Timely access and continuum of care in older adults with Alzheimer's Disease and Related Dementia (ADRD) is critical. This is a retrospective study on Medicare fee-for-service beneficiaries with ADRD diagnosis discharged to home with home health care following an episode of acute hospitalization. Our sample included 262,525 patients. White patients in rural areas have significantly higher odds of delay (odds ratio [OR], 1.03; 95% CI, 1.01-1.06). Black patients in urban areas (OR, 1.15; 95% CI, 1.12-1.19) and Hispanic patients in urban areas also were more likely to have a delay (OR, 1.07; 95% CI, 1.03-1.11). Black and Hispanic patients residing in urban areas had a higher likelihood of delay in home healthcare initiation following hospitalization compared to Whites residing in urban areas.
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http://dx.doi.org/10.1080/01621424.2023.2206368 | DOI Listing |
Vaccines (Basel)
December 2024
College of Pharmacy and Pharmaceutical Sciences, Washington State University, Spokane, WA 99202, USA.
Background/objectives: Rural communities in the United States experience increased disparity of care for both general healthcare services and access to routine vaccines. Previous research has indicated a 40% lower vaccination rate in rural communities, as compared to urban counterparts. Having a better understanding regarding factors influencing lower vaccination rates in rural areas could help public health officials prepare for future vaccination efforts.
View Article and Find Full Text PDFVaccines (Basel)
November 2024
IRD Global, 16 Raffles Quay, Singapore 049145, Singapore.
Background/objectives: Full immunization coverage in Pakistan remains suboptimal at 66%. An in-depth assessment is needed to understand the long-term trends in immunization and identify the extent of defaulters and associated risk factors of them being left uncovered by the immunization system.
Methods: We conducted a 5-year analysis using the Government's Provincial Electronic Immunization Registry data for the 2018-2023 birth cohorts in Sindh province.
Sensors (Basel)
December 2024
School of Urban Construction and Transportation, Hefei University, Hefei 230601, China.
Unlicensed taxis seriously disrupt the transportation market order, and threaten passenger safety. Therefore, this paper proposes a method for identifying unlicensed taxis based on travel characteristics. First, the vehicle mileage and operation time are calculated using traffic surveillance bayonet data, and variance analysis is applied to identification indicators for unlicensed taxis.
View Article and Find Full Text PDFSensors (Basel)
December 2024
Electrical, Computer, and Biomedical Engineering, Toronto Metropolitan University, Toronto, ON M5B 2K3, Canada.
Autonomous technologies have revolutionized transportation, military operations, and space exploration, necessitating precise localization in environments where traditional GPS-based systems are unreliable or unavailable. While widespread for outdoor localization, GPS systems face limitations in obstructed environments such as dense urban areas, forests, and indoor spaces. Moreover, GPS reliance introduces vulnerabilities to signal disruptions, which can lead to significant operational failures.
View Article and Find Full Text PDFPlants (Basel)
December 2024
College of Resources and Environment, Xinjiang Agricultural University, Urumqi 830052, China.
There are discrepancies that exist in the effects of different land uses on soil organic carbon (SOC) and soil microbial carbon metabolism functions. However, the impact of land-use type changes on soil microbial carbon metabolism in alpine grassland arid areas is not well understood, hindering our understanding of the carbon cycling processes in these ecosystems. Therefore, we chose three types of land use (continuous reclamation of grassland (RG), abandoned grassland (AG), and natural grazing grassland (GG)) to study the microbial carbon metabolism and its driving factors by the Biolog-ECO method.
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