scholarly journals Regional trends in births during the COVID-19 crisis in France, Germany, Italy, and Spain

2021 ◽  
Author(s):  
Bruno Arpino ◽  
FRANCESCA LUPPI ◽  
Alessandro Rosina
Keyword(s):  
At Risk ◽  
Labour Market ◽  
Excess Mortality ◽  
Market Performance ◽  
Mixed Effects ◽  
Regional Level ◽  
European Countries ◽  
Population At Risk ◽  
Early Evidence ◽  
Regional Trends

Early evidence shows mixed effects of the COVID-19 pandemic on births in Europe. This study examines changes in births at the regional level in the four European countries that have been affected by the pandemic earlier and to a larger extent. It is also investigated the association between birth changes and some labour market characteristics, the pandemic impact in terms of COVID-deaths, and the share of population at risk of poverty. Results show considerable within-country heterogeneity in birth changes after the pandemic and that higher share of poverty, worse labour market performance, and higher excess mortality are associated with births decline.

scholarly journals Romanian National Prevalence Study – problem and pathological gambling in children and adolescents

2018 ◽  
Vol 91 (4) ◽  
pp. 435-440 ◽  
Author(s):  
Viorel Lupu ◽  
Izabela Ramona Lupu
Keyword(s):  
At Risk ◽  
Problem Gambling ◽  
Pathological Gambling ◽  
Children And Adolescents ◽  
National Level ◽  
Regional Level ◽  
European Countries ◽  
South Oaks Gambling Screen ◽  
Gamblers Anonymous ◽  
National Prevalence

Background and Aims. The purpose of the present study was to measure the prevalence of problem and pathological gambling in children and adolescents at a national level, given that previous studies at regional level  had demonstrated high rates of prevalence.Methods. After designing the sample (2006 children and adolescents aged 11-19 years) we used two validated instruments for measuring the prevalence of problem and pathological gambling in children and adolescents – South Oaks Gambling Screen –Revised for Adolescents (SOGS-RA) and 20 Questions of Gamblers Anonymous Revised for Adolescents (20 GA-RA).Results. The following data have been found: gambling at risk is 7.1% and problem and pathological gambling is 4%, when results were analyzed by SOGS-RA; prevalence of problem gambling is 10.1% and pathological gambling is 2.6% when results were analyzed by 20 GA-RA.Conclusions. High rates of prevalence are noticed in Romania, similar to other European countries. This rates are based on self-reported questionnaires, meaning that real rates may be higher than reported, being known that children and adolescents tend to give socially expected response. An important issue is that we found pathological gambling at  the age of only 11 years. Our results compared to those of other studies from Romania are very similar to those from other European countries. 

scholarly journals Epidemiology of tetanus in Italy in years 1971-2000

2002 ◽  
Vol 7 (7) ◽  
pp. 103-110 ◽  
Author(s):  
B Pedalino ◽  
B Cotter ◽  
M L Ciofi Degli Atti ◽  
D Mandolini ◽  
S Parroccini ◽  
...  
Keyword(s):  
At Risk ◽  
Elderly Women ◽  
Case Fatality ◽  
European Countries ◽  
Population At Risk ◽  
Case Fatality Ratio ◽  
Vaccination Campaigns

The incidence of reported tetanus in Italy decreased from 0.5/100 000 in the 1970s to 0.2/100 000 in the 1990’s. During this period of time, the case-fatality ratio decreased from 68% to 39%. Italy has the highest reported number of tetanus cases in European countries. Elderly women are the most affected: the proportion of women aged over 64 years among cases has increased from 60% in the 1970s to 76% in the 1990s. Vaccination campaigns need to be conducted to target this group, and the surveillance of tetanus has to be improved to identify additional groups of population at risk.

Penyelidikan KLB keracunan makanan acara ruwahan di desa Mulo, Gunung Kidul provinsi DIY

2018 ◽  
pp. 1
Author(s):  
Mur Prasetyaningrum ◽  
Z. Chomariyah ◽  
Trisno Agung Wibowo
Keyword(s):  
At Risk ◽  
Total Population ◽  
Total Coliform ◽  
Case Control ◽  
P Value ◽  
Common Source ◽  
Population At Risk ◽  
E Coli

Tujuan: Studi ini untuk mengetahui gambaran KLB keracunan pangan yang terjadi di desa Mulo menurut deskripsi epidemiologi, faktor risiko dan penyebab KLB keracunan makanan. Metode: Studi ini menggunakan studi analitik case control, dimana kasus adalah orang yang mengalami sakit pada tanggal 7 - 8 Mei 2017, tinggal di desa Mulo dan mengkonsumsi makanan olahan dari bapak S dan K. Instrument menggunakan kuesioner. Hasil: KLB terjadi di Desa Mulo RT 5 dan 6 dengan jumlah kasus sebanyak 18 orang dari total population at risk 112 orang dengan gejala utama diare (100%), mual (72,2%), demam (66,6%), pusing (66,6%) dan muntah (50%). Dari diagnosa banding menurut gejala, masa inkubasi dan agent penyebab keracunan, kecurigaan kontaminasi bakteri mengarah pada E. Coli (ETEC). Masa inkubasi 1-16 jam (rata-rata 9 jam) dan common source curve. Penyaji makanan ada dua (pak K dan pak S). Dari perhitungan AR, berdasarkan sumber makanan mengarah pada makanan dari pak S (AR=42,8%). Bedasarkan menu, perhitungan OR dan CI 95 % jenis makanan yang dicurigai sebagai penyebab KLB adalah urap/gudangan (OR=4,33; p value0,0071) dan sayur lombok (OR=6,31; p value 0,0071). Sampel yang didapatkan adalah sampel air bersih, feses, dan muntahan penderita, sampel makanan tidak didapatkan karena keterlambatan informasi dari masyarakat. Hasil laboratorium, Total Coliform sampel air bersih melebihi ambang batas, sampel feses dan muntahan mengandung bakteri Klebsiella pneumonia.Simpulan: Terdapat 3 (tiga) faktor yang diduga sebagai penyebab keracunan pada warga Desa Mulo yaitu air bersih untuk mengolah makanan tercemar bakteri patogen, pengolahan makanan tidak hygienis dan penyajian makanan pada suhu ruang lebih dari 1 jam.

scholarly journals Missing the Point in Point Prevalence: Harnessing EMR Data to Identify Epi-Linked Patients in an Outbreak Investigation

2020 ◽  
Vol 41 (S1) ◽  
pp. s318-s318
Author(s):  
Lisa Stancill ◽  
Lauren DiBiase ◽  
Emily Sickbert-Bennett
Keyword(s):  
At Risk ◽  
Disease Transmission ◽  
Healthcare Setting ◽  
Point Prevalence ◽  
Positive Patient ◽  
Outbreak Investigation ◽  
Population At Risk ◽  
Outbreak Investigations ◽  
Overlap Method ◽  
Prevalence Screen

Background: A critical step during outbreak investigations is actively screening for additional cases to assess ongoing transmission. In the healthcare setting, one widely used method is point-prevalence screening on the whole unit where a positive patient is housed. Although this point-prevalence approach captures the “place,” it can miss the “person” and “time” elements that define the population-at-risk. Methods: At University of North Carolina (UNC) Hospitals, we used business intelligence tools to build a query that harnesses the admission, discharge, and transfer (ADT) data from the electronic medical record (EMR). Using this data identifies every patient who overlapped in time and space with a positive patient. An additional query identifies currently admitted overlap patients and their current location. During an outbreak investigation, an analyst executes these queries in the mornings when surveillance screens are scheduled. The queries generate a list of patients to screen that are prioritized on the number of days they were in the same unit with the positive patient. This overlap methodology successfully captures the person, place, and time associated with possible disease transmission. We implemented the overlap method for the last 3 months following 1 year of point-prevalence approach screening during a novel disease outbreak at UNC Hospitals. Results: In total, 4,385 unique patients overlapped with previously identified infected or colonized patients, of which 781 (17.8%) from 40 departments were screened over 15 months. During a subsequent, currently ongoing, outbreak, we are utilizing the overlap method and in 6 weeks have already screened 161 of the 1,234 overlapping patients (13%). After 3 rounds of overlap screening, we have already been able to identify 1 additional positive patient. This patient was on the same unit as patient zero 4 months prior but was readmitted to a unit that would not have received a point-prevalence screen using the standard approach. Conclusions: Surveillance screening is a time-consuming, resource-intensive effort that requires collaboration between infection prevention, clinical staff, patients, and the laboratory. By harnessing EMR ADT data, we can better target the population at risk and more efficiently utilize resources during outbreak investigations. In addition, the overlap method fills a gap in the current CDC guidelines by focusing on patients who were on the same unit with any positive patient, including those who discharged and readmitted. Most importantly, we identified an additional positive patient that would not have been detected through a point-prevalence screen, helping us prevent further disease transmission.Funding: NoneDisclosures: None

Effects of Criminal Sanctions on Drunk Drivers: Beyond Incarceration

1988 ◽  
Vol 34 (1) ◽  
pp. 29-42 ◽  
Author(s):  
Gerald R. Wheeler ◽  
Rodney V. Hissong
Keyword(s):  
At Risk ◽  
Statistical Analysis ◽  
Survival Time ◽  
Drunk Driving ◽  
Population At Risk ◽  
Criminal Sanctions ◽  
Drunk Drivers ◽  
First Offenders ◽  
Alternative Sanctions

Proponents of mandatory jail laws contend that alternative sanctions such as probation and fines have failed to modify behavior of those convicted of drunk driving (DWI). In order to test this proposition, we evaluated the effects of probation, fines, and jail sentences on DWI recidivism of a randomly selected DWI population at risk for 36 months. Utilizing survival time statistical analysis, the findings showed no significant differences in outcome among sanctions. As predicted, persons with a DWI history recidivated significantly sooner than first offenders. We conclude by advocating a policy of alternative sanctions to incarceration for drunk drivers.

Labour Market Performance from an Employment Perspective

1977 ◽  
Vol 3 (3) ◽  
pp. 315
Author(s):  
Christopher Green
Keyword(s):  
Labour Market ◽  
Market Performance

Rising Economic Impact of Clostridium difficile-Associated Disease in Adult Hospitalized Patient Population

2008 ◽  
Vol 29 (9) ◽  
pp. 823-828 ◽  
Author(s):  
Xiaoyan Song ◽  
John G Bartlett ◽  
Kathleen Speck ◽  
April Naegeli ◽  
Karen Carroll ◽  
...  
Keyword(s):  
At Risk ◽  
Mortality Rate ◽  
Clostridium Difficile ◽  
Economic Burden ◽  
Excess Mortality ◽  
Tertiary Care ◽  
Severity Of Illness ◽  
Adult Patients ◽  
Care Hospital ◽  
Course Of Illness

Background.Clostridium difficile-associated disease (CDAD) is responsible for increased morbidity and a substantial economic burden. Incidences of CDAD, including those with a severe course of illness, have been increasing rapidly.Objective.To evaluate the excess mortality, increased length of stay (LOS) in the hospital, and additional costs associated with CDAD.Design.A retrospective matched cohort study.Patients.Adult patients admitted to a large tertiary care hospital between January 2000 and October 2005.Methods.Adult patients were tested with a C. difficile laboratory assay at admission or 72 hours after admission. Infected patients had lor more positive assay results and were individually matched to 1 uninfected patient who had negative assay results, by exposure time, age, ward, and at least 2 measurements for comorbidity and severity of illness.Results.The incidence rate of CDAD among adult patients increased from 0.57 cases per 1,000 patient-days at risk before 2004 to 0.88 cases per 1,000 patient-days at risk after 2004 (P < .001). The 630 infected patients had a mortality rate of 11.9%; the 630 uninfected patients had a mortality rate of 15.1% (P = .02). After adjustment in the multivariate analysis, we found that the LOS for infected patients was 4 days longer than that for uninfected patients (P < .001). If CDAD occurred after 2004, the additional LOS increased to 5.5 days. The direct cost associated with CDAD was $306 per case; after year 2004, it increased to $6,326 per case.Conclusions.There may be no excess mortality among patients with CDAD, compared with patients without it, but the economic burden of CDAD is increasing. By 2004, CDAD-associated medical expenditures approached $1,000,000 per year at our institution alone.

Sign in / Sign up

Export Citation Format

Share Document