Need of vascular surgeon and comparison of value for anterior lumbar interbody fusion (ALIF) in lateral decubitus: Delphi consensus

European Spine Journal - Anterior lumbar approaches are recommended for clinical conditions that require interbody stability, spinal deformity corrections or a large fusion area. Anterior lumbar...     

Pivoting to Telehealth: the HSS Experience,Value Gained,and Lessons Learned

HSS Journal ® -     

Coal power plant emission exposure and its effect on education access

Aim

We investigate the effects of exposure to coal power plant emissions on school absenteeism for children with asthma, a leading cause of health-related barriers to education.

Subject and methods

We combine responses from the 2007–2009 Behavioral Risk Factor Surveillance System survey with coal power plant emission data to estimate a zero negative binomial regression model of school absences and investigate misspecification bias associated with naive assumptions about emission dispersion and self-selection into treatment groups.

Results

The results show a robust, positive relationship (P?<?0.001) between increases in emission exposure and the likelihood of a school absence due to an asthma episode. Exposure to higher emission volumes is associated with a 1.92–4.81 % higher likelihood of missing an additional school day. Furthermore, assuming uniform emission dispersion and not controlling for self-selection underestimates the effects by 2.72–4.27 times.

Conclusion

Access to education and the ability to develop human capital through schooling are affected for children with respiratory illnesses who are exposed to emissions. Public policies for emission regulation are likely to remain relevant for lowering pediatric respiratory health risks and lowering barriers to educational opportunities.