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Telehealth vs In-Clinic Medication Abortion Provision.

IMPORTANCE: In states that restrict abortion provision, residents rely on telehealth medication abortion (teleMAB) or travel out of state for in-clinic care; however, little is known about how patients using these modalities differ. OBJECTIVE: To compare characteristics of Kansas and Texas residents receiving teleMAB vs in-clinic medication abortion and to assess geographic and socioeconomic factors associated with modality of care. DESIGN, SETTING, AND PARTICIPANTS: This retrospective cross-sectional analysis used electronic medical record data for patients residing in Kansas or Texas who r…

Disaster housing: Lessons learned from Hurricane Harvey.

In 2017, Hurricane Harvey struck the State of Texas, and became the first Category 4 hurricane to strike the USA since 2005. Approximately 178 cm of rain fell over Texas during a seven-day period, with sustained winds of 209 km/h. The Federal Emergency Management Agency (FEMA) requested the State of Texas to administer a temporary housing programme called the Direct Housing Mission. This was administered by FEMA by the Texas General Land Office (GLO) with technical and financial support from FEMA. As the first state to run this programme, the GLO has captured lessons learned and a way forward …

Prevalence of HPV associated oropharyngeal cancer among south Texans.

The goal of this study was to begin to assess the prevalence of oropharyngeal cancer among all oral cancers and thus the potential role of human papillomavirus (HPV) in this disease in the south Texas Region served by the University of Texas Health Science Center at San Antonio (UTHSCSA), and University Health System (UHS) in San Antonio, Texas. This health system represents the largest catchment area for oral cancer serving the south Texas populations, extending from the U.S.-Mexico border, north to Williamson County, west to Eagle Pass, and east to Gonzales County. With the move towards elec…

Validating national trends in breast reconstruction hospital price variation: A detailed analysis of a state market.

The Hospital Price Transparency Rule requires hospitals to report rates for a selection of procedures. While previous studies have evaluated commercial payer-specific rates nationally, we analyzed variation in breast reconstruction charges in Texas. Our goal was to determine whether national patterns in procedure rate variation persist in smaller markets. For 17 Current Procedural Terminology (CPT) codes, we calculated within-hospital price ratios (WHRs) by dividing the highest commercial rate by the lowest rate for a given code at each hospital and across-hospital ratios (AHRs) by dividing th…

Talk to Patients About: Mumps.

More than 2,000 U.S. mumps cases occurred in 2018. That's down from 6,000-plus cases CDC reported in both 2016 and 2017, but a far cry from the hundreds reported in 2012. Texas is not immune. In 2018, mumps outbreaks occurred at Texas Christian University in Fort Worth, Texas State University in San Marcos, and a national cheerleading competition in Dallas. Mumps still spreads much faster and more dangerously among unvaccinated groups, and immunization remains the best protection.

Perceptions of the safety, development, and approval process of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) vaccines among individuals with Affordable Care Act health insurance in Central Texas at the time of initial vaccine availability.

Sendero Health Plans, an Affordable Care Act (ACA) health insurance company, conducted a cross-sectional survey in December 2020 to assess individual perceptions of the COVID-19 vaccine development and approval processes and their plan to obtain the COVID-19 vaccine in Central Texas at the time of initial availability. A logistic regression model was developed to identify factors associated with individual plans to obtain a vaccine when it became available. A total of 500 (77.25%) of the 645 respondents in this analysis planned to obtain a COVID-19 vaccine when it became available. The logisti…

"We do it ourselves": strengths and opportunities for improving the practice of harm reduction.

BACKGROUND: Unprecedented increases in substance-related overdose fatalities have been observed in Texas and the U.S. since the onset of the COVID-19 pandemic and have made clear there is considerable need to reduce harms associated with drug use. At the federal level, initiatives have called for widespread dissemination and implementation of evidence-based harm reduction practices to reduce overdose deaths. Implementation of harm reduction strategies is challenging in Texas. There is a paucity of literature on understanding current harm reduction practices in Texas. As such, this qualitative …

Total versus Partial Workplace Tobacco Use Bans in Texas Behavioral Health Centers and their Associations with Employees' Report of Clear Signage, Policy Enforcement, Policy Awareness, and Their Beliefs, Training, and Practices Conducive to Addressing Clients' Tobacco Use.

OBJECTIVES: Adults with behavioral health needs exhibit elevated tobacco use rates. Tobacco-free workplace policies (TFWPs) at behavioral he … ociations within Local Mental Health Authorities (LMHAs) providing behavioral healthcare throughout Texas. METHODS: Employees from 30 of 39 LMHAs (covering >75% of Texas' statewide service area) responded to a 2021 survey on their TFWP characteristics, communication, awareness, enforcement, and other tobacco-related factors. Associations between the TF …

Frequency of Massive Cardiac Adiposity (Floating Heart) in the Native Hearts of Patients Having Heart Transplantation at a Single Texas Hospital (2013 to 2015) and Comparison of Various Clinical and Morphologic Variables in the Patients With Massive Versus Nonmassive Cardiac Adiposity.

Body weight continues to increase worldwide due primarily to the increase in body fat. This study analyzes the frequency of massive adiposity at hearts of patients who underwent heart transplantation (HT) determined by the ability of the heart to float in a container of 10% formaldehyde (because adipose tissue is lighter than myocardium) and compares certain characteristics of those patients with and without floating hearts. The hearts studied at HT during a 3-year period (2013 to 2015) at Baylor University Medical Center were carefully "cleaned" and weighed by the same individual and tested a

Trichinella infection in wildlife of the southwestern United States.

Several potential mammalian reservoirs of sylvatic species of Trichinella were examined from Texas, New Mexico, and Arizona. During 1998-99, tongues were collected from a black bear (Ursus americanus) in Arizona; from 9 black bears, a coyote (Canis latrans), and a mountain lion (Felis concolor) in New Mexico; and from 154 coyotes, 32 raccoons (Procyon lotor), 13 opossums (Didelphis marsupialis), 4 ocelots (Leopardus pardalis), 3 bobcats (Lynx rufus), and 5 feral hogs (Sus scrofa) in southern Texas. Larvae of Trichinella murrelli were identified by a multiple-polymerase chain reaction analysis …

Impact of Medicaid Expansion on Lung Cancer Survival Outcomes: A Difference-in-Differences Analysis.

INTRODUCTION: The Affordable Care Act's Medicaid expansion aimed to enhance healthcare access for low-income individuals and minority groups, promoting early screening and treatment to improve health equity. OBJECTIVE: This study examines the impact of Medicaid expansion on lung cancer-specific survival (CSM) and overall mortality (OS) by comparing outcomes in Texas (non-expansion of ACA) and California (expansion of ACA). METHODOLOGY: We conducted a retrospective study using data from SEER cancer registry (2007-2021) to evaluate the impact of Medicaid expansion on lung cancer survival in Ca…

Are current wound classifications valid for predicting prognosis in people treated for limb-threatening diabetic foot ulcers?

This study aims to investigate whether the current wound classifications were valid for the treatment prognosis of subjects treated for limb-threatening diabetic foot ulcers (LTDFU). A total of 1548 patients with LTDFU and infection were studied, with wounds recorded using the Wagner, Texas, PEDIS and WIfI classifications while major lower extremity amputations (LEAs) or in-hospital mortality incidences were defined as poor outcomes. Among them, 153 (9.9%) patients received major LEAs and 38 (2.5%) patients died. After adjustments, the Wagner classification and Texas stage as well as clinical …

Mercury poisoning associated with a Mexican beauty cream.

OBJECTIVES: To describe demographic characteristics, patterns of use, and symptoms associated with mercury poisoning among persons who used a Mexican beauty cream containing mercurous chloride and to estimate the prevalence of cream use in Texas near the Mexico border. DESIGN: Case series and cross-sectional survey. SETTING: Border communities of Arizona, California, New Mexico, and Texas. PARTICIPANTS: Persons who used the cream and contacted a health department in response to announcements about the cream and households that participated in the Survey of Health and Environmental Condition…

Psychopharmacology Utilization Among Children with Anxiety and Obsessive-Compulsive and Related Disorders Following Hurricane Katrina.

This study aimed to examine the impact of Hurricane Katrina exposure on medication utilization among children with pre-existing anxiety and obsessive-compulsive and related disorders (OCRDs). Medicaid claims data from 2004 to 2006 were analyzed. Children with pre-existing anxiety/OCRDs were compared as a function of those living in a Louisiana disaster area, Louisiana non-disaster area, or Texas in terms of filled prescriptions and average days medication supply. This was further examined as a function of disorder/medication type. Prescriptions filled and average days medication supply were lo…

The Pavlik harness for congenital dislocated hips.

The use of the Pavlik harness for treatment of congenital dislocated hips was begun at The University of Texas Medical Branch at Galveston, Texas, in August 1973. A method for rapid measurement and construction was subsequently developed. Data on length of use and case studies are presented.

An Exploratory Investigation of Government Air Monitoring Data after Hurricane Harvey.

Southeast Texas is home to some of the largest refineries in the United States. During Hurricane Harvey, emergency shutdowns took place. In this exploratory investigation, we examine how government air monitors performed in measuring air quality in Beaumont, Texas during and in the months following Hurricane Harvey. Texas Commission on Environmental Quality (TCEQ) data from two active air monitors in Beaumont, Texas were analyzed during the year 2017-2018. Concentrations of sulfur dioxide (SO2), nitric oxide (NO), oxides of nitrogen (NOx), ozone, benzene, and hydrogen sulfide (H2S) were invest…

Pre-existing neutralizing antibodies against cattle-transmitted influenza A virus H5N1 are detectable in unexposed individuals.

The transmission of influenza A virus H5N1 clade 2.3.4.4b from cattle to humans highlights the risk of an H5N1 pandemic. Pre-existing immunity strongly impacts the course and severity of viral infections, making detailed knowledge of antibodies against the spilled-over strain crucial. Here, we assessed humoral immunity against H5N1 A/Texas/37/2024 in H5N1-naive individuals. We performed complementary binding and neutralization assays on 66 individuals and ranked activities among a panel of 76 influenza A virus isolates. We detected low but distinct cross-neutralizing titers against A/Texas/37/…

Моделирование пространственного соответствия между пятнами лихорадки Рокки Маунтин и вероятностью местообитания вектора дермосентора variabilis (американская собачья клеща).

Пространственное распределение дерментора variabilis, наиболее часто выявленного вектора бактерии Рикитсии рикеттсии, который вызывает пятнистую лихорадку (RMSF) у людей, и пространственное распределение RMSF ранее не изучалось в южной центральной части Соединенных Штатов Америки, особенно в Техасе. С эпидемиологической точки зрения можно предположить, что существует высокая степень пространственного соответствия между пригодностью среды обитания для клещей и частотой заболевания. Моделирование как максимального воздействия на среду обитания клеща, так и пространственно-адаптивных фильтров, по

Совпадение в аннотации оригинала
The spatial distribution of Dermacentor variabilis, the most commonly identified vector of the bacterium Rickettsia rickettsii which causes Rocky Mountain spotted fever (RMSF) in humans, and the spatial distribution of RMSF, have not been previously studied in the south central United States of America, particularly in Texas. From an epidemiological perspect…

The influence of seasonal temperatures on the natural regulation of the screwworm, Cochliomyia hominivorax, in the southern U.S.A.

The incidence of screwworm cases in Texas during the 1962-82 sterile-male eradication campaign is analysed in relation to seasonal temperatures and screwworm density. The analysis shows that screwworm outbreaks occur in response to favourable seasonal conditions, especially warm winters and cool summers. The outbreaks collapse following cold winters and hot summers. Screwworm density in autumn also influences rates of increase, possibly through a shortage of wounded hosts in the autumn-winter period. The analysis provides a simple predictive model which not only accounts for the fluctuations i…

Serological detection of Tick-Borne Relapsing Fever in Texan domestic dogs.

Tick-Borne Relapsing Fever (TBRF) is caused by spirochetes in the genus Borrelia. Very limited information exists on the incidence of this disease in humans and domestic dogs in the United States. The main objective of this study is to evaluate exposure of dogs to Borrelia turicatae, a causative agent of TBRF, in Texas. To this end, 878 canine serum samples were submitted to Texas A&M Veterinary Medical Diagnostic Laboratory from October 2011 to September 2012 for suspected tick-borne illnesses. The recombinant Borrelial antigen glycerophosphodiester phosphodiesterase (GlpQ) was expressed, pur…