Abstract TP232: Disparities in Access to Stroke Research in the State of Texas

Stroke ◽  
2017 ◽  
Vol 48 (suppl_1) ◽  
Author(s):  
Tzu-Ching Wu ◽  
Christy M Ankrom ◽  
Arvind B Bambhroliya ◽  
Shima Borzorgui ◽  
Sean I Savitz
Keyword(s):  
Census Data ◽  
Census Bureau ◽  
The State ◽  
Discharge Data ◽  
Department Of State ◽  
Stroke Research ◽  
Texas Department ◽  
The Status ◽  
Stroke Center ◽  
Us Census

Objective: Access to care is an important healthcare goal but access to research is also important to patients. We sought to gain an understanding of the status of stroke research among the various stroke designated hospitals in the state and to identify regions and facilities that lack access to stroke research. Methods: Texas Department of State Health Service (TDSHS) designated stroke facilities (DSF) were surveyed using a standardized questionnaire via telephone/email to confirm stroke center status, presence of a dedicated stroke coordinator, use of telestroke services, and participation in stroke research. Stroke discharge data were obtained from TDSHS and stroke volume (by ICD) were estimated for 2013 for all non-DSF. Census data were obtained from the US Census Bureau. Results: In total, 109/136 (80%) TDSHS DSF responded to the survey. Only 32/109 (29%) of the TDSHS DSF are participating in stroke research, mostly in the 4 metropolitan areas (fig 1). We identified 16 non-DSF that have 100-149 stroke discharges, and another 21 non-DSF that have ≥ 150 stroke discharges (fig 1). Over half (53%) of the DSF in the state are utilizing telestroke services. Conclusions: Most clinical stroke research conducted in Texas is in the 4 metropolitan markets. Our findings demonstrate that over 50% or ~14 million Texans reside outside of the 4 markets and therefore may lack access to stroke research. To increase access, we identified several non-DSF in the state with substantial stroke discharges (fig 1). Academic centers and non-DSF partnering through telemedicine and other relationships should be considered to expand throughout the state opportunities for participation in stroke research.

Choice and Conflict about Census Data Adjusting the American Census Count

1991 ◽  
Vol 11 (4) ◽  
pp. 357-398 ◽  
Author(s):  
Michael L. Cohen
Keyword(s):  
Census Data ◽  
Political Representation ◽  
The United States ◽  
Political Conflict ◽  
Census Bureau ◽  
Census Count ◽  
Social Fact ◽  
The Us ◽  
Census Adjustment ◽  
Us Census

ABSTRACTThe census is a social fact, the outcome of a process that involves the interaction of public laws and institutions and citizens' responses to an official inquiry. However, it is not a ‘hard’ fact. Reasons for inevitable defects in the census count are listed in the first section; the second section reports efforts by the US Census Bureau to identify sources of error in census coverage, and make estimates of the size of the errors. The use of census data for policy purposes, such as political representation and allocating funds, makes these defects controversial. Errors may be removed by making adjustments to the initial census count. However, because adjustment reallocates resources between groups, it has become the subject of political conflict. The paper describes the conflict between statistical practices, laws and public policy about census adjustment in the United States, and concludes by considering the extent to which causes in America are likely to be found in other countries.

scholarly journals Evaluation of Opioid Prescribing Habits Based on Analysis of a State Prescription Drug Monitoring Program

2019 ◽  
Vol 5 (22;5) ◽  
pp. E425-E433
Author(s):  
John C. Alexander
Keyword(s):  
Linear Regression Analysis ◽  
Monitoring Program ◽  
Multiple Linear Regression Analysis ◽  
Census Bureau ◽  
The State ◽  
White Population ◽  
Prescribing Habits ◽  
Controlled Substances ◽  
Opioid Prescribing ◽  
Us Census

Background: The current opioid epidemic is perhaps the greatest public health crisis in the United States. Although multiple factors led to the rise of this epidemic, it is without question associated with the rise in opioid prescribing. Objectives: Better understanding of the opioid prescribing may provide insights into populationlevel trends contributing to this epidemic, and opportunities to decrease the magnitude of opioid overdose-related death. Therefore we assessed trends in opioid prescribing habits based on analysis of the Texas Prescription Drug Monitoring Program (PDMP) and geographic, ethnic, and incomerelated data from the US Census Bureau. Study Design: Multiple linear regression analysis of Texas PDMP and US Census Bureau data were performed to assess for correlations to opioid prescribing based on geographic, ethnic, income, and time-related variables. Setting: All controlled substances prescribed in the state of Texas from April 2015 to May 2018 were analyzed. Methods: We obtained data from the Texas PDMP for all controlled substances from April 2015 to May 2018. We performed multiple linear regression analysis of these data along with US Census Bureau data to assess for correlations based on geographic, ethnic, income, and time-related variables. We hypothesized that there would be substantial variability in opioid prescribing habits based on geographic, ethnic, and economic variables. Results: Approximately 200 million pills of controlled substances were prescribed per month over the studied time frame. Overall, high geographic variability was noted, and this strongly correlated to race and ethnicity. Opioid prescribing increased along with the proportion of white residents within a county, but a similar negative correlation was noted with increasing Hispanic population proportion. This correlation was noted throughout the study period, but up until 2017, lower income levels among higher white population had even higher correlation with increased opioid prescribing. Cumulative opioid prescriptions throughout the state fell beginning in 2017. Limitations: This analysis does not include opioids obtained illicitly or from prescriptions outside the state of Texas. The specificity of geographic data are limited to the county level due to irregular entry of zip code data by prescribing pharmacies. Conclusions: In the state of Texas over the studied time period, there was strong correlation for higher rates of opioid prescribing as white population increased despite overall decreased opioid prescribing starting in 2017. Until 2017, this correlation grew stronger as low-income white population increased. Key words: Opioid, opioid epidemic, opioid utilization

scholarly journals Differential privacy in the 2020 US census: what will it do? Quantifying the accuracy/privacy tradeoff

2019 ◽  
Vol 3 ◽  
pp. 1722 ◽  
Author(s):  
Samantha Petti ◽  
Abraham Flaxman
Keyword(s):  
Census Data ◽  
Differential Privacy ◽  
Simple Random Sampling ◽  
Computer Code ◽  
Census Bureau ◽  
Decennial Census ◽  
Empirical Measure ◽  
Simple Random Sample ◽  
Us Census ◽  
Privacy Budget

Background: The 2020 US Census will use a novel approach to disclosure avoidance to protect respondents’ data, called TopDown. This TopDown algorithm was applied to the 2018 end-to-end (E2E) test of the decennial census. The computer code used for this test as well as accompanying exposition has recently been released publicly by the Census Bureau. Methods: We used the available code and data to better understand the error introduced by the E2E disclosure avoidance system when Census Bureau applied it to 1940 census data and we developed an empirical measure of privacy loss to compare the error and privacy of the new approach to that of a simple-random-sampling approach to protecting privacy. Results: We found that the empirical privacy loss of TopDown is substantially smaller than the theoretical guarantee for all privacy loss budgets we examined. When run on the 1940 census data, TopDown with a privacy budget of 1.0 was similar in error and privacy loss to that of a simple random sample of 50% of the US population. When run with a privacy budget of 4.0, it was similar in error and privacy loss of a 90% sample. Conclusions: This work fits into the beginning of a discussion on how to best balance privacy and accuracy in decennial census data collection, and there is a need for continued discussion.

Overview of The Status of Rock-wallabies in South Australia.

1996 ◽  
Vol 19 (2) ◽  
pp. 153
Author(s):  
P.B. Copley ◽  
P.J. Alexander
Keyword(s):  
Relative Abundance ◽  
Census Data ◽  
South Australia ◽  
Common Species ◽  
Geographic Range ◽  
The State ◽  
Natural Occurrence ◽  
North West ◽  
European Settlement ◽  
The Status

The status of Yellow-footed Rock-wallabies (Petrogale xanthopus) and Black-footed Rock-wallabies (P. lateralis) in South Australia was assessed by comparing recent survey and census data with previously collated information about the distribution and relative abundance of each taxon. Petrogale xanthopus has maintained most of its known geographic range within the state; however, its relative abundance has declined significantly and 35 (or 15%) of a total of 229 recorded colonies have become extinct since European settlement. Eight of these colony extinctions have occurred over the past 25 years; three of them since 1981. As this species is continuing to decline it should be regarded as threatened within the state. Petrogale lateralis has at least two sub-species which occur in South Australia. Petrogale lateralis pearsoni is endemic to the state and occurs on offshore islands. Since 1960 its natural occurrence of about 3-500 individuals on North Pearson Island has been expanded to four other islands through translocations and the total population is now about 700-1100 animals. This subspecies, while not occurring in large numbers, is nonetheless relatively secure due to the additional populations established and the fact that these are on islands isolated from most mainland threats. The mainland subspecies, Petrogale lateralis MacDonnell Ranges race, by comparison has suffered a drastic reduction in both geographic range and abundance to the point where it is South Australia’s most critically endangered vertebrate taxon. It has declined from being a very common species in the state’s far north- west to only two known, widely separated, colonies which total less than 100 animals between them. Management and research recommendations are provided.

scholarly journals Determinants of Sanitary Practices in Rural Odisha

2017 ◽  
Vol 4 (01) ◽  
Author(s):  
Chittaranjan Nayak ◽  
Prasanta Patri
Keyword(s):  
Census Data ◽  
Secondary Data ◽  
The State ◽  
Government Subsidy ◽  
Open Defecation ◽  
The Status ◽  
The Government ◽  
Key Indicators

Proper sanitation, hygiene and cleanliness are some of the key indicators of quality of life. The present paper attempts to study the status of sanitation in rural Odisha and explore its determinants. The paper is based on both primary as well as secondary data. The relative position of districts in rural sanitation is analysed with help of census data. The analysis observes that there is a significant regional divide in ‘access to toilets’ across the districts of Odisha. The backward districts are lying way below the relatively advanced coastal districts of the state. Moreover, for an investigation at a disaggregated level, we had taken 109 households from a village cluster for a case study. The study observes that caste category, occupation and government subsidy are the important factors influencing the sanitary practices of the study areas. The paper advocates for continuance of government subsidy with better targeting, and a massive awareness drive by the government to change the sordid state of open defecation in the state.

scholarly journals Texas Department of State Health Services' Technical Guidance: Mosquito Abatement Post–Weather Incident

2020 ◽  
Vol 36 (2s) ◽  
pp. 68-73
Author(s):  
Whitney A. Qualls
Keyword(s):  
Health Services ◽  
Severe Weather ◽  
The State ◽  
Background Information ◽  
Local Health ◽  
Guidance Document ◽  
State Health ◽  
Department Of State ◽  
Weather Events ◽  
Texas Department

ABSTRACT The Texas Department of State Health Services provides assistance to local health departments following severe weather events and other public health emergencies. Following the reports of large mosquito populations hindering recovery efforts after Hurricane Harvey, the Texas State Medical Operations Center created the Vector Control Task Force (VCTF) to organize the mosquito response requested through the State of Texas Assistance Requests. Since Hurricane Harvey, there have been other severe weather events that have activated the VCTF. The purpose of this developed document is to provide guidance to local jurisdictions requesting mosquito abatement assistance from the state level in response to a proliferation of nuisance mosquitoes that hinders governmental response and recovery efforts after a severe weather incident. The document also establishes criteria that the VCTF will evaluate to determine if and how resources should be allocated to programs requesting assistance for mosquito abatement. The guidance document provides background information on mosquito surveillance and control and identifies tasks, roles, and responsibilities for local jurisdictions, state, and federal partners.

scholarly journals Differential privacy in the 2020 US census: what will it do? Quantifying the accuracy/privacy tradeoff

2020 ◽  
Vol 3 ◽  
pp. 1722
Author(s):  
Samantha Petti ◽  
Abraham Flaxman
Keyword(s):  
Census Data ◽  
Differential Privacy ◽  
Simple Random Sampling ◽  
Computer Code ◽  
Census Bureau ◽  
Decennial Census ◽  
Empirical Measure ◽  
Simple Random Sample ◽  
Us Census ◽  
Privacy Budget

Background: The 2020 US Census will use a novel approach to disclosure avoidance to protect respondents’ data, called TopDown. This TopDown algorithm was applied to the 2018 end-to-end (E2E) test of the decennial census. The computer code used for this test as well as accompanying exposition has recently been released publicly by the Census Bureau. Methods: We used the available code and data to better understand the error introduced by the E2E disclosure avoidance system when Census Bureau applied it to 1940 census data and we developed an empirical measure of privacy loss to compare the error and privacy of the new approach to that of a (non-differentially private) simple-random-sampling approach to protecting privacy. Results: We found that the empirical privacy loss of TopDown is substantially smaller than the theoretical guarantee for all privacy loss budgets we examined. When run on the 1940 census data, TopDown with a privacy budget of 1.0 was similar in error and privacy loss to that of a simple random sample of 50% of the US population. When run with a privacy budget of 4.0, it was similar in error and privacy loss of a 90% sample. Conclusions: This work fits into the beginning of a discussion on how to best balance privacy and accuracy in decennial census data collection, and there is a need for continued discussion.

OPERATIONAL STATE OF BRIDGES OF UKRAINE

2019 ◽  
pp. 57-68
Author(s):  
Larysa Bodnar ◽  
Petro Koval ◽  
Sergii Stepanov ◽  
Liudmyla Panibratets
Keyword(s):  
Management System ◽  
The State ◽  
Operating Conditions ◽  
Bridge Management ◽  
Bridge Management System ◽  
Program Complex ◽  
Operating Condition ◽  
Software Complex ◽  
Automatic Mode ◽  
The Status

A significant part of Ukrainian bridges on public roads is operated for more than 30 years (94 %). At the same time, the traffic volume and the weight of vehicles has increased significantly. Insufficient level of bridges maintenance funding leads to the deterioration of their technical state. The ways to ensure reliable and safe operation of bridges are considered. The procedure for determining the predicted operational status of the elements and the bridge in general, which has a scientific novelty, is proposed. In the software complex, Analytical Expert Bridges Management System (AESUM), is a function that allows tracking the changes in the operational status of bridges both in Ukraine and in each region separately. The given algorithm of the procedure for determining the predicted state of the bridge using a degradation model is described using the Nassie-Schneidermann diagram. The model of the degradation of the bridge performance which is adopted in Ukraine as a normative one, and the algorithm for its adaptation to the AESUM program complex with the function to ensure the probabilistic predicted operating condition of the bridges in the automatic mode is presented. This makes it possible, even in case of unsatisfactory performance of surveys, to have the predicted lifetime of bridges at the required time. For each bridge element it is possible to determine the residual time of operation that will allow predict the state of the elements of the structure for a certain period of time in the future. Significant interest for specialists calls for the approaches to the development of orientated perspective plans for bridge inspection and monitoring of changes in the operational status of bridges for 2009-2018 in Ukraine. For the analysis of the state of the bridge economy, the information is available on the distribution of bridges by operating state related to the administrative significance of roads, by road categories and by materials of the structures. Determining the operating state of the bridge is an important condition for making the qualified decisions as regards its maintenance. The Analytical Expert Bridges Management System (AESUM) which is implemented in Ukraine, stores the data on the monitoring the status of bridges and performs the necessary procedures to maintain them in a reliable and safe operating condition. An important result of the work is the ability to determine the distribution of bridges on the public roads of Ukraine, according to operating conditions established in the program complex of AESUM, which is presented in accordance with the data of the current year. In conditions of limited funding and in case of unsatisfactory performance of surveys, it is possible to make the reasonable management decisions regarding the repair and the reconstruction of bridges. Keywords: bridge management system, operating condition, predicted operating condition, model of degradation, bridge survey plan, highway bridge.

Varied Responses to Human-Induced Seismicity in the City of Azle, Texas

2019 ◽  
Vol 3 (1) ◽  
pp. 1-8
Author(s):  
Sarmistha R. Majumdar
Keyword(s):  
State Government ◽  
Induced Seismicity ◽  
Oil And Gas ◽  
The United States ◽  
The State ◽  
Prior History ◽  
Small Community ◽  
Regulatory Policies ◽  
The Status

Fracking has helped to usher in an era of energy abundance in the United States. This advanced drilling procedure has helped the nation to attain the status of the largest producer of crude oil and natural gas in the world, but some of its negative externalities, such as human-induced seismicity, can no longer be ignored. The occurrence of earthquakes in communities located at proximity to disposal wells with no prior history of seismicity has shocked residents and have caused damages to properties. It has evoked individuals’ resentment against the practice of injection of fracking’s wastewater under pressure into underground disposal wells. Though the oil and gas companies have denied the existence of a link between such a practice and earthquakes and the local and state governments have delayed their responses to the unforeseen seismic events, the issue has gained in prominence among researchers, affected community residents, and the media. This case study has offered a glimpse into the varied responses of stakeholders to human-induced seismicity in a small city in the state of Texas. It is evident from this case study that although individuals’ complaints and protests from a small community may not be successful in bringing about statewide changes in regulatory policies on disposal of fracking’s wastewater, they can add to the public pressure on the state government to do something to address the problem in a state that supports fracking.

Hukum Denda dalam Keuangan Publik Islam di Indonesia

2018 ◽  
Vol 12 (2) ◽  
pp. 313-328
Author(s):  
Fathul Aminudin Aziz
Keyword(s):  
Islamic Law ◽  
The State ◽  
Mutual Benefit ◽  
State Budget ◽  
The People ◽  
The Status ◽  
The Government

Fines are sanctions or punishments that are applied in the form of the obligation to pay a sum of money imposed on the denial of a number of agreements previously agreed upon. There is debate over the status of fines in Islamic law. Some argue that fines may not be used, and some argue that they may be used. In the context of fines for delays in payment of taxes, in fiqh law it can be analogous to ta'zir bi al-tamlīk (punishment for ownership). This can be justified if the tax obligations have met the requirements. Whereas according to Islamic teachings, fines can be categorized as acts in order to obey government orders as taught in the hadith, and in order to contribute to the realization of mutual benefit in the life of the state. As for the amount of the fine, the government cannot arbitrarily determine fines that are too large to burden the people. Penalties are applied as a message of reprimand and as a means to cover the lack of the state budget.

Sign in / Sign up

Export Citation Format

Share Document