scholarly journals The Annual Cannabis Holiday and Fatal Traffic Crashes

2019 ◽  
Author(s):  
Sam Harper ◽  
Adam Palayew
Keyword(s):  
United States ◽  
Rate Ratio ◽  
Reporting System ◽  
Incidence Rate Ratio ◽  
The United States ◽  
Traffic Crashes ◽  
Impaired Driving ◽  
Fatal Crashes ◽  
Before And After ◽  
The Impact

Background: Cannabis use has been linked to impaired driving and fatal accidents. Prior evidence suggests the potential for population-wide effects of the annual cannabis celebration on April 20th ("4/20"), but evidence to date is limited.Methods: We used data from the Fatal Analysis Reporting System for the years 1975-2016 to estimate the impact of "4/20" on drivers involved in fatal traffic crashes occurring between 1620h and 2359h in the United States. We compared the effects of 4/20 to those for other major holidays, and evaluated whether the impact of "4/20" had changed in recent years. Results: Between 1992-2016 "4/20" was associated with an increase in the number of drivers involved in fatal crashes (Incidence rate ratio [IRR]: 1.12, 95% CI 0.97 to 1.28) relative to control days one week before and after, but not when compared with control days one and two weeks before and after (IRR 1.05, 95% CI 0.92 to 1.28) or all days of the year (IRR 0.98, 95% CI 0.88 to 1.10). Across all years we found little evidence to distinguish excess drivers involved in fatal crashes on 4/20 from routine daily variations. Conclusions: There is little evidence to suggest population-wide effects of the annual cannabis holiday on the number of drivers involved in fatal traffic crashes.

scholarly journals The annual cannabis holiday and fatal traffic crashes

2019 ◽  
Vol 25 (5) ◽  
pp. 433-437 ◽  
Author(s):  
Sam Harper ◽  
Adam Palayew
Keyword(s):  
Reporting System ◽  
Cannabis Use ◽  
Traffic Crashes ◽  
Fatal Accidents ◽  
Impaired Driving ◽  
Daily Variations ◽  
Fatal Crashes ◽  
Before And After ◽  
The Usa ◽  
The Impact

BackgroundCannabis use has been linked to impaired driving and fatal accidents. Prior evidence suggests the potential for population-wide effects of the annual cannabis celebration on April 20th (‘4/20’), but evidence to date is limited.MethodsWe used data from the Fatal Analysis Reporting System for the years 1975–2016 to estimate the impact of ‘4/20’ on drivers involved in fatal traffic crashes occurring between 16:20 and 23:59 hours in the USA. We compared the effects of 4/20 with those for other major holidays, and evaluated whether the impact of ‘4/20’ had changed in recent years.ResultsBetween 1992 and 2016, ‘4/20’ was associated with an increase in the number of drivers involved in fatal crashes (IRR 1.12, 95% CI 0.97 to 1.28) relative to control days 1 week before and after, but not when compared with control days 1 and 2 weeks before and after (IRR 1.05, 95% CI 0.92 to 1.28) or all other days of the year (IRR 0.98, 95% CI 0.88 to 1.10). Across all years we found little evidence to distinguish excess drivers involved in fatal crashes on 4/20 from routine daily variations.ConclusionsThere is little evidence to suggest population-wide effects of the annual cannabis holiday on the number of drivers involved in fatal traffic crashes.

scholarly journals Impact of the first COVID-19 shelter-in-place order in the United States on emergency department utilization, Marin County, California

2020 ◽  
Author(s):  
Brett R. Bayles ◽  
Michaela F George ◽  
Haylea Hannah ◽  
Patti Culross ◽  
Rochelle R. Ereman ◽  
...  
Keyword(s):  
United States ◽  
San Francisco ◽  
Large Scale ◽  
Temporal Dynamics ◽  
The United States ◽  
Emergency Department Utilization ◽  
Marin County ◽  
Before And After ◽  
Ed Visits ◽  
The Impact

Background: The first shelter-in-place (SIP) order in the United States was issued across six counties in the San Francisco Bay Area to reduce the impact of COVID-19 on critical care resources. We sought to assess the impact of this large-scale intervention on emergency departments (ED) in Marin County, California. Methods: We conducted a retrospective descriptive and trend analysis of all ED visits in Marin County, California from January 1, 2018 to May 4, 2020 to quantify the temporal dynamics of ED utilization before and after the March 17, 2020 SIP order. Results: The average number of ED visits per day decreased by 52.3% following the SIP order compared to corresponding time periods in 2018 and 2019. Both respiratory and non-respiratory visits declined, but this negative trend was most pronounced for non-respiratory admissions. Conclusions: The first SIP order to be issued in the United States in response to COVID-19 was associated with a significant reduction in ED utilization in Marin County.

scholarly journals AIDS-related Burkitt lymphoma in the United States: what do age and CD4 lymphocyte patterns tell us about etiology and/or biology?

Blood ◽  
2010 ◽  
Vol 116 (25) ◽  
pp. 5600-5604 ◽  
Author(s):  
Mercy Guech-Ongey ◽  
Edgar P. Simard ◽  
William F. Anderson ◽  
Eric A. Engels ◽  
Kishor Bhatia ◽  
...  
Keyword(s):  
United States ◽  
Incidence Rate ◽  
Burkitt Lymphoma ◽  
Rate Ratio ◽  
Hiv Transmission ◽  
Incidence Rate Ratio ◽  
The United States ◽  
Incidence Rates ◽  
Cd4 Lymphocyte ◽  
Cd4 Lymphocytes

Abstract Trimodal or bimodal age-specific incidence rates for Burkitt lymphoma (BL) were observed in the United States general population, but the role of immunosuppression could not be excluded. Incidence rates, rate ratios, and 95% confidence intervals for BL and other non-Hodgkin lymphoma (NHL), by age and CD4 lymphocyte count categories, were estimated using Poisson regression models using data from the United States HIV/AIDS Cancer Match study (1980-2005). BL incidence was 22 cases per 100 000 person-years and 586 for non-BL NHL. Adjusted BL incidence rate ratio among males was 1.6× that among females and among non-Hispanic blacks, 0.4× that among non-Hispanic whites, but unrelated to HIV-transmission category. Non-BL NHL incidence increased from childhood to adulthood; in contrast, 2 age-specific incidence peaks during the pediatric and adult/geriatric years were observed for BL. Non-BL NHL incidence rose steadily with decreasing CD4 lymphocyte counts; in contrast, BL incidence was lowest among people with ≤ 50 CD4 lymphocytes/μL versus those with ≥ 250 CD4 lymphocytes/μL (incidence rate ratio 0.3 [95% confidence interval = 0.2-0.6]). The bimodal peaks for BL, in contrast to non-BL NHL, suggest effects of noncumulative risk factors at different ages. Underascertainment or biological reasons may account for BL deficit at low CD4 lymphocyte counts.

scholarly journals The Impact of the “Muslim Ban” Executive Order on Healthcare Utilization in Minneapolis-St. Paul, Minnesota

2020 ◽  
Author(s):  
Elizabeth A. Samuels ◽  
Lilla Orr ◽  
Elizabeth B. White ◽  
Altaf Saadi ◽  
Aasim I. Padela ◽  
...  
Keyword(s):  
United States ◽  
Primary Care ◽  
Emergency Department ◽  
Healthcare Utilization ◽  
The United States ◽  
Emergency Department Visits ◽  
Executive Order ◽  
Before And After ◽  
Muslim Majority ◽  
The Impact

AbstractObjectiveDetermine whether the 2017 “Muslim Ban” Executive Order impacted healthcare utilization by people born in Order-targeted nations living in the United States.MethodsWe conducted a retrospective cohort study of people living in Minneapolis-St. Paul, MN in 2016-2017 who were: 1) born in Order-targeted nations, 2) born in Muslim-majority nations not listed in the Order, and 3) born in the United States and non-Latinx. Primary outcomes were: 1) primary care visits, 2) missed primary care appointments, 3) primary care diagnoses for stress-responsive conditions, 4) emergency department visits, and 5) emergency department visits for stress-responsive diagnoses. We evaluated visit trends before and after Order issuance using linear regression and differences between study groups using a difference-in-difference analyses.ResultsIn early 2016, primary care visits and stress-responsive diagnoses increased among individuals from Muslim majority nations. Following the Order, there was an immediate increase in emergency department visits among individuals from Order-targeted nations.ConclusionsIncreases in healthcare utilization among people born in Muslim majority countries before and after the “Muslim Ban” likely reflect elevated cumulative stress including the impact of the Order.

scholarly journals (312) Implementing and Assesing a Bilingual Educational Program for Hispanic Nursery Workers in Ohio

HortScience ◽  
2006 ◽  
Vol 41 (4) ◽  
pp. 1055E-1056
Author(s):  
Alejandra Acuna ◽  
Hannah Mathers ◽  
Luke Case
Keyword(s):  
United States ◽  
Social Skills ◽  
Educational Program ◽  
Life Skills ◽  
Family Relationship ◽  
The United States ◽  
Course Evaluation ◽  
Plant Structure ◽  
Before And After ◽  
The Impact

Hispanics are becoming the main source of labor in many productive- and service-oriented businesses in the United States, and the nursery industry is one example. Employers invest much time and money into employees, making the employees their biggest investment. However, the educational needs of Hispanic employees have not been adequately addressed, and no formal educational program for Hispanic workers in the nursery industry has been implemented and tested in Ohio. This project has two objectives: 1) measure the impact of a bilingual educational program containing instruction in horticulture and instruction in life skills to a Hispanic workforce, and 2) investigate which type of training is more essential to the stabilization of the Hispanic family unit, technical horticultural training, or training in life-skills. Eight nurseries throughout Ohio were selected to participate in this project. At each of the nurseries, an average group size of 15 employees was trained. Only half of this number participated in the social skills lessons to determine differences between the group who received social skills lessons and the group who did not. Three horticultural topics were selected: basic plant structure and development, pruning, and nutrition. Forty-minute lessons in Spanish with key concepts in English were prepared with the topics mentioned. Three social skills topics were selected: meeting your and your family's needs in the United States, social support in your community, and communication. In order to measure the impact of a bilingual educational program, two tests (The Rosenberg Selfeteem and Index of Family Relationship) were applied before and after the program was performed. A course evaluation was completed by each of the participants after the program was completed.

scholarly journals Catastrophic High School and Collegiate Cheerleading Injuries in the United States: An Examination of the 2006-2007 Basket Toss Rule Change

2018 ◽  
Vol 11 (1) ◽  
pp. 32-39 ◽  
Author(s):  
Rebecca K. Yau ◽  
Savannah G. Dennis ◽  
Barry P. Boden ◽  
Robert C. Cantu ◽  
James A. Lord ◽  
...  
Keyword(s):  
United States ◽  
High School ◽  
Case Series ◽  
Injury Rate ◽  
The United States ◽  
Level Of Evidence ◽  
Injury Rates ◽  
Rule Change ◽  
Before And After ◽  
The Impact

Background: Cheerleading is a specialized athletic activity that can lead to catastrophic injuries. Cheerleading rules are in place to maximize safety of participants. The purpose of this study was to describe catastrophic cheerleading injuries among high school and collegiate-level participants in the United States and to explore whether the 2006-2007 basket toss rule change was effective at reducing the number of catastrophic injuries. Hypothesis: The 2006-2007 basket toss rule change contributed to a reduction in the number of catastrophic injuries among high school and collegiate cheerleaders. Study Design: Case series. Level of Evidence: Level 4. Methods: Data on catastrophic cheerleading injuries were collected by the National Center for Catastrophic Sport Injury Research from July 2002 to June 2017. Information collected included cheerleader, event, and injury characteristics. The impact of the 2006-2007 rule change banning the basket toss on any hard surfaces was assessed by comparing injury rates and 95% CIs before and after the rule change. Results: There were 54 catastrophic cheerleading injuries, or 3.6 injuries per year. From July 2002 through June 2017, the injury rate was 2.12 per 1,000,000 cheerleaders (95% CI, 1.56-2.69). Most cheerleaders sustained serious injuries (n = 27; 50%) during practice (n = 37; 69%) to the head (n = 28; 52%) and cervical spine (n = 17; 32%). From July 2002 through June 2017, basket tosses were the stunt that accounted for the highest proportion of injuries (n = 19; 35%). The basket toss injury rate decreased from 1.55 to 0.40 per 1,000,000 cheerleaders among both high school and collegiate cheerleaders after the rule change. Conclusion: Catastrophic injury rates in cheerleading decreased dramatically after the 2006-2007 rule change banning basket tosses from being performed on any hard surfaces. In particular, there was a nearly 4-fold reduction in the rate of catastrophic basket toss injuries.

scholarly journals Sanctions and Foreign Direct Investment: Damage to Russia and Sanctioning Countries

2020 ◽  
Vol 14 (1) ◽  
pp. 44-53
Author(s):  
S. V. Kazantsev
Keyword(s):  
United States ◽  
Foreign Direct Investment ◽  
United Kingdom ◽  
Russian Federation ◽  
Direct Investment ◽  
The United States ◽  
Foreign Investments ◽  
Before And After ◽  
The Russian Federation ◽  
The Impact

The volume and dynamics of foreign investments are formed under the influence of many conditions and circumstances. The author of this article examines the impact of one class of factors that determine the dynamics and geographical structure of Russia’s foreign direct investment inflows outflows. These are anti-Russian sanctions imposed by a group of States in 2014 to isolate the Russian Federation in the field of politics, finance and economy, science and technology, information and culture. For these countries, Russia is not a priority investment target. The share of the Russian Federation varied from two to five per cent, and rarely exceeded 10 per cent of the total volume of these countries foreign direct investment net outflows in 2007–2018. The author presented in this article the positive and negative aspects of foreign direct investment, their dynamics before and after the imposition of sanctions. In particular, the author shows that the reduction in the foreign direct investment net inflows from Russia to the sanctioning countries was less significant for the leading EU States — Germany, France and United Kingdom — than for many other sanctioning countries The cuts in Russia’s foreign direct investment net outflows had almost no impact on the United States who was the main initiator of anti-Russian sanctions.

scholarly journals “My Last Husband and Marriage:” The Impact of Inheritance Disputes on Chinese Immigrants’ Widowhood in the United States

2021 ◽  
Author(s):  
Hua Shi
Keyword(s):  
United States ◽  
Social Relations ◽  
Emotional Processing ◽  
Chinese Women ◽  
The United States ◽  
Immigrant Background ◽  
Chinese Origin ◽  
Before And After ◽  
High Level ◽  
The Impact

AbstractThis study explores the unique experiences of the emotional processing of the widowhood of individuals of the Chinese seniors, and immigrant background in the United States. By interviewing eight Chinese immigrant widows living in Phoenix, the United States, this study focuses on the comparison of social relations and lifestyles before and after their spousal loss, as well as the unique forces of their Chinese backgrounds and the transnational remarriages in their bereavement process, and then widow status. The narrative accounts of the participants therein illustrate that transnational marriage and blended families generate a series of practical challenges, including unexpected severed friendships and inheritance disputes between stepmother and stepchildren. The consequences are reflected in the increase of self-loathing and low self-esteem, the refusal to remarry, the rising anger at the betrayal of friends, as well as the rapid formation of a high level of independence and self-determination in such circumstances. These findings increase knowledge of widowhood of Chinese women with immigrant background, therein enrich ethno-cultural diversity in the widowhood studies.This study concludes with the implications of providing bilingual legal aid and counseling to Chinese-origin, US-based, and widows.

Determinants of Homeownership among Immigrants: Changes during the Great Recession and Beyond

2018 ◽  
Vol 52 (3) ◽  
pp. 648-694 ◽  
Author(s):  
Kusum Mundra ◽  
Ruth Uwaifo Oyelere
Keyword(s):  
United States ◽  
Length Of Stay ◽  
Great Recession ◽  
Household Income ◽  
The United States ◽  
Citizenship Status ◽  
The Great Recession ◽  
Before And After ◽  
The Impact ◽  
Recession Period

In this paper, we explore factors correlated with immigrant homeownership before and after the Great Recession. We focus solely on immigrants because of recent evidence that suggests homeownership rates declined less for immigrants than natives in the United States during the recession and onward. Specifically, we examine to what extent an immigrant's income, savings, length of stay in the destination country, citizenship status, and birthplace networks affected the probability of homeownership before the recession, and how these impacts on homeownership changed since the recession. We examine these questions using microdata for the years 2000–2012. Our results suggest that citizenship status, birthplace network, family size, savings, household income, and length of stay are significant for an immigrant's homeownership. In comparing the pre‐recession period to the period afterward, we find that the impact of birthplace networks on homeownership probabilities doubled while the impact of savings slightly declined.

scholarly journals New York State and the Nation: Trends in Firearm Purchases and Firearm Violence During the COVID-19 Pandemic

2020 ◽  
pp. 000313482095482
Author(s):  
Megan R. Donnelly ◽  
Philip S. Barie ◽  
Areg Grigorian ◽  
Catherine M. Kuza ◽  
Sebastian Schubl ◽  
...  
Keyword(s):  
United States ◽  
New York ◽  
New York State ◽  
The United States ◽  
Social Stressors ◽  
York State ◽  
Firearm Violence ◽  
The Us ◽  
Before And After ◽  
The Impact

Background The impacts of social stressors on violence during the coronavirus disease 2019 (COVID-19) pandemic are unknown. We hypothesized that firearm purchases and violence would increase surrounding the pandemic. This study determined the impact of COVID-19 and shelter-in-place (SIP) orders on firearm purchases and incidents in the United States (US) and New York State (NYS). Methods Scatterplots reflected trends in firearm purchases, incidents, and deaths over a 16-month period (January 2019 to April 2020). Bivariate comparisons of SIP and non-SIP jurisdictions before and after SIP (February 2020 vs. April 2020) and April 2020 vs. April 2019 were performed with the Mann-Whitney U test. Results The incidence of COVID-19 in the US increased between February and April 2020 from 24 to 1 067 660 and in NYS from 0 to 304 372. When comparing February to March to April in the US, firearm purchases increased 33.6% then decreased 22.0%, whereas firearm incidents increased 12.2% then again increased by 3.6% and firearm deaths increased 23.8% then decreased in April by 3.8%. In NYS, comparing February to March to April 2020, firearm purchases increased 87.6% then decreased 54.8%, firearm incidents increased 110.1% then decreased 30.8%, and firearm deaths increased 57.1% then again increased by 6.1%. In both SIP and non-SIP jurisdictions, April 2020 firearm purchases, incidents, deaths, and injuries were similar to April 2019 and February 2020 (all P = NS). Discussion Coronavirus disease 2019–related stressors may have triggered an increase in firearm purchases nationally and within NYS in March 2020. Firearm incidents also increased in NYS. SIP orders had no effect on firearm purchases and firearm violence.

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