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https://www.readbyqxmd.com/read/29439101/can-consumers-be-smarter-health-care-shoppers-in-the-quest-for-cost-containment
#1
Brendan Riley
Lawmakers, health plans, and employers are increasingly shifting a greater portion of health care costs onto consumers in hopes that increased price sensitivity will make them become better health care shoppers. However, health care consumerism offers limited potential for system-wide cost containment and presents significant pitfalls for patients.
January 2018: North Carolina Medical Journal
https://www.readbyqxmd.com/read/29403383/how-realistic-are-the-scientific-assumptions-of-the-neuroenhancement-debate-assessing-the-pharmacological-optimism-and-neuroenhancement-prevalence-hypotheses
#2
Stephan Schleim, Boris B Quednow
Since two decades, neuroenhancement is a major topic in neuroethics and still receives much attention in the scholarly literature as well as in public media. In contrast to high hopes at the beginning of the "Decade of the Brain" in the United States and Europe that we subsume under the "pharmacological optimism hypothesis," recent evidence from clinical neuroscience suggests that developing drugs that make healthy people smarter is even more difficult than finding new treatments for patients with mental disorders...
2018: Frontiers in Pharmacology
https://www.readbyqxmd.com/read/29402217/systematic-comparison-of-small-rna-library-preparation-protocols-for-next-generation-sequencing
#3
Cloelia Dard-Dascot, Delphine Naquin, Yves d'Aubenton-Carafa, Karine Alix, Claude Thermes, Erwin van Dijk
BACKGROUND: Next-generation sequencing technologies have revolutionized the study of small RNAs (sRNAs) on a genome-wide scale. However, classical sRNA library preparation methods introduce serious bias, mainly during adapter ligation steps. Several types of sRNA including plant microRNAs (miRNA), piwi-interacting RNAs (piRNA) in insects, nematodes and mammals, and small interfering RNAs (siRNA) in insects and plants contain a 2'-O-methyl (2'-OMe) modification at their 3' terminal nucleotide...
February 5, 2018: BMC Genomics
https://www.readbyqxmd.com/read/29359569/static-metrics-of-impact-for-a-dynamic-problem-the-need-for-smarter-tools-to-guide-suicide-prevention-planning-and-investment
#4
Andrew Page, Jo-An Atkinson, Mark Heffernan, Geoff McDonnell, Ante Prodan, Nathaniel Osgood, Ian Hickie
OBJECTIVES: This study investigates two approaches to estimate the potential impact of a population-level intervention on Australian suicide, to highlight the importance of selecting appropriate analytic approaches for informing evidence-based strategies for suicide prevention. METHODS: The potential impact of a psychosocial therapy intervention on the incidence of suicide in Australia over the next 10 years was used as a case study to compare the potential impact on suicides averted using: (1) a traditional epidemiological measure of population attributable risk and (2) a dynamic measure of population impact based on a systems science model of suicide that incorporates changes over time...
January 1, 2018: Australian and New Zealand Journal of Psychiatry
https://www.readbyqxmd.com/read/29304937/an-economic-evaluation-of-the-impact-cost-and-medicare-policy-implications-of-chronic-nonhealing-wounds
#5
Samuel R Nussbaum, Marissa J Carter, Caroline E Fife, Joan DaVanzo, Randall Haught, Marcia Nusgart, Donna Cartwright
OBJECTIVE: The aim of this study was to determine the cost of chronic wound care for Medicare beneficiaries in aggregate, by wound type and by setting. METHODS: This retrospective analysis of the Medicare 5% Limited Data Set for calendar year 2014 included beneficiaries who experienced episodes of care for one or more of the following: arterial ulcers, chronic ulcers, diabetic foot ulcers, diabetic infections, pressure ulcers, skin disorders, skin infections, surgical wounds, surgical infections, traumatic wounds, venous ulcers, or venous infections...
January 2018: Value in Health: the Journal of the International Society for Pharmacoeconomics and Outcomes Research
https://www.readbyqxmd.com/read/29303916/what-robot-for-tomorrow-and-what-improvement-can-we-expect
#6
Benjamin Namdarian, Prokar Dasgupta
PURPOSE OF REVIEW: The purpose of this review is to summarize the status of robotic surgery currently, contextualizing the advances and improvements we can expect in the immediate future. Robotics continues to demonstrate increased utility and expansion in medicine, particularly surgery. When coupled with the imminent expiry of Intuitive patents in the next few years, it is timely to consider what we can expect to see from new platforms; what new features might we anticipate and what technology will be available to enhance and improve patient care...
January 4, 2018: Current Opinion in Urology
https://www.readbyqxmd.com/read/29301736/technological-health-intervention-in-population-aging-to-assist-people-to-work-smarter-not-harder-qualitative-study
#7
Sonia Chien-I Chen
BACKGROUND: Technology-based health care has been promoted as an effective tool to enable clinicians to work smarter. However, some health stakeholders believe technology will compel users to work harder by creating extra work. OBJECTIVE: The objective of this study was to investigate how and why electronic health (eHealth) has been applied in Taiwan and to suggest implications that may inspire other countries facing similar challenges. METHODS: A qualitative methodology was adopted to obtain insightful inputs from deeper probing...
January 4, 2018: Journal of Medical Internet Research
https://www.readbyqxmd.com/read/29279297/working-smarter-not-harder-coupling-implementation-to-de-implementation
#8
Virginia Wang, Matthew L Maciejewski, Christian D Helfrich, Bryan J Weiner
In this paper, we discuss de-implementation as an implicit part of implementation and organizational change, and consider its underlying processes of unlearning to discontinue or deviate from ineffective practice and learning to applying newer, more effective practices. We describe a typology of de-implementation that represents four types of change: partial reduction, complete reversal, substitution with related replacement and substitution with unrelated replacement of existing practice. We also explicate how learning and unlearning needed for effective change vary in these four types of de-implementation...
December 23, 2017: Healthcare
https://www.readbyqxmd.com/read/29250951/smart-sensing-based-on-dna-metal-interaction-enables-a-label-free-and-resettable-security-model-of-electrochemical-molecular-keypad-lock
#9
Yan Du, Xu Han, Chenxu Wang, Yunhui Li, Bingling Li, Hongwei Duan
Recently, molecular keypad locks have received increasing attention. As a new sub-group of smart biosensors, they show great potential for protecting information as a molecular security data processor, rather than merely molecular recognition and quantitation. Herein, label-free electrochemically transduced Ag+ and cysteine (Cys) sensors were developed. Molecular keypad lock model with reset function was successfully realized based on the balanced interaction of metal ion with its nucleic acid and chemical ligands...
December 18, 2017: ACS Sensors
https://www.readbyqxmd.com/read/29246607/smart-watch-smarter-edss-improving-disability-assessment-in-multiple-sclerosis-clinical-practice
#10
Gloria Dalla-Costa, Marta Radaelli, Simona Maida, Francesca Sangalli, Bruno Colombo, Lucia Moiola, Giancarlo Comi, Vittorio Martinelli
BACKGROUND: Patients' walking ability is critical for assessing the EDSS, the disability scale commonly used in MS clinical practice. Such assessment is usually based on patients' estimates or on the measures the neurologists observe during periodic visits. OBJECTIVES AND METHODS: We evaluated the agreement between patients' and neurologists' estimates of maximum walking ability and patients' mean maximum walking ability measured in their daily life through a GPS smartwatch, and assessed limitations of the current methods...
December 15, 2017: Journal of the Neurological Sciences
https://www.readbyqxmd.com/read/29216318/reproducibility-of-objectively-measured-physical-activity-and-sedentary-time-over-two-seasons-in-children-comparing-a-day-by-day-and-a-week-by-week-approach
#11
Eivind Aadland, Lars Bo Andersen, Turid Skrede, Ulf Ekelund, Sigmund Alfred Anderssen, Geir Kåre Resaland
INTRODUCTION: Knowledge of reproducibility of accelerometer-determined physical activity (PA) and sedentary time (SED) estimates are a prerequisite to conduct high-quality epidemiological studies. Yet, estimates of reproducibility might differ depending on the approach used to analyze the data. The aim of the present study was to determine the reproducibility of objectively measured PA and SED in children by directly comparing a day-by-day and a week-by-week approach to data collected over two weeks during two different seasons 3-4 months apart...
2017: PloS One
https://www.readbyqxmd.com/read/29212614/clinical-trials-in-gynecologic-oncology-past-present-and-future
#12
REVIEW
Christina M Annunziata, Elise C Kohn
The Gynecologic Oncology Group has historically performed ground-breaking, practice-changing clinical trials in women's cancers. The current standard of care for initial treatment of ovarian, endometrial, cervical, and trophoblastic cancers was determined by clinical trials completed within this cooperative group structure. For example, trial GOG-0111 set the standard for combining platinum and taxane chemotherapy in ovarian cancer, and more recently GOG-0240 provided evidence for adding bevacizumab to chemotherapy for women with advanced cervical cancer...
December 3, 2017: Gynecologic Oncology
https://www.readbyqxmd.com/read/29185980/venture-capital-throws-dough-that-could-fix-health-care-woe
#13
Timothy Kelley
Some experts say that investors funding innovative startup companies can disrupt American health care, making it smarter and more efficient. Others warn that incentives must change if VC money is to make a real difference. It's a trend no one in health care can ignore.
November 2017: Managed Care
https://www.readbyqxmd.com/read/29168409/how-do-swiss-general-practitioners-agree-with-and-report-adhering-to-a-top-five-list-of-unnecessary-tests-and-treatments-results-of-a-cross-sectional-survey
#14
Kevin Selby, Jacques Cornuz, Christine Cohidon, Jean-Michel Gaspoz, Nicolas Senn
BACKGROUND: In 2014, the 'Smarter Medicine' campaign released a top five list of unnecessary tests and treatments in Swiss primary care, such as imaging for acute low-back pain and long-term prescribing of proton pump inhibitors. OBJECTIVES: Measure general practitioners' (GPs) agreement with the recommendations and self-reported adherence. METHODS: Cross-sectional, online survey of GPs in the 'Swiss primary care active monitoring' (SPAM) network, which assessed awareness of 'Smarter Medicine' and views on each recommendation...
November 23, 2017: European Journal of General Practice
https://www.readbyqxmd.com/read/29155380/making-clothing-smarter-rita-paradiso-of-smartex-is-engineering-clothes-that-can-monitor-a-wearer-s-condition
#15
David L Chandler
As bedtime approaches, take note! Your pajamas may have something important to tell you.
November 2017: IEEE Pulse
https://www.readbyqxmd.com/read/29153351/choosing-wisely-an-international-and-multimorbid-perspective
#16
Edouard J Battegay, Marcus Cheetham
Some medical diagnostic and therapeutic interventions are non-beneficial or even harmful. The Choosing Wisely campaign has encouraged the generation of "top five" lists of unnecessary low-value services in different specialist areas. In the USA alone, where the campaign was launched, these lists include a total of 450 evidence-based recommendations. Medical scientific societies in further countries such as Canada, Australia, New Zealand, England, Switzerland and Germany have since initiated Choosing Wisely campaigns...
November 15, 2017: Zeitschrift Für Evidenz, Fortbildung und Qualität Im Gesundheitswesen
https://www.readbyqxmd.com/read/29141846/atrial-substrate-modification-for-atrial-fibrillation-striving-to-get-smarter
#17
EDITORIAL
Prabhat Kumar, J Paul Mounsey
No abstract text is available yet for this article.
November 2017: Circulation. Arrhythmia and Electrophysiology
https://www.readbyqxmd.com/read/29136484/effect-of-the-strong4life-school-nutrition-program-on-cafeterias-and-on-manager-and-staff-member-knowledge-and-practice-georgia-2015
#18
Janani Rajbhandari-Thapa, Ashley Bennett, Farrah Keong, Wendy Palmer, Trisha Hardy, Jean Welsh
OBJECTIVES: The goal of the Strong4Life School Nutrition Program is to promote healthy eating in school cafeterias in Georgia by training school nutrition managers and staff members to implement changes in the cafeteria to nudge children to make healthier choices. The objective of our study was to evaluate program effect on (1) school nutrition manager and staff member knowledge of evidence-based strategies and their self-efficacy to make positive changes, (2) the school cafeteria environment, and (3) National School Lunch Program participation...
November 2017: Public Health Reports
https://www.readbyqxmd.com/read/29133868/from-harmful-microcystis-blooms-to-multi-functional-core-double-shell-microsphere-bio-hydrochar-materials
#19
Lei Bi, Gang Pan
Harmful algal blooms (HABs) induced by eutrophication is becoming a serious global environmental problem affecting public health and aquatic ecological sustainability. A novel strategy for the utilization of biomass from HABs was developed by converting the algae cells into hollow mesoporous bio-hydrochar microspheres via hydrothermal carbonization method. The hollow microspheres were used as microreactors and carriers for constructing CaO2 core-mesoporous shell-CaO2 shell microspheres (OCRMs). The CaO2 shells could quickly increase dissolved oxygen to extremely anaerobic water in the initial 40 min until the CaO2 shells were consumed...
November 13, 2017: Scientific Reports
https://www.readbyqxmd.com/read/29132720/intensify-production-transform-biomass-to-energy-and-novel-goods-and-protect-soils-in-europe-a-vision-how-to-mobilize-marginal-lands
#20
REVIEW
P Schröder, B Beckers, S Daniels, F Gnädinger, E Maestri, N Marmiroli, M Mench, R Millan, M M Obermeier, N Oustriere, T Persson, C Poschenrieder, F Rineau, B Rutkowska, T Schmid, W Szulc, N Witters, A Sæbø
The rapid increase of the world population constantly demands more food production from agricultural soils. This causes conflicts, since at the same time strong interest arises on novel bio-based products from agriculture, and new perspectives for rural landscapes with their valuable ecosystem services. Agriculture is in transition to fulfill these demands. In many countries, conventional farming, influenced by post-war food requirements, has largely been transformed into integrated and sustainable farming...
November 10, 2017: Science of the Total Environment
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