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At least 19 recordsLinked to original sources

Pediatric firearm injury in Minnesota, 1998. Fatal and nonfatal firearm injuries among Minnesota youth.

OBJECTIVE: Minnesota hospitals began to assign E-codes (external cause of injury) to hospital discharge data in 1998. It is now possible to describe the epidemiology of medically treated firearm injury (FI) cases in Minnesota by combining hospital discharge data with injury data from other sources. This population-based investigation provides a preliminary epidemiologic description of fatal and nonfatal firearm injuries in children and adolescents in Minnesota during 1998. METHODOLOGY: Pediatric firearm injury cases were identified from the Minnesota Department of Health's Minnesota Trauma Data Bank, a population-based data system for injury surveillance in Minnesota. To qualify for the study, the patients had to be Minnesota residents, younger than 20 years old at the time of injury, and injured by a firearm in 1998. RESULTS: The 175 cases identified yielded on overall FI rate of 12.5/100,000, a mortality rate of 2.4/100,000, and a nonfatal to fatal ratio of 4.1:1. Eighty-five percent of patients were male; 15% female. The largest proportion of firearm injuries were assault-related (45%), followed by unintentional (34%), and self-inflicted (15%). Adolescents aged 15-19 years accounted for 79% of the injuries, and children 14 or younger, 21%, yielding rates of 37.6/100,00 and 3.5/100,000, respectively. Twenty-two percent of 15-19-year-olds and 11% of children 0 to 14 died, yielding mortality rates of 8.1/100,000 and 0.4/100,000, respectively. Where race was documented, whites represented 53% of the cases; African Americans, 32%; Native Americans, 8%; and Asian/Pacific Islanders, 7%; yielding race-specific rates of 4.1/100,000, 54.3/100,000, 30.5/100,000, and 12.1/100,000, respectively. Sixty-six percent of the patients were residents of the Minneapolis/St. Paul metro area and 33% were residents of Greater Minnesota, yielding rates of 16.0/100,000 and 8.6/100,000, respectively. In the Twin Cities metro area 24% of injury cases were unintentional, 5% were self-inflicted, 65% were assaultive, and 6% were undetermined. In Greater Minnesota 53% were unintentional, 33% were self-inflicted, 9% were assaultive, and 5% were undetermined. CONCLUSIONS: Minnesota's 1998 rates for firearm injury were less than half the 1997 national rate. The state's FI rates show significant disparities by race and region of residence. More FI data will have to be collected over more years to describe and identify trends and multifactor relationships. Policymakers need to ensure that firearm injury continues to be monitored and assessed in Minnesota.

Adolescent↗

A comparison of performance outcomes between the Minnesota Rate of Manipulation Test and the Minnesota Manual Dexterity Test.

This study examined the performance outcomes between two tests of manual dexterity, the Minnesota Rate of Manipulation Test [1] and the Minnesota Manual Dexterity Test (1981). Even though the tests are constructed differently and are different versions of the Complete Minnesota Dexterity tests, both tests utilize the same instruction manual and the same normative data. The researchers measured 233 random participants at a Midwestern international airport and in the student center at a local university in Indiana. Each participant completed three trials of a subtest on both versions of the test. One sample t-tests on difference scores indicated statistically significant differences on outcomes of both subtest comparisons as well as overall test score differences (p < 0.000). These significantly different outcomes on the two tests illustrate the need to establish separate normative data on the latest version of the test, the Minnesota Manual Dexterity Test.

Adolescent↗

A regional survey of malformed frogs in Minnesota (USA) (Minnesota malformed frogs).

In late 1995, school children discovered malformed frogs in a south central Minnesota pond. Press coverage resulted in numerous citizen reports of frog malformation across Minnesota in 1996. After some initial site investigation, 3 affected frog sites and 4 nearby reference sites were selected for more detailed evaluation. Field biologists made 89 visits to study sites beginning spring 1997 through fall 1999 to examine the number and type of frog malformations. Over 5,100 Leopard frogs (Rana pipiens) were captured and examined at all study sites. Water elevations and associated littoral inundation were recorded from 1997-2000. Results indicate that malformation occurred at all study sites above historical background levels. Rana pipiens malformation across all sites over three seasons averaged 7.9% and ranged from 0 to 7% at reference sites and 4 to 23% at affected sites. At one northern Minnesota site, mink frog (Rana septentrionalis) malformation was 75% in 1998. A site characteristic common to the most affected sites was an elastic zone of littoral inundation. Climate driven hydrologic variation likely influenced water depth and associated breeding locations.

Animals↗

HealthSystem Minnesota: a leader in the Minnesota marketplace.

HealthSystem Minnesota is an integrated, patient-centered, care delivery system located in the Twin Cities. In the early 1990's, as pressure built for health care providers to cut costs and increased value, Park Nicollet Clinic, Methodist Hospital, Primary Physician Network, and our other member organizations merged to form HealthSystem Minnesota. Our organization has strong relationships with several major payers, but we have chosen to remain purely a physician-led, professionally managed care delivery system. This structure allows us to focus on our patients as our first priority. This article illustrates the role HealthSystem Minnesota plays in the highly competitive Twin Cities market.

Community Participation↗

Cardiovascular mortality trends in Minnesota, 1960-1978. The Minnesota Heart Survey.

Age-adjusted mortality rates from coronary heart disease (CHD) and other causes were examined in Minnesota for the years 1960-1978. Regions differed in CHD mortality levels and time trends. The greatest decline in CHD mortality occurred in the Twin Cities. The Northeast region had the highest CHD mortality. Influenza and pneumonia death rates were unrelated to CHD trends. Stroke mortality, which also declined sharply, showed no regional differences. Cancer mortality was highest in the Twin Cities and Northeast regions and increased significantly over the period; most of this increase was due to a striking increase in lung cancer mortality. The authors conclude that: (1) the CHD mortality decline in Minnesota was similar to that in the United States; (2) regional differences within the state in CHD mortality levels and trends were statistically significant; (3) CHD trends were not explained by influenza epidemics; (4) regions differed in mortality rates for hypertension in the same way as they did in CHD mortality, but differed little in stroke mortality. This leaves unclear the role of hypertension in regional CHD differences. (5) Trends in cancer mortality indicate that a general decline in mortality, due to factors affecting a wide variety of diseases does not explain the downward trends in CHD mortality.

Adult↗

Minnesota bound. Stability of practice location among UMD family physicians in Minnesota.

Previous studies indicate that physicians often move from one practice setting to another, particularly early in their career. However, data on practice relocation for a group of University of Minnesota, Duluth School of Medicine graduates show a different trend. Minnesota family physicians from the UMD School of Medicine have been remarkably stable in their practices over the past 20 years. More than 80% of these physicians have continued to practice in the same community that they selected after their training. In addition, physicians in this group who are practicing in smaller communities have not relocated to urban practices. These findings suggest that the UMD School of Medicine's emphasis on family medicine and rural practice may have influenced the practice retention rate for these physicians.

Family Practice↗

Teens and tobacco in Minnesota. New findings from the Minnesota youth tobacco survey.

The Minnesota Youth Tobacco Survey (MYTS) was administered to 12,376 public school students in grades 6 through 12 to obtain baseline data at the start of the state's latest efforts to reduce tobacco use among youth. The sample is representative of public school students in the state. More than one-third of high school students (38.7%) and 12.6% of middle school students are current tobacco users, defined as use of tobacco on one or more days in the previous 30 days. Current use of cigarettes is 32.4% in high school and 9.1% in middle school. More than 90% of students, including most smokers, agree that tobacco use is addictive and harmful. More than three-fourths (78.4%) of current smokers report that two or more of their four closest friends are smokers. Students who live with a smoker are more likely to become current smokers than students who do not live with anyone who smokes (42.5% to 25.1% in high school). Most current smokers (61.0%) tried to quit smoking at least once in the past 12 months. Eighty-eight percent (88.4%) of current smokers in high school smoke one of the top three advertised brands: Marlboro, Camel, or Newport. Results of the MYTS illustrate some of the challenges facing the state's tobacco reduction efforts and some of the factors that must be considered as Minnesota tries to design and implement effective programs.

Adolescent↗

Coronary heart disease mortality trends in Minnesota, 1960-80: the Minnesota Heart Survey.

Age-adjusted mortality rates and trends from coronary heart disease (CHD) in Minnesota for the years 1960 to 1980 differed among eight health service areas. Regression of ten socioeconomic and demographic factors and intensive care and coronary care unit beds on area CHD mortality levels and slopes revealed a significant positive association only for levels of welfare income-maintenance assistance with CHD mortality levels; there were no associations with trends. Further studies are needed to explain variation within states of CHD mortality rate levels and trends.

Adult↗

Marital status and cardiovascular risk: the Minnesota Heart Survey and the Minnesota Heart Health Program.

The relationship between marital status and cardiovascular risk was examined among 7,849 midwestern men and women in a community-based study. Separated/divorced persons report the highest rates of hospitalization for heart attack/stroke. Married and widowed persons report lower and intermediate rates, respectively, of such hospitalization. Never-married persons report hospitalization as low or lower than those of married persons. Analysis of specific risk characteristics suggests that different marital groups would benefit from different primary prevention programs. Separated/divorced persons report higher levels of smoking, drinking, and physical activity than married persons. Married men, however, have higher levels of total cholesterol and lower levels of serum high-density lipoprotein cholesterol. Characteristics of never-married persons tend to resemble those of the married, particularly at older ages; widows and widowers tend to have risk characteristics intermediate between those who are married and those who are separated/divorced. Findings indicate that marital status is important in identifying, understanding, and altering behavior known to increase risk for cardiovascular disease.

Adult↗