Effect of season and geographic location in the United States on detection of potential enteric pathogens or toxin genes in horses ≥6-mo-old

2021 ◽  
pp. 104063872110560
Author(s):  
Jaclyn A. Willette ◽  
Jamie J. Kopper ◽  
Clark J. Kogan ◽  
M. Alexis Seguin ◽  
Harold C. Schott
Keyword(s):  
United States ◽  
Detection Rate ◽  
Geographic Location ◽  
The United States ◽  
Enteric Pathogens ◽  
The South ◽  
The West ◽  
Detection Rates ◽  
Cryptosporidium Spp ◽  
Clostridioides Difficile

We investigated the effects of season and geographic location on detection of nucleic acids of potential enteric pathogens (PEPs) or their toxins (PEP-Ts) in feces of horses ≥6-mo-old in the United States. Results of 3,343 equine diarrhea PCR panels submitted to Idexx Laboratories for horses >6-mo-old were reviewed. Submission months were grouped into 4 seasons, and states were grouped into 4 geographic regions. Logistic regression was performed to assess effects of season and region on detection rates of PEPs and PEP-Ts. Agresti–Coull CIs were determined. Detection rate of Salmonella enterica was higher in the South in summer compared to all other regions, and was also higher in the South in fall compared to the Midwest and Northeast. The Neorickettsia risticii detection rate was lower during summer in the West and higher in fall in the Midwest. Detection of Cryptosporidium spp. was lower during spring, summer, and winter in the West. Differences were not identified for detection rates of Clostridioides difficile, Clostridium perfringens, Lawsonia intracellularis, Rhodococcus equi, equine rotavirus, and equine coronavirus. Overall, our data support seasonal and regional differences in detection rates of S. enterica, N. risticii, and Cryptosporidium spp. in horses ≥6-mo-old in the United States.

Abstract 15333: Choosing Where to Live or Die: Regional Variation in Outcomes Following Out-of-hospital Cardiac Arrest (OHCA) in the United States

Circulation ◽  
2015 ◽  
Vol 132 (suppl_3) ◽  
Author(s):  
Aiham Albaeni ◽  
May A. Beydoun ◽  
Shaker M. Eid ◽  
Bolanle Akinyele ◽  
Lekshminarayan RaghavaKurup ◽  
...  
Keyword(s):  
United States ◽  
Care Delivery ◽  
The United States ◽  
Hospital Charges ◽  
Trauma Patients ◽  
The South ◽  
The West ◽  
Total Hospital ◽  
North East ◽  
Nationwide Inpatient Sample Database

Background: Regional Differences in health outcomes following OHCA has been poorly studied, and was the focus of this investigation. Methods: We used the 2002 to 2012 Nationwide Inpatient Sample database to identify adults ≥ 18 years old, with an ICD-9 code principal diagnosis of cardio respiratory arrest (427.5) or ventricular fibrillation (427.1). Trauma patients were excluded. In 4 predefined federal geographic regions: North East, Midwest, South and West, means and proportions of total hospital charges (adjusted to the 2012 consumer price index,) and mortality rate were calculated. Multiple linear and logistic regression models, were adjusted for patient demographics, hospital characteristics and Charlson Comorbidity Index. Trends in binary outcome were examined with YearхRegion interaction terms. Results: From 2002 to 2012, of 155,592 OHCA patients who survived to hospital admission , 26,007 (16.7%) were in the Northeast, 39,921 (25.7% ) in the Midwest, 56,263 (36.2%) in the South, and 33,401 (21.5% ) in the West. Total hospital charges (THC) rose significantly over the years across all regions of the United States ( P trend <0.0001), and were higher in the West Vs the North East (THC>$109,000/admission, AOR 1.85; 95% CI 1.53-2.24, p<0.0001), and not different in other regions. Compared to the Northeast, mortality was lower in the Midwest ( AOR 0.86, 95% CI 0.77-0.97 p=0.01), marginally lower in the South ( AOR 0.91, 95% CI 0.82-1.01 p=0.07), with no difference detected between the West and the Northeast ( AOR 1.02, 95% CI 0.90-1.16 P=0.78). Increased expenditure was not rewarded by an increase in survival, as trends in Mortality did not differ significantly between regions (YearхRegion effects P>0.05, P trend =0.29). Conclusions: Nationwide, there is a considerable variability in survival and charges associated with caring for the post arrest patient. Higher charges did not yield better outcomes. Further investigation is needed to optimize health care delivery.

“Machinery Has Completely Taken Over”: The Diffusion of the Mechanical Cotton Picker, 1949–1964

2008 ◽  
Vol 39 (1) ◽  
pp. 65-96 ◽  
Author(s):  
Craig Heinicke ◽  
Wayne A. Grove
Keyword(s):  
United States ◽  
Environmental Factors ◽  
Educational Attainment ◽  
Technological Change ◽  
Social Institutions ◽  
The United States ◽  
The South ◽  
The West ◽  
Cotton Picker ◽  
Cotton Belt

Hand picking of cotton in the United States virtually disappeared twenty years after the first mechanical harvester was marketed in 1949. Contrary to received accounts, southern social institutions did not impede the diffusion of the mechanical cotton picker from the West to the cotton belt in the South so much as environmental factors and educational attainment did. Rising cotton yields and exogenous technological change drove diffusion by reducing the costs of machine harvesting. Labor displacement resulting from the cotton picker occurred only in a concentrated burst after 1959.

Household Vehicle Consumption Forecasts in the United States, 2000 to 2005

2011 ◽  
Vol 53 (5) ◽  
pp. 593-618 ◽  
Author(s):  
Qiushi Feng ◽  
Zhenglian Wang ◽  
Danan Gu ◽  
Yi Zeng
Keyword(s):  
United States ◽  
The United States ◽  
Household Consumption ◽  
New Method ◽  
The South ◽  
The West ◽  
Automobile Market

Forecasts of household vehicle consumption are important for automobile market analyses. This paper employs the ProFamy extended cohort-component new method to project household vehicle consumption from 2000 to 2025 across four regions of the United States (the Northeast, Midwest, South and West). The results show that the total number of household vehicles in 2025 will reach 235 million, representing a 31% increase over the 25 years. About a half of the increase is due to the consumption of cars, while the household consumption of vans will increase at a faster rate than that of cars and trucks. Household vehicle consumption will grow more in white non-Hispanic and Hispanic households in comparison with black non-Hispanic and Asian and other non-Hispanic households. Owners of household vehicles in the United States will be ageing quickly. Among households of different sizes, the largest increase in household vehicles will come from two-person households. Across the four regions, the largest increase in household vehicle consumption will be in the South, followed by the West, Midwest and Northeast.

5. Japan expands its war with China

2014 ◽  
pp. 66-80
Author(s):  
Gerard L. Weinberg
Keyword(s):  
United States ◽  
The Netherlands ◽  
Southeast Asia ◽  
South Pacific ◽  
The United States ◽  
The South ◽  
The West ◽  
The Pacific ◽  
East And Southeast Asia

Japan had been in open war with China since July 1937 and was continuing occasional advances against Chinese resistance. ‘Japan expands its war with China’ describes how German victories in the West in early 1940 suggested an opportunity to close off much of China's outside aid. In July 1941, Japanese forces occupied the southern part of French Indo-China, moving away from war with China to prepare attacks on territories controlled by the Netherlands, Britain, and the United States in East and Southeast Asia as well as the South Pacific. Japan's attack on Pearl Harbour in December 1941 brought the United States fully into the war, in both the Pacific and in Europe.

Regional Variation in Homicide Rates: Why Is the West So Violent?

1989 ◽  
Vol 4 (1) ◽  
pp. 17-25 ◽  
Author(s):  
Patrick W. O’Carroll ◽  
James A. Mercy
Keyword(s):  
United States ◽  
Mutual Effect ◽  
The United States ◽  
Homicide Rate ◽  
Geographic Pattern ◽  
The South ◽  
The West ◽  
Homicide Rates ◽  
Two Factors ◽  
Very High

Scientists have long been interested in the fact that the South has consistently had the highest crude homicide rates in the United States. Past investigations, however, have generally been predicated on the assumption that this geographic pattern was not attributable to or substantially altered by the age or race structures of the populations being compared. In this study, we calculated age-adjusted homicide rates for each of three race categories—white, black, and other—for each state and region in the United States in 1980. We found that for each race group, homicide rates were highest, not in the South, but in the West. Moreover, homicide rates for blacks were lower in the South than in any other region of the country. We infer that, for 1980 at least, the high crude homicide rate in the South results from the mutual effect of two factors: (1) blacks have very high homicide rates compared with whites, and (2) blacks make up a larger proportion of the population in the South than in other regions of the country. It remains to be determined whether the age-adjusted, race-stratified rates of past decades also show this pattern.

scholarly journals Demographic, Regional, and State‐Level Trends of Mortality in Patients With Aortic Stenosis in United States, 2008 to 2018

2020 ◽  
Vol 9 (21) ◽  
Author(s):  
Safi U. Khan ◽  
Ankur Kalra ◽  
Samir R. Kapadia ◽  
Muhammad U. Khan ◽  
Muhammad Zia Khan ◽  
...  
Keyword(s):  
United States ◽  
Aortic Stenosis ◽  
The United States ◽  
Percentage Change ◽  
Mortality Reduction ◽  
Annual Percentage Change ◽  
The South ◽  
The West ◽  
Related Mortality ◽  
White Patients

Background Aortic stenosis–related mortality might vary across demographic subsets, regions, and states in the United States. Methods and Results We reviewed the death certificate data from the Centers for Disease Control and Prevention Wide‐Ranging OnLine Data for Epidemiologic Research database to examine aortic stenosis–related mortality trends from 2008 to 2018. Crude and age‐adjusted mortality rates (AAMRs) per 100 000 people and annual percentage change with 95% CIs were calculated. Between 2008 and 2018, AAMR reduced from 12.7 to 11.5 (average annual percentage change, −1.0 [95% CI, −1.5 to −0.5]), because of an accelerated decline between 2015 and 2018 (annual percentage change, −4.4 [95% CI, −6.0 to −2.7]). Older (aged >85 years), male, and White patients had higher death rates than younger, female, and non‐White patients, respectively. Although mortality reduction was similar across sexes, significant mortality reduction was limited to White patients only. The AAMRs were higher in rural than urban areas. States with AAMRs >90th percentile were distributed in the West and the Northeast, and <10th percentile in the South. The AAMRs for sex and race were highest in the West and lowest in the South. None of the states located in the Midwest showed a significant reduction in mortality. Mortality remained stable for hospital setting and nursing home/long‐term care facility, except that the number of deaths increased at home and hospice facility since 2014. Conclusions The reduction in mortality in patients with aortic stenosis was not consistent among demographic subsets and states. The substantial public health and economic implications call for determination of underlying clinical and socioeconomic factors to narrow the gap.

scholarly journals 1720. Regional Differences in Trends of Hospitalizations Associated With Tick-Borne Diseases in the United States, 2009–2014

2018 ◽  
Vol 5 (suppl_1) ◽  
pp. S52-S53
Author(s):  
Jennifer Adjemian ◽  
Yi Ling Lai ◽  
Emily Ricotta ◽  
D Rebecca Prevots
Keyword(s):  
United States ◽  
Lyme Disease ◽  
The United States ◽  
Geographic Region ◽  
The South ◽  
The West ◽  
Annual Percent Change ◽  
Regional Trends ◽  
Tick Borne Disease ◽  
Rising Incidence

Abstract Background Tick-borne diseases are increasing in incidence in the United States; however, limited data exist on regional trends of associated hospitalizations. Using a nationally distributed dataset of US hospital-based medical records, we aimed to assess trends in incidence of hospitalizations from tick-borne disease by geographic region. Methods Data were examined from 156 US hospitals from 2009 to 2014 to identify hospitalizations with tick-borne disease. Cases were described and Poisson regression used to estimate the annual percent change (APC) and associated 95% confidence intervals (CI) in incidence by region over time. Results Overall, 2,543 hospitalized patients with tick-borne disease were identified (average annual incidence = 28.4 cases/100,000 hospitalized persons), including 1,613 (63%) with Lyme disease, 379 (15%) tick-borne fever, 293 (12%) ehrlichiosis, 93 (4%) babesiosis, 43 (2%) rickettsiosis, and 122 (4%) multiple tick-related diagnoses. Tick-borne diseases varied significantly by region, with Lyme disease more frequent in those residing in the Northeast (68%) than the South (57%) or West (42%) and tick-borne fever more common in the West (28%) vs. the South (18%), Midwest (14%), and Northeast (13%) (P &lt; 0.0001). Significant increases in tick-borne disease hospitalizations were identified across nearly all US regions, ranging from 15% per year in the South (95% CI=8–24%) to 45% per year in the West (34–58%), with the exception of the Northeast, where incidence declined by 6% per year (0.04–11%). Lyme disease hospitalizations showed similar trends, with the greatest increase in the South (APC = 53%, 95% CI = 33–76%) and a decrease in the Northeast (APC = 13%; 3%–23%). Hospitalizations with tick-borne fever increased in the Midwest (APC = 49%; 8–206%) and Northeast (APC = 18%; 4–34%); with ehrlichiosisincreased in the West (APC = 231%; 75–306%); and with babesiosis increased in the South (APC = 50%; 12–201%) and the Midwest (APC = 21%; 5–39%). Conclusion Incidence of hospitalizations from tick-borne disease is increasing throughout much of the nation, except in the Northeast where decreases in Lyme disease were observed. While hospitalizations with tick-borne diseases remain rare, the increases noted are substantial and may reflect rising incidence of these diseases within the represented states. Disclosures All authors: No reported disclosures.

Land Policy and Tenancy in the Prairie States

1941 ◽  
Vol 1 (1) ◽  
pp. 60-82 ◽  
Author(s):  
Paul Wallace Gates
Keyword(s):  
United States ◽  
The United States ◽  
Thomas Jefferson ◽  
The State ◽  
Land Policy ◽  
Political Democracy ◽  
Economic Democracy ◽  
The South ◽  
Urban Centers ◽  
The West

Thomas Jefferson believed that political democracy could be maintained in the United States only if it were made to rest on the firm foundation of economic democracy. “The small landowners are the most precious part of the State,” he said, contrasting this ideal economy with a congested population in urban centers which would, he feared, threaten democracy because it would be subject to control by agitators and demagogues. He urged the adoption of a policy of cheap land that would attract laborers from abroad and from the eastern cities to the newly developing areas of the West and the South. Thus he proposed to create a nation of farm owners who would be the very warp and woof of democracy.

Against Slave Power? Slavery and Runaway Slaves in Mexico-United States Relations, 1821–1857

2019 ◽  
Vol 35 (2) ◽  
pp. 143-170
Author(s):  
Gerardo Gurza-Lavalle
Keyword(s):  
United States ◽  
Foreign Policy ◽  
The United States ◽  
The South ◽  
Runaway Slaves ◽  
The Us ◽  
El Alto ◽  
Upper South ◽  
Lower South

This work analyses the diplomatic conflicts that slavery and the problem of runaway slaves provoked in relations between Mexico and the United States from 1821 to 1857. Slavery became a source of conflict after the colonization of Texas. Later, after the US-Mexico War, slaves ran away into Mexican territory, and therefore slaveholders and politicians in Texas wanted a treaty of extradition that included a stipulation for the return of fugitives. This article contests recent historiography that considers the South (as a region) and southern politicians as strongly influential in the design of foreign policy, putting into question the actual power not only of the South but also of the United States as a whole. The problem of slavery divided the United States and rendered the pursuit of a proslavery foreign policy increasingly difficult. In addition, the South never acted as a unified bloc; there were considerable differences between the upper South and the lower South. These differences are noticeable in the fact that southerners in Congress never sought with enough energy a treaty of extradition with Mexico. The article also argues that Mexico found the necessary leeway to defend its own interests, even with the stark differential of wealth and resources existing between the two countries. El presente trabajo analiza los conflictos diplomáticos entre México y Estados Unidos que fueron provocados por la esclavitud y el problema de los esclavos fugitivos entre 1821 y 1857. La esclavitud se convirtió en fuente de conflicto tras la colonización de Texas. Más tarde, después de la guerra Mexico-Estados Unidos, algunos esclavos se fugaron al territorio mexicano y por lo tanto dueños y políticos solicitaron un tratado de extradición que incluyera una estipulación para el retorno de los fugitivos. Este artículo disputa la idea de la historiografía reciente que considera al Sur (en cuanto región), así como a los políticos sureños, como grandes influencias en el diseño de la política exterior, y pone en tela de juicio el verdadero poder no sólo del Sur sino de Estados Unidos en su conjunto. El problema de la esclavitud dividió a Estados Unidos y dificultó cada vez más el impulso de una política exterior que favoreciera la esclavitud. Además, el Sur jamás operó como unidad: había diferencias marcadas entre el Alto Sur y el Bajo Sur. Estas diferencias se observan en el hecho de que los sureños en el Congreso jamás se esforzaron en buscar con suficiente energía un tratado de extradición con México. El artículo también sostiene que México halló el margen de maniobra necesario para defender sus propios intereses, pese a los fuertes contrastes de riqueza y recursos entre los dos países.

Mafias on the Move

2011 ◽  
Author(s):  
Federico Varese
Keyword(s):  
United States ◽  
New York ◽  
Organized Crime ◽  
The United States ◽  
The West ◽  
Market Expansion ◽  
The North ◽  
Economic Transformations ◽  
At Will

Organized crime is spreading like a global virus as mobs take advantage of open borders to establish local franchises at will. That at least is the fear, inspired by stories of Russian mobsters in New York, Chinese triads in London, and Italian mafias throughout the West. As this book explains, the truth is more complicated. The author has spent years researching mafia groups in Italy, Russia, the United States, and China, and argues that mafiosi often find themselves abroad against their will, rather than through a strategic plan to colonize new territories. Once there, they do not always succeed in establishing themselves. The book spells out the conditions that lead to their long-term success, namely sudden market expansion that is neither exploited by local rivals nor blocked by authorities. Ultimately the inability of the state to govern economic transformations gives mafias their opportunity. In a series of matched comparisons, the book charts the attempts of the Calabrese 'Ndrangheta to move to the north of Italy, and shows how the Sicilian mafia expanded to early twentieth-century New York, but failed around the same time to find a niche in Argentina. The book explains why the Russian mafia failed to penetrate Rome but succeeded in Hungary. A pioneering chapter on China examines the challenges that triads from Taiwan and Hong Kong find in branching out to the mainland. This book is both a compelling read and a sober assessment of the risks posed by globalization and immigration for the spread of mafias.

Sign in / Sign up

Export Citation Format

Share Document