scholarly journals One year of child neurology telemedicine: a data-driven analysis of 14,820 encounters

2021 ◽  
Author(s):  
Michael C Kaufman ◽  
Julie Xian ◽  
Peter D Galer ◽  
Shridhar Parthasarathy ◽  
Alexander K Gonzalez ◽  
...  
Keyword(s):  
Neuromuscular Disorders ◽  
Pediatric Epilepsy ◽  
Patient Portal ◽  
Child Neurology ◽  
Time Period ◽  
Vulnerable Families ◽  
Observational Cohort ◽  
One Year ◽  
Long Term Impact ◽  
Activation Rates

Introduction Determining the long-term impact of telemedicine in care across the diagnostic and age spectrum of child neurology during the COVID-19 pandemic and with the re-opening of outpatient clinics. Methods An observational cohort study of 34,837 in-person visits and 14,820 telemedicine outpatient pediatric neurology visits between October 1, 2019 and April 9, 2021. We assessed differences in care across visit types, time-period observed, time between follow-ups, patient portal activation rates and demographic factors. Results 26,399 patients were observed in this study (median age 11.4 years [interquartile range, 5.5-15.9]; 13,209 male). We observed a higher proportion of telemedicine for epilepsy (ICD10 G40: OR 1.4, 95% CI 1.3-1.5) and a lower proportion for movement disorders (ICD10 G25: OR 0.7, 95% CI 0.6-0.8; ICD10 R25: OR 0.7, 95% CI 0.6-0.9). Infants were more likely to be seen in-person after re-opening clinics than by telemedicine (OR 1.6, 95% CI 1.5-1.8) as were individuals with neuromuscular disorders (OR 0.6, 95% CI 0.6-0.7). Racial and ethnic minority populations and those with highest social vulnerability had lower rates of telemedicine participation throughout the pandemic (OR 0.8, 95% CI 0.8-0.8; OR 0.7, 95% CI 0.7-0.8). Discussion Telemedicine implementation was followed by continued use even once in-person clinics were available. Pediatric epilepsy care can often be performed using telemedicine while young children and patients with neuromuscular disorders often require in-person assessment. Prominent barriers for socially vulnerable families and racial and ethnic minorities persist.

scholarly journals Care Delivery for Children With Epilepsy During the COVID-19 Pandemic: An International Survey of Clinicians

2020 ◽  
Vol 35 (13) ◽  
pp. 924-933 ◽  
Author(s):  
Elaine C. Wirrell ◽  
Zachary M. Grinspan ◽  
Kelly G. Knupp ◽  
Yuwu Jiang ◽  
Biju Hammeed ◽  
...  
Keyword(s):  
Epilepsy Surgery ◽  
Online Survey ◽  
Care Delivery ◽  
Infantile Spasms ◽  
Standards Of Care ◽  
Pediatric Epilepsy ◽  
Careful Study ◽  
Child Neurology ◽  
Cross Sectional ◽  
Long Term Impact

Objective: To evaluate the effect of the COVID-19 pandemic on global access to care and practice patterns for children with epilepsy. Methods: We conducted a cross-sectional, online survey of pediatric neurologists across the world affiliated with the International Child Neurology Association, the Chinese Child Neurology Society, the Child Neurology Society, and the Pediatric Epilepsy Research Consortium. Results were analyzed in relation to regional burden of COVID-19 disease. Results: From April 10 to 24, 2020, a sample of 212 respondents from 49 countries indicated that the COVID-19 pandemic has dramatically changed many aspects of pediatric epilepsy care, with 91.5% reporting changes to outpatient care, 90.6% with reduced access to electroencephalography (EEG), 37.4% with altered management of infantile spasms, 92.3% with restrictions in ketogenic diet initiation, 93.4% with closed or severely limited epilepsy monitoring units, and 91.3% with canceled or limited epilepsy surgery. Telehealth use had increased, with 24.7% seeing patients exclusively via telehealth. Changes in practice were related both to COVID-19 burden and location. Conclusions: In response to COVID-19, pediatric epilepsy programs have implemented crisis standards of care that include increased telemedicine, decreased EEG use, changes in treatments of infantile spasms, and cessation of epilepsy surgery. The long-term impact of these abrupt changes merit careful study.

scholarly journals One Year of the COVID-19 Pandemic in Galicia: A Global View of Age-Group Statistics during Three Waves

2021 ◽  
Vol 18 (10) ◽  
pp. 5104
Author(s):  
Iván Area ◽  
Henrique Lorenzo ◽  
Pedro J. Marcos ◽  
Juan J. Nieto
Keyword(s):  
Intensive Care Unit ◽  
Hospital Admissions ◽  
Age Groups ◽  
Age Group ◽  
Nw Spain ◽  
The Past ◽  
Global View ◽  
Time Period ◽  
Key Variables ◽  
One Year

In this work we look at the past in order to analyze four key variables after one year of the COVID-19 pandemic in Galicia (NW Spain): new infected, hospital admissions, intensive care unit admissions and deceased. The analysis is presented by age group, comparing at each stage the percentage of the corresponding group with its representation in the society. The time period analyzed covers 1 March 2020 to 1 April 2021, and includes the influence of the B.1.1.7 lineage of COVID-19 which in April 2021 was behind 90% of new cases in Galicia. It is numerically shown how the pandemic affects the age groups 80+, 70+ and 60+, and therefore we give information about how the vaccination process could be scheduled and hints at why the pandemic had different effects in different territories.

Survival With Respect to Morphology in Pulmonary Atresia and Intact Ventricular Septum in Sweden

2021 ◽  
Vol 12 (1) ◽  
pp. 27-34
Author(s):  
Stina Manhem ◽  
Katarina Hanséus ◽  
Håkan Berggren ◽  
Britt-Marie Ekman-Joelsson
Keyword(s):  
Pulmonary Atresia ◽  
Early Time ◽  
Ventricular Septum ◽  
Intact Ventricular Septum ◽  
Early Group ◽  
Time Period ◽  
Medical Reports ◽  
One Year ◽  
Survival Risk ◽  
Late Group

Background: Patients born with pulmonary atresia and intact ventricular septum represent a challenge to pediatric cardiologists. Our objective was to study changes in survival with respect to morphology in all children born with pulmonary atresia and intact ventricular septum in Sweden during 36 years. Methods: A retrospective, descriptive study based on medical reports and echocardiographic examinations consisting of those born between 1980 and 1998 (early group) and those born between 1999 and 2016 (late group). Results: The cohort consists of 171 patients (early group, n = 86 and late group, n = 85) yielding an incidence of 4.35 and 4.46 per 100,000 live births, respectively. One-year survival in the early group was 76% compared to 92% in the late group ( P = .0004). For patients with membranous atresia, one-year survival increased from 78% to 98%, and for muscular pulmonary atresia, from 68% to 85%. In patients with muscular pulmonary atresia and ventriculocoronary arterial communications, there was no significant increase in survival. Risk factors for death were being born in the early time period hazard ratio (HR), 6; 95% CI (2.33-14.28) P = .0002, low birth weight HR, 1.26; 95% CI (1.14-1.4) P < .0001 and having muscular pulmonary atresia HR, 3.74; 95% CI (1.71-8.19) P = .0010. Conclusion: The incidence of pulmonary atresia and intact ventricular septum remained unchanged during the study period. Survival has improved, especially for patients with membranous pulmonary atresia, while being born with muscular pulmonary atresia is still a risk factor for death. To further improve survival, greater focus on patients with muscular pulmonary atresia and ventriculocoronary arterial communications is required.

Review of Neurologic Comorbidities in Hospitalized Patients with Opioid Abuse

2021 ◽  
pp. 10.1212/CPJ.0000000000001080
Author(s):  
Kevin R. Nelson ◽  
Katelyn Dolbec ◽  
William Watson ◽  
Hanwen Yuan ◽  
Mam Ibraheem
Keyword(s):  
Disease Burden ◽  
Neuromuscular Disorders ◽  
Hospitalized Patients ◽  
Opioid Abuse ◽  
Central Nervous System Infections ◽  
Hospital Discharges ◽  
The Public ◽  
Urban Rural ◽  
One Year ◽  
Spine Disorders

AbstractPurpose of review:Determine the prevalence and burden of neurological comorbidities in hospitalized patients with opioid abuse.Recent findings:From one year of hospital discharges 2,182 opioid abuse patients were identified (prevalence 6.3%), with abuse greater among younger patients (p<0.0001), women (p<0.0001), whites (p<0.0001), and urban population (p=0.028). Matching for age, sex, race, and urban-rural residence, 347 patients were reviewed and 179 (52%) had a neurological comorbidity. The comorbidities frequently overlapped and included: encephalopathy (130), neuromuscular disorders (42), seizures (23), spine disorders (23), strokes (20), central nervous system infections (3), and movement disorders (2). Abuse patients with neurologic comorbidities experienced substantially greater number of hospital and intensive care unit days and mortality, independent of overdose.Summary:Neurological comorbidities are a frequent and heretofore underappreciated contributor to the disease burden of hospitalized patients with opioid abuse. The importance of neurological comorbidities should be included in the public health discussions surrounding the opioid epidemic.

scholarly journals Can Individual Investors Capture The Value Premium?

2011 ◽  
Vol 7 (5) ◽  
Author(s):  
Patrick J. Larkin
Keyword(s):  
Individual Investors ◽  
Investment Strategies ◽  
Enterprise Value ◽  
Market Portfolio ◽  
A Value ◽  
Time Period ◽  
Return On Capital ◽  
Reduce Risk ◽  
One Year ◽  
Value Strategy

I test the performance of several simple one and two-factor mechanical GARP and value investment strategies against a value-weighted market portfolio for the period 1998-2006, focusing on the suitability of the strategies for individual investors. All of the GARP and value strategies produce substantially higher average returns than the market portfolio over the 97 rolling one-year holding periods included in the study. The strategies have a higher standard deviation of returns across the 97 start months, but are less likely than the market portfolio to experience negative returns over any three or five-year time period. Overall, the best performing strategies are EBIT to enterprise value and return on capital, EBIT to enterprise value alone, and earnings yield (the inverse of the P/E ratio). Adding a profitability factor to form a GARP strategy from a simple one-factor value strategy does not appear boost performance, though it does reduce risk in the EBIT to enterprise value and return on capital strategy. My results indicate that individual investors who are able to tolerate occasional underperformance should consider using a GARP or value strategy in at least a portion of the portion of their portfolio that is allocated to U.S. equities.    

scholarly journals The Effect of Environmental Disclosure and Performance on Profitability in the Companies Listed on the Stock Exchange of Thailand (SET)

2021 ◽  
Vol 19 (1) ◽  
pp. 66-72
Author(s):  
Indah Fajarini Sri Wahyuningrum ◽  
Muhammad Ihlashul Amal ◽  
Suci Sularsih
Keyword(s):  
Environmental Performance ◽  
Stock Exchange ◽  
Linear Regression Analysis ◽  
Multiple Linear Regression Analysis ◽  
Iso 14001 ◽  
Company Size ◽  
Analysis Tool ◽  
Environmental Disclosure ◽  
Time Period ◽  
One Year

The main objective of this study is to determine the empirical evidence of the effect of environmental disclosure, environmental performance, company age, and company size on profitability. The purposive sampling method was used to determine the sample of companies and obtained 85 companies from a total population of 100 large companies listed on the Thailand Stock Exchange (SET) in 2018. The data analysis technique used was multiple linear regression analysis using analysis tool IBM SPSS Statistics version 26. The results of this study prove that environmental disclosure has a significant positive effect on profitability. Environmental performance and company size have a significant negative effect on profitability. On the other hand, company age is not proven to have a significant effect on profitability. Based on the research results, it can be concluded that more extensive environmental disclosure is able to increase the achievement of profitability. However, company age is not a factor affecting profitability. Meanwhile, company size and environmental performance as measured by total assets and the existence of ISO 14001 certifications are proven to reduce the level of company profitability. This study also has several limitations, including the time period which is limited to only one time period, namely 2018. It is expected that further studies can expand the time period by more than one year. This is since using a time period of more than one year can illustrate the effect of environmental disclosure and environmental performance, company age and company size on the profitability achieved by the companies.  In addition, it is expected that the results of this study can provide input to companies to be more concerned regarding company performance activities, especially on the environment because there are still many companies that have low levels of environmental disclosure even though environmental disclosure in Thailand is still voluntary.

scholarly journals Neglecting Decline: Remembered and Predicted Personal Development Diverge from Actual Longitudinal Change.

2019 ◽  
Author(s):  
Sarah Molouki ◽  
Daniel Bartels ◽  
Oleg Urminsky
Keyword(s):  
Longitudinal Study ◽  
Personal Development ◽  
Absolute Magnitude ◽  
Longitudinal Change ◽  
Personal Change ◽  
Future Change ◽  
Change Over Time ◽  
Time Period ◽  
One Year ◽  
Over Time

A one-year longitudinal study was conducted to investigate the accuracy of people’s assessmentsof their own personal change over time. We compared people’s predicted, actual, and recalledchange in their personality, values, and preferences over this time period. On average,participants underestimated the absolute magnitude of their personal change, yet simultaneouslyoverestimated their net improvement, in both prediction and recall. This effect was due to anasymmetry whereby people selectively neglected negative changes, especially prospectively.Although participants in our sample both improved and declined over the year, they were morelikely to remember past improvements than declines, and made nearly uniformly positivepredictions of future change. We discuss how the current findings reconcile researchdemonstrating expectations of personal improvement (e.g., Wilson &amp; Ross, 2001; Kanten &amp;Teigen, 2008) with other research that suggests people overpredict their personal stability(Quoidbach, Gilbert, &amp; Wilson, 2013).

scholarly journals Adolescent friendships predict later resilient functioning across psychosocial domains in a healthy community cohort

2016 ◽  
Author(s):  
Anne-Laura Van Harmelen
Keyword(s):  
Family Support ◽  
Psychosocial Functioning ◽  
Principal Component ◽  
Mental Wellbeing ◽  
Psychiatric Symptomatology ◽  
Family Experiences ◽  
Time Period ◽  
One Year ◽  
Healthy Community ◽  
The Relationship

Background: Adolescence is a key time period for the emergence of psychosocial and mental healthdifficulties. To promote adolescent adaptive (‘resilient’) psychosocial functioning, appropriate conceptualizationand quantification of such functioning and its predictors is a crucial first step. Here,we quantify resilient functioning as the degree to which an individual functions better or worse thanexpected given their self-reported childhood family experiences, and relate this to adolescent familyand friendship support.Method: We used Principal Component and regression analyses to investigate the relationship betweenchildhood family experiences and psychosocial functioning (PSF: psychiatric symptomatology,personality traits and mental wellbeing) in healthy adolescents (the Neuroscience in Psychiatry Network;N=2389; ages 14-24). Residuals from the relation between childhood family experiences andPSF reflect resilient functioning; the degree to which an individual is functioning better, or worse,than expected given their childhood family experiences. Next, we relate family and friendship supportwith resilient functioning both cross-sectionally and one year later.Results: Friendship and family support were positive predictors of immediate resilient psychosocialfunctioning, with friendship support being the strongest predictor. However, whereas friendshipsupport was a significant positive predictor of later resilient functioning, family support had a negativerelationship with later resilient psychosocial functioning.Conclusions: We show that friendship support, but not family support, is an important positive predictorof both immediate and later resilient psychosocial functioning in adolescence and early adulthood.Interventions that promote the skills needed to acquire and sustain adolescent friendshipsmay be crucial in increasing adolescent resilient psychosocial functioning.

scholarly journals Indian Press Coverage of Farmers’ Suicides in Andhra Pradesh: A Content Analysis

2019 ◽  
Vol 14 (2) ◽  
pp. 47
Author(s):  
J. Madhu Babu ◽  
S. Raja Rao
Keyword(s):  
Content Analysis ◽  
Andhra Pradesh ◽  
World Population ◽  
Chi Square ◽  
Time Period ◽  
Farmer Suicides ◽  
Cotton Seeds ◽  
The Government ◽  
One Year ◽  
Sample Method

<p>India, consisting of 16 percent of world population subsists only on 2.4 percent land resources.  Agriculture is the only source of livelihood to the two third of the population which gives employment to 57 percent of the workforce. Agriculture in India is often regarded as gambling with monsoons, because of its almost exclusive dependency on precipitation from monsoons. The failure of monsoons leading to a series of droughts, lack of better prices, exploitation by middlemen, and Gene Modified (GM) seed companies who are selling expensive cotton seeds and fertilizers, all of which have led to a series of suicides committed by farmers across India. Farmers' suicides are a complex phenomenon. Since the 1990s farmer suicides in India have made headlines.  The journalist   Palagummi Sainath highlighted that 17,500 farmers were suicides between 2002 to 2006. The government figures show 14,000 farmers took their own lives in 2011. The total number of farmers’ suicides crossed 3 lakh mark till in 2014.  That most suicides occurred in the states of Andhra Pradesh, Maharashtra, Karnataka, Kerala and Punjab. This study seeks to investigate news items on farmers’ suicides in the Indian newspapers. A quantitative content analysis was adopted in this research. This study used two English dailies i.e. The Hindu and The New Indian Express and two Telugu dailies i.e. Eenadu and Andhrajyothi were taken for analysis. It is not a random sample.  In this, a purposive sample method was adopted. The selection time period was one year i.e. from January 1, 2015, to December 31, 2015. Keeping in view ten subject categories have been mainly identified for this research. All the data collected were analyzed simple percentage and mean, standard deviation, ANOVA, Chi-square have been used for analysis. </p>

Sign in / Sign up

Export Citation Format

Share Document