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https://www.readbyqxmd.com/read/28449410/the-impact-of-the-affordable-care-act-on-self-employment
#1
Bradley T Heim, Lang Kate Yang
This paper estimates the impact of the implementation of the Affordable Care Act (ACA) in 2014 on the decision to be self-employed. Using data from the Current Population Survey, we employ two identification strategies. Utilizing prereform variation in state nongroup health insurance market regulations, we find that the ACA did not increase self-employment overall in states that lacked similar provisions in their nongroup markets prior to 2014. In specifications that utilize variation across individuals in characteristics that could make it harder for them to purchase insurance if they left their current employer, we also do not find that the ACA differentially increased self-employment...
April 27, 2017: Health Economics
https://www.readbyqxmd.com/read/28449276/the-efficacy-of-thrombolysis-in-lacunar-stroke-evidence-from-the-austrian-stroke-unit-registry
#2
C C J Eggers, C Bocksrucker, L Seyfang
BACKGROUND AND PURPOSE: Intravenous thrombolysis (ivT) with recombinant tissue plasminogen activator is established in acute ischaemic stroke. Little is known, however, about its efficacy in different stroke subtypes. METHODS: A retrospective analysis of 128 733 patients from the Austrian Stroke Unit Registry was performed. Patients were classified as lacunar (LacS) or non-lacunar ischaemic stroke (nonLacS) by use of the clinical syndrome and technical findings...
April 27, 2017: European Journal of Neurology: the Official Journal of the European Federation of Neurological Societies
https://www.readbyqxmd.com/read/28449238/exposure-response-relationship-of-neighbourhood-sanitation-and-children-s-diarrhea
#3
Youngmee Tiffany Jung, Wendy Lou, Yu-Ling Cheng
OBJECTIVES: To assess the association of neighbourhood sanitation coverage with under-five children's diarrheal morbidity, and to evaluate its exposure-response relationship. METHODS: We used the Demographic and Health Surveys (DHS) of 29 developing countries in sub-Saharan Africa and South Asia, conducted between 2010 and 2014. The primary outcome was 2-week incidence of diarrhea in children under 5 years of age (N=300426). We conducted three-level logistic regression analyses and applied cubic splines to assess the trend between neighbourhood-level coverage of improved household sanitation and diarrheal morbidity...
April 27, 2017: Tropical Medicine & International Health: TM & IH
https://www.readbyqxmd.com/read/28449205/impact-of-pharmacist-involved-collaborative-care-on-the-clinical-humanistic-and-cost-outcomes-of-high-risk-patients-with-type-2-diabetes-impact-a-randomized-controlled-trial
#4
M Y L Siaw, Y Ko, D C Malone, K Y K Tsou, Y-J Lew, D Foo, E Tan, S C Chan, A Chia, S S Sinaram, K C Goh, J Y-C Lee
WHAT IS KNOWN AND OBJECTIVE: With the increasing prevalence of diabetes, the physician-centred model is challenged to deliver holistic care in Asia. Diabetes may be managed effectively within a multidisciplinary collaborative care model; however, evidence on its effectiveness in Asian patients is lacking. Therefore, the primary objective was to evaluate the clinical outcomes of multidisciplinary collaborative care vs physician-centred care in diabetes. The secondary objectives were to evaluate humanistic and economic outcomes among the two types of care...
April 27, 2017: Journal of Clinical Pharmacy and Therapeutics
https://www.readbyqxmd.com/read/28449132/sex-and-diffusion-tensor-imaging-of-white-matter-in-schizophrenia-a-systematic-review-plus-meta-analysis-of-the-corpus-callosum
#5
Saba Shahab, Laura Stefanik, George Foussias, Meng-Chuan Lai, Kelly K Anderson, Aristotle N Voineskos
Sex is considered an understudied variable in health research. Schizophrenia is a brain disorder with known sex differences in epidemiology and clinical presentation. We systematically reviewed the literature for sex-based differences of diffusion properties of white matter tracts in schizophrenia. We then conducted a meta-analysis examining sex-based differences in the genu and splenium of the corpus callosum in schizophrenia. Medline and Embase were searched to identify relevant papers. Studies fulfilling the following criteria were included: (1) included individuals with a diagnosis of schizophrenia, (2) included a control group of healthy individuals, (3) included both sexes in the patient and the control groups, (4) used diffusion tensor imaging, and (5) involved analyzing metrics of white matter microstructural integrity...
April 26, 2017: Schizophrenia Bulletin
https://www.readbyqxmd.com/read/28449115/estimation-of-state-level-prevalence-of-hepatitis-c-virus-infection-us-states-and-district-of-columbia-2010
#6
Eli S Rosenberg, Eric W Hall, Patrick S Sullivan, Travis H Sanchez, Kimberly A Workowski, John W Ward, Deborah Holtzman
Background.: Hepatitis C virus (HCV) infection is the most common chronic blood-borne infection in the United States and a leading cause of morbidity and mortality. Previous analyses of the US National Health and Nutrition Examination Survey (NHANES) indicated approximately 3.6 million noninstitutionalized persons with antibody to HCV (anti-HCV). However, state-level prevalence remains less understood and cannot be estimated reliably from NHANES alone. Methods.: We used 3 publicly available government data sources to estimate anti-HCV prevalence in each US state among noninstitutionalized persons aged ≥18 years...
April 26, 2017: Clinical Infectious Diseases: An Official Publication of the Infectious Diseases Society of America
https://www.readbyqxmd.com/read/28449066/childhood-maltreatment-and-psychological-well-being-in-later-life-the-mediating-effect-of-contemporary-relationships-with-the-abusive-parent
#7
Jooyoung Kong
Objectives: Parental childhood maltreatment has a negative impact on psychological well-being in adulthood. However, little is known about whether and how contemporary relationships with an abusive parent might explain the long-term harmful effects. Thus, this study aims to examine the mediating effect of later-life relationships with an abusive parent on the association between parental childhood maltreatment and psychological well-being. Methods: Using the 2004-2005 Wisconsin Longitudinal Study, this study analyzed a total of 1,696 adults aged 65 years...
April 26, 2017: Journals of Gerontology. Series B, Psychological Sciences and Social Sciences
https://www.readbyqxmd.com/read/28449045/the-relationship-between-self-reported-health-status-and-signs-of-psychological-distress-within-european-urban-contexts
#8
Greg Williams, Francesco Di Nardo, Arpana Verma
Self-reported health status (SRHS) reflects an individual's perception of their social, biological and psychological health, and has been linked to increased mortality risk and increased use of health services. Having a psychological co-morbidity can reduce health outcomes and increase healthcare costs. This paper investigates the relationship between SRHS and signs of psychological distress (PD) in European urban settings. The study sample comprised 20 439 adult respondents to surveys conducted across 37 urban areas...
April 25, 2017: European Journal of Public Health
https://www.readbyqxmd.com/read/28448935/analysis-of-the-synoptic-winter-mortality-climatology-in-five-regions-of-england-searching-for-evidence-of-weather-signals
#9
A K Paschalidou, P A Kassomenos, G R McGregor
Although heat-related mortality has received considerable research attention, the impact of cold weather on public health is less well-developed, probably due to the fact that physiological responses to cold weather can vary substantially among individuals, age groups, diseases etc., depending on a number of behavioral and physiological factors. In the current work we use the classification techniques provided by the COST-733 software to link synoptic circulation patterns with excess cold-related mortality in 5 regions of England...
April 24, 2017: Science of the Total Environment
https://www.readbyqxmd.com/read/28448915/ozone-exposure-affects-tree-defoliation-in-a-continental-climate
#10
Alessandra De Marco, Marcello Vitale, Ionel Popa, Alessandro Anav, Ovidiu Badea, Diana Silaghi, Stefan Leca, Augusto Screpanti, Elena Paoletti
Ground-level ozone (O3) affects trees through visible leaf injury, accelerating leaf senescence, declining foliar chlorophyll content, photosynthetic activity, growth, carbon sequestration, predisposing to pests attack and a variety of other physiological effects. Tree crown defoliation is one of the most important parameters that is representative of forest health and vitality. Effects of air pollution on forests have been investigated through manipulative experiments that are not representative of the real environmental conditions observed in the field...
April 24, 2017: Science of the Total Environment
https://www.readbyqxmd.com/read/28448912/effects-of-low-levels-of-ultraviolet-radiation-on-antioxidant-mechanisms-of-japanese-medaka-oryzias-latipes
#11
Wilson F Ramírez-Duarte, Tomofumi Kurobe, Swee J Teh
Extreme weather events like drought are expected to increase with climate change, which will increase exposure of freshwater fish to ultraviolet (UV) radiation. Compared to fully grown adult fish, fish in early life stages are more susceptible to UV radiation due to the lack of well-developed pigmentation. Even though several studies have described affectation of fish health after exposure to UV radiation, most of the studies have used intensities that are only found on the surface of the earth crust or at shallow depths in water bodies, and little is known about impacts of weaker UV radiation, which can be found in deep water...
April 20, 2017: Chemosphere
https://www.readbyqxmd.com/read/28448883/exploring-the-attitudes-knowledge-and-beliefs-of-nurses-and-midwives-of-the-healthcare-needs-of-the-lgbtq-population-an-integrative-review
#12
REVIEW
Kate Stewart, Pauline O'Reilly
OBJECTIVES: To explore current literature surrounding the knowledge, beliefs and attitudes of nurses and midwives of the healthcare needs of Lesbian, Gay, Bisexual, Transgender and Queer (LGBTQ) patients and their influence on equal and non-discriminatory care for LGBTQ individuals. DESIGN: Systematic integrative review. DATA SOURCES: CINAHL, MEDLINE, PubMed, InterNurse. REVIEW METHODS: This integrative review used Wakefield's (2014) framework to establish the knowledge, beliefs and attitudes of nurses and midwives of the healthcare needs of LGBTQ patients...
April 18, 2017: Nurse Education Today
https://www.readbyqxmd.com/read/28448815/spanking-and-subsequent-behavioral-problems-in-toddlers-a-propensity-score-matched-prospective-study-in-japan
#13
Sakurako Okuzono, Takeo Fujiwara, Tsuguhiko Kato, Ichiro Kawachi
Harsh or frequent spanking in early childhood is an established risk factor for later childhood behavioral problems as well as mental disorder in adulthood in Western societies. However, few studies have been conducted in Asian populations, where corporal punishment is relatively accepted. Moreover, the impacts of occasional spanking on subsequent behavioral problems remain uncertain. This study sought to investigate prospectively the association between the frequency of spanking of toddlers and later behavioral problems in Japanese children using national birth cohort data...
April 24, 2017: Child Abuse & Neglect
https://www.readbyqxmd.com/read/28448813/adverse-childhood-experiences-mental-health-and-excessive-alcohol-use-examination-of-race-ethnicity-and-sex-differences
#14
Rosalyn D Lee, Jieru Chen
Responses from N=60,598 interviews from the 2010 Behavioral Risk Factor Surveillance System (the 10 states and the District of Columbia that included the optional Adverse Childhood Experience (ACE) module) were used to test whether associations between childhood adversity and adult mental health and alcohol behaviors vary by race/ethnicity and sex. ACE items were categorized into two types - household challenges and child abuse. Outcomes were current depression, diagnosed depression, heavy drinking and binge drinking...
April 24, 2017: Child Abuse & Neglect
https://www.readbyqxmd.com/read/28448739/health-economic-evaluation-of-immunization-strategies-of-hepatitis-e-vaccine-for-elderly-population
#15
Xiaoqing Cheng, Yueyuan Zhao, Xuefeng Zhang, Hui Jin, Jin Min
Objective This study was conducted to assess the cost-effectiveness of hepatitis E vaccination of elderly population in the sporadic regions in China. Methods We used a decision tree-Markov model to evaluate the cost-effectiveness of three kinds of hepatitis E virus vaccination strategies from societal perspectives. Parameter estimates were obtained from published researches and experts' opinion. The time horizon was 16 years, and the discounted rate was 3% annually. Costs are expressed in 2016 US dollars...
April 27, 2017: Human Vaccines & Immunotherapeutics
https://www.readbyqxmd.com/read/28448689/trends-and-factors-associated-with-insomnia-and-sleep-apnea-in-all-united-states-military-service-members-from-2005-to-2014
#16
John A Caldwell, Joseph J Knapik, Harris R Lieberman
Sleep disorders are a critical issue for the military, as they impact operational readiness, personnel health, wellbeing and health-care costs. The incidence of insomnia and obstructive sleep apnea (OSA) are increasing in the United States civilian population, and rates in military personnel exceed those of civilians. Using a comprehensive database, rates of medical encounters for insomnia and OSA were investigated and their associations with various demographic factors examined in the total US military population [1,381,406 ± 25,123, mean ± standard deviation (SD) personnel per year] from 2005 to 2014...
April 27, 2017: Journal of Sleep Research
https://www.readbyqxmd.com/read/28448461/prospective-study-on-the-impact-of-fear-of-falling-on-functional-decline-among-community-dwelling-elderly-women
#17
Kyungwon Choi, Gyeong-Suk Jeon, Sung-Il Cho
Fear of falling (FOF) is expected to have effects on functional decline in the elderly. In this study, we examined over 2 years the effect of change in FOF on functional decline in community dwelling elderly. We conducted a secondary analysis using data from elderly women, 70 years of age and older, who participated in the Korean Longitudinal Study of Aging (KLoSA). Participants were divided into four categories according to change in FOF between the 2010 and 2012 surveys. Multiple logistic regression analysis was conducted regarding the effects of changes in FOF on functional decline after controlling for variables as known risk factors for functional decline...
April 27, 2017: International Journal of Environmental Research and Public Health
https://www.readbyqxmd.com/read/28448460/assessing-greenhouse-gas-emissions-and-health-co-benefits-a-structured-review-of-lifestyle-related-climate-change-mitigation-strategies
#18
REVIEW
Vivian G M Quam, Joacim Rocklöv, Mikkel B M Quam, Rebekah A I Lucas
This is the first structured review to identify and summarize research on lifestyle choices that improve health and have the greatest potential to mitigate climate change. Two literature searches were conducted on: (1) active transport health co-benefits, and (2) dietary health co-benefits. Articles needed to quantify both greenhouse gas emissions and health or nutrition outcomes resulting from active transport or diet changes. A data extraction tool (PRISMA) was created for article selection and evaluation...
April 27, 2017: International Journal of Environmental Research and Public Health
https://www.readbyqxmd.com/read/28448373/effects-of-parental-stress-optimism-and-health-promoting-behaviors-on-the-quality-of-life-of-primiparous-and-multiparous-mothers
#19
Jennifer Loh, Craig Harms, Bronwyn Harman
BACKGROUND: Parental stress, optimism, and health-promoting behaviors (HPBs) are important predictors of the quality of life (QoL) of mothers. However, it is unclear how strongly these predictors affect the QoL of mothers. It is also unclear if the impact of these predictors on QoL differs between primiparous and multiparous mothers. In this study, we defined primiparous as "bearing young for the first time" and multiparous as "having experienced one or more previous childbirths." OBJECTIVES: The first objective of this study was to examine the relative effect of parental stress, optimism, and HPBs on the QoL of mothers...
May 2017: Nursing Research
https://www.readbyqxmd.com/read/28448318/two-state-collaborative-study-of-a-multifaceted-intervention-to-decrease-ventilator-associated-events
#20
Nishi Rawat, Ting Yang, Kisha J Ali, Mary Catanzaro, Mariah D Cohen, Donna O Farley, Lisa H Lubomski, David A Thompson, Bradford D Winters, Sara E Cosgrove, Michael Klompas, Kathleen A Speck, Sean M Berenholtz
OBJECTIVES: Ventilator-associated events are associated with increased mortality, prolonged mechanical ventilation, and longer ICU stay. Given strong national interest in improving ventilated patient care, the National Institute of Health and Agency for Healthcare Research and Quality funded a two-state collaborative to reduce ventilator-associated events. We describe the collaborative's impact on ventilator-associated event rates in 56 ICUs. DESIGN: Longitudinal quasi-experimental study...
April 26, 2017: Critical Care Medicine
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