1688Diagnosis of Pulmonary Tuberculosis among Admitted Patients at a Large, Urban Safety-net Facility — Los Angeles, 2010–2013

Background: Several studies have examined the risk of cardiovascular disease (CVD) among larger racial and ethnic groups such as Hispanics and African-Americans in the United States, but limited information is available on smaller subgroups such as Armenians. According to the World Health Organization, Armenia ranks eighth in CVD rates among all countries however it is unclear if Armenian immigrants living in the US have the same high rates of disease. This study examined whether being of Armenian descent increased the risk of having a positive exercise treadmill test (ETT) among patients treated at a safety net hospital in Los Angeles County. Methods: Data on patients who received an ETT from 2008-2011 were used to conduct a retrospective analysis of the relationship between Armenian ethnicity and ETT result as a surrogate measure for CVD. A multivariate logistic regression analysis was used to estimate the odds ratios (OR) for having a positive ETT among Armenians relative to non-Armenians, adjusting for the following pre-specified covariates: gender, age, diabetes, hypertension, hyperlipidemia, smoking, family history of coronary artery disease (CAD), and patient history of CAD. Results: A total of 5,297 patients, ages 18 to 89, were included. Of these, 13% were Armenian and 46% were male, with an average age of 53 years. Armenians had higher odds of having a positive ETT than non-Armenians (Crude OR=1.30, p=0.037, CI:1.02,1.66). After adjusting for CV risk factors, Armenians were still significantly more likely to have a positive ETT than non-Armenians (OR=1.33, p=0.029, CI:1.03,1.71). CAD (OR 2.02, p<0.001, CI:1.38,2.96), and hyperlipidemia (OR=1.31, p=0.008, CI:1.07,1.60) were also significantly associated with a positive ETT. Conclusion: Armenians have a higher likelihood of having a positive ETT than non-Armenians. This relationship appears to be independent of traditional CV risk factors and suggests a role for cultural and/or genetic influences.

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Criminal Justice Involvement and Abnormal Cervical Cancer Screening Results Among Women in an Urban Safety Net Hospital

Journal of Lower Genital Tract Disease ◽

10.1097/lgt.0000000000000589 ◽

2021 ◽

Vol Publish Ahead of Print ◽

Author(s):

Dominique Jodry ◽

Danielle Blemur ◽

Minh Ly Nguyen ◽

Theresa Kuhn ◽

Kirk Easley ◽

...

Keyword(s):

Cervical Cancer ◽

Cancer Screening ◽

Criminal Justice ◽

Cervical Cancer Screening ◽

Safety Net ◽

Criminal Justice Involvement ◽

Safety Net Hospital ◽

Urban Safety

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Natural history of postpartum hematocrit recovery in an urban, safety-net population

American Journal of Obstetrics & Gynecology MFM ◽

10.1016/j.ajogmf.2021.100541 ◽

2021 ◽

pp. 100541

Author(s):

Alexandra S RAGSDALE ◽

Lisa R THIELE ◽

John J BYRNE ◽

Amanda C ZOFKIE ◽

Donald D MCINTIRE ◽

...

Keyword(s):

Natural History ◽

Safety Net ◽

Urban Safety ◽

History Of

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Underlying challenges of public health insurance enrollment and use among Latino adults: insights from the largest safety-net institution in Los Angeles

Public Health ◽

10.1016/j.puhe.2017.06.006 ◽

2017 ◽

Vol 152 ◽

pp. 47-50

Author(s):

E.G. Guerrero ◽

R. Legnick-Hall ◽

C. Andrews

Keyword(s):

Public Health ◽

Health Insurance ◽

Los Angeles ◽

Safety Net ◽

Public Health Insurance ◽

Insurance Enrollment ◽

Latino Adults

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Identifying Subgroups of Adult Superutilizers in an Urban Safety-Net System Using Latent Class Analysis

Medical Care ◽

10.1097/mlr.0000000000000628 ◽

2018 ◽

Vol 56 (1) ◽

pp. e1-e9 ◽

Cited By ~ 11

Author(s):

Deborah J. Rinehart ◽

Carlos Oronce ◽

Michael J. Durfee ◽

Krista W. Ranby ◽

Holly A. Batal ◽

...

Keyword(s):

Latent Class Analysis ◽

Latent Class ◽

Safety Net ◽

Class Analysis ◽

Urban Safety

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Interobserver reliability of teledermatology across all Fitzpatrick skin types

Journal of Telemedicine and Telecare ◽

10.1177/1357633x15621226 ◽

2016 ◽

Vol 23 (1) ◽

pp. 68-73 ◽

Cited By ~ 5

Author(s):

Lisa Altieri ◽

Jenny Hu ◽

Andrew Nguyen ◽

Myles Cockburn ◽

Melvin Chiu ◽

...

Keyword(s):

Los Angeles ◽

Interobserver Reliability ◽

Diagnostic Testing ◽

Safety Net ◽

Primary Diagnosis ◽

Diagnosis And Management ◽

Dermatology Clinic ◽

Significant Difference ◽

Store And Forward ◽

Management Recommendations

Introduction Demand for dermatologic services in safety net hospitals, which disproportionately serve patients with darker coloured skin, is growing. Teledermatology has the potential to increase access and improve outcomes, but studies have yet to demonstrate the reliability of teledermatology for all Fitzpatrick skin types. Methods We assessed the reliability of teledermatologists’ diagnoses and management recommendations for store-and-forward teledermatology in patients with lightly pigmented (Fitzpatrick skin types I–III) versus darkly pigmented (Fitzpatrick skin types IV–VI) skin, when compared to in-person diagnosis and management decisions. This prospective study enrolled 232 adult patients, presenting with new, visible skin complaints in a Los Angeles county dermatology clinic. Forty-seven percent of patients were Fitzpatrick skin types I–III, and 53% were Fitzpatrick skin types IV–VI. Results Percent concordance for the identical primary diagnosis was 53.2% in lighter (Fitzpatrick I–III) skin types and 56.0% in darker (Fitzpatrick IV–VI) skin types. There was no statistically significant difference in concordance rates between lighter and darker skin types for primary diagnosis. Concordance rates for diagnostic testing, clinic-based therapy, and treatments were similar in both groups of Fitzpatrick skin types. Discussion These results suggest that teledermatology is reliable for the diagnosis and management of patients with all Fitzpatrick skin types.

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