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https://www.readbyqxmd.com/read/29438192/changes-in-health-insurance-coverage-associated-with-the-affordable-care-act-among-adults-with-and-without-a-cancer-history-population-based-national-estimates
#1
Amy J Davidoff, Gery P Guy, Xin Hu, Felisa Gonzales, Xuesong Han, Zhiyuan Zheng, Helen Parsons, Donatus U Ekwueme, Ahmedin Jemal
BACKGROUND: The Affordable Care Act (ACA) improved health care coverage accessibility by expanding Medicaid eligibility, creating insurance Marketplaces, and subsidizing premiums. We examine coverage changes associated with ACA implementation, comparing adults with and without a cancer history. METHODS: We included nonelderly adults from the 2012 to 2015 National Health Interview Survey. Using information on state Medicaid policies (2013), expansion decisions (2015), family structure, income, insurance offers, and current coverage, we assigned adults in all 4 years to mutually exclusive eligibility categories including: Medicaid-eligible pre-ACA; expansion eligible for Medicaid; and Marketplace premium subsidy eligible...
March 2018: Medical Care
https://www.readbyqxmd.com/read/29435997/coronary-venous-angioplasty-to-facilitate-trans-venous-left-ventricular-lead-placement-a-single-center-13-year-experience
#2
Aaron B Hesselson, Sandeep Duggal, Michael Rukavina, Peter L Gallagher, Gery F Tomassoni
BACKGROUND: Barriers to successful left ventricular lead placement within the coronary venous anatomy may include focal stenoses, thromboses, phrenic nerve stimulation, vessel tortuosity, small vessel caliber, non-excitable tissue and valve presence. A large series describing the utilization of coronary venous angioplasty (CVAP) for relief of these issues is absent in the literature. OBJECTIVE: We report our experience for all patients treated with CVAP in a single-center 13-year experience...
February 12, 2018: Pacing and Clinical Electrophysiology: PACE
https://www.readbyqxmd.com/read/29428789/-re-irradiation-of-head-and-neck-cancers-target-volumes-technical-evolutions-and-prospects
#3
R Kinj, K Bénézery, C Florescu, B Gery, J L Habrand, J Thariat
Malignant tumors of the head and neck have a predominantly regional recurrence pattern, with most deaths resulting from this progression. Optimization of re-radiation in recurrence setting is a major objective for these patients. Extensive research has been carried out with the PubMed search engine to find publications dealing with this topic. The first attempts to reirradiate the ORL sphere date back to the 1980s and the first to be performed by intensity modulation conformational radiotherapy (IMRT) date back to the late 1990s...
February 7, 2018: Cancer Radiothérapie: Journal de la Société Française de Radiothérapie Oncologique
https://www.readbyqxmd.com/read/29416970/combined-anterior-cruciate-ligament-and-medial-collateral-ligament-reconstruction-using-a-single-achilles-tendon-allograft
#4
Robert A Gallo, Gery Kozlansky, Nicholas Bonazza, Russell F Warren
Approaches to management of combined anterior cruciate ligament (ACL) and high-grade medial collateral ligament (MCL) injuries remain controversial. Some studies suggest that with grade III MCL injuries, patients may benefit from concurrent MCL reconstruction to restore stability and prevent increased stress on the ACL graft. We present a technique for simultaneous ACL/MCL reconstructions using a single Achilles tendon allograft.
October 2017: Arthroscopy Techniques
https://www.readbyqxmd.com/read/29413238/should-we-perform-an-immediate-coronary-angiogram-in-all-patients-after%C3%A2-cardiac-arrest-insights-from-a-large-french-registry
#5
Wulfran Bougouin, Florence Dumas, Nicole Karam, Carole Maupain, Eloi Marijon, Lionel Lamhaut, Daniel Jost, Guillaume Geri, Frankie Beganton, Olivier Varenne, Christian Spaulding, Xavier Jouven, Alain Cariou
OBJECTIVES: This study sought to assess the relationship between an immediate invasive strategy and survival after an out-of-hospital cardiac arrest (OHCA) of presumed cardiac cause, according to prognosis evaluated on hospital arrival. BACKGROUND: An immediate coronary angiogram (CAG) may be associated with better outcome after OHCA in neurologically preserved patients but could be futile in other cases. METHODS: From May 2011 to May 2015, we collected data for all patients admitted in hospital after OHCA in Paris and its suburbs (France)...
February 12, 2018: JACC. Cardiovascular Interventions
https://www.readbyqxmd.com/read/29410461/in-silico-clinical-trials-for-pediatric-orphan-diseases
#6
A Carlier, A Vasilevich, M Marechal, J de Boer, L Geris
To date poor treatment options are available for patients with congenital pseudarthrosis of the tibia (CPT), a pediatric orphan disease. In this study we have performed an in silico clinical trial on 200 virtual subjects, generated from a previously established model of murine bone regeneration, to tackle the challenges associated with the small, pediatric patient population. Each virtual subject was simulated to receive no treatment and bone morphogenetic protein (BMP) treatment. We have shown that the degree of severity of CPT is significantly reduced with BMP treatment, although the effect is highly subject-specific...
February 6, 2018: Scientific Reports
https://www.readbyqxmd.com/read/29397279/cost-of-tobacco-related-cancer-hospitalizations-in-the-u-s-2014
#7
Eric W Tai, Gery P Guy, C Brooke Steele, S Jane Henley, Michael S Gallaway, Lisa C Richardson
INTRODUCTION: Smoking has been causally linked to 12 tobacco-related cancers: oral cavity and pharynx, esophagus, stomach, colon and rectum, liver, pancreas, larynx, lung, cervix, bladder, kidney, and acute myeloid leukemia. Tobacco-related cancers-related morbidity and mortality have been well described, but little is known about the prevalence of tobacco-related cancer hospitalizations and associated costs. This study estimates the annual number of tobacco-related cancer hospitalizations and their associated direct medical costs in the U...
January 31, 2018: American Journal of Preventive Medicine
https://www.readbyqxmd.com/read/29390999/organizational-factors-associated-with-readiness-for-change-in-residential-aged-care-settings
#8
Kathryn von Treuer, Gery Karantzas, Marita McCabe, David Mellor, Anastasia Konis, Tanya E Davison, Daniel O'Connor
BACKGROUND: Organizational change is inevitable in any workplace. Previous research has shown that leadership and a number of organizational climate and contextual variables can affect the adoption of change initiatives. The effect of these workplace variables is particularly important in stressful work sectors such as aged care where employees work with challenging older clients who frequently exhibit dementia and depression. METHODS: This study sought to examine the effect of organizational climate and leadership variables on organizational readiness for change across 21 residential aged care facilities...
February 1, 2018: BMC Health Services Research
https://www.readbyqxmd.com/read/29390104/incidence-of-colorectal-cancer-and-extracolonic-cancers-in-veteran-patients-with-inflammatory-bowel-disease
#9
Christina A Mosher, Geri R Brown, Rick A Weideman, Terri W Crook, Daisha J Cipher, Stuart J Spechler, Linda A Feagins
Background: The risk for colorectal cancer (CRC) and certain extracolonic cancers is thought to be increased in inflammatory bowel disease (IBD), but few recent US studies have evaluated this issue. We aimed to estimate the incidence of CRC and extracolonic cancers in IBD patients. Methods: In this case-control study, cases were all IBD patients treated in our Department of Veterans Affairs (VA) hospital who developed CRC or extracolonic cancers between 1996 and 2015...
January 30, 2018: Inflammatory Bowel Diseases
https://www.readbyqxmd.com/read/29389155/hiv-risk-reduction-intervention-for-juvenile-offenders-on-probation-the-phat-life-group-randomized-controlled-trial
#10
Geri Donenberg, Erin Emerson, Ashley D Kendall
OBJECTIVE: Juvenile offenders report high rates of sexual risk taking, increasing the possibility of HIV. This 2-arm group randomized controlled trial tested the efficacy of PHAT Life, a sexual risk reduction program, compared with a time-matched health promotion program for youth on probation. METHOD: Male and female 13- to 17-year-olds (M = 16.08; SD = 1.09) recently arrested and placed on probation at an Evening Reporting Center were eligible for the study. Youth were 66% male, and 90% African American...
February 1, 2018: Health Psychology: Official Journal of the Division of Health Psychology, American Psychological Association
https://www.readbyqxmd.com/read/29374440/in-silico-methods-computational-alternatives-to-animal-testing
#11
EDITORIAL
Annemarie Lang, Andrea Volkamer, Laura Behm, Susanna Röblitz, Rainald Ehrig, Marlon Schneider, Liesbet Geris, Joerg Wichard, Frank Buttgereit
No abstract text is available yet for this article.
2018: ALTEX
https://www.readbyqxmd.com/read/29369866/opioid-prescribing-in-the-united-states
#12
Gery P Guy, Ruth A Shults
Evidence-based information for nurses on the risks and benefits of prescription opioids.
February 2018: American Journal of Nursing
https://www.readbyqxmd.com/read/29356854/limited-value-of-end-expiratory-inferior-vena-cava-diameter-to-predict-fluid-responsiveness-impact-of-intra-abdominal-pressure
#13
Antoine Vieillard-Baron, Bruno Evrard, Xavier Repessé, Julien Maizel, Christophe Jacob, Marine Goudelin, Cyril Charron, Gwenaël Prat, Michel Slama, Guillaume Geri, Philippe Vignon
PURPOSE: We sought to determine the diagnostic ability of the end-expiratory inferior vena cava diameter (IVCEE) to predict fluid responsiveness (FR) and the potential confounding effect of intra-abdominal pressure (IAP). METHODS: In this multicenter study, 540 consecutive ventilated patients with shock of various origins underwent an echocardiographic assessment by experts. The IVCEE, velocity time integral (VTI) of the left ventricular outflow tract (LVOT) and intra-abdominal pressure (IAP) were measured...
January 22, 2018: Intensive Care Medicine
https://www.readbyqxmd.com/read/29356849/en-route-to-the-liver-an-fishbone-s-unexpected-journey
#14
Marine Lemaître, Dominique Cabral, Elsa Salomon, Guillaume Geri
No abstract text is available yet for this article.
January 22, 2018: Intensive Care Medicine
https://www.readbyqxmd.com/read/29324945/health-advocacy-by-nurses-in-the-family-health-strategy-barriers-and-facilitators
#15
Aline Belletti Figueira, Edison Luiz Devos Barlem, Simone Coelho Amestoy, Rosemary Silva da Silveira, Jamila Geri Tomaschewski-Barlem, Aline Marcelino Ramos
OBJECTIVE: Identify the barriers and facilitators of health advocacy to users delivered by nurses from the Family Health Strategy. METHOD: Qualitative study carried out with nurses from the Family Health Strategy of a city in the south of Brazil. Study participants were 15 nurses, who were interviewed. The content of the interviews was recorded, transcribed and analyzed in the light of the discursive text analysis. RESULTS: Two categories emerged, one about the lack of organization at the workplace, bureaucracy and limitations to professional work in health environments, and another about the facilitating aspects to exercise advocacy both individually and collectively...
January 2018: Revista Brasileira de Enfermagem
https://www.readbyqxmd.com/read/29320615/an-intervertebral-disc-whole-organ-culture-system-to-investigate-proinflammatory-and-degenerative-disc-disease-condition
#16
Gernot Lang, Yishan Liu, Janna Geries, Zhiyu Zhou, David Kubosch, Norbert Südkamp, R Geoff Richards, Mauro Alini, Sibylle Grad, Zhen Li
OBJECTIVE: The aim of this study was to compare the effect of different disease initiators of degenerative disc disease (DDD) within an intervertebral disc (IVD) organ culture system, and to understand the interplay between inflammation and degeneration in the early stage of DDD. DESIGN: Bovine caudal IVDs were cultured within a bioreactor for up to 11 days. Control group was cultured under physiological loading (0.02-0.2 MPa; 0.2 Hz; 2h/day) and high glucose (4...
January 10, 2018: Journal of Tissue Engineering and Regenerative Medicine
https://www.readbyqxmd.com/read/29317190/normal-pelvic-ultrasound-or-mri-does-not-rule-out-neoplasm-in-patients-with-gonadal-dysgenesis-and-y-chromosome-material
#17
Kristin M Ebert, Geri D Hewitt, Justin A Indyk, Katherine A McCracken, Leena Nahata, Venkata R Jayanthi
INTRODUCTION: Patients with gonadal dysgenesis (GD) with a Y chromosome have an increased risk of gonadal neoplasm. Few data exist on the ability of imaging to detect malignancy in intra-abdominal gonads in these patients. OBJECTIVE: We aimed to determine the correlation between preoperative imaging findings and gonadal pathology in GD patients with Y chromosome material. METHODS: A retrospective review was performed of patients with XY or XO/XY GD who underwent gonadectomy at our institution from 2003 to 2017...
December 23, 2017: Journal of Pediatric Urology
https://www.readbyqxmd.com/read/29309224/community-benefit-spending-by-tax-exempt-hospitals-changed-little-after-aca
#18
Gary J Young, Stephen Flaherty, E David Zepeda, Simone Rauscher Singh, Geri Rosen Cramer
Provisions of the Affordable Care Act (ACA) encouraged tax-exempt hospitals to invest broadly in community health benefits. Four years after the ACA's enactment, hospitals had increased their average spending for all community benefits by 0.5 percentage point, from 7.6 percent of their operating expenses in 2010 to 8.1 percent in 2014.
January 2018: Health Affairs
https://www.readbyqxmd.com/read/29306094/simultaneous-three-dimensional-visualization-of-mineralized-and-soft-skeletal-tissues-by-a-novel-microct-contrast-agent-with-polyoxometalate-structure
#19
Greet Kerckhofs, Steve Stegen, Nick van Gastel, Annelies Sap, Guillaume Falgayrac, Guillaume Penel, Marjorie Durand, Frank P Luyten, Liesbet Geris, Katleen Vandamme, Tatjana Parac-Vogt, Geert Carmeliet
Biological tissues have a complex and heterogeneous 3D structure, which is only partially revealed by standard histomorphometry in 2D. We here present a novel chemical compound for contrast-enhanced microfocus computed tomography (CE-CT), a Hafnium-based Wells-Dawson polyoxometalate (Hf-POM), which allows simultaneous 3D visualization of mineralized and non-mineralized skeletal tissues, such as mineralized bone and bone marrow vasculature and adipocytes. We validated the novel contrast agent, which has a neutral pH in solution, by detailed comparison with (immuno)histology on murine long bones as blueprint, and showed that Hf-POM-based CE-CT can be used for virtual 3D histology...
December 22, 2017: Biomaterials
https://www.readbyqxmd.com/read/29300099/sexual-risk-among-african-american-girls-seeking-psychiatric-care-a-social-personal-framework
#20
Geri Donenberg, Erin Emerson, Mary Ellen Mackesy-Amiti, Faith Fletcher
OBJECTIVE: This study examined individual and social factors associated with sexual risk behavior among African American girls seeking outpatient mental health services across 2 years and key developmental transitions. METHOD: African American females 12-16 years old (M = 14.5; SD = 1.15; n = 266) were recruited from eight outpatient mental health clinics and completed interviewer-administered and computer-assisted measures at baseline, 12, and 24 months. Analyses tested individual attributes (externalizing and internalizing problems) and family context (maternal acceptance-rejection, mother-daughter communication about sex) at baseline, peer influences (peer support of substance use, girlfriend dating behavior) and partner relationship characteristics (rejection sensitivity, partner risk communication frequency and openness) at 12 months, and girls' sexual behavior at 24 months...
January 2018: Journal of Consulting and Clinical Psychology
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