Faculty Opinions recommendation of Age-related differences in clinical outcomes for acute asthma in the United States, 2006-2008.

The emergence of age-related chronic diseases within the United States has led to the direct increase of Alzheimer’s disease (AD) as well as other neurological diseases which ultimately contribute to the development of dementia within the general population. To be specific, age-related chronic diseases such as cardiovascular disease, high cholesterol, diabetes, and kidney disease contribute greatly to the advancement and rapid progression of dementia. Furthermore, unmodifiable risk factors such as advancing age and genetics as well as modifiable risk factors such as socioeconomic status, educational attainment, exercise, and diet further contribute to the development of dementia. Current statistics and research show that minority populations such as Hispanic Americans in the United States face the greatest burden of dementia due to the increase in the prevalence of overall population age, predisposing genetics, age-related chronic diseases, low socioeconomic status, as well as poor lifestyle choices and habits. Additionally, Hispanic Americans living within Texas and the rural areas of West Texas face the added challenge of finding appropriate healthcare services. This article will focus upon the research associated with AD as well as the prevalence of AD within the Hispanic American population of Texas and rural West Texas. Furthermore, this article will also discuss the prevalence of age-related chronic diseases, unmodifiable risk factors, and modifiable risk factors which lead to the progression and development of AD within the Hispanic American population of the United States, Texas, and rural West Texas.

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A scoping review of female drowning: an underexplored issue in five high-income countries

BMC Public Health ◽

10.1186/s12889-021-10920-8 ◽

2021 ◽

Vol 21 (1) ◽

Author(s):

Kym Roberts ◽

Ogilvie Thom ◽

Susan Devine ◽

Peter A. Leggat ◽

Amy E. Peden ◽

...

Keyword(s):

United States ◽

Risk Factors ◽

United Kingdom ◽

New Zealand ◽

Clinical Outcomes ◽

Scoping Review ◽

The United States ◽

Clinical Treatment ◽

High Income ◽

Public Health Issue

Abstract Background Drowning is a significant public health issue, with females accounting for one third of global drowning deaths. The rate of female drowning has not decreased within high-income countries and presentations to hospital have increased. This scoping review aimed to explore adult female unintentional drowning, including risk factors, clinical treatment and outcomes of females hospitalised for drowning. Methods A systematic search of the literature following the PRISMA-ScR framework was undertaken. The databases OVID MEDLINE, Embase, CINAHL, OVID Emcare, Web of Science, Informit and Scopus were accessed. Study locations of focus were Australia, Canada, New Zealand, the United Kingdom, and the United States. Studies from January 2003 to April 2019 were included. The quality of evidence of included studies was assessed using GRADE guidelines. Results The final search results included 14 studies from Australia (n = 4), Canada (n = 1), New Zealand (n = 1), United States (n = 6), United Kingdom (n = 1), and one study reporting data from both Australia and United States. Nine studies reported risk factors for female drowning including age, with the proportion of female drowning incidence increasing with age. Although females are now engaging in risk-taking behaviours associated with drowning that are similar to males, such as consuming alcohol and swimming in unsafe locations, their exposure to risky situations and ways they assess risk, differ. Females are more likely to drown from accidental entry into water, such as in a vehicle during a flood or fall into water. This review found no evidence on the clinical treatment provided to females in hospital after a drowning incident, and only a small number of studies reported the clinical outcomes of females, with inconsistent results (some studies reported better and some no difference in clinical outcomes among females). Conclusion Adult females are a group vulnerable to drowning, that have lacked attention. There was no single study found which focused solely on female drowning. There is a need for further research to explore female risk factors, the clinical treatment and outcomes of females hospitalised for drowning. This will not only save the lives of females, but also contribute to an overall reduction in drowning.

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Adoption of Electronic Health Records and Perceptions of Financial and Clinical Outcomes Among Ophthalmologists in the United States

JAMA Ophthalmology ◽

10.1001/jamaophthalmol.2017.5978 ◽

2018 ◽

Vol 136 (2) ◽

pp. 164 ◽

Cited By ~ 22

Author(s):

Michele C. Lim ◽

Michael V. Boland ◽

Colin A. McCannel ◽

Arvind Saini ◽

Michael F. Chiang ◽

...

Keyword(s):

United States ◽

Electronic Health Records ◽

Clinical Outcomes ◽

The United States ◽

Health Records ◽

Electronic Health

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Recent Trends in Clinical Outcomes and Resource Utilization for Pulmonary Embolism in the United States

CHEST Journal ◽

10.1378/chest.08-2258 ◽

2009 ◽

Vol 136 (4) ◽

pp. 983-990 ◽

Cited By ~ 103

Author(s):

Brian Park ◽

Louis Messina ◽

Phong Dargon ◽

Wei Huang ◽

Rocco Ciocca ◽

...

Keyword(s):

United States ◽

Pulmonary Embolism ◽

Clinical Outcomes ◽

Resource Utilization ◽

The United States ◽

Recent Trends

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Expanded HIV Screening in the United States: Effect on Clinical Outcomes, HIV Transmission, and Costs

Annals of Internal Medicine ◽

10.7326/0003-4819-145-11-200612050-00001 ◽

2006 ◽

Vol 145 (11) ◽

pp. I-30

Keyword(s):

United States ◽

Clinical Outcomes ◽

Hiv Transmission ◽

The United States ◽

Hiv Screening

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Changing Trends in Age and Sex Distributions of Lyme Disease—United States, 1992-2016

Public Health Reports ◽

10.1177/00333549211026777 ◽

2021 ◽

pp. 003335492110267

Author(s):

Kiersten J. Kugeler ◽

Paul S. Mead ◽

Amy M. Schwartz ◽

Alison F. Hinckley

Keyword(s):

United States ◽

Lyme Disease ◽

Disease Incidence ◽

Age Distribution ◽

Relative Size ◽

The United States ◽

Male Predominance ◽

Age Related ◽

Over Time ◽

Age And Sex

Lyme disease is the most common vector-borne disease in the United States and is characterized by a bimodal age distribution and male predominance. We examined trends in reported cases during a 25-year period to describe changes in the populations most affected by Lyme disease in the United States. We examined demographic characteristics of people with confirmed cases of Lyme disease reported to the Centers for Disease Control and Prevention during 1992-2016 through the National Notifiable Diseases Surveillance System. We grouped cases into 5-year periods (1992-1996, 1997-2001, 2002-2006, 2007-2011, 2012-2016). We calculated the average annual incidence by age and sex and used incidence rate ratios (IRRs) to describe changes in Lyme disease incidence by age and sex over time. We converted patient age at time of illness into patient birth year to ascertain disease patterns according to birth cohorts. The incidence of Lyme disease in the United States doubled from 1992-1996 to 2012-2016 (IRR = 1.74; 95% CI, 1.70-1.78) and increased disproportionately among males; IRRs were 39%-89% higher among males than among females for most age groups. During the study period, children aged 5-9 years were most frequently and consistently affected. In contrast, the average age of adults with Lyme disease increased over time; of all adults, people born during 1950-1964 were the most affected by Lyme disease. Our findings suggest that age-related behaviors and susceptibilities may drive infections among children, and the shifting peak among adults likely reflects a probability proportional to the relative size of the baby boom population. These findings can inform targeted and efficient public health education and intervention efforts.

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