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https://www.readbyqxmd.com/read/28439903/did-health-care-reform-help-kentucky-address-disparities-in-coverage-and-access-to-care-among-the-poor
#1
Joseph A Benitez, E Kathleen Adams, Eric E Seiber
OBJECTIVE: To evaluate the impact of Kentucky's full rollout of the Affordable Care Act on disparities in access to care due to poverty. DATA SOURCE: Restricted version of the Behavioral Risk Factor Surveillance System (BRFSS) for Kentucky and years 2011-2015. STUDY DESIGN: We use a difference-in-differences framework to compare trends before and after implementation of the Affordable Care Act (ACA) in health insurance coverage, several access measures, and health care utilization for residents in higher versus lower poverty ZIP codes...
April 25, 2017: Health Services Research
https://www.readbyqxmd.com/read/28431845/infection-prevention-and-control-and-the-refugee-population-experiences-from-the-university-of-louisville-global-health-center
#2
Ruth M Carrico, Linda Goss, Timothy L Wiemken, Rahel S Bosson, Paula Peyrani, William A Mattingly, Allison Pauly, Rebecca A Ford, Stanley Kotey, Julio A Ramirez
BACKGROUND: During 2016, approximately 140,000 individuals entered the United States as part of the federal government refugee resettlement program and established themselves in communities in virtually every state. No national database regarding refugee health currently exists; therefore, little is known about existing infectious diseases, conditions, and cultural practices that impact successful acculturation. The objective of this report is to identify what is currently known about refugees and circumstances important to infection prevention and control with respect to their roles as new community members, employees, and consumers of health care...
April 18, 2017: American Journal of Infection Control
https://www.readbyqxmd.com/read/28426298/mass-media-campaign-to-reduce-consumption-of-sugar-sweetened-beverages-in-a-rural-area-of-the-united-states
#3
Thomas A Farley, Hayli S Halper, Anne M Carlin, Karen M Emmerson, Kelly N Foster, Angela R Fertig
OBJECTIVES: To evaluate a mass media campaign to reduce the consumption of sugar-sweetened beverages (SSBs). METHODS: We disseminated messages emphasizing the health risks of SSBs through television, digital channels, and local organizations over 15 weeks in 2015-2016 in the Tri-Cities region of northeast Tennessee, southwest Virginia, and southeast Kentucky. We evaluated the campaign with pre- and post-telephone surveys of adults aged 18 to 45 years in the intervention area and by examining changes in beverage sales in the intervention and a matched comparison area in western Virginia...
April 20, 2017: American Journal of Public Health
https://www.readbyqxmd.com/read/28425422/mass-mortality-of-eastern-box-turtles-with-upper-respiratory-disease-following-atypical-cold-weather
#4
Mickey Agha, Steven J Price, A Justin Nowakowski, Ben Augustine, Brian D Todd
Emerging infectious diseases cause population declines in many ectotherms, with outbreaks frequently punctuated by periods of mass mortality. It remains unclear, however, whether thermoregulation by ectotherms and variation in environmental temperature is associated with mortality risk and disease progression, especially in wild populations. Here, we examined environmental and body temperatures of free-ranging eastern box turtles Terrapene carolina during a mass die-off coincident with upper respiratory disease...
April 20, 2017: Diseases of Aquatic Organisms
https://www.readbyqxmd.com/read/28412307/the-9th-conference-on-metal-toxicity-and-carcinogenesis-the-conference-overview
#5
James T F Wise, Lei Wang, Zhuo Zhang, Xianglin Shi
Heavy metals, such as arsenic, chromium, cadmium, nickel, mercury, and uranium are known to cause many human diseases and health complications after occupational or environmental exposure. Consequently, metals are environmental health concerns. This manuscript is an overview of the 9th Conference on Metal Toxicity and Carcinogenesis held in October 2016 in Lexington, Kentucky. Since 2000, this biennial meeting brings together experts in the field to discuss current and prospective research in an effort to advance research pertaining to metal toxicity and carcinogenesis...
April 12, 2017: Toxicology and Applied Pharmacology
https://www.readbyqxmd.com/read/28411119/worldwide-comparison-of-survival-from-childhood-leukaemia-for-1995-2009-by-subtype-age-and-sex-concord-2-a-population-based-study-of-individual-data-for-89%C3%A2-828-children-from-198-registries-in-53-countries
#6
Audrey Bonaventure, Rhea Harewood, Charles A Stiller, Gemma Gatta, Jacqueline Clavel, Daniela C Stefan, Helena Carreira, Devon Spika, Rafael Marcos-Gragera, Rafael Peris-Bonet, Marion Piñeros, Milena Sant, Claudia E Kuehni, Michael F G Murphy, Michel P Coleman, Claudia Allemani
BACKGROUND: Global inequalities in access to health care are reflected in differences in cancer survival. The CONCORD programme was designed to assess worldwide differences and trends in population-based cancer survival. In this population-based study, we aimed to estimate survival inequalities globally for several subtypes of childhood leukaemia. METHODS: Cancer registries participating in CONCORD were asked to submit tumour registrations for all children aged 0-14 years who were diagnosed with leukaemia between Jan 1, 1995, and Dec 31, 2009, and followed up until Dec 31, 2009...
April 11, 2017: Lancet Haematology
https://www.readbyqxmd.com/read/28411011/managerial-skills-of-new-practitioner-pharmacists-within-community-practice
#7
Cortney M Mospan, Kristin A Casper, Ashley Coleman, Kyle Porter
OBJECTIVES: To identify managerial skills required in community pharmacy practice, explore new practitioners' previous exposure to these skills, and assess new practitioners' perceived preparedness to take on managerial responsibilities. METHODS: A survey was developed with the use of Qualtrics and distributed by state pharmacy associations using a convenience sample of pharmacists from Iowa, Kentucky, Michigan, Ohio, and Pennsylvania. Pharmacists not practicing in a community pharmacy setting at the time of the study were excluded...
April 12, 2017: Journal of the American Pharmacists Association: JAPhA
https://www.readbyqxmd.com/read/28410338/multiple-sources-of-prescription-payment-and-risky-opioid-therapy-among-veterans
#8
William C Becker, Brenda T Fenton, Cynthia A Brandt, Erin L Doyle, Joseph Francis, Joseph L Goulet, Brent A Moore, Virginia Torrise, Robert D Kerns, Peter W Kreiner
BACKGROUND: Opioid overdose and other related harms are a major source of morbidity and mortality among US Veterans, in part due to high-risk opioid prescribing. OBJECTIVES: We sought to determine whether having multiple sources of payment for opioids-as a marker for out-of-system access-is associated with risky opioid therapy among veterans. RESEARCH DESIGN: Cross-sectional study examining the association between multiple sources of payment and risky opioid therapy among all individuals with Veterans Health Administration (VHA) payment for opioid analgesic prescriptions in Kentucky during fiscal year 2014-2015...
April 13, 2017: Medical Care
https://www.readbyqxmd.com/read/28408654/radiographic-disease-progression-in-contemporary-us-coal-miners-with-progressive-massive-fibrosis
#9
A Scott Laney, David John Blackley, Cara N Halldin
INTRODUCTION: Among contemporary US coal miners, there has been an increase in the prevalence and severity of pneumoconiosis, including its advanced form progressive massive fibrosis (PMF). We examine radiographic progression in Coal Workers' Health Surveillance Program (CWHSP) participants. METHODS: CWHSP participants with a final determination of PMF during 1 January 2000-1 October 2016 with at least one prior radiograph in the system were included. We characterised demographics, participation and progression patterns...
April 13, 2017: Occupational and Environmental Medicine
https://www.readbyqxmd.com/read/28406365/diagnosing-and-resolving-conflict-created-by-strategic-plans-where-outreach-strategies-and-execution-meet-at-an-academic-health-center
#10
Robert L Edwards, Samuel B Wollner, Jessica Weddle, James W Zembrodt, Mark D Birdwhistell
The imperative for strategic change at academic health centers has never been stronger. Underpinning the success of strategic change is an effective process to implement a strategy. Healthcare organizations, however, often fail to execute on strategy because they do not activate the requisite capabilities and management processes. The University of Kentucky HealthCare recently defined its 2020 strategic plan to adapt to emerging market conditions. The authors outline the strategic importance of strengthening partnership networks and the initial challenges faced in executing their strategy...
April 13, 2017: Hospital Topics
https://www.readbyqxmd.com/read/28392308/effects-of-grazing-tall-fescue-containing-ergot-alkaloids-on-bull-sperm-cryopreservation
#11
C R Burnett, W C Bridges, S L Pratt
There are many positive agronomic traits that make tall fescue a desirable forage, however, reduced fertility rates are reported for beef cattle grazing pasture containing the ergot alkaloid-producing endophyte, Epichloë coenophiala. The objective of this study was to assess the influence of consumption tall fescue containing ergot alkaloids on sperm physiology as measured by survival of sperm following cryopreservation. Yearling Angus bulls (n=25), having passed a breeding soundness exam (BSE), were assigned to one of two treatments accounting for body weight (BW) and body condition score (BCS)...
March 28, 2017: Animal Reproduction Science
https://www.readbyqxmd.com/read/28389036/use-of-different-surface-covering-materials-to-enhance-removal-of-radiocaesium-in-plants-and-upper-soil-from-orchards-in-fukushima-prefecture
#12
Mamoru Sato, Hiroko Akai, Yuichi Saito, Tsugiko Takase, Hidetoshi Kikunaga, Nobuhito Sekiya, Tsutomu Ohtsuki, Katsuhiko Yamaguchi
The effectiveness of a decontamination methodology whereby herbaceous plants were grown through different materials covering the soil surface followed by subsequent removal of the material, associated plant tissues and attached soil on (137)Cs removal from soil was evaluated. Revegetation netting sown with Kentucky bluegrass and white clover had a high effectiveness in (137)Cs removal when rolling up the plants, roots, and rhizosphere soil approximately 6 months after sowing. The removal rate was lower when there was higher (137)Cs vertical migration down the soil profile...
April 4, 2017: Journal of Environmental Radioactivity
https://www.readbyqxmd.com/read/28381209/supplemental-invasion-of-salmonella-from-the-perspective-of-salmonella-enterica-serovars-kentucky-and-typhimurium
#13
Kevin Howe, Sanaz Salehi, R Hartford Bailey, John P Brooks, Robert Wills, Mark L Lawrence, Attila Karsi
BACKGROUND: Critical to the development of Salmonellosis in humans is the interaction of the bacterium with the epithelial lining of the gastrointestinal tract. Traditional scientific reasoning held type III secretion system (T3SS) as the virulence factor responsible for bacterial invasion. In this study, field-isolated Salmonella enterica serovar Kentucky and a known human pathogen Salmonella enterica serovar Typhimurium were mutated and evaluated for the invasion of human colorectal adenocarcinoma epithelial cells...
April 5, 2017: BMC Microbiology
https://www.readbyqxmd.com/read/28381128/bovine-leukemia-virus-seroprevalence-among-cattle-presented-for-slaughter-in-the-united-states
#14
Fernando V Bauermann, Julia F Ridpath, David A Dargatz
Infection with bovine leukemia virus (BLV) results in economic loss because of reduced productivity, especially reduced milk production, and early culling. In the United States, studies in 1996, 1999, and 2007 showed BLV infection to be widespread, especially in dairy herds. We updated information herein on BLV seroprevalence in the United States, using samples submitted for testing and found negative for antibodies for Brucella by the Kentucky Eastern Regional Federal Brucellosis Laboratory. From October 2014 through August 2015, 2,000 samples from all regions of the contiguous United States were selected and tested for BLV antibodies by enzyme-linked immunosorbent assay...
April 1, 2017: Journal of Veterinary Diagnostic Investigation
https://www.readbyqxmd.com/read/28371669/examining-implementation-and-preliminary-performance-indicators-of-veterans-treatment-courts-the-kentucky-experience
#15
Lisa M Shannon, Shira Birdwhistell, Shelia K Hulbig, Afton Jackson Jones, Jennifer Newell, Connie Payne
Veterans' Treatment Courts (VTCs) are posited as a solution to offer rehabilitation for veterans involved in the criminal justice system. Despite the pervasive implementation of VTCs, there is little research focused specifically on VTC implementation and outcomes, which are based on other problem-solving court models such as drug court. The current study presents qualitative process evaluation data from key stakeholders (n=21) and veteran participants (n=4) to show accomplishments, challenges, and lessons learned during first-year implementation at two VTC sites...
March 11, 2017: Evaluation and Program Planning
https://www.readbyqxmd.com/read/28368298/ovarian-cancer-incidence-corrected-for-oophorectomy
#16
Lauren A Baldwin, Quan Chen, Thomas C Tucker, Connie G White, Robert N Ore, Bin Huang
Current reported incidence rates for ovarian cancer may significantly underestimate the true rate because of the inclusion of women in the calculations who are not at risk for ovarian cancer due to prior benign salpingo-oophorectomy (SO). We have considered prior SO to more realistically estimate risk for ovarian cancer. Kentucky Health Claims Data, International Classification of Disease 9 (ICD-9) codes, Current Procedure Terminology (CPT) codes, and Kentucky Behavioral Risk Factor Surveillance System (BRFSS) Data were used to identify women who have undergone SO in Kentucky, and these women were removed from the at-risk pool in order to re-assess incidence rates to more accurately represent ovarian cancer risk...
April 1, 2017: Diagnostics
https://www.readbyqxmd.com/read/28365548/water-balance-assessment-of-different-substrates-on-potash-tailings-piles-using-non-weighable-lysimeters
#17
Carolina Bilibio, Christian Schellert, Stefanie Retz, Oliver Hensel, Helge Schmeisky, Daniel Uteau, Stephan Peth
Water balance is an important tool to evaluate water deficit or excess in crop systems. However, few studies have evaluated the water balance of vegetation grown on the residues from potash mining because the high sodium chloride levels of the residues hinder agricultural development. Therefore, this study aims to measure the water balance components in eight non-weighing lysimeters installed on a potash tailings pile in Heringen (Werra), Germany. These lysimeters were filled with different mixtures of household waste incineration slags and coal combustion residues, resulting in 4 different substrates with two repetitions...
March 30, 2017: Journal of Environmental Management
https://www.readbyqxmd.com/read/28364300/providers-behaviors-and-beliefs-on-prescribing-antipsychotic-medication-to-children-a-qualitative-study
#18
W David Lohr, Kyle B Brothers, Deborah Winders Davis, Carla A Rich, Lesa Ryan, Michael Smith, Michelle Stevenson, Yana Feygin, Charles Woods, John Myers, Gilbert C Liu
Fragmentation in behavioral and mental health care to children has resulted in suboptimal care and high rates of psychotropic medication use, especially antipsychotic medications (APM). A qualitative study, based on the Theory of Planned Behavior (TPB), aimed to better understand prescribing practices, barriers to optimal treatment, and potential interventions to safeguard the use of APM for children in Kentucky. The most common barrier to optimal care was access to mental health specialists. Social norms and pressure from families contribute to increased medication use...
March 31, 2017: Community Mental Health Journal
https://www.readbyqxmd.com/read/28363393/an-academic-practice-partnership-to-advance-dnp-education-and-practice
#19
Patricia B Howard, Tracy E Williams
During the past decade, the growth of doctor of nursing practice (DNP) programs in the United States has been phenomenal, with most focusing on the preparation of advanced practice registered nurses. Simultaneously, academic-practice partnerships have been a frequent subject of discussion for nursing's leading academic, administrative, and practice organizations. Numerous reports about academic-practice partnerships concerning aspects of baccalaureate nursing education exist, but partnership accounts for DNP programs are essentially nonexistent...
March 2017: Journal of Professional Nursing: Official Journal of the American Association of Colleges of Nursing
https://www.readbyqxmd.com/read/28357892/suspected-synthetic-cannabinomimetic-intoxication
#20
Regan A Baum, Abby Bailey, Ryan Chan, Karen Blumenschein
PURPOSE: The purpose of this work was to retrospectively review patient cases presenting to the University of Kentucky Chandler Medical Center (UKCMC) emergency department (ED) with symptoms of suspected synthetic cannabinomimetic (SC) intoxication. These drugs, currently undetected by standard urine drug screen tests, comprise a structurally diverse group of compounds designed to mimic the psychoactive effects of Δ(9)-tetrahydrocannabinol (Δ(9)-THC), the primary psychoactive cannabinoid in marijuana...
January 1, 2017: Journal of Pharmacy Practice
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