ABSTRACT
As a complement to the Healthcare Cost and Utilization Project (HCUP) Statistical Brief on hospitalizations for patients from rural areas, this brief presents data from 29 States on hospitalizations for patients from urban areas across various time periods with a focus on the initial impact of the COVID-19 pandemic. The number of hospitalizations and in-hospital deaths for patients from urban areas is presented overall and by patient characteristics from April to December 2020 compared with State-level averages from April to December in 2016-2019. The percentages of all hospitalizations and in-hospital deaths related to COVID-19 for residents of urban areas during the April-December 2020 timeframe are also provided. Because of the large sample size of the HCUP data, small differences can be statistically significant but not meaningful. Thus, only differences greater than or equal to 10 percent are discussed in the text.
ABSTRACT
Background. COVID-19 infection amongst persons living with HIV (PLWH) at Federally Qualified Healthcare Centers (FQHC) is not yet well understood. FQHC patients are frequently impoverished and marginalized due to socioeconomic instability and structural inequities. The virus has a wide-ranging clinical presentation, and little is known about how it affects specific populations such as PLWH and whether specific patterns of immunocompromise confer increased risk. Patients in community health centers and those living with HIV are often underrepresented from clinical trials. Patients seen at FQHC's are more likely to be uninsured or living in poverty, or of Black or Latinx racial and ethnic backgrounds. Sun River Health is a not-for-profit, New York State licensed Article 28 Diagnostic & Treatment Center and FQHC. Sun River Health provides HIV primary care and supportive services caring for more than 2,500 PLWH primarily concentrated in 16 sites throughout the region. This study is a retrospective analysis of a vulnerable community at the heart of this pandemic. Methods. We gathered COVID-19 diagnosis related data from the clinic's electronic medical record and the New York State Health Information Exchange (HIE). We did chart reviews on 122 PLWH who had positive COVID PCR or antibody test between March 10 2020 and June 10 2020. Data collected included presence of symptoms, presence of comorbidities, CD4 counts, Hospitalization rate, ICU admission, and number of deaths. Results. 71.3% of cases occurred between the ages of 40-69 years. There were 85 cases (69.7%) in men and 37 cases (30.3%) in women. 54 cases (44.3%) occurred in African Americans, and 46 cases (37.7%) in Caucasians. 48 cases (39.3%) occurred in Latinx individuals, and 68 cases (55.7%) in Non-Hispanics. 91 cases (74.6%) were symptomatic and had either a positive COVID-19 PCR or antibody test. Symptomatic COVID-19 was present at higher rates in those with multiple predisposing comorbidities. 101 cases (82.8%) were virally suppressed. 89 cases (72.9%) were not hospitalized while 27 cases (22.1%) were hospitalized. Conclusion. Most PLWH with COVID-19 were managed on an outpatient basis. PLWH with COVID-19 are not at a greater risk of severe disease or death as compared to HIV negative patients.
ABSTRACT
In popular culture, the relationship between science and religion has often been portrayed as one of "conflict." The impact of the conflict thesis can be observed in church leaders' hesitancy in talking about science and religion in the public domain, and it was this finding that inspired the project "Equipping Christian Leadership in an Age of Science." The data presented in this article (collected during 2015-2018) are derived from two separate pieces of research carried out in the United Kingdom. The first consisting of a survey of over 1,000 church leaders and interviews with 20 senior church leaders and, the second, with a strategic focus on ministerial training composed of 12 interviews with church educators. This article reflects on the findings from both pieces of research-covering topics such as church leaders' enthusiasm toward science, how church leaders view the relationship between science and religion and the role of compartmentalization in ministerial training.
ABSTRACT
The growth and spread of ubiquitous smart technology to deliver public health outcomes at home, and its relationship with risk, urgently requires greater scholarly attention, not least given COVID-19. Theoretically informed by both critical geographies of home and risk scholarship, this paper uses data from interviews with professionals in Scotland designing and implementing technology enabled care (TEC) for current and future homes. It explores the organisation of risk in the context of TEC, and the importance of this in relation to home. Drawing on geographical writing on home, and the riskscape, I argue that the smart home is a contemporary manifestation of the riskscape with implications for ideas of intrusion and inequality, and the experience of home. The information, practices and views in this article are those of the author(s) and do not necessarily reflect the opinion of the Royal Geographical Society (with IBG). © 2021 The Authors. The Geographical Journal published by John Wiley & Sons Ltd on behalf of Royal Geographical Society (with the Institute of British Geographers).