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https://www.readbyqxmd.com/read/28433120/additional-cost-because-of-pneumonia-in-nursing-home-residents-results-from-the-incidence-of-pneumonia-and-related-consequences-in-nursing-home-resident-study
#1
Nadège Costa, Emiel O Hoogendijk, Michael Mounié, Robert Bourrel, Yves Rolland, Bruno Vellas, Laurent Molinier, Matteo Cesari
OBJECTIVES: Pneumonia is a frequent condition in older people. Our aim was to examine the total healthcare cost related to pneumonia in nursing home (NH) residents over a 1-year follow-up period. DESIGN: This was a prospective, longitudinal, observational, and multicenter study that was a part of the Incidence of Pneumonia and related Consequences in Nursing Home Resident study. SETTING: Thirteen NHs located in Languedoc Roussillon and Midi-Pyrénées regions in France were included...
May 1, 2017: Journal of the American Medical Directors Association
https://www.readbyqxmd.com/read/28429975/the-real-cost-of-training-health-professionals-in-australia-it-costs-as-much-to-build-a-dietician-workforce-as-a-dental-workforce
#2
Leonie Segal, Claire Marsh, Rob Heyes
Objectives We explored the real cost of training the workforce in a range of primary health care professions in Australia with a focus on the impact of retention to contribute to the debate on how best to achieve the optimal health workforce mix. Methods The cost to train an entry-level health professional across 12 disciplines was derived from university fees, payment for clinical placements and, where relevant, cost of internship, adjusted for student drop-out. Census data were used to identify the number of qualified professionals working in their profession over a working life and to model expected years of practice by discipline...
April 2017: Journal of Health Services Research & Policy
https://www.readbyqxmd.com/read/28425571/clinical-factors-affecting-costs-in-patients-receiving-systemic-antifungal-therapy-in-intensive-care-units-in-greece-results-from-the-estimator-study
#3
A Armaganidis, S Nanas, E Antoniadou, K Mandragos, K Liakou, A Koutsoukou, G Baltopoulos, G Nakos, A Kounougeri, K Ganas, A Prekates, M Kompoti, D Georgopoulos, I Pneumatikos, E Zakynthinos
Invasive fungal infections are common in intensive care units (ICUs) but there is a great variability in factors affecting costs of different antifungal treatment strategies in clinical practice. To determine factors affecting treatment cost in adult ICU patients with or without documented invasive fungal infection receiving systemic antifungal therapy (SAT) we have performed a prospective, multicentre, observational study enrolling patients receiving SAT in participating ICUs in Greece. During the study period, 155 patients received SAT at 14 participating ICUs: 37 (23...
April 20, 2017: Mycoses
https://www.readbyqxmd.com/read/28421687/contemporary-data-and-trends-in-the-economic-costs-of-mental-disabilities
#4
Timothy M Shaughnessy, Frederick R Parker, Jean H Hollenshead, Emmanuel N Clottey, Harvey W Rubin
This article addresses the economic effects of mental disabilities by analyzing contemporary data in the context of micro- and macroeconomic thought and relevant statistical literature. Within the parameters of these conceptual and statistical reference points, the authors seek to discern current trends in the direct, indirect, and opportunity costs posed by mental disabilities, not only to the individuals who suffer from them, but also to their families, to employers, and to society as a whole. The authors also discuss uncertainties that inhere in available data concerning both the prevalence of these conditions and the related costs of treatment, as well as the complexity of drawing correlations among variables with respect to these costs and the difficulty of identifying a meaningful measure of the economic consequences that attend mental disabilities...
March 2017: Behavioral Sciences & the Law
https://www.readbyqxmd.com/read/28419329/effects-of-the-inclusion-of-a-bacillus-direct-fed-microbial-on-performance-parameters-bone-quality-recovered-gut-microflora-and-intestinal-morphology-in-broilers-consuming-a-grower-diet-containing-corn-distillers-dried-grains-with-solubles
#5
J D Latorre, X Hernandez-Velasco, J L Vicente, R Wolfenden, B M Hargis, G Tellez
Distillers dried grains with solubles (DDGS) have increasingly been used in poultry diets as a consequence of rising grain costs. Some, but not all, sources of DDGS have a variable compositional value, and a high inclusion of this by-product could be considered a risk factor for presentation of enteric diseases. Presently, 2 experiments were conducted using a starter corn-soybean diet (zero to 7 d) and a corn-DDGS-soybean grower diet (8 to 28 d) with or without inclusion of a Bacillus-direct-fed microbial (DFM)...
April 17, 2017: Poultry Science
https://www.readbyqxmd.com/read/28408002/economic-burden-of-attention-deficit-hyperactivity-disorder-among-pediatric-patients-in-the-united-states
#6
Komal Gupte-Singh, Rakesh R Singh, Kenneth A Lawson
OBJECTIVES: To determine the adjusted incremental total costs (direct and indirect) for patients (aged 3-17 years) with attention-deficit/hyperactivity disorder (ADHD) and the differences in the adjusted incremental direct expenditures with respect to age groups (preschoolers, 0-5 years; children, 6-11 years; and adolescents, 12-17 years). METHODS: The 2011 Medical Expenditure Panel Survey was used as the data source. The ADHD cohort consisted of patients aged 0 to 17 years with a diagnosis of ADHD, whereas the non-ADHD cohort consisted of subjects in the same age range without a diagnosis of ADHD...
April 2017: Value in Health: the Journal of the International Society for Pharmacoeconomics and Outcomes Research
https://www.readbyqxmd.com/read/28399859/sex-differences-in-healthcare-expenditures-among-adults-with-diabetes-evidence-from-the-medical-expenditure-panel-survey-2002-2011
#7
Joni S Williams, Kinfe Bishu, Clara E Dismuke, Leonard E Egede
BACKGROUND: The evidence assessing differences in medical costs between men and women with diabetes living in the United States is sparse; however, evidence suggests women generally have higher healthcare expenditures compared to men. Since little is known about these differences, the aim of this study was to assess differences in out-of-pocket (OOP) and total healthcare expenditures among adults with diabetes. METHODS: Data were used from 20,442 adults (≥18 years of age) with diabetes from the 2002-2011 Medical Expenditure Panel Survey...
April 11, 2017: BMC Health Services Research
https://www.readbyqxmd.com/read/28399824/long-term-impact-of-self-financed-rotavirus-vaccines-on-rotavirus-associated-hospitalizations-and-costs-in-the-valencia-region-spain
#8
Alejandro Orrico-Sanchez, Mónica López-Lacort, Silvia Pérez-Vilar, Javier Díez-Domingo
BACKGROUND: Rotavirus vaccines are available in Spain from 2007. They are recommended by the Spanish Pediatric Association, but not funded by the National Health System (NHS) and its coverage rate reached 40-50%. The hospitalization rate reduction of rotavirus caused gastroenteritis (RVAGE) directly attributable to vaccination remains unclear due to the large differences described in published studies, ranging from 14 to 44.5% in children <5 years of age, even with similar vaccination coverage...
April 11, 2017: BMC Infectious Diseases
https://www.readbyqxmd.com/read/28395353/predicting-directly-measured-trunk-and-upper-arm-postures-in-paper-mill-work-from-administrative-data-workers-ratings-and-posture-observations
#9
Marina Heiden, Jennifer Garza, Catherine Trask, Svend Erik Mathiassen
Objectives: A cost-efficient approach for assessing working postures could be to build statistical models for predicting results of direct measurements from cheaper data, and apply these models to samples in which only the latter data are available. The present study aimed to build and assess the performance of statistical models predicting inclinometer-assessed trunk and arm posture among paper mill workers. Separate models were built using administrative data, workers' ratings of their exposure, and observations of the work from video recordings as predictors...
March 1, 2017: Annals of Work Exposures and Health
https://www.readbyqxmd.com/read/28390066/the-many-faces-of-fear-a-synthesis-of-the-methodological-variation-in-characterizing-predation-risk
#10
REVIEW
Remington J Moll, Kyle M Redilla, Tutilo Mudumba, Arthur B Muneza, Steven M Gray, Leandro Abade, Matt W Hayward, Joshua J Millspaugh, Robert A Montgomery
1.Predators affect prey by killing them directly (lethal effects) and by inducing costly antipredator behaviors in living prey (risk effects). Risk effects can strongly influence prey populations and cascade through trophic systems. A prerequisite for assessing risk effects is characterizing the spatiotemporal variation in predation risk. 2.Risk effects research has experienced rapid growth in the last several decades. However, preliminary assessments of the resultant literature suggest that researchers characterize predation risk using a variety of techniques...
April 8, 2017: Journal of Animal Ecology
https://www.readbyqxmd.com/read/28389865/what-is-the-long-term-economic-societal-effect-of-periprosthetic-infections-after-tha-a-markov-analysis
#11
Thomas J Parisi, Joseph F Konopka, Hany S Bedair
BACKGROUND: Current estimates for the direct costs of a single episode of care for periprosthetic joint infection (PJI) after THA are approximately USD 100,000. These estimates do not account for the costs of failed treatments and do not include indirect costs such as lost wages. QUESTIONS/PURPOSES: The goal of this study was to estimate the long-term economic effect to society (direct and indirect costs) of a PJI after THA treated with contemporary standards of care in a hypothetical patient of working age (three scenarios, age 55, 60, and 65 years)...
April 7, 2017: Clinical Orthopaedics and related Research
https://www.readbyqxmd.com/read/28387619/implementation-of-interdisciplinary-neurosurgery-morning-huddle-cost-effectiveness-and-increased-patient-satisfaction
#12
Alvin Y Chan, Sumeet Vadera
OBJECTIVE Morning discharge huddles consist of multiple members of the inpatient care team and are used to improve communication and patient care and to facilitate patient flow through the hospital. However, the effect of huddles on hospital costs and patient satisfaction has not been clearly elucidated. The authors investigated how a neurosurgeryled interdisciplinary daily morning huddle affected various costs of patient care and patient satisfaction. METHODS Huddles were conducted at 8:30 am Monday through Friday, and lasted approximately 30 minutes...
April 7, 2017: Journal of Neurosurgery
https://www.readbyqxmd.com/read/28382400/associations-among-depressive-symptoms-wellness-patient-involvement-provider-cultural-competency-and-treatment-nonadherence-a-pilot-study-among-community-patients-seen-at-a-university-medical-center
#13
Lisa M Hooper, Lauren E Huffman, John C Higginbotham, George C T Mugoya, Annie K Smith, Tia N Dumas
Treatment nonadherence is a pernicious problem associated with increasing rates of chronic diseases, escalating healthcare costs, and rising mortality in some patients. Although researchers have suggested numerous factors related to treatment nonadherence, several understudied aspects warrant attention, such as primary-care settings, provider cultural competence, and patient involvement. Adding to the research base, the present pilot study examined 88 primarily Black American and White American community patients from a large university medical center in the southern part of the United States...
April 5, 2017: Community Mental Health Journal
https://www.readbyqxmd.com/read/28381626/risky-business-for-a-juvenile-marine-predator-testing-the-influence-of-foraging-strategies-on-size-and-growth-rate-under-natural-conditions
#14
Nigel E Hussey, Joseph D DiBattista, Jonathan W Moore, Eric J Ward, Aaron T Fisk, Steven Kessel, Tristan L Guttridge, Kevin A Feldheim, Bryan R Franks, Samuel H Gruber, Ornella C Weideli, Demian D Chapman
Mechanisms driving selection of body size and growth rate in wild marine vertebrates are poorly understood, thus limiting knowledge of their fitness costs at ecological, physiological and genetic scales. Here, we indirectly tested whether selection for size-related traits of juvenile sharks that inhabit a nursery hosting two dichotomous habitats, protected mangroves (low predation risk) and exposed seagrass beds (high predation risk), is influenced by their foraging behaviour. Juvenile sharks displayed a continuum of foraging strategies between mangrove and seagrass areas, with some individuals preferentially feeding in one habitat over another...
April 12, 2017: Proceedings. Biological Sciences
https://www.readbyqxmd.com/read/28381241/drug-adherence-for-antihypertensive-medications-and-its-determinants-among-adult-hypertensive-patients-attending-in-chronic-clinics-of-referral-hospitals-in-northwest-ethiopia
#15
Habtamu Sewunet Mekonnen, Mignote Hailu Gebrie, Kokeb Haile Eyasu, Abebaw Addis Gelagay
BACKGROUND: Adherence to prescribed medication is an imperative issue which can be directly linked with the management of chronic diseases like hypertension; failure to adhere can affect the effectiveness of medication as well as the efficiency of the health care system. There is scarcity of information regarding the level of drug adherence for antihypertensive medications and its determinants in Ethiopia, particularly in the study area. Therefore, the aim of this study was to assess adherence level and its determinants for antihypertensive medications among adult hypertensive patients attending the chronic illness clinics of the referral hospitals in northwest Ethiopia...
April 5, 2017: BMC Pharmacology & Toxicology
https://www.readbyqxmd.com/read/28378393/multi-modal-defenses-in-aphids-offer-redundant-protection-and-increased-costs-likely-impeding-a-protective-mutualism
#16
Adam J Martinez, Matthew R Doremus, Laura J Kraft, Kyungsun L Kim, Kerry M Oliver
1.The pea aphid, Acyrthosiphon pisum, maintains extreme variation in resistance to its most common parasitoid wasp enemy, Aphidius ervi, which is sourced from two known mechanisms: protective bacterial symbionts, most commonly Hamiltonella defensa, or endogenously encoded defenses. We have recently found that individual aphids may employ each defense individually, occasionally both defenses together, or neither. 2.In field populations, Hamiltonella-infected aphids are found at low to moderate frequencies and while less is known about the frequency of resistant genotypes, they show up less often than susceptible genotypes in field collections...
April 5, 2017: Journal of Animal Ecology
https://www.readbyqxmd.com/read/28376291/precipitation-affects-plant-communication-and-defense
#17
Enrico Pezzola, Stefano Mancuso, Richard Karban
Anti-herbivore defense shows high levels of both inter- and intraspecific variability. Defending against herbivores may be costly to the plant when it requires a trade-off in allocation between defense and other missed opportunities, such as reproduction. Indeed, the plastic expression of defensive traits allows the plant to invest resources in defense only when the risk of being damaged actually increases, avoiding wasted resources. Plants may assess risk by responding to volatile cues emitted by neighbors that are under attack...
April 4, 2017: Ecology
https://www.readbyqxmd.com/read/28371869/predicting-whole-body-vibration-exposure-in-canadian-prairie-farmers
#18
Xiaoke Zeng, Aaron M Kociolek, Muhammad Idrees Khan, Stephan Milosavljevic, Brenna Bath, Catherine M Trask
Direct workplace whole-body vibration exposure assessment provides ecological validity for evaluating health risk in epidemiological studies, yet it is complex and expensive in practical applications. Exposure prediction modeling could be a cost-efficient alternative to directly assessing occupational vibration exposures. The objective of this study was to model directly measured whole-body vibration exposures with predictors from machinery, farm, and self-reported characteristics among Canadian prairies farmers...
March 20, 2017: Annals of Work Exposures and Health
https://www.readbyqxmd.com/read/28356746/an-estimate-of-the-cost-of-administering-intravenous-biological-agents-in-spanish-day-hospitals
#19
Joan Miquel Nolla, Esperanza Martín, Pilar Llamas, Javier Manero, Arturo Rodríguez de la Serna, Manuel Francisco Fernández-Miera, Mercedes Rodríguez, José Manuel López, Alexandra Ivanova, Belén Aragón
OBJECTIVE: To estimate the unit costs of administering intravenous (IV) biological agents in day hospitals (DHs) in the Spanish National Health System. PATIENTS AND METHODS: Data were obtained from 188 patients with rheumatoid arthritis, collected from nine DHs, receiving one of the following IV therapies: infliximab (n=48), rituximab (n=38), abatacept (n=41), or tocilizumab (n=61). The fieldwork was carried out between March 2013 and March 2014. The following three groups of costs were considered: 1) structural costs, 2) material costs, and 3) staff costs...
2017: Therapeutics and Clinical Risk Management
https://www.readbyqxmd.com/read/28356480/estimating-the-implicit-component-of-visuomotor-rotation-learning-by-constraining-movement-preparation-time
#20
Li-Ann Leow, Reece Gunn, Welber Marinovic, Timothy John Carroll
When sensory feedback is perturbed, accurate movement is restored by a combination of implicit processes and deliberate re-aiming to strategically compensate for errors. Here, we directly compare two methods used previously to dissociate implicit from explicit learning on a trial-by-trial basis: 1) asking participants to report the direction that they aim their movements, and contrasting this with the directions of the target and the movement that they actually produce, 2) manipulating movement preparation time...
March 29, 2017: Journal of Neurophysiology
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