Study of potentially avoidable hospitalization geographic variability in three five-year periods

Abstract Background Global migration toward Europe is increasing. Providing health assistance to migrants is challenging because numerous barriers limit their accessibility to health services. Migrants may be at a greater risk of developing asthma and receiving lower quality healthcare assistance than non-migrants. We aim to investigate whether immigrants as children and adolescents have higher rates of potentially avoidable hospitalization (PAH) for asthma compared to Italians. Methods We performed a retrospective longitudinal study using six cohorts of 2–17-year-old residents in North and Central Italy from 01/01/2001 to 31/12/2014 (N = 1,256,826). We linked asthma hospital discharges to individuals using anonymized keys. We estimated cohort-specific age and calendar-year-adjusted asthma PAH rate ratios (HRRs) and 95% confidence intervals (95%CIs) among immigrants compared to Italians. We applied a two-stage random effect model to estimate asthma PAH meta-analytic rate ratios (MHRRs). We analyzed data by gender and geographical area of origin countries. Results Three thousand three hundred four and 471 discharges for asthma PAH occurred among Italians and immigrants, respectively. Compared to Italians, the asthma PAH cohort-specific rate was higher for immigrant males in Bologna (HRR:2.42; 95%CI:1.53–3.81) and Roma (1.22; 1.02–1.45), and for females in Torino (1.56; 1.10–2.20) and Roma (1.82; 1.50–2.20). Asthma PAH MHRRs were higher only among immigrant females (MHRRs:1.48; 95%CI:1.18–1.87). MHRRs by area of origin were 63 to 113% higher among immigrants, except for Central-Eastern Europeans (0.80; 0.65–0.98). Conclusion The asthma PAH meta-analytic rate was higher among female children and adolescent immigrants compared to Italians, with heterogeneity among cohorts showing higher cohort-specific PAH also among males, with some differences by origin country. Access to primary care for children and adolescent immigrants should be improved and immigrants should be considered at risk of severe asthma outcomes and consequently targeted by clinicians.

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Potentially Avoidable Hospitalization among Long-Term Care Insurance Beneficiaries with Dementia

Korean Journal of Family Medicine ◽

10.4082/kjfm.18.0184 ◽

2020 ◽

Vol 41 (5) ◽

pp. 318-324

Author(s):

Jae-Hyun Kim ◽

Yunhwan Lee

Keyword(s):

Long Term Care ◽

Term Care ◽

Avoidable Hospitalization ◽

Long Term Care Insurance ◽

Potentially Avoidable Hospitalization

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Response to Letter to the Editor Regarding the Paper “Potentially Avoidable Hospitalization for Elderly Long-stay Residents in Nursing Homes”

Medical Care ◽

10.1097/mlr.0000000000000072 ◽

2014 ◽

Vol 52 (1) ◽

pp. 93-94

Author(s):

William D. Spector

Keyword(s):

Nursing Homes ◽

Avoidable Hospitalization ◽

Letter To The Editor ◽

Potentially Avoidable Hospitalization

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The geographic variability of the Plains Bison. A reconstruction using the earliest European illustrations of both subspecies*

Archives of Natural History ◽

10.3366/anh.1989.16.2.169 ◽

1989 ◽

Vol 16 (2) ◽

pp. 169-190 ◽

Cited By ~ 4

Author(s):

INGO KRUMBIEGEL ◽

GUNTER G. SEHM

Keyword(s):

Bison Bison ◽

Geographic Variability ◽

Northern Plains ◽

Southern Plains

The subspecific division of the Plains Bison by one of the authors (Krumbiegel, 1980) into a Southern Plains Bison Bison bison bison (Linnaeus, 1758) and a Northern Plains Bison Bison bison montanae Krumbiegel, 1980, is here corroborated by reference to early illustrations and reports unknown to mammalogists, thereby proving that the authors' historiographical approach can be used in establishing taxonomic reconstructions of recently exterminated species or subspecies.

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Natural Products from Tongan Marine Organisms

Molecules ◽

10.3390/molecules26154534 ◽

2021 ◽

Vol 26 (15) ◽

pp. 4534

Author(s):

Taitusi Taufa ◽

Ramesh Subramani ◽

Peter Northcote ◽

Robert Keyzers

Keyword(s):

Natural Products ◽

Pacific Ocean ◽

Biological Activities ◽

Marine Sponges ◽

Marine Organisms ◽

Biologically Active ◽

Geographic Variability ◽

South Pacific Ocean ◽

New Novel ◽

Rich Diversity

The islands of the South Pacific Ocean have been in the limelight for natural product biodiscovery, due to their unique and pristine tropical waters and environment. The Kingdom of Tonga is an archipelago in the central Indo-Pacific Ocean, consisting of 176 islands, 36 of which are inhabited, flourishing with a rich diversity of flora and fauna. Many unique natural products with interesting bioactivities have been reported from Indo-Pacific marine sponges and other invertebrate phyla; however, there have not been any reviews published to date specifically regarding natural products from Tongan marine organisms. This review covers both known and new/novel Marine Natural Products (MNPs) and their biological activities reported from organisms collected within Tongan territorial waters up to December 2020, and includes 109 MNPs in total, the majority from the phylum Porifera. The significant biological activity of these metabolites was dominated by cytotoxicity and, by reviewing these natural products, it is apparent that the bulk of the new and interesting biologically active compounds were from organisms collected from one particular island, emphasizing the geographic variability in the chemistry between these organisms collected at different locations.

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