keyword
MENU ▼
Read by QxMD icon Read
search

budget

keyword
https://www.readbyqxmd.com/read/29792516/budget-impact-of-adding-lesinurad-for-second-line-treatment-of-gout-a-us-health-plan-perspective
#1
Robert W Klein, Shaum Kabadi, Frank N Cinfio, Christopher A Bly, Douglas Ca Taylor, Keith A Szymanski
AIM: Estimate budget impact of adopting lesinurad as add-on to allopurinol for urate-lowering therapy in gout. METHODS: A budget impact model was developed for a US payer perspective, using a Markov model to estimate costs, survival and discontinuation in a one-million-member health plan. The population included patients failing first-line gout therapy, followed for 5 years. RESULTS: Incremental costs of adding lesinurad versus no lesinurad were US$241,907 and US$1,098,220 in first and fifth years, respectively...
May 24, 2018: Journal of Comparative Effectiveness Research
https://www.readbyqxmd.com/read/29792080/stakeholders-resistance-to-telemedicine-with-focus-on-physicians-utilizing-the-delphi-technique
#2
Woo Seok Choi, Joowoong Park, Jin Young Brian Choi, Jae-Suk Yang
Introduction Sufficient infrastructure for information and communications technology (ICT) and a well-established policy are necessary factors for smooth implementation of telemedicine. However, despite these necessary conditions being met, there are situations where telemedicine still fails to be accepted as a system due to the low receptivity of stakeholders. In this study, we analyse stakeholders' resistance to an organization's implementation of telemedicine. Focusing on the physicians' interests, we propose a strategy to minimize conflicts and improve acceptance...
January 1, 2018: Journal of Telemedicine and Telecare
https://www.readbyqxmd.com/read/29791888/boosted-nutritional-quality-of-food-by-co-2-enrichment-fails-to-offset-energy-demand-of-herbivores-under-ocean-warming-causing-energy-depletion-and-mortality
#3
Jonathan Y S Leung, Ivan Nagelkerken, Bayden D Russell, Camilo M Ferreira, Sean D Connell
The CO2 -boosted trophic transfer from primary producers to herbivores has been increasingly discovered at natural CO2 vents and in laboratory experiments. Despite the emerging knowledge of this boosting effect, we do not know the extent to which it may be enhanced or dampened by ocean warming. We investigated whether ocean acidification and warming enhance the nutritional quality (C:N ratio) and energy content of turf algae, which is speculated to drive higher feeding rate, greater energy budget and eventually faster growth of herbivores...
May 20, 2018: Science of the Total Environment
https://www.readbyqxmd.com/read/29791823/doughnuts-and-discounts-changes-to-medicare-part-d-under-the-bipartisan-budget-act-of-2018
#4
Julie M Donohue, Haiden A Huskamp
The Medicare Prescription Drug Improvement and Modernization Act (MMA) of 2003 created a new Medicare benefit (Part D), a new insurance product (prescription-drug–only plans), and a new market. Fifteen years later, Part D is widely regarded as a success, providing drug coverage to 42.5 million..
May 24, 2018: New England Journal of Medicine
https://www.readbyqxmd.com/read/29791530/consumption-of-vegetables-and-their-relation-with-ultra-processed-foods-in-brazil
#5
Daniela Silva Canella, Maria Laura da Costa Louzada, Rafael Moreira Claro, Janaina Calu Costa, Daniel Henrique Bandoni, Renata Bertazzi Levy, Ana Paula Bortoletto Martins
OBJECTIVE To characterize the household purchase and the individual consumption of vegetables in Brazil and to analyze their relation with the consumption of ultra-processed foods. METHODS We have used data on the purchase of food for household consumption and individual consumption from the 2008-2009 Brazilian Household Budget Survey. The Brazilian Household Budget Survey studied the purchase of food of 55,970 households and the food consumption of 34,003 individuals aged 10 years and over. The foods of interest in this study were vegetables (excluding roots and tubers) and ultra-processed foods...
2018: Revista de Saúde Pública
https://www.readbyqxmd.com/read/29791324/unimorph-mirror-for-adaptive-optics-in-space-telescopes
#6
David Alaluf, Renaud Bastaits, Kainan Wang, Mihaita Horodinca, Grégory Martic, Bilal Mokrani, André Preumont
This paper presents a unimorph deformable mirror intended to be used as secondary corrector in space telescopes. The deformable mirror consists of a single-crystal silicon wafer (76.2 mm diameter, 500 μm thickness) covered with an optical coating on the front side and an array of 25 independent piezoelectric transducer (PZT) actuators acting in d31 mode on the back side. The mirror is mounted on an isostatic support with three position linear actuators controlling the rigid-body motion. The first part of the paper presents the experimental results obtained with the manufactured prototype...
May 10, 2018: Applied Optics
https://www.readbyqxmd.com/read/29790233/factors-regulating-carbon-sinks-in-mangrove-ecosystems
#7
Shi-Bo Li, Po-Hung Chen, Jih-Sheng Huang, Mei-Li Hsueh, Li-Yung Hsieh, Chen-Lu Lee, Hsing-Juh Lin
Mangroves are recognized as one of the richest carbon storage systems. However, the factors regulating carbon sinks in mangrove ecosystems are still unclear, particularly in the subtropical mangroves. The biomass, production, litterfall, detrital export and decomposition of the dominant mangrove vegetation in subtropical (Kandelia obovata) and tropical (Avicennia marina) Taiwan were quantified from October 2011 to July 2014 to construct the carbon budgets. Despite the different tree species, a principal component analysis revealed the site or environmental conditions had a greater influence than the tree species on the carbon processes...
May 23, 2018: Global Change Biology
https://www.readbyqxmd.com/read/29790174/an-update-of-nih-research-funding-of-aapm-members-from-1985-to-2017
#8
Brendan Whelan
Excellence in scientific research is one of the three pillars of the AAPMs mission to advance medicine, along with excellence in education and professional practice. The primary funder of medical research in the USA is the National Institutes of Health (NIH), which in 2017 had a budget of $33 billion USD. The Working Group for a Research Database (WGRD) previously published a special report into the development and testing of an algorithm to create a database of NIH funding of AAPM members [1]. The published data covered the years 1985 to 2015...
May 23, 2018: Medical Physics
https://www.readbyqxmd.com/read/29790049/a-simple-approach-to-estimate-daily-loads-of-total-refractory-and-labile-organic-carbon-from-their-seasonal-loads-in-a-watershed
#9
Ying Ouyang, Johnny M Grace, Wayne C Zipperer, Jeff Hatten, Janet Dewey
Loads of naturally occurring total organic carbons (TOC), refractory organic carbon (ROC), and labile organic carbon (LOC) in streams control the availability of nutrients and the solubility and toxicity of contaminants and affect biological activities through absorption of light and complex metals with production of carcinogenic compounds. Although computer models have become increasingly popular in understanding and management of TOC, ROC, and LOC loads in streams, the usefulness of these models hinges on the availability of daily data for model calibration and validation...
May 22, 2018: Environmental Science and Pollution Research International
https://www.readbyqxmd.com/read/29785612/water-forests-people-the-swedish-experience-in-building-resilient-landscapes
#10
Mats Eriksson, Lotta Samuelson, Linnéa Jägrud, Eskil Mattsson, Thorsten Celander, Anders Malmer, Klas Bengtsson, Olof Johansson, Nicolai Schaaf, Ola Svending, Anna Tengberg
A growing world population and rapid expansion of cities increase the pressure on basic resources such as water, food and energy. To safeguard the provision of these resources, restoration and sustainable management of landscapes is pivotal, including sustainable forest and water management. Sustainable forest management includes forest conservation, restoration, forestry and agroforestry practices. Interlinkages between forests and water are fundamental to moderate water budgets, stabilize runoff, reduce erosion and improve biodiversity and water quality...
May 21, 2018: Environmental Management
https://www.readbyqxmd.com/read/29784792/abrupt-global-ocean-anoxia-during-the-late-ordovician-early-silurian-detected-using-uranium-isotopes-of-marine-carbonates
#11
Rick Bartlett, Maya Elrick, James R Wheeley, Victor Polyak, André Desrochers, Yemane Asmerom
Widespread marine anoxia is hypothesized as the trigger for the second pulse of the Late Ordovician (Hirnantian) mass extinction based on lithologic and geochemical proxies that record local bottom waters or porewaters. We test the anoxia hypothesis using δ238 U values of marine limestones as a global seawater redox proxy. The δ238 U trends at Anticosti Island, Canada, document an abrupt late Hirnantian ∼0.3‰ negative shift continuing through the early Silurian indicating more reducing seawater conditions...
May 21, 2018: Proceedings of the National Academy of Sciences of the United States of America
https://www.readbyqxmd.com/read/29784360/determination-of-cadmium-in-sediments-by-diluted-hci-extraction-and-isotope-dilution-icp-ms
#12
Javier Terán-Baamonde, Rosa-María Soto-Ferreiro, Alatzne Carlosena, José-Manuel Andrade, Darío Prada
Isotope dilution ICP-MS is proposed to measure the mass fraction of Cd extracted by diluted HCl in marine sediments, using a fast and simple extraction procedure based on ultrasonic probe agitation. The 111 Cd isotope was added before the extraction to achieve isotope equilibration with native Cd solubilized from the sample. The parameters affecting trueness and precision of isotope ratio measurements were evaluated carefully and subsequently corrected in order to minimize errors; they were: detector dead time, spectral interferences, mass discrimination factor and optimum sample/spike ratio...
August 15, 2018: Talanta
https://www.readbyqxmd.com/read/29784340/quantitative-study-of-the-mineralogical-composition-of-mineral-dust-aerosols-by-x-ray-diffraction
#13
Sophie Nowak, Sandra Lafon, Sandrine Caquineau, Emilie Journet, Benoit Laurent
Mineral dust aerosols, produced by wind erosion in arid regions and semi-arid surfaces, are important components of the atmosphere that affect the Earth radiative budget, atmospheric chemistry and biogeochemical cycles. Dust aerosol particles are composed of a complex mixture of various minerals, mainly clays, calcite, quartz, feldspars and iron oxides. The nature and the relative abundance of the minerals are key parameters to evaluate mineral dust environmental impacts. Strong limitations remain to quantify the mineralogical composition of dust particles, mainly due to the low mass of in-situ collected dust particle samples...
August 15, 2018: Talanta
https://www.readbyqxmd.com/read/29783896/projections-of-hip-arthroplasty-in-oecd-countries-up-to-2050
#14
Christof Pabinger, Harold Lothaller, Nicole Portner, Alexander Geissler
OBJECTIVE: The study aims to estimate the future demand of hip arthroplasty for OECD countries and to compare the results with earlier studies. DESIGN: Based on data availability and validity 20 countries out of the OECD sample have been selected for projection analysis. Using historic data (1995-2012) and multiple linear regression technics a projection model was designed by an iterative process considering different explanatory variables such as health care expenditure, age groups, and projection time frames...
May 1, 2018: Hip International: the Journal of Clinical and Experimental Research on Hip Pathology and Therapy
https://www.readbyqxmd.com/read/29780668/impact-of-front-range-sources-on-reactive-nitrogen-concentrations-and-deposition-in-rocky-mountain-national-park
#15
Katherine B Benedict, Anthony J Prenni, Amy P Sullivan, Ashley R Evanoski-Cole, Emily V Fischer, Sara Callahan, Barkley C Sive, Yong Zhou, Bret A Schichtel, Jeffrey L Collett
Human influenced atmospheric reactive nitrogen (RN) is impacting ecosystems in Rocky Mountain National Park (ROMO). Due to ROMO's protected status as a Class 1 area, these changes are concerning, and improving our understanding of the contributions of different types of RN and their sources is important for reducing impacts in ROMO. In July-August 2014 the most comprehensive measurements (to date) of RN were made in ROMO during the Front Range Air Pollution and Photochemistry Éxperiment (FRAPPÉ). Measurements included peroxyacetyl nitrate (PAN), C1 -C5 alkyl nitrates, and high-time resolution NOx , NOy , and ammonia...
2018: PeerJ
https://www.readbyqxmd.com/read/29780445/a-comparison-of-simulated-and-field-derived-leaf-area-index-lai-and-canopy-height-values-from-four-forest-complexes-in-the-southeastern-usa
#16
John S Iiames, Ellen Cooter, Donna Schwede, Jimmy Williams
Vegetative leaf area is a critical input to models that simulate human and ecosystem exposure to atmospheric pollutants. Leaf area index (LAI) can be measured in the field or numerically simulated, but all contain some inherent uncertainty that is passed to the exposure assessments that use them. LAI estimates for minimally managed or natural forest stands can be particularly difficult to develop as a result of interspecies competition, age and spatial distribution. Satellite-based LAI estimates hold promise for retrospective analyses, but we must continue to rely on numerical models for alternative management analysis...
2018: Forests
https://www.readbyqxmd.com/read/29780442/an-extended-eddy-diffusivity-mass-flux-scheme-for-unified-representation-of-subgrid-scale-turbulence-and-convection
#17
Zhihong Tan, Colleen M Kaul, Kyle G Pressel, Yair Cohen, Tapio Schneider, João Teixeira
Large-scale weather forecasting and climate models are beginning to reach horizontal resolutions of kilometers, at which common assumptions made in existing parameterization schemes of subgrid-scale turbulence and convection-such as that they adjust instantaneously to changes in resolved-scale dynamics-cease to be justifiable. Additionally, the common practice of representing boundary-layer turbulence, shallow convection, and deep convection by discontinuously different parameterizations schemes, each with its own set of parameters, has contributed to the proliferation of adjustable parameters in large-scale models...
March 2018: Journal of Advances in Modeling Earth Systems
https://www.readbyqxmd.com/read/29779962/implementation-of-drug-eluting-stents-for-the-treatment-of-femoropopliteal-disease-provides-significant-cost-to-system-savings-in-a-single-state-outpatient-simulation
#18
Natalie Domenick Sridharan, Nathan Liang, Darve Robinson, Efthymios Avgerinos, Edith Tzeng, Michel S Makaroun, Rabih A Chaer, Mohammad H Eslami
OBJECTIVES: Initial data on drug-eluting stents (DES) shows that they may increase the durability of endovascular treatment of superficial femoral artery disease compared with traditional bare metal stents (BMS). Observed decreased target lesion revascularization (TLR) rates have potential for cost savings despite an increased initial cost. The purpose of this study was to run a simulation model of progressive transition from BMS to DES over 5 years evaluating the overall cost impact of that transition...
May 18, 2018: Journal of Vascular Surgery
https://www.readbyqxmd.com/read/29779397/rehabilitation-for-disabling-hearing-loss-evaluating-the-need-relative-to-provision-of-hearing-aids-in-the-public-health-care-system
#19
Vera-Genevey Hlayisi, Lebogang Ramma
PURPOSE: To determine the demand relative to supply of hearing rehabilitation through hearing aids for those with disabling hearing loss in a public health care setting in South Africa. METHODS: Retrospective cross-sectional survey of medical records of all patients were seen at a public hospital (Polokwane Provincial Academic) during 2012-2014, was conducted. Audiological data from 3894 medical folders were accessed and reviewed; thereafter, results were analyzed using descriptive statistics...
May 20, 2018: Disability and Rehabilitation
https://www.readbyqxmd.com/read/29778266/estimation-of-hepatitis-c-disease-burden-and-budget-impact-of-treatment-using-health-economic-modeling
#20
REVIEW
Jagpreet Chhatwal, Qiushi Chen, Rakesh Aggarwal
Oral direct-acting antiviral agents have revolutionized treatment of hepatitis C virus (HCV) infection. Nonetheless, barriers exist to elimination of HCV as a public health threat including low uptake of treatment, limited budget allocations for HCV treatment, and low awareness rates of HCV status among infected people. Mathematical modeling provides a systematic framework to analyze and compare potential solutions and elimination strategies by simulating the HCV epidemic under different conditions. Such models evaluate impact of interventions in advance of implementation...
June 2018: Infectious Disease Clinics of North America
keyword
keyword
118293
1
2
Fetch more papers »
Fetching more papers... Fetching...
Read by QxMD. Sign in or create an account to discover new knowledge that matter to you.
Remove bar
Read by QxMD icon Read
×

Search Tips

Use Boolean operators: AND/OR

diabetic AND foot
diabetes OR diabetic

Exclude a word using the 'minus' sign

Virchow -triad

Use Parentheses

water AND (cup OR glass)

Add an asterisk (*) at end of a word to include word stems

Neuro* will search for Neurology, Neuroscientist, Neurological, and so on

Use quotes to search for an exact phrase

"primary prevention of cancer"
(heart or cardiac or cardio*) AND arrest -"American Heart Association"