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https://www.readbyqxmd.com/read/28429583/a-qualitative-study-of-the-role-of-australian-general-practitioners-in-the-surgical-management-of-obesity
#1
K Jose, A Venn, M Nelson, F Howes, S Wilkinson, D Ezzy
General practitioners (GPs) are increasingly managing patients with class 2 and 3 obesity (body mass index [BMI] > 35 and 40 kg/m(2) , respectively). Bariatric surgery is considered for patients with class 2 obesity and comorbidities or class 3 obesity where sustained weight loss using non-surgical interventions has not been achieved. In Australia, GPs facilitate access to surgery through referral processes, but the nature of GP involvement in bariatric pre- and post-surgery care is currently unclear...
April 20, 2017: Clinical Obesity
https://www.readbyqxmd.com/read/28422923/a-cross-sectional-study-of-emergency-care-utilization-and-associated-costs-of-violent-related-assault-injuries-in-the-united-states
#2
Michael C Monuteaux, Eric W Fleegler, Lois K Lee
BACKGROUND: Violent-related (assault) injuries are a leading cause of death and disability in the United States. Many violent injury victims seek treatment in the emergency department (ED). Our objectives were to: (1) estimate rates of violent-related injuries evaluated in United States EDs; (2) estimate linear trends in ED visits for violent-related injuries from 2000 to 2010; and (3) to determine the associated healthcare and work-loss costs. METHODS: We examined adults 18 years of age and older from a nationally representative survey (the National Hospital Ambulatory Medical Care Survey) of ED visits, from 2000 to 2010...
April 18, 2017: Journal of Trauma and Acute Care Surgery
https://www.readbyqxmd.com/read/28413440/predictors-of-depression-among-patients-receiving-treatment-for-snakebite-in-general-hospital-kaltungo-gombe-state-nigeria-august-2015
#3
Abdulaziz Muhammed, Mahmood M Dalhat, Babalola O Joseph, Abubakar Ahmed, Patrick Nguku, Gabriele Poggensee, Mukthar Adeiza, Garba I Yahya, Muhammad Hamza, Zaiyad G Habib, Abisola M Oladimeji, Abdulsalam Nasidi, Abubakar Balla, Ibrahim Nashabaru, Nasir Sani-Gwarzo, Ahmad M Yakasai, Joshua A Difa, Taiwo Lateef Sheikh, Abdulrazaq G Habib
BACKGROUND: Snakebite though neglected, affects 5 million people yearly. More neglected is the psychological effect of envenomation. We determined prevalence and pattern of depression among patients admitted into snakebite wards of Kaltungo General Hospital Nigeria, and percentage recognized by clinicians. We also assessed for factors associated with depression. METHODS: In a descriptive hospital based study, we used Patient Health questionnaire (PHQ-9) to make diagnosis of depression among the patients...
2017: International Journal of Mental Health Systems
https://www.readbyqxmd.com/read/28410567/farm-suicides-in-new-zealand-2007-2015-a-review-of-coroners-records
#4
Annette L Beautrais
OBJECTIVE: Economic recessions and severe weather events are often associated with increased suicide rates. The Global Dairy Crisis 2015/2016 led to an economic downturn in the New Zealand dairy farming industry and, coupled with droughts in some regions and floods in others, raised fears about increased suicide rates among farmers. However, little was known about suicides in the farming sector. This study reviews characteristics of recent farm-related suicides in New Zealand and assesses the extent to which financial stresses contributed to the deaths...
April 1, 2017: Australian and New Zealand Journal of Psychiatry
https://www.readbyqxmd.com/read/28409566/combined-effects-of-glucocorticoid-and-noradrenergic-activity-on-loss-aversion
#5
Zsofia Margittai, Gideon Nave, Marijn Van Wingerden, Alfons Schnitzler, Lars Schwabe, Tobias Kalenscher
Loss aversion is a well-known behavioral regularity in financial decision-making, describing humans' tendency to overweigh losses compared to gains of the same amount. Recent research indicates that stress and associated hormonal changes affect loss aversion, yet the underlying neuroendocrine mechanisms are still poorly understood. Here, we investigated the causal influence of two major stress neuromodulators, cortisol and noradrenaline, on loss aversion during financial decision-making. In a double-blind, placebo-controlled between subject design, we orally administered either the α2-adrenergic antagonist yohimbine (increasing noradrenergic stimulation), hydrocortisone, both substances, or a placebo to healthy young men...
April 14, 2017: Neuropsychopharmacology: Official Publication of the American College of Neuropsychopharmacology
https://www.readbyqxmd.com/read/28406421/advantages-and-disadvantages-of-using-the-prisma7-to-determine-the-elderly-subjects-for-whom-the-smaf-is-useful-for-assessing-functional-status-in-bobo-dioulasso-burkina-faso
#6
A Berthé, M A S Somda, L Berthé-Sanou, B Konaté, H Hien, E Bayala, F Tou, M Drabo, F Badini-Kinda, J Macq
One of the difficulties faced by African actors working with the elderly is the lack of appropriate tools for the identification and/or diagnosis of functional disabilities among older people in this limited-resource (material, human, and financial) setting. This study sought to assess the advantages and disadvantages of the combined use of two tools, PRISMA7 (for identifying older individuals at risk of functional disabilities and loss of autonomy) and SMAF (to evaluate the functional status of the elderly) in Bobo-Dioulasso (Burkina Faso)...
February 1, 2017: Médecine et Santé Tropicales
https://www.readbyqxmd.com/read/28403350/improving-reproducibility-and-external-validity-the-role-of-standardization-and-data-reporting-of-laboratory-rat-husbandry-and-housing
#7
José Luiz Fontoura-Andrade, Rivadávio Fernandes Batista de Amorim, João Batista de Sousa
Purpose: To identify the most relevant flaws in standardization in husbandry practices and lack of transparency to report them. This review proposes some measures in order to improve transparency, reproducibility and eventually external validity in experimental surgery experiments with rat model. Methods: We performed a search of scientific articles in PUBMED data base. The survey was conducted from august 2016 to January 2017. The keywords used were "reproducibility", "external validity", "rat model", "rat husbandry", "rat housing", and the time frame was up to January 2017...
March 2017: Acta Cirúrgica Brasileira
https://www.readbyqxmd.com/read/28399972/economic-support-intervention-improves-tuberculosis-treatment-outcomes-in-rural-nigeria
#8
K N Ukwaja, I Alobu, M Gidado, O Onazi, D C Oshi
SETTING: A secondary care hospital in rural Nigeria. OBJECTIVE: To investigate the feasibility of providing financial incentives to tuberculosis (TB) patients under routine conditions, and to determine their impact on TB treatment outcomes in a low-resource setting. DESIGN: A prospective, non-randomised intervention study. RESULTS: A total of 294 TB patients (respectively 173 and 121 in the control and intervention periods of 3 months' duration each) were registered in the study...
May 1, 2017: International Journal of Tuberculosis and Lung Disease
https://www.readbyqxmd.com/read/28397097/blood-brain-barriers-in-obesity
#9
Elizabeth M Rhea, Therese S Salameh, Aric F Logsdon, Angela J Hanson, Michelle A Erickson, William A Banks
After decades of rapid increase, the rate of obesity in adults in the USA is beginning to slow and the rate of childhood obesity is stabilizing. Despite these improvements, the obesity epidemic continues to be a major health and financial burden. Obesity is associated with serious negative health outcomes such as cardiovascular disease, type II diabetes, and, more recently, cognitive decline and various neurodegenerative dementias such as Alzheimer's disease. In the past decade, major advancements have contributed to the understanding of the role of the central nervous system (CNS) in the development of obesity and how peripheral hormonal signals modulate CNS regulation of energy homeostasis...
April 10, 2017: AAPS Journal
https://www.readbyqxmd.com/read/28390774/surgeon-leadership-in-the-coding-billing-and-contractual-negotiations-for-fenestrated-endovascular-aortic-aneurysm-repair-increases-medical-center-contribution-margin-and-physician-reimbursement
#10
Francesco Aiello, Jonathan Durgin, Vijaya Daniel, Louis Messina, Danielle Doucet, Jessica Simons, James Jenkins, Andres Schanzer
BACKGROUND: Fenestrated endovascular aneurysm repair (FEVAR) allows endovascular treatment of thoracoabdominal and juxtarenal aneurysms previously outside the indications of use for standard devices. However, because of considerable device costs and increased procedure time, FEVAR is thought to result in financial losses for medical centers and physicians. We hypothesized that surgeon leadership in the coding, billing, and contractual negotiations for FEVAR procedures will increase medical center contribution margin (CM) and physician reimbursement...
April 5, 2017: Journal of Vascular Surgery
https://www.readbyqxmd.com/read/28387032/chemical-and-optical-characterization-of-white-efflorescences-on-dry-fermented-sausages-under-modified-atmosphere-packaging
#11
Felix H Walz, Monika Gibis, Kurt Herrmann, Jörg Hinrichs, Jochen Weiss
BACKGROUND: Dry fermented sausages that are packed under modified atmosphere are often affected by the formation of white crystals on the surface. These so called efflorescences are rejected by the consumers and lead to high financial losses for the meat processing industry. In this study, the distribution of efflorescence causing components was investigated over the sausage profile during 8 weeks storage under modified atmosphere at 4 °C. In addition, two visual methods (image and sensory analyses) were compared regarding the ability to quantify the efflorescence content...
April 6, 2017: Journal of the Science of Food and Agriculture
https://www.readbyqxmd.com/read/28384607/latent-class-analysis-of-gambling-subtypes-and-impulsive-compulsive-associations-time-to-rethink-diagnostic-boundaries-for-gambling-disorder
#12
Samuel R Chamberlain, Jan Stochl, Sarah A Redden, Brian L Odlaug, Jon E Grant
BACKGROUND: Gambling disorder has been associated with cognitive dysfunction and impaired quality of life. The current definition of non-pathological, problem, and pathological types of gambling is based on total symptom scores, which may overlook nuanced underlying presentations of gambling symptoms. The aims of the current study were (i) to identify subtypes of gambling in young adults, using latent class analysis, based on individual responses from the Structured Clinical Interview for Gambling Disorder (SCI-GD); and (ii) to explore relationships between these gambling subtypes, and clinical/cognitive measures...
March 28, 2017: Addictive Behaviors
https://www.readbyqxmd.com/read/28384395/consensus-bundle-on-maternal-mental-health-perinatal-depression-and-anxiety
#13
Susan Kendig, John P Keats, M Camille Hoffman, Lisa B Kay, Emily S Miller, Tiffany A Moore Simas, Ariela Frieder, Barbara Hackley, Pec Indman, Christena Raines, Kisha Semenuk, Katherine L Wisner, Lauren A Lemieux
Perinatal mood and anxiety disorders are among the most common mental health conditions encountered by women of reproductive age. When left untreated, perinatal mood and anxiety disorders can have profound adverse effects on women and their children, ranging from increased risk of poor adherence to medical care, exacerbation of medical conditions, loss of interpersonal and financial resources, smoking and substance use, suicide, and infanticide. Perinatal mood and anxiety disorders are associated with increased risks of maternal and infant mortality and morbidity and are recognized as a significant patient safety issue...
March 2017: Journal of Midwifery & Women's Health
https://www.readbyqxmd.com/read/28376464/measuring-outcomes-lessons-from-the-world-of-public-education
#14
Andrew Saultz, John W Saultz
The quality and efficiency of American health care are increasingly measured using clinical and financial data with a goal of improving clinical practice. Proponents believe such efforts can improve outcomes, motivate clinicians, and inform the public about quality. Detractors point to problems with the accuracy of these measures and the risk of creating perverse incentives for both physicians and patients. Drawing on lessons from similar performance management policies in public education, we provide guidance about this trend for primary care physicians and health care policy makers...
January 2017: Annals of Family Medicine
https://www.readbyqxmd.com/read/28376217/financial-hardships-experienced-by-cancer-survivors-a-systematic-review
#15
Cheryl K Altice, Matthew P Banegas, Reginald D Tucker-Seeley, K Robin Yabroff
Background: With rising cancer care costs, including high-priced cancer drugs, financial hardship is increasingly documented among cancer survivors in the United States; research findings have not been synthesized. Methods: We conducted a systematic review of articles published between 1990 and 2015 describing the financial hardship experienced by cancer survivors using PubMed, Embase, Scopus, and CINAHL databases. We categorized measures of financial hardship into: material conditions (eg, out-of-pocket costs, productivity loss, medical debt, or bankruptcy), psychological responses (eg, distress or worry), and coping behaviors (eg, skipped medications)...
February 1, 2017: Journal of the National Cancer Institute
https://www.readbyqxmd.com/read/28367874/relationship-between-amount-of-overtime-work-and-untreated-decayed-teeth-in-male-financial-workers-in-japan
#16
Koichi Yoshino, Seitaro Suzuki, Yoichi Ishizuka, Atsushi Takayanagi, Naoki Sugihara, Hideyuki Kamijyo
OBJECTIVE: Continuous or frequent overtime work has been shown to have harmful effects on human health. Meanwhile, one of the main reasons for tooth loss is caries. The aim of this study was to assess the relationship between overtime work and untreated decayed teeth in male financial workers. METHODS: The participants were recruited by applying screening procedures to a pool of Japanese registrants in an online database. Participants filled out a questionnaire about their oral health, behavior, and working conditions...
March 29, 2017: Journal of Occupational Health
https://www.readbyqxmd.com/read/28365675/costs-of-occupational-injuries-and-illnesses-in-croatia
#17
Marijana Bađun
Apart from influencing the quality of life, occupational injuries and illnesses can pose a large economic burden to a society. There are many studies that estimate the costs of occupational injuries and illnesses in highly developed economies, but the evidence for other countries is scarce. This study aimed to estimate the financial costs of occupational injuries and illnesses to Croatian government and employers in 2015. Workers were excluded due to the lack of data. Costs were estimated by analysing available data sources on occupational health and safety...
March 1, 2017: Arhiv za Higijenu Rada i Toksikologiju
https://www.readbyqxmd.com/read/28363730/what-factors-influence-uptake-of-retinal-screening-among-young-adults-with-type-2-diabetes-a-qualitative-study-informed-by-the-theoretical-domains-framework
#18
Amelia J Lake, Jessica L Browne, Gwyneth Rees, Jane Speight
AIMS: Young adults with type 2 diabetes (T2D, 18-39years) face increased risk of vision loss from diabetic retinopathy (DR). Retinal screening is essential to detect DR, yet screening rates for this group are low and little is known about the underlying factors influencing this important behavior. Using the theoretical domains framework (TDF) to guide data collection and analysis, we explored screening barriers and facilitator, contrasting them with a comparator group of older adults with T2D (40+ years)...
March 14, 2017: Journal of Diabetes and its Complications
https://www.readbyqxmd.com/read/28360023/continuing-professional-development-via-social-media-or-conference-attendance-a-cost-analysis
#19
Stephen Maloney, Jacqueline Tunnecliff, Prue Morgan, James Gaida, Jennifer Keating, Lyn Clearihan, Sivalal Sadasivan, Shankar Ganesh, Patitapaban Mohanty, John Weiner, George Rivers, Dragan Ilic
BACKGROUND: Professional development is essential in the health disciplines. Knowing the cost and value of educational approaches informs decisions and choices about learning and teaching practices. OBJECTIVE: The primary aim of this study was to conduct a cost analysis of participation in continuing professional development via social media compared with live conference attendance. METHODS: Clinicians interested in musculoskeletal care were invited to participate in the study activities...
March 30, 2017: JMIR Medical Education
https://www.readbyqxmd.com/read/28358567/the-cost-of-work-related-stress-to-society-a-systematic-review
#20
Juliet Hassard, Kevin R H Teoh, Gintare Visockaite, Philip Dewe, Tom Cox
A systematic review of the available evidence examining the cost of work-related stress (WRS) would yield important insights into the magnitude of this social phenomenon. The objective of this review was to collate, extract, and synthesize economic evaluations of the cost of WRS to society. A research protocol was developed. Included cost-of-illness (COI) studies estimated the cost of WRS at a societal level, and were published in English, French or German. Searches were carried out in ingentaconnect, EBSCO, JSTOR, Science Direct, Web of Knowledge, Google, and Google scholar...
March 30, 2017: Journal of Occupational Health Psychology
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