Alternative definitions of high risk for impaired driving: the overlap of high volume, frequent heavy drinking and alcohol dependence

1999 ◽  
Vol 54 (3) ◽  
pp. 219-228 ◽  
Author(s):  
Deborah A Dawson
Keyword(s):  
High Risk ◽  
Alcohol Dependence ◽  
Heavy Drinking ◽  
High Volume ◽  
Impaired Driving

Improved Outcomes Amongst High Risk Lung Transplant Patients at High Volume Centers: A Case for Regionalization in the US

2015 ◽  
Vol 34 (4) ◽  
pp. S243
Author(s):  
J.C. Grimm ◽  
J. Magruder ◽  
A. Kilic ◽  
V. Valero ◽  
S.P. Dungan ◽  
...  
Keyword(s):  
High Risk ◽  
Lung Transplant ◽  
High Volume ◽  
Transplant Patients ◽  
Improved Outcomes ◽  
The Us

scholarly journals Cost-effectiveness analysis of SARS-CoV-2 infection prevention strategies including pre-endoscopic virus testing and use of high risk personal protective equipment

Endoscopy ◽  
2020 ◽  
Author(s):  
Alanna Ebigbo ◽  
Christoph Römmele ◽  
Christina Bartenschlager ◽  
Selin Temizel ◽  
Elisabeth Kling ◽  
...  
Keyword(s):  
Cost Effectiveness ◽  
High Risk ◽  
Personal Protective Equipment ◽  
Infection Prevention ◽  
High Volume ◽  
Protective Equipment ◽  
Prevalence Rates ◽  
Prevention Strategies ◽  
Universal Testing ◽  
Asymptomatic Patients

Abstract Background Infection prevention strategies to protect healthcare workers in endoscopy units during the post-peak phase of the COVID-19 pandemic are currently under intense discussion. In this paper, the cost-effectiveness of routine pre-endoscopy testing and high risk personal protective equipment (PPE) is addressed. Method A model based on theoretical assumptions of 10 000 asymptomatic patients presenting to a high volume center was created. Incremental cost-effectiveness ratios (ICERs) and absolute costs per endoscopy were calculated using a Monte Carlo simulation. Results ICER values for universal testing decreased with increasing prevalence rates. For higher prevalence rates (≥ 1 %), ICER values were lowest for routine pre-endoscopy testing coupled with use of high risk PPE, while cost per endoscopy was lowest for routine use of high risk PPE without universal testing. Conclusion In general, routine pre-endoscopy testing combined with high risk PPE becomes more cost-effective with rising prevalence rates of COVID-19.

scholarly journals Association of Problematic Alcohol Use and Food Insecurity among Homeless Men and Women

2020 ◽  
Vol 17 (10) ◽  
pp. 3631 ◽  
Author(s):  
Lorraine R. Reitzel ◽  
Surya Chinamuthevi ◽  
Sajeevika S. Daundasekara ◽  
Daphne C. Hernandez ◽  
Tzu-An Chen ◽  
...  
Keyword(s):  
Alcohol Use ◽  
Alcohol Dependence ◽  
Food Insecurity ◽  
Short Form ◽  
Heavy Drinking ◽  
Alcohol Problems ◽  
Future Research ◽  
Homeless Adults ◽  
Problematic Alcohol ◽  
Problematic Alcohol Use

Food insecurity results from unreliable access to affordable and nutritious food. Homeless adults are particularly vulnerable to both food insecurity and problematic alcohol use. The current study examined the link between problematic alcohol use and food insecurity among homeless adults. Participants (N = 528; 62.7% men; Mage = 43.6 ± 12.2) were recruited from homeless-serving agencies in Oklahoma City. Problematic alcohol use was measured using the Alcohol Quantity and Frequency Questionnaire and the Patient Health Questionnaire. The latter used DSM-IV diagnostic criteria to assess probable alcohol use dependence/abuse. Heavy drinking was considered >7 drinks (women) and >14 drinks (men) per week. Food insecurity was measured with the USDA Food Security Scale-Short Form. The link between alcohol problems and food insecurity was examined with logistic regression analyses controlling for sex, age, education, income, and months homeless. Overall, 28.4% of the sample had probable alcohol dependence, 25% were heavy drinkers, and 78.4% were food insecure. Probable alcohol dependence and heavy drinking were correlated at 0.53 (p < 0.001). Results indicated that heavy drinking (OR = 2.12, CI.95 = 1.21, 3.73) and probable alcohol dependence/abuse (OR = 2.72, CI.95 = 1.55, 4.77) were each associated with increased odds of food insecurity. Food insecurity and problematic alcohol use are major issues among homeless populations; this study suggests they are associated. Future research is needed to shed light on potential causal mechanisms and on whether alcohol may take precedence over eating or food purchases.

The use of dual-mobility bearings in patients at high risk of dislocation

2019 ◽  
Vol 101-B (1_Supple_A) ◽  
pp. 41-45 ◽  
Author(s):  
C. W. Jones ◽  
I. De Martino ◽  
R. D’Apolito ◽  
A. A. Nocon ◽  
P. K. Sculco ◽  
...  
Keyword(s):  
Risk Factors ◽  
New York ◽  
High Risk ◽  
High Body Mass Index ◽  
High Volume ◽  
Consecutive Series ◽  
Dual Mobility ◽  
Radiographic Outcomes ◽  
Stable Reconstruction

Aims Instability continues to be a troublesome complication after total hip arthroplasty (THA). Patient-related risk factors associated with a higher dislocation risk include the preoperative diagnosis, an age of 75 years or older, high body mass index (BMI), a history of alcohol abuse, and neurodegenerative diseases. The goal of this study was to assess the dislocation rate, radiographic outcomes, and complications of patients stratified as high-risk for dislocation who received a dual mobility (DM) bearing in a primary THA at a minimum follow-up of two years. Materials and Methods We performed a retrospective review of a consecutive series of DM THA performed between 2010 and 2014 at our institution (Hospital for Special Surgery, New York, New York) by a single, high-volume orthopaedic surgeon employing a single prosthesis design (Anatomic Dual Mobility (ADM) Stryker, Mahwah, New Jersey). Patient medical records and radiographs were reviewed to confirm the type of implant used, to identify any preoperative risk factors for dislocation, and any complications. Radiographic analysis was performed to assess for signs of osteolysis or remodelling of the acetabulum. Results There were 151 patients who met the classification of high-risk according to the inclusion criteria and received DM THA during the study period. Mean age was 82 years old (73 to 95) and 114 patients (77.5%) were female. Mean follow-up was 3.6 years (1.9 to 6.1), with five patients lost to follow-up and one patient who died (for a reason unrelated to the index procedure). One patient (0.66%) sustained an intraprosthetic dislocation; there were no other dislocations. Conclusion At mid-term follow-up, the use of a DM bearing for primary THA in patients at high risk of dislocation provided a stable reconstruction option with excellent radiographic results. Longer follow-up is needed to confirm the durability of these reconstructions.

Factors associated with planned avoidance of alcohol-impaired driving in high-risk men.

1999 ◽  
Vol 60 (3) ◽  
pp. 407-412 ◽  
Author(s):  
T F Nelson ◽  
N E Isaac ◽  
B P Kennedy ◽  
J D Graham
Keyword(s):  
High Risk ◽  
Impaired Driving ◽  
Factors Associated ◽  
Alcohol Impaired Driving

012 Incidence and Characteristics of Men at High Risk for Sleep Apnea in a High Volume Andrology Clinic

2019 ◽  
Vol 16 (4) ◽  
pp. S6-S7
Author(s):  
A.J. Tatem ◽  
J.A. Beilan ◽  
J.A. McBride ◽  
T.P. Kohn ◽  
K.M. Rodriguez ◽  
...  
Keyword(s):  
Sleep Apnea ◽  
High Risk ◽  
High Volume

scholarly journals Suicide in bipolar disorder in a national English sample, 1996–2009: frequency, trends and characteristics

2013 ◽  
Vol 43 (12) ◽  
pp. 2593-2602 ◽  
Author(s):  
C. Clements ◽  
R. Morriss ◽  
S. Jones ◽  
S. Peters ◽  
C. Roberts ◽  
...  
Keyword(s):  
Bipolar Disorder ◽  
High Risk ◽  
Personality Disorder ◽  
Alcohol Dependence ◽  
National Sample ◽  
Depressive Illness ◽  
Primary Diagnosis ◽  
High Risk Group ◽  
Mood Stabilizers ◽  
High Rate

BackgroundBipolar disorder (BD) has been reported to be associated with high risk of suicide. We aimed to investigate the frequency and characteristics of suicide in people with BD in a national sample.MethodSuicide in BD in England from 1996 to 2009 was explored using descriptive statistics on data collected by the National Confidential Inquiry into Suicide and Homicide by People with Mental Illness (NCI). Suicide cases with a primary diagnosis of BD were compared to suicide cases with any other primary diagnosis.ResultsDuring the study period 1489 individuals with BD died by suicide, an average of 116 cases/year. Compared to other primary diagnosis suicides, those with BD were more likely to be female, more than 5 years post-diagnosis, current/recent in-patients, to have more than five in-patient admissions, and to have depressive symptoms. In BD suicides the most common co-morbid diagnoses were personality disorder and alcohol dependence. Approximately 40% were not prescribed mood stabilizers at the time of death. More than 60% of BD suicides were in contact with services the week prior to suicide but were assessed as low risk.ConclusionsGiven the high rate of suicide in BD and the low estimates of risk, it is important that health professionals can accurately identify patients most likely to experience poor outcomes. Factors such as alcohol dependence/misuse, personality disorder, depressive illness and current/recent in-patient admission could characterize a high-risk group. Future studies need to operationalize clinically useful indicators of suicide risk in BD.

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