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Antonis Targoutzidis
The cost of lost output is a major component of the total cost of illness estimates, especially those for the cost of workplace accidents and diseases. The two main methods for estimating this output, namely the human capital and the friction cost method, lead to very different results, particularly for cases of long-term absence, which makes the choice of method a critical dilemma. Two hidden assumptions, one for each method, are identified in this paper: for human capital method, the assumption that had the accident not happened the individual would remain alive, healthy and employed until retirement, and for friction cost method, the assumption that any created vacancy is covered by an unemployed person...
March 21, 2018: European Journal of Health Economics: HEPAC: Health Economics in Prevention and Care
Brigid Ky Ning, Simon P Kelly, Celia Chu, Emile Morgan
A retired woman with left ophthalmic shingles of over 2 years' duration attended with bilateral vision loss and systemic upset. Acute retinal necrosis with detachment was detected on right fundus examination. Cataract in left eye precluded funduscopy. Ocular ultrasonography revealed fibrotic retinal detachment in the left eye. MRI brain and orbits also showed signals of retinal detachment. No abnormal MRI signal within the optic nerve or brain was found. Varicella zoster virus was detected in ocular aqueous and blood samples...
March 21, 2018: BMJ Case Reports
Niciane Bandeira Pessoa Marinho, Roberto Wagner Júnior Freire de Freitas, Kenya Waléria de Siqueira Coelho Lisboa, Ana Maria Parente Garcia Alencar, Vitória de Cássia Félix Rebouças, Marta Maria Coelho Damasceno
OBJECTIVE: to evaluate the satisfaction of users of a service that specializes in diabetes mellitus. METHOD: evaluative research, with mixed approach, developed at the Integrated Center for Diabetes and Hypertension of Barbalha-CE, in the period from 2011 to 2014, with 97 users. Data concerning the characterization and satisfaction of users in relation to the dimensions of infrastructure, accessibility and the user-health team relationship were collected. RESULTS: 77...
2018: Revista Brasileira de Enfermagem
Talita Sousa Queiroz, Tania Cristina Morais Santa Barbara Rehem, Marina Morato Stival, Silvana Schwerz Funghetto, Luciano Ramos de Lima, Breno Guilherme Cardoso, Walterlânia Silva Santos
OBJECTIVE: To understand the care of elderly men with their own health. METHOD: A qualitative study with the participation of ten elderly men, through responses to the semi-structured interview guided by the "Tell me about your experiences of care with your health", carried out in a basic health unit, during the period of October-December 2014. The speeches, after being transcribed were submitted to content analysis. RESULTS: The ten interviewees were retired and had an average age of 67...
2018: Revista Brasileira de Enfermagem
Yeonjung Lee, Alex Bierman
This study examines whether loneliness explains the association between perceived everyday discrimination and depressive symptoms among older adults as well as whether this indirect pathway differs by education. Three waves (2006, 2010, and 2014) of the Health and Retirement Study ( N = 7,130) are analyzed with random-effects models that adjust for repeated observations and fixed-effects models that control for all time-stable influences. Everyday discrimination is associated with loneliness and depressive symptoms but more weakly in fixed-effects models...
January 1, 2018: International Journal of Aging & Human Development
Zhen Li, Chang Fu, Fan Yang, Zongfu Mao
BACKGROUND: The prevalence of hypertension in middle-aged people is increasing. However, few studies have examined the risk factors of hypertension among the middle-aged population. The aim of this study is to present the prevalence of hypertension and its risk factors for the middle-aged population in China. METHODS: The data were from the third-wave national survey (2015) of the China Health and Retirement Longitudinal Study (CHARLS). A total of 7,178 respondents aged 45-59 years were included in this study...
March 19, 2018: Clinical and Experimental Hypertension: CHE
Jenny Olofsson, Mojgan Padyab, Gunnar Malmberg
BACKGROUND: Previous research suggests that the social network may play very different roles in relation to health in countries with differing welfare regimes. OBJECTIVE: The study aimed to assess the interplay between social network, socioeconomic position, and self-rated health (SRH) in European countries. METHODS: The study used cross-sectional data on individuals aged 50+ from the fourth wave of the Survey of Health, Ageing and Retirement in Europe (SHARE) and includes data from 16 countries...
2018: Global Health Action
Mary Anne Nurmi, Corey S Mackenzie, Kerstin Roger, Kristin Reynolds, James Urquhart
Although participating in community social programming is associated with positive physical and mental health outcomes for older adults, older men participate less often than women. Men's Sheds is a community programme used primarily by older men that originated in Australia and is well established there. The goal of the current study was to explore men's perceptions of the need for Men's Sheds and issues concerning access to them in Canada, a country with a small but growing Men's Sheds movement. We conducted focus groups with 64 men aged 55 years and older, including Men's Sheds members and men from the community who were unfamiliar with this programme, and analysed the data using the framework analytic approach...
April 2018: Ageing and Society
Marco Bertoni, Giorgio Brunello, Gianluca Mazzarella
By increasing the residual working horizon of employed individuals, pension reforms that rise minimum retirement age can affect individual investment in health-promoting behaviors before retirement. Using the expected increase in minimum retirement age induced by a 2004 Italian pension reform and a difference-in-differences research design, we show that middle-aged Italian males affected by the reform reacted to the longer working horizon by increasing regular exercise, with positive consequences for obesity and self-reported satisfaction with health...
March 7, 2018: Journal of Health Economics
Xiangjun Li, Mingsheng Chen, Zhonghua Wang, Lei Si
OBJECTIVE: In general, published studies analyse healthcare utilisation, rather than foregone care, among different population groups. The assessment of forgone care as an aspect of healthcare system performance is important because it indicates the gap between perceived need and actual utilisation of healthcare services. This study focused on a specific vulnerable group, middle-aged and elderly people with chronic diseases, and evaluated the prevalence of foregone care and associated factors among this population in China...
March 16, 2018: BMJ Open
Timmy L S Choi, Jenny K Y Wong, Wai Him Kwok, Peter Curl, Stewart Mechie, Terence S M Wan
Methylstenbolone (2,17α-dimethyl-5α-androst-1-en-17β-ol-3-one) is a synthetic anabolic and androgenic steroid (AAS) sold as an oral 'nutritional supplement' under the brand names 'Ultradrol', 'M-Sten' and 'Methyl-Sten'. Like other AASs, methylstenbolone is a prohibited substance in both human and equine sports. This paper describes the studies of the in vitro and in vivo metabolism of methylstenbolone in horses using LC/HRMS, GC/MS and GC/MS/MS. Phase I in vitro metabolic study of methylstenbolone was performed using homogenised horse liver...
February 21, 2018: Journal of Chromatography. A
Anna M Hammersmith
Purpose: Parents' and children's lives are interwoven over the life course. Parents' positivity and negativity toward children relate to children's and parents' transitions, although the nature of this relationship is unclear. This study investigated the extent to which transitions-like those tied to residence, unions, employment, parenthood, and health-related to parents' positivity and negativity. Method: This study used the Health and Retirement Study's Psychosocial Survey from 2006 and 2010 to examine how parents' and children's transitions related to parents' positivity and negativity toward children...
March 14, 2018: Gerontologist
Carla T Murray, Matthew Schmit
Introduction: We estimate the effect on health care spending of an option to change TRICARE. Under the option, which is based on a proposal made by the Military Compensation and Retirement Modernization Commission (MCRMC), most beneficiaries could choose from a range of commercial health networks instead of the current TRICARE plans. Military treatment facilities would become network providers under the commercial plans. Materials and Methods: We used data from the Department of Defense (DoD) to estimate the cost of providing the current health care benefit to working-age retirees and their dependents and survivors, and active duty family members...
March 14, 2018: Military Medicine
Jonathan G Shaw, Monica Farid, Claire Noel-Miller, Neesha Joseph, Ari Houser, Steven M Asch, Jay Bhattacharya, Lynda Flowers
Objectives: Evaluate objective isolation and loneliness' impact on Medicare spending and outcomes. Methods: We linked Health and Retirement Study data to Medicare claims to analyze objective isolation (scaled composite of social contacts and network) and loneliness (positive response to 3-item loneliness scale) as predictors of subsequent Medicare spending. In multivariable regression adjusting for health and demographics, we determined marginal differences in Medicare expenditures...
October 2017: Journal of Aging and Health
Beth Herold, Karen St Claire, Scott Snider, Aditee Narayan
Child maltreatment is a leading cause of childhood morbidity in the United States, often leading to lifelong adverse health consequences. Currently, there is a nationwide shortage of child abuse pediatricians (CAPs), resulting in many unfilled child abuse positions throughout the United States. In addition, the number of future CAPs currently in fellowship training will meet neither the current need for CAPs nor provide replacements for the senior CAPs who will be retiring in the next 5 to 10 years. Although it is recognized that pediatric nurse practitioners (PNPs) play an important role in the care of maltreated children, there are few available data on the impact of the PNP as an integral member of the child abuse team...
March 12, 2018: Journal of Pediatric Health Care
Pia Elfving, Kari Puolakka, Vappu Rantalaiho, Hannu Kautiainen, Lauri J Virta, Oili Kaipiainen-Seppänen
Objectives of this study were to examine work disability (WD) and its leading causes in incident SLE patients. Data were derived from the Finnish nationwide registries to identify all non-retired, 18 to 64-year-old incident SLE patients between 2000 and 2007. Sick benefits and WD pensions and the causes for them were monitored until the end of 2008. A total of 446 working-aged, incident SLE patients available for work force (mean age 42 ± 13 years, 89% females) were found. During the follow-up (median 5...
March 14, 2018: Clinical Rheumatology
Anand Satiani, Julie Niedermier, Bhagwan Satiani, Dale P Svendsen
OBJECTIVE: This analysis quantified and assessed the projected workforce of psychiatrists in the United States through 2050 on the basis of population data. METHODS: With use of data from the Association of American Medical Colleges (2000-2015), American Board of Psychiatry and Neurology (2000-2015), and U.S. Census Bureau (2000-2050), the psychiatrist workforce was projected through 2050. Two established psychiatrist-to-population ratios were used to determine the estimated demand for psychiatrists and potential shortages...
March 15, 2018: Psychiatric Services: a Journal of the American Psychiatric Association
João Gabriel Guimarães Luz, Danilo Bueno Naves, Amanda Gabriela de Carvalho, Gilvani Alves Meira, João Victor Leite Dias, Cor Jesus Fernandes Fontes
The Brazilian municipality of Rondonópolis, Mato Grosso State, represents an important visceral leishmaniasis (VL) endemic area. This study described epidemiological and clinical aspects of the occurrence, VL/HIV coinfection and lethality related to VL in Rondonópolis. Data from autochthonous cases reported between 2011 and 2016 were obtained from official information systems. During this period, 81 autochthonous cases were reported, with decreasing incidence through 2016. Contrastingly, the lethality rate was 8...
March 8, 2018: Revista do Instituto de Medicina Tropical de São Paulo
Morten Birkeland Nielsen, Jan Shahid Emberland, Stein Knardahl
No abstract text is available yet for this article.
March 13, 2018: Journal of Occupational and Environmental Medicine
Tomoyuki Kawada
No abstract text is available yet for this article.
March 13, 2018: Journal of Occupational and Environmental Medicine
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