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https://www.readbyqxmd.com/read/28719395/closing-the-gap-in-cochlear-implant-access-for-african-americans-a-story-of-outreach-and-collaboration-by-our-cochlear-implant-program
#1
Sheree Sims, Lisa Houston, Ivy Schweinzger, Ravi N Samy
PURPOSE OF REVIEW: Minorities often lag behind in hearing loss evaluation and treatment. Our cochlear implant program aimed to identify the socioeconomic and cultural barriers that prevented our African-American cochlear implant candidates from seeking help for their hearing loss, specifically cochlear implant surgery. RECENT FINDINGS: Our pilot study surveyed 11 African-Americans with cochlear implants and identified obstacles that included patient-physician mistrust, social stigma, financial cost, and lack of education about the devices and procedures...
July 14, 2017: Current Opinion in Otolaryngology & Head and Neck Surgery
https://www.readbyqxmd.com/read/28717810/association-between-adiposity-and-disability-in-the-lc65-cohort
#2
N Danon-Hersch, S Fustinoni, P Bovet, J Spagnoli, B Santos-Eggimann
OBJECTIVES: To examine the longitudinal association between body mass index (BMI) and waist circumference (WC) with mortality and incident disability in Lc65+ cohort. DESIGN: Population-based cohort of non-institutionalized adults with up to 8.9 years of follow-up. SETTING: City of Lausanne, Switzerland. PARTICIPANTS: 1,293 individuals aged 65 to 70 at baseline (58% women). MEASUREMENTS: BMI, WC and covariates were measured at baseline in 2004-2005...
2017: Journal of Nutrition, Health & Aging
https://www.readbyqxmd.com/read/28717750/fear-of-treatments-surpasses-demographic-and-socioeconomic-factors-in-affecting-patients-with-breast-cancer-in-urban-south-africa
#3
Sarah Rayne, Kathryn Schnippel, Cynthia Firnhaber, Kathryne Wright, Deirdre Kruger, Carol-Ann Benn
PURPOSE: Breast cancer is the most common cause of cancer in women in South Africa, and often patients present late. There is little understanding of the psychosocial stresses affecting women with breast cancer in Africa. METHODS: A questionnaire was distributed to 263 patients with breast cancer at two sites (one government and one private facility) in Johannesburg. Self-reported levels of fear were recorded on summative scales and their relationship to demographic variables assessed through univariable and multivariable modified Poisson regression...
April 2017: Journal of Global Oncology
https://www.readbyqxmd.com/read/28716193/epidemiological-features-and-financial-loss-due-to-clinically-diagnosed-haemorrhagic-septicemia-in-bovines-in-karnataka-india
#4
G Govindaraj, P Krishnamoorthy, K R Nethrayini, R Shalini, H Rahman
The epidemiological features and financial losses due to Haemorrhagic Septicemia (HS) in bovines were studied in Karnataka state using the primary data collected from 133 clinically diagnosed HS affected farms. The various losses due to HS and the Benefit- Cost of the vaccination programme in cattle and water buffaloes were studied using mathematical models. The number of HS outbreaks were higher during the year 2002 and peaked during 2005 and thereafter declined due to targeted vaccination against HS. The morbidity and mortality risks were lower in large farms than medium and small farms, and lower in indigenous cattle compared to high yielding crossbred cattle and water buffaloes...
September 1, 2017: Preventive Veterinary Medicine
https://www.readbyqxmd.com/read/28715451/transcriptome-analysis-of-the-sea-cucumber-apostichopus-japonicus-with-variation-in-individual-growth
#5
Lei Gao, Chongbo He, Xiangbo Bao, Meilin Tian, Zhen Ma
The sea cucumber (Apostichopus japonicus) is an economically important aquaculture species in China. However, the serious individual growth variation often caused financial losses to farmers and the genetic mechanisms are poorly understood. In the present study, the extensively analysis at the transcriptome level for individual growth variation in sea cucumber was carried out. A total of 118946 unigenes were assembled from 255861 transcripts, with N50 of 1700. Of all unigenes, about 23% were identified with at least one significant match to known databases...
2017: PloS One
https://www.readbyqxmd.com/read/28708673/the-association-of-employee-engagement-at-work-with-health-risks-and-presenteeism
#6
Wayne N Burton, Chin-Yu Chen, Xingquan Li, Alyssa B Schultz
INTRODUCTION: Employee engagement is a key factor in work performance and employee retention. The current study seeks to examine the relationship between employee engagement and health risks and productivity. METHODS: In 2012, employees of a global financial services corporation participated in a health risk appraisal (HRA) which measured employee engagement, health risks, and on-the-job productivity loss (presenteeism). Three engagement categories were created...
July 13, 2017: Journal of Occupational and Environmental Medicine
https://www.readbyqxmd.com/read/28707507/marketplace-clinics-complementing-diabetes-care-for-urban-residing-american-indians
#7
Robert Rick, Robert E Hoye, Raymond W Thron, Vibha Kumar
INTRODUCTION: For several decades, the Minneapolis American Indian population has experienced limited health care access and threefold diabetes health disparity. As part of an urban health initiative, the marketplace clinics located in nearby CVS, Target, and Supervalu stores committed financial support, providers, certified educators, and pharmacy staff for a community-based diabetes support group. OBJECTIVES: To measure the extent to which collaborating marketplace clinics and the community-based support group expanded diabetes care and provided self-management education for this largely urban Indian neighborhood...
July 1, 2017: Journal of Primary Care & Community Health
https://www.readbyqxmd.com/read/28703016/strategies-for-preventing-cognitive-decline-in-healthy-older-adults
#8
Julie A Dumas
OBJECTIVE: Many advances have been made in the understanding of age-related changes in cognition. As research details the cognitive and neurobiological changes that occur in aging, there is increased interest in developing and understanding methods to prevent, slow, or reverse the cognitive decline that may occur in normal healthy older adults. The Institute of Medicine has recently recognized cognitive aging as having important financial and public health implications for society with the increasing older adult population worldwide...
January 1, 2017: Canadian Journal of Psychiatry. Revue Canadienne de Psychiatrie
https://www.readbyqxmd.com/read/28702875/private-health-insurance-incentives-in-australia-in-search-of-cost-effective-adjustments
#9
P Marcin Sowa, Sam Kault, Joshua Byrnes, Shu-Kay Ng, Tracy Comans, Paul A Scuffham
BACKGROUND: The appropriate structure, scope and cost of government incentives in the private health insurance (PHI) market is a matter of ongoing debate. OBJECTIVE: In order to inform policy decisions we designed a two-stage study to (1) model the uptake of PHI covering hospital treatment in Australia, and (2) identify the costs of various policy scenarios to the government. METHODS: Using a microsimulation with a cost-benefit component, we modelled the insurance decisions made by individuals who collectively represented the Australian insurance population in the financial year 2014-15...
July 12, 2017: Applied Health Economics and Health Policy
https://www.readbyqxmd.com/read/28702459/a-review-of-quantitative-tools-used-to-assess-the-epidemiology-of-porcine-reproductive-and-respiratory-syndrome-in-u-s-swine-farms-using-dr-morrison-s-swine-health-monitoring-program-data
#10
REVIEW
Carles Vilalta, Andreia G Arruda, Steven J P Tousignant, Pablo Valdes-Donoso, Petra Muellner, Ulrich Muellner, Moh A Alkhamis, Robert B Morrison, Andres M Perez
Porcine reproductive and respiratory syndrome (PRRS) causes far-reaching financial losses to infected countries and regions, including the U.S. The Dr. Morrison's Swine Health Monitoring Program (MSHMP) is a voluntary initiative in which producers and veterinarians share sow farm PRRS status weekly to contribute to the understanding, in quantitative terms, of PRRS epidemiological dynamics and, ultimately, to support its control in the U.S. Here, we offer a review of a variety of analytic tools that were applied to MSHMP data to assess disease dynamics in quantitative terms to support the decision-making process for veterinarians and producers...
2017: Frontiers in Veterinary Science
https://www.readbyqxmd.com/read/28702175/costs-of-hospitalization-with-respiratory-syncytial-virus-illness-among-children-aged-5-years-and-the-financial-impact-on-households-in-bangladesh-2010
#11
Mejbah Uddin Bhuiyan, Stephen P Luby, Nadia Ishrat Alamgir, Nusrat Homaira, Katharine Sturm-Ramirez, Emily S Gurley, Jaynal Abedin, Rashid Uz Zaman, Asm Alamgir, Mahmudur Rahman, Ismael R Ortega-Sanchez, Eduardo Azziz-Baumgartner
BACKGROUND: Respiratory syncytial virus (RSV) is the leading cause of acute respiratory illness in young children and results in significant economic burden. There is no vaccine to prevent RSV illness but a number of vaccines are in development. We conducted this study to estimate the costs of severe RSV illness requiring hospitalization among children <5 years and associated financial impact on households in Bangladesh. Data of this study could be useful for RSV vaccine development and also the value of various preventive strategies, including use of an RSV vaccine in children if one becomes available...
June 2017: Journal of Global Health
https://www.readbyqxmd.com/read/28691234/stress-and-welfare-in-ornamental-fishes-what-can-be-learned-from-aquaculture
#12
REVIEW
C H Stevens, D P Croft, G C Paull, C R Tyler
The ornamental fish trade is estimated to handle up to 1·5 billion fishes. Transportation and handling of fishes imposes a range of stressors that can result in mortality at rates of up to 73%. These rates vary hugely, however, and can be as low as 2%, because they are generally estimated rather than based on experimental work. Given the numbers of ornamental fishes traded, any of the estimated mortality rates potentially incur significant financial losses and serious welfare issues. Industry bodies, such as the Ornamental Aquatic Trade Association (OATA), have established standards and codes of best practice for handling fishes, but little scientific research has been conducted to understand the links between stress, health and welfare in ornamental species...
July 9, 2017: Journal of Fish Biology
https://www.readbyqxmd.com/read/28689214/confirmatory-factor-analysis-of-the-finnish-job-content-questionnaire-jcq-in-590-professional-musicians
#13
Heidi Vastamäki, Martti Vastamäki, Katri Laimi, Michail Saltychev
BACKGROUND: Poorly functioning work environments may lead to dissatisfaction for the employees and financial loss for the employers. The Job Content Questionnaire (JCQ) was designed to measure social and psychological characteristics of work environments. OBJECTIVE: To investigate the factor construct of the Finnish 14-item version of JCQ when applied to professional orchestra musicians. METHODS: In a cross-sectional survey, the questionnaire was sent by mail to 1550 orchestra musicians and students...
July 2017: International Journal of Occupational and Environmental Medicine
https://www.readbyqxmd.com/read/28686417/evaluating-the-financial-vulnerability-of-a-major-electric-utility-in-the-southeastern-u-s-to-drought-under-climate-change-and-an-evolving-generation-mix
#14
Jordan D Kern, Gregory W Characklis
There is increasing recognition of the vulnerability of electric power systems to drought and the potential for both climate change and a shifting generation mix to alter this vulnerability. Nonetheless, the considerable research in this area has not been synthesized to inform electric utilities with respect to a key factor that influences their decisions about critical infrastructure: financial risk for shareholders. This study addresses this gap in knowledge by developing a systems framework for assessing the financial exposure of utilities to drought, with further consideration of the effects of climate change and a shifting generation mix...
July 18, 2017: Environmental Science & Technology
https://www.readbyqxmd.com/read/28685639/barriers-to-timely-diagnosis-and-treatment-for-children-with-hearing-impairment-in-a-southern-indian-city-a-qualitative-study-of-parents-and-clinic-staff
#15
Sri Vamshi Merugumala, Vijay Pothula, Max Cooper
OBJECTIVE: In low income countries, deaf children are identified late due to the absence of a universal screening. Hearing impairment is a common yet neglected disability in India that leads to loss of speech and language. This qualitative study explored barriers to accessing appropriate hearing services in one city in southern India. DESIGN: To identify the barriers in timely management of deafness, 25 semi-structured interviews were conducted. Data were examined using Applied Thematic Analysis...
July 7, 2017: International Journal of Audiology
https://www.readbyqxmd.com/read/28683379/work-related-illness-work-related-accidents-and-lack-of-social-security-in-colombia
#16
María Teresa Buitrago Echeverri, César Ernesto Abadía-Barrero, Consuelo Granja Palacios
The impacts of neoliberal or market-based social security reforms in health have been extensively studied. How such reforms transformed employment-related insurance and entitlements, however, has received significantly less attention. This study aims to understand how the employment insurance system operates in Colombia and to assess how the experience of workers seeking social security entitlements relates to the system's structure. We conducted an ethnographic study of the Colombian Occupational Risk System between May 2014 and March 2016, with two main components: 1) analysis of the system itself through in-depth interviews with 32 people working in leadership positions and a systematic review of the system's most important legislation, and 2) a study of people who experienced problems receiving entitlements and were challenging the assessment of their work-related illness or accident...
June 23, 2017: Social Science & Medicine
https://www.readbyqxmd.com/read/28680716/chronological-changes-in-quality-of-life-after-distal-gastrectomy-for-gastric-cancer
#17
Ki Bum Park, Seung Soo Lee, Oh Kyoung Kwon, Ho Young Chung, Wansik Yu
PURPOSE: Patient quality of life (QoL) may be severely disrupted following distal gastrectomy for gastric cancer. This issue should be addressed to improve postoperative care. MATERIALS AND METHODS: QoL data from the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire, and its gastric cancer-specific module, were administered to 202 patients preoperatively, and 5 years postoperatively. Patients were classified into subgroups based on their answers to each questionnaire item: group I (good), answering "not at all"; group II (fair), answering "a little"; group III (poor), answering "quite a bit" or "very much...
June 2017: Journal of Gastric Cancer
https://www.readbyqxmd.com/read/28676466/brazilian-samba-protocol-for-individuals-with-parkinson-s-disease-a-clinical-non-randomized-study
#18
Ana Cristina Tillmann, Alexandro Andrade, Alessandra Swarowsky, Adriana Coutinho De Azevedo Guimarães
BACKGROUND: In the 10 most populated countries in the world, Parkinson's disease (PD) affects more than 5 million individuals. Despite optimal treatment options already developed for the disease, concomitant involvement of other areas of health care plays an important role in complementing the treatment. From this perspective, dancing can be viewed as a non-drug alternative that can reduce falls by improving some motor skills, such as mobility, balance, gait, and posture, and can also improve the overall quality of life...
July 4, 2017: JMIR Research Protocols
https://www.readbyqxmd.com/read/28674734/nonbiologic-factors-that-impact-management-in-women-with-urinary-incontinence-review-of-the-literature-and-findings-from-a-national-institute-of-diabetes-and-digestive-and-kidney-diseases-workshop
#19
Jenna M Norton, Jennifer L Dodson, Diane K Newman, Rebecca G Rogers, Andrea D Fairman, Helen L Coons, Robert A Star, Tamara G Bavendam
INTRODUCTION AND HYPOTHESIS: Urinary incontinence (UI)-defined as a complaint of involuntary loss of urine-is common in women, with major public health, financial, and quality of life (QoL) implications. Despite the high toll of UI and the availability of effective conservative treatments, many women with UI do not seek care. Those who do often continue to experience symptoms. Improving UI treatment may require a comprehensive approach to urology research, including a broad set of potentially influential factors beyond biologic...
July 3, 2017: International Urogynecology Journal
https://www.readbyqxmd.com/read/28674611/reducing-the-number-of-unnecessary-liver-function-tests-requested-on-the-paediatric-intensive-care-unit
#20
Lynn Sinitsky, Joe Brierley
Between January and October 2014, Great Ormond Street Hospital Paediatric Intensive Care Unit (PICU) was spending an average £23,392 on blood tests per month. Blood tests should be requested based on previous results and the patient's clinical condition, medication and nutritional status. However, more blood tests were being ordered than clinically indicated: an audit in October 2014 showed liver function tests (LFTs) were requested daily on most patients, even with previous normal results. A driver diagram identified three primary drivers for blood test requesting: decision-making, situational awareness and computer-based ordering...
2017: BMJ Quality Improvement Reports
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