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https://www.readbyqxmd.com/read/28345210/geographic-disparities-in-availability-of-opioid-use-disorder-treatment-for-medicaid-enrollees
#1
Amanda J Abraham, Christina M Andrews, Marissa E Yingling, Jerry Shannon
OBJECTIVE: To examine county-level geographic variation in treatment admissions among opioid treatment programs (OTPs) that accept Medicaid in the continental United States. DATA SOURCES/STUDY SETTING: Data come from the 2012 National Survey of Substance Abuse Treatment Services. STUDY DESIGN/DATA COLLECTION: We used local measures of spatial autocorrelation (LISA) analysis to identify (1) clusters of counties with higher and lower than average rates of opioid use disorders and (2) clusters of counties with higher and lower than average treatment admissions among OTPs that accept Medicaid, adjusting for county population size...
March 27, 2017: Health Services Research
https://www.readbyqxmd.com/read/28340547/the-complexities-of-struggling-to-live-life
#2
Samereh Abdoli, Lynda R Hardy, Joanne Hall
Purpose The purpose of the study was to explore and describe perceptions and experiences of young adults with type 1 diabetes mellitus (T1DM) living in Appalachia, Tennessee. Methods Qualitative descriptive analysis of in-depth interviews of 9 young adults (male = 3, female = 6) 18 to 30 years of age living in Appalachian counties in Tennessee provided the basis of identifying the salient concerns from the perspective of this diverse group related to living daily with T1DM. Data analysis was facilitated by using NVivo 11 Pro and consisted of iterative review of the accounts in 3 phases: immersion, reduction, and interpretation...
April 2017: Diabetes Educator
https://www.readbyqxmd.com/read/28327258/development-of-multiple-regression-models-to-predict-sources-of-fecal-pollution
#3
Kimberlee K Hall And Phillip R Scheuerman
This study assessed the usefulness of multivariate statistical tools to characterize watershed dynamics and prioritizestreams for remediation. Three multiple regression models were developed using water quality data collected from Sinking Creek in the Watauga River watershed in Northeast Tennessee. Model 1 included all water quality parameters, model 2 included parameters identified by stepwise regression, and model 3 was developed using canonical discriminant analysis. Models were evaluated in seven creeks to determine if they correctly classified land use and level of fecal pollution...
March 21, 2017: Water Environment Research: a Research Publication of the Water Environment Federation
https://www.readbyqxmd.com/read/28321136/procarbazine-lomustine-and-vincristine-pcv-regimen-for-central-nervous-system-tumors
#4
Dominic A Solimando, J Aubrey Waddell
The complexity of cancer chemotherapy requires pharmacists be familiar with the complicated regimens and highly toxic agents used. This column reviews various issues related to preparation, dispensing, and administration of antineoplastic therapy, and the agents, both commercially available and investigational, used to treat malignant diseases. Questions or suggestions for topics should be addressed to Dominic A. Solimando, Jr, President, Oncology Pharmacy Services, Inc., 4201 Wilson Blvd #110-545, Arlington, VA 22203, e-mail: OncRxSvc@comcast...
February 2017: Hospital Pharmacy
https://www.readbyqxmd.com/read/28317680/risk-for-microbial-keratitis-comparative-metaanalysis-of-contact-lens-wearers-and-post-laser-in-situ-keratomileusis-patients
#5
Jordan Masters, Mehmet Kocak, Aaron Waite
PURPOSE: To compare the risk for microbial keratitis in contact lens wearers stratified by wear schedule with the risk after laser in situ keratomileusis (LASIK). SETTING: Hamilton Eye Institute and Department of Ophthalmology, University of Tennessee Health Science Center, Memphis, Tennessee, USA. DESIGN: Comparative metaanalysis and literature review. METHODS: An extensive literature search was performed in the PubMed database between December 2014 and July 2015...
January 2017: Journal of Cataract and Refractive Surgery
https://www.readbyqxmd.com/read/28317630/oliver-cromwell-s-fatal-ague
#6
EDITORIAL
Sanjay Saint, Thomas Cogswell, Eliot Siegel, Philip A Mackowiak
Although many people recognize Oliver Cromwell by name, few know more than the barest details of his life or his legacy, and fewer still of the "ague" that ended his brief reign as Lord Protector of the Commonwealth of England, Scotland and Ireland and one of Britain׳s greatest generals. He died suddenly at age 59. Cromwell was the "terror of Europe" during that period. His physicians diagnosed his fatal disorder as "bastard tertian ague." A contemporary analysis of his clinical record, including one with the aid of the U...
April 2017: American Journal of the Medical Sciences
https://www.readbyqxmd.com/read/28306154/protein-intake-and-mobility-limitation-in-community-dwelling-older-adults-the-health-abc-study
#7
Denise K Houston, Janet A Tooze, Katelyn Garcia, Marjolein Visser, Susan Rubin, Tamara B Harris, Anne B Newman, Stephen B Kritchevsky
OBJECTIVES: The current Recommended Dietary Allowance (RDA) for protein is based on short-term nitrogen balance studies in young adults and may underestimate the amount needed to optimally preserve physical function in older adults. We examined the association between protein intake and the onset of mobility limitation over 6 years of follow-up in older adults in the Health ABC study. DESIGN: Prospective cohort study. SETTING: Memphis, Tennessee and Pittsburgh, Pennsylvania...
March 17, 2017: Journal of the American Geriatrics Society
https://www.readbyqxmd.com/read/28298152/population-survey-of-attitudes-and-beliefs-regarding-organic-genetically-modified-and-irradiated-foods
#8
Jane A Gwira Baumblatt, L Rand Carpenter, Caleb Wiedeman, John R Dunn, William Schaffner, Timothy F Jones
BACKGROUND: Sales of organic foods are increasing due to public demand, while genetically modified (GM) and irradiated foods are often viewed with suspicion. AIM: The aim of this research was to examine consumer attitudes toward organic, GM and irradiated foods to direct educational efforts regarding their consumption Methods: A telephone survey of 1838 residents in Tennessee, USA was conducted regarding organic, GM, and irradiated foods. RESULTS: Approximately half of respondents (50...
March 2017: Nutrition and Health
https://www.readbyqxmd.com/read/28290255/feeding-by-leucopis-argenticollis-and-leucopis-piniperda-diptera-chamaemyiidae-from-the-western-usa-on-adelges-tsugae-hemiptera-adelgidae-in-the-eastern-usa
#9
K Motley, N P Havill, A L Arsenault-Benoit, A E Mayfield, D S Ott, D Ross, M C Whitmore, K F Wallin
Leucopis argenticollis (Zetterstedt) and Leucopis piniperda (Malloch) are known to feed on the lineage of Adelges tsugae Annand that is native to western North America, but it is not known if they will survive on the lineage that was introduced from Japan to the eastern USA. In 2014, western Leucopis spp. larvae were brought to the laboratory and placed on A. tsugae collected in either Washington (North American A. tsugae lineage) or Connecticut (Japanese lineage). There were no significant differences in survival or developmental times between flies reared on the two different adelgid lineages...
March 14, 2017: Bulletin of Entomological Research
https://www.readbyqxmd.com/read/28272826/two-psychotic-playwrights-at-work-the-late-plays-of-august-strindberg-and-tennessee-williams
#10
George Mandelbaum
August Strindberg and Tennessee Williams both became severely deranged during their playwriting careers. Both emerged from the most intense form of their derangement and wrote plays afterward. Strindberg, however, wrote his greatest plays after his psychosis; Williams, before his. Strindberg's psychosis spurred his creativity; that of Williams severely damaged his. This paper proposes that Strindberg mastered his psychosis and that in his late plays he dramatically symbolized psychotic processes. Williams, on the other hand, could neither access nor master his, and his late plays embody the repeated, unsymbolized acting out of his psychosis within an aesthetic context...
January 2017: Psychoanalytic Quarterly
https://www.readbyqxmd.com/read/28271019/creating-the-first-indoor-tan-free-skin-smart-college-campus
#11
Jessica S Mounessa, Sherry L Pagoto, Katie Baker, John Antonishak, Robert P Dellavalle
Given the prevalence and risk associated with indoor tanning among college students, university campuses constitute a prime target for skin cancer prevention. This report identifies the successes and challenges faced in promoting a campus-wide tan-free policy through the National Council on Skin Cancer Prevention (NCSCP) Indoor Tan-Free Skin Smart Campus Initiative. Beginning in February 2016, we communicated with university faculty or staff members who have participated in skin cancer prevention via education, clinical care, or research at 20 universities regarding the steps to adopt the tan-free policy...
June 2017: Preventive Medicine Reports
https://www.readbyqxmd.com/read/28261459/winter-behavior-of-bats-and-the-progression-of-white-nose-syndrome-in-the-southeastern-united-states
#12
Riley F Bernard, Gary F McCracken
Understanding the winter behavior of bats in temperate North America can provide insight into how bats react to perturbations caused by natural disturbances such as weather, human-induced disturbances, or the introduction of disease. This study measured the activity patterns of bats outside of their hibernaculum and asked how this winter activity varied by time, temperature, bat species, body condition, and WNS status. Over the course of three winters (2011-2013), we collected acoustic data and captured bats outside of five hibernacula in Tennessee, United States...
March 2017: Ecology and Evolution
https://www.readbyqxmd.com/read/28243897/oncotype-dx-breast-cancer-recurrence-score-can-be-predicted-with-a-novel-nomogram-using-clinicopathologic-data
#13
Amila Orucevic, John L Bell, Alison P McNabb, Robert E Heidel
PURPOSE: Oncotype DX (ODX) recurrence score (RS) breast cancer (BC) assay is costly, and performed in only ~1/3 of estrogen receptor (ER)-positive BC patients in the USA. We have now developed a user-friendly nomogram surrogate prediction model for ODX based on a large dataset from the National Cancer Data Base (NCDB) to assist in selecting patients for which further ODX testing may not be necessary and as a surrogate for patients for which ODX testing is not affordable or available...
February 27, 2017: Breast Cancer Research and Treatment
https://www.readbyqxmd.com/read/28219462/the-use-of-a-computerized-provider-order-entry-alert-to-decrease-rates-of-clostridium-difficile-testing-in-young-pediatric-patients
#14
Maribeth R Nicholson, Peter N Freswick, M Cecilia Di Pentima, Li Wang, Kathryn M Edwards, Gregory J Wilson, Thomas R Talbot
BACKGROUND Infants and young children are frequently colonized with C. difficile but rarely have symptomatic disease. However, C. difficile testing remains prevalent in this age group. OBJECTIVE To design a computerized provider order entry (CPOE) alert to decrease testing for C. difficile in young children and infants. DESIGN An interventional age-targeted before-after trial with comparison group SETTING Monroe Carell Jr. Children's Hospital at Vanderbilt University, Nashville, Tennessee. PATIENTS All children seen in the inpatient or emergency room settings from July 2012 through July 2013 (pre-CPOE alert) and September 2013 through September 2014 (post-CPOE alert) INTERVENTION In August of 2013, we implemented a CPOE alert advising against testing in infants and young children based on the American Academy of Pediatrics recommendations with an optional override...
February 21, 2017: Infection Control and Hospital Epidemiology
https://www.readbyqxmd.com/read/28212664/the-impact-of-high-total-cholesterol-and-high-low-density-lipoprotein-on-avascular-necrosis-of-the-femoral-head-in-low-energy-femoral-neck-fractures
#15
Xianshang Zeng, Ke Zhan, Lili Zhang, Dan Zeng, Weiguang Yu, Xinchao Zhang, Mingdong Zhao, Zhicheng Lai, Runzhen Chen
BACKGROUND: Avascular necrosis of the femoral head (AVNFH) typically constitutes 5 to 15% of all complications of low-energy femoral neck fractures, and due to an increasingly ageing population and a rising prevalence of femoral neck fractures, the number of patients who develop AVNFH is increasing. However, there is no consensus regarding the relationship between blood lipid abnormalities and postoperative AVNFH. The purpose of this retrospective study was to investigate the relationship between blood lipid abnormalities and AVNFH following the femoral neck fracture operation among an elderly population...
February 17, 2017: Journal of Orthopaedic Surgery and Research
https://www.readbyqxmd.com/read/28207293/prevalence-of-multidrug-resistant-bacteria-from-u-s-grown-and-imported-fresh-produce-retailed-in-chain-supermarkets-and-ethnic-stores-of-davidson-county-tennessee
#16
Siqin Liu, Agnes Kilonzo-Nthenge
The aim of this study was to determine whether U.S.-grown and imported fresh produce retailed in ethnic stores and chain supermarkets was a reservoir of antibiotic-resistant bacteria. A total of 360 (129 imported and 231 U.S.-grown) samples of fresh produce were purchased from retail stores and analyzed for Enterobacteriaceae , including three pathogenic bacteria ( Escherichia coli O157:H7, Shigella , and Salmonella ), using standard methods. Presumptive pathogenic isolates were confirmed using PCR. The mean Enterobacteriaceae counts for imported produce were 6...
February 16, 2017: Journal of Food Protection
https://www.readbyqxmd.com/read/28203062/what-are-the-highly-important-and-desirable-patient-engagement-actions-for-self-care-as-perceived-by-individuals-living-in-the-southern-united-states
#17
Huey-Ming Tzeng, James Marcus Pierson
AIM: This exploratory survey study aimed to identify patient engagement actions that are the most frequently named as being highly important (top 30 by importance) or ones that they want to do (top 30 by desire) for community-dwelling adult patients living in the southern United States. Items not making the list of the top 30 by ability were also identified. BACKGROUND: Patient engagement is still an ambiguous term among population health and health care professionals in the United States as we lack a clear understanding of what it entails...
2017: Patient Preference and Adherence
https://www.readbyqxmd.com/read/28190566/effects-of-wireless-packet-loss-in-industrial-process-control-systems
#18
Yongkang Liu, Richard Candell, Nader Moayeri
Timely and reliable sensing and actuation control are essential in networked control. This depends on not only the precision/quality of the sensors and actuators used but also on how well the communications links between the field instruments and the controller have been designed. Wireless networking offers simple deployment, reconfigurability, scalability, and reduced operational expenditure, and is easier to upgrade than wired solutions. However, the adoption of wireless networking has been slow in industrial process control due to the stochastic and less than 100% reliable nature of wireless communications and lack of a model to evaluate the effects of such communications imperfections on the overall control performance...
February 9, 2017: ISA Transactions
https://www.readbyqxmd.com/read/28182475/state-strategies-for-coordinating-medicaid-and-housing-services
#19
Rebecca Kleinman, Matthew Kehn, Allison Wishon Siegwarth, Jonathan Brown
OBJECTIVE: This article reports findings from case studies of 4 states (Illinois, Louisiana, Massachusetts, and Tennessee) that used different approaches to coordinate Medicaid services with temporary or permanent housing supports for individuals with psychiatric disabilities. METHOD: Data were collected through document review, telephone interviews with state officials and managed care organizations, and site visits to behavioral health and housing providers, and consumer organizations...
February 9, 2017: Psychiatric Rehabilitation Journal
https://www.readbyqxmd.com/read/28181969/a-population-health-driver-diagram-to-address-neonatal-abstinence-syndrome
#20
Paul Campbell Erwin, Laurie L Meschke, Samantha F Ehrlich, John W Moran
This article describes the process for developing a population health driver diagram to address a priority health issue in East Tennessee: neonatal abstinence syndrome (NAS). Population health driver diagrams are used in quality improvement processes for determining and aligning actions that a community can take to achieve a specified outcome. The Tennessee Department of Health contracted with the University of Tennessee's Department of Public Health to conduct a community participatory process to contribute to a statewide health improvement plan...
February 8, 2017: Journal of Public Health Management and Practice: JPHMP
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