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https://www.readbyqxmd.com/read/28810345/-commentary-on-self-compiled-teaching-materialsby-singapore-chinese-physician-training-college
#1
S H Chen, H X Cai
The Singapore Chinese Physician Training College has been playing a role in the development of traditional Chinese medicine (TCM) and the training of TCM talents in modern and contemporary Singapore not to be ignored. Due to the limitations of the objective condition, the College had to creatively compile by themselves 115 volumes of teaching materials with rather complete subjects, which did pay attention to applying theory to practice, ran through the thought of Chinese integrating with western medicine, and is of literature and cultural significance...
May 28, 2017: Zhonghua Yi Shi za Zhi, Chinese Journal of Medical History
https://www.readbyqxmd.com/read/28809954/the-burden-of-septic-arthritis-on-the-u-s-inpatient-care-a-national-study
#2
Jasvinder A Singh, Shaohua Yu
OBJECTIVE: To assess the health care burden of septic arthritis in the U.S. and examine the associated factors. METHODS: We used the U.S. Nationwide Emergency Department Sample (NEDS) data of patients hospitalized with septic arthritis as the primary diagnosis from 2009-12 to assess time-trends. Multivariable-adjusted models assessed demographics, comorbidity and hospital characteristics as potential predictors of duration of hospitalization, total hospital (inpatient and ED) charges and discharge to home...
2017: PloS One
https://www.readbyqxmd.com/read/28806734/mental-health-among-single-and-partnered-parents-in-south-korea
#3
Kyoung Ae Kong, Hee Yeon Choi, Soo In Kim
OBJECTIVE: This study compares the mental health of single parents relative to partnered parents and assesses the contribution of the social and demographic factors to this difference, examining the gender difference in it. METHODS: We analyzed 12,024 single and partnered subjects, aged 30-59 years, living with children, aged 0-19 years, drawn from the 4th, 5th, and 6th Korea National Health and Nutrition Examination Survey (KNHANES) dataset in South Korea conducted from 2007-2013...
2017: PloS One
https://www.readbyqxmd.com/read/28805985/willingness-to-pay-for-antiretroviral-drugs-among-hiv-and-aids-clients-in-south-east-nigeria
#4
Chinyere Mbachu, Chijioke Okoli, Obinna Onwujekwe, Fabian Enabulele
BACKGROUND: The current trend of withdrawal of donor support for HIV/AIDS treatment in Nigeria may require that the cost of antiretroviral drugs be borne in part by infected people and their families. OBJECTIVE: This study was conducted to determine the economic value for free antiretroviral drugs (ARVs) expressed by clients receiving treatment for HIV/AIDS in a tertiary hospital. STUDY METHOD: The contingent valuation method was used to elicit the values attached to free ARVs from people living with HIV/AIDS that were receiving care in a public tertiary hospital in south-east Nigeria...
August 14, 2017: Health Expectations: An International Journal of Public Participation in Health Care and Health Policy
https://www.readbyqxmd.com/read/28805431/disentangling-the-effects-of-serotonin-on-risk-perception-s-carriers-of-5-httlpr-are-primarily-concerned-with-the-magnitude-of-the-outcomes-not-the-uncertainty
#5
Philip Millroth, Peter Juslin, Elias Eriksson, Thomas Agren
Serotonin signaling is vital for reward processing, and hence, also for decision-making. The serotonin transporter gene linked polymorphic region (5-HTTLPR) has been connected to decision making, suggesting that short-allele carriers (s) are more risk averse than long-allele homozygotes (ll). However, previous research has not identified if this occurs because s-carriers (i) are more sensitive to the uncertainty of the outcomes or (ii) are more sensitive to the magnitude of the outcomes. This issue was disentangled using a willingness-to-pay task, where the participants evaluated prospects involving certain gains, uncertain gains, and ambiguous gains...
August 14, 2017: Behavioral Neuroscience
https://www.readbyqxmd.com/read/28799197/cost-effectiveness-of-the-family-nurse-partnership-fnp-programme-in-england-evidence-from-the-building-blocks-trial
#6
Belen Corbacho, Kerry Bell, Eugena Stamuli, Gerry Richardson, Sarah Ronaldson, Kerenza Hood, Julia Sanders, Michael Robling, David Torgerson
RATIONAL, AIMS, AND OBJECTIVES: The Family Nurse Partnership (FNP) is a licensed intensive home visiting intervention developed in the United States. It has been provided in England by the Department of Health since 2006. The Building Blocks trial assessed the effectiveness and cost-effectiveness of FNP in England. METHODS: We performed a cost-utility analysis (National Health Service (NHS) perspective) alongside the Building Blocks trial (over 2.5 y). The analysis was conducted in accordance with National Institute for Health and Clinical Excellence (NICE) reference case standards...
August 11, 2017: Journal of Evaluation in Clinical Practice
https://www.readbyqxmd.com/read/28796678/socioeconomic-status-as-a-risk-factor-for-unintended-pregnancy-in-the-contraceptive-choice-project
#7
Abigail Iseyemi, Qiuhong Zhao, Colleen McNicholas, Jeffrey F Peipert
OBJECTIVE: To evaluate the association of low socioeconomic status as an independent risk factor for unintended pregnancy. METHODS: We performed a secondary analysis of data from the Contraceptive CHOICE project. Between 2007 and 2011, 9,256 participants were recruited and followed for up to 3 years. The primary outcome of interest was unintended pregnancy; the primary exposure variable was low socioeconomic status, defined as self-report of either receiving public assistance or having difficulty paying for basic necessities...
August 4, 2017: Obstetrics and Gynecology
https://www.readbyqxmd.com/read/28791281/orthodontic-treatment-completion-and-discontinuation-in-a-rural-sample-from-north-central-appalachia-in-the-usa
#8
Chris A Martin, Breana M Dieringer, Daniel W McNeil
BACKGROUND: Orthodontics has inherent demands, requiring regular appointments and active patient engagement, but relatively little is established in regard to rates of completion of treatment and possible factors affecting successful completion. These factors may be particularly important for cultural minority groups, such as those in rural Appalachia, given the environmental, social, and economic complexities affecting access to and utilization of treatment. DESIGN AND METHODS: A naturalistic study design was employed, using retrospective data from a rural outpatient general dental office in July 2012...
2017: Frontiers in Public Health
https://www.readbyqxmd.com/read/28782599/ascertainment-of-unmet-needs-and-participation-in-health-maintenance-and-screening-of-adult-hematopoietic-cell-transplantation-hct-survivors-followed-in-a-formal-survivorship-program
#9
Theresa Hahn, Pamela Paplham, Tammy Austin-Ketch, Yali Zhang, Jennifer Grimmer, Michael Burns, Sophia Balderman, Maureen Ross, Philip L McCarthy
This study aimed to ascertain unmet needs in autologous and allogeneic HCT recipients actively followed in an established long-term survivorship clinic at Roswell Park Cancer Institute from 2006-2012. The Survivor Unmet Needs Survey (SUNS) was mailed to 209 eligible patients and returned by 110 (53% participation rate). SUNS includes 89-items covering 5 domains: Emotional Health, Access and Continuity of Care, Relationships, Financial Concerns, and Information. The top five specific unmet needs for autologous HCT patients were: inability to set future goals/long-term plans; changes in appearance; bad memory/lacking focus; losing confidence in abilities; paying household or other bills...
August 4, 2017: Biology of Blood and Marrow Transplantation
https://www.readbyqxmd.com/read/28771602/affordable-care-act-and-healthcare-delivery-a-comparison-of-california-and-florida-hospitals-and-emergency-departments
#10
Monique T Barakat, Aditi Mithal, Robert J Huang, Alka Mithal, Amrita Sehgal, Subhas Banerjee, Gurkirpal Singh
IMPORTANCE: The Affordable Care Act (ACA) has expanded access to health insurance for millions of Americans, but the impact of Medicaid expansion on healthcare delivery and utilization remains uncertain. OBJECTIVE: To determine the early impact of the Medicaid expansion component of ACA on hospital and ED utilization in California, a state that implemented the Medicaid expansion component of ACA and Florida, a state that did not. DESIGN: Analyze all ED encounters and hospitalizations in California and Florida from 2009 to 2014 and evaluate trends by payer and diagnostic category...
2017: PloS One
https://www.readbyqxmd.com/read/28771076/demand-for-pre-exposure-prophylaxis-for-hiv-and-the-impact-on-clinical-services-scottish-men-who-have-sex-with-men-perspectives
#11
R I Gilson, D J Clutterbuck, Z E Chen
There is a lack of data on ability and willingness of men who have sex with men (MSM) to self-fund HIV pre-exposure prophylaxis (PrEP). We aimed to explore how many eligible (PROUD study criteria) men may want PrEP and how many lower-risk MSM would be willing and able to self-fund this intervention. A self-completed anonymous questionnaire was distributed to MSM populations attending services. Of 377 participants, 81.5% were aware of PrEP. Fifty-three (15.5 %) were eligible, of whom 43 (81%) were very/extremely likely to want it...
January 1, 2017: International Journal of STD & AIDS
https://www.readbyqxmd.com/read/28767585/pent-up-demand-for-surgery-in-the-manaus-metropolitan-region-a-population-based-cross-sectional-study
#12
Priscila Gusmão da Silva Ferreira, Tais Freire Galvao, Marcus Tolentino Silva
Waiting lines in healthcare reflect an imbalance between the availability and the demand for medical services. This study aimed to analyze the prevalence and factors associated with the pent-up demand for surgical procedures in the Manaus metropolitan region.We performed a population-based cross-sectional study in 2015. Pent-up demand was based on self-report by the participants; those who reported waiting were contacted by phone to clarify the nature and reasons for the experienced delay.We interviewed 4001 adults in their households...
August 2017: Medicine (Baltimore)
https://www.readbyqxmd.com/read/28765710/cost-utility-of-collaborative-care-for-the-treatment-of-comorbid-major-depressive-disorder-in-outpatients-with-chronic-physical-conditions-a-randomized-controlled-trial-in-the-general-hospital-setting-cc-dim
#13
Maartje Goorden, Christina M van der Feltz-Cornelis, Kirsten M van Steenbergen-Weijenburg, Eva K Horn, Aartjan Tf Beekman, Leona Hakkaart-van Roijen
PURPOSE: Major depressive disorder (MDD) is highly prevalent in patients with a chronic physical condition, and this comorbidity has a negative influence on quality of life, health care costs, self-care, morbidity, and mortality. Research has shown that collaborative care (CC) may be a cost-effective treatment. However, its cost-effectiveness in this patient group has not yet been established. Therefore, the aim of this study was to evaluate the cost-utility of CC for the treatment of comorbid MDD in chronically ill patients in the outpatient general hospital setting...
2017: Neuropsychiatric Disease and Treatment
https://www.readbyqxmd.com/read/28764679/economic-evaluation-of-stepped-care-versus-usual-care-for-depression-and-anxiety-in-older-adults-with-vision-impairment-randomized-controlled-trial
#14
Hilde P A van der Aa, Ger H M B van Rens, Judith E Bosmans, Hannie C Comijs, Ruth M A van Nispen
BACKGROUND: A stepped-care program was found effective in preventing depressive and anxiety disorders in older adults with vision impairment. However, before a decision can be made about implementation, the cost-effectiveness of this program should be investigated. Therefore, we aimed to compare the cost-effectiveness of stepped-care versus usual care within low vision rehabilitation. METHODS: An economic evaluation from a societal perspective was performed alongside a multicenter randomized controlled trial...
August 1, 2017: BMC Psychiatry
https://www.readbyqxmd.com/read/28761335/primary-care-patients-expectations-regarding-medical-appointments-and-their-experiences-during-a-visit-does-age-matter
#15
Mariusz Jaworski, Marta Rzadkiewicz, Miroslawa Adamus, Joanna Chylinska, Magdalena Lazarewicz, Gørill Haugan, Monica Lillefjell, Geir Arild Espnes, Dorota Wlodarczyk
INTRODUCTION: There is evidence that meeting patients' expectations toward health care correlates with involvement in the treatment they receive. The most important patient expectations concern certain types of information: explanation of disease and treatment, health promotion, and improvement in quality of life. Other demands include proper rapport and emotional support. The aim of this paper was to examine different patient groups over the age of 50 years and their expectations toward medical visits, evaluated before a visit and after the visit...
2017: Patient Preference and Adherence
https://www.readbyqxmd.com/read/28757308/scheduling-primary-care-appointments-online-differences-in-availability-based-on-health-insurance
#16
Gregory W Kurtzman, Megha A Keshav, Nikita P Satish, Mitesh S Patel
BACKGROUND: Digital platforms that allow patients to go online or use smartphone applications to view and schedule physician appointments have not been well evaluated. METHODS: We conducted systematic searches for primary care physician appointments in 20 cities using ZocDoc, an online appointment scheduling platform. Availability was determined for three insurance types (self-pay, Medicare, and Medicaid) in states with and without Medicaid expansion. We collected data on physician characteristics, number of appointments available, and distance to clinics...
July 27, 2017: Healthcare
https://www.readbyqxmd.com/read/28752834/individual-and-social-variables-and-their-effect-on-case-care-manager-job-satisfaction-an-exploratory-study
#17
Chiara Cosentino, Morena Bettuzzi, Giulia Campioli, Valeria Di Marco, Giulia Giacopuzzi, Ivana Marinoni, Lorenzo Orlandini, Angelo Palermo, Siria Pattacini, Giovanna Artioli
BACKGROUND AND AIMS: The Case/Care Manager (CCM) is a new position for in the Italian National Health Service scenario. Job satisfaction plays a key role for the CCM to engage in his work, accomplishing it in a complete. Nurses' job satisfaction is a complex construct and many different variables can influence it: personal characteristics, cultural characteristic, social characteristic, organizational characteristic, and environmental characteristic. The main aim of this study is to assess the job satisfaction in a sample of CCM and to assess if and how Social Variables (organizational climate and health) and Individual (socio-demographic variables, coping strategies, emotion regulation) relate to the CCM job satisfaction...
July 18, 2017: Acta Bio-medica: Atenei Parmensis
https://www.readbyqxmd.com/read/28751460/optogenetic-central-amygdala-stimulation-intensifies-and-narrows-motivation-for-cocaine
#18
Shelley M Warlow, Mike J F Robinson, Kent C Berridge
Addiction is often characterized by intense motivation for a drug, which may be narrowly focused at the expense of other rewards. Here we examined the role of amygdala-related circuitry in the amplification and narrowing of motivation focus for intravenous cocaine. We paired optogenetic channelrhodopsin (ChR2) stimulation in either central nucleus of amygdala (CeA) or basolateral amygdala (BLA) of female rats with one particular nosepoke-porthole option for earning cocaine infusions (0.3 mg/kg, i.v.). A second alternative porthole earned identical cocaine but without ChR2 stimulation...
July 27, 2017: Journal of Neuroscience: the Official Journal of the Society for Neuroscience
https://www.readbyqxmd.com/read/28749530/parents-willingness-to-invest-in-their-children-s-oral-health
#19
Jannetje Berendsen, Clarissa Bonifacio, Martine van Gemert-Schriks, Cor van Loveren, Erik Verrips, Denise Duijster
OBJECTIVES: This study aimed to evaluate parents' Willingness to Invest (WTI) in their children's oral health in terms of money, visits to a dental practice, and brushing minutes. Objectives were to assess the association between parents' WTI and a) children's dental caries experience, b) children's oral hygiene behavior (OHB), and c) maternal education level and ethnic background. METHODS: A sample of 630 five to six-year-old-children was recruited from pediatric dental centers in the Netherlands...
July 27, 2017: Journal of Public Health Dentistry
https://www.readbyqxmd.com/read/28748384/the-more-vivid-the-imagination-the-better-the-role-of-the-vividness-of-imagination-in-vasoconstriction-training-and-vasodilatation-training
#20
Julia E Graef, Winfried Rief, Yvonne Nestoriuc, Cornelia Weise
Blood volume pulse biofeedback represents an effective non-pharmacological treatment for migraine. However, the underlying mechanisms of blood volume pulse biofeedback are still unclear. This study investigated the influence of vividness of imagination, private body consciousness, perfectionism, and general self-efficacy on physiological (blood volume pulse amplitude) and psychological (session performance rated by participants and by trainers) success. Changes in skin conductance and skin temperature indicating habituation to training context were examined...
July 26, 2017: Applied Psychophysiology and Biofeedback
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