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https://www.readbyqxmd.com/read/28956027/the-impact-of-changes-in-medicare-s-physician-payment-system-on-critical-care
#1
Charles E Hobson, Azra Bihorac, Mehrnaz Hadian, Daniel L Herr, Thomas G Rainey, Frank B Cerra, Lena M Napolitano, John W Hoyt
In 2015 President Obama signed the Medicare Access and CHIP Reauthorization Act (MACRA) which repealed the Sustainable Growth Rate (SGR) mechanism for Medicare physician reimbursement and mandated that CMS develop alternative payment methodologies to "reward health care providers for giving better care not more just more care." MACRA makes 3 major changes to Medicare reimbursements: (1) it ends the SGR formula; (2) it establishes a new framework to reward physicians based on performance and health outcomes rather than volume; and (3) it aims to combine existing quality reporting programs into one streamlined system...
February 2017: Crit Connect
https://www.readbyqxmd.com/read/28947615/vascular-adam17-a-disintegrin-and-metalloproteinase-domain-17-is-required-for-angiotensin-ii-%C3%AE-aminopropionitrile-induced-abdominal-aortic-aneurysm
#2
Tatsuo Kawai, Takehiko Takayanagi, Steven J Forrester, Kyle J Preston, Takashi Obama, Toshiyuki Tsuji, Tomonori Kobayashi, Michael J Boyer, Hannah A Cooper, Hang Fai Kwok, Tomoki Hashimoto, Rosario Scalia, Victor Rizzo, Satoru Eguchi
Angiotensin II (AngII)-activated epidermal growth factor receptor has been implicated in abdominal aortic aneurysm (AAA) development. In vascular smooth muscle cells (VSMCs), AngII activates epidermal growth factor receptor via a metalloproteinase, ADAM17 (a disintegrin and metalloproteinase domain 17). We hypothesized that AngII-dependent AAA development would be prevented in mice lacking ADAM17 in VSMCs. To test this concept, control and VSMC ADAM17-deficient mice were cotreated with AngII and a lysyl oxidase inhibitor, β-aminopropionitrile, to induce AAA...
September 25, 2017: Hypertension
https://www.readbyqxmd.com/read/28946003/user-emotion-for-modeling-retweeting-behaviors
#3
Jinpeng Chen, Yu Liu, Ming Zou
Twitter and other microblogs have rapidly become a significant mean of information propagation in today's web. Understanding the main factors that make certain pieces of information spread quickly in these platforms has emerged as a popular topic. Therefore, as a simple yet powerful way of disseminating useful information, retweeting has attracted much interest. Existing methods for retweets have been conducted for analyzing the social network structure, or understanding the retweeting mechanism. However, little attention is paid to whether users' emotion will affect users' retweeting behavior...
September 8, 2017: Neural Networks: the Official Journal of the International Neural Network Society
https://www.readbyqxmd.com/read/28919944/network-analysis-on-attitudes-a-brief-tutorial
#4
Jonas Dalege, Denny Borsboom, Frenk van Harreveld, Han L J van der Maas
In this article, we provide a brief tutorial on the estimation, analysis, and simulation on attitude networks using the programming language R. We first discuss what a network is and subsequently show how one can estimate a regularized network on typical attitude data. For this, we use open-access data on the attitudes toward Barack Obama during the 2012 American presidential election. Second, we show how one can calculate standard network measures such as community structure, centrality, and connectivity on this estimated attitude network...
July 2017: Social Psychological and Personality Science
https://www.readbyqxmd.com/read/28906168/the-affordable-care-act-how-nixon-s-health-reform-proposal-became-democrats-albatross
#5
Steffie Woolhandler, David U Himmelstein
President Obama's signature health care reform, the Affordable Care Act (ACA), was passed in 2010 and fully implemented in 2014. Two years later, Republicans' attacks on the ACA as a failed reform helped fuel their recent electoral victory. The legislation significantly expanded insurance coverage. But it was built on, and fortified, private health insurance firms, and it accelerated the corporate takeover of hospitals and physicians' practices. This obeisance to corporate interests precluded making coverage universal or care affordable...
January 1, 2017: International Journal of Health Services: Planning, Administration, Evaluation
https://www.readbyqxmd.com/read/28900583/the-daniel-k-inouye-college-of-pharmacy-scripts-precision-medicine-through-the-use-of-pharmacogenomics-current-status-and-barriers-to-implementation
#6
Anita E Ciarleglio, Carolyn Ma
The precision medicine initiative brought forth by President Barack Obama in 2015 is an important step on the journey to truly personalized medicine. A broad knowledge and understanding of the implications of the pharmacogenomic literature will be critical to the achievement of this goal. While a great amount of data has been published in the areas of pharmacogenomics and pharmacogenetics, there are still relatively few instances in which the need for clinical intervention can be stated without doubt, and which are widely accepted and practiced by the medical community...
September 2017: Hawai'i Journal of Medicine & Public Health: a Journal of Asia Pacific Medicine & Public Health
https://www.readbyqxmd.com/read/28888294/occupy-the-government-analyzing-presidential-and-congressional-discursive-response-to-movement-repression
#7
Joshua Gary Mausolf
I examine the role of Occupy Wall Street in shifting presidential and congressional discourse on economic fairness and inequality. Using data from 4646 presidential speeches and 1256 congressional records from 2009 to 2015, I test different mechanisms, including repression, media coverage, public opinion, and presidential agenda-setting by applying a novel combination of web scraping, natural language processing, and time series models. I suggest that movement success can be measured in its ability to shape discursive opportunity structures, and I argue that the role of the president should be at the forefront of social movements research...
September 2017: Social Science Research
https://www.readbyqxmd.com/read/28862012/-american-healthcare-system-and-the-uncertain-future-of-the-obamas-reform
#8
Helena Hnilicová
The United States differs from other developed countries in health care system which does not guarantee health care for the entire population. The right to health care is not considered a part of the basic human rights. There is much more emphasis on individual responsibility in insurance of health services that are essentially commercial in nature. The aim of this article is to inform on US health system and the measures underlying the recently introduced health reform, whose future development cannot be predicted at present...
2017: Casopís Lékar̆ů C̆eských
https://www.readbyqxmd.com/read/28852561/barred-from-better-medicine-reexamining-regulatory-barriers-to-the-inclusion-of-prisoners-in-research
#9
Elaine Huang, Jacqueline Cauley, Jennifer K Wagner
In 2015, President Obama announced plans for the Precision Medicine Initiative(®) (PMI), an ambitious longitudinal project aimed at revolutionizing medicine. Integral to this Initiative is the recruitment of over one million Americans into a volunteer research cohort, the All of Us(SM) Research Program. The announcement has generated much excitement but absent is a discussion of how the All of Us Research Program-to be implemented within the context of social realities of mass incarcerations and racial disparities in criminal justice and healthcare-might excaberate health disparities...
April 2017: Journal of Law and the Biosciences
https://www.readbyqxmd.com/read/28749058/conservationism-and-bioethic
#10
EDITORIAL
Gregory E Kaebnick
The lead article in this issue of the Hastings Center Report (July-August 2017) explores the ideas underpinning the Precision Medicine Initiative, the effort announced by President Obama in 2015 to promote the development of treatments adjusted to genetic and other variations. Authors Maya Sabatello and Paul Appelbaum hold that the effort works by appealing to a sense of collective identity and shared commitment-an understanding that they call the "PMI nation." But what are the moral implications of this idea? Sabatello and Appelbaum's question about the impact of an imagined community is an unusual way of exploring a set of values questions...
July 2017: Hastings Center Report
https://www.readbyqxmd.com/read/28690678/the-molecular-understanding-of-cancer-from-the-unspeakable-illness-to-a-curable-disease
#11
Marco A Pierotti
The beginning of our understanding of the molecular basis of cancer and the discovery in the 1980s of cancer associated genes, oncogenes, and tumour suppressor genes has led to cancer becoming a treatable condition rather than an unspeakable disease. In 1971, the then USA President, Richard Nixon, declared 'war against cancer' with a far too optimistic perspective of winning in just a few years. This tactic failed because our knowledge of the disease was still very limited and even its origin-viral or due to exposure to external agents-was still highly debated...
2017: Ecancermedicalscience
https://www.readbyqxmd.com/read/28665980/the-effects-of-name-and-religious-priming-on-ratings-of-a-well-known-political-figure-president-barack-obama
#12
Gary A Williams, AnaMarie C Guichard, JungHa An
Priming with race-typed names and religious concepts have been shown to activate stereotypes and increase prejudice towards out-groups. We examined the effects of name and religious word priming on views of a specific and well-known person, President Barack Obama. We predicted that politically conservative participants primed with President Obama's middle name (Hussein) would rate him more negatively and be more likely to view him as a Muslim than those not shown his middle name. We also examined whether conservatives primed with concrete religious words would rate President Obama more negatively and be more likely to view him as Muslim than those primed with other word types...
2017: PloS One
https://www.readbyqxmd.com/read/28639136/long-term-oncologic-outcomes-of-robotic-gastrectomy-for-gastric-cancer-compared-with-laparoscopic-gastrectomy
#13
Kazutaka Obama, Yoo-Min Kim, Dae Ryong Kang, Taeil Son, Hyoung-Il Kim, Sung Hoon Noh, Woo Jin Hyung
BACKGROUND: Initial experiences with robotic gastrectomy (RG) for gastric cancer have demonstrated favorable short-term outcomes, suggesting that RG is an effective alternative to laparoscopic gastrectomy (LG). However, data on long-term survival and recurrence after RG for gastric cancer have yet to be reported. The objective of this study was to assess long-term outcomes after RG compared with LG. METHODS: We retrospectively evaluated 313 and 524 patients who underwent RG or LG, respectively, for gastric cancer between July 2005 and December 2009...
June 21, 2017: Gastric Cancer
https://www.readbyqxmd.com/read/28606093/two-steps-forward-one-step-back-current-harm-reduction-policy-and-politics-in-the-united-states
#14
Ethan Nadelmann, Lindsay LaSalle
Harm reduction policies and attitudes in the United States have advanced substantially in recent years but still lag behind more advanced jurisdictions in Europe and elsewhere. The Obama administration, particularly in its last years, embraced some harm reduction policies that had been rejected by previous administrations but shied away from more cutting edge interventions like supervised consumption sites and heroin-assisted treatment. The Trump administration will undermine some of the progress made to date but significant state and local control over drug policies in the US, as well as growing Republican support for pragmatic drug policies, motivated in part by the opioid crisis, ensures continuing progress for harm reduction...
June 12, 2017: Harm Reduction Journal
https://www.readbyqxmd.com/read/28589801/call-to-champion-health-of-refugees
#15
(no author information available yet)
The highest-ranking nurse from the Obama administration has urged nurses around the world to help tackle migrant and refugee health challenges.
June 7, 2017: Nursing Standard
https://www.readbyqxmd.com/read/28589014/unethical-randomised-controlled-trial-of-cervical-screening-in-india-us-freedom-of-information-act-disclosures
#16
Eric J Suba, Robert E Ortega, David G Mutch
A randomised controlled trial conducted in Mumbai, India, compared invasive cervical cancer rates among women offered cervical screening with invasive cervical cancer rates among women offered no-screening. The US Office for Human Research Protections determined the Mumbai trial was unethical because informed consent was not obtained from trial participants. Reportedly, cervical screening in the Mumbai trial reduced invasive cervical cancer mortality rates, but not invasive cervical cancer incidence rates. Documents obtained through the US Freedom of Information Act disclose that the US National Cancer Institute funded the Mumbai trial from 1997 to 2015 to study 'visual inspection/downstaging' tests...
March 2017: BMJ Global Health
https://www.readbyqxmd.com/read/28543657/ethical-principles-process-and-the-work-of-bioethics-commissions
#17
Daniel P Sulmasy
Shortly after the Presidential Commission for the Study of Bioethical Issues was constituted in 2010 and days before the commission members were to join a conference call to discuss possible topics for their deliberation, Craig Venter held a press conference announcing that his lab had created a synthetic chromosome for a species of mycoplasma and had inserted this genetic material into organisms of another species of mycoplasma (the genes of which had been deactivated), transforming the host species into the donor species...
May 2017: Hastings Center Report
https://www.readbyqxmd.com/read/28543648/making-the-choices-necessary-to-make-a-difference-the-responsibility-of-national-bioethics-commissions
#18
Christine Grady
In this essay, I offer some reflections on how the topics were identified and approached by the Presidential Commission for the Study of Bioethical Issues, on which I had the honor to serve, in the hope that the reflections may be useful to future national bioethics commissions. In the executive order that established the bioethics commission, President Obama explicitly recognized the ethical imperative to responsibly pursue science, innovation, and advances in biomedical research and health care, and the importance of national attention to these issues...
May 2017: Hastings Center Report
https://www.readbyqxmd.com/read/28543647/reflections-on-democratic-deliberation-in-bioethics
#19
Amy Gutmann, James W Wagner
Over the course of six years and more than two dozen meetings, members of the Presidential Commission for the Study of Bioethical Issues learned so many things: about emerging science; technological challenges; citizen engagement; the public's, experts', and our own understandings and misperceptions; and even the nature of our own most cherished values. Our commission's commitment to democratic deliberation began deliberatively, when we decided (in the summer of 2010) upon basic principles to guide our first report...
May 2017: Hastings Center Report
https://www.readbyqxmd.com/read/28543413/regulating-research-with-biospecimens-under-the-revised-common-rule
#20
Holly Fernandez Lynch, Michelle N Meyer
Since 2011, the research community had waited with bated breath as regulators contemplated for the first time bringing secondary research with nonidentifiable biospecimens under the Common Rule and dramatically tightening the criteria for waiving consent to biospecimen research. After considerable pushback from both researchers and patients and amid rumors of intractable disagreement among Common Rule agencies, the Final Rule published on the last day of President Obama's administration left out these troubling changes, and there was a collective sigh of relief...
May 2017: Hastings Center Report
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