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https://www.readbyqxmd.com/read/28516194/-current-legal-and-jurisdictional-questions-from-the-perspective-of-the-german-federal-association-for-geriatrics-practical-report
#1
REVIEW
Dirk van den Heuvel, Carsten Klein
The article discusses the questions of the arbitration bodies according to § 111b SGB V (Volume V of the Social Insurance Code) in the individual federal states from the perspective of geriatric rehabilitation hospitals. The content of the agreement of reimbursement between a rehabilitation hospital and health insurance will be targeted as well as the question whether the entire content of the agreements of reimbursement can be negotiated at the arbitration body. In addition, the authors describe the consequences of the jurisprudence of the Federal Social Court on § 301 I...
May 17, 2017: Zeitschrift Für Gerontologie und Geriatrie
https://www.readbyqxmd.com/read/28507207/role-of-osteocytes-in-mediating-bone-mineralization-during-hyperhomocysteinemia
#2
Viji Vijayan, Sarika Gupta
Hyperhomocysteinemia (HHCY) is a risk factor for osteoporosis but whether HHCY affects bone mineralization or not is still ambiguous. Herein we evaluated whether homocysteine affects tissue mineral density (TMD) of cortical bone and if so the role of osteocytes. CD1 mice administered with homocysteine (5 mg/100 g body weight, i.p.) for 7, 15 and 30 days showed temporal changes in TMD and osteocyte lacunar density in femoral cortices. Short-term administration of homocysteine (day 7) increased osteocyte lacunar density and reduced TMD evidenced by microCT50 while prolonged administration of homocysteine (day 30) reinstated TMD and lacunar density to baseline values...
June 2017: Journal of Endocrinology
https://www.readbyqxmd.com/read/28476404/dropout-prevalence-and-associated-factors-in-randomized-clinical-trials-of-adolescents-treated-for-depression-systematic-review-and-meta-analysis
#3
Adriane Isabel Rohden, Mariana Canellas Benchaya, Roger Santos Camargo, Taís de Campos Moreira, Helena M T Barros, Maristela Ferigolo
PURPOSE: Depression currently affects 350 million people, and its prevalence among adolescents is 4% to 8%. Adolescents who abandon antidepressant treatment or drop out of clinical trials are less likely to recover or experience a remission of symptoms because they are not being followed up by a medical team. The objective of this study was to analyze the dropout rates of randomized clinical trials of depressed adolescents receiving treatment with antidepressant drugs and the factors associated with nonadherence by summarizing this information in a systematic review and meta-analysis...
May 2, 2017: Clinical Therapeutics
https://www.readbyqxmd.com/read/28474129/impact-of-eye-tracking-technology-on-oct-angiography-imaging-quality-in-age-related-macular-degeneration
#4
J L Lauermann, M Treder, P Heiduschka, C R Clemens, N Eter, F Alten
OBJECTIVE: To evaluate the impact of eye-tracking (ET) technology on optical coherence tomography angiography (OCT-A) image quality and manifestation of motion artifacts in patients with age-related macular degeneration (AMD). METHODS: In a prospective trial, multimodal retinal imaging including OCT-A was performed in 30 patients (78.97 ± 9.7 years) affected by different stages of AMD. Central 3 × 3 mm(2) OCT-A imaging was performed four times consecutively in each patient, twice with active, and twice with inactive ET...
May 4, 2017: Graefe's Archive for Clinical and Experimental Ophthalmology
https://www.readbyqxmd.com/read/28473517/what-is-the-best-analgesic-option-for-patients-presenting-with-renal-colic-to-the-emergency-department-protocol-for-a-systematic-review-and-meta-analysis
#5
Sameer A Pathan, Biswadev Mitra, Lorena Romero, Peter A Cameron
INTRODUCTION: Patients with renal colic present to the emergency department in excruciating pain. There is variability in practice regarding the choice of initial analgesic to be used in renal colic. The aim of this article is to outline the protocol for review of the efficacy and safety of non-steroidal anti-inflammatory drugs (NSAIDs), opioids and paracetamol use in renal colic pain management. METHODS AND ANALYSIS: This is the protocol for a systematic review, comparing efficacy of NSAIDs, opioids and paracetamol in renal colic studied under randomised controlled trial (RCT) design...
May 4, 2017: BMJ Open
https://www.readbyqxmd.com/read/28452624/mri-appearance-of-invasive-subcentimeter-breast-carcinoma-benign-characteristics-are-common
#6
Matthias Meissnitzer, D David Dershaw, Kimberly Feigin, Blanca Bernard-Davila, Filipe Barra, Elizabeth A Morris
OBJECTIVES: This study was undertaken to examine the characteristics of cancers detected at the earliest possible point on MRI and to determine their characteristics. METHODS: This IRB-approved HIPAA-compliant retrospective study evaluated invasive breast cancers histologically ≤1cm. MRI was performed within 6 months before diagnosis. Between 1/1/2005 and 12/31/2015, 163 cancers in 161 patients were evaluated. BI-RADS(®) lesion characteristics were assessed by two radiologists independently...
April 28, 2017: British Journal of Radiology
https://www.readbyqxmd.com/read/28444289/-one-simply-doesn-t-arbitrate-authorship-of-thoughts-socialized-medicine-medical-mccarthyism-and-the-publishing-of-rural-health-and-medical-care-1948
#7
J T H Connor
No abstract text is available yet for this article.
April 24, 2017: Journal of the History of Medicine and Allied Sciences
https://www.readbyqxmd.com/read/28444036/theoretical-reflections-on-governance-in-health-regions
#8
Nilo Bretas, Helena Eri Shimizu
This article analyzes governance in health regions, through the contributions of two studies: one on a governance model and the other on duties in the management of public policies networks. The former conducted a meta-analysis of 137 case studies in the literature on collaborative governance aimed at preparing an explanatory and analytical model. Authors identified critical variables that will influence the results: a previous history of conflict or cooperation, incentives for participation, power imbalances, leadership and institutional design...
April 2017: Ciência & Saúde Coletiva
https://www.readbyqxmd.com/read/28394022/limited-versus-full-sternotomy-for-aortic-valve-replacement
#9
REVIEW
Bilal H Kirmani, Sion G Jones, S C Malaisrie, Darryl A Chung, Richard Jnn Williams
BACKGROUND: Aortic valve disease is a common condition that is easily treatable with cardiac surgery. This is conventionally performed by opening the sternum longitudinally down the centre ("median sternotomy") and replacing the valve under cardiopulmonary bypass. Median sternotomy is generally well tolerated, but as less invasive options have become available, the efficacy of limited incisions has been called into question. In particular, the effects of reducing the visibility and surgical access has raised safety concerns with regards to the placement of cannulae, venting of the heart, epicardial wire placement, and de-airing of the heart at the end of the procedure...
April 10, 2017: Cochrane Database of Systematic Reviews
https://www.readbyqxmd.com/read/28390551/review-of-the-evidence-on-the-use-of-arbitration-or-consensus-within-breast-screening-a-systematic-scoping-review
#10
REVIEW
L Hackney, A Szczepura, L Moody, B Whiteman
OBJECTIVES: A systematic scoping review was undertaken to establish the evidence base on arbitration and consensus in mammography reporting. Database searches were supplemented with hand searching of peer-reviewed journals, citation tracking, key author searching, grey literature and personal contact with experts. A 3-stage process was utilised to screen a large volume of literature (601) against the inclusion and exclusion criteria. 26 papers were retained. KEY FINDINGS: A lack of guidance and underpinning evidence to inform how best to use arbitration or consensus to resolve discordant reads...
May 2017: Radiography
https://www.readbyqxmd.com/read/28358869/learning-about-and-from-others-prudence-impatience-or-laziness-the-computational-bases-of-attitude-alignment
#11
Marie Devaine, Jean Daunizeau
Peoples' subjective attitude towards costs such as, e.g., risk, delay or effort are key determinants of inter-individual differences in goal-directed behaviour. Thus, the ability to learn about others' prudent, impatient or lazy attitudes is likely to be critical for social interactions. Conversely, how adaptive such attitudes are in a given environment is highly uncertain. Thus, the brain may be tuned to garner information about how such costs ought to be arbitrated. In particular, observing others' attitude may change one's uncertain belief about how to best behave in related difficult decision contexts...
March 2017: PLoS Computational Biology
https://www.readbyqxmd.com/read/28336521/defending-strong-tobacco-packaging-and-labelling-regulations-in-uruguay-transnational-tobacco-control-network-versus-philip-morris-international
#12
Eric Crosbie, Particia Sosa, Stanton A Glantz
OBJECTIVE: Describe the process of enacting and defending strong tobacco packaging and labelling regulations in Uruguay amid Philip Morris International's (PMI) legal threats and challenges. METHODS: Triangulated government legislation, news sources and interviews with policy-makers and health advocates in Uruguay. RESULTS: In 2008 and 2009, the Uruguayan government enacted at the time the world's largest pictorial health warning labels (80% of front and back of package) and prohibited different packaging or presentations for cigarettes sold under a given brand...
March 23, 2017: Tobacco Control
https://www.readbyqxmd.com/read/28290394/a-systematic-review-of-quantitative-research-on-traumatic-brain-injury-in-india
#13
Benjamin B Massenburg, Deepa K Veetil, Nakul P Raykar, Amit Agrawal, Nobhojit Roy, Martin Gerdin
INTRODUCTION: Over a quarter of the world's trauma deaths occur in India, with traumatic brain injury (TBI) as the leading cause of death and disability within trauma. With little known about TBI in India, we set out to do a systematic review to characterize the quantitative literature on TBI in India. MATERIALS AND METHODS: The following databases were searched from their inception to December 31, 2015: PubMed, Cochrane, Web of Science, and the World Health Organization's Global Health Library, using the keywords: neurotrauma, brain injury, traumatic brain injury, TBI, head injury, and India...
March 2017: Neurology India
https://www.readbyqxmd.com/read/28274967/effect-of-using-cardiovascular-risk-scoring-in-routine-risk-assessment-in-primary-prevention-of-cardiovascular-disease-protocol-for-an-overview-of-systematic-reviews
#14
Krzysztof Studzin Ski, Tomasz Tomasik, Janusz Krzyszton, Jacek Józ Wiak, Adam Windak
INTRODUCTION: Major clinical practice guidelines recommend assessing risk of cardiovascular disease (CVD) using absolute/global/total CVD risk scores. However, the effectiveness of using them in clinical practice, despite publication of numerous randomised controlled trials (RCTs), is still poorly understood. To summarise and analyse current knowledge in this field, we will carry out an overview of existing systematic reviews (SRs). The objective of this overview will be to assess the effect of using cardiovascular risk scoring in routine risk assessment in primary prevention of CVD compared with standard care...
March 8, 2017: BMJ Open
https://www.readbyqxmd.com/read/28238198/the-social-historical-and-institutional-contingencies-of-dam-removal
#15
F J Magilligan, C S Sneddon, C A Fox
Environmental managers in the United States and elsewhere are increasingly perceiving dam removal as a critical tool for river restoration and enhancing watershed resilience. In New England, over 125 dams have been dismantled for ecological and economic rationales. A surprising number of these removals, including many that are ongoing, have generated heated conflicts between restoration proponents and local communities who value their dammed landscapes. Using a comparative case study approach, we examine the environmental conflict around efforts to remove six dams in New England...
February 25, 2017: Environmental Management
https://www.readbyqxmd.com/read/28208590/synthesizing-existing-csma-and-tdma-based-mac-protocols-for-vanets
#16
Jiawei Huang, Qi Li, Shaohua Zhong, Lianhai Liu, Ping Zhong, Jianxin Wang, Jin Ye
Many Carrier Sense Multiple Access (CSMA) and Time Division Multiple Access (TDMA) based medium access control (MAC) protocols for vehicular ad hoc networks (VANETs) have been proposed recently. Contrary to the common perception that they are competitors, we argue that the underlying strategies used in these MAC protocols are complementary. Based on this insight, we design CTMAC, a MAC protocol that synthesizes existing strategies; namely, random accessing channel (used in CSMA-style protocols) and arbitral reserving channel (used in TDMA-based protocols)...
February 10, 2017: Sensors
https://www.readbyqxmd.com/read/28132683/probability-of-accurate-heart-failure-diagnosis-and-the-implications-for-hospital-readmissions
#17
MULTICENTER STUDY
Sandra A Carey, Kyle Bass, Giovanna Saracino, Cara A East, Joost Felius, Paul A Grayburn, Ravi C Vallabhan, Shelley A Hall
Heart failure (HF) is a complex syndrome with inherent diagnostic challenges. We studied the scope of possibly inaccurately documented HF in a large health care system among patients assigned a primary diagnosis of HF at discharge. Through a retrospective record review and a classification schema developed from published guidelines, we assessed the probability of the documented HF diagnosis being accurate and determined factors associated with HF-related and non-HF-related hospital readmissions. An arbitration committee of 3 experts reviewed a subset of records to corroborate the results...
April 1, 2017: American Journal of Cardiology
https://www.readbyqxmd.com/read/28126677/artesunate-acts-as-fuel-to-fire-in-sensitizing-hepg2-cells-towards-trail-mediated-apoptosis-via-stat3-inhibition-and-dr4-augmentation
#18
M Ilamathi, V Sivaramakrishnan
In the present study, we investigated in vitro, the role of artesunate (ATS) with comparable potency to oxaliplatin (OXP) in sensitizing tumour necrosis factor-related apoptosis-inducing ligand (TRAIL) resistant HepG2 cells towards apoptosis. ATS in consistency with OXP was found to reverse TRAIL resistant HepG2 cells towards TRAIL mediated apoptosis by enhancing caspase-3 and cleavage of PARP. Additionally, ATS also suppressed the nuclear translocation of activated signal transducers and activators of transcription 3 (STAT3) thereby sensitizing the HepG2 cells towards only death receptor 4 (DR4) mediated apoptosis...
April 2017: Biomedicine & Pharmacotherapy, Biomédecine & Pharmacothérapie
https://www.readbyqxmd.com/read/28114344/nod1card-might-be-using-multiple-interfaces-for-rip2-mediated-card-card-interaction-insights-from-molecular-dynamics-simulation
#19
Jitendra Maharana, Sukanta Kumar Pradhan, Sachinandan De
The nucleotide-binding and oligomerization domain (NOD)-containing protein 1 (NOD1) plays the pivotal role in host-pathogen interface of innate immunity and triggers immune signalling pathways for the maturation and release of pro-inflammatory cytokines. Upon the recognition of iE-DAP, NOD1 self-oligomerizes in an ATP-dependent fashion and interacts with adaptor molecule receptor-interacting protein 2 (RIP2) for the propagation of innate immune signalling and initiation of pro-inflammatory immune responses...
2017: PloS One
https://www.readbyqxmd.com/read/28088744/self-concept-mediate-the-relationship-between-childhood-maltreatment-and-abstinence-motivation-as-well-as-self-efficacy-among-drug-addicts
#20
Feng-Ying Lu, Si Wen, Gang Deng, Yung-Lung Tang
OBJECTIVE: Childhood maltreatment is widely accepted as a risk factor for drug addiction from adolescence to adulthood. However, the influence of childhood maltreatment on drug treatment related variables, such as drug abstinence motivation and self-concept, as well as self-efficacy, remains unclear. This study aims at exploring whether self-concept mediates the relationship between childhood maltreatment and abstinence motivation, as well as self-efficacy, among drug addicts. METHODS: This study involves 816 (550 males, 226 females, mean age=34...
May 2017: Addictive Behaviors
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