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1

Dahu, Butros M., Carlos I. Martinez-Villar, Imad Eddine Toubal, et al. "Application of Machine Learning and Deep Neural Visual Features for Predicting Adult Obesity Prevalence in Missouri." International Journal of Environmental Research and Public Health 21, no. 11 (2024): 1534. http://dx.doi.org/10.3390/ijerph21111534.

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This research study investigates and predicts the obesity prevalence in Missouri, utilizing deep neural visual features extracted from medium-resolution satellite imagery (Sentinel-2). By applying a deep convolutional neural network (DCNN), the study aims to predict the obesity rate of census tracts based on visual features in the satellite imagery that covers each tract. The study utilizes Sentinel-2 satellite images, processed using the ResNet-50 DCNN, to extract deep neural visual features (DNVF). Obesity prevalence data, sourced from the CDC’s 2022 estimates, is analyzed at the census trac
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Amano, Takashi, Yung Chun, Sojung Park, and Yi Wang. "Geographic distribution of availability of adult day services in Missouri." Innovation in Aging 5, Supplement_1 (2021): 620. http://dx.doi.org/10.1093/geroni/igab046.2367.

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Abstract Adult day service (ADS) is an important component of long-term supportive services. Geographic availability of ADS is an essential factor for aging in place especially for people with assistance needs. This study aims to examine the geographic distribution of availability of ADS and its relationship with the disadvantaged characteristics of neighborhoods. Data from the Missouri Department of Health and Senior Services and the American Community Survey were utilized. Geographic availability of ADS was measured as capacity (number of clients served) of ADS centers per week divided by th
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Sattenspiel, Lisa, Carolyn Orbann, Aaron Bogan, et al. "Associations between rurality and regional differences in sociodemographic factors and the 1918–20 influenza and 2020–21 COVID-19 pandemics in Missouri counties: An ecological study." PLOS ONE 18, no. 8 (2023): e0290294. http://dx.doi.org/10.1371/journal.pone.0290294.

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This study compares pandemic experiences of Missouri’s 115 counties based on rurality and sociodemographic characteristics during the 1918–20 influenza and 2020–21 COVID-19 pandemics. The state’s counties and overall population distribution have remained relatively stable over the last century, which enables identification of long-lasting pandemic attributes. Sociodemographic data available at the county level for both time periods were taken from U.S. census data and used to create clusters of similar counties. Counties were also grouped by rural status (RSU), including fully (100%) rural, se
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Smith, Tara, and J. Sandoval. "Examining the Local Spatial Variability of Robberies in Saint Louis Using a Multi-Scale Methodology." Social Sciences 8, no. 2 (2019): 50. http://dx.doi.org/10.3390/socsci8020050.

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The current study spatially examines the local variability of robbery rates in the City of Saint Louis, Missouri using both census tract and block group data disaggregated and standardized to the 250- and 500-m raster grid spatial scale. The Spatial Lag Model (SLM) indicated measures of race and stability as globally influencing robbery rates. To explore these relationships further, Geographically Weighted Regression (GWR) was used to determine the local spatial variability. We found that the standardized census tract data appeared to be more powerful in the models, while standardized block gr
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El-Khattabi, Ahmed Rachid, and T. William Lester. "Does Tax Increment Financing Pass the “But-for” Test in Missouri?" Economic Development Quarterly 33, no. 3 (2019): 187–202. http://dx.doi.org/10.1177/0891242419859097.

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The use of tax increment financing (TIF) remains a popular, yet highly controversial, tool among policy makers in their efforts to promote economic development. This study conducts a comprehensive assessment of the effectiveness of Missouri’s TIF program, specifically in Kansas City and St. Louis, in creating economic opportunities. We build a time-series data set starting 1990 through 2012 of detailed employment levels, establishment counts, and sales at the census block-group level to run a set of difference-in-differences with matching estimates for the impact of TIF at the local level. Alt
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Schmick, Ethan. "Vocational Rehabilitation and Labor Market Outcomes: Evidence from World War I Veterans." Social Science History 46, no. 1 (2021): 119–42. http://dx.doi.org/10.1017/ssh.2021.40.

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AbstractThis article uses a linked sample of World War I Army veterans from the state of Missouri to study the impact of vocational rehabilitation on labor market outcomes for men wounded and disabled during the war. Veterans’ military service abstracts are linked to the 1940 US Census and a subset are linked to rehabilitation records. This creates a new dataset that contains information on military service, rehabilitation, and labor market outcomes. I find that 70 percent of veterans that were both wounded in action and disabled when discharged from the army participated in the rehabilitation
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Joynt Maddox, Karen E., Mat Reidhead, Joshua Grotzinger, et al. "Understanding contributors to racial and ethnic inequities in COVID-19 incidence and mortality rates." PLOS ONE 17, no. 1 (2022): e0260262. http://dx.doi.org/10.1371/journal.pone.0260262.

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Background Racial inequities in Coronavirus 2019 (COVID-19) have been reported over the course of the pandemic, with Black, Hispanic/Latinx, and Native American individuals suffering higher case rates and more fatalities than their White counterparts. Methods We used a unique statewide dataset of confirmed COVID-19 cases across Missouri, linked with historical statewide hospital data. We examined differences by race and ethnicity in raw population-based case and mortality rates. We used patient-level regression analyses to calculate the odds of mortality based on race and ethnicity, controllin
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Albawaliz, Anas, Yousaf Zafar, Anahat Kaur, Sheshadri Madhusudhana, and Anuj Shrestha. "Do socioeconomic factors really have an impact on early detection of hepatocellular carcinoma and colorectal cancer?" Journal of Clinical Oncology 38, no. 4_suppl (2020): 60. http://dx.doi.org/10.1200/jco.2020.38.4_suppl.60.

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60 Background: Improving surveillance in hepatocellular carcinoma (HCC) and colorectal cancer (CRC) is an important topic in the field of gastroenterology and oncology due to significant benefit associated with early detection and better outcomes. Multiple studies have been undertaken to assess the association between the socioeconomic status of the population and adherence to HCC/CRC screening. Most of these studies used self-reporting surveys and faced limitations due to reporting bias. We aimed to assess the relevance of socioeconomic factors in the diagnosis of HCC and CRC in Jackson Count
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Hogrebe, Mark C., and William F. Tate. "Residential Segregation Across Metro St. Louis School Districts: Examining the Intersection of Two Spatial Dimensions." AERA Open 5, no. 1 (2019): 233285841983724. http://dx.doi.org/10.1177/2332858419837241.

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The present study employs a geospatial analytical approach to studying the evenness-clustering and isolation-exposure dimensions of segregation in the context of the St. Louis, Missouri, metropolitan region. In contrast to global indicators of segregation, this approach focuses on the evenness and isolation dimensions at the local level to visualize how they interact across neighborhoods. While not traditionally thought of as a method for theory testing, geographic information systems (GIS) can contribute to the validation process by displaying how constructs interact when applied in an actual
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DeLisi, Matt, Jennifer Tostlebe, Kyle Burgason, Mark Heirigs, and Michael Vaughn. "Self-Control Versus Psychopathy." Youth Violence and Juvenile Justice 16, no. 1 (2016): 53–76. http://dx.doi.org/10.1177/1541204016682998.

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Self-control and psychopathy are prominent general theories of antisociality that, although present a very similar type of individual, have not often been studied in tandem, and few studies have conducted a head-to-head test of their association with serious delinquency and youth violence. Using a near census of institutionalized delinquents from Missouri, the current study found that both low self-control and psychopathy were significantly associated with various forms of delinquency and severe/chronic delinquency as measured by 90th percentile on the distribution. However, low self-control w
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Gotham, Kevin Fox. "Beyond Invasion and Succession: School Segregation, Real Estate Blockbusting, and the Political Economy of Neighborhood Racial Transition." City & Community 1, no. 1 (2002): 83–111. http://dx.doi.org/10.1111/1540-6040.00009.

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Recent urban scholarship has questioned the validity, methodology, and assumptions of the invasion‐succession model of neighborhood racial transition but has yet to elaborate a framework that extends beyond a critique of ecological theory. In this article, I use the theoretical insights of the sociospatial approach and draw on census data, government documents and reports, in‐depth interviews, and oral histories to examine the racial transition of southeast Kansas City, Missouri after 1950. I advance understanding of neighborhood transition by identifying the key actors, organized interests, a
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Shores, MAPH, Elizabeth F., Jamie Heath, BA, Erin Barbaro, MA, Michael C. Barbaro, MA, and Cathy Grace, EdD. "Putting young children on disaster maps: The challenges of child care data integration." Journal of Emergency Management 5, no. 4 (2007): 47. http://dx.doi.org/10.5055/jem.2007.0014.

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Objective: To determine the capacity for and degree of data sharing, for the purpose of emergency preparedness of the child care sector, among child care agencies and between child care agencies and emergency management agencies in 12 states.Design: Survey of federal and state child care agencies; evaluations of federal and state datasets; analysis of hurricane and earthquake risk areas; analysis of US Census Bureau data on population aged 0-4 years in counties.Setting: Alabama, Arkansas, California, Florida, Georgia, Louisiana, Mississippi, Missouri, North Carolina, South Carolina, Tennessee,
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Logan, John R., Chris Graziul, and Nathan Frey. "Neighborhood formation in St. Louis, 1930." Environment and Planning B: Urban Analytics and City Science 45, no. 6 (2018): 1157–74. http://dx.doi.org/10.1177/2399808318801958.

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What are the social bases of neighborhood formation in urban areas, and at what spatial scale are they most distinct from other neighborhoods? We address these questions in the case of St. Louis, Missouri, in 1930, where we can take advantage of unique geocoded census microdata on the whole population of the city that identifies who, with what background characteristics, lived where. Our analyses show that homophily by race and ethnicity was by far the strongest factor linking characteristics of persons to the composition of their neighbors. Measures of social class also were quite important,
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DeLisi, Matt, Dennis E. Reidy, Mark H. Heirigs, Jennifer J. Tostlebe, and Michael G. Vaughn. "Psychopathic costs: a monetization study of the fiscal toll of psychopathy features among institutionalized delinquents." Journal of Criminal Psychology 8, no. 2 (2018): 112–24. http://dx.doi.org/10.1108/jcp-07-2017-0031.

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Purpose That psychopathy imposes substantial societal costs and economic burden is axiomatic, but monetization studies have overlooked cost estimates of the disorder. The paper aims to discuss these issues. Design/methodology/approach Drawing on a near census of institutionalized delinquents from Missouri, the current study devised new crime cost measures for self-reported offending. Findings Youth imposed $30 million in total costs annually in large part due to extensive involvement in robbery, theft, and assault. The most criminally active youth imposed costs in excess of $700 million. Psych
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de la Cova, Carlina, Madeleine Mant, and Megan B. Brickley. "Structural violence and institutionalized individuals: A paleopathological perspective on a continuing issue." PLOS ONE 18, no. 8 (2023): e0290014. http://dx.doi.org/10.1371/journal.pone.0290014.

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Past and present institutions (e.g., state and public hospitals, assisted living facilities, public nursing homes) have struggled with structural issues tied to patient care and neglect, which often manifests in the form of fracture trauma, and may explain why institutionalized individuals are at higher risk for this injury. Six hundred individuals from the Robert J. Terry Anatomical Collection born between 1822–1877 were examined to investigate hip fracture prevalence. Analysis of associated records and documentary data, including death, morgue, and census records, revealed that 36.3% (n = 21
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Ogundele, Olabode B., Butros M. Dahu, Praveen Rao, et al. "Identifying high-dose opioid prescription risks using machine learning: A focus on sociodemographic characteristics." Journal of Opioid Management 21, no. 2 (2025): 149–62. https://doi.org/10.5055/jom.0924.

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Objective: The objective of this study was to leverage machine learning techniques to analyze administrative claims and socioeconomic data, with the aim of identifying and interpreting the risk factors associated with high-dose opioid prescribing. Design: We applied six machine learning algorithms to a dataset integrating Medicaid claims from Missouri (2017-2021) and 2018 United States Census Bureau data. High-dose prescribing was defined as dosages ≥120 morphine milligram equivalent/day. SHapely Additive exPlanations methods were utilized to enhance model interpretability, ensuring transparen
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Meitl, Michele Bisaccia, Ashley Wellman, and Patrick Kinkade. "Armed and (potentially) dangerous: exploring sheriffs' perspectives of police militarization." Policing: An International Journal 43, no. 5 (2020): 845–59. http://dx.doi.org/10.1108/pijpsm-05-2020-0079.

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PurposeDomestic law enforcement increasingly utilizes military tools and techniques in traditional policing activities. An increased militaristic approach is not without controversy, given the many high-profile incidents involving such tactics that have resulted in tragedy. We seek to assess specific views of policymakers who implement such strategies by measuring the attitudes of Texas sheriffs on these measures.Design/methodology/approachIn late 2019 and early 2020, a census was completed with Texas sheriffs to better understand their attitudes about the use of military tactics. A robust ret
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Dowd, M. Denise, Jane F. Knapp, and Laura S. Fitzmaurice. "Pediatric Firearm Injuries, Kansas City, 1992: A Population-Based Study." Pediatrics 94, no. 6 (1994): 867–73. http://dx.doi.org/10.1542/peds.94.6.867.

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Objective. To determine the morbidity, mortality, and epidemiologic features of pediatric powder-firearm injuries in a defined urban population. Design and setting. A population-based, descriptive epidemiologic study was conducted of firearm injuries to children in a mid-size urban community (total population: 435 178) in 1992. The population was 56% white and 39% black. Data from prehospital care providers, all city and adjacent community hospitals, and medical examiner and police records were searched for cases of firearm injury. The 1990 United States census provided denominator data. Case
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Wray, Ricardo J., Jenine K. Harris, Keri Jupka, et al. "Individual and Community Influences on Adherence to Directives in the Event of a Plague Attack: Survey Results." Disaster Medicine and Public Health Preparedness 6, no. 3 (2012): 253–62. http://dx.doi.org/10.1001/dmp.2012.43.

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ABSTRACTObjectives: During a public health emergency, public health officials issue directives with actions people need to take to protect themselves. Past research has shown that adherence to these directives depends on individual beliefs and circumstances. This report presents new research about the effects of community factors on adherence.Methods: A random digit-dial survey of 936 residents in the St Louis, Missouri, area was conducted in 2008 to assess barriers to and facilitators of adherence to directives issued in response to a hypothetical scenario involving the intentional release of
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Thapa, Krishna Bahadur, Shovakhar Aryal, Devaraj Acharya, Phillipa Munday, and Anjan Basnet. "Understanding the Attitudes of School Teachers Towards Inclusive Education at the Local Context of Nepal." Education and Development 32, no. 1 (2022): 141–56. http://dx.doi.org/10.3126/ed.v32i1.61595.

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Teachers' positive attitudes are widely acknowledged as necessary for successful policy making and implementation of inclusive education. This study aims to assess general education teachers’ attitude towards inclusion of children with special needs education into regular education classrooms. It seeks to replicate previous findings regarding the effects of gender, age group, educational qualification, years of teaching, teaching levels and the class size in relation to inclusive education in the local context of Nepal. Following descriptive survey design, ninety-five general education teacher
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Banks, Devin E., Maria E. Paschke, and Rachel P. Winograd. "182 Examining the Feasibility and Acceptability of Data-Driven Outreach Using Geographic Information Systems to Address Racial Disparities in Fatal Opioid Overdose." Journal of Clinical and Translational Science 7, s1 (2023): 56. http://dx.doi.org/10.1017/cts.2023.260.

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OBJECTIVES/GOALS: This project examines the initial feasibility, acceptability, and appropriateness of using population-health data and geospatial information systems (GIS) technology to guide opioid overdose prevention in a Black community facing increasing racial inequities in fatal overdose since 2016. METHODS/STUDY POPULATION: We applied a mixed-methods approach, using GIS to examine hot spots of fatal opioid overdose among Black, adult decedents in St. Louis City and County, Missouri, derived from cause-of-death data from the Medical Examiner’s Offices from 2016-2021 (N = 1,612). Hot spot
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Mody, Aaloke, Cory Bradley, Salil Redkar, et al. "Quantifying inequities in COVID-19 vaccine distribution over time by social vulnerability, race and ethnicity, and location: A population-level analysis in St. Louis and Kansas City, Missouri." PLOS Medicine 19, no. 8 (2022): e1004048. http://dx.doi.org/10.1371/journal.pmed.1004048.

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Background Equity in vaccination coverage is a cornerstone for a successful public health response to COVID-19. To deepen understanding of the extent to which vaccination coverage compares with initial strategies for equitable vaccination, we explore primary vaccine series and booster rollout over time and by race/ethnicity, social vulnerability, and geography. Methods and findings We analyzed data from the Missouri Department of Health and Senior Services on all COVID-19 vaccinations administered across 7 counties in the St. Louis region and 4 counties in the Kansas City region. We compared r
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Buchalter, R. Blake, Alok A. Khorana, Shimoli Barot, David Liska, and Stephanie L. Schmit. "Abstract 5907: Hot and cold spots of young-onset colorectal cancer mortality in U.S. counties, 1999-2019." Cancer Research 82, no. 12_Supplement (2022): 5907. http://dx.doi.org/10.1158/1538-7445.am2022-5907.

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Abstract Colorectal cancer mortality rates among those diagnosed under age 50 have been rising. Geospatial patterns of young-onset colorectal cancer (yoCRC) mortality rates in the U.S. have received limited attention, and prior studies were limited by a lack of adjustment for demographic factors, a focus only on hot spots, and a lack of cluster-specific relative risks (RRs). Adjustment allows clusters to represent areas where modifiable factors may be driving anomalous mortality rates. Aggregated 1999-2019 yoCRC mortality data for 3,036 counties was obtained from CDC WONDER Underlying Cause of
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Shahzad, Moazzam, Eeman Ahmad, Shahzaib Ahmed, et al. "Trends and Disparities in Autoimmune Hemolytic Anemia-Related Mortality in the United States from 1999 to 2020: Insights from the CDC Wonder Database." Blood 144, Supplement 1 (2024): 5232. https://doi.org/10.1182/blood-2024-209176.

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Introduction: Autoimmune hemolytic anemia (AIHA) is an acquired condition characterized by hemolysis due to autoantibodies against red blood cell antigens. AIHA can be categorized as primary, when the underlying cause has not been demonstrated, and secondary, when the hemolysis is caused due to autoantibodies related to autoimmune diseases, lymphoproliferative diseases, infections, solid tumors or solid organ transplantation. Another form of secondary AIHA is drug-related AIHA, in which hemolysis is driven by the intake of certain drugs including antibiotics, antiviral drugs, and chemotherapeu
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Weise, Michael, Shebli Atrash, Briha Ansari, et al. "Social Determinants of Health (SDOH) and Access to CART for Multiple Myeloma." Blood 144, Supplement 1 (2024): 5162. https://doi.org/10.1182/blood-2024-207882.

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Background: Multiple Myeloma (MM) is the most common hematologic malignancy in the black population, constituting 20% of all MM patients (IMF Website). Chimeric antigen receptor T-cell (CART) therapy has emerged as a valuable treatment option for MM. Based on lymphoma studies, it is known that CART access is disproportionately lower for blacks, those with inadequate insurance, and those from lower socioeconomic strata (SES). The University of Kansas Health System (TUKHS) is a center offering CART, with a volume of over 100 CART/year. The referral base primarily spans the states of Kansas (KS)
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Wright, Gavin. "Slavery and American Agricultural History." Agricultural History 77, no. 4 (2003): 527–52. http://dx.doi.org/10.1215/00021482-77.4.527.

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Abstract This essay considers the role of slavery in American agricultural history by examining the impact of political decisions during the period when the boundary between free and slave states was not yet settled. This boundary was not dictated by geographic imperatives. In Kentucky, an early "beach-head" in the bluegrass district allowed slavery to become firmly entrenched, even in a state where the majority of farmers held no slaves. On the other hand, slavery was vigorously debated in all of the Northwest Territories--losing a close vote in Illinois as late as 1824. The essay argues that
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Gandhi, Pooja, Su Zhang, Ayush Patel, and Rajeev Ayyagari. "Assessment of Underdiagnosis of Tardive Dyskinesia by Geographic Region, Social Determinants, and Other Patient Characteristics." CNS Spectrums 29, no. 5 (2024): 509–10. https://doi.org/10.1017/s1092852924001809.

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IntroductionTardive dyskinesia (TD) is a hyperkinetic movement disorder associated with antipsychotics (APs).ObjectiveTo estimate TD diagnosis rates across geographic regions of the United States (US) among adults who use APs.MethodsIn this retrospective cohort study, patients with ≥1 AP claim (≥30-day supply) followed by TD diagnosis (index date) aged ≥18 years at index date with ≥12 months of continuous insurance eligibility after index date and geographic location information were identified in the IBM MarketScan© commercial insurance database (2012– 2019). Additional information was collec
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Yaskewich, David M. "State licenses for medical marijuana dispensaries: neighborhood-level determinants of applicant quality in Missouri." Journal of Cannabis Research 6, no. 1 (2024). http://dx.doi.org/10.1186/s42238-024-00223-1.

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Abstract Background When state governments impose quotas on commercial marijuana licenses, regulatory commissions use an application process to assess the feasibility of prospective businesses. Decisions on license applications are often met with formal appeals and legal challenges from rejected applicants. Although prior research has examined substate disparities in the availability of marijuana dispensaries, less attention has been given to the quality of license applications. The present study analyzed the relationship between neighborhood-level characteristics and the quality of prospectiv
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Ben Ramadan, Awatef Ahmed, Jeannette Jackson-Thompson, and Chester Lee Schmaltz. "Estimated and Interactively Visualized Female Breast Cancer Incidence Rates in Missouri Senate Districts 2008-2012." Online Journal of Public Health Informatics 9, no. 3 (2017). http://dx.doi.org/10.5210/ojphi.v9i3.8084.

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Objectives: To measure and interactively visualize female breast cancer (FBC) incidence rates in Missouri by age, race, stage and grade, and senate district of residence at diagnosis from 2008 to 2012.Methods: An observational epidemiological study. The FBC cases in counties split by senate districts were geocoded. Population database was created. A database was created within SEER*Stat. The incidence rates and the 95% Confidence Interval (CI) were age standardized using US 2000 Standard Population. The Census Bureau’s Cartographic Boundary Files were used to create maps showing Missouri senat
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Quinn, James, John Kruse, Londa Nwadike, James C. Piñero, and David Trinklein. "The Success of Plain People’s Produce Auctions and Partnership with Missouri Extension." Journal of Amish and Plain Anabaptist Studies, 2021, 177–90. http://dx.doi.org/10.62192/japas.v09i2n08.

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The number of produce auctions led by plain Anabaptist producers has surged since the mid-1990s. Typically grower-owned, these businesses are centralized facilities providing a wholesale market to area growers for a diverse group of buyers. For growers seeking an adequate living from growing produce, these facilities help reduce marketing time and product transportation, and provide frequent sales events that guarantee payment. As such, they have developed into a solid and long-standing market for local produce. However, plain growers have experienced challenges trying new crops or scaling up
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McCann, Zachary H., Howard H. Chang, Rohan D'Souza, Noah Scovronick, and Stefanie Ebelt. "Assessment of census-tract level socioeconomic position as a modifier of the relationship between short-term PM2.5exposure and cardiovascular emergency department visits in Missouri." Journal of Epidemiology and Community Health, February 1, 2024, jech—2023–221438. http://dx.doi.org/10.1136/jech-2023-221438.

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IntroductionAmbient particulate matter ≤ 2.5 µm in aerodynamic diameter (PM2.5) exposure elevates the risk for cardiovascular disease morbidity (CVDM). The aim of this study is to characterise which area-level measures of socioeconomic position (SEP) modify the relationship between PM2.5exposure and CVDM in Missouri at the census-tract (CT) level.MethodsWe use individual level Missouri emergency department (ED) admissions data (n=3 284 956), modelled PM2.5data, and yearly CT data from 2012 to 2016 to conduct a two-stage analysis. Stage one uses a case-crossover approach with conditional logist
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Brown, Danielle J., Amelia C. Van Handel, Kevin G. Shim, et al. "The Impact of Area Deprivation Index, Geography, and Mechanism on Incidence of Ballistic Injury to the Upper Extremity." Annals of Plastic Surgery, September 16, 2024. http://dx.doi.org/10.1097/sap.0000000000004108.

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Introduction This study investigates the intersection of ballistic injuries, geography, and Area Deprivation Index (ADI). We hypothesized that both ADI and geography are correlated with incidence of upper extremity ballistic injuries. Further, we characterize and compare 2 distinct upper extremity gunshot injury populations presenting to our institution: those sustaining violent ballistic injuries and those who suffer an accidental, self-inflicted injury. Our purpose is to evaluate the impact of geography and ADI on the pattern of upper extremity gunshot injuries in Illinois and Missouri. Mate
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González-Pérez, Jesús M. "Racial/Ethnic Segregation and Urban Inequality in Kansas City, Missouri: A Divided City." City & Community, February 17, 2021, 153568412199079. http://dx.doi.org/10.1177/1535684121990799.

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Racial/ethnic segregation is a cause of urban inequality. This, in turn, perpetuates disadvantaged groups’ spatial segregation and difficulty in upward mobility. Planned racial and social segregation through a process of redlining almost one hundred years ago is fundamental in understanding today’s patterns of urban inequality. The aim of this study is to analyze the links between racial/ethnic segregation and inequality in Kansas City (MO). After studying the origins and significance of redlining in the city, an analysis is made of the distribution and segregation of the African American and
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Erickson, Jacob H., Mark H. Heirigs, Matt DeLisi, Alexandra Slemaker, and Michael G. Vaughn. "An Examination of Economic Strain, Negative Emotions, and Low Self-Control: A Test With Institutionalized Juveniles." International Journal of Offender Therapy and Comparative Criminology, June 26, 2023. http://dx.doi.org/10.1177/0306624x231176017.

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Strain and low self-control theory are two prominent theories of crime. However, there has been little research comparing the two perspectives to examine their relationship to self-reported delinquency among institutionalized juveniles. We begin to address this gap in the literature by assessing the impacts of economic strain, negative emotions, and low self-control on the commission of property and violent crime using a near census of institutionalized delinquents from Missouri. Results indicated self-control was more essential to understanding both property and violent crime among institutio
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Lee, Sanguk, Myung Sik Cho, and Tai-Quan Peng. "Understanding sentiment toward racial unrest through temporal and geographic lenses: a multilevel-analysis across metropolitan areas in the United States." Frontiers in Communication 9 (February 1, 2024). http://dx.doi.org/10.3389/fcomm.2024.1259046.

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Racial unrest has long been a salient social issue in the United States. Time and space provide essential contexts for the emergence and evolution of racial unrest. However, the relationships between these contextual factors and public responses to racial unrest remain insufficiently explored. This study seeks to fill that gap, blending geocoded, time-stamped racial unrest tweet data with census information. It aims to explore how temporal elements and geographical characteristics of metropolitan areas contribute to the emergence of negative sentiment reactions to racial unrest on social media
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Ardren, William R., George R. Jordan, Patrick W. DeHaan, and Robin S. Waples. "Demographic and Evolutionary History of Pallid and Shovelnose Sturgeon in the Upper Missouri River." Journal of Fish and Wildlife Management, March 2, 2022. http://dx.doi.org/10.3996/jfwm-21-035.

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Natural-origin pallid sturgeon Scaphirhynchus albus in the upper Missouri River are predicted to become extirpated as early as 2024. To aid in recovery efforts for this endangered species, we used genetic data from 17 microsatellite loci to infer demographic and evolutionary history of pallid sturgeon and a sympatric shovelnose sturgeon S. platorynchus . A recent sundering of geneflow between these species was indicated by overlapping allele size distributions at all loci and low level of genetic divergence ( F ST = 0.10). Tests for recent bottlenecks, using heterozygosity excess or allele fre
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Lim, Travis, Mark Delorey, Nicolette Bestul, et al. "Changes in Severe Acute Respiratory Syndrome Coronavirus 2 Seroprevalence Over Time in 10 Sites in the United States, March–August, 2020." Clinical Infectious Diseases, February 26, 2021. http://dx.doi.org/10.1093/cid/ciab185.

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Abstract Background Monitoring of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) antibody prevalence can complement case reporting to inform more accurate estimates of SARS-CoV-2 infection burden, but few studies have undertaken repeated sampling over time on a broad geographic scale. Methods We performed serologic testing on a convenience sample of residual serum obtained from persons of all ages, at 10 sites in the United States from 23 March through 14 August 2020, from routine clinical testing at commercial laboratories. We standardized our seroprevalence rates by age and sex
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Chen, Zhuo, Jean-Eudes Dazard, Yassin Khalifa, et al. "Deep Learning–Based Assessment of Built Environment From Satellite Images and Cardiometabolic Disease Prevalence." JAMA Cardiology, May 1, 2024. http://dx.doi.org/10.1001/jamacardio.2024.0749.

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ImportanceBuilt environment plays an important role in development of cardiovascular disease. Large scale, pragmatic evaluation of built environment has been limited owing to scarce data and inconsistent data quality.ObjectiveTo investigate the association between image-based built environment and the prevalence of cardiometabolic disease in urban cities.Design, Setting, and ParticipantsThis cross-sectional study used features extracted from Google satellite images (GSI) to measure the built environment and link them with prevalence of cardiometabolic disease. Convolutional neural networks, li
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Mobley, Evan, Chelsea Fischer, and Andrew Hunter. "Finding Chances to Intervene Before the Fatal Overdose: Linking ED and Mortality Data." Online Journal of Public Health Informatics 11, no. 1 (2019). http://dx.doi.org/10.5210/ojphi.v11i1.9922.

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ObjectiveLink emergency department (ED) with death certificate mortality data in order to examine the prior medical history of opioid overdose victims leading up to their death.IntroductionIn 2017, 951 Missouri residents died from an opioid overdose—a record number for the state.1 This continues the trend from 2016, which saw an increase of over 30% in opioid overdose deaths compared to 2015. The Missouri Department of Health and Senior Services (MDHSS) manages several public health surveillance data sources that can be used to inform about the opioid epidemic. Opioid overdose deaths are ident
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Mishra, Aaroosh, and Ravi Mishra. "To determine the effect of healthcare policy implementation on the COVID-19 pandemic." Journal of Student Research 10, no. 3 (2021). http://dx.doi.org/10.47611/jsrhs.v10i3.2156.

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As the Delta variant of SARS-CoV-2 has spread across the USA, some states have been impacted in different ways than others. This is due to factors such as the implementation of public health guidelines, primarily mask usage, and vaccination rates. With the Delta variant already causing much damage and with newer variants mutating, it is imperative to understand the spread of the Delta variant of SARS-CoV-2.
 The study examined five states - Minnesota, Iowa, Missouri, Arkansas, and Louisiana - and their respective COVID-19 cases. Data on these states were collected from the US Census Burea
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Lin, Sue C., Julie Fife Donney, and Lydie A. Lebrun-Harris. "Lessons Learned From Adolescent COVID-19 Vaccine Administration in Medically Underserved Communities." Public Health Reports, January 19, 2024. http://dx.doi.org/10.1177/00333549231218723.

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Objectives: In May 2021, the Health Resources and Services Administration Health Center COVID-19 Vaccine Program (HCCVP) began supporting the national adolescent vaccination rollout for a safe return to in-person learning for children and adolescents from medically underserved communities. To understand the initial implementation of adolescent vaccinations, we estimated the number of vaccines administered through the HCCVP at the national and state level to adolescents aged 12-17 years, and we examined challenges and solutions in vaccine deployment. Methods: We analyzed data on vaccine adminis
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Rohatgi, Karthik W., Branson Fox, Khai Hoan Tram, Elvin Geng, and Aaloke Mody. "1906. Impact of Mask Mandate Timing on Community Transmission of SARS-CoV-2 in the St. Louis Metropolitan Area." Open Forum Infectious Diseases 9, Supplement_2 (2022). http://dx.doi.org/10.1093/ofid/ofac492.1533.

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Abstract Background Mask mandates have been a widely used public health tool during the COVID-19 pandemic, but how to optimize their impact in the setting of concurrent but spontaneous population-level behavior changes due to rising case counts is not known. This study aimed to examine how earlier or later mask mandate implementation in the context of spontaneous behavior change would have affected transmission of SARS-CoV-2 and severe COVID-19 outcomes in the St. Louis, Missouri area. Methods Our model utilized aggregated hospitalization and death data for St. Louis city and county residents
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Mehdi, Qasim, and Petros Vasilakos. "Assessing the environmental justice implications of decarbonizing the US electric grid: estimating changes in asthma exacerbation by race and income." Environmental Research: Health, August 13, 2024. http://dx.doi.org/10.1088/2752-5309/ad6eac.

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Abstract This paper examines how air quality improvements due to the 100% decarbonization of the US power sector in 2040 can reduce asthma exacerbation among children disaggregated by poverty status, race, and geography. Using spatial datasets that differentiate asthma prevalence by income, race, and state, we find that children living in households with income below the poverty line receive a disproportionate share of the benefits. To obtain these results, we employ several different federally administered datasets: American Community Survey (ACS), Behavioral Risk Factor Surveillance System (
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Peterman, Nicholas, Krishin Shivdasani, Anant Naik, et al. "Understanding Geospatial Trends in Lumbar Fusion Incidence and Technique in Medicare Populations." Spine, August 23, 2023. http://dx.doi.org/10.1097/brs.0000000000004807.

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Study Design. Retrospective study with epidemiologic analysis of public Medicare data. Objective. This study seeks to utilize geospatial analysis to identify distinct trends in lumbar fusion incidence and techniques in Medicare populations. Summary of Background Data. With an aging population and new technologies, lumbar fusion is an increasingly common procedure. There is controversy, however, regarding which indications and techniques achieve optimal outcomes, leading to significant inter-surgeon variation and potential national disparities in care. Methods. Medicare billing datasets were su
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Noel-London, Kemba, Enbal Shacham, Kasim Ortiz, and Rhonda BeLue. "Neighborhood Context As A Barrier To Sport Participation For Girls: Evidence From A Sports Diversity Index." Journal of Athletic Training, January 20, 2024. http://dx.doi.org/10.4085/1062-6050-0372.23.

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Background: Evidence suggests neighborhood contexts play a vital role in shaping availability and diversity of youth sports and participation rates; especially for African American/Black girls. Currently, there is no index capturing interscholastic sport opportunities(diversity) within and across school districts and specifically applied to African American/Black girls. Objective: To present a new multidimensional index of sport opportunities within the St. Louis, (Missouri) City and County school districts and examine its usefulness in describing sports participation among African American/Bl
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Sischka, M., M. Roshandel, M. Alom, T. Kohler, S. Helo, and M. Ziegelmann. "(376) Distribution and Availability of Urologists Offering Collagenase Clostridium Histolyticum (Xiaflex®) in the Conterminous United States." Journal of Sexual Medicine 20, Supplement_1 (2023). http://dx.doi.org/10.1093/jsxmed/qdad060.350.

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Abstract Introduction Collagenase clostridium histolyticum (CCH, Xiaflex®; Endo Pharmaceuticals) is the only FDA-approved non-surgical therapy for Peyronie’s Disease (PD). CCH is an effective alternative to surgery for patients with PD who have a palpable plaque and a curvature deformity of ≥30°. Clinicians who administer CCH must complete risk mitigation training, and access to specialists varies by region across the US. Identifying areas with low provider availability may improve patient access to this and other treatments for PD. Objective To review the availability of clinicians offering C
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Wang, Echo, and Lara D. Dame. "Hospitalization of Mental Disorders in Saint Louis County: “Where You Live Matters”." Online Journal of Public Health Informatics 10, no. 1 (2018). http://dx.doi.org/10.5210/ojphi.v10i1.8917.

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ObjectiveWe used hospitalization rates for mental disorders to determine utilization patterns and the need for community-based mental health services.IntroductionHospitalization rates for mental health disorders provide important information to help us prioritize community needs for mental health and urgent care plantation. In Saint Louis County, there were over 13,000 hospitalizations for mental disorders between 2010 and 2014. For all age groups, depressive disorders, including major depression and mood disorder not-otherwise-specified, were the most common primary diagnostic grouping for ho
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Shaffer, Jamie, Anand Rajesh, Michael W. Stewart, et al. "Evaluating Access to Laser Eye Surgery by Driving Times Using Medicare Data and Geographical Mapping." JAMA Ophthalmology, July 20, 2023. http://dx.doi.org/10.1001/jamaophthalmol.2023.3061.

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ImportanceRecently, several states have granted optometrists privileges to perform select laser procedures (laser peripheral iridotomy, selective laser trabeculoplasty, and YAG laser capsulotomy) with the aim of increasing access. However, whether these changes are associated with increased access to these procedures among each state’s Medicare population has not been evaluated.ObjectiveTo compare patient access to laser surgery eye care by estimated travel time and 30-minute proximity to an optometrist or ophthalmologist.Design, Setting, and ParticipantsThis retrospective cohort database stud
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Nickel, Katelin B., Hannah Kinzer, Victoria J. Fraser, Jason P. Burnham, and Jennie H. Kwon. "2006. The Impact of Race and Rurality on Healthcare-Associated Infections and Downstream Adverse Outcomes." Open Forum Infectious Diseases 10, Supplement_2 (2023). http://dx.doi.org/10.1093/ofid/ofad500.131.

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Abstract Background There is limited information on racial disparities and healthcare-associated infections (HAIs). The objective of this study was to evaluate the impact of race and rurality on HAIs and outcomes of HAIs including death and intensive care unit (ICU) admission. Methods We established a retrospective cohort of adults ≥ 18 years admitted ≥ 48 hours from 1/1/2017–8/31/2020 at three Missouri hospitals. HAIs were defined as positive cultures from urine, blood, or respiratory specimens ≥ 48 hours after admission. The primary exposure was patient race and rurality defined as combinati
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Lively, Cathy, and Anne Zimmerman. "EMTALA and State Abortion Bans." Voices in Bioethics 11 (April 8, 2025). https://doi.org/10.52214/vib.v11i.13414.

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Photo by Manny Becerra on Unsplash Abstract This paper argues that EMTALA and state laws governing abortion access do conflict and that federal law should preempt state law to the extent of the conflict. This paper’s purpose is to give a brief overview of the legal issues, identify practical issues and dangers associated with restrictive abortion laws, and contextualize preemption in the current political moment. The topic here is medical emergency – this paper does not address abortion for either nonmedical or nonemergency reasons. Lastly, this paper is designed to appeal to those in many dis
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