scholarly journals Impact of the first COVID-19 shelter-in-place order in the United States on emergency department utilization, Marin County, California

2020 ◽  
Author(s):  
Brett R. Bayles ◽  
Michaela F George ◽  
Haylea Hannah ◽  
Patti Culross ◽  
Rochelle R. Ereman ◽  
...  
Keyword(s):  
United States ◽  
San Francisco ◽  
Large Scale ◽  
Temporal Dynamics ◽  
The United States ◽  
Emergency Department Utilization ◽  
Marin County ◽  
Before And After ◽  
Ed Visits ◽  
The Impact

Background: The first shelter-in-place (SIP) order in the United States was issued across six counties in the San Francisco Bay Area to reduce the impact of COVID-19 on critical care resources. We sought to assess the impact of this large-scale intervention on emergency departments (ED) in Marin County, California. Methods: We conducted a retrospective descriptive and trend analysis of all ED visits in Marin County, California from January 1, 2018 to May 4, 2020 to quantify the temporal dynamics of ED utilization before and after the March 17, 2020 SIP order. Results: The average number of ED visits per day decreased by 52.3% following the SIP order compared to corresponding time periods in 2018 and 2019. Both respiratory and non-respiratory visits declined, but this negative trend was most pronounced for non-respiratory admissions. Conclusions: The first SIP order to be issued in the United States in response to COVID-19 was associated with a significant reduction in ED utilization in Marin County.

Situational Breakdowns

2019 ◽  
Author(s):  
Anne Nassauer
Keyword(s):  
United States ◽  
Large Scale ◽  
Contextual Factors ◽  
The United States ◽  
Social Outcomes ◽  
Dynamic Processes ◽  
Collective Decisions ◽  
Different Types ◽  
The Impact

This book provides an account of how and why routine interactions break down and how such situational breakdowns lead to protest violence and other types of surprising social outcomes. It takes a close-up look at the dynamic processes of how situations unfold and compares their role to that of motivations, strategies, and other contextual factors. The book discusses factors that can draw us into violent situations and describes how and why we make uncommon individual and collective decisions. Covering different types of surprise outcomes from protest marches and uprisings turning violent to robbers failing to rob a store at gunpoint, it shows how unfolding situations can override our motivations and strategies and how emotions and culture, as well as rational thinking, still play a part in these events. The first chapters study protest violence in Germany and the United States from 1960 until 2010, taking a detailed look at what happens between the start of a protest and the eruption of violence or its peaceful conclusion. They compare the impact of such dynamics to the role of police strategies and culture, protesters’ claims and violent motivations, the black bloc and agents provocateurs. The analysis shows how violence is triggered, what determines its intensity, and which measures can avoid its outbreak. The book explores whether we find similar situational patterns leading to surprising outcomes in other types of small- and large-scale events: uprisings turning violent, such as Ferguson in 2014 and Baltimore in 2015, and failed armed store robberies.

scholarly journals COVID-19 In United States: Statistical Analysis and Inferences From the Empirical Data

2021 ◽  
Author(s):  
Nivedita Rethnakar
Keyword(s):  
United States ◽  
Statistical Analysis ◽  
Statistical Inference ◽  
Empirical Data ◽  
Respiratory Diseases ◽  
Temporal Dynamics ◽  
The United States ◽  
Mortality Statistics ◽  
Race Ethnicity ◽  
The Impact

Abstract This paper investigates the mortality statistics of the COVID-19 pandemic from the United States perspective. Using empirical data analysis and statistical inference tools, we bring out several exciting and important aspects of the pandemic, otherwise hidden. Specific patterns seen in demo- graphics such as race/ethnicity and age are discussed both qualitatively and quantitatively. We also study the role played by factors such as population density. Connections between COVID-19 and other respiratory diseases are also covered in detail. The temporal dynamics of the COVID-19 outbreak and the impact of vaccines in controlling the pandemic are also looked at with suf- ficient rigor. It is hoped that statistical inference such as the ones gathered in this paper would be helpful for better scientific understanding, policy prepa- ration and thus adequately preparing, should a similar situation arise in the future.

scholarly journals Role of Soil Moisture Feedback in the Development of Extreme Summer Drought and Flood in the United States

2016 ◽  
Vol 17 (8) ◽  
pp. 2191-2207 ◽  
Author(s):  
Roop Saini ◽  
Guiling Wang ◽  
Jeremy S. Pal
Keyword(s):  
United States ◽  
Soil Moisture ◽  
Large Scale ◽  
Climate Model ◽  
The United States ◽  
Summer Drought ◽  
Large Set ◽  
Drought And Flood ◽  
The Impact ◽  
Soil Moisture Feedback

Abstract This study tackles the contribution of soil moisture feedback to the development of extreme summer precipitation anomalies over the conterminous United States using a regional climate model. The model performs well in reproducing both the mean climate and extremes associated with drought and flood. A large set of experiments using the model are conducted that involve swapped initial soil moisture between flood and drought years using the 1988 and 2012 droughts and 1993 flood as examples. The starting time of these experiments includes 1 May (late spring) and 1 June (early summer). For all three years, the impact of 1 May soil moisture swapping is much weaker than the 1 June soil moisture swapping. In 1988 and 2012, replacing the 1 June soil moisture with that from 1993 reduces both the spatial extent and the severity of the simulated summer drought and heat. The impact is especially strong in 2012. In 1993, however, replacing the 1 June soil moisture with that from 1988 has little impact on precipitation. The contribution of soil moisture feedback to summer extremes is larger in 2012 than in 1988 and 1993. This may be because of the presence of strong anomalies in large-scale forcing in 1988 and 1993 that prohibit or favor precipitation, and the lack of such in 2012. This study demonstrates how the contribution of land–atmosphere feedback to the development of seasonal climate anomalies may vary from year to year and highlights its importance in the 2012 drought.

scholarly journals The Impact of the “Muslim Ban” Executive Order on Healthcare Utilization in Minneapolis-St. Paul, Minnesota

2020 ◽  
Author(s):  
Elizabeth A. Samuels ◽  
Lilla Orr ◽  
Elizabeth B. White ◽  
Altaf Saadi ◽  
Aasim I. Padela ◽  
...  
Keyword(s):  
United States ◽  
Primary Care ◽  
Emergency Department ◽  
Healthcare Utilization ◽  
The United States ◽  
Emergency Department Visits ◽  
Executive Order ◽  
Before And After ◽  
Muslim Majority ◽  
The Impact

AbstractObjectiveDetermine whether the 2017 “Muslim Ban” Executive Order impacted healthcare utilization by people born in Order-targeted nations living in the United States.MethodsWe conducted a retrospective cohort study of people living in Minneapolis-St. Paul, MN in 2016-2017 who were: 1) born in Order-targeted nations, 2) born in Muslim-majority nations not listed in the Order, and 3) born in the United States and non-Latinx. Primary outcomes were: 1) primary care visits, 2) missed primary care appointments, 3) primary care diagnoses for stress-responsive conditions, 4) emergency department visits, and 5) emergency department visits for stress-responsive diagnoses. We evaluated visit trends before and after Order issuance using linear regression and differences between study groups using a difference-in-difference analyses.ResultsIn early 2016, primary care visits and stress-responsive diagnoses increased among individuals from Muslim majority nations. Following the Order, there was an immediate increase in emergency department visits among individuals from Order-targeted nations.ConclusionsIncreases in healthcare utilization among people born in Muslim majority countries before and after the “Muslim Ban” likely reflect elevated cumulative stress including the impact of the Order.

scholarly journals (312) Implementing and Assesing a Bilingual Educational Program for Hispanic Nursery Workers in Ohio

HortScience ◽  
2006 ◽  
Vol 41 (4) ◽  
pp. 1055E-1056
Author(s):  
Alejandra Acuna ◽  
Hannah Mathers ◽  
Luke Case
Keyword(s):  
United States ◽  
Social Skills ◽  
Educational Program ◽  
Life Skills ◽  
Family Relationship ◽  
The United States ◽  
Course Evaluation ◽  
Plant Structure ◽  
Before And After ◽  
The Impact

Hispanics are becoming the main source of labor in many productive- and service-oriented businesses in the United States, and the nursery industry is one example. Employers invest much time and money into employees, making the employees their biggest investment. However, the educational needs of Hispanic employees have not been adequately addressed, and no formal educational program for Hispanic workers in the nursery industry has been implemented and tested in Ohio. This project has two objectives: 1) measure the impact of a bilingual educational program containing instruction in horticulture and instruction in life skills to a Hispanic workforce, and 2) investigate which type of training is more essential to the stabilization of the Hispanic family unit, technical horticultural training, or training in life-skills. Eight nurseries throughout Ohio were selected to participate in this project. At each of the nurseries, an average group size of 15 employees was trained. Only half of this number participated in the social skills lessons to determine differences between the group who received social skills lessons and the group who did not. Three horticultural topics were selected: basic plant structure and development, pruning, and nutrition. Forty-minute lessons in Spanish with key concepts in English were prepared with the topics mentioned. Three social skills topics were selected: meeting your and your family's needs in the United States, social support in your community, and communication. In order to measure the impact of a bilingual educational program, two tests (The Rosenberg Selfeteem and Index of Family Relationship) were applied before and after the program was performed. A course evaluation was completed by each of the participants after the program was completed.

scholarly journals Cultures of light: Electric light in the United States, 1890s-1950s

2021 ◽  
Author(s):  
◽  
Margaret Maile Petty
Keyword(s):  
United States ◽  
Twentieth Century ◽  
Large Scale ◽  
Cultural Beliefs ◽  
The United States ◽  
Light Industry ◽  
Electric Light ◽  
American Society ◽  
The Individual ◽  
The Impact

<p>Cultures of Light is set within a period that stretches from the late nineteenth to the mid-twentieth century in the United States, an era in which nearly every aspect of American life was impacted to a lesser or greater degree by the introduction, distribution and integration of electric power and light. By no means attempting to comprehensively examine the impact and effects of this expansive transformation, this thesis has a narrow but meaningful target, defined by key intersections of electric lighting and American culture. Primarily concerned with the investigation of culturally bound ideas and practices as mediated through electric light and its applications, my thesis is focused on particular instances of this interplay. These include its role in supporting nationalizing narratives and agendas through large-scale demonstrations at world’s fairs and exhibitions, in the search for and expression of modernism and its variations in the United States. Similarly electricity and electric light throughout the better part of the twentieth century was scaled to the level of the individual through a number of mechanisms and narratives. Most prominently the electric light industry employed gendered discourses, practices and beliefs in their efforts to grow the market, calling upon the assistance of a host of cultural influencers, from movie stars to architects to interior designers, instigating a renegotiation of established approaches to the design of architecture and the visual environment. Connecting common themes and persistent concerns across these seemingly disparate subject areas through the examination of cultural beliefs, practices, rituals and traditions, Cultures of Light seeks to illustrate the deep and lasting significance of electric light within American society in the twentieth century.</p>

scholarly journals First Record of the Large-Scale Loach Paramisgurnus dabryanus (Cobitidae) in the United States

2018 ◽  
Vol 9 (1) ◽  
pp. 246-254 ◽  
Author(s):  
Joseph E. Kirsch ◽  
Richard F. Feeney ◽  
Alisha Goodbla ◽  
Christopher Hart ◽  
Zachary J. Jackson ◽  
...  
Keyword(s):  
United States ◽  
San Francisco ◽  
Large Scale ◽  
Fish Communities ◽  
The United States ◽  
San Francisco Estuary ◽  
Bifurcation Structure ◽  
Paramisgurnus Dabryanus ◽  
San Joaquin River ◽  
The U.S

Abstract Exotic species have been implicated as a major threat to native freshwater fish communities in the Unites States. The San Francisco Estuary watershed has been recognized as one of the most invaded systems where exotics often dominate the fish community. On October 6, 2014, members of the U.S. Fish and Wildlife Service detected a previously unknown exotic fish in a disconnected pool immediately upstream from the Chowchilla Bifurcation Structure in the San Joaquin River, a major tributary of the San Francisco Estuary. A member of the U.S. Fish and Wildlife Service initially identified the fish as an Oriental Weatherfish Misgurnus anguillicaudatus using external morphological characteristics. We conducted additional fish sampling near the Chowchilla Bifurcation Structure in November 2014 and collected a total of six additional specimens in disconnected pool habitats. Unexpectedly, genetic and meristic techniques revealed that these specimens were Large-Scale Loach Paramisgurnus dabryanus. To our knowledge this is the first confirmed occurrence of Large-Scale Loach in the United States and the suspected pathway of introduction is release from aquaria. Very little is known about the population in the San Joaquin River. We recommend further evaluation of the ecology, distribution, and abundance of Large-Scale Loach to better understand their potential impact on the fish communities of the San Joaquin River and the likelihood of establishment throughout the United States.

Continued Evidence of the Impact of Rotavirus Vaccine in Children Less Than 3 Years of Age From the United States New Vaccine Surveillance Network: A Multisite Active Surveillance Program, 2006–2016

2020 ◽  
Author(s):  
Mary Allen Staat ◽  
Daniel C Payne ◽  
Natasha Halasa ◽  
Geoffrey A Weinberg ◽  
Stephanie Donauer ◽  
...  
Keyword(s):  
United States ◽  
Disease Burden ◽  
The United States ◽  
Population Based ◽  
Surveillance Program ◽  
Surveillance Network ◽  
Rotavirus Vaccination ◽  
Ed Visits ◽  
The Impact ◽  
Vaccine Surveillance

Abstract Background Since 2006, the New Vaccine Surveillance Network has conducted active, population-based surveillance for acute gastroenteritis (AGE) hospitalizations and emergency department (ED) visits in 3 United States counties. Trends in the epidemiology and disease burden of rotavirus hospitalizations and ED visits were examined from 2006 to 2016. Methods Children &lt; 3 years of age hospitalized or visiting the ED with AGE were enrolled from January 2006 through June 2016. Bulk stool specimens were collected and tested for rotavirus. Rotavirus-associated hospitalization and ED visit rates were calculated annually with 2006–2007 defined as the prevaccine period and 2008–2016 as the postvaccine period. Rotavirus genotype trends were compared over time. Results Over 11 seasons, 6954 children with AGE were enrolled and submitted a stool specimen (2187 hospitalized and 4767 in the ED). Comparing pre- and postvaccine periods, the proportion of children with rotavirus dramatically declined for hospitalization (49% vs 10%) and ED visits (49% vs 8%). In the postvaccine era, a biennial pattern of rotavirus rates was observed, with a trend toward an older median age. G1P[8] (63%) was the predominant genotype in the prevaccine period with a significantly lower proportion (7%) in the postvaccine period (P &lt; .001). G2P[4] remained stable (8% to 14%) in both periods, whereas G3P[8] and G12P[8] increased in proportion from pre- to postvaccine periods (1% to 25% and 17% to 40%), respectively. Conclusions The epidemiology and disease burden of rotavirus has been altered by rotavirus vaccination with a biennial disease pattern, sustained low rates of rotavirus in children &lt; 3 years of age, and a shift in the residual genotypes from G1P[8] to other genotypes.

scholarly journals Catastrophic High School and Collegiate Cheerleading Injuries in the United States: An Examination of the 2006-2007 Basket Toss Rule Change

2018 ◽  
Vol 11 (1) ◽  
pp. 32-39 ◽  
Author(s):  
Rebecca K. Yau ◽  
Savannah G. Dennis ◽  
Barry P. Boden ◽  
Robert C. Cantu ◽  
James A. Lord ◽  
...  
Keyword(s):  
United States ◽  
High School ◽  
Case Series ◽  
Injury Rate ◽  
The United States ◽  
Level Of Evidence ◽  
Injury Rates ◽  
Rule Change ◽  
Before And After ◽  
The Impact

Background: Cheerleading is a specialized athletic activity that can lead to catastrophic injuries. Cheerleading rules are in place to maximize safety of participants. The purpose of this study was to describe catastrophic cheerleading injuries among high school and collegiate-level participants in the United States and to explore whether the 2006-2007 basket toss rule change was effective at reducing the number of catastrophic injuries. Hypothesis: The 2006-2007 basket toss rule change contributed to a reduction in the number of catastrophic injuries among high school and collegiate cheerleaders. Study Design: Case series. Level of Evidence: Level 4. Methods: Data on catastrophic cheerleading injuries were collected by the National Center for Catastrophic Sport Injury Research from July 2002 to June 2017. Information collected included cheerleader, event, and injury characteristics. The impact of the 2006-2007 rule change banning the basket toss on any hard surfaces was assessed by comparing injury rates and 95% CIs before and after the rule change. Results: There were 54 catastrophic cheerleading injuries, or 3.6 injuries per year. From July 2002 through June 2017, the injury rate was 2.12 per 1,000,000 cheerleaders (95% CI, 1.56-2.69). Most cheerleaders sustained serious injuries (n = 27; 50%) during practice (n = 37; 69%) to the head (n = 28; 52%) and cervical spine (n = 17; 32%). From July 2002 through June 2017, basket tosses were the stunt that accounted for the highest proportion of injuries (n = 19; 35%). The basket toss injury rate decreased from 1.55 to 0.40 per 1,000,000 cheerleaders among both high school and collegiate cheerleaders after the rule change. Conclusion: Catastrophic injury rates in cheerleading decreased dramatically after the 2006-2007 rule change banning basket tosses from being performed on any hard surfaces. In particular, there was a nearly 4-fold reduction in the rate of catastrophic basket toss injuries.

Water Resources Reports Available

1982 ◽  
Vol 5 (1) ◽  
pp. 21-21 ◽  
Keyword(s):  
United States ◽  
Water Resources ◽  
United States Army ◽  
San Francisco ◽  
Environmental Quality ◽  
Quality Evaluation ◽  
National Research Council ◽  
The United States ◽  
Water Resources Projects ◽  
The Impact

A number of publications concerning water resources have been made available recently. A report on cultural attributes in environmental quality evaluation prepared by an interdisciplinary panel of the Environmental Studies Board of the National Research Council was released in August. Anthropologists on the panel included chairman John H. Peterson (Mississippi State) and Ruthann Knudson (Woodward-Clyde Consultants, San Francisco). Other fields represented included folklore, cultural geography, architecture and urban planning, and sociology. The report, "Assessing Cultural Attributes in Planning Water Resources Projects," was prepared in response to a United States Army Corp of Engineers request for an evaluation of the procedures (Environmental Quality Evaluation Procedures, 18 CRF 714) recommended by the United States Water Resources Council for assessing the impact of proposed water resources projects on cultural attributes of the affected environment.

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