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https://www.readbyqxmd.com/read/28742694/reducing-the-burden-of-catastrophic-health-expenditures-in-the-united-states
#1
Tim Xu, Ge Bai
No abstract text is available yet for this article.
July 24, 2017: Annals of Surgery
https://www.readbyqxmd.com/read/28742681/targeting-value-driven-quality-improvement-for-laparoscopic-cholecystectomy-in-michigan
#2
Kyle H Sheetz, Brooke Kenney, James M Dupree, Darrell A Campbell, Michael J Englesbe
OBJECTIVE: The purpose of this study was to evaluate complete episode expenditures for laparoscopic cholecystectomy, a common and lower-risk operation, to characterize novel targets for value-based quality improvement. SUMMARY BACKGROUND DATA: Despite enthusiasm for improving the overall value of surgical care, most efforts have focused on high-risk inpatient surgery. METHODS: We identified 19,213 patients undergoing elective laparoscopic cholecystectomy from 2012 to 2015 using data from Medicare and a large private payer...
July 24, 2017: Annals of Surgery
https://www.readbyqxmd.com/read/28742101/urban-rural-differences-in-disability-free-life-expectancy-in-bangladesh-using-the-2010-hies-data
#3
Md Shariful Islam, Md Ismail Tareque, Md Nazrul Islam Mondal, Ahbab Mohammad Fazle Rabbi, Hafiz T A Khan, Sharifa Begum
BACKGROUND: Research on health expectancy has been carried out in Bangladesh but none of it has examined the differences in Disability-Free Life Expectancy (DFLE) between urban and rural setting in context of rapid urbanization of Bangladesh in past decades. OBJECTIVES: The present study aims to estimate DFLE for people of all ages living in urban and rural areas in Bangladesh, and to examine the differences in DFLE between these two areas. METHODS: Data from the Sample Vital Registration System 2010 and the Bangladesh Household Income and Expenditure Survey (HIES) 2010 were used in this study...
2017: PloS One
https://www.readbyqxmd.com/read/28741752/what-does-it-cost-to-feed-aged-care-residents-in-australia
#4
Cherie Hugo, Elisabeth Isenring, David Sinclair, Ekta Agarwal
AIM: Funding cuts to the aged care industry impact catering budgets and aged care staffing levels, which may in turn affect the nutritional status of aged care residents. This paper reports average food expenditure and trends in Australian residential aged care facilities (RACFs). METHODS: This is a retrospective study collecting RACFs' economic outlay data through a quarterly online survey conducted over the 2015 and 2016 financial years. RESULTS: Data were compiled from 817 RACFs, representing 64 256 residential beds and 23 million bed-days Australia-wide...
July 25, 2017: Nutrition & Dietetics: the Journal of the Dietitians Association of Australia
https://www.readbyqxmd.com/read/28741280/energy-expenditure-in-the-etiology-of-human-obesity-spendthrift-and-thrifty-metabolic-phenotypes-and-energy-sensing-mechanisms
#5
REVIEW
P Piaggi, K L Vinales, A Basolo, F Santini, J Krakoff
The pathogenesis of human obesity is the result of dysregulation of the reciprocal relationship between food intake and energy expenditure (EE), which influences daily energy balance and ultimately leads to weight gain. According to principles of energy homeostasis, a relatively lower EE in a setting of energy balance may lead to weight gain; however, results from different study groups are contradictory and indicate a complex interaction between EE and food intake which may differentially influence weight change in humans...
July 24, 2017: Journal of Endocrinological Investigation
https://www.readbyqxmd.com/read/28741264/why-are-diabetes-medications-so-expensive-and-what-can-be-done-to-control-their-cost
#6
REVIEW
Laura N McEwen, Sarah Stark Casagrande, Shihchen Kuo, William H Herman
PURPOSE OF REVIEW: The purposes of this study were to describe how medication prices are established, to explain why antihyperglycemic medications have become so expensive, to show trends in expenditures for antihyperglycemic medications, and to highlight strategies to control expenditures in the USA. RECENT FINDINGS: In the U.S., pharmaceutical manufacturers set the prices for new products. Between 2002 and 2012, expenditures for antihyperglycemic medications increased from $10 billion to $22 billion...
September 2017: Current Diabetes Reports
https://www.readbyqxmd.com/read/28739098/effects-of-bariatric-surgery-on-energy-homeostasis
#7
REVIEW
Wei Li, Denis Richard
Bariatric surgery represents the most efficient therapy for severe obesity. It reduces the size of fat stores or the amount of body fat gain. The bariatric surgery procedures currently used include Roux-en-Y gastric bypass and sleeve gastrectomy, which are the most commonly performed procedures. Other procedures are laparoscopic adjustable gastric banding and biliopancreatic diversion. The latter represents the most effective surgery for treatment of severe obesity as well as type 2 diabetes. Bariatric surgery reduces energy intake by restricting the size of the stomach reservoir and causing malabsorption, as in the case of biliopancreatic diversion...
August 2017: Canadian Journal of Diabetes
https://www.readbyqxmd.com/read/28738812/effectiveness-of-trauma-team-on-medical-resource-utilization-and-quality-of-care-for-patients-with-major-trauma
#8
Chih-Jung Wang, Shu-Ting Yen, Shih-Fang Huang, Su-Chen Hsu, Jeremy C Ying, Yan-Shen Shan
BACKGROUND: Trauma is one of the leading causes of death in Taiwan, and its medical expenditure escalated drastically. This study aimed to explore the effectiveness of trauma team, which was established in September 2010, on medical resource utilization and quality of care among major trauma patients. METHODS: This was a retrospective study, using trauma registry data bank and inpatient medical service charge databases. Study subjects were major trauma patients admitted to a medical center in Tainan during 2009 and 2013, and was divided into case group (from January, 2011 to August, 2013) and comparison group (from January, 2009 to August, 2010)...
July 24, 2017: BMC Health Services Research
https://www.readbyqxmd.com/read/28738711/study-comparing-kangaroo-ward-care-with-intermediate-intensive-care-for-improving-the-growth-outcome-and-cost-effectiveness-randomized-control-trial
#9
Deepak Sharma, Srinivas Murki, Oleti Tejo Pratap
AIMS: To compare growth outcome and cost effectiveness of "Kangaroo ward care" (KWC) with "Intermediate intensive care" (IIC) in stable infants with birth weight 1000 grams to < 1100 grams. MATERIAL & METHOD: In this secondary analysis, we included 79 infants, with birth weight 1000 grams to < 1100 grams. 38 were randomized to KWC and 41 to intermediate intensive care (IIC) group once the infant reached a weight of 1150 grams. Infants in the KWC group were shifted to Kangaroo ward immediately after randomization and in the IIC group received IIC care till they attain a weight of 1250 grams before shifting to Kangaroo Ward...
July 25, 2017: Journal of Maternal-fetal & Neonatal Medicine
https://www.readbyqxmd.com/read/28738457/-survey-of-economic-burden-of-hepatitis-b-related-diseases-in-12-areas-in-china
#10
Q S Ma, S Liang, H W Xiao, S X Zhang, G H Zhuang, Y H Zou, H Z Tan, J C Liu, Y H Zhang, A Q Xu, L Zhang, X X Feng, D S Hu, F Z Wang, F Q Cui, X F Liang
Objective: Less surveys on the economic burden of hepatitis B (HB)-related diseases have been conducted in China, so the socioeconomic harm caused by the diseases is not clear and the key parameters for economic evaluation of hepatitis B prevention and treatment are lacking. This study aimed to analyze the direct, indirect and intangible expenditures of hospitalized patients with HB-related diseases during hospitalization and during a year in different areas of China. Methods: The hospitals for infectious diseases and the large general hospitals in 12 areas in China were selected in the study...
July 10, 2017: Zhonghua Liu Xing Bing Xue za Zhi, Zhonghua Liuxingbingxue Zazhi
https://www.readbyqxmd.com/read/28738213/determinants-of-the-magnitude-of-socioeconomic-inequalities-in-mortality-a-study-of-17-european-countries
#11
Johan P Mackenbach, Matthias Bopp, Patrick Deboosere, Katalin Kovacs, Mall Leinsalu, Pekka Martikainen, Gwenn Menvielle, Enrique Regidor, Rianne de Gelder
The magnitude of socioeconomic inequalities in mortality differs importantly between countries, but these variations have not been satisfactorily explained. We explored the role of behavioral and structural determinants of these variations, by using a dataset covering 17 European countries in the period 1970-2010, and by conducting multilevel multivariate regression analyses. Our results suggest that between-country variations in inequalities in current mortality can partly be understood from variations in inequalities in smoking, excessive alcohol consumption, and poverty...
July 21, 2017: Health & Place
https://www.readbyqxmd.com/read/28737732/the-role-of-heart-rate-variability-parameters-in-activity-recognition-and-energy-expenditure-estimation-using-wearable-sensors
#12
Heesu Park, Suh-Yeon Dong, Miran Lee, Inchan Youn
Human-activity recognition (HAR) and energy-expenditure (EE) estimation are major functions in the mobile healthcare system. Both functions have been investigated for a long time; however, several challenges remain unsolved, such as the confusion between activities and the recognition of energy-consuming activities involving little or no movement. To solve these problems, we propose a novel approach using an accelerometer and electrocardiogram (ECG). First, we collected a database of six activities (sitting, standing, walking, ascending, resting and running) of 13 voluntary participants...
July 24, 2017: Sensors
https://www.readbyqxmd.com/read/28737531/potential-causes-of-elevated-ree-following-high-intensity-exercise
#13
Gary R Hunter, Douglas R Moellering, Stephen J Carter, Barbara A Gower, Marcas M Bamman, Lyndsey M Hornbuckle, Eric P Plaisance, Gordon Fisher
INTRODUCTION: Resting energy expenditure (REE) increases following intense exercise; however, little is known concerning mechanisms. PURPOSE: Determine effects of a single bout of moderate-intensity continuous aerobic exercise (MIC), or high intensity interval exercise (HII) on REE under energy balance conditions. METHODS: Thirty-three untrained premenopausal women were evaluated at baseline, after 8-16 weeks of training, 22 hours following either MIC (50% peak VO2) or HII (84% peak VO2)...
July 21, 2017: Medicine and Science in Sports and Exercise
https://www.readbyqxmd.com/read/28737346/-economic-hardship-and-fallout-on-households-of-the-management-of-hydrocephalus-in-benin
#14
Hugues Jean-Thierry Gandaho, Sennen Houesse Hounton, Amina Kelani, Christian Darga, Isaac Hoinsou-Hans, Florence Agbani, Francis Lalya, Sikiratou Koumakpayi, Blaise Ayivi
In Benin Republic, surgical care for paediatric hydrocephalus represents catastrophic out-of-pocket expenditures for households and families and other living expenses. Families experience significant emotional fallout with effects on couple relationships and survival.</ce:para>.
April 27, 2017: Santé Publique: Revue Multidisciplinaire Pour la Recherche et L'action
https://www.readbyqxmd.com/read/28737305/the-hidden-burden-of-outpatient-repeat-psa-testing-in-a-prospective-cohort
#15
E Browne, K O'Malley, S Connolly, F O'Kelly, D Lundon, P Daly, D Galvin, N Hegarty
PSA testing is widespread throughout Europe for diagnostic purposes and follow up. We performed a prospective outpatient cohort study of 250 men (2013-2015) in two hospital sites. Included were those men being followed up by urology with PSA blood testing. First appointments and those men in whom non-PSA tests were ordered by urology were excluded. The median age was 67.2yrs (46-88). Eighty-one point two percent of samples had a combination of 21 different serology tests at an added cost of >€18,000. Abnormal serology resulted in 53 referrals...
May 10, 2017: Irish Medical Journal
https://www.readbyqxmd.com/read/28736330/impaired-microglia-fractalkine-signaling-affects-stress-reaction-and-coping-style-in-mice
#16
Zsuzsanna Winkler, Dániel Kuti, Szilamér Ferenczi, Krisztina Gulyás, Ágnes Polyák, Krisztina J Kovács
Microglia, resident immune cells of the CNS are sensitive to various perturbations of the environment, such as stress exposure, and may be involved in translating these changes to behavior. Among the pathways mediating stress-related neuronal cues to microglia, the fractalkine-fractalkine receptor (CX3CR1) signaling plays a crucial role. Using mice, in which the CX3CR1 gene was deleted, we explored hormonal and behavioral responses to acute and chronic stress along with changes in hypothalamic microglia. CX3CR1(-/-) animals display active escape in forced swim- and tail suspension tests, exaggerated neuronal activation in the hypothalamic paraventricular nucleus and increased corticosterone release in response to restraint...
July 20, 2017: Behavioural Brain Research
https://www.readbyqxmd.com/read/28736255/isoalantolactone-derivative-promotes-glucose-utilization-in-skeletal-muscle-cells-and-increases-energy-expenditure-in-db-db-mice-via-activating-ampk-dependent-signaling
#17
Deepti Arha, E Ramakrishna, Anand P Gupta, Amit K Rai, Aditya Sharma, Ishbal Ahmad, Mohammed Riyazuddin, Jiaur R Gayen, Rakesh Maurya, Akhilesh K Tamrakar
Augmenting glucose utilization and energy expenditure in skeletal muscle via AMP-activated protein kinase (AMPK) is an imperative mechanism for the management of type 2 diabetes. Chemical derivatives (2a-2h, 3, 4a-4d, 5) of the isoalantolactone (K007), a bioactive molecule from roots of Inula racemosa were synthesized to optimize the bioactivity profile to stimulate glucose utilization in skeletal muscle cells. Interestingly, 4a augmented glucose uptake, driven by enhanced translocation of glucose transporter 4 (GLUT4) to cell periphery in L6 rat skeletal muscle cells...
July 20, 2017: Molecular and Cellular Endocrinology
https://www.readbyqxmd.com/read/28735969/temporal-dynamics-of-reward-anticipation-in-the-human-brain
#18
Yuanyuan Zhang, Qi Li, Zhao Wang, Xun Liu, Ya Zheng
Reward anticipation is a complex process including cue evaluation, motor preparation, and feedback anticipation. The present study investigated whether these psychological processes were dissociable on neural dynamics in terms of incentive valence and approach motivation. We recorded EEG when participants were performing a monetary incentive delay task, and found a cue-P3 during the cue-evaluation stage, a contingent negative variation (CNV) during the motor-preparation stage, and a stimulus-preceding negativity (SPN) during the feedback-anticipation stage...
July 20, 2017: Biological Psychology
https://www.readbyqxmd.com/read/28735757/the-influence-of-training-characteristics-on-the-effect-of-exercise-training-in-patients-with-coronary-artery-disease-systematic-review-and-meta-regression-analysis
#19
Jos J Kraal, Tom Vromen, Ruud Spee, Hareld M C Kemps, Niels Peek
BACKGROUND: Although exercise-based cardiac rehabilitation improves exercise capacity of coronary artery disease patients, it is unclear which training characteristic determines this improvement. Total energy expenditure and its constituent training characteristics (training intensity, session frequency, session duration and programme length) vary considerably among clinical trials, making it hard to compare studies directly. Therefore, we performed a systematic review and meta-regression analysis to assess the effect of total energy expenditure and its constituent training characteristics on exercise capacity...
July 18, 2017: International Journal of Cardiology
https://www.readbyqxmd.com/read/28734670/population-health-and-regional-variations-of-disease-burden-in-japan-1990-2015-a-systematic-subnational-analysis-for-the-global-burden-of-disease-study-2015
#20
Shuhei Nomura, Haruka Sakamoto, Scott Glenn, Yusuke Tsugawa, Sarah K Abe, Md M Rahman, Jonathan C Brown, Satoshi Ezoe, Christina Fitzmaurice, Tsuyoshi Inokuchi, Nicholas J Kassebaum, Norito Kawakami, Yosuke Kita, Naoki Kondo, Stephen S Lim, Satoshi Maruyama, Hiroaki Miyata, Meghan D Mooney, Mohsen Naghavi, Tomoko Onoda, Erika Ota, Yuji Otake, Gregory A Roth, Eiko Saito, Takahiro Tabuchi, Yohsuke Takasaki, Tadayuki Tanimura, Manami Uechi, Theo Vos, Haidong Wang, Manami Inoue, Christopher J L Murray, Kenji Shibuya
BACKGROUND: Japan has entered the era of super-ageing and advanced health transition, which is increasingly putting pressure on the sustainability of its health system. The level and pace of this health transition might vary across regions within Japan and concern is growing about increasing regional variations in disease burden. The Global Burden of Diseases, Injuries, and Risk Factors Study 2015 (GBD 2015) provides a comprehensive, comparable framework. We used data from GBD 2015 with the aim to quantify the burden of disease and injuries, and to attribute risk factors in Japan at a subnational, prefecture-level...
July 19, 2017: Lancet
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