tools remained relatively constant. Operating times decreased in 2020, whereas the length of hospital stay remained constant. Conclusions The COVID-19 pandemic and consequent restrictions of activity have had substantial impacts on the patterns of hand trauma and its management. These insights have implications for staff and resource management during times of social disruption in the future.

Modelling In-Patient Bed Usage Behaviour in a Department of Geriatric Medicine

1993 ◽  
Vol 32 (01) ◽  
pp. 79-81 ◽  
Author(s):  
P. Millard ◽  
S. McClean
Keyword(s):  
Census Data ◽  
Geriatric Medicine ◽  
Temporal Trends ◽  
Exponential Model ◽  
Bed Occupancy ◽  
Lengths Of Stay ◽  
Geriatric Hospital ◽  
Using Data ◽  
Acute Patients

Abstract:The flow of patients through geriatric hospitals has been previously described in terms of acute and long-stay states where the bed occupancy at a census point is modelled by a mixed exponential model. Using data for sixteen years the model was fitted to successive annual census points, in order to provide a description of temporal trends. While the number of acute patients has remained fairly stable during the period, the model shows that there has been a decrease in the number of long-stay patients. Mean lengths of stay in our geriatric hospital before death or discharge have decreased during the study period for both acute and long-stay patients.Using these fits of the mixed exponential model to census data, a method is provided for predicting future turnover of patients. These predictions are reasonably good, except when the turnover patterns go through a period of flux in which assumption of stability no longer holds. Overall, a methodology is presented which relates census analysis to the behaviour of admission cohorts, thus producing a means of predicting future behaviour of patients and identifying where there is a change in patterns.

EXPRESS: Commercial Success through Commercials? Advertising and Pay TV Operators

2021 ◽  
pp. 002224372110281
Author(s):  
Joonhyuk Yang ◽  
Jung Youn Lee ◽  
Pradeep K. Chintagunta
Keyword(s):  
Television Advertising ◽  
Service Market ◽  
Unit Costs ◽  
Cost Efficiencies ◽  
Pay Television ◽  
National Advertising ◽  
The Us ◽  
Television Service ◽  
Asymmetric Cost ◽  
Using Data

The US pay television service market had been dominated by cable operators until the nationwide entry of satellite operators in the early 1990s. The latter have been consistently growing their footprints since. This study documents the role of television advertising to explain the success. Using data on US households’ subscription choices and operators’ advertising decisions, the authors document both demand- and supply-side conditions conducive to the growth of the satellite operators. First, the authors find consumers in this market were sensitive to advertising, and especially so to that of the satellite operators (ad-elasticities of about .05-.06 for satellite operators vs. .02 for cable operators). The authors employ a border strategy to demonstrate advertising-elastic demand and discuss its robustness to potential threats to identification. Second, the authors provide suggestive evidence that a form of asymmetric cost efficiencies in television advertising benefited the entrants more than the incumbents. Specifically, the unit costs of local advertising tend to be higher than of national advertising, which likely allowed the satellite operators to better leverage their national presence with (cheaper) national advertising. Overall, this study highlights the interaction between advertising efficiencies and the scale of entry in explaining the competition between market incumbents and entrants.

The Labor Market Skills of Recent Male Immigrants: Evidence from the Current Population Survey

ILR Review ◽  
1995 ◽  
Vol 48 (4) ◽  
pp. 792-811 ◽  
Author(s):  
Edward Funkhouser ◽  
Stephen J. Trejo
Keyword(s):  
United States ◽  
Labor Market ◽  
Current Population Survey ◽  
Population Survey ◽  
Census Data ◽  
The United States ◽  
Skill Levels ◽  
Recent Immigrants ◽  
Current Population ◽  
Using Data

Using data from special supplements to the Current Population Survey (CPS), the authors track the education and hourly earnings of recent male immigrants to the United States. In terms of these measures of labor market skills, the CPS data suggest that immigrants who came in the late 1980s were more skilled than those who arrived earlier in the decade. This pattern represents a break from the steady decline in immigrant skill levels observed in 1940–80 Census data. Despite the encouraging trend over the 1980s, however, the average skills of recent immigrants remain low by historical standards.

scholarly journals Population projections for all U.S. counties by age, sex, and race controlled to the Shared Socioeconomic Pathways

2018 ◽  
Author(s):  
Mathew Hauer
Keyword(s):  
Census Data ◽  
Age Groups ◽  
The United States ◽  
Population Projections ◽  
Leslie Matrix ◽  
Ex Post ◽  
Ex Post Facto ◽  
Using Data ◽  
And Control ◽  
Cohort Change

Small area and subnational population projections are important for understanding long-term demographic changes. I provide county-level population projections by age, sex, and race in five-year intervals for the period 2015-2100 for all U.S. counties. Using historic U.S. census data in temporally rectified county boundaries and race groups for the period 1990-2015, I calculate cohort-change ratios (CCRs) and cohort-change differences (CCDs) for eighteen five-year age groups (0-85+), two sex groups (Male and Female), and four race groups (White NH, Black NH, Other NH, Hispanic) for all U.S counties. I then project these CCRs/CCDs using ARIMA models as inputs into Leslie matrix population projection models and control the projections to the Shared Socioeconomic Pathways. I validate the methods using ex-post facto evaluations using data from 1969-2000 to project 2000-2015. My results are reasonably accurate for this period. These data have numerous potential uses and can serve as inputs for addressing questions involving sub-national demographic change in the United States.

scholarly journals Impact on the Service Volume of a Single Hand Surgery Center during the COVID-19 Pandemic Period in Daegu

2021 ◽  
Author(s):  
Sang Ho Oh ◽  
Young Woo Kim ◽  
Sang Hyun Woo
Keyword(s):  
Emergency Room ◽  
Hand Surgery ◽  
Significant Negative Correlation ◽  
Protective Equipment ◽  
Hand Trauma ◽  
Early Recovery ◽  
Peak Period ◽  
Wrist Fractures ◽  
Protective Strategy ◽  
Surgery Center

Purpose: We investigated what changes occurred at single hand surgery center during the coronavirus disease 2019 (COVID-19) pandemic in Daegu, Korea using patient data of 4 years (2018–2021).Methods: This is a single-center retrospective study of patients visiting our center during the COVID-19 pandemic for 4 years (January 22 to May 6). Service volumes (SVs) including the number of in/outpatient, emergency room, elective, and emergency surgery were analyzed. During the peak period of the COVID-19 (February 24 to March 9, 2020), patient’s demographics, injury mechanism, and place of injury of hand trauma were analyzed.Results: SVs were significantly reduced in 2020 as compared with other years. The SVs except for the number of emergency surgeries have recovered after 2 months from the first confirmed case of COVID-19 in Daegu, Korea. At the peak period, the effect of COVID-19 was weak on emergency room-related SVs. In addition, a daily number of in/outpatients and elective surgeries had a statistically significant negative correlation with the number of COVID-19 confirmed (p<0.05). During the peak period, superficial laceration increased and finger and wrist fractures decreased. The number of cases occurring in workplace increased, however, occurring outside during daily life decreased.Conclusion: COVID-19 pandemic greatly reduces service volume in our center. Thorough protective strategy from COVID-19 such as personal protective equipment was essential for early recovery of hospital functions during the pandemic. In addition, manpower for the emergency room must be preserved during the pandemic. The results of our study, which reported SVs through the pandemic will help maintain the function of hand surgery centers.

scholarly journals Profile of Hand Surgery Cases at Kirtipur Hospital

2018 ◽  
Vol 14 (2) ◽  
pp. 41-43
Author(s):  
Bikash Karki ◽  
Kiran Nakarmi ◽  
Mangal Gharti Magar ◽  
Krishna Nagarkoti ◽  
Shankar Man Rai
Keyword(s):  
Birth Defects ◽  
Reconstructive Surgery ◽  
Hand Surgery ◽  
Health Concern ◽  
Age Group ◽  
Hand Trauma ◽  
Public Health Concern ◽  
Cross Sectional ◽  
Common Cause ◽  
Male Preponderance

Background: There can be multiple hand problems with which patients can present. Such hand problems can be because of any kind of trauma, birth defects, tumours, infection or other conditions. Hand surgery is a special field of plastic surgery, which deals with these hand problems. The Department of Burns, Plastic & Reconstructive Surgery of Kirtipur Hospital run by Public Health Concern Trust-Nepal has been providing hand surgery service to the patients with these hand problems.Aim of Study: To analyse the various types of surgical hand problems in patients attending Kirtipur Hospital.Material and Methods: It is a cross sectional retrospective  observational study of the patients with different hand problems done at the Department of Burns, Plastic & Reconstructive surgery of Kirtipur Hospital from January to December 2016.Results: There were 124 patients who presented with various hand problems. There was male preponderance and the most common age group affected was between 15-60 years. Hand trauma was the most common cause of hand problems followed by post burn contractures.Conclusion: Hand is a complicated organ which can give rise to various problems. Hand surgery is an essential component of reconstructive surgery to deal with these problems. JNGMC,  Vol. 14 No. 2 December 2016, Page: 41-43

The Estimation of Population Microdata by Using Data from Small Area Statistics and Samples of Anonymised Records

1998 ◽  
Vol 30 (5) ◽  
pp. 785-816 ◽  
Author(s):  
P Williamson ◽  
M Birkin ◽  
P H Rees
Keyword(s):  
Small Area ◽  
Census Data ◽  
Population Data ◽  
Combinatorial Optimisation ◽  
Population Characteristics ◽  
Test Statistics ◽  
Enumeration District ◽  
Small Area Statistics ◽  
Using Data ◽  
Combining Information

Census data can be represented both as lists and as tabulations of household/individual attributes. List representation of Census data offers greater flexibility, as the exploration of interrelationships between population characteristics is limited only by the quality and scope of the data collected. Unfortunately, the released lists of household/individual attributes (Samples of Anonymised Records, SARs) are spatially referenced only to areas (single or merged districts) with populations of 120 000 or more, whereas released tabulations are available for units as small as single enumeration districts (Small Area Statistics, SAS). Intuitively, it should be possible to derive list-based estimates of enumeration district populations by combining information contained in the SAR and the SAS. In this paper we explore the range of solutions that could be adapted to this problem which, ultimately, is presented as a complex combinatorial optimisation problem. Various techniques of combinatorial optimisation are tested, and preliminary results from the best performing algorithm are evaluated. Through this process, the lack of suitable test statistics for the comparison of observed and expected tabulations of population data is highlighted.

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