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https://www.readbyqxmd.com/read/28633668/use-of-social-adaptability-index-to-explain-self-care-and-diabetes-outcomes
#1
Jennifer A Campbell, Rebekah J Walker, Brittany L Smalls, Leonard E Egede
BACKGROUND: To examine whether the social adaptability index (SAI) alone or components of the index provide a better explanatory model for self-care and diabetes outcomes. METHODS: Six hundred fifteen patients were recruited from two primary care settings. A series of multiple linear regression models were run to assess (1) associations between the SAI and diabetes self-care/outcomes, and (2) associations between individual SAI indicator variables and diabetes self-care/outcomes...
June 20, 2017: BMC Endocrine Disorders
https://www.readbyqxmd.com/read/28617019/initial-examination-of-characteristics-of-patients-who-are-high-utilizers-of-an-established-primary-care-behavioral-health-consultation-service
#2
Meghan Fondow, Elizabeth Zeidler Schreiter, Chantelle Thomas, Ashley Grosshans, Neftali Serrano, Kenneth Kushner
Obective: Although much has been studied regarding high-utilizing patients of medical services, no studies have been published regarding high-utilizing patients of integrated primary care behavioral health (PCBH) services. The primary purpose of the current study was to examine characteristics of high-utilizing patients of PCBH services and model adherence. The secondary purpose was to describe the process of conducting this research by clinicians in integrated care. METHOD: Data were obtained from electronic health records retrospectively for the study's time period, 2007-2013, for the sample of all patients who met with the behavioral health consultation team during that time...
June 2017: Families, Systems & Health: the Journal of Collaborative Family Healthcare
https://www.readbyqxmd.com/read/28613090/personality-disorders-in-primary-care-impact-on-depression-outcomes-within-collaborative-care
#3
Kurt B Angstman, Ashok Seshadri, Alberto Marcelin, Cesar A Gonzalez, Gregory M Garrison, Jay-Sheree Allen
BACKGROUND: Individuals with personality disorders (PDs) are high utilizers of primary care and mental health services; however, they struggle to utilize the care effectively and studies have shown a strong association between having a PD and higher impairment in social role functioning. This is especially important because PDs are highly comorbid with a wide range of other mental health disorders. The collaborative care model (CCM) for depression was developed with an emphasis on patient engagement and aimed to reduce health care utilization, while improving treatment outcomes in primary care...
June 1, 2017: Journal of Primary Care & Community Health
https://www.readbyqxmd.com/read/28609191/understanding-frequent-emergency-department-use-among-primary-care-patients
#4
Morgan Hardy, Alex Cho, Alissa Stavig, Marigny Bratcher, Janice Dillard, Lawrence Greenblatt, Kevin Schulman
Patients with high emergency department (ED) utilization are an important focus in population health management. This retrospective cohort study analyzed patterns of frequent ED use for 4087 patients enrolled at an academically-affiliated primary care clinic. For all ED visits (nā€‰=ā€‰4776), the chief complaints, admission rates, number of complaints per patient, and median time between return visits were assessed. Chart reviews were conducted for the 10 highest utilizers from each of the 3 leading complaints to help explain repeated ED use for the same complaints...
June 13, 2017: Population Health Management
https://www.readbyqxmd.com/read/28607233/universal-health-coverage-and-the-health-sustainable-development-goal-achievements-and-challenges-for-sri-lanka
#5
Amala de Silva, Thushara Ranasinghe, Palitha Abeykoon
With state-funded health care that is free at the point of delivery, a sound primary health-care policy and widespread health-care services, Sri Lanka seems a good example of universal health coverage. Yet, health transition and disparities in provision and financing threaten this situation. Sri Lanka did well on the Millennium Development Goal health indicators, but the Sustainable Development Goal (SDG) for health has a wider purview, which is to "ensure healthy lives and promote well-being for all at all ages"...
September 2016: WHO South-East Asia Journal of Public Health
https://www.readbyqxmd.com/read/28603388/anonymizing-1-m-microdata-with-high-utility
#6
Qiyuan Gong, Junzhou Luo, Ming Yang, Weiwei Ni, Xiao-Bai Li
Preserving privacy and utility during data publishing and data mining is essential for individuals, data providers and researchers. However, studies in this area typically assume that one individual has only one record in a dataset, which is unrealistic in many applications. Having multiple records for an individual leads to new privacy leakages. We call such a dataset a 1:M dataset. In this paper, we propose a novel privacy model called (k, l)-diversity that addresses disclosure risks in 1:M data publishing...
January 1, 2017: Knowledge-based Systems
https://www.readbyqxmd.com/read/28579193/relativity-screens-for-misvalued-medical-services-impact-on-noninvasive-diagnostic-radiology
#7
Andrew B Rosenkrantz, Ezequiel Silva, C Matthew Hawkins
PURPOSE: In 2006, the AMA/Specialty Society Relative Value Scale Update Committee (RUC) introduced ongoing relativity screens to identify potentially misvalued medical services for payment adjustments. We assess the impact of these screens upon the valuation of noninvasive diagnostic radiology services. METHODS: Data regarding relativity screens and relative value unit (RVU) changes were obtained from the 2016 AMA Relativity Assessment Status Report. All global codes in the 2016 Medicare Physician Fee Schedule with associated work RVUs were classified as noninvasive diagnostic radiology services versus remaining services...
June 1, 2017: Journal of the American College of Radiology: JACR
https://www.readbyqxmd.com/read/28576351/publicly-available-software-tools-for-decision-makers-during-an-emergent-epidemic-systematic-evaluation-of-utility-and-usability
#8
REVIEW
David James Heslop, Abrar Ahmad Chughtai, Chau Minh Bui, C Raina MacIntyre
Epidemics and emerging infectious diseases are becoming an increasing threat to global populations-challenging public health practitioners, decision makers and researchers to plan, prepare, identify and respond to outbreaks in near real-timeframes. The aim of this research is to evaluate the range of public domain and freely available software epidemic modelling tools. Twenty freely utilisable software tools underwent assessment of software usability, utility and key functionalities. Stochastic and agent based tools were found to be highly flexible, adaptable, had high utility and many features, but low usability...
April 26, 2017: Epidemics
https://www.readbyqxmd.com/read/28574535/telemetry-monitor-watchers-reduce-bedside-nurses-exposure-to-alarms-by-intercepting-a-high-number-of-nonactionable-alarms
#9
Sonali Palchaudhuri, Stephanie Chen, Elaine Clayton, Anthony Accurso, Sammy Zakaria
Cardiac telemetry, designed to monitor hospitalized patients with active cardiac conditions, is highly utilized outside the intensive care unit but is also resource-intensive and produces many nonactionable alarms. In a hospital setting in which dedicated monitor watchers are set up to be the first responders to system-generated alerts, we conducted a retrospective study of the alerts produced over a continuous 2-month period to evaluate how many were intercepted before nurse notification for being nonactionable, and how many resulted in code team activations...
June 2017: Journal of Hospital Medicine: An Official Publication of the Society of Hospital Medicine
https://www.readbyqxmd.com/read/28570815/co4n-nanosheet-assembled-mesoporous-sphere-as-a-matrix-for-ultrahigh-sulfur-content-lithium-sulfur-batteries
#10
Ding-Rong Deng, Fei Xue, Yue-Ju Jia, Jian-Chuan Ye, Cheng-Dong Bai, Ming-Sen Zheng, Quan-Feng Dong
High utilization and loading of sulfur in cathodes holds the key in the realization of Li-S batteries. We here synthesized a Co4N mesoporous sphere, which was made up of nanosheets, via an easy and convenient method. This material presents high affinity, speedy trapping, and absorbing capacity for polysulfides and acts as a bifunctional catalysis for sulfur redox processes; therefore it is an ideal matrix for S active material. With such a mesoporous sphere used as a sulfur host in Li-S batteries, extraordinary electrochemistry performance has been achieved...
June 7, 2017: ACS Nano
https://www.readbyqxmd.com/read/28559410/case-report-encephalitis-with-brainstem-involvement-following-checkpoint-inhibitor-therapy-in-metastatic-melanoma
#11
Simon Bossart, Selina Thurneysen, Elisabeth Rushing, Karl Frontzek, Henning Leske, Daniela Mihic-Probst, Hannes W Nagel, Johanna Mangana, Simone M Goldinger, Reinhard Dummer
Checkpoint inhibitors are increasingly being used in the treatment of malignant melanoma and other cancers. With the use of such therapies, autoimmune-mediated adverse events in the central and peripheral nervous system are likely to occur more frequently. We report a unique case of brainstem encephalitis with a sudden lethal outcome following ipilimumab and pembrolizumab therapy in a patient with malignant melanoma. The autopsy showed a diffuse nodular activation of microglia in the whole encephalon with prominent intraparenchymal and perivascular lymphocytic infiltration of the brainstem...
June 2017: Oncologist
https://www.readbyqxmd.com/read/28555287/genetic-diagnostics-of-inherited-aortic-diseases-medical-strategy-analysis
#12
Y von Kodolitsch, K Kutsche
Genetic aortic syndromes (GAS) include Marfan, Loeys-Dietz, vascular Ehlers-Danlos, and Turner syndrome as well as congenital bicuspid aortic valve. The clinical management of these diseases has certain similarities and differences. We employed medical strategy analysis to test the utility of genetic diagnostics in the management of GAS. We chose the standpoint of the cardiologist for our analysis. In the first step, the medical goals in the management of GAS are specified. In the second step, the accuracy of genetic diagnostics for GAS is examined...
May 29, 2017: Herz
https://www.readbyqxmd.com/read/28553512/sub-1-1-nm-ultrathin-porous-cop-nanosheets-with-dominant-reactive-200-facets-a-high-mass-activity-and-efficient-electrocatalyst-for-the-hydrogen-evolution-reaction
#13
Chao Zhang, Yi Huang, Yifu Yu, Jingfang Zhang, Sifei Zhuo, Bin Zhang
The exploration of a facile strategy to synthesize porous ultrathin nanosheets of non-layered materials, especially with exposed reactive facets, as highly efficient electrocatalysts for the hydrogen evolution reaction (HER), remains challenging. Herein we demonstrate a chemical transformation strategy to synthesize porous CoP ultrathin nanosheets with sub-1.1 nm thickness and exposed {200} facets via phosphidation of Co3O4 precursors. The resultant samples exhibit outstanding electrochemical HER performance: a low overpotential (only 56 and 131 mV are required for current densities of 10 and 100 mA cm(-2), respectively), a small Tafel slope of 44 mV per decade, a good stability of over 20 h, and a high mass activity of 151 A g(-1) at an overpotential of 100 mV...
April 1, 2017: Chemical Science
https://www.readbyqxmd.com/read/28539043/achieving-remarkable-activity-and-durability-toward-oxygen-reduction-reaction-based-on-ultrathin-rh-doped-pt-nanowires
#14
Hongwen Huang, Kan Li, Zhao Chen, Laihao Luo, Yuqian Gu, Dongyan Zhang, Chao Ma, Rui Si, Jinlong Yang, Zhenmeng Peng, Jie Zeng
The research of active and sustainable electrocatalysts toward oxygen reduction reaction (ORR) is of great importance for industrial application of fuel cells. Here, we report a remarkable ORR catalyst with both excellent mass activity and durability based on sub 2 nm thick Rh-doped Pt nanowires, which combine the merits of high utilization efficiency of Pt atoms, anisotropic one-dimensional nanostructure, and doping of Rh atoms. Compared with commercial Pt/C catalyst, the Rh-doped Pt nanowires/C catalyst shows a 7...
June 21, 2017: Journal of the American Chemical Society
https://www.readbyqxmd.com/read/28536960/predictors-of-inpatient-psychiatric-hospitalization-for-children-and-adolescents-with-autism-spectrum-disorder
#15
Giulia Righi, Jill Benevides, Carla Mazefsky, Matthew Siegel, Stephen J Sheinkopf, Eric M Morrow
Autism Spectrum Disorder (ASD) is associated with significant healthcare expenditures and a greater utilization of psychiatric health services. High utilization may not be evenly distributed across individuals with ASD. The objective of this study was to identify individual and family characteristics that increase the risk of psychiatric hospitalization. Naturalistic study of two age- and gender-matched ASD cohorts, inpatients enrolled in the Autism Inpatient Collection (AIC) and outpatients enrolled in the Rhode Island Consortium of Autism Research and Treatment (RI-CART), revealed a number of factors associated with hospitalization...
May 23, 2017: Journal of Autism and Developmental Disorders
https://www.readbyqxmd.com/read/28533524/enhancing-the-genome-editing-toolbox-genome-wide-crispr-arrayed-libraries
#16
Emmanouil Metzakopian, Alex Strong, Vivek Iyer, Alex Hodgkins, Konstantinos Tzelepis, Liliana Antunes, Mathias J Friedrich, Qiaohua Kang, Teresa Davidson, Jacob Lamberth, Christina Hoffmann, Gregory D Davis, George S Vassiliou, William C Skarnes, Allan Bradley
CRISPR-Cas9 technology has accelerated biological research becoming routine for many laboratories. It is rapidly replacing conventional gene editing techniques and has high utility for both genome-wide and gene-focussed applications. Here we present the first individually cloned CRISPR-Cas9 genome wide arrayed sgRNA libraries covering 17,166 human and 20,430 mouse genes at a complexity of 34,332 sgRNAs for human and 40,860 sgRNAs for the mouse genome. For flexibility in generating stable cell lines the sgRNAs have been cloned in a lentivirus backbone containing PiggyBac transposase recognition elements together with fluorescent and drug selection markers...
May 22, 2017: Scientific Reports
https://www.readbyqxmd.com/read/28527640/influences-on-patient-satisfaction-among-patients-who-use-emergency-departments-frequently-for-pain-related-complaints
#17
Patricia Newcomb, Marian Wilson, Ralph Baine, Terence McCarthy, Nicholas Penny, Caroline Nixon, Justin Orren
INTRODUCTION: The primary purpose of this study was to assess relationships between opioid prescribing practices, patient and ED attributes, and patient satisfaction ratings of nursing and physician care among patients with high utilization of the emergency department for pain relief. METHODS: A retrospective cohort study was conducted to examine 305 individual patient satisfaction surveys from users with high ED utilization for pain complaints. Responses were compared with an age-matched control group (n = 305) of nonfrequent ED users...
May 17, 2017: Journal of Emergency Nursing: JEN: Official Publication of the Emergency Department Nurses Association
https://www.readbyqxmd.com/read/28526721/health-care-resource-utilization-and-associated-costs-among-metastatic-cutaneous-melanoma-patients-treated-with-ipilimumab-intuition-study
#18
Grant A McArthur, Peter Mohr, Paolo Antonio Ascierto, Ana Arance, Ana Banos Hernaez, Peter Kaskel, Michael Weichenthal, Reshma Shinde, Kendall Stevinson
BACKGROUND: There are limited real-world data on health care resource utilization (HCRU) among advanced melanoma patients. The objective of this study was to describe HCRU and health care costs associated with the management of advanced melanoma patients receiving ipilimumab. METHODS: This retrospective multinational, observational study included advanced melanoma patients from Australia, Germany, Italy, and Spain who had received at least 1 dose of ipilimumab. Data extracted from medical charts included inpatient admissions, outpatient visits, surgical procedures, laboratory investigations, radiation therapy, imaging studies, and concomitant medications...
May 19, 2017: Oncologist
https://www.readbyqxmd.com/read/28524791/sagittal-craniosynostosis-a-utility-outcomes-study
#19
Victoria Kuta, P Daniel McNeely, Simon Walling, Michael Bezuhly
OBJECTIVE Sagittal craniosynostosis results in a characteristic scaphocephalic head shape that is typically corrected surgically during a child's 1st year of life. The authors' objective was to determine the potential impact of being born with sagittal craniosynostosis by using validated health state utility assessment measures. METHODS An online utility assessment was designed to generate health utility scores for scaphocephaly, monocular blindness, and binocular blindness using standardized utility assessment tools, namely the visual analog scale (VAS) and the standard gamble (SG) and time trade-off (TTO) tests...
May 19, 2017: Journal of Neurosurgery. Pediatrics
https://www.readbyqxmd.com/read/28508556/impact-of-co-morbidities-on-resource-use-and-adherence-to-guidelines-among-commercially-insured-adults-with-new-visits-for-back-pain
#20
Sean D Rundell, Laura S Gold, Ryan N Hansen, Brian W Bresnahan
RATIONALE, AIMS AND OBJECTIVES: To assess if co-morbidity is associated with higher use of back-related care and adherence to back pain guidelines. METHODS: We conducted a retrospective cohort study using administrative claims data from 2007-2011. We included individuals ā‰„18 years with an index visit for back pain. Co-morbidities were measured 12 months prior to index. Co-morbidity burden was measured using Quan's Co-morbidity Index. Co-morbidities categories were measured using chronic condition indicators from the Agency for Healthcare Research and Quality...
May 16, 2017: Journal of Evaluation in Clinical Practice
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