<h3>Background:</h3> <i>Clostridium difficile</i> is an important cause of diarrhoea in hospitalised patients. An increasing number cases <i>C colitis occur patients with inflammatory bowel disease (IBD)—Crohn's (CD), ulcerative (UC). <h3>Objective:</h3> To estimate the potential excess morbidity and mortality associated IBD. <h3>Methods:</h3> Data from Nationwide Inpatient Sample (2003) were analysed outcomes examined both IBD compared those for either condition alone. The primary outcome...

Inflammatory bowel disease (IBD) has a bimodal peak of incidence with approximately 15% the cases manifesting after 65 years. Previous reports on outcomes IBD in elderly have been single-center studies or predated use biologics. The aim our study was to compare IBD-related hospitalizations nationwide representative cohort patients years and older younger patients.This cross-sectional utilizing data from Nationwide Inpatient Sample (NIS) for year 2004. We identified all through presence...

Introduction: Serious infections are an important side effect of immunosuppressive therapy used to treat Crohn's disease (CD) and ulcerative colitis (UC). There have been no nationally representative studies examining the spectrum infection related hospitalizations in patients with IBD.

Clostridium difficile-associated disease (CDAD) is associated with antibiotic use, acid suppression, and hospitalization, all of which occur frequently in cirrhosis. The aim was to define the effect CDAD on outcomes identify risk factors for its development cirrhosis.Case-control studies using de-identified national (Nationwide Inpatient Sample, NIS) an identified liver transplant center database hospitalized cirrhotics without were performed. NIS 2005 queried mortality, charges, length stay...

BackgroundKnown genetic loci account for less than 25% of the risk inflammatory bowel disease (IBD), suggesting a potential role environmental triggers. The association between ambient air pollution and IBD hospitalizations has not been previously studied.

Clostridium difficile has emerged as an important pathogen in patients with inflammatory bowel disease (IBD) and is associated increased morbidity mortality. No studies have examined the temporal change severity of C. infection (CDI) complicating IBD. Using data from Nationwide Inpatient Sample, we identified all IBD-related hospitalizations during years 1998, 2004, 2007 a coexisting diagnosis difficile. We compared absolute outcomes in-hospital mortality colectomy difficile-IBD cohort these...

OBJECTIVE To examine if a high hospital volume was associated with superior outcomes in inflammatory bowel disease (IBD) patients requiring hospitalization. METHODS This cross-sectional study using data from the Nationwide Inpatient Sample (NIS 2004). IBD-related hospitalizations were identified appropriate International Classification of Diseases, Ninth revision, Clinical modification (ICD-9-CM) codes. Hospital divided into low, medium, and by assigning threshold cutoff values 1–50, 51–150,...

Geographic variation has been of interest to both health planners and social epidemiologists. However, while the major focus on in care spending, epidemiologists have focused health; observed strong associations between poor poverty, concluded that income is not an important determinant spending. These different conclusions stem, at least part, from differences approach. Health generally studied among large regions, such as states, counties, or hospital referral regions (HRRs), tended study...

The objective was to examine the relationship between contemporary redlining (mortgage lending bias on basis of property location) and survival among older women with breast cancer in United States.

Abstract Background Breast cancer (BC) is the most common among US women, and institutional racism a critical cause of health disparities. We investigated impacts historical redlining on BC treatment receipt survival in United States. Methods Home Owners’ Loan Corporation (HOLC) boundaries were used to measure redlining. Eligible women 2010-2017 Surveillance, Epidemiology, End Results–Medicare cohort assigned HOLC grade. The independent variable was dichotomized grade: A B (nonredlined) C D...

Background: Health numeracy can be defined as the ability to understand and apply information conveyed with numbers, tables graphs, probabilities, statistics effectively communicate health care providers, take of one’s health, participate in medical decisions. Objective: To develop Numeracy Understanding Medicine Instrument (NUMi) using item response theory scaling methods. Design: A 20-item test was formed drawing from an bank questions. Items were calibrated responses 1000 participants a...

Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection is associated with significant cognitive impairment and increased risk for mental health comorbidities. This study aimed to identify specific associations between impairment, self-reported disruptions in memory, psychiatric symptoms including depression, anxiety, posttraumatic stress disorder (PTSD), perceived sleep concerns.Data collected from all consecutive patients Post-Acute Sequelae of SARS-CoV-2 (PASC) who...

Crohn's disease (CD) is a lifelong relapsing-remitting often requiring health-care contact, hospitalization, or surgery. General comorbidity indices were developed to predict mortality, which rare in this population. There are limited tools stratify these hospitalizations by severity.We used data obtained from the Nationwide Inpatient Sample 2004 identify all CD-related using discharge diagnosis codes (International Classification of Diseases, 9th edition, Clinical Modification, ICD-9-CM,...

Inflammatory bowel diseases (IBDs) require frequent healthcare encounters. Analysis of trends in disease burden is important to study the changing epidemiology disease. The aim our was examine national IBD-related visits ambulatory and emergency room (ER) settings.We used data from National Ambulatory Medical Care Survey (NAMCS) Hospital (NHAMCS) using International Classification Diseases, 9th Revision, Clinical Modification codes identify visits. annualized number examined 3-year time...

Blood pressure levels and the prevalence of hypertension are related to adiposity. We evaluated relationship adiposity blood in normotensive untreated hypertensive African Americans-an ethnic group with a high obesity.Outpatient measurements were obtained 1,858 1,998 subjects (44% untreated) residing Milwaukee. The pressure-adiposity was also analyzed non-Hispanic black (n = 908) white 2182) National Health Nutrition Examination Survey (NHANES) participants.In Milwaukee subjects, body mass...

Growing numbers of older women receive adjuvant breast cancer therapies, but little is known about the long-term effects current therapies upon health-related quality life outside clinical trials.A population-based cohort postmenopausal with incident aged sixty-five and was identified from Medicare claims four states followed over five years. General (HRQOL) assessed using Medical Outcomes Study SF-12 Health Survey, cancer-related HRQOL subscale functional assessment therapy (FACT-B BCS)....

Post-traumatic Stress Disorder (PTSD) is a common sequelae of severe combat-related emotional trauma that often associated with significantly reduced quality life in afflicted veterans. To date, no published study has examined the effect an active, music-instruction intervention as complementary strategy to improve psychological well-being veterans PTSD. The purpose this was examine feasibility and potential effectiveness improving health social functioning among Veterans suffering from...