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Population health segmentation

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https://www.readbyqxmd.com/read/29334608/factors-associated-with-prolonged-patient-attributable-delay-in-the-diagnosis-of-colorectal-cancer
#1
Irene Zarcos-Pedrinaci, Teresa Téllez, Francisco Rivas-Ruiz, María Del Carmen Padilla-Ruiz, Julia Alcaide, Antonio Rueda, María Luisa Baré, María Manuela Morales Suárez-Varela, Eduardo Briones, Cristina Sarasqueta, Nerea Fernández-Larrea, Antonio Escobar, José María Quintana, Maximino Redondo
Purpose: The delayed diagnosis of colorectal cancer (CRC) may be attributable to sociodemographic characteristics, to aspects of tumour histopathology or to the functioning of the health system. We seek to determine which of these factors most influences prolonged patient-attributable delay (PPAD) in the diagnosis and treatment of CRC. Materials and method: A prospective, multicentre observational study was conducted in 22 Spanish hospitals. In total, 1,785 patients were recruited to the study between 2010 and 2012 and underwent elective or urgent surgery...
January 2, 2018: Cancer Research and Treatment: Official Journal of Korean Cancer Association
https://www.readbyqxmd.com/read/29325074/cervical-disc-arthroplasty-current-evidence-and-real-world-application
#2
Pierce D Nunley, Domagoj Coric, Kelly A Frank, Marcus B Stone
Cervical total disc replacement (cTDR) is still considered a developing technology, with widespread clinical use beginning in the early 2000s. Despite being relatively new to the marketplace, the literature surrounding cTDR is abundant. We conducted a thorough review of literature published in the United States (US) and outside the US to report the current global state of cTDR research and clinical use. Search criteria were restricted to publications with a clinical patient population, excluding finite element analyses, biomechanical studies, cadaver studies, surgical technique-specific papers, and case studies...
January 6, 2018: Neurosurgery
https://www.readbyqxmd.com/read/29320344/a-profile-of-individuals-with-anti-tobacco-message-fatigue
#3
Jiyeon So, Lucy Popova
OBJECTIVES: Message fatigue, a phenomenon of being tired of repeated exposure to messages promoting the same health behavior, may reduce the effectiveness of anti-tobacco messages, such as warning labels. As an initial step towards understanding the phenomenon, we examined predictors of anti-tobacco message fatigue. METHODS: An online study (N = 1838) involving a non-probability sample of nonsmokers and smokers in the United States assessed anti-tobacco message fatigue and individual-level factors including demographic variables and smoking status...
January 1, 2018: American Journal of Health Behavior
https://www.readbyqxmd.com/read/29288193/assessment-of-endothelialization-of-aneurysm-wall-over-time-in-a-rabbit-model-through-cd31-scoring
#4
Praveen Kolumam Parameswaran, Daying Dai, Yong-Hong Ding, Tina Gunderson, David F Kallmes, Kadirvel Ramanathan
BACKGROUND: Intracranial aneurysms represent a significant health concern and are poorly understood despite decades of research. Our study focused on understanding temporal patterns of endothelial cell distribution in different spatial locations within the aneurysm early after creation in a rabbit model. METHODS: Elastase induced saccular aneurysms were created in rabbits and harvested on day 1 (n=3) and after 2 (n=5), 4 (n=4), 8 (n=5), and 12 (n=6) weeks. Sham operated controls (n=3) were harvested on the same day...
December 29, 2017: Journal of Neurointerventional Surgery
https://www.readbyqxmd.com/read/29285399/fighting-against-a-protean-enemy-immunosenescence-vaccines-and-healthy-aging
#5
Giuseppe Del Giudice, Jörg J Goronzy, Beatrix Grubeck-Loebenstein, Paul-Henri Lambert, Tomas Mrkvan, Jeffrey J Stoddard, T Mark Doherty
The progressive increase of the aged population worldwide mandates new strategies to ensure sustained health and well-being with age. The development of better and/or new vaccines against pathogens that affect older adults is one pivotal intervention in approaching this goal. However, the functional decline of various physiological systems, including the immune system, requires novel approaches to counteract immunosenescence. Although important progress has been made in understanding the mechanisms underlying the age-related decline of the immune response to infections and vaccinations, knowledge gaps remain, both in the areas of basic and translational research...
2018: NPJ Aging and Mechanisms of Disease
https://www.readbyqxmd.com/read/29258776/waste-disposal-and-households-heterogeneity-identifying-factors-shaping-attitudes-towards-source-separated-recycling-in-bogot%C3%A3-colombia
#6
Alcides J Padilla, Juan C Trujillo
Solid waste management in many cities of developing countries is not environmentally sustainable. People traditionally dispose of their solid waste in unsuitable urban areas like sidewalks and satellite dumpsites. This situation nowadays has become a serious public health problem in big Latin American conurbations. Among these densely-populated urban spaces, the Colombia's capital and main city stands out as a special case. In this study, we aim to identify the factors that shape the attitudes towards source-separated recycling among households in Bogotá...
December 16, 2017: Waste Management
https://www.readbyqxmd.com/read/29247973/excess-mortality-in-children-born-to-opioid-addicted-parents-a-national-register-study-in-taiwan
#7
Shao-You Fang, Nicole Huang, Jen-Huoy Tsay, Su-Hui Chang, Chuan-Yu Chen
BACKGROUND: Young offspring of individuals with opioid use disorders have great exposure to a wide array of social disadvantages and stressors. This study aimed to investigate excess mortality before the age of six and predictors of premature death in children born to opioid-involved parents. METHODS: A total of 3210 children born between 2004 and 2009 to parents with opioid use disorders (roughly a quarter of whom were born after parental methadone treatment enrollment) were identified in Taiwan...
December 2, 2017: Drug and Alcohol Dependence
https://www.readbyqxmd.com/read/29243364/perceived-needs-of-carers-of-people-with-psychosis-an-australian-longitudinal-population-based-study-of-caregivers-of-people-with-psychotic-disorders
#8
Abner Weng Cheong Poon, Lynette Joubert, Carol Harvey
Studies have documented the perceived needs of carers of people with psychosis but most recruitment has utilised convenience sampling resulting in limited understanding of carers' needs. This longitudinal study was conducted within the second Australian prevalence study of psychosis, aiming to obtain generalisable findings regarding perceived needs of carers of people with psychosis. Semi-structured interviews were conducted with 98 carers of people with psychosis recruited in the Australian prevalence study of psychosis...
December 15, 2017: Health & Social Care in the Community
https://www.readbyqxmd.com/read/29242108/a-multi-level-intervention-in-worksites-to-increase-fruit-and-vegetable-access-and-intake-rationale-design-and-methods-of-the-good-to-go-cluster-randomized-trial
#9
Patricia M Risica, Gemma Gorham, Laura Dionne, William Nardi, Doug Ng, Reese Middler, Jennifer Mello, Rahmet Akpolat, Katelyn Gettens, Kim M Gans
BACKGROUND: Fruit and vegetable (F&V) consumption is an important contributor to chronic disease prevention. However, most Americans do not eat adequate amounts. The worksite is an advantageous setting to reach large, diverse segments of the population with interventions to increase F&V intake, but research gaps exist. No studies have evaluated the implementation of mobile F&V markets at worksites nor compared the effectiveness of such markets with or without nutrition education. METHODS: This paper describes the protocol for Good to Go (GTG), a cluster randomized trial to evaluate F&V intake change in employees from worksites randomized into three experimental arms: discount, fresh F&V markets (Access Only arm); markets plus educational components including campaigns, cooking demonstrations, videos, newsletters, and a web site (Access Plus arm); and an attention placebo comparison intervention on physical activity and stress reduction (Comparison)...
December 11, 2017: Contemporary Clinical Trials
https://www.readbyqxmd.com/read/29238427/hiv-associated-nephropathy-in-africa-pathology-clinical-presentation-and-strategy-for-prevention
#10
REVIEW
Nazik Elmalaika Husain, Mohamed H Ahmed, Ahmed O Almobarak, Sufian K Noor, Wadie M Elmadhoun, Heitham Awadalla, Clare L Woodward, Dushyant Mital
The human immunodeficiency virus (HIV) infection can lead to progressive decline in renal function known as HIV-associated nephropathy (HIVAN). Importantly, individuals of African ancestry are more at risk of developing HIVAN than their European descent counterparts. An in-depth search on Google Scholar, Medline and PubMed was conducted using the terms "HIVAN" and "pathology and clinical presentation", in addition to "prevalence and risk factors for HIVAN", with special emphasis on African countries for any articles published between 1990 and 2017...
January 2018: Journal of Clinical Medicine Research
https://www.readbyqxmd.com/read/29237071/measuring-type-2-diabetes-mellitus-knowledge-and-perceptions-of-risk-in-middle-class-african-americans
#11
Erica C Spears, Jeffrey J Guidry, Idethia S Harvey
There is a paucity in the literature examining the African American middle-class. Most studies of African Americans and Type 2 Diabetes Mellitus (T2DM) have concentrated on lower-SES individuals, or make no distinction between African Americans of varying socio-economic positions. Middle-class African Americans are vulnerable in ways often overlooked by researchers. This study quantitatively examines specific T2DM knowledge and perceptions of risk in middle-class African Americans (N = 121). The majority of respondents, 70...
December 11, 2017: Health Education Research
https://www.readbyqxmd.com/read/29236535/a-social-work-approach-to-policy-implications-for-population-health
#12
Daniel P Miller, Angela R Bazzi, Heidi L Allen, Melissa L Martinson, Christopher P Salas-Wright, Kathryn Jantz, Katherine Crevi, David L Rosenbloom
The substantial disparities in health and poorer outcomes in the United States relative to peer nations suggest the need to refocus health policy. Through direct contact with the most vulnerable segments of the population, social workers have developed an approach to policy that recognizes the importance of the social environment, the value of social relationships, and the significance of value-driven policymaking. This approach could be used to reorient health, health care, and social policies. Accordingly, social workers can be allies to public health professionals in efforts to eliminate disparities and improve population health...
December 2017: American Journal of Public Health
https://www.readbyqxmd.com/read/29233169/an-evidence-based-gamified-mhealth-intervention-for-overweight-young-adults-with-maladaptive-eating-habits-study-protocol-for-a-randomized-controlled-trial
#13
Ioana R Podina, Liviu A Fodor, Ana Cosmoiu, Rareș Boian
BACKGROUND: Cognitive behavior therapy (CBT) is the first-line of treatment for overweight and obesity patients whose problems originate in maladaptive eating habits (e.g., emotional eating). However, in-person CBT is currently difficult to access by large segments of the population. The proposed SIGMA intervention (i.e., the Self-help, Integrated, and Gamified Mobile-phone Application) is a mHealth intervention based on CBT principles. It specifically targets overweight young adults with underlying maladaptive behaviors and cognitions regarding food...
December 12, 2017: Trials
https://www.readbyqxmd.com/read/29224702/early-intervention-to-restore-function-and-maintain-healthy-trajectory
#14
REVIEW
Juan Jover, Lydia Abasolo
The health of the global population has undergone rapid transformation. Life expectancy and chronic conditions are increasing, and persons aged 65 years or older have become the fastest growing segment of population. The worldwide picture of disease burden is increasingly defined by disability instead of premature mortality. Population growth, ageing and sedentary lifestyles, particularly in developing countries, will result in a crisis for the population health that requires a multi-system response. The growing awareness of the diseases burden increases the need for accurate measurement and assessment of the burden and measurement of the impact of any public health action...
April 2017: Best Practice & Research. Clinical Rheumatology
https://www.readbyqxmd.com/read/29223915/marijuana-buyers-in-the-united-states-2010-2014
#15
Alejandro Azofeifa, Laura J Sherman, Margaret E Mattson, Rosalie L Pacula
BACKGROUND: Obtaining or purchasing marijuana in the U.S. can be done only in certain states via a lawful market, for medical or non-medical (recreational) purposes, or via an unlawful market ("black market") by home cultivation and unlicensed vendors and individuals. Given the evolving U.S. state marijuana legislation landscape, the objective of this study is to describe individuals who report buying marijuana in the past year by selected characteristics and U.S. geographical location...
December 5, 2017: Drug and Alcohol Dependence
https://www.readbyqxmd.com/read/29214832/tailored-educational-approaches-for-consumer-health-a-model-to-address-health-promotion-in-an-era-of-personalized-medicine
#16
Wendy F Cohn, Jason Lyman, Donna K Broshek, Thomas M Guterbock, David Hartman, Mable Kinzie, David Mick, Aaron Pannone, Vanessa Sturz, Jane Schubart, Arthur T Garson
PURPOSE: To develop a model, based on market segmentation, to improve the quality and efficiency of health promotion materials and programs. DESIGN: Market segmentation to create segments (groups) based on a cross-sectional questionnaire measuring individual characteristics and preferences for health information. Educational and delivery recommendations developed for each group. SETTING: General population of adults in Virginia. PARTICIPANTS: Random sample of 1201 Virginia residents...
January 1, 2017: American Journal of Health Promotion: AJHP
https://www.readbyqxmd.com/read/29202069/the-evolution-of-socioeconomic-status-related-inequalities-in-maternal-health-care-utilization-evidence-from-zimbabwe-1994-2011
#17
Marshall Makate, Clifton Makate
Background: Inequalities in maternal health care are pervasive in the developing world, a fact that has led to questions about the extent of these disparities across socioeconomic groups. Despite a growing literature on maternal health across Sub-Saharan African countries, relatively little is known about the evolution of these inequalities over time for specific countries. This study sought to quantify and explain the observed differences in prenatal care use and professional delivery assistance in Zimbabwe...
2017: Global Health Research and Policy
https://www.readbyqxmd.com/read/29200327/the-big-five-health-insurers-membership-and-revenue-trends-implications-for-public-policy
#18
Cathy Schoen, Sara R Collins
The five largest US commercial health insurance companies together enroll 125 million members, or 43 percent of the country's insured population. Over the past decade these insurers have become increasingly dependent for growth and profitability on public programs, according to an analysis of corporate reports. In 2016 Medicare and Medicaid accounted for nearly 60 percent of the companies' health care revenues and 20 percent of their comprehensive plan membership. Although headlines have focused on losses in the state Marketplaces created by the Affordable Care Act (ACA), the Marketplaces represent only a small fraction of insurers' members...
December 2017: Health Affairs
https://www.readbyqxmd.com/read/29199488/which-dietary-patterns-are-more-likely-to-be-associated-with-aspects-of-eco-sustainable-food-behaviours-in-italy
#19
Maria Luisa Scalvedi, Aida Turrini, Anna Saba
Sustainable food consumption (SFC) policies need further investigation into eating habits to improve interventions to encourage shifting to new consumption patterns respectful of human rights, environment and health. Reversing the usual approach focussed on sustainable consumer, the present study investigates how different eating patterns relate to eco-sustainable food. A cluster analysis was carried out on consumption frequencies of food groups recorded in an Italian national survey on 3004 respondents, providing four eating habit segments, further investigated as for sustainable food attitude and behaviour...
December 4, 2017: International Journal of Food Sciences and Nutrition
https://www.readbyqxmd.com/read/29198076/early-diagnosis-of-osteoporosis-using-radiogrammetry-and-texture-analysis-from-hand-and-wrist-radiographs-in-indian-population
#20
A S Areeckal, N Jayasheelan, J Kamath, S Zawadynski, M Kocher, S David S
We propose an automated low cost tool for early diagnosis of onset of osteoporosis using cortical radiogrammetry and cancellous texture analysis from hand and wrist radiographs. The trained classifier model gives a good performance accuracy in classifying between healthy and low bone mass subjects. INTRODUCTION: We propose a low cost automated diagnostic tool for early diagnosis of reduction in bone mass using cortical radiogrammetry and cancellous texture analysis of hand and wrist radiographs...
December 3, 2017: Osteoporosis International
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