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1.
European Societies ; 25(1):37-65, 2023.
Article in English | ProQuest Central | ID: covidwho-2257861

ABSTRACT

This paper studies socioeconomic gradients in parents' selection of developmentally appropriate children's books from public libraries. I draw on developmental gradients research to hypothesize that families with high socioeconomic status (SES) select a higher share of books that match children's developmental stage in order to best improve children's learning environments. Based on Danish registry data on all books borrowed from public libraries in 2020, I find that highly educated families are more likely to use libraries and borrow more books, but they do not select a larger share of developmentally appropriate books;in fact, they select a slightly lower share. In contrast, high-income families borrow both a little more books and a little higher share of developmentally appropriate books, than low-income families. The supplementary analyses show that results are robust across families with children of different ages and to account for nonrandom selection into the sample of library users, socioeconomic differences in children's reading skills, and the impact of library lockdowns due to Covid-19. I conclude that stratification in library book selection is more prominent concerning the voraciousness with which highly educated parents provide reading inputs (more books) than how discriminating they are in terms of selecting developmentally appropriate books.

2.
Viruses ; 15(3)2023 02 23.
Article in English | MEDLINE | ID: covidwho-2280657

ABSTRACT

The unprecedented COVID-19 pandemic took the form of successive variant waves, spreading across the globe. We wanted to investigate any shift in hospitalised patients' profiles throughout the pandemic. For this study, we used a registry that collected data automatically from electronic patient health records. We compared clinical data and severity scores, using the National Institute of Health (NIH) severity scores, from all patients admitted for COVID-19 during four SARS-CoV-2 variant waves. Our study concluded that patients hospitalised for COVID-19 showed very different profiles across the four variant waves in Belgium. Patients were younger during the Alpha and Delta waves and frailer during the Omicron period. 'Critical' patients according to the NIH criteria formed the largest fraction among the Alpha wave patients (47.7%), while 'severe' patients formed the largest fraction among Omicron patients (61.6%). We discussed host factors, vaccination status, and other confounders to put this into perspective. High-quality real-life data remain crucial to inform stakeholders and policymakers that shifts in patients' clinical profiles have an impact on clinical practice.


Subject(s)
COVID-19 , SARS-CoV-2 , Humans , COVID-19/epidemiology , Belgium/epidemiology , Pandemics , Hospitals, University
3.
European Societies ; : 1-29, 2022.
Article in English | Academic Search Complete | ID: covidwho-1900893

ABSTRACT

This paper studies socioeconomic gradients in parents' selection of developmentally appropriate children's books from public libraries. I draw developmental gradients research to hypothesize that families with high socioeconomic status (SES) select a higher share of books that match children's developmental stage in order to best improve children's learning environments. Based on Danish registry data on all books borrowed from public libraries in 2020, I find that highly educated families are more likely to use libraries and borrow more books, but they do not select a larger share of developmentally appropriate books;in fact, they select a slightly lower share. In contrast, high-income families borrow both slightly more books and a slightly higher share of developmentally appropriate books, than low-income families. The supplementary analyses show that results are robust across families with children of different ages and to account for nonrandom selection into the sample of library users, socioeconomic differences in children's reading skills, and the impact of library lockdowns due to Covid-19. I conclude that stratification in library book selection is more prominent concerning the voraciousness with which highly educated parents provide reading inputs (more books) than how discriminating they are in terms of selecting developmentally appropriate books. [ FROM AUTHOR] Copyright of European Societies is the property of Routledge and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full . (Copyright applies to all s.)

4.
Artif Organs ; 46(5): 932-952, 2022 May.
Article in English | MEDLINE | ID: covidwho-1612843

ABSTRACT

BACKGROUND: During extracorporeal life support (ECLS), bleeding is one of the most frequent complications, associated with high morbidity and increased mortality, despite continuous improvements in devices and patient care. Risk factors for bleeding complications in veno-venous (V-V) ECLS applied for respiratory support have been poorly investigated. We aim to develop and internally validate a prediction model to calculate the risk for bleeding complications in adult patients receiving V-V ECLS support. METHODS: Data from adult patients reported to the extracorporeal life support organization (ELSO) registry between the years 2010 and 2020 were analyzed. The primary outcome was bleeding complications recorded during V-V ECLS. Multivariable logistic regression with backward stepwise elimination was used to develop the predictive model. The performance of the model was tested by discriminative ability and calibration with receiver operating characteristic curves and visual inspection of the calibration plot. RESULTS: In total, 18 658 adult patients were included, of which 3 933 (21.1%) developed bleeding complications. The prediction model showed a prediction of bleeding complications with an AUC of 0.63. Pre-ECLS arrest, surgical cannulation, lactate, pO2 , HCO3 , ventilation rate, mean airway pressure, pre-ECLS cardiopulmonary bypass or renal replacement therapy, pre-ECLS surgical interventions, and different types of diagnosis were included in the prediction model. CONCLUSIONS: The model is based on the largest cohort of V-V ECLS patients and reveals the most favorable predictive value addressing bleeding events given the predictors that are feasible and when compared to the current literature. This model will help identify patients at risk of bleeding complications, and decision making in terms of anticoagulation and hemostatic management.


Subject(s)
Extracorporeal Membrane Oxygenation , Adult , Cohort Studies , Extracorporeal Membrane Oxygenation/adverse effects , Humans , Logistic Models , Registries , Retrospective Studies
6.
J Public Health (Oxf) ; 42(4): 723-730, 2020 11 23.
Article in English | MEDLINE | ID: covidwho-772654

ABSTRACT

BACKGROUND: There are still many unknowns about COVID-19. We do not know its exact mortality rate nor the speed through which it spreads across communities. This lack of evidence complicates the design of appropriate response policies. METHODS: We source daily death registry data for 4100 municipalities in Italy's north and match them to Census data. We augment the dataset with municipality-level data on a host of co-factors of COVID-19 mortality, which we exploit in a differences-in-differences regression model to analyze COVID-19-induced mortality. RESULTS: We find that COVID-19 killed more than 0.15% of the local population during the first wave of the epidemic. We also show that official statistics vastly underreport this death toll, by about 60%. Next, we uncover the dramatic effects of the epidemic on nursing home residents in the outbreak epicenter: in municipalities with a high share of the elderly living in nursing homes, COVID-19 mortality was about twice as high as in those with no nursing home intown. CONCLUSIONS: A pro-active approach in managing the epidemic is key to reduce COVID-19 mortality. Authorities should ramp-up testing capacity and increase contact-tracing abilities. Adequate protective equipment should be provided to nursing home residents and staff.


Subject(s)
COVID-19/mortality , Registries , Age Factors , Female , Homes for the Aged , Humans , Italy/epidemiology , Male , Nursing Homes , Pandemics , Risk Assessment , Risk Factors , SARS-CoV-2 , Survival Analysis
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