The Health News USA March 6 2018

  • Researchers say that nonfatal gun injuries in the United States are becoming more severe, increasing pressure on the health care system. The new study has found that since the 1990s, the severity of nonfatal gun injuries treated in U.S. hospitals has risen 1.4% a year. Nonfatal gun injuries account for about 70% of all gun wounds in the United States. About 88 percent of the victims were male, and nearly 6 percent were children. More than 8 in 10 were between 16 and 45 years old, while 12 percent were 46 or older.
  • Accompanying the routine payments and price forecasts sent to some Northeast dairy farmers last month were a list of mental health services and the number of a suicide prevention hotline.The Agri-Mark dairy cooperative got the resources out to its one thousand farmers in New England and New York following the suicide of a member farmer in January, and one the year before. Farmers are facing their fourth year of payments well below their cost of production, due in part to a national and global oversupply of milk.
  • According to a multi-site US study, the proportion of time patients with HIV spend depressed is directly related to their likelihood of missing doctor appointments, how well their infection is suppressed and their risk of death from any cause. In a large analysis of records for nearly 6,000 patients receiving HIV primary care across the country, the researchers found that for patients depressed during the entire study period, the risk of death was double that of patients with no depression. An estimated 1.1 million people in the U. S. were living with HIV at the end of 2015.

News on Health Professional Radio. Today is the 6th of March 2018. Read by Tabetha Moreto.

https://health.usnews.com/health-care/articles/2018-03-02/us-gun-injuries-getting-more-severe

Researchers say that nonfatal gun injuries in the United States are becoming more severe, increasing pressure on the health care system. The new study has found that since the nineteen nineties, the severity of nonfatal gun injuries treated in U.S. hospitals has risen one point four percent a year. Corresponding study author Bindu Kalesan, an assistant professor of medicine at Boston University said “Both males and females and all types of intents of firearm injury demonstrated a comparable significant increase in national trends in firearm hospitalizations injury severity.”

Nonfatal gun injuries account for about seventy percent of all gun wounds in the United States.
To learn more about trends in severity, Kalesan’s team analyzed nationwide data on nearly six hundred forty nine thousand hospital admissions for gun injuries between nineteen ninety three and two thousand fourteen.

About eighty eight percent of the victims were male, and nearly six percent were children. More than eight in ten were between sixteen and forty five years old, while twelve percent were forty six or older. The researchers found that the causes of the injuries varied. Close to two-thirds of the gun injuries stemmed from assaults. About one-quarter were accidental; nine percent were from self-harm, and seven percent were undetermined.

The results were published in the journal Trauma Surgery & Acute Care Open. Kalesan added that the extent of injury severity was lower in children than adults, and increased less consistently for kids from nineteen ninety eight to two thousand fourteen compared with adults, Kalesan added.

http://abcnews.go.com/Health/wireStory/milk-op-mailing-highlights-suicide-risk-dairy-farmers-53486265

Accompanying the routine payments and price forecasts sent to some Northeast dairy farmers last month were a list of mental health services and the number of a suicide prevention hotline.
The Agri-Mark dairy cooperative got the resources out to its one thousand farmers in New England and New York following the suicide of a member farmer in January, and one the year before.
….
Bob Wellington, an economist for Agri-Mar Incorporated, which owns Cabot Creamery said that farmers are facing their fourth year of payments well below their cost of production, due in part to a national and global oversupply of milk.  Prices paid to farmers hit an average of twenty four dollars per hundred pounds of milk in two thousand fourteen, the highest price since at least two thousand. They quickly dropped to an average of about seventeen dollars per hundred pounds of milk in two thousand fifteen,sixteen dollars in two thousand sixteen and seventeen dollars last year.

The farm prices have no direct correlation with what consumers pay for milk. According to a two thousand sixteen Centers for Disease Control and Prevention report , people working in farming, fishing and forestry had the highest rate of suicide. Agri-Mark is also creating its own assistance program for its members. “Financial duress magnifies some of the personal issues like depression, or anxiety, or something else that’s underlying can be triggered by a severe economic downturn in the dairy industry,” said Ed Staehr, executive director of NY FarmNet, a free confidential service for New York farmers that offers personal and financial consulting at their homes. Vermont has a similar program called Farm First.

 

Minnesota has set up a free, twenty four-hour confidential helpline as stress, anxiety, depression, financial burdens, and other mental and emotional problems continue to affect farmers and other rural residents. It also provides workshops for people who work with and serve farmers, such as bankers and suppliers, to understand mental health.

https://www.reuters.com/article/us-health-hiv-depression/hiv-patients-with-depression-face-serious-risks-idUSKCN1GD5XM

According to a multi-site US study, the proportion of time patients with HIV spend depressed is directly related to their likelihood of missing doctor appointments, how well their infection is suppressed and their risk of death from any cause. In a large analysis of records for nearly six thousand patients receiving HIV primary care across the country, the researchers found that for patients depressed during the entire study period, the risk of death was double that of patients with no depression. Researchers reported in JAMA Psychiatry that even shorter periods of time spent with depression were tied to increases in viral load, missed appointments and increased mortality.
….
An estimated one point one million people in the U. S. were living with HIV at the end of two thousand fifteen, according to the latest statistics from the Centers for Disease Control and Prevention. Between twenty percent and forty percent of people living with HIV also have depression.
….
For the analysis, the researchers studied data from five thousand nine hundred twenty seven patients, five thousand of whom were men, who were receiving HIV care at six medical centers across the U.S. that were participating in the Center for AIDS Research Network of Integrated Clinical Systems (CNICS).

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For every twenty five percent rise in percentage of days with depression, there was an eight percent increase in missed appointments, a five percent increase in likelihood of having detectable viral load and a nineteen percent rise in mortality risk. For the patients who were depressed one hundred percent of the time, that translated to a thirty seven percent higher risk of missing appointments and twenty three percent risk of treatment failure.

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