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https://www.readbyqxmd.com/read/28884234/impact-of-a-mental-health-based-primary-care-program-on-quality-of-physical-health-care
#1
Joshua Breslau, Emily Leckman-Westin, Hao Yu, Bing Han, Riti Pritam, Diana Guarasi, Marcela Horvitz-Lennon, Deborah M Scharf, Harold A Pincus, Molly T Finnerty
We examine the impact of mental health based primary care on physical health treatment among community mental health center patients in New York State using propensity score adjusted difference in difference models. Outcomes are quality indicators related to outpatient medical visits, diabetes HbA1c monitoring, and metabolic monitoring of antipsychotic treatment. Results suggest the program improved metabolic monitoring for patients on antipsychotics in one of two waves, but did not impact other quality indicators...
September 7, 2017: Administration and Policy in Mental Health
https://www.readbyqxmd.com/read/28846769/collaborative-care-for-opioid-and-alcohol-use-disorders-in-primary-care-the-summit-randomized-clinical-trial
#2
Katherine E Watkins, Allison J Ober, Karen Lamp, Mimi Lind, Claude Setodji, Karen Chan Osilla, Sarah B Hunter, Colleen M McCullough, Kirsten Becker, Praise O Iyiewuare, Allison Diamant, Keith Heinzerling, Harold Alan Pincus
Importance: Primary care offers an important and underutilized setting to deliver treatment for opioid and/or alcohol use disorders (OAUD). Collaborative care (CC) is effective but has not been tested for OAUD. Objective: To determine whether CC for OAUD improves delivery of evidence-based treatments for OAUD and increases self-reported abstinence compared with usual primary care. Design, Setting, and Participants: A randomized clinical trial of 377 primary care patients with OAUD was conducted in 2 clinics in a federally qualified health center...
August 28, 2017: JAMA Internal Medicine
https://www.readbyqxmd.com/read/28845359/evaluation-design-recommendations-for-the-certified-community-behavioral-health-clinic-demonstration-program
#3
Joshua Breslau, J Scott Ashwood, Courtney Ann Kase, Harold Alan Pincus, Susan L Lovejoy
This article provides information and recommendations regarding the evaluation design of the Certified Community Behavioral Health Clinic (CCBHC) demonstration. Mandated by Congress in Section 223 of the Protecting Access to Medicare Act of 2014, the CCBHC is a new model of specialty behavioral health clinic, designed to provide comprehensive and integrated care for adults with mental health or substance-use disorders and children with serious emotional distress. Certification criteria for the CCBHCs have been specified by Substance Abuse and Mental Health Services Administration covering six core areas: staffing; accessibility; care coordination; scope of services; quality and other reporting; and organizational authority, governance, and accreditation...
June 2017: Rand Health Quarterly
https://www.readbyqxmd.com/read/28840984/matrix-assisted-laser-desorption-ionization-time-of-flight-mass-spectrometry-in-clinical-microbiology-what-are-the-current-issues
#4
REVIEW
Alex van Belkum, Martin Welker, David Pincus, Jean Philippe Charrier, Victoria Girard
Matrix-assisted laser desorption ionization time-of-flight mass spectrometry (MALDI-TOF MS) has revolutionized the identification of microbial species in clinical microbiology laboratories. MALDI-TOF-MS has swiftly become the new gold-standard method owing to its key advantages of simplicity and robustness. However, as with all new methods, adoption of the MALDI-TOF MS approach is still not widespread. Optimal sample preparation has not yet been achieved for several applications, and there are continuing discussions on the need for improved database quality and the inclusion of additional microbial species...
November 2017: Annals of Laboratory Medicine
https://www.readbyqxmd.com/read/28804062/new-york-state-medicaid-reforms-opportunities-and-challenges-to-improve-the-health-of-those-with-serious-mental-illness
#5
Enrico G Castillo, Harold Alan Pincus, Thomas E Smith, Gregory Miller, Douglas G Fish
Individuals with serious mental illness face multiple barriers to accessing care and experience disproportionately poor health outcomes. Starting in 2011, New York State undertook a series of major reforms of its Medicaid system designed to address these concerns. In this commentary we review three reforms that aim to change the way New York Medicaid is delivered and experienced, especially for underserved individuals with SMI: Health Homes, Behavioral Health Managed Care, and the Delivery System Reform Incentive Payment Program...
2017: Journal of Health Care for the Poor and Underserved
https://www.readbyqxmd.com/read/28802500/primary-cutaneous-b-cell-lymphomas
#6
REVIEW
Charity B Hope, Laura B Pincus
B-cell lymphomas represent approximately 20% to 25% of primary cutaneous lymphomas. Within this group, most cases (>99%) are encompassed by 3 diagnostic entities: primary cutaneous marginal zone lymphoma, primary cutaneous follicle center lymphoma, and primary cutaneous diffuse large B-cell lymphoma, leg type. In this article, the authors present clinical, histopathologic, immunophenotypic, and molecular features of each of these entities and briefly discuss the rarer intravascular large B-cell lymphoma.
September 2017: Clinics in Laboratory Medicine
https://www.readbyqxmd.com/read/28801425/non-pharmacological-self-management-for-people-living-with-migraine-or-tension-type-headache-a-systematic-review-including-analysis-of-intervention-components
#7
Katrin Probyn, Hannah Bowers, Dipesh Mistry, Fiona Caldwell, Martin Underwood, Shilpa Patel, Harbinder Kaur Sandhu, Manjit Matharu, Tamar Pincus
OBJECTIVES: To assess the effect of non-pharmacological self-management interventions against usual care, and to explore different components and delivery methods within those interventions PARTICIPANTS: People living with migraine and/or tension-type headache INTERVENTIONS: Non-pharmacological educational or psychological self-management interventions; excluding biofeedback and physical therapy.We assessed the overall effectiveness against usual care on headache frequency, pain intensity, mood, headache-related disability, quality of life and medication consumption in meta-analysis...
August 11, 2017: BMJ Open
https://www.readbyqxmd.com/read/28799293/health-and-aging-policy-fellows-program-shaping-a-healthy-future-for-older-americans
#8
Harold Alan Pincus, Kathleen M Pike, Brigitta Spaeth-Rublee, Lynn Elinson
As the size of the elderly population increases, so do the challenges of and barriers to high-quality, affordable health care. The Health and Aging Policy Fellows (HAPF) Program is designed to provide health and aging professionals with the skills and experience to help lead the effort in reducing these barriers and shaping a healthy and productive future for older Americans. Since its inception in 2008, the program has affected not only the fellows who participate, but also the field of health and aging policy...
August 11, 2017: Journal of the American Geriatrics Society
https://www.readbyqxmd.com/read/28797680/factor-structure-of-the-intolerance-of-uncertainty-scale-for-children
#9
Danielle Cornacchio, Amanda L Sanchez, Stefany Coxe, Amy Roy, Donna B Pincus, Kendra L Read, Robert M Holaway, Philip C Kendall, Jonathan S Comer
Intolerance of uncertainty (IU), a dispositional negative orientation toward uncertainty and its consequences, has been studied in adults, but research has only recently examined IU in youth. Despite some advances, little is known about the factor structure of measures of IU in youth. The present study used confirmatory factor analysis to examine the structure of IU as measured by the Intolerance of Uncertainty Scale for Children (IUSC; Comer et al., 2009) in a sample of youth (N=368) 9-18 years of age (Mage=12...
July 31, 2017: Journal of Anxiety Disorders
https://www.readbyqxmd.com/read/28790381/selective-cytotoxicity-of-a-novel-immunotoxin-based-on-pulchellin-a-chain-for-cells-expressing-hiv-envelope
#10
Mohammad Sadraeian, Francisco E G Guimarães, Ana P U Araújo, David K Worthylake, Louis Jr LeCour, Seth H Pincus
Immunotoxins (ITs), which consist of antibodies conjugated to toxins, have been proposed as a treatment for cancer and chronic infections. To develop and improve the ITs, different toxins such as ricin, have been used, aiming for higher efficacy against target cells. The toxin pulchellin, isolated from the Abrus pulchellus plant, has similar structure and function as ricin. Here we have compared two plant toxins, recombinant A chains from ricin (RAC) and pulchellin (PAC) toxins, for their ability to kill HIV Env-expressing cells...
August 8, 2017: Scientific Reports
https://www.readbyqxmd.com/read/28753090/brainstem-angiocentric-glioma-report-of-2-cases
#11
Kristin J Weaver, Lexi M Crawford, Jeffrey A Bennett, Marie L Rivera-Zengotita, David W Pincus
Angiocentric glioma is a rare tumor that was recognized by the WHO Classification of Tumours of the Central Nervous System as a distinct clinicopathological entity in 2007. Since this initial description, the vast majority of cases of angiocentric glioma reported in the literature have involved tumors of the cerebral hemispheres. To date, only 1 case of angiocentric glioma arising from the posterior midbrain has been reported. The authors present the cases of 2 pediatric patients who were found to have brainstem angiocentric gliomas...
July 28, 2017: Journal of Neurosurgery. Pediatrics
https://www.readbyqxmd.com/read/28733360/thirsting-to-understand-the-temporal-dynamics-of-physical-activity-and-alcohol-use
#12
EDITORIAL
David E Conroy, Aaron L Pincus, Nilam Ram, Mustafa al'Absi
No abstract text is available yet for this article.
July 21, 2017: British Journal of Sports Medicine
https://www.readbyqxmd.com/read/28712354/using-a-continuum-based-framework-for-behavioral-health-integration-into-primary-care-in-new-york-state
#13
Elizabeth Chapman, Henry Chung, Harold Alan Pincus
Behavioral health integration with primary care has long been shown to be an essential part of improving health care and, more recently, of achieving the "triple aim" as part of national reform. Many states are promoting integration activities as part of Medicaid reform, using different models and strategies. The purpose of this column is to describe a framework developed to support behavioral health integration into primary care settings in New York State and how it is specifically linked to key policy initiatives...
July 17, 2017: Psychiatric Services: a Journal of the American Psychiatric Association
https://www.readbyqxmd.com/read/28712351/bringing-recovery-and-consumers-views-into-the-mainstream-of-mental-health-quality-measurement
#14
Harold A Pincus, Brigitta Spaeth-Rublee, Parashar Pravin Ramanuj
Health policies in the United States and elsewhere are moving to increase accountability of health care systems and providers for providing high-quality, efficient care and driving application of evidence-based improvement strategies. To support these efforts, a "quality measurement industrial complex" has been created to develop, endorse, and apply quality measures that incentivize these behaviors. Parallel to this development in mental health care is an emerging commitment to include recovery orientation approaches in treating serious mental illness...
July 17, 2017: Psychiatric Services: a Journal of the American Psychiatric Association
https://www.readbyqxmd.com/read/28678793/timing-of-femoral-shaft-fracture-fixation-following-major-trauma-a-retrospective-cohort-study-of-united-states-trauma-centers
#15
James P Byrne, Avery B Nathens, David Gomez, Daniel Pincus, Richard J Jenkinson
BACKGROUND: Femoral shaft fractures are common in major trauma. Early definitive fixation, within 24 hours, is feasible in most patients and is associated with improved outcomes. Nonetheless, variability might exist between trauma centers in timeliness of fixation. Such variability could impact outcomes and would therefore represent a target for quality improvement. We evaluated variability in delayed fixation (≥24 hours) between trauma centers participating in the American College of Surgeons (ACS) Trauma Quality Improvement Program (TQIP) and measured the resultant association with important clinical outcomes at the hospital level...
July 2017: PLoS Medicine
https://www.readbyqxmd.com/read/28667040/mitochondrial-iron-accumulation-in-parietal-and-chief-cells-in-iron-pill-gastritis-following-billroth-ii-gastrectomy-case-report-including-electron-microscopic-examination
#16
Khurram Shafique, James L Araujo, Rajesh Veluvolu, Nicholas Cassai, Fidelina Desoto-Lapaix, Matthew R Pincus, Rosemary L Wieczorek
Iron pill gastritis has been shown to be associated with superficial gastric erosion and deposition of iron in lamina propria and gastric antral glands. However, iron absorption in gastric parietal and chief cells is rare. We present a case of a 62-year-old man with iron deficiency anemia. His past medical history is significant for Billroth II surgery. His medications include ferrous sulphate 325mg. Esophagogastroduodenoscopy showed diffuse circumferential abnormal mucosa at the gastro-jejunal anastomosis...
May 2017: Annals of Clinical and Laboratory Science
https://www.readbyqxmd.com/read/28651345/prioritizing-quality-measure-concepts-at-the-interface-of-behavioral-and-physical-healthcare
#17
Harold Alan Pincus, Mingjie Li, Deborah M Scharf, Brigitta Spaeth-Rublee, Matthew L Goldman, Parashar P Ramanuj, Erin K Ferenchick
Objective: Integrated healthcare models can increase access to care, improve healthcare quality, and reduce cost for individuals with behavioral and general medical healthcare needs, yet there are few instruments for measuring the quality of integrated care. In this study, we identified and prioritized concepts that can represent the quality of integrated behavioral health and general medical care. Design: We conducted a literature review to identify candidate measure concepts...
June 23, 2017: International Journal for Quality in Health Care
https://www.readbyqxmd.com/read/28636369/dynamics-of-charged-species-in-ionic-neutral-block-copolymer-and-surfactant-complexes
#18
Jose M Borreguero, Philip A Pincus, Bobby G Sumpter, Monojoy Goswami
Structure-property relationships of ionic block copolymer (BCP) surfactant complexes are critical toward the progress of favorable engineering design of efficient charge-transport materials. In this article, molecular dynamics simulations are used to understand the dynamics of charged-neutral BCP and surfactant complexes. The dynamics are examined for two different systems: charged-neutral double-hydrophilic and hydrophobic-hydrophilic block copolymers with oppositely charged surfactant moieties. The dynamics of the surfactant head, tails, and charges are studied for five different BCP volume fractions...
July 6, 2017: Journal of Physical Chemistry. B
https://www.readbyqxmd.com/read/28627918/development-and-validation-of-the-circumplex-scales-of-interpersonal-problems
#19
Michael J Boudreaux, Daniel J Ozer, Thomas F Oltmanns, Aidan G C Wright
The interpersonal circumplex (IPC) is a well-established model of social behavior that spans basic personality and clinical science. Although several measures are available to assess interpersonal functioning (e.g., motives, traits) within an IPC framework, researchers studying interpersonal difficulties have relied primarily on a single measure, the Inventory of Interpersonal Problems-Circumplex Scales (IIP-C; Horowitz, Alden, Wiggins, & Pincus, 2000). Although the IIP-C is a widely used measure, it is currently the only measure specifically designed to assess maladaptive interpersonal behavior using the IPC framework...
June 19, 2017: Psychological Assessment
https://www.readbyqxmd.com/read/28619746/informal-regionalization-of-pediatric-fracture-care-in-the-greater-toronto-area-a-retrospective-cross-sectional-study
#20
Daniel Pincus, Steven Morrison, Martin F Gargan, Mark W Camp
BACKGROUND: Operative management of pediatric fractures is an expected competency in the specialty of Orthopedic Surgery. However, specialized pediatric centres may be providing care for increasing numbers of patients with fractures previously treated at community hospitals. The primary objective of this study was to examine trends in presentation of children with fractures to a specialized pediatric centre. METHODS: We performed a detailed chart review to examine trends in presentation of children aged 14 years or less with supracondylar humerus or femur fractures to a specialized pediatric centre (Hospital for Sick Children, Toronto) from anywhere in the Greater Toronto Area between Apr...
June 14, 2017: CMAJ Open
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