Transplantation, Waitlist Status, and County Indices of Economic Health in West Virginia.
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ABSTRACT:
SUBMITTER: Shawwa K
PROVIDER: S-EPMC10833601 | biostudies-literature | 2024 Jan
REPOSITORIES: biostudies-literature
Publications
Transplantation, Waitlist Status, and County Indices of Economic Health in West Virginia.
Shawwa Khaled K Thompson Jesse J Chaudhary Vishy V Parravani Anthony A Poling Mark M Pellegrino Bethany B Schmidt Rebecca R
Kidney360 20231117 1
Similar Datasets
Project description:This SuperSeries is composed of the SubSeries listed below.
2015-12-31 | GSE75658 | GEO
Project description:BACKGROUND:Inappropriate (inadequate or excessive) gestational weight gain (GWG) is of great concern to maternal, fetal and infant health. Different maternal and fetal risk factors are associated with GWG, but little is known about a more distal risk factor: inadequate county-level perinatal resources. Therefore, the study aim was to investigate GWG in women living in counties with below average perinatal resources in comparison with their counterparts living in counties with above average perinatal resources. METHODS:Retrospective study of 406,792,010-2011 West Virginia births in 55 counties. The outcome was GWG and the main predictor was county perinatal resources. Hierarchical linear mixed model was used to investigate the association of county perinatal resources and GWG. RESULTS:County perinatal resources was associated with GWG (p?=?0.009), controlling for important covariates. Below average county perinatal resources was not significantly associated with a decrease in mean GWG (M: -?5.29 lbs., 95% CI: -?13.94, 3.35, p?=?0.2086), in comparison with counties with above average county perinatal resources. There was significant difference between average, and above average county perinatal resources (M: -?17.20 lbs., 95% CI: -?22.94, -?11.47, p?<?0.0001), controlling for smoking during pregnancy and other covariates. CONCLUSIONS:Average county perinatal resources was associated with reduced mean GWG relative to above average county perinatal resources, but not below average county perinatal resources. However, this could be due to the small number of counties with above average resources as the effect was in the hypothesized direction. This highlights one of the challenges in county perinatal resource studies.
| S-EPMC6915988 | biostudies-literature
Project description:This SuperSeries is composed of the SubSeries listed below. Refer to individual Series
2015-12-31 | E-GEOD-75658 | biostudies-arrayexpress
Project description:This article presents projected future drought occurrences in five river basins in Virginia. The Soil and Water Assessment Tool (SWAT) and the Coupled Model Intercomparison Project Phase 5 (CMIP5) climate models were used to derive input variables of multiple drought indices, such as the Standardized Soil Moisture index (SSI), the Multivariate Standardized Drought Index (MSDI), and the Modified Palmer Drought Severity Index (MPDSI) for both historic and future periods. The results of SSI indicate that there was an overall increase in agricultural drought occurrences and that these were caused by increases in evapotranspiration and runoff. However, the results of the MSDI and MPDSI projected a decrease in drought occurrences in future periods due to a greater increase in precipitation in the future. Furthermore, GCM-downscaled products (precipitation and temperature) were verified using comparisons with historic observations, and the results of uncertainty analyses suggest that the lower and upper bounds of future drought projections agree with historic conditions.
| S-EPMC5540713 | biostudies-other
Project description:The rate of acute hepatitis B in West Virginia (WV) has been increasing since 2006. To reduce new infections, WV implemented a vaccine intervention (WV Pilot Project), which provided over 10,000 doses of hepatitis B vaccine to at-risk adults in 18 counties. The objectives of this study were to describe yearly changes in acute hepatitis B incidence and assess county-level impact of the WV Pilot Project using geospatial methods. County rates of acute hepatitis B and vaccine doses per 100,000 population were visualized biannually from 2011 to 2018. Local indicators of spatial autocorrelation were used to detect county-level clustering. Significant differences in the median rate of acute hepatitis B pre and post intervention in counties receiving vaccine were evaluated using Wilcoxon signed-rank test and bootstrapping. A Bland-Altman graph visualized significant differences in county-level rates of acute hepatitis B before and after the WV Pilot Project compared to the statewide estimate. Analyses identified significant geographic clustering of acute hepatitis B in southern WV across all four time-periods. Nine of the 18 (50%) counties receiving vaccine had significant declines in acute hepatitis B incidence compared to the statewide mean difference estimate. Findings suggest that increased dissemination of hepatitis B vaccine through local health departments and existing harm reduction services can reduce the incidence of acute hepatitis B in states such as WV, which have been disproportionately affected by substance misuse.
| S-EPMC7418051 | biostudies-literature
Project description:BackgroundUniversal health coverage (UHC) is a key area in post-2015 global agenda which has been incorporated as target for achieving health-related Sustainable Development Goals (SDGs). A global framework has been developed to monitor SDG indicators disaggregated by socioeconomic and demographic markers. This review identifies the indices used to measure socio-economic status (SES) in South Asian urban health studies.MethodsTwo reviewers searched six databases including Cochran Library, Medline, LILACS, Web of Science, Science Direct, and Lancet journals independently. All South Asian health studies covering urban population, with any research-designs, written in English language, and published between January 2000 and June 2016 were included. Two reviewers independently screened and assessed for selection of eligible articles for inclusion. Any conflict between the reviewers was resolved by a third reviewer.ResultsWe retrieved 3529 studies through initial search. Through screening and applying inclusion and exclusion criteria, this review finally included 256 articles for full-text review. A total of 25 different SES indices were identified. SES indices were further categorized into 5 major groups, e.g., (1) asset-based wealth index, (2) wealth index combining education, (3) indices based on income and expenditure, (4) indices based on education and occupation, and (5) "indices without description." The largest proportion of studies, irrespective of country of origin, thematic area, and study design, used asset-based wealth index (n = 142, 54%) as inequality markers followed by the index based on income and expenditure (n = 80, 30%). Sri Lankan studies used income- and expenditure-based indices more than asset-based wealth index. Majority of the reviewed studies were on "maternal, neonatal, and child health" (n = 98, 38%) or on "non-communicable diseases" (n = 84, 33%). Reviewed studies were mostly from India (n = 145, 57%), Bangladesh (n = 42, 16%), and Pakistan (n = 27, 11%). Among the reviewed articles, 55% (n = 140) used primary data while the rest 45% studies used secondary data.ConclusionThis scoping review identifies asset-based wealth index as the most frequently used indices for measuring socioeconomic status in South Asian urban health studies. This review also provides a clear idea about the use of other indices for the measurement SES in the region.
| S-EPMC6240202 | biostudies-literature
Project description:Impact of mountaintop coal mining on aquatic biodiversity - Multikingdom monitoring using eDNA sequencing
| PRJEB37092 | ENA
Project description:Patients with end-stage renal disease (ESRD) have impaired functional status compared with the general population. We sought to explore the association between Karnofsky Performance Status (KPS) and death/delisting from the kidney transplantation waitlist and whether this association differed by age. Patients listed for single-organ kidney transplantation in the United Network for Organ Sharing/Organ Procurement and Transplantation Network from January 1, 2015, to January 1, 2018, were included. We performed competing-risk regression analyses to determine the association between KPS ("Severely impaired", "Moderately impaired", "Non-impaired") and death/delisting, with deceased-donor kidney transplantation as a competing risk. We tested for interactions between age and KPS on death/delisting. Of the 89,819 patients analyzed, 39% were impaired (KPS < 80) and 20% were aged ≥ 65 years. Older age and lower KPS were independently associated with higher risk of death/delisting (age 45-64 years, HR 1.97 [95% CI 1.73-2.24]; age ≥ 65 years, HR 3.62 [95% CI 3.33-3.92] compared with age < 45 years; moderately impaired, HR 1.68 [95% CI 1.45-1.95]; severely impaired, HR 4.80 [95% CI 3.71-6.21] compared with non-impaired). Lower KPS was associated with higher risk of death/delisting among all ages, but this effect was slightly less pronounced among individuals aged ≥ 65 years. Performance status should be used when counseling patients with ESRD on their risks for death/delisting.
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Project description:West Virginia schools are consistently below the national average on the National Assessment of Educational Progress. Using Data Envelopment Analysis, we estimate the technical efficiency of West Virginia school districts. We find less variation in technical efficiency in West Virginia than in similar studies conducted in other states. This appears to be because of state policy imposing homogeneity of input usage. Due to the limited variation in technical efficiency across districts, we cannot analyze how non-school inputs such as socioeconomic factors affect technical efficiency across districts. Summary statistics organized by county economic status, however, suggest that socioeconomic status plays a role. Our results highlight an important limitation of DEA analysis on schools.
| S-EPMC6616933 | biostudies-literature