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Kinfu Y.,University of Canberra | Sawhney M.,One Public
BMC Health Services Research | Year: 2015

Background: Institutional delivery is one of the key and proven strategies to reduce maternal deaths. Since the 1990s, the government of India has made substantial investment on maternal care to reduce the huge burden of maternal deaths in the country. However, despite the effort access to institutional delivery in India remains below the global average. In addition, even in places where health investments have been comparable, inter- and intra-state difference in access to maternal care services remain wide and substantial. This raises a fundamental question on whether the sub-national units themselves differ in terms of the efficiency with which they use available resources, and if so, why? Methods: Data obtained from round 3 of the country's District Level Health and Facility Survey was analyzed to measure the level and determinants of inefficiency of institutional delivery in the country. Analysis was conducted using spatial stochastic frontier models that correct for heterogeneity and spatial interactions between sub-national units. Results: Inefficiency differences in maternal care services between and within states are substantial. The top one third of districts in the country has a mean efficiency score of 90 per cent or more, while the bottom 10 per cent of districts exhibit mean inefficiency score of as high as over 75 per cent or more. Overall mean inefficiency is about 30 per cent. The result also reveals the existence of both heterogeneity and spatial correlation in institutional delivery in the country. Conclusions: Given the high level of inefficiency in the system, further progress in improving coverage of institutional delivery in the country should focus both on improving the efficiency of resource utilization-especially where inefficiency levels are extremely high-and on bringing new resources in to the system. The additional investment should specifically focus on those parts of the country where coverage rates are still low but efficiency levels are already at a high level. In addition, given that inefficiency was also associated inversely with literacy and urbanization and positively related with proportion of households belonging to poor households, investment in these areas can also improve coverage of institutional delivery in the country. © 2015 Kinfu and Sawhney; licensee BioMed Central.

Martinussen M.P.,One Public | Martinussen M.P.,Norwegian University of Science and Technology | Risnes K.R.,One Public | Risnes K.R.,Norwegian University of Science and Technology | And 3 more authors.
American Journal of Obstetrics and Gynecology | Year: 2012

The objective of the study was to assess whether folic acid intake during the first trimester of pregnancy is related to asthma in the offspring by the age of 6 years. This was a prospective cohort study of 1499 women who were followed up from the first trimester of pregnancy. Their children were followed up until they were 6 years old. Fifty-one percent of the women used folic acid in the month before conception and 88% in the third month of pregnancy. The adjusted odds ratio for asthma per 100 μm increase in the average daily intake of folic acid was 0.98 (95% confidence interval, 0.931.04). For categories of daily folate intake, there was no evidence of associations with childhood asthma or evidence of any dose response relation for any time period (all P trend >.05). Our results do not support any association of folic acid supplementation in pregnancy and asthma risk in offspring by age 6 years.

Fineman S.,Emory University | Dowling P.,University of Kansas | O'Rourke D.,One Public
Annals of Allergy, Asthma and Immunology | Year: 2013

Background Anaphylaxis is life-threatening and requires rapid medical intervention. Knowledge of treatment guidelines and addressing barriers to care are essential for appropriate management. Objective To investigate allergists' self-reported practices in managing patients at risk for anaphylaxis, specifically in following practice parameters for diagnosis, treatment, and appropriate use of epinephrine, and to identify perceived barriers to care. Methods Online questionnaires were distributed to members of the American College of Allergy, Asthma, and Immunology. The US physicians who self-identified as "allergist/immunologist" were eligible to participate. The first 500 completed questionnaires were analyzed. Results Nearly all (≥95%) reported adherence to practice parameters in prescribing an epinephrine auto-injector and instructing patients on its use, taking a detailed allergy history, counseling patients on avoidance measures, and educating patients on the signs and symptoms of anaphylaxis. More than 90% stated they determined the best diagnostic procedures to identify triggers and coordinated laboratory and allergy testing. Adherence to practice parameters was less robust for providing patients with written action plans and in-office anaphylaxis preparedness. Perceived barriers to care included a significant proportion of patients who were uncomfortable using epinephrine auto-injectors and inadequate knowledge of anaphylaxis among referral physicians. Conclusion Allergists overwhelmingly adhere to practice parameter recommendations for the treatment and management of anaphylaxis, including appropriate use of epinephrine as first-line treatment, educating patients, and testing to diagnose anaphylaxis and identify its triggers. Opportunities for improvement include preparing staff and patients for anaphylactic events, providing written action plans, and improving knowledge of referring physicians. © 2013 American College of Allergy, Asthma & Immunology. Published by Elsevier Inc. All rights reserved.

Connally N.P.,Western Connecticut State University | Yousey-Hindes K.,One Public | Meek J.,One Public
American Journal of Epidemiology | Year: 2013

The selection of controls is an important methodological consideration for case-control studies. Neighborhood-matched control selection is particularly crucial for studies of vector-borne disease, such as Lyme disease, for which risk is intrinsically linked to geographical location. The matching of case-control pairs on neighborhood can help control for variation in ecological risk factors that are tied to geographical location, like vector and host habitat in the peridomestic environment. Random-digit dialing has been used to find neighborhood controls by using the area code and exchange of the case to generate lists of potential control households. An alternative to random-digit dialing is the purchase of residential telephone numbers from a commercial marketing database. This report describes the utility of the (InfoGroup, Papillion, Nebraska) commercial marketing database for neighborhood control recruitment in a Lyme disease case-control study in Connecticut during 2005-2007. © 2013 The Author.

Yousey-Hindes K.M.,One Public | Hadler J.L.,One Public
American Journal of Public Health | Year: 2011

Objectives: We examined surveillance data for disparities in pediatric influenza-associated hospitalizations according to neighborhood socioeconomic status (SES) measures in New Haven County, Connecticut. Methods: We geocoded influenza-associated hospitalization case data from the past 7 years for children from birth to age 17 years and linked these to US Census 2000 tract-level SES data. Following the methods of Harvard's Public Health Disparities Geocoding Project, we examined neighborhood SES variables, including measures of poverty and crowding. We calculated influenza-associated hospitalization incidence by influenza season and individual case characteristics, stratified by SES measures. Results: Overall, the mean annual incidence of pediatric influenza-associated hospitalization in high-poverty and high-crowding census tracts was at least 3 times greater than that in low-poverty and low-crowding tracts. This disparity could not be fully explained by prevalence of underlying conditions or receipt of influenza vaccination. Conclusions: Linkage of geocoded surveillance data and census information allows for ongoing monitoring of SES correlates of health and may help target interventions. Our analysis indicates a correlation between residence in impoverished or crowded neighborhoods and incidence of influenza-associated hospitalization among children in Connecticut.

Colantonio S.,University of Ottawa | Bracken M.B.,One Public | Beecker J.,University of Ottawa
Journal of the American Academy of Dermatology | Year: 2014

Background Tanning beds are associated with increased risk of melanoma. Objective We sought to update the evidence of the association of melanoma and indoor tanning focusing on frequency of use and exposure to newer tanning beds. Methods We searched Scopus, MEDLINE, and Cumulative Index to Nursing and Allied Health Literature on August 14, 2013. We included all observational studies that included patients with melanoma who had indoor tanned. Odds ratios (OR) with 95% confidence intervals (CI) were extracted and combined using generic inverse variance methods assuming a random effects model. Results In all, 31 studies were included with data available on 14,956 melanoma cases and 233,106 controls. Compared with never using, the OR for melanoma associated with ever using indoor tanning beds was 1.16 (95% CI 1.05-1.28). Similar findings were identified in recent studies with enrollment occurring in the year 2000 onward (OR 1.22, 95% CI 1.03-1.45) and in subjects attending more than 10 tanning sessions (OR 1.34, 95% CI 1.05-1.71). Limitations The quality of evidence contributing to review results ranges from poor to mediocre. Conclusion Using tanning beds is associated with a subsequent melanoma diagnosis. Exposure from more than 10 tanning sessions is most strongly associated and there was no statistically significant difference in this association before and after 2000, suggesting that newer tanning technology is not safer than older models. © 2014 by the American Academy of Dermatology, Inc.

This study critically reviewed empirical literature examining nutrition education intervention studies with community-dwelling older adults over the period 2003-2012 to: (1) determine the number, (2) evaluate the research designs, and (3) report the study outcomes. A search of online databases yielded 74 studies six of which met our criteria. The studies reported favorable intervention outcomes. Because of the number, variability in the types, designs, measures, scope, educational and behavioral strategies, results can only inform future studies and encourage scholars to use strong evaluation design. We recommend the utilization of an ecological conceptual model when conducting nutrition interventions studies and discussed implications in terms of research and practice. © 2013 Springer Science+Business Media New York.

One Public and Organic Spread Media LLC | Date: 2011-11-23

Computer software used to create, deliver, distribute, manage, and monitor social media campaigns; computer software for customer relationship management and ecommerce. Consulting services in the field of social media advertising, social customer relationship management, social commerce, and social presence. Application service provider featuring software for use in the creation, delivery, distribution, management, and monitoring of social media campaigns and technology solutions.

It used to cost a lot of money to license a solid Facebook marketing platform, but One Public thinks even small businesses should be able to afford these tools. So today with TechCrunch it launches PageCentrex, a free platform for self-serve management of Pages, ads, Insights, ecommerce, and social CRM from a single interface. For businesses with more money to spend, it offers an enterprise managed service with custom app development. This disruptive shift to free has been a long time coming.  It’s not just deep pocketed brands doing Facebook marketing anymore. The long-tail of local business, SMBs, and fledgling brands have arrived. Facebook’s marketing capabilities are getting more powerful but also more complicated. With last week’s launch of Timelime for Pages, brands need to be thinking about which posts to pin and feature. Sponsored Stories can now appear in the news feed on web and mobile, and businesses need to know which posts they should pay to amplify. Real-time analytics, offsite Facebook integrations, e-commerce — there’s too much to handle effectively without tools. One Public’s PageCentrex might not be perfect, but it will probably be sufficient for many. Enterprises meanwhile need to stand out. For them, platforms can produce somewhat cookie-cutter apps. One Public’s custom app development can help a brand create experiences unique to their business that can work as a supplement to a top tier social marketing platform. I admire the zeal of One Public’s founder Fahad Khan. It takes guts to try and release such a range of products through a bootstrapped company with just 15 stateside employees and 50 in Lahore, Pakistan. I’m a bit skeptical he can pull it off, and I typically advise a “niche to win” strategy. However, One Public has worked with some huge clients including Chrysler, Samsung, NBC, and Digitas. We’ll have to wait and see if the enterprise sales can support the free products. But in the meantime, smaller businesses can use PageCentrex to get serious about social without spending much.

News Article | June 3, 2014

New York-based One Public said Tuesday it is acquiring Telephony Media, a small maker of mobile apps. One Public CEO Fahad Khan said the acquisition of the 10-person firm is part of the company’s effort to grow its mobile development resources and, in particular, to devote more resources toward Windows. While most smaller developers are splitting their time between iOS and Android, Khan said Windows (both Windows 8.1 and Windows Phone) represent a significant, but largely untapped, opportunity. “The majority of the PCs are not on Windows 8 but they will move to Windows 8 very fast over time,” Khan said in an email interview. “Additionally, there isn’t an intense competition on Windows 8 that you see on iOS. So if you have a fairly good product you can get a huge distribution.” Khan said that in addition to the acquired talent, the company has 20 of its own mobile developers, with three-quarters working on Windows and the rest on iOS. It hopes to add as many as 20 more Windows developers this summer if expected business comes through.

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