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"High utilizer"

Ria Schroder, John Douglas Sellman, Simon Adamson
Food addiction is increasingly being recognised as a contributory factor in overweight and obesity. Management of eating compulsivity, a key component of food addiction, may assist greatly in the successful treatment of obesity. Measurement of food addiction and its core characteristic of eating compulsivity is fundamental to increasing understandings of the concept of food addiction, its prevalence among people with and without obesity and its utility within a treatment context. The current study describes the development and initial validation of a brief measure of eating compulsivity that can be used within clinical and research settings to establish a person's level of eating compulsivity...
September 14, 2017: Substance Use & Misuse
Martha G Garcia-Garcia, Austin J Bergquist, Hector Vargas-Perez, Mary K Nagai, Jose Zariffa, Cesar Marquez-Chin, Milos R Popovic
Context Firing rates of single cortical neurons can be volitionally modulated through biofeedback (i.e. operant conditioning), and this information can be transformed to control external devices (i.e. brain-machine interfaces; BMIs). However, not all neurons respond to operant conditioning in BMI implementation. Establishing criteria that predict neuron utility will assist translation of BMI research to clinical applications. Findings Single cortical neurons (n=7) were recorded extracellularly from primary motor cortex of a Long-Evans rat...
September 12, 2017: Journal of Spinal Cord Medicine
Youlin Zhang, Xiaokun Li, Kai Li, Bin Xue, Chunmei Zhang, Cheng Du, Zhijian Wu, Wei Chen
Design of catalytically active Pt-based catalysts with minimizing the usage of Pt is a major issue in fuel cells. Herein, for the first time, we have developed a Au catalytic reduction strategy to synthesize a Au@Pt core-shell electrocatalyst with a quasi-monolayer Pt skin spontaneously formed from the gold surface catalysis. In the presence of presynthesized gold nanocrystals (used as the catalyst and Au seeds) and 4-(2-hydroxyethyl)-1-piperazineethanesulfonic acid buffer (used as reductant), under the Au surface catalysis, platinum ions can be reduced and deposited on the gold nanocrystals to form a Pt skin surface with a quasi-monatomic thickness...
September 15, 2017: ACS Applied Materials & Interfaces
Jegatha Nambi Krishnan, Sang-Hwi Park, Sang Kyung Kim
A new single-step aptamer-based surface-enhanced fluorescent optical sensor is built, by combining an aptamer-target interaction for target recognition and a fluorophore interaction for signal enhancement. The developed aptasensor is simple, sensitive, specific and stable for the detection of thrombin. A new nanometallic Au structure in the range of 100 nm was constructed through effective electroless plating method on a Cu thin film. Cu⁺ ions act as sacrificial seeds for the reduction of Au(2+/3+) ions to form Au nanolawns...
September 7, 2017: Sensors
Helena Kisvetrová, Šárka Vévodová, David Školoudík
PURPOSE: Comfort promotion plays a significant role in end-of-life patient care. The objective of this study was to determine the utilization rate of comfort supporting nursing activities in end-of-life patients in an institutionalized environment in the Czech Republic in relation to the age of the registered nurses (RNs), length of work experience, education level, and type of workplace. DESIGN: A cross-sectional, descriptive study was designed. A questionnaire with Likert scales included 31 activities of dying care and spiritual support interventions...
September 4, 2017: Journal of Nursing Scholarship
Naoto Shimetani
Real-time test results are necessary for early diagnosis and in determining treatment orientation in medical practice. Point of Care Testing (POCT) is a testing system that provides beneficial and helpful information for diagnosis and treatment through real-time testing at the bedside. Therefore, POCT has high utility value in the field of infectious diseases as a rapid test that provides, within the consultation hours, useful information for initial treatment.Infectious disease rapid test kits are commercially available for a wide variety of prophlogistic pathogen targets, including bacterial, viral, fungal, protozoal, and other disease agents...
2017: Medical Mycology Journal
Robb E Clawson, Stephanie Y Davis, Richard B Miller, Tabitha N Webster
A case is made for why it may now be in the best interest of insurance companies to reimburse for marital therapy to treat marital distress. Relevant literature is reviewed with a considerable focus on the reasons that insurance companies would benefit from reimbursing marital therapy - the high costs of marital distress, the growing link between marital distress and a host of related physical and mental health problems, as well as the availability of empirically supported treatments for marital distress. This is followed by a focus on the major reasons insurance companies cite for not reimbursing marital therapy, along with a discussion of advances in several growing bodies of research to address these concerns...
August 22, 2017: Journal of Marital and Family Therapy
Amy Mager, Kristin Pelot, Kathryn Koch, Lawrence Miller, Collin Hubler, Anisah Ndifor, Canice Coan, Cynthia Leonard, Joshua J Field
BACKGROUND: A subset of adults with sickle cell disease (SCD) heavily utilizes the emergency department (ED) and hospital. The objective of our study was to determine the efficacy of a multidisciplinary strategy to address unmet needs in highly utilizing adults with SCD. METHODS: In a prospective study, adults with SCD with ≥10 admissions per year were assessed by a multidisciplinary team for gaps in medical, social, and psychological care. Thereafter, the team decided upon the subject's predominant domain that drove admissions and instituted an interventional plan...
May 2017: Journal of Opioid Management
Jingjing Qian, Saranrat Wittayanukorn, Richard A Hansen
This study estimated patterns and trends in all-cause (any reason, including psychiatry related) and psychiatric emergency department (ED) utilization among Medicare beneficiaries under 65 who were residing in community settings (i.e., noninstitutionalized or in their own homes). Medicare beneficiaries under the age of 65 enrolled in Medicare for Social Security Disability Insurance (SSDI) due to permanent physical or mental disabilities are a population with poor health conditions and high utilization of health services; however, this vulnerable population has received limited attention from researchers and policymakers compared to the Medicare beneficiaries 65 years and older...
August 2017: Psychological Services
Emilia Lubowicka, Ewa Gacuta, Monika Zajkowska, Edyta Katarzyna Głażewska, Andrzej Przylipiak, Lech Chrostek, Monika Zbucka-Krętowska, Sławomir Ławicki
Matrix metalloproteinases (MMPs) are a family of proteolytic enzymes, involved in the degradation of extracellular matrix components. The physiological function of MMP-9 is associated with regulation of immune processes, embryogenesis, reproduction and wound healing. MMP-9 also plays a critical role in tumor invasion, degrading the basement membrane, what is observed in different types of cancers: breast, gastrointestinal, and gynecological. AIM: The aim of this study was to investigate the plasma levels and diagnostic utility of MMP-9 and CA 125 in cervical cancer patients...
July 21, 2017: Polski Merkuriusz Lekarski: Organ Polskiego Towarzystwa Lekarskiego
Jennifer N Goldstein, Zugui Zhang, J Sanford Schwartz, LeRoi S Hicks
BACKGROUND: Medicare beneficiaries hospitalized under observation status are subject to cost-sharing with no spending limit under Medicare Part B. Because low-income status is associated with increased hospital use, there is concern that such beneficiaries may be at increased risk for high use and out-of-pocket costs related to observation care. Our objective was to determine whether low-income Medicare beneficiaries are at risk for high use and high financial liability for observation care compared with higher-income beneficiaries...
July 31, 2017: American Journal of Medicine
Wensheng Li, Lingtao Sun, Rong Hu, Wenli Liao, Zhongbin Li, Yanrong Li, Chaozhong Guo
The great challenge of boosting the oxygen reduction reaction (ORR) activity of non-noble-metal electrocatalysts is how to achieve effective exposure and full utilization of nitrogen-rich active sites. To realize the goals of high utilization of active sites and fast electron transport, here we report a new strategy for synthesis of an iron and nitrogen co-doped carbon nanolayers-wrapped multi-walled carbon nanotubes as ORR electrocatalyst (N-C@CNT-Fe) via using partially carbonized hemoglobin as a single-source precursor...
May 20, 2017: Materials
Chao Wang, Shiheng Li, Yuyao Han, Zhenda Lu
A novel structure of a carbon-coated LiMnPO4 microcluster through emulsion-based self-assembly has been fabricated to yield a high-performance battery cathode. In this rational design, nanosized LiMnPO4 plates are assembled into microclusters to achieve a dense packing and robust interparticle contact. In addition, the conductive carbon framework wrapping around these clusters functions as a fast electron highway, ensuring the high utilization of the active materials. The designed structure demonstrates enhanced specific capacity and cycling stability in lithium-ion batteries, delivering a discharge capacity of 120 mAh g(-1) after 200 cycles at 0...
August 10, 2017: ACS Applied Materials & Interfaces
Kaichen Xu, Jiagen Wu, Chuan Fu Tan, Ghim Wei Ho, Ang Wei, Minghui Hong
Solar energy represents a robust and natural form of resource for environment remediation via photocatalytic pollutant degradation with minimum associated costs. However, due to the complexity of the photodegradation process, it has been a long-standing challenge to develop reliable photocatalytic systems with low recombination rates, excellent recyclability, and high utilization rates of solar energy, especially in the visible light range. In this work, a ternary hetero-nanostructured Ag-CuO-ZnO nanotube (NT) composite is fabricated via facile and low-temperature chemical and photochemical deposition methods...
August 17, 2017: Nanoscale
Farah Al-Shorbaji, Benjamin Roche, Robert Britton, Demetra Andreou, Rodolphe Gozlan
Outbreaks of generalist pathogens are influenced by host community structure, including population density and species diversity. Within host communities predation can influence pathogen transmission rates, prevalence and impacts. However, the influence of predation on community resilience to outbreaks of generalist pathogens is not fully understood. The role of predation on host community resilience to disease was assessed using an epidemiological multi-host susceptible-exposed-infectious-recovered model. Sphaerothecum destruens, an emerging fungal-like generalist pathogen, was used as a model pathogen...
September 2017: Journal of Animal Ecology
Binbin Zhang, Jerry Chun-Wei Lin, Philippe Fournier-Viger, Ting Li
High-utility sequential pattern mining (HUSPM) has become an important issue in the field of data mining. Several HUSPM algorithms have been designed to mine high-utility sequential patterns (HUPSPs). They have been applied in several real-life situations such as for consumer behavior analysis and event detection in sensor networks. Nonetheless, most studies on HUSPM have focused on mining HUPSPs in precise data. But in real-life, uncertainty is an important factor as data is collected using various types of sensors that are more or less accurate...
2017: PloS One
Gang Xu, Jian Cao, Yali Zhao, Lishuo Zheng, Minli Tao, Wenqin Zhang
A novel solid acid catalyst (PANEAPF) was developed by immobilization of phosphoric acid on polyacrylonitrile fiber via covalent bond. Various characterization techniques such as elemental analysis (EA), X-ray photoelectron spectroscopy (XPS), Fourier transform infrared spectroscopy (FTIR), etc. were utilized to confirm the successful grafting and the stability of the fiber catalysts during application. The PANEAPF showed high catalytic activity in the acetalization of aldehydes due to the high utilization efficiency of its functionalized acid sites...
July 20, 2017: Chemistry, An Asian Journal
M Spólnicka, E Pośpiech, B Pepłońska, R Zbieć-Piekarska, Ż Makowska, A Pięta, J Karłowska-Pik, B Ziemkiewicz, M Wężyk, P Gasperowicz, T Bednarczuk, M Barcikowska, C Żekanowski, R Płoski, Wojciech Branicki
Improving accuracy of the available predictive DNA methods is important for their wider use in routine forensic work. Information on age in the process of identification of an unknown individual may provide important hints that can speed up the process of investigation. DNA methylation markers have been demonstrated to provide accurate age estimation in forensics, but there is growing evidence that DNA methylation can be modified by various factors including diseases. We analyzed DNA methylation profile in five markers from five different genes (ELOVL2, C1orf132, KLF14, FHL2, and TRIM59) used for forensic age prediction in three groups of individuals with diagnosed medical conditions...
July 19, 2017: International Journal of Legal Medicine
Angela Berndt, Carolyn M Murray, Kate Kennedy, Mandy J Stanley, Susan Gilbert-Hunt
BACKGROUND: Allied health professionals working in rural areas face unique challenges, often with limited access to resources. Accessing continuing professional development is one of those challenges and is related to retention of workforce. Effectiveness of distance learning strategies for continuing professional development in rural allied healthcare workers has not been evaluated. METHODS: We searched 17 databases and the grey literature up to September 2016 following the PRISMA guidelines...
July 12, 2017: BMC Medical Education
Muhammad Altaf, Arshad Javid, Muhammad Umair, Khalid Javed Iqbal, Zahid Rasheed, Arshad Mehmood Abbasi
BACKGROUND: Although, use of animal species in disease treatment and culture practices is as ancient as that of plant species; however ethnomedicinal uses and cultural values of animal species have rarely been reported. Present study is the first report on the medicinal uses of mammals and bird species in Pakistan. METHODS: Questionnaires and semi-structured interviews were applied to collect qualitative and quantitative data from local informants (N = 109). Relative frequency of mention (RFM), fidelity level (FL), relative popularity level (RPL), similarity index (SI) and rank order priority (ROP) indices were used to analyzed the data...
July 12, 2017: Journal of Ethnobiology and Ethnomedicine
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