scholarly journals PMU63 Post-Lockdown Impact of the COVID-19 Pandemic on Patients Affected By Chronic Diseases in the United States

2021 ◽  
Vol 24 ◽  
pp. S155-S156
Author(s):  
B. Halioua ◽  
J. Zetlaoui ◽  
A. Astruc ◽  
M. Harrizi ◽  
A. Bombezin--Domino ◽  
...  
Keyword(s):  
United States ◽  
Chronic Diseases ◽  
The United States

scholarly journals Age-Related Chronic Diseases and Alzheimer’s Disease in Texas: A Hispanic Focused Study

2021 ◽  
Vol 5 (1) ◽  
pp. 121-133
Author(s):  
Shyam Sheladia ◽  
P. Hemachandra Reddy
Keyword(s):  
United States ◽  
Risk Factors ◽  
Chronic Diseases ◽  
Hispanic Americans ◽  
The United States ◽  
Modifiable Risk Factors ◽  
American Population ◽  
Hispanic American ◽  
West Texas ◽  
Age Related

The emergence of age-related chronic diseases within the United States has led to the direct increase of Alzheimer’s disease (AD) as well as other neurological diseases which ultimately contribute to the development of dementia within the general population. To be specific, age-related chronic diseases such as cardiovascular disease, high cholesterol, diabetes, and kidney disease contribute greatly to the advancement and rapid progression of dementia. Furthermore, unmodifiable risk factors such as advancing age and genetics as well as modifiable risk factors such as socioeconomic status, educational attainment, exercise, and diet further contribute to the development of dementia. Current statistics and research show that minority populations such as Hispanic Americans in the United States face the greatest burden of dementia due to the increase in the prevalence of overall population age, predisposing genetics, age-related chronic diseases, low socioeconomic status, as well as poor lifestyle choices and habits. Additionally, Hispanic Americans living within Texas and the rural areas of West Texas face the added challenge of finding appropriate healthcare services. This article will focus upon the research associated with AD as well as the prevalence of AD within the Hispanic American population of Texas and rural West Texas. Furthermore, this article will also discuss the prevalence of age-related chronic diseases, unmodifiable risk factors, and modifiable risk factors which lead to the progression and development of AD within the Hispanic American population of the United States, Texas, and rural West Texas.

scholarly journals PROJECTING THE BURDEN OF CHRONIC DISEASES IN THE UNITED STATES FROM 2016 TO 2025 UNDER DIFFERENT SCENARIOS USING A MICROSIMULATION APPROACH

2016 ◽  
Vol 19 (3) ◽  
pp. A270
Author(s):  
W. Su ◽  
F. Chen ◽  
M. Storm ◽  
A. Semilla ◽  
W. Iacobucci ◽  
...  
Keyword(s):  
United States ◽  
Chronic Diseases ◽  
The United States

scholarly journals Depression in the context of chronic diseases in the United States and China

2019 ◽  
Vol 6 (1) ◽  
pp. 117-122 ◽  
Author(s):  
Hongjin Li ◽  
Song Ge ◽  
Brian Greene ◽  
Jacqueline Dunbar-Jacob
Keyword(s):  
United States ◽  
Chronic Diseases ◽  
The United States

NOAH WEBSTER INFORMS SCHOOL CHILDREN ABOUT THE ACUTE AND CHRONIC DISEASES OF THE UNITED STATES

PEDIATRICS ◽  
1971 ◽  
Vol 48 (1) ◽  
pp. 90-90
Author(s):  
T. E. C.
Keyword(s):  
United States ◽  
Chronic Diseases ◽  
School Children ◽  
The United States ◽  
Northern Region ◽  
Large Cities ◽  
History Of ◽  
Noah Webster ◽  
Great Mortality ◽  
General Mortality

Noah Webster's (1758-1843) talents were eclectic. Not only was he a superb lexicographer, a prolific writer of schoolbooks, but also a surprisingly keen epidemiologist. School children of the 1830's who read his History of the United States learned the following about acute and chronic diseases: Diseases of the United States. The ordinary diseases of the United States are the same as those which invade mankind in all similar climates. The usual epidemics are hooping cough (sic), measles, influenza, scarlet fever, with some milder eruptive diseases. These diseases are periodical, though the periods are not exactly uniform. The autumnal diseases are chiefly dysentery and bilious fevers of all grades, from slight intermittents to the malignant fever, which is denominated pestilence. The dysentery appears, in scattered cases every year; but in some autumns becomes epidemic with great mortality. It however never invades large cities with such general mortality, as it does particular parts of the country. The malignant bilious fever occurs occasionally, but chiefly in large towns on the sea coast, or on rivers, or near lakes and stagnant water. Chronic Diseases. In the northern region of the United States, and especially on the sea shore, the consumption is the most general and fatal chronic complaint; carrying off in some places, a fifth of the inhabitants. In the middle region it is prevalent, but in a less degree; and in the southern, is still less destructive. Rheumatic complaints, gout, and hypochondriac affections are common. In the country west of the mountains, between the Ohio and the lakes, the goiter, or swelling upon the throat, is very prevalent among the whites, but not among the natives.1

REFORMS OF CHINA’S HEALTHCARE SYSTEM AND DEVELOPMENT OF THE MARKET FOR MEDICAL SERVICES DURING THE COVID-19 PANDEMIC

2021 ◽  
pp. 12-32
Author(s):  
Elena Pekhtereva ◽  
Keyword(s):  
United States ◽  
Pharmaceutical Industry ◽  
Chronic Diseases ◽  
Healthcare System ◽  
Chinese Population ◽  
Large Scale ◽  
The United States ◽  
Medical Services ◽  
National Healthcare ◽  
National Healthcare System

The article provides an overview of the state and problems of the healthcare system in China. Since 2009 a large-scale reform of the national healthcare system has been underway, aimed at overcoming the uneven provision of medical services to residents of different regions and different segments of the Chinese population, at reducing the number of chronic diseases and increasing healthcare spendings. Some aspects of the functioning of the medical services market in China, the second largest after the corresponding market in the United States, are also considered. The achievements of the Chinese pharmaceutical industry in the production of vaccines to prevent coronavirus are noted.

scholarly journals SAT-472 An Atypical Presentation of Severe Hypothyroidism, a Case of Large Posterior Pericardial Effusion Without Hemodynamic Compromise

2020 ◽  
Vol 4 (Supplement_1) ◽  
Author(s):  
Paola Andrea Sanchez Garay ◽  
Daniele Restifo ◽  
Swathi Rao ◽  
Diana Espinoza ◽  
Madalina Liliana Ionescu ◽  
...  
Keyword(s):  
United States ◽  
Pericardial Effusion ◽  
Medical Care ◽  
Chronic Diseases ◽  
Social Services ◽  
Laboratory Data ◽  
The United States ◽  
Healthcare Outcomes ◽  
Large Pericardial Effusion

Abstract BACKGROUND We are reporting a case of a Hispanic female who presented with a pericardial effusion as a complication of hypothyroidism, untreated due to lack of medical care, which demonstrates health disparities in chronic diseases. CLINICAL CASE The patient is a 48 year-old Hispanic female with PMHx of hypothyroidism, non-compliant with medical therapy, who presented to the ED with fatigue and dyspnea. Despite progressively worsening symptoms for the past 4 months, she had refused to be seen by a physician because she was uninsured. Her physical exam was notable for generalized pallor and bradycardia, with otherwise normal cardiopulmonary exam. Her initial laboratory data showed hemoglobin of 5.5 g/dl. CXR demonstrated an enlarged cardiac silhouette, which on CT was found to represent a large pericardial effusion. On admission her laboratory data demonstrated low ferritin, TSH of 94 mIU/L and T4 of 1.4 mcg/dl. m. Cortisol was 9 mcg/dl at 11 am. Repeat hemoglobin post-transfusion was 9 g/dl The patient was started on IV levothyroxine and hydrocortisone. Echocardiogram showed a large posterior wall pericardial effusion without evidence of RV strain. Pericardiocentesis was attempted but was unsuccessful because of difficult access to the fluid location. She was discharged on levothyroxine 88mcg QD and recommended to follow up with endocrinology and cardiology as an outpatient. It is well known that the United States spends a disproportionate amount of money in healthcare in comparison to developing countries (1). Underinvestment in social services and high prices set by pharmaceutical companies are likely contributing factors (1). Unfortunately, the resulting outcomes do not necessarily reflect the spending. Minorities are well known to have a higher morbidity and mortality as well as to present more frequently with dramatic manifestations of chronic diseases. This can often be attributed to a lack of access to medical care and poor follow up. Our patient was diagnosed with pericardial effusion as a complication of untreated hypothyroidism, a condition that is underdiagnosed despite a high incidence (3-37%). This pericardial effusion was initially concerning due to its large volume. The fact that she was hemodynamically stable reflects its chronicity, but it could have led to a fatal complication if she continued without appropriate therapy for a longer period of time. CONCLUSION A case such as this should make us question what more we can do to improve healthcare outcomes for minorities in the USA. REFERENCES (1). Papanicolas, Irene, Liana R. Woskie, and Ashish K. Jha. “Health care spending in the United States and other high-income countries.” Jama 319.10 (2018): 1024-1039.

scholarly journals Gut Microbiota Diversity across Ethnicities in the United States

2018 ◽  
Author(s):  
Andrew W. Brooks ◽  
Sambhawa Priya ◽  
Ran Blekhman ◽  
Seth R. Bordenstein
Keyword(s):  
United States ◽  
Health Disparities ◽  
Gut Microbiota ◽  
Chronic Diseases ◽  
Ethnic Minorities ◽  
The United States ◽  
Metabolic Processes ◽  
Human Gut ◽  
Microbial Species ◽  
Microbiota Diversity

AbstractComposed of hundreds of microbial species, the composition of the human gut microbiota can vary with chronic diseases underlying health disparities that disproportionally affect ethnic minorities. However, the influence of ethnicity on the gut microbiota remains largely unexplored and lacks reproducible generalizations across studies. By distilling associations between ethnicity and differences in two United States based 16S gut microbiota datasets including 1,673 individuals, we report 12 microbial genera and families that reproducibly vary by ethnicity. Interestingly, a majority of these microbial taxa, including the most heritable bacterial family, Christensenellaceae, overlap with genetically-associated taxa and form co-occurring clusters linked by similar fermentative and methanogenic metabolic processes. These results demonstrate recurrent associations between specific taxa in the gut microbiota and ethnicity, providing hypotheses for examining specific members of the gut microbiota as mediators of health disparities.

scholarly journals A Normalized Mortality Rate Showed the Diverse Severity of COVID-19 and Its Association With Other Chronic Diseases

2020 ◽  
Author(s):  
Santosh Kumar ◽  
P.R. Renjith ◽  
C. Priscilla ◽  
Selva Kumar Ganesan ◽  
N.G. Rajesh
Keyword(s):  
United States ◽  
Cardiovascular Diseases ◽  
Mortality Rate ◽  
Chronic Diseases ◽  
United States Of America ◽  
Respiratory Diseases ◽  
Correlation Coefficients ◽  
The United States ◽  
World Health ◽  
The World

Covid-19 has given a halt to all the activities in the world. Europe was most affected, followed by the United States of America. It has taken more than 350000 lives until now. In this study, we have assessed the severity of Covid-19 by analyzing the mortality rate of Covid-19 and other chronic diseases. The Covid-19 data and “death rate” data caused by other diseases were downloaded from the world health organization (WHO) website. A normalized method was used to see the mortality rate of Covid-19 in comparison to other diseases. The deaths caused by Covid-19 in April 2020 have overtaken the average number of deaths caused by Cancer, Cardiovascular diseases, and other diseases in Belgium, the United Kingdom (UK), Spain, France, and Ireland. Covid-19 was found to be strongly correlated with non-communicable respiratory diseases and Cancer with correlation coefficients 0.73 and 0.67 respectively. The severity of Covid-19 in the United States of America (USA) was moderate. The severity of Covid-19 in Asian countries was found to be low. Europe showed the highest diversity in the mortality rate of Covid-19. On average, except for a few European countries, Cardiovascular diseases, cancer, and non-communicable respiratory diseases were still more lethal and caused more deaths than Covid-19.

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