Posted by James
INTRODUCTION
Renal vein thrombosis (RVT) is a multifactorial disease that predominantly affects newborn infants. It may follow maternal diabetes, asphyxia, hypertonic dehydration, congenital heart disease, acute blood loss, shock, presence of an indwelling umbilical venous catheter and sepsis. A review of the literature showed that RVT of the newborn might be of unknown etiology and probably occurs before birth. Genetic mutations, such as factor V Leiden, is a risk factor especially for in utero RVT. Other risk factors include prolonged central venous cannulation, hereditary thrombophilia, trauma, burns, and Wilms tumor. In the adult and children it is often a silent complication of the nephrotic syndrome, the hypercoagulability of which may be an important factor in the pathogenesis of the thrombosis.
Read the rest of this entry »
Posted by James
The expansion of Medicaid and the creation of SCHIP between 1997 and 2002 effectively increased public health insurance coverage of both children and adults. Uninsurance rates were reduced significantly for black, Hispanic and white children in low-income families. Black and white adults experienced no change in uninsurance during this period. The share of Hispanic adults without health insurance, however, increased significantly. Compared to black or white adults, Hispanic adults gained less in the expansion of public coverage, for which many Hispanic adults were (or believed themselves to be) ineligible due to restrictions on benefits for nonciti-zen immigrants. Hispanic adults were also the only group to see a drop in employer-sponsored coverage. Immigrants are less likely to be offered employer-sponsored health insurance than native-born workers, and the proportion of Hispanic adults born outside the United States increased during this period.
Read the rest of this entry »
Posted by James
Public health insurance coverage of adults rose by about one percentage point between 1997 and 2002 (Table 2). Despite this gain, the proportion of adults without health insurance was 17.0 in each year. Hispanic adults did not share in the overall increase in public coverage and were the only group to experience a decline in employer-sponsored health insurance. Consequently, uninsurance among Hispanic adults rose by four percentage points between 1997 and 2002, pushing their already high uninsurance rate to 40.7%.
Read the rest of this entry »
Posted by James
To measure health insurance coverage, the NSAF asks about multiple sources of coverage and follows with a verification question to confirm lack of coverage among those who do not identify a source. Coverage is measured at the time of the survey, defined using a hierarchy, and then grouped into four categories: employer-sponsored insurance (including coverage through the military); Medicaid, SCHIP or another state program; other (including coverage through private insurance, Medicare or other coverage of an unspecified type); and uninsur-ance. The estimates presented here differ slightly from those presented in the work of Zuckerman and Kenney, Haley and Tebay, which include 18-year-olds as children and not as adults.
Read the rest of this entry »
Posted by James
INTRODUCTION
Economic growth in the mid-1990s brought improvements in job quality and increased rates of employer-sponsored health insurance coverage, gains that were quickly reversed as the economy slipped into a succeeding recession. State implementation of the State Children’s Health Insurance Program (SCHIP), combined with many states’ decisions to expand Medicaid eligibility, offset declines in employer-sponsored insurance for both children and adults. The increase in public coverage among children was large enough to significantly increase the overall share of children with health insurance.
Read the rest of this entry »
Posted by James
The findings in this article suggest that many adults are not well-informed about the benefits or potential side-effects of influenza and pneumococcal vaccinations and that their physicians are not routinely recommending these vaccinations, even though all study participants were either age-appropriate or had clinical indications to receive a strong recommendation for influenza and pneumococcal immunizations. Participants largely agreed that they want more information regarding the influenza and pneumococcal vaccines and that adult vaccination delivery needs to be conveniently available in more community-based sites, such as churches. Attitudinal factors regarding convenience of vaccination location confirm a previously reported study, which demonstrated that convenience was a major factor in adult vaccination decisions.
Read the rest of this entry »
Posted by James
We interviewed a convenience sample of 22 men and women, mean age 62 years (range 46-80 years), who self-identified as white (n=3), Latino (n=9), and African-American (n=10). Sociodemographic and other health-related characteristics are depicted. The Latino participants were all foreign-born and came from Mexico, Central America, and Puerto Rico. In general, most of the participants were women (77%) and had health insurance. Each focus group had an average of 5.5 participants (range 3-10).
Read the rest of this entry »