Among Other Industrialized Countries, the United States Has Highest Childhood Mortality Rate

2018 ◽  
Vol 118 (4) ◽  
pp. 14
Author(s):  
Serena Stockwell
Keyword(s):  
United States ◽  
Mortality Rate ◽  
The United States ◽  
Childhood Mortality ◽  
Industrialized Countries

Childhood Injuries: Where We Are

PEDIATRICS ◽  
1990 ◽  
Vol 86 (6) ◽  
pp. 1084-1091 ◽  
Author(s):  
Mark L. Rosenberg ◽  
Juan G. Rodriguez ◽  
Terence L. Chorba
Keyword(s):  
United States ◽  
Child Mortality ◽  
The United States ◽  
Childhood Mortality ◽  
Federal Republic Of Germany ◽  
Industrialized Countries ◽  
Death Rates ◽  
Childhood Morbidity ◽  
Males And Females ◽  
Us Children

INJURY RESPONSIBLE FOR EXCESS CHILD MORTALITY IN THE UNITED STATES Child mortality rates are higher in the United States than in most European industrialized countries. This excess in mortality is not due to a difference in death rates from all natural causes; rather, all the excess mortality among US children can be attributed to injury (Fig 1). These differences are particularly notable for children 15 to 19 years of age. Suicide rates among 15- to 19-year-olds are higher in the United States than in most other industrialized countries (Fig 2). Excess homicide mortality among 15- to 19-year-olds is particularly striking (Fig 3). In 1985, 1579 homicides occurred among males and females aged 15 to 19 years in the United States. In the same year, only 150 homicides occurred among 15- to 19-year-old males and females in the Federal Republic of Germany, France, England and Wales, Sweden, Canada, and Japan, despite the fact that the combined population of these countries is 1.4 times the populations of the United States. Our successes in infectious disease control dramatize our failures to control injuries effectively and increase the relative importance of injury. Injury is now the leading cause of childhood mortality and disability and a leading cause of childhood morbidity. In the last 60 years, death rates due to infectious diseases declined 90%, but death rates due to injuries declined only 40%. Since 1968 rates of injury deaths among children declined 25%, but death rates for diseases declined 56% (Fig 4). Deaths from diseases have decreased in the United States, but deaths from injuries have not decreased as much.

Warning against long-acting sulphonamides

1966 ◽  
Vol 4 (4) ◽  
pp. 13-13
Keyword(s):  
United States ◽  
Mortality Rate ◽  
Erythema Multiforme ◽  
The United States ◽  
Stevens Johnson Syndrome ◽  
Warning Letter ◽  
Johnson Syndrome ◽  
The Us ◽  
Mucous Membranes ◽  
Long Acting

Last month the US Food and Drug Administration required American manufacturers of long-acting sulphonamides (sulphamethoxypyridazine, Lederkyn - Lederle and Midicel - PD; sulphadimethoxine - Madribon - Roche) to warn prescribers that in rare cases the Stevens-Johnson syndrome may develop as a severe and sometimes fatal side effect. This syndrome is a type of erythema multiforme in which large blisters appear on the skin and especially on the mucous membranes. The manufacturers were also to advise doctors ‘to consider prescribing short-acting sulphonamides first because they are effective for most of the same conditions’. The three drug firms concerned accordingly sent a joint warning letter to all doctors, pointing out that the Stevens-Johnson syndrome is a serious complication with a mortality rate of about 25%. So far 116 cases of this syndrome have been reported in association with the use of long-acting sulphonamides, most of them in the United States. Almost two thirds of the patients were children.

The U.S. Health Delivery System: Inefficient and Unfair to Children

1997 ◽  
Vol 23 (2-3) ◽  
pp. 319-337
Author(s):  
Loretta M. Kopelman ◽  
Michael G. Palumbo
Keyword(s):  
United States ◽  
Health Care ◽  
Universal Access ◽  
The United States ◽  
Industrialized Countries ◽  
Health Care Resources ◽  
Health Delivery ◽  
Hip Replacements ◽  
The Many ◽  
Older Citizens

What proportion of health care resources should go to programs likely to benefit older citizens, such as treatments for Alzheimer’s disease and hip replacements, and what share should be given to programs likely to benefit the young, such as prenatal and neonatal care? What portion should go to rare but severe diseases that plague the few, or to common, easily correctable illnesses that afflict the many? What percentage of funds should go to research, rehabilitation or to intensive care? Many nations have made such hard choices about how to use their limited funds for health care by explicitly setting priorities based on their social commitments. In the United States, however, allocation of health care resources has largely been left to personal choice and market forces. Although the United States spends around 14% of its gross national product (GNP) on health care, the United States and South Africa are the only two industrialized countries that fail to provide citizens with universal access.

The Comparative Politics of Environmental Justice

2021 ◽  
Author(s):  
Kemi Fuentes-George
Keyword(s):  
United States ◽  
Social Justice ◽  
Environmental Justice ◽  
Comparative Politics ◽  
Agricultural Development ◽  
Close Association ◽  
The United States ◽  
Industrialized Countries ◽  
Environmental Injustice ◽  
Environmental Advocacy

Although the terms “environmental justice” and “environmental racism” emerged due to race-based mobilization in the United States, justice is a constant feature of environmental struggles around the world. Pursuing social justice in environmental advocacy can be difficult, but case studies of activism in places including New Zealand, Mexico, Jamaica, Brazil, and the United States show that it is possible. Environmental injustice emerges when populations that are already politically and socioeconomically marginalized disproportionately bear the costs of environmental consumption, and they are often systematically excluded from the benefits of this consumption. Although different political systems vary in how they structure marginalization, this close association of social injustice with environmental injustice characterizes cases like fossil fuel extraction in industrialized countries and agricultural development in the Global South alike. While skeptics have argued that promoting environmentalism is counterproductive to social justice, because environmental regulations often constrain economic growth, combining the two can lead to more sustainable environmental practices.

Motivational Accounts of the Vicious Cycle of Social Status: An Integrative Framework Using the United States as a Case Study

2018 ◽  
Vol 14 (2) ◽  
pp. 107-137 ◽  
Author(s):  
Kristin Laurin ◽  
Holly R. Engstrom ◽  
Adam Alic
Keyword(s):  
United States ◽  
Social Mobility ◽  
The United States ◽  
Value Theory ◽  
Industrialized Countries ◽  
Vicious Cycle ◽  
Expectancy Value ◽  
Integrative Framework ◽  
Lower Socioeconomic ◽  
Classic Theory

Social mobility is limited in most industrialized countries, and especially in the United States: Children born to relatively poor parents are less likely to prosper than other children. This observation has multiple explanations; in the current article, we focus on emerging motivational perspectives, synthesizing them into a novel integrative framework grounded in a classic theory of motivation: expectancy-value theory. Together, these findings indicate that individuals with lower socioeconomic status (SES) may be less motivated to achieve status relative to individuals with higher SES—not because of their own personal failings, but as a result of their material, social and cultural contexts. We then consider the significant theoretical advantages of this integrative framework, most notably that it enables us to consider how the disparate perspectives linking motivation to SES are linked and may at times compound or offset each other. In turn, this enables us to make sophisticated predictions concerning the conditions that will enable individuals with low SES to escape the vicious cycle of low motivation. Moreover, our account helps bridge the gap between explanations that locate the cause for low social mobility within individuals and those that locate it in the broader system. We end by addressing implications for the psychological understanding of low status and implications for social policy.

scholarly journals Epidemiology and Factors Affecting Mortality of Hospitalized Patients with Disseminated Intravascular Coagulation in the United States

Blood ◽  
2019 ◽  
Vol 134 (Supplement_1) ◽  
pp. 2404-2404
Author(s):  
Arya Mariam Roy ◽  
Manojna Konda ◽  
Akshay Goel ◽  
Appalanaidu Sasapu
Keyword(s):  
United States ◽  
African Americans ◽  
Native Americans ◽  
Mortality Rate ◽  
Length Of Stay ◽  
Disseminated Intravascular Coagulation ◽  
The United States ◽  
Hospitalized Patients ◽  
Northeast Region ◽  
Intravascular Coagulation

Introduction Disseminated Intravascular Coagulation (DIC) is a systemic coagulopathy which leads to widespread thrombosis and hemorrhage and ultimately results in multiorgan dysfunction. DIC usually occurs as a complication of illnesses like severe sepsis, malignancies, trauma, acute pancreatitis, burns, and obstetrical complications. The prognosis and mortality of DIC depend on the etiology, however, the mortality of DIC is known to be on the higher side. The aim of the study is to analyze if gender, race, regional differences have any association with the mortality of hospitalized patients with DIC. Method The National Inpatient Sample database from the Healthcare Cost and Utilization Project (HCUP) for the year 2016 was queried for data. We identified hospital admissions for DIC with the International Classification of Diseases, Tenth Revision, Clinical Modification diagnosis code D65. The data was analyzed with STATA 16.0 version and univariate and multivariate analysis were performed. We studied the characteristics of all such hospitalizations for the year 2016 and the factors associated with the in-hospital mortality rate (MR) of DIC. We used length of stay, cost of stay as an outcome to determine if gender, race, and location play a role in the mortality. Results A total of 8704 admissions were identified with a diagnosis of DIC during the year 2016. The mean age for admission was found to be 56.48± 0.22. The percentage of admissions in females and males did not have a notable difference (50.57% vs 49.43%). The disease specific MR for DIC was 47.7%. Admission during weekend vs weekdays did not carry a statistically significant difference in terms of MR. Females with DIC were less likely to die in the hospital when compared to males with DIC (OR= 0.906, CI 0.82 - 0.99, p= 0.031). Interestingly, African Americans (AA) with DIC admissions were found to have 24% more risk of dying when compared to Caucasians admitted with DIC (OR= 1.24, CI 1.10 - 1.39, P= 0.00), Native Americans (NA) has 67% more risk of dying when compared to Caucasians (OR= 1.67, CI 1.03 - 2.69, p= 0.035). The mortality rate of NA, AA, Caucasians with DIC was found to be 57%, 52%, 47% respectively. The MR was found to be highest in hospitals of the northeast region (52%), then hospitals in the south (47%), followed by west and mid-west (46%), p= 0.000. Patients admitted to west and mid-west were 24% less likely to die when compared to patients admitted to northeast region hospitals (OR= 0.76, p= 0.001). The average length of stay and cost of stay were also less in west and mid-west regions when compared to north east. The difference in outcomes persisted after adjusting for age, gender, race, hospital division, co-morbid conditions. Conclusion Our study demonstrated that African Americans and Native Americans with DIC have high risk of dying in the hospital. Also, there exists a difference between the mortality rate, length and cost of stay among different regions in the United States. More research is needed to elucidate the factors that might be impacting the location-based variation in mortality. Disclosures No relevant conflicts of interest to declare.

scholarly journals Using Satellite Images and Deep Learning to Identify Associations Between County-Level Mortality and Residential Neighborhood Features Proximal to Schools: A Cross-Sectional Study

2021 ◽  
Vol 9 ◽  
Author(s):  
Joshua J. Levy ◽  
Rebecca M. Lebeaux ◽  
Anne G. Hoen ◽  
Brock C. Christensen ◽  
Louis J. Vaickus ◽  
...  
Keyword(s):  
United States ◽  
Deep Learning ◽  
Mortality Rate ◽  
Satellite Images ◽  
The United States ◽  
Mortality Rates ◽  
Image Features ◽  
County Level ◽  
Crude Mortality Rate ◽  
Crude Mortality

What is the relationship between mortality and satellite images as elucidated through the use of Convolutional Neural Networks?Background: Following a century of increase, life expectancy in the United States has stagnated and begun to decline in recent decades. Using satellite images and street view images, prior work has demonstrated associations of the built environment with income, education, access to care, and health factors such as obesity. However, assessment of learned image feature relationships with variation in crude mortality rate across the United States has been lacking.Objective: We sought to investigate if county-level mortality rates in the U.S. could be predicted from satellite images.Methods: Satellite images of neighborhoods surrounding schools were extracted with the Google Static Maps application programming interface for 430 counties representing ~68.9% of the US population. A convolutional neural network was trained using crude mortality rates for each county in 2015 to predict mortality. Learned image features were interpreted using Shapley Additive Feature Explanations, clustered, and compared to mortality and its associated covariate predictors.Results: Predicted mortality from satellite images in a held-out test set of counties was strongly correlated to the true crude mortality rate (Pearson r = 0.72). Direct prediction of mortality using a deep learning model across a cross-section of 430 U.S. counties identified key features in the environment (e.g., sidewalks, driveways, and hiking trails) associated with lower mortality. Learned image features were clustered, and we identified 10 clusters that were associated with education, income, geographical region, race, and age.Conclusions: The application of deep learning techniques to remotely-sensed features of the built environment can serve as a useful predictor of mortality in the United States. Although we identified features that were largely associated with demographic information, future modeling approaches that directly identify image features associated with health-related outcomes have the potential to inform targeted public health interventions.

Brain Drain Controversy and African Scholars

1979 ◽  
Vol 9 (4) ◽  
pp. 27-30
Author(s):  
Man Singh Das
Keyword(s):  
United States ◽  
Human Resources ◽  
Brain Drain ◽  
Developed Countries ◽  
The United States ◽  
Industrialized Countries ◽  
Asian Student ◽  
Poor Countries ◽  
The Poor ◽  
The World

The phenomenon popularly known as brain drain has attracted growing concern in the United States and abroad (Tulsa Daily World, 1967; Committee on Manpower... 1967; Asian Student, 1968a: 3; 1968b: 1; 1969: 3; Institute of Applied Manpower . . . 1968; U. S. Congress, 1968; Gardiner, 1968: 194-202; Bechhofer, 1969: 1-71; Committee on the International Migration . . . 1970). The notion has been expressed that the poor countries of the world are being deprived of their talent and robbed of their human resources by the exchange of scholars and students which goes on between nations (U.S. Congress, 1968: 16-25; Mondale, 1967a: 24-6; 1967b: 67-9). Implicit is the idea that many students from these less developed countries go to the more highly developed and industrialized countries for study and decide not to return to their homeland.

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