Quantifying COVID-19’s Impact on Telemedicine Utilization: a Retrospective Observational Study (Preprint)

2021 ◽  
Author(s):  
Emily Louise Vogt ◽  
Brandon M. Welch ◽  
Brian E. Bunnell ◽  
Janelle F. Barrera ◽  
Samantha R. Paige ◽  
...  
Keyword(s):  
Clinical Practice ◽  
New England ◽  
State Level ◽  
Session Length ◽  
The Past ◽  
Regional Trends ◽  
Clinical Center ◽  
Per Capita ◽  
Using Data ◽  
Level Analysis

BACKGROUND While telemedicine has been expanding over the past decade, the COVID-19 pandemic era restrictions regarding in-person care have led to unprecedented levels of telemedicine utilization. To the authors’ knowledge, no studies to date have quantitatively analyzed both national and regional trends in telemedicine utilization during COVID-19, both of which have key implications for informing health policy. OBJECTIVE To investigate how trends in telemedicine utilization changed across the course of the COVID-19 pandemic. METHODS Using data from doxy.me, the largest free telemedicine platform, and the NIH Clinical Center, the largest U.S. clinical research hospital, we assessed changes in total telemedicine minutes, new provider registrations, monthly sessions, and average session length from March-November 2020. We also conducted state-level analysis of how telemedicine expansion differed by region. RESULTS National telemedicine utilization peaked in April 2020 at 291 million minutes and stabilized at 200-220 million monthly minutes from May to November 2020. Surges were strongest in New England and weakest in the South and West. Greater telemedicine expansion during COVID-19 was geographically associated with lower COVID-19 cases per capita. The nature of telemedicine visits also changed, as the average monthly visits per provider doubled and average visit length decreased by 60%. CONCLUSIONS The COVID-19 pandemic led to an abrupt and subsequently sustained uptick in telemedicine utilization. Regional and institute-level differences in telemedicine utilization should be further investigated to inform policy and procedures for sustaining meaningful telemedicine use in clinical practice.

scholarly journals Wine Consumption in Norway: An Age-Period-Cohort Analysis

2018 ◽  
Vol 13 (1) ◽  
pp. 41-56 ◽  
Author(s):  
Geir Wæhler Gustavsen ◽  
Kyrre Rickertsen
Keyword(s):  
Cohort Analysis ◽  
Birth Cohorts ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Wine Consumption ◽  
The Past ◽  
Attitudinal Factors ◽  
Consumption Frequency ◽  
Per Capita ◽  
Using Data

AbstractThe Norwegian per capita sales of wine have more than doubled over the past 20 years, while the sales of sprits and beer have declined. These changes are likely to be the effect of changes in economic, demographic, and attitudinal factors as well as the availability of wine. We estimated age-period-cohort (APC) logit models using data from a large repeated cross-sectional survey over the period 1991–2015. The estimation results indicate substantial effects of the APC variables as well as income, availability, and attitudes. The model was used to simulate wine consumption over the life cycle in different birth cohorts. The simulation results indicate that wine consumption frequency increases by age, and younger cohorts are expected to increase their consumption frequencies more than older cohorts, which suggests an increased wine consumption over time. (JEL Classifications: D12, J10, Q13)

Prevalence and Descriptors of Aspirin Use as an Antiplatelet Agent in Two New England Communities

1993 ◽  
Vol 27 (4) ◽  
pp. 442-444 ◽  
Author(s):  
Anne L. Hume ◽  
Marilyn M. Barbour ◽  
Kate L. Lapane ◽  
Annlouise R. Assaf ◽  
Richard A. Carleton
Keyword(s):  
New England ◽  
Health Program ◽  
Antiplatelet Agent ◽  
Population Based ◽  
Household Surveys ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
The Past ◽  
Using Data ◽  
Heart Health Program

OBJECTIVE: To determine the overall prevalence of aspirin use as an antiplatelet agent in a population-based sample of respondents between the ages of 18 and 64 years, and to describe their sociodemographic characteristics. DESIGN: Data were derived from five biennial cross-sectional household surveys conducted between 1981 and 1990 in two southeastern New England communities by the Pawtucket Heart Health Program. Individuals reporting aspirin use as an antiplatelet agent were identified using data from a structured medication interview. RESULTS: The prevalence of aspirin use per 1000 population was 2.5 (95 percent confidence interval [CI] 0.5,4.4), 5.0 (95 percent CI 2.4, 7.6), 7.8 (95 percent CI 4.6, 11.0), 7.5 (95 percent CI 4.3, 10.6), and 11.8 (95 percent CI 7.1, 16.5) in the first through the fifth survey periods, respectively (p=0.0002). The prevalence of aspirin use per 1000 men increased from 4.9 (95 percent CI 0.6, 9.1), 8.7 (95 percent CI 3.3, 14.1), 12.3 (95 percent CI 6.1, 18.5), 8.5 (95 percent CI 3.5, 13.5) to 23.2 (95 percent CI 13.4, 32.9) for the first through the fifth survey periods, respectively. The corresponding prevalence rates of aspirin use per 1000 women were 0.7 (95 percent CI 0, 2.1), 2.43 (95 percent CI 0.05, 4.80), 4.6 (95 percent CI 1.4, 7.8), 6.6 (95 percent CI 2.7, 10.6), and 2.7 (95 percent CI 0, 5.7). Both a gender trend (p=0.0002) and a survey trend (p=0.0001) were detected. A gender-survey interaction was not found. CONCLUSIONS: In this population, aspirin use was reported primarily by middle-aged men who had coexisting cardiovascular disease as indicated by concurrent medications. Aspirin use as antiplatelet therapy increased in the population-based samples of two New England communities over the past nine years, with slightly more than one percent of the respondents reporting its use in the fifth cross-sectional survey conducted in 1989–1990. This finding may reflect the publication of important clinical trials near the time the survey was performed and subsequent dissemination of the findings both in the professional and lay press.

scholarly journals Implementing Sustainable Development Goals in India: Progress So Far

2021 ◽  
pp. 1-9
Author(s):  
Sumana Chatterjee
Keyword(s):  
Sustainable Development ◽  
Sustainable Development Goals ◽  
Developing Economies ◽  
State Level ◽  
Goal Achievement ◽  
Global Level ◽  
Development Goals ◽  
Per Capita ◽  
Level Analysis ◽  
Made In

As the world inches towards 2030, there is barely a precious decade left towards achieving the United Nations Sustainable Development Goals. Given the socio-economic fragility of the economies proven during the ongoing COVID-19 pandemic, it becomes imperative to strive maximum in order to achieve a harmony between economic, environmental and social progress in these economies. With 17.7% of share in the total world population, India has a very high degree of responsibility towards achievement of world SDGs. The spill over score for India is 98.8 which implies that India is in a strong position to create very positive spillover effects to other countries. With a federal structure comprising of 28 states and 8 UTs, the progress made by the Indian economy will depend on the progress made by these states and UTs. In this context the current article is an attempt to understand the extent of progress made in India towards achieving the various sustainable development goals. The analysis of the progress made on the various SDG goals is done at two levels: Global Level and State level.  At a global level, a comparison is done on the progress of SDGs made in India with other developed and developing economies respectively. To do the comparison the economies have been ranked on the basis of their progress in SDG goal achievement based on UN reports and their per capita incomes. This comparison is done to understand whether wealthier nations are faring better in the achievement of SDGs.  An important finding from this table is that the countries with highest per capita income do not necessarily have the highest rankings. This finding could have very meaningful implications on policy making and resource mobilization for the various goals in under developed and developing economies, including India. Further the analysis progress on various SDGs is done at a state level for India. This analysis is done to understand which states are doing good in terms of goal achievement and which states are lagging behind. The state level analysis can also point out to the best practices that are in practice and which can be adapted by other lagging states.  The analysis is done based on the Global Sustainable Development Report as well as the Sustainable Development Report prepared by NITI Ayog, Government of India. As the Central government as well as the State governments along with various stakeholders make efforts towards achieving these goals, a macro level analysis of the progress made on these goals can help in course correction at the correct time and thus optimize precious time and resources.

Google Hangout with Annie Baker, Playwright 1/25/16, 2:33 PM

2016 ◽  
Vol 69 (4) ◽  
pp. 57-64
Author(s):  
Genevieve Yue
Keyword(s):  
New York ◽  
New England ◽  
Selection Process ◽  
Pulitzer Prize ◽  
Film Festival ◽  
The Past

Genevieve Yue interviews playwright Annie Baker, whose Pulitzer Prize–winning play The Flick focuses on the young employees of a single-screen New England movie house. Baker is one of the most critically lauded playwrights to emerge on the New York theater scene in the past ten years, in part due to her uncompromising commitment to experimentation and disruption. Baker intrinsically understands that arriving at something meaningful means taking a new way. Accordingly, Baker did not want to conduct a traditional interview for Film Quarterly. After running into each other at a New York Film Festival screening of Chantal Akerman's No Home Movie (2015)—both overwhelmed by the film—Yue and Baker agreed to begin their conversation by choosing a film neither of them had seen before and watching it together. The selection process itself led to a long discussion, which led to another, and then finally, to the Gmail hangout that forms the basis of the interview.

Economic Performance and Public Finance in Kenya, 1960-2010

2018 ◽  
Vol 47 (2) ◽  
Author(s):  
Kempe Ronald Hope
Keyword(s):  
Public Finance ◽  
Economic Performance ◽  
Emerging Economy ◽  
The Other ◽  
Government Investment ◽  
The Past ◽  
Other Hand ◽  
Private Savings ◽  
Per Capita ◽  
Real Growth

Countries with positive per capita real growth are characterised by positive national savings—including government savings, increases in government investment, and strong increases in private savings and investment. On the other hand, countries with negative per capita real growth tend to be characterised by declines in savings and investment. During the past several decades, Kenya’s emerging economy has undergone many changes and economic performance has been epitomised by periods of stability, decline, or unevenness. This article discusses and analyses the record of economic performance and public finance in Kenya during the period 1960‒2010, as well as policies and other factors that have influenced that record in this emerging economy. 

Can increases in Twitter posts predict increases in cumulative incidence of COVID-19 in the United States? Evidence that social media can inform epidemic surveillance. (Preprint)

2020 ◽  
Author(s):  
Ruoyan Sun ◽  
Henna Budhwani
Keyword(s):  
Public Health ◽  
United States ◽  
Cumulative Incidence ◽  
Hot Spots ◽  
Adult Population ◽  
State Level ◽  
The United States ◽  
Education Attainment ◽  
Public Health Systems ◽  
Per Capita

BACKGROUND Though public health systems are responding rapidly to the COVID-19 pandemic, outcomes from publicly available, crowd-sourced big data may assist in helping to identify hot spots, prioritize equipment allocation and staffing, while also informing health policy related to “shelter in place” and social distancing recommendations. OBJECTIVE To assess if the rising state-level prevalence of COVID-19 related posts on Twitter (tweets) is predictive of state-level cumulative COVID-19 incidence after controlling for socio-economic characteristics. METHODS We identified extracted COVID-19 related tweets from January 21st to March 7th (2020) across all 50 states (N = 7,427,057). Tweets were combined with state-level characteristics and confirmed COVID-19 cases to determine the association between public commentary and cumulative incidence. RESULTS The cumulative incidence of COVID-19 cases varied significantly across states. Ratio of tweet increase (p=0.03), number of physicians per 1,000 population (p=0.01), education attainment (p=0.006), income per capita (p = 0.002), and percentage of adult population (p=0.003) were positively associated with cumulative incidence. Ratio of tweet increase was significantly associated with the logarithmic of cumulative incidence (p=0.06) with a coefficient of 0.26. CONCLUSIONS An increase in the prevalence of state-level tweets was predictive of an increase in COVID-19 diagnoses, providing evidence that Twitter can be a valuable surveillance tool for public health.

The Politics of Chiefs and Commoners before the 1830s

2020 ◽  
Author(s):  
Raevin Jimenez
Keyword(s):  
Nineteenth Century ◽  
South African ◽  
State Level ◽  
Temporal Context ◽  
Political Elites ◽  
African History ◽  
New Wave ◽  
Early Nineteenth Century ◽  
Late Eighteenth ◽  
Level Analysis

The field of pre-1830 South African history has been subject to periodic interrogations into conventional narratives, sources, and methods. The so-called mfecane debates of the 1980s and 1990s marked a radical departure from characterizations of warfare in the interior, generally regarded in earlier decades as stemming solely or mostly from the Zulu king Shaka. Efforts to reframe violence led to more thorough considerations of political elites and statecraft from the late eighteenth to the early nineteenth century but also contributed to new approaches to ethnicity, dependency, and to some extent gender. A new wave of historiographical critique in the 2010s shows the work of revision to be ongoing. The article considers the debates around the wars of the late precolonial period, including unresolved strands of inquiry, and argues for a move away from state-level analysis toward social histories of women and non-elites. Though it focuses on the 1760s through the 1830s, the article also presents examples highlighting the importance of recovering deeper temporal context for the South African interior.

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