Browsing by Subject "Financial burden"

Now showing 1 - 3 of 3
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    Ending Book Hunger: Access to Print Across Barriers of Class and Culture
    (Yale University Press, 2020) Shaver, Lea
    Worldwide, billions of people suffer from book hunger. For them, books are too few, too expensive, or do not even exist in their languages. This book argues that this is an educational crisis: the most reliable predictor of children's achievement is the size of their families' book collections. This book highlights innovative nonprofit solutions to expand access to print. First Book, for example, offers diverse books to teachers at bargain prices. Imagination Library mails picture books to support early literacy in book deserts. Worldreader promotes mobile reading in developing countries by turning phones into digital libraries. Pratham Books creates open access stories that anyone may freely copy, adapt, and translate. Can such efforts expand to bring books to the next billion would-be readers? The book reveals the powerful roles of copyright law and licensing, and sounds the clarion call for readers to contribute their own talents to the fight against book hunger.
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    Hepatocellular Carcinoma : A Decade of Hospitalizations and Financial Burden in the United States
    (Elsevier, 2017-10) Jinjuvadia, Raxitkumar; Salami, Augustine; Lenhart, Adrienne; Jinjuvadia, Kartikkumar; Liangpunsakul, Suthat; Biochemistry and Molecular Biology, School of Medicine
    BACKGROUND: Despite a rise in the prevalence of hepatocellular carcinoma (HCC), data on HCC-related hospitalizations and financial burden are limited. The aim of this study was to evaluate temporal trends of HCC-related hospitalizations and evaluate its financial influence. MATERIALS AND METHODS: Patients with the diagnosis of HCC, as reported by International Classification of Diseases-Ninth Revision code, were identified from the National Inpatient Sample databases from 2002-2011. The national estimates of hospitalizations were derived using appropriate sample weights. The change in total average charges per each hospitalization over the study period was calculated after adjusting for inflation. RESULTS: Hospitalizations related to HCC have increased from 24,024 in 2002 to 50,609 in 2011. Of these admissions, HCC was the principal diagnosis in 10,762 and 16,350 subjects in 2002 and 2011, respectively. Most were white males (male: 70%; white: 55%). The overall inpatient mortality was significantly decreased from 13.5% in 2002 to 9.9% in 2011 (P < 0.01). The same trend was also observed for the length of hospital stay (6.5 versus 5.6 days in 2002 and 2011, respectively). The inflation-adjusted cost per hospitalization increased by approximately 47% during the study period. CONCLUSIONS: Despite the decrease in mortality rate and length-of-stay, hospitalizations and financial burden associated with HCC continued to increase between 2002 and 2011 in the United States.
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    Trends of Cocaine Use and Manifestations in Hospitalized Patients: A Cross-Sectional Study
    (Cureus, 2022-02-10) Gangu, Karthik; Bobba, Aniesh; Basida, Sanket D.; Avula, Sindhu; Chela, Harleen; Singh, Simranjit; Medicine, School of Medicine
    Objective: About 41 million people aged ≥18 years reported lifetime use of cocaine, and 5.4 million people reported having used cocaine in 2019. We aim to identify trends of cocaine use, manifestations, concomitant drug use, and financial burden on health care among hospitalized patients. Methods: We utilized National Inpatient Sample from years 2006-2018. Patients with age ≥18 years, admitted to the hospital with a diagnosis of cocaine abuse, dependence, poisoning, or unspecified cocaine use were included in the study. We used ICD-9 Clinical Modification (CM) and ICD-10-CM codes to retrieve patient samples and comorbid conditions. The primary outcome was the trend in cocaine use among hospitalized patients from the year 2006 to 2018. Cochran-Mantel-Haenszel test was used to assess the significance of trends. Results: In the year 2006, the prevalence of cocaine abuse among hospitalized patients was 10,751 per million with an initial decline to 7,451 per million in 2012 and a subsequent increase to 11,891 per million hospitalized patients in 2018 with p =0.01. The majority of patients admitted were older than 50 years (43.27%), and a greater percentage of patients were males. All ethnicities showed a rising trend in the use of cocaine except for Native Americans. Cardiovascular effects, neuropsychiatric and infectious manifestations in hospitalized patients with cocaine abuse showed a consistent increase from year 2006 to 2018 with p <0.001. Conclusions: There is a recent uptrend in cocaine use among hospital admissions in the US from 2006 to 2018 with an increased rate of systemic manifestations. This highlights the impact of cocaine use on the health system and the dire need to address this growing problem.