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https://www.readbyqxmd.com/read/29342285/serial-participation-and-the-ethics-of-phase-1-healthy-volunteer-research
#1
Rebecca L Walker, Marci D Cottingham, Jill A Fisher
Phase 1 healthy volunteer clinical trials-which financially compensate subjects in tests of drug toxicity levels and side effects-appear to place pressure on each joint of the moral framework justifying research. In this article, we review concerns about phase 1 trials as they have been framed in the bioethics literature, including undue inducement and coercion, unjust exploitation, and worries about compromised data validity. We then revisit these concerns in light of the lived experiences of serial participants who are income-dependent on phase 1 trials...
January 12, 2018: Journal of Medicine and Philosophy
https://www.readbyqxmd.com/read/29339559/evidence-of-structure-and-persistence-in-motivational-attraction-to-serial-pavlovian-cues
#2
Elizabeth B Smedley, Kyle S Smith
Sign-tracking is a form of autoshaping where animals develop conditioned responding directed toward stimuli predictive of an outcome even though the outcome is not contingent on the animal's behavior. Sign-tracking behaviors are thought to arise out of the attribution of incentive salience (i.e., motivational value) to reward-predictive cues. It is not known how incentive salience would be attributed to serially occurring cues, despite cues often occurring in a sequence in the real world as reward approaches...
February 2018: Learning & Memory
https://www.readbyqxmd.com/read/29338951/small-incentives-improve-weight-loss-in-women-from-disadvantaged-backgrounds
#3
Tricia M Leahey, Jessica Gokee LaRose, Marc S Mitchell, Carnisha M Gilder, Rena R Wing
INTRODUCTION: Women from lower-income backgrounds have the highest rates of obesity. Thus, effective programs for this high-risk population are urgently needed. Evidence suggests that adding financial incentives to treatment helps to engage and promote health behavior change in lower-income populations; however, this has never been tested in women for obesity treatment. The purpose of this study was to examine whether adding small financial incentives to Internet weight loss treatment yields better weight loss outcomes in women from lower-income backgrounds compared with the same treatment without incentives...
January 12, 2018: American Journal of Preventive Medicine
https://www.readbyqxmd.com/read/29338578/cannabis-use-is-associated-with-lower-odds-of-prescription-opioid-analgesic-use-among-hiv-infected-individuals-with-chronic-pain
#4
Nancy L Sohler, Joanna L Starrels, Laila Khalid, Marcus A Bachhuber, Julia H Arnsten, Shadi Nahvi, John Jost, Chinazo O Cunningham
BACKGROUND: Chronic pain is common in the United States and prescribed opioid analgesics use for noncancer pain has increased dramatically in the past two decades, possibly accounting for the current opioid addiction epidemic. Co-morbid drug use in those prescribed opioid analgesics is common, but there are few data on polysubstance use patterns. OBJECTIVE: We explored patterns of use of cigarette, alcohol, and illicit drugs in HIV-infected people with chronic pain who were prescribed opioid analgesics...
January 17, 2018: Substance Use & Misuse
https://www.readbyqxmd.com/read/29337912/social-incentive-mechanism-based-multi-user-sensing-time-optimization-in-co-operative-spectrum-sensing-with-mobile-crowd-sensing
#5
Xiaohui Li, Qi Zhu
Co-operative spectrum sensing emerging as a significant method to improve the utilization of the spectrum needs sufficient sensing users to participate. Existing related papers consider only the limited secondary users in current sensing system and assume that they will always perform the co-operative spectrum sensing out of obligation. However, this assumption is impractical in the realistic situation where the secondary users are rational and they will not join in the co-operative sensing process without a certain reward to compensate their sensing energy consumption, especially the ones who have no data transmitting in current time slot...
January 16, 2018: Sensors
https://www.readbyqxmd.com/read/29336999/faculty-relative-value-unit-incentives-and-resident-education
#6
Lori A Deitte, Carolyn C Meltzer, Alexander Norbash, Mary C Mahoney, Jorge A Soto, Priscilla J Slanetz
No abstract text is available yet for this article.
January 11, 2018: Journal of the American College of Radiology: JACR
https://www.readbyqxmd.com/read/29335047/money-in-tension-with-ethics-a-commentary
#7
David A Nash
Monetary incentives are frequently in tension with evidence-based and cost-effective clinical care, thus posing an ethical concern in the practice of dentistry. The purpose of this commentary was to examine the issue of treating children in the context of caries risk assessment and with specific reference to the periodic oral examination, radiographic surveillance, topical fluorides, and the pumice rubber prophylaxis.
November 1, 2017: Pediatric Dentistry
https://www.readbyqxmd.com/read/29330699/accounting-of-ghg-emissions-and-removals-from-forest-management-a-long-road-from-kyoto-to-paris
#8
REVIEW
Joachim H A Krug
BACKGROUND: Forests have always played an important role in agreeing on accounting rules during the past two decades of international climate policy development. Starting from activity-based gross-net accounting of selected forestry activities to mandatory accounting against a baseline-rules have changed quite rapidly and with significant consequences for accounted credits and debits. Such changes have direct consequences on incentives for climate-investments in forestry. There have also been strong arguments not to include forests into the accounting system by considering large uncertainties, procedural challenges and a fear of unearned credits corrupting the overall accounting system, among others...
January 3, 2018: Carbon Balance and Management
https://www.readbyqxmd.com/read/29329532/functionality-of-hospital-information-systems-results-from-a-survey-of-quality-directors-at-turkish-hospitals
#9
Mehmet Saluvan, Al Ozonoff
BACKGROUND: We aimed to determine availability of core Hospital Information Systems (HIS) functions implemented in Turkish hospitals and the perceived importance of these functions on quality and patient safety. METHODS: We surveyed quality directors (QDs) at civilian hospitals in the nation of Turkey. Data were collected via web survey using an instrument with 50 items describing core functionality of HIS. We calculated mean availability of each function, mean and median values of perceived impact on quality, and we investigated the relationship between availability and perceived importance...
January 12, 2018: BMC Medical Informatics and Decision Making
https://www.readbyqxmd.com/read/29325401/performance-based-financing-to-strengthen-the-health-system-in-benin-challenging-the-mainstream-approach
#10
Elisabeth Paul, Mohamed Lamine Dramé, Jean-Pierre Kashala, Armand Ekambi Ndema, Marcel Kounnou, Julien Codjovi Aïssan, Karel Gyselinck
BACKGROUND: Performance-based financing (PBF) is often proposed as a way to improve health system performance. In Benin, PBF was launched in 2012 through a World Bank-supported project. The Belgian Development Agency (BTC) followed suit through a health system strengthening (HSS) project. This paper analyses and draws lessons from the experience of BTC-supported PBF alternative approach - especially with regards to institutional aspects, the role of demand-side actors, ownership, and cost-effectiveness - and explores the mechanisms at stake so as to better understand how the "PBF package" functions and produces effects...
April 15, 2017: International Journal of Health Policy and Management
https://www.readbyqxmd.com/read/29324797/sex-dependent-impact-of-early-life-stress-and-adult-immobilization-in-the-attribution-of-incentive-salience-in-rats
#11
Silvia Fuentes, Javier Carrasco, Abigail Hatto, Juan Navarro, Antonio Armario, Manel Monsonet, Jordi Ortiz, Roser Nadal
Early life stress (ELS) induces long-term effects in later functioning and interacts with further exposure to other stressors in adulthood to shape our responsiveness to reward-related cues. The attribution of incentive salience to food-related cues may be modulated by previous and current exposures to stressors in a sex-dependent manner. We hypothesized from human data that exposure to a traumatic (severe) adult stressor will decrease the attribution of incentive salience to reward-associated cues, especially in females, because these effects are modulated by previous ELS...
2018: PloS One
https://www.readbyqxmd.com/read/29322245/interactions-between-incentive-valence-and-action-information-in-a-cued-approach-avoidance-task
#12
Vincent Hoofs, Thomas Carsten, C Nico Boehler, Ruth M Krebs
Environmental stimuli can provoke specific response tendencies depending on their incentive valence. While some studies report positive-approach and negative-avoidance biases, others find no such mappings. To further illuminate the relationship between incentive valence and action requirement, we combined a cued monetary incentive paradigm with an approach/avoidance joystick task. Incentive type was manipulated between groups: The reward group won money, while the punishment group avoided losing money for correct and fast responses to targets following incentive cues...
January 10, 2018: Psychological Research
https://www.readbyqxmd.com/read/29320996/healthy-apple-program-to-support-child-care-centers-to-alter-nutrition-and-physical-activity-practices-and-improve-child-weight-a-cluster-randomized-trial
#13
Jodi D Stookey, Jane Evans, Curtis Chan, Lisa Tao-Lew, Tito Arana, Susan Arthur
BACKGROUND: North Carolina Nutrition and Physical Activity Self-Assessment for Child Care (NAP SACC) resources improve child body mass index (BMI) when the resources are introduced by nurses to child care providers, and offered with workshops and incentives. In San Francisco, public health and child care agencies partnered to adapt NAP SACC resources into an annual "Healthy Apple" quality improvement program (HAP). METHODS: This cluster randomized controlled trial pilot-tested integration of the HAP with bi-annual public health screenings by nurses...
December 19, 2017: BMC Public Health
https://www.readbyqxmd.com/read/29318107/the-3600child-profile-a-reliable-and-valid-tool-to-visualize-integral-child-information
#14
Miriam Weijers, Frans J M Feron, Caroline H G Bastiaenen
A 3600Child-profile, with theoretically ordered, integral child-information visualized in one image, is designed by the Dutch preventive Child and Youth Health Care (CYHC). The introduction of this new data/information carrier gives an important incentive to enhance a transformation towards personalized health care for children and adolescents by supporting the complex medical thought process of CYHCmedical doctors (MD's). This information tool aims to effectively estimate child's functioning, detect emerging health problems and inform parents and caregivers...
March 2018: Preventive Medicine Reports
https://www.readbyqxmd.com/read/29317849/is-medical-treatment-of-alcohol-withdrawal-syndrome-a-stag-hunt-challenges-and-opportunities-in-managing-risk-and-uncertainty-in-addiction-cessation
#15
Roger Lee Mendoza
Purpose: While the individual and social costs of alcoholism or alcohol use disorder are well established, few are aware that medical problems can arise during detoxification, some of which can be life-threatening. This study determines if sustained treatment for Alcohol Withdrawal Syndrome (AWS) might be based on the strategic choices and expectations of patients and health care providers alike, as well as the risk mitigation options available to them. Design/approach: AWS was modeled as a Stag Hunt to explain both risk and decision-making in medical treatments for detoxification, since it can deduce a set of equilibrium strategies available to both patient and provider...
2018: Risk Management and Healthcare Policy
https://www.readbyqxmd.com/read/29316451/an-innovative-model-to-coordinate-healthcare-and-social-services-for-people-with-serious-mental-illness-a-mixed-methods-case-study-of-maryland-s-medicaid-health-home-program
#16
Emma E McGinty, Alene Kennedy-Hendricks, Sarah Linden, Seema Choksy, Elizabeth Stone, Gail L Daumit
OBJECTIVE: We conducted a case study examining implementation of Maryland's Medicaid health home program, a unique model for integration of behavioral, somatic, and social services for people with serious mental illness (SMI) in the psychiatric rehabilitation program setting. METHOD: We conducted interviews and surveys with health home leaders (N=72) and front-line staff (N=627) representing 46 of the 48 total health home programs active during the November 2015-December 2016 study period...
December 16, 2017: General Hospital Psychiatry
https://www.readbyqxmd.com/read/29315659/the-role-of-glutamate-signaling-in-incentive-salience-second-by-second-glutamate-recordings-in-awake-sprague-dawley-rats
#17
Seth R Batten, Francois Pomerleau, Jorge Quintero, Greg A Gerhardt, Joshua S Beckmann
The attribution of incentive salience to reward-predictive stimuli has been shown to be associated with substance abuse-like behavior such as increased drug taking. Evidence suggests that glutamate neurotransmission and sequential N-methyl-D-aspartate (NMDA) activation are involved in the attribution of incentive salience. Here we further explore the role of second-by-second glutamate neurotransmission in the attribution of incentive salience to reward-predictive stimuli by measuring sign-tracking behavior during a Pavlovian conditioned approach procedure using ceramic-based microelectrode arrays configured for sensitive measures of extracellular glutamate in awake behaving Sprague Dawley rats...
January 8, 2018: Journal of Neurochemistry
https://www.readbyqxmd.com/read/29315615/preparing-for-saliencies-emotional-expectations-under-probabilistically-and-aversively-salient-situations
#18
Mio Kamei, Yasunori Kotani, Haruo Sakuma
In humans, the expectation process in decision making has not been as thoroughly investigated as the evaluation process. The present study focused on the interaction between probabilistic saliency and motivational saliency during expectation and evaluation periods using stimulus-preceding negativity (SPN) and reward positivity (RewP). Twenty healthy participants performed a modified monetary-incentive delay task under reward-approach and punishment-avoidance conditions. Each condition was characterized by the likely outcome (reward only, punishment only) to manipulate motivational saliency...
January 8, 2018: Psychophysiology
https://www.readbyqxmd.com/read/29315357/to-increase-trust-change-the-social-design-behind-aggregated-biodiversity-data
#19
Nico M Franz, Beckett W Sterner
Growing concerns about the quality of aggregated biodiversity data are lowering trust in large-scale data networks. Aggregators frequently respond to quality concerns by recommending that biologists work with original data providers to correct errors 'at the source.' We show that this strategy falls systematically short of a full diagnosis of the underlying causes of distrust. In particular, trust in an aggregator is not just a feature of the data signal quality provided by the sources to the aggregator, but also a consequence of the social design of the aggregation process and the resulting power balance between individual data contributors and aggregators...
January 1, 2018: Database: the Journal of Biological Databases and Curation
https://www.readbyqxmd.com/read/29313106/neural-correlates-of-instrumental-responding-in-the-context-of-alcohol-related-cues-index-disorder-severity-and-relapse-risk
#20
Daniel J Schad, Maria Garbusow, Eva Friedel, Christian Sommer, Miriam Sebold, Claudia Hägele, Nadine Bernhardt, Stephan Nebe, Sören Kuitunen-Paul, Shuyan Liu, Uta Eichmann, Anne Beck, Hans-Ulrich Wittchen, Henrik Walter, Philipp Sterzer, Ulrich S Zimmermann, Michael N Smolka, Florian Schlagenhauf, Quentin J M Huys, Andreas Heinz, Michael A Rapp
The influence of Pavlovian conditioned stimuli on ongoing behavior may contribute to explaining how alcohol cues stimulate drug seeking and intake. Using a Pavlovian-instrumental transfer task, we investigated the effects of alcohol-related cues on approach behavior (i.e., instrumental response behavior) and its neural correlates, and related both to the relapse after detoxification in alcohol-dependent patients. Thirty-one recently detoxified alcohol-dependent patients and 24 healthy controls underwent instrumental training, where approach or non-approach towards initially neutral stimuli was reinforced by monetary incentives...
January 8, 2018: European Archives of Psychiatry and Clinical Neuroscience
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