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https://www.readbyqxmd.com/read/28711521/a-comparison-of-resetting-and-nonresetting-contingencies-in-progressive-duration-schedules
#1
Morgan Valois, Sara Peck, Tom Byrne
We compared two progressive schedules of reinforcement in which rats received access to sweetened condensed milk for depressing and holding down a response lever. Duration requirements increased after each reinforcer delivery in a manner similar to progressive-ratio schedules. Under one schedule, any response duration less than that required for reinforcement had no programmed consequences. Under the second schedule, the cumulative duration of all responses could meet the reinforcement criteria. Breaking points were consistently higher when all lever presses, regardless of duration, contributed to meeting the reinforcer requirements...
July 12, 2017: Behavioural Processes
https://www.readbyqxmd.com/read/28709383/what-is-the-current-level-of-mental-health-service-delivery-and-expenditure-on-infants-children-adolescents-and-young-people-in-australia
#2
Leonie Segal, Sophie Guy, Gareth Furber
OBJECTIVES: The study aim was to estimate the current level of ambulatory mental health service delivery to young people aged 0-24 years in Australia and associated government expenditure. Recognising the importance of the early years for the development of mental illness and socioeconomic outcomes, we were particularly interested in service access by infants and young children. METHODS: We extracted information from government administrative datasets on the number of people who received mental health services, number of services and expenditure through the health sector for 2014-2015...
July 1, 2017: Australian and New Zealand Journal of Psychiatry
https://www.readbyqxmd.com/read/28704676/trehs-an-open-access-software-tool-for-investigating-and-evaluating-temporary-river-regimes-as-a-first-step-for-their-ecological-status-assessment
#3
Francesc Gallart, Núria Cid, Jérôme Latron, Pilar Llorens, Núria Bonada, Justin Jeuffroy, Sara-María Jiménez-Argudo, Rosa-María Vega, Carolina Solà, Maria Soria, Mònica Bardina, Antoni-Josep Hernández-Casahuga, Aránzazu Fidalgo, Teodoro Estrela, Antoni Munné, Narcís Prat
When the regime of a river is not perennial, there are four main difficulties with the use of hydrographs for assessing hydrological alteration: i) the main hydrological features relevant for biological communities are not quantitative (discharges) but qualitative (phases such as flowing water, stagnant pools or lack of surface water), ii) stream flow records do not inform on the temporal occurrence of stagnant pools, iii) as most of the temporary streams are ungauged, their regime has to be evaluated by alternative methods such as remote sensing or citizen science, and iv) the biological quality assessment of the ecological status of a temporary stream must follow a sampling schedule and references adapted to the flow- pool-dry regime...
July 10, 2017: Science of the Total Environment
https://www.readbyqxmd.com/read/28702307/childhood-pneumonia-and-meningitis-in-the-eastern-highlands-province-papua-new-guinea-in-the-era-of-conjugate-vaccines-study-methods-and-challenges
#4
Christopher C Blyth, Rebecca Ford, Joycelyn Sapura, Tonny Kumani, Geraldine Masiria, John Kave, Lapule Yuasi, Andrew Greenhill, Ilomo Hwaihwanje, Amanda Lang, Deborah Lehmann, William Pomat
BACKGROUND: Pneumonia and meningitis are common causes of severe childhood illness in Papua New Guinea (PNG). The etiology of both clinical conditions in PNG has not been recently assessed. Changes in lifestyle, provision and access to healthcare, antimicrobial utilization and resistance, and the national childhood vaccination schedule necessitate reassessment. METHODS: A prospective case-control study was undertaken, enrolling children <5 years of age to determine the contemporary etiology of clinically defined moderate or severe pneumonia or suspected meningitis...
2017: Pneumonia
https://www.readbyqxmd.com/read/28701226/the-application-of-geographic-information-systems-gis-in-identifying-the-priority-areas-for-maternal-care-and-services
#5
Fatemeh Salehi, Leila Ahmadian
BACKGROUND: Improving maternal health is globally introduced as an important health priority. The purpose of this study is to identify the high priority areas which require more maternal health services in Kerman, Iran. METHODS: This is a descriptive cross-sectional study, performed in 2015. The literatures were first explored in order to extract geographic indicators and sub indicators relevant to the maternal health. Data were collected by the use of a questionnaire designed on the basis of AHP (Analytic Hierarchy Process) method...
July 12, 2017: BMC Health Services Research
https://www.readbyqxmd.com/read/28697533/predictors-of-operative-time-during-radical-retropubic-prostatectomy-and-robot-assisted-laparoscopic-prostatectomy
#6
Ross M Simon, Lauren E Howard, Daniel M Moreira, Martha K Terris, Christopher J Kane, William J Aronson, Christopher L Amling, Matthew R Cooperberg, Stephen J Freedland
OBJECTIVES: To better predict operative time using patient/surgical characteristics among men undergoing radical retropubic prostatectomy or robot-assisted laparoscopic prostatectomy in order to achieve more efficient operative scheduling and potentially decrease costs in the Veterans Health System. METHODS: We analyzed 2619 men treated with radical retropubic prostatectomy (n = 2005) or robot-assisted laparoscopic prostatectomy (n = 614) from 1993 to 2013 from six Veterans Affairs Hospitals in the Shared Equal Access Regional Cancer Hospital database...
July 11, 2017: International Journal of Urology: Official Journal of the Japanese Urological Association
https://www.readbyqxmd.com/read/28697526/-quality-indicators-of-primary-health-care-facilities-in-austria
#7
Thomas Semlitsch, Muna Abuzahra, Florian Stigler, Klaus Jeitler, Nicole Posch, Andrea Siebenhofer
Background The strengthening of primary health care is one major goal of the current national health reform in Austria. In this context, a new interdisciplinary concept was developed in 2014 that defines structures and requirements for future primary health care facilities. Objective The aim of this project was the development of quality indicators for the evaluation of the scheduled primary health care facilities in Austria, which are in accordance with the new Austrian concept. Methods We used the RAND/NPCRDC method for the development and selection of the quality indicators...
July 11, 2017: Das Gesundheitswesen
https://www.readbyqxmd.com/read/28697295/using-electronic-medical-records-to-assess-the-rate-of-treatment-for-osteoporosis-in-australia
#8
Megan Elliott-Rudder, Catherine Harding, Joseph McGirr, Alexa Seal, Louis Pilotto
BACKGROUND: Despite available Medicare Benefits Schedule subsidies, it has been suggested that screening and treatment for osteoporosis are under-accessed in Australia, particularly in patients ≥70 years. This study describes the rate of osteoporosis treatment in those aged ≥70 years in regional New South Wales as identified in the electronic medical records (EMR) of 11 general practices. METHODS: EMR data were extracted using a Canning Tool adaptation. The prevalence of osteoporosis, fracture and bone-active medication prescriptions were described, and associations examined...
2017: Australian Family Physician
https://www.readbyqxmd.com/read/28696583/mapping-medical-marijuana-state-laws-regulating-patients-product-safety-supply-chains-and-dispensaries-2017
#9
Sarah B Klieger, Abraham Gutman, Leslie Allen, Rosalie Liccardo Pacula, Jennifer K Ibrahim, Scott Burris
AIMS: 1) To describe open source legal datasets, created for research use, that capture the key provisions of U.S. state medical marijuana laws. The data document how state lawmakers have regulated a medicine that remains, under federal law, a Schedule I illegal drug with no legitimate medical use. 2) To demonstrate the variability that exists across states in rules governing patient access, product safety, and dispensary practice. METHODS: Two legal researchers collected and coded state laws governing marijuana patients, product safety, and dispensaries in effect on February 1, 2017, creating three empirical legal datasets...
July 11, 2017: Addiction
https://www.readbyqxmd.com/read/28694274/challenges-for-insured-patients-in-accessing-behavioral-health-care
#10
MariaElena O Williams, Jamie R Gilroy, Tae Y Chang, Deborah J Seymour
The Patient Protection and Affordable Care Act (ACA) mandates that health insurance plans include sufficient access to behavioral health providers, but lacks specific guidelines to define sufficient access Using a secret shopper methodology, we called behavioral health providers in the Denver metropolitan area networked with 3 large insurance companies. We found that, depending on insurance company and level of training, 9.8% to 59% of providers could offer a new patient appointment, with psychiatry appointments being particularly difficult to schedule...
July 2017: Annals of Family Medicine
https://www.readbyqxmd.com/read/28693872/depression-screening-at-a-community-health-fair-descriptives-and-treatment-linkage
#11
Kiel J Opperman, Devin M Hanson, Paul A Toro
OBJECTIVE: Health fairs are a cost-efficient platform for dissemination of preventive services to vulnerable populations. Effectiveness of depression screenings and associated treatment linkage via community health fairs warrants investigation. METHODS: This study offers the first examination of a depression screening at a community health fair in 261 adult men (18-87years). The PHQ-9 was administered via interview by graduate students and on-site psychiatric nurses were available for a brief consultation for those interested...
August 2017: Archives of Psychiatric Nursing
https://www.readbyqxmd.com/read/28690436/a-rat-model-of-fetal-alcohol-syndrome-a-series-of-undergraduate-laboratory-exercises-for-biopsychology-courses
#12
Ana M H Kehrberg, Jenna N Parrish, Sasha A Eby
Many undergraduate students are aware that consuming alcohol during pregnancy can result in many serious physical and behavioral deficits. Student interest in this clinical syndrome allows instructors to provide engaging laboratory exercises that relate topics covered in most biopsychology courses to Fetal Alcohol Syndrome (FAS). Through this series of experiments, students will use rodents to study the behavioral deficits that can be caused by developmental alcohol exposure, including impaired ultrasonic vocalizations, hyperactivity, balance, and spatial learning...
2017: Journal of Undergraduate Neuroscience Education: JUNE: a Publication of FUN, Faculty for Undergraduate Neuroscience
https://www.readbyqxmd.com/read/28690390/integrated-care-of-muscular-dystrophies-in-italy-part-1-pharmacological-treatment-and-rehabilitative-interventions
#13
Luisa Politano, Marianna Scutifero, Melania Patalano, Alessandra Sagliocchi, Antonella Zaccaro, Federica Civati, Erika Brighina, Gianluca Vita, Sonia Messina, Maria Sframeli, Maria Elena Lombardo, Roberta Scalise, Giulia Colia, Maria Catteruccia, Angela Berardinelli, Maria Chiara Motta, Alessandra Gaiani, Claudio Semplicini, Luca Bello, Guja Astrea, Giulia Ricci, Maria Grazia D'Angelo, Giuseppe Vita, Marika Pane, Adele D'Amico, Umberto Balottin, Corrado Angelini, Roberta Battini, Lorenza Magliano
This paper describes the pharmacological therapies and rehabilitative interventions received by 502 patients with Muscular Dystrophies, evaluated in relation to patient's socio-demographic and clinical variables, and geographical areas. Data were collected by the MD-Socio-Demographic and Clinical Schedule (MD-SC-CS) and by the Family Problems Questionnaire (FPQ). The most part of the enrolled patients were in drug treatment. The number of the medications increased in relation to patient's age, disability degree and duration of illness and was higher among patients with Duchenne Muscular Dystrophy (DMD) compared with Becker (BMD) or Limb-Girdle Muscular Dystrophies (LGMD)...
March 2017: Acta Myologica: Myopathies and Cardiomyopathies: Official Journal of the Mediterranean Society of Myology
https://www.readbyqxmd.com/read/28683504/initial-experience-with-the-transapical-access-for-tevar
#14
Andreas H Mahnken, Marc Irqsusi, Walter Hundt, Rainer G Moosdorf
Background The endovascular approach has become a mainstay in the treatment of aortic aneurysms. While the transfemoral approach is most commonly used, it is often inaccessible due to a vascular pathology, such as occlusion, tortuosity or heavy calcifications. The transapical access provides an alternative approach. The goal of this study is to report the feasibility of the transapical approach for total endovascular repair of thoracic aortic aneurysms (TEVAR). Methods Three patients with thoracic aortic aneurysms with inaccessible femoral arteries underwent TEVAR via the transapical approach...
August 2017: RöFo: Fortschritte Auf Dem Gebiete der Röntgenstrahlen und der Nuklearmedizin
https://www.readbyqxmd.com/read/28682969/early-colonoscopy-improves-the-outcome-of-patients-with-symptomatic-colorectal-cancer
#15
Inmaculada Alonso-Abreu, Onofre Alarcón-Fernández, Antonio Z Gimeno-García, Rafael Romero-García, Marta Carrillo-Palau, David Nicolás-Pérez, Alejandro Jiménez, Enrique Quintero
BACKGROUND: Long waiting times from early symptoms to diagnosis and treatment may influence the staging and prognosis of patients with colorectal cancer. We analyzed the effect of colonoscopy timing on the outcome of these patients. OBJECTIVE: This study aimed to compare the outcome (tumoral staging and long-term survival) of patients with suspected colorectal cancer according to diagnostic colonoscopy timing. DESIGN: This study is an analysis of a prospectively maintained database...
August 2017: Diseases of the Colon and Rectum
https://www.readbyqxmd.com/read/28679489/listening-to-communities-mixed-method-study-of-the-engagement-of-disadvantaged-mothers-and-pregnant-women-with-digital-health-technologies
#16
Sylvia Guendelman, Andrew Broderick, Hmellisa Mlo, Alison Gemmill, David Lindeman
BACKGROUND: US health care providers are increasingly demanding patient engagement with digital health technologies to enroll in care, access personal health information, communicate with providers, and monitor their own health. Such engagement may be difficult for disadvantaged populations who may have limited health literacy, time constraints, or competing priorities. OBJECTIVE: We aimed to understand the extent of adoption and use of digital health tools and to identify key perceived psychological motivators of technology use among disadvantaged first-time pregnant women and mothers of young children...
July 5, 2017: Journal of Medical Internet Research
https://www.readbyqxmd.com/read/28679430/practical-issues-regarding-implementing-a-randomized-clinical-trial-in-a-homeless-population-strategies-and-lessons-learned
#17
Olamide Ojo-Fati, Anne M Joseph, Jed Ig-Izevbekhai, Janet L Thomas, Susan A Everson-Rose, Rebekah Pratt, Nancy Raymond, Ned L Cooney, Xianghua Luo, Kolawole S Okuyemi
There is a critical need for objective data to guide effective health promotion and care for homeless populations. However, many investigators exclude homeless populations from clinical trials due to practical concerns about conducting research with this population. This report is based on our experience and lessons learned while conducting two large NIH-funded randomized controlled trials targeting smoking cessation among persons who are homeless. The current report also addresses challenges when conducting clinical trials among homeless populations and offers potential solutions...
July 5, 2017: Trials
https://www.readbyqxmd.com/read/28679148/intermittent-access-to-ethanol-drinking-facilitates-the-transition-to-excessive-drinking-after-chronic-intermittent-ethanol-vapor-exposure
#18
Adam Kimbrough, Sarah Kim, Maury Cole, Molly Brennan, Olivier George
BACKGROUND: Alcohol binge drinking in humans is thought to increase the risk for alcohol use disorder (AUD). Unclear is whether drinking patterns (e.g., bingelike or stable drinking) differentially affect the transition to compulsive-like drinking in dependent individuals. We examined whether chronic bingelike drinking facilitates the transition to compulsive-like drinking in rats. METHODS: Male Wistar rats were given 5 months of intermittent access to ethanol (EtOH) (IAE) or continuous access to EtOH (CAE) in a 2-bottle choice paradigm...
July 5, 2017: Alcoholism, Clinical and Experimental Research
https://www.readbyqxmd.com/read/28676305/socioeconomic-and-demographic-predictors-of-missed-opportunities-to-provide-advanced-imaging-services
#19
McKinley Glover, Dania Daye, Omid Khalilzadeh, Oleg Pianykh, Daniel I Rosenthal, James A Brink, Efrén J Flores
PURPOSE: The extent to which racial and socioeconomic disparities exist in accessing clinically appropriate, advanced diagnostic imaging has not been well studied. This study assesses the relationship between demographic and socioeconomic factors and the incidence of imaging missed care opportunities (IMCOs). METHODS: We performed a retrospective review of outpatient CT and MRI appointments at a quaternary academic medical center and affiliated outpatient facilities during a 12-month period...
July 1, 2017: Journal of the American College of Radiology: JACR
https://www.readbyqxmd.com/read/28673645/evaluating-the-feasibility-and-acceptability-of-self-injection-of-subcutaneous-depot-medroxyprogesterone-acetate-dmpa-in-senegal-a-prospective-cohort-study
#20
Jane Cover, Maymouna Ba, Jeanette Lim, Jennifer Kidwell Drake, Bocar M Daff
OBJECTIVES: Expanding contraceptive options through self-injection may improve access and confidentiality. There are few published studies on contraceptive self-injection in sub-Saharan Africa and none in West Africa, a region with high unmet need. This study was performed to assess feasibility of subcutaneous DMPA self-injection in Senegal; objectives were to: 1) measure the proportion of participants who self-injected competently 3months after training; 2) measure the proportion who self-injected on time (defined conservatively as within 7days of reinjection date); and 3) assess acceptability of self-injection...
June 30, 2017: Contraception
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