Information Seeking by Under-Represented Communities

Final project for INST490: Integrative Capstone (Fall 2019). University of Maryland, College Park.Prince George's County Parks and Recreation offers recreation programs, facilities, and services throughout the entire county to its residents and visitors. The county operates and maintains more than 27,000 acres of parkland for parks, picnic areas, athletic fields, historic sites, community centers, and recreation facilities. The county also seeks to preserve parts of this parkland as buffers and natural open space. Parks and Recreation services include art and nature programs, fitness and sports programs, live performances, more than 90 miles of hiker/biker/equestrian trails, outdoor festivals, self-improvement classes, summer camps, teen and senior activities, and trips. While the county offers these various services and programs, more initiatives are needed to understand how Prince George's County residents are using these programs and services, or even if they are using them. Understanding how members of underrepresented communities use these services will allow the Department to better tailor what they offer for the benefit of all its residents. Through this project, the Parks and Recreation Department seeks to better understand how its residents, in particular how underrepresented communities, use its services and programs. The Department wants to know their information seeking behavior, whether different groups use the parks differently, and if certain parks features are being used more or less. To gather this information, an online and in-person survey, developed by the team member authors, was administered at various events, beginning in September 2019 and finishing in December 2019. The main point of contact throughout this project was Edith Michel, a certified Parks and Recreation Professional with more than 20 years of experience in local government within the Maryland-National Capital Park and Planning Commission. Other key Parks and Recreation staff who we worked with are Alex Teaff, the Community Outreach Manager and Kira Lewis, the Acting Chief of the Public Affairs & Marketing Division.Prince George’s Count

Clinical phenotypes and outcomes in children with multisystem inflammatory syndrome across SARS-CoV-2 variant eras: a multinational study from the 4CE consortiumResearch in context

Summary: Background: Multisystem inflammatory syndrome in children (MIS-C) is a severe complication of SARS-CoV-2 infection. It remains unclear how MIS-C phenotypes vary across SARS-CoV-2 variants. We aimed to investigate clinical characteristics and outcomes of MIS-C across SARS-CoV-2 eras. Methods: We performed a multicentre observational retrospective study including seven paediatric hospitals in four countries (France, Spain, U.K., and U.S.). All consecutive confirmed patients with MIS-C hospitalised between February 1st, 2020, and May 31st, 2022, were included. Electronic Health Records (EHR) data were used to calculate pooled risk differences (RD) and effect sizes (ES) at site level, using Alpha as reference. Meta-analysis was used to pool data across sites. Findings: Of 598 patients with MIS-C (61% male, 39% female; mean age 9.7 years [SD 4.5]), 383 (64%) were admitted in the Alpha era, 111 (19%) in the Delta era, and 104 (17%) in the Omicron era. Compared with patients admitted in the Alpha era, those admitted in the Delta era were younger (ES −1.18 years [95% CI −2.05, −0.32]), had fewer respiratory symptoms (RD −0.15 [95% CI −0.33, −0.04]), less frequent non-cardiogenic shock or systemic inflammatory response syndrome (SIRS) (RD −0.35 [95% CI −0.64, −0.07]), lower lymphocyte count (ES −0.16 × 109/uL [95% CI −0.30, −0.01]), lower C-reactive protein (ES −28.5 mg/L [95% CI −46.3, −10.7]), and lower troponin (ES −0.14 ng/mL [95% CI −0.26, −0.03]). Patients admitted in the Omicron versus Alpha eras were younger (ES −1.6 years [95% CI −2.5, −0.8]), had less frequent SIRS (RD −0.18 [95% CI −0.30, −0.05]), lower lymphocyte count (ES −0.39 × 109/uL [95% CI −0.52, −0.25]), lower troponin (ES −0.16 ng/mL [95% CI −0.30, −0.01]) and less frequently received anticoagulation therapy (RD −0.19 [95% CI −0.37, −0.04]). Length of hospitalization was shorter in the Delta versus Alpha eras (−1.3 days [95% CI −2.3, −0.4]). Interpretation: Our study suggested that MIS-C clinical phenotypes varied across SARS-CoV-2 eras, with patients in Delta and Omicron eras being younger and less sick. EHR data can be effectively leveraged to identify rare complications of pandemic diseases and their variation over time. Funding: None