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https://www.readbyqxmd.com/read/29457577/space-place-and-waiting-time-reflections-on-health-policy-and-politics
#1
Sally Sheard
Health systems have repeatedly addressed concerns about efficiency and equity by employing trans-national comparisons to draw out the strengths and weaknesses of specific policy initiatives. This paper demonstrates the potential for explicit historical analysis of waiting times for hospital treatment to add value to spatial comparative methodologies. Waiting times and the size of the lists of waiting patients have become key operational indicators. In the United Kingdom, as National Health Service (NHS) financial pressures intensified from the 1970s, waiting times have become a topic for regular public and political debate...
February 19, 2018: Health Economics, Policy, and Law
https://www.readbyqxmd.com/read/29457233/market-language-moral-language
#2
Susan Dorr Goold
Those who advocate higher out-of-pocket spending, especially high deductibles, to keep health care costs better controlled without losing quality use market language to talk about how people should think about health care. Consumers-that is, patients-should hunt for bargains. Clip coupons. Shop around. Patients need to have more "skin in the game." Consumer-patients will then choose more carefully and prudently and use less unnecessary health care. Unfailingly, "skin" refers to having money at stake...
January 2018: Hastings Center Report
https://www.readbyqxmd.com/read/29456926/migration-and-child-health-in-moldova-and-georgia
#3
Victor Cebotari, Melissa Siegel, Valentina Mazzucato
There is scarce empirical evidence on the relation between migration and child health in Moldova and Georgia-two post-Soviet countries with large out-migration flows in the region. This study uses nationally representative data collected in 2011-2012 in Moldova ( N = 1601) and Georgia ( N = 1193) to investigate how children's health associates with five transnational characteristics: migrant and return-migrant household types, parental migration and parental divorce, maternal and/or paternal migration and caregiver's identity, the duration of migration, and remittances...
2018: Comparative Migration Studies
https://www.readbyqxmd.com/read/29455746/today-s-decisions-tomorrow-s-outcomes-does-self-control-explain-the-educational-smoking-gradient
#4
Christopher J Holmes
People with more education tend to have relatively healthy lifestyles. Among other things, they smoke less than those with less education. This link between education and smoking (known as the "educational gradient") is frequently interpreted as causal: many researchers argue that education develops skills, habits, and preferences that discourage smoking and other unhealthy behaviors. However, an alternative possibility is that these skills, habits, and preferences develop early in life and determine the likelihood of both attaining a high level of education and avoiding smoking...
February 2018: Social Science Research
https://www.readbyqxmd.com/read/29455745/identifying-diverse-life-transition-patterns-from-adolescence-to-young-adulthood-the-influence-of-early-socioeconomic-context
#5
Tae Kyoung Lee, Kandauda A S Wickrama, Catherine Walker O'Neal, Guillermo Prado
The purposes of the present study are to investigate: (1) the heterogeneity in life transition patterns of youth from adolescence to young adulthood (ages 18-30) involving the timing and sequence of four transition events (college graduation, full-time employment, marriage, and parenthood), (2) the influence of early socioeconomic adversity on life transition patterns from adolescence to young adulthood, and (3) the influence of gender and race/ethnicity on these transition patterns. Using a multivariate discrete-time mixture survival model with a sample of 14,503 adolescents from the National Longitudinal Study of Adolescent to Adult Health (Add Health), the study identified four life transition patterns and found that early socioeconomic adversity shapes disrupted life transition patterns from adolescence to young adulthood...
February 2018: Social Science Research
https://www.readbyqxmd.com/read/29454835/mast-cells-signal-their-importance-in-health-and-disease
#6
EDITORIAL
Ana Olivera, Michael A Beaven, Dean D Metcalfe
FcεRI is the primary receptor in mast cells that mediate allergic reactions by inducing rapid release of mediators, an adaptive immune response that may have evolved as a host defense against parasites and venoms. Yet, it is apparent that mast cells are also activated via non-IgE receptors whose significance is just beginning to be understood. This includes the Mas-related GPCRs (MRGPRX2) that may contribute to reactions to diverse antimicrobials and polybasic compounds, and ADGRE2, an adhesion GPCR which is activated by mechanical vibration and whose variants are associated with familial vibratory urticaria...
February 15, 2018: Journal of Allergy and Clinical Immunology
https://www.readbyqxmd.com/read/29454074/nutraceuticals-as-therapeutic-agents-for-atherosclerosis
#7
REVIEW
Joe W E Moss, Jessica O Williams, Dipak P Ramji
Atherosclerosis, a chronic inflammatory disorder of medium and large arteries and an underlying cause of cardiovascular disease (CVD), is responsible for a third of all global deaths. Current treatments for CVD, such as optimized statin therapy, are associated with considerable residual risk and several side effects in some patients. The outcome of research on the identification of alternative pharmaceutical agents for the treatment of CVD has been relatively disappointing with many promising leads failing at the clinical level...
February 14, 2018: Biochimica et Biophysica Acta
https://www.readbyqxmd.com/read/29454034/add-on-high-frequency-deep-transcranial-magnetic-stimulation-dtms-to-bilateral-prefrontal-cortex-in-depressive-episodes-of-patients-with-major-depressive-disorder-bipolar-disorder-i-and-major-depressive-with-alcohol-use-disorders
#8
Chiara Rapinesi, Georgios D Kotzalidis, Stefano Ferracuti, Nicoletta Girardi, Abraham Zangen, Gabriele Sani, Ruggero N Raccah, Paolo Girardi, Maurizio Pompili, Antonio Del Casale
BACKGROUND: Dorsolateral prefrontal cortex (DLPFC) is critically involved in mood and alcohol use disorders. OBJECTIVE: We aimed to investigate the safety of intervention with add-on bilateral prefrontal high-frequency deep transcranial magnetic stimulation (dTMS) and between-group differences in treatment response in patients with different types of depressive episodes, including major depressive episodes in the course of major depressive disorder (MDD), bipolar disorder, type I (BD-I), and MDD with alcohol use disorder (MDAUD)...
February 14, 2018: Neuroscience Letters
https://www.readbyqxmd.com/read/29450600/sexual-orientation-disparities-in-the-co-occurrence-of-substance-use-and-psychological-distress-a-national-population-based-study-2008-2015
#9
Richard Bränström, John E Pachankis
PURPOSE: Although strong evidence documents the elevated prevalence of both substance use and mental health problems among sexual minorities (i.e., gay, lesbian, and bisexuals), relatively less research has examined whether risk of the co-occurrence of these factors is elevated among sexual minorities compared to heterosexuals. The object of this study was to (1) explore sexual orientation-based differences in substance use, psychological distress, and their co-occurrence in a representative sample in Sweden, and (2) examine if greater exposure to stressors, such as discrimination, victimization/threats, and social isolation, could explain these potential disparities and their co-occurrence...
February 15, 2018: Social Psychiatry and Psychiatric Epidemiology
https://www.readbyqxmd.com/read/29449819/knowledge-is-power-for-medical-assistants-crystallized-and-fluid-intelligence-as-predictors-of-vocational-knowledge
#10
Anne Moehring, Ulrich Schroeders, Oliver Wilhelm
Medical education research has focused almost entirely on the education of future physicians. In comparison, findings on other health-related occupations, such as medical assistants, are scarce. With the current study, we wanted to examine the knowledge-is-power hypothesis in a real life educational setting and add to the sparse literature on medical assistants. Acquisition of vocational knowledge in vocational education and training (VET) was examined for medical assistant students ( n = 448). Differences in domain-specific vocational knowledge were predicted by crystallized and fluid intelligence in the course of VET...
2018: Frontiers in Psychology
https://www.readbyqxmd.com/read/29448812/a-qualitative-examination-of-parent-engagement-in-a-family-based-childhood-obesity-program
#11
Emily A Schmied, Emmeline Chuang, Hala Madanat, Jamie Moody, Leticia Ibarra, Kenia Ortiz, Karla Macias, Guadalupe X Ayala
Low parent engagement is frequently identified as a barrier to effective implementation of family-based childhood obesity prevention and control programs. A more nuanced understanding of factors affecting parent engagement is important for improving implementation and, ultimately, program efficacy. This qualitative study examined factors influencing parent engagement in a family-based childhood obesity prevention and control program. Semistructured interviews informed by the health belief model and the transtheoretical model were conducted with 22 predominantly Latina mothers following the scheduled conclusion of program activities...
February 1, 2018: Health Promotion Practice
https://www.readbyqxmd.com/read/29447024/microbiology-and-clinical-outcomes-of-puerperal-sepsis-a-prospective-cohort-study
#12
Rumbidzai Majangara, Muchabayiwa Francis Gidiri, Zvavahera Mike Chirenje
The objectives of this study were to determine the identity and antibacterial susceptibility profiles of bacteria colonising the female genital tract and blood stream and their association with clinical outcomes in women with puerperal sepsis. A prospective descriptive cohort study was conducted at two tertiary hospitals in Zimbabwe. Endocervical swabs and blood were collected for culture and susceptibility testing from 151 consecutive women who met the World Health Organisation criteria for puerperal sepsis...
February 15, 2018: Journal of Obstetrics and Gynaecology: the Journal of the Institute of Obstetrics and Gynaecology
https://www.readbyqxmd.com/read/29445938/mental-health-of-homeless-youth-moderation-by-peer-victimization-and-teacher-support
#13
Jenna M Armstrong, Caitlyn R Owens, Mary E Haskett
The link between youth homelessness and mental health functioning was examined using state population-representative 2015 Youth Risk Behavior Survey (YRBS) data. The moderating role of victimization and perceived teacher support also was examined. Consistent with hypotheses, results indicated that homelessness was associated with greater mental health challenges, more victimization, and less teacher support. The association between homelessness and mental health was not moderated by perceived teacher support...
February 14, 2018: Child Psychiatry and Human Development
https://www.readbyqxmd.com/read/29444230/social-movement-involvement-and-healthy-diet-and-activity-behaviors-among-us-adults
#14
Elizabeth A Emley, Dara R Musher-Eizenman
Unhealthy lifestyle behaviors, namely poor diet and inadequate physical activity, significantly contribute to poor health and obesity risk, which in turn impact chronic illness outcomes. A possible approach to improving these health behaviors and subsequent outcomes is to capitalize on the theorized link between social movement involvement and overlapping health behaviors. Social movement involvement may be a viable stealth intervention for health, utilizing intrinsic motivators to improve health without an explicit focus on changing health behavior...
February 12, 2018: Health Promotion International
https://www.readbyqxmd.com/read/29443863/trauma-induced-insurance-instability-variation-in-insurance-coverage-for-patients-who-experience-readmission-after-injury
#15
Charlotte M Rajasingh, Thomas G Weiser, Lisa M Knowlton, Lakshika Tennakoon, David A Spain, Kristan L Staudenmayer
INTRODUCTION: Traumatic injuries result in a significant disruption to patients' lives, including their ability to work, which may place patients at risk of losing insurance coverage. Our objective was to evaluate the impact of injury on insurance status. We hypothesized that trauma patients with ongoing health needs experience changes in coverage. METHODS: We used the Nationwide Readmission Database (2013-2014), a nationally representative sample of readmissions in the United States...
February 13, 2018: Journal of Trauma and Acute Care Surgery
https://www.readbyqxmd.com/read/29440034/subclinical-compromise-in-cardiac-strain-relates-to-lower-cognitive-performances-in-older-adults
#16
Hailey A Kresge, Omair A Khan, Madison A Wagener, Dandan Liu, James G Terry, Sangeeta Nair, Francis E Cambronero, Katherine A Gifford, Katie E Osborn, Timothy J Hohman, Kimberly R Pechman, Susan P Bell, Thomas J Wang, John Jeffrey Carr, Angela L Jefferson
BACKGROUND: Global longitudinal strain (GLS), reflecting total shortening of the myocardium during the cardiac cycle, has emerged as a more precise myocardial function measure than left ventricular ejection fraction (LVEF). Longitudinal strain may be selectively affected in subclinical heart disease, even in the presence of normal LVEF. This study examines subclinical cardiac dysfunction, assessed by GLS and LVEF, and cognition among older adults. METHODS AND RESULTS: Vanderbilt Memory and Aging Project participants who were free of clinical dementia, stroke, and heart failure (n=318, 73±7 years, 58% male) completed neuropsychological assessment and cardiac magnetic resonance to quantify GLS and LVEF...
February 13, 2018: Journal of the American Heart Association
https://www.readbyqxmd.com/read/29438878/crushing-hope-short-term-responses-to-tragedy-vary-by-hopefulness
#17
Jason Fletcher
This paper explores the consequences of hopefulness when the environment changes. Much literature has documented the importance of a positive outlook in pursuing investments in health and education that pay off in the future. A question that has received less attention is whether a positive outlook creates resilience in the face of setbacks or whether a positive outlook may be a disadvantage in extreme circumstances, especially when there is a large mismatch between expectations and reality. This paper uses the coincidental interview schedule of the Add Health data (N = 15,024) around the terrorist attack of September 11, 2001 to examine interactions with this environmental shock and previously elicited measures of hopefulness...
January 31, 2018: Social Science & Medicine
https://www.readbyqxmd.com/read/29436699/-bipolar-disorder-and-alcohol-use-disorder-practical-recommendations-for-treatment-based-on-a-literature-review
#18
A T Spijker, J van Zaane, M A Koenders, R Hoekstra, R W Kupka
A fairly large proportion (25-50%) of patients with bipolar disorder (bd) also suffer from comorbid alcohol use disorder (aud). However, little is known how this type of morbidity should be treated. It is also unclear whether the current guidelines on bd have been influenced by aud.<br/> AIM: To provide an overview of recent literature concerning the diagnosis and treatment of comorbid bd and aud.<br/> METHOD: We systematically reviewed studies that have addressed three treatment options for this group of patients: pharmaco-therapy, psychological interventions and self-management techniques...
2018: Tijdschrift Voor Psychiatrie
https://www.readbyqxmd.com/read/29435982/nitrate-in-drinking-water-and-colorectal-cancer-risk-a-nationwide-population-based-cohort-study
#19
Jörg Schullehner, Birgitte Hansen, Malene Thygesen, Carsten B Pedersen, Torben Sigsgaard
Nitrate in drinking water may increase risk of colorectal cancer due to endogenous transformation into carcinogenic N-nitroso compounds. Epidemiological studies are few and often challenged by their limited ability of estimating long-term exposure on a detailed individual level. We exploited population-based health register data, linked in time and space with longitudinal drinking water quality data, on an individual level to study the association between long-term drinking water nitrate exposure and colorectal cancer (CRC) risk...
February 13, 2018: International Journal of Cancer. Journal International du Cancer
https://www.readbyqxmd.com/read/29434532/reflections-on-the-ethics-of-participatory-visual-methods-to-engage-communities-in-global-health-research
#20
Gillian F Black, Alun Davies, Dalia Iskander, Mary Chambers
There is a growing body of literature describing conceptual frameworks for working with participatory visual methods (PVM). Through a global health lens, this paper examines some key themes within these frameworks. We reflect on our experiences of working with with an array of PVM to engage community members in Vietnam, Kenya, the Philippines and South Africa in biomedical research and public health. The participants that we have engaged in these processes live in under-resourced areas with high prevalence of communicable and non-communicable diseases...
2018: Global Bioethics, Problemi di Bioetica
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