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Population health segmentation

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https://www.readbyqxmd.com/read/27929656/epilogue-to-the-special-issue-on-co-occurrence-of-substance-use-and-tobacco
#1
Steven A Schroeder
This paper summarizes The American Journal of Drug and Alcohol Abuse special issue and offers suggestions for future steps. People who use alcohol or other addictive substances are much more likely to use tobacco. Yet, clinicians and scientists have long regarded these addiction categories as separate and unrelated. The resultant benign neglect of tobacco use has had disastrous consequences on patients. This special issue is an important step toward remedying that situation. It has reviewed what is known and what more needs to be discovered regarding the co-occurrence of tobacco use disorder (TUD) and other substance use disorders (SUDs)...
December 8, 2016: American Journal of Drug and Alcohol Abuse
https://www.readbyqxmd.com/read/27919863/applying-multiple-data-collection-tools-to-quantify-human-papillomavirus-vaccine-communication-on-twitter
#2
Philip M Massey, Amy Leader, Elad Yom-Tov, Alexandra Budenz, Kara Fisher, Ann C Klassen
BACKGROUND: Human papillomavirus (HPV) is the most common sexually transmitted infection in the United States. There are several vaccines that protect against strains of HPV most associated with cervical and other cancers. Thus, HPV vaccination has become an important component of adolescent preventive health care. As media evolves, more information about HPV vaccination is shifting to social media platforms such as Twitter. Health information consumed on social media may be especially influential for segments of society such as younger populations, as well as ethnic and racial minorities...
December 5, 2016: Journal of Medical Internet Research
https://www.readbyqxmd.com/read/27919241/the-unbuilt-environment-culture-moderates-the-built-environment-for-physical-activity
#3
Andrew J Perrin, Neal Caren, Asheley C Skinner, Adebowale Odulana, Eliana M Perrin
BACKGROUND: While research has demonstrated a link between the built environment and obesity, much variation remains unexplained. Physical features are necessary, but not sufficient, for physical activity: residents must choose to use these features in health-promoting ways. This article reveals a role for local culture in tempering the effect of the physical environment on physical activity behaviors. METHODS: We developed Systematic Cultural Observation (SCO) to observe place-based, health-related culture in Lenoir County, NC (population ~60,000)...
December 5, 2016: BMC Public Health
https://www.readbyqxmd.com/read/27913372/an-ehealth-project-on-invasive-pneumococcal-disease-comprehensive-evaluation-of-a-promotional-campaign
#4
Donatella Panatto, Alexander Domnich, Roberto Gasparini, Paolo Bonanni, Giancarlo Icardi, Daniela Amicizia, Lucia Arata, Stefano Carozzo, Alessio Signori, Angela Bechini, Sara Boccalini
BACKGROUND: The recently launched Pneumo Rischio eHealth project, which consists of an app, a website, and social networking activity, is aimed at increasing public awareness of invasive pneumococcal disease (IPD). The launch of this project was prompted by the inadequate awareness of IPD among both laypeople and health care workers, the heavy socioeconomic burden of IPD, and the far from optimal vaccination coverage in Italy, despite the availability of safe and effective vaccines. OBJECTIVE: The objectives of our study were to analyze trends in Pneumo Rischio usage before and after a promotional campaign, to characterize its end users, and to assess its user-rated quality...
December 2, 2016: Journal of Medical Internet Research
https://www.readbyqxmd.com/read/27906004/a-quantitative-evidence-base-for-population-health-applying-utilization-based-cluster-analysis-to-segment-a-patient-population
#5
Sabine I Vuik, Erik Mayer, Ara Darzi
BACKGROUND: To improve population health it is crucial to understand the different care needs within a population. Traditional population groups are often based on characteristics such as age or morbidities. However, this does not take into account specific care needs across care settings and tends to focus on high-needs patients only. This paper explores the potential of using utilization-based cluster analysis to segment a general patient population into homogenous groups. METHODS: Administrative datasets covering primary and secondary care were used to construct a database of 300,000 patients, which included socio-demographic variables, morbidities, care utilization, and cost...
November 25, 2016: Population Health Metrics
https://www.readbyqxmd.com/read/27905975/health-profile-of-centenarians-in-portugal-a-census-based-approach
#6
Oscar Ribeiro, Laetitia Teixeira, Lia Araújo, Constança Paúl
BACKGROUND: The number of centenarians is rapidly increasing in Europe. In Portugal, it has almost tripled over the last 10 years and constitutes one of the fastest-growing segments of the population. This paper aims to describe the health and sociodemographic characteristics of Portuguese centenarians as given in the 2011 census and to identify sex differences. METHODS: All persons living in Portugal mainland and Madeira and Azores islands aged 100 years old at the time of the 2011 census (N = 1,526) were considered...
April 12, 2016: Population Health Metrics
https://www.readbyqxmd.com/read/27901240/prevalence-of-chronic-spinal-pain-and-identification-of-associated-factors-in-a-sample-of-the-population-of-s%C3%A3-o-paulo-brazil-cross-sectional-study
#7
Jidiene Dylese Presecatan Depintor, Eduardo Sawaya Botelho Bracher, Dayane Maia Costa Cabral, José Eluf-Neto
CONTEXT AND OBJECTIVE: Chronic spinal pain, especially low-back pain and neck pain, is a leading cause of years of life with disability. The aim of the present study was to estimate the prevalence of chronic spinal pain among individuals aged 15 years or older and to identify the factors associated with it. DESIGN AND SETTING: Cross-sectional epidemiological study on a sample of the population of the city of São Paulo. METHOD: Participants were selected using random probabilistic sampling and data were collected via face-to-face interviews...
September 2016: São Paulo Medical Journal, Revista Paulista de Medicina
https://www.readbyqxmd.com/read/27886916/understanding-heart-failure
#8
REVIEW
Jeremy A Mazurek, Mariell Jessup
Heart failure (HF) is a growing global health concern that affects more than 20 million people worldwide. With an ever-growing segment of the population over the age of 65, the prevalence of HF and its associated costs are expected to increase exponentially over the next decade. Advances in the understanding of the pathophysiology and treatment of HF have resulted in the ability to enhance both the quantity and the quality of life of patients with HF. This article reviews the current understanding of the pathophysiology, cause, classification, and treatment of HF and describes areas of uncertainty that demand future study...
January 2017: Heart Failure Clinics
https://www.readbyqxmd.com/read/27885548/health-related-quality-of-life-in-long-term-survivors-of-acute-lymphoblastic-leukemia-in-childhood-and-adolescence
#9
T Nayiager, L Anderson, A Cranston, U Athale, R D Barr
PURPOSE: Children with acute lymphoblastic leukemia (ALL), the commonest form of cancer in this age group, suffer considerable morbidity during treatment, with the majority returning to good health soon after therapy has been completed, as reflected in health-related quality of life (HRQL). However, survivors are at risk of many adverse health outcomes later, including obesity, measured by body mass index (BMI), that is compounded by limited physical activity. This study examined the HRQL of long-term survivors of ALL and its relationship to BMI and physical activity...
November 24, 2016: Quality of Life Research
https://www.readbyqxmd.com/read/27882062/genotyping-and-mutation-pattern-in-the-overlapping-mhr-region-of-hbv-isolates-in-southern-khorasan-eastern-iran
#10
Masood Ziaee, Davod Javanmard, Gholamreza Sharifzadeh, Mohammad Hasan Namaei, Ghodsiyeh Azarkar
BACKGROUND: Hepatitis B virus, with 8 known distinct genotypes, is one of the most serious health problems which results to liver injuries. The surface gene of Hepatitis B virus completely overlaps with the polymerase gene. Mutations in the RT gene result in changes in the overlapping hepatitis B surface antigen. OBJECTIVES: The present study aimed to evaluate the genotypes and prevalence of mutations in a segment of S and RT gene in HBV isolates in Southern Khorasan, Iran...
October 2016: Hepatitis Monthly
https://www.readbyqxmd.com/read/27881115/intestinal-polyparasitism-with-special-emphasis-to-soil-transmitted-helminths-among-residents-around-gilgel-gibe-dam-southwest-ethiopia-a-community-based-survey
#11
Zeleke Mekonnen, Sultan Suleman, Abdissa Biruksew, Tamirat Tefera, Legese Chelkeba
BACKGROUND: One third of the world population is estimated to be infected with intestinal parasites. The most affected people are children and the poor people living in tropics and subtropics. Polyparasitism (the concurrent infection with multiple intestinal parasite species) is found to be the norm among the same population although accurate estimate of its magnitude is unknown. It was found that polyparasitism might have a greater impact on morbidity than single species infection which might also increase susceptibility to other infections...
November 23, 2016: BMC Public Health
https://www.readbyqxmd.com/read/27866338/reflections-on-serving-remote-mountain-communities-mobile-hospitals-and-women-s-and-children-s-health-care-in-northern-haiti
#12
Rose-Marie Chierici, Thony Michelet Voltaire
In 2003 Alyans Sante Borgne's (ASB) conducted the first week-long mobile hospital in Molas, a poor mountain community a 10-h walk from the main hospital in the town of Borgne in North Haiti. ASB is a partnership between Haiti Outreach-Pwoje Espwa (H.O.P.E.), a US-based NGO, and Haiti's Ministry of Health. The paper reflects on this first experience and the evolution of an indigenous model of health care delivery, Sante Nan Lakou (SNL)/Health at the Extended Family Level, a model that prioritizes the needs of patients over those of the institution...
November 19, 2016: Maternal and Child Health Journal
https://www.readbyqxmd.com/read/27862600/a-harmonized-segmentation-protocol-for-hippocampal-and-parahippocampal-subregions-why-do-we-need-one-and-what-are-the-key-goals
#13
Laura E M Wisse, Ana M Daugherty, Rosanna K Olsen, David Berron, Valerie A Carr, Craig E L Stark, Robert S C Amaral, Katrin Amunts, Jean C Augustinack, Andrew R Bender, Jeffrey D Bernstein, Marina Boccardi, Martina Bocchetta, Alison Burggren, M Mallar Chakravarty, Marie Chupin, Arne Ekstrom, Robin de Flores, Ricardo Insausti, Prabesh Kanel, Olga Kedo, Kristen M Kennedy, Geoffrey A Kerchner, Karen F LaRocque, Xiuwen Liu, Anne Maass, Nicolai Malykhin, Susanne G Mueller, Noa Ofen, Daniela J Palombo, Mansi B Parekh, John B Pluta, Jens C Pruessner, Naftali Raz, Karen M Rodrigue, Dorothee Schoemaker, Andrea T Shafer, Trevor A Steve, Nanthia Suthana, Lei Wang, Julie L Winterburn, Michael A Yassa, Paul A Yushkevich, Renaud la Joie
The advent of high-resolution magnetic resonance imaging (MRI) has enabled in vivo research in a variety of populations and diseases on the structure and function of hippocampal subfields and subdivisions of the parahippocampal gyrus. Because of the many extant and highly discrepant segmentation protocols, comparing results across studies is difficult. To overcome this barrier, the Hippocampal Subfields Group was formed as an international collaboration with the aim of developing a harmonized protocol for manual segmentation of hippocampal and parahippocampal subregions on high-resolution MRI...
October 24, 2016: Hippocampus
https://www.readbyqxmd.com/read/27854268/deoxynivalenol-and-its-modified-forms-are-there-major-differences
#14
Arash Alizadeh, Saskia Braber, Peyman Akbari, Aletta Kraneveld, Johan Garssen, Johanna Fink-Gremmels
Considering the diverse toxic effects of the Fusarium toxin deoxynivalenol (DON), its common occurrence in wheat-based products, and its stability during processing, DON constitutes an increasing health concern for humans and animals. In addition to the parent compound DON, human and animal exposure encompasses the acetylated fungal metabolites 3-acetyl-deoxynivalenol (3ADON) and 15-acetyl-deoxynivalenol (15ADON) as well as the plant-derived DON-glucoside (DON3G) and the bacterial product de-epoxy-DON (DOM-1)...
November 16, 2016: Toxins
https://www.readbyqxmd.com/read/27852275/social-inequalities-in-health-behaviors-among-brazilian-adults-national-health-survey-2013
#15
Marilisa Berti de Azevedo Barros, Margareth Guimarães Lima, Lhais de Paula Barbosa Medina, Celia Landman Szwarcwald, Deborah Carvalho Malta
BACKGROUND: Considering the high socioeconomic inequalities prevailing in Brazil and lifestyle as a strong determinant of morbidity and premature mortality, our purpose was to evaluate the degree of socioeconomic disparities in the prevalence of health behaviors among Brazilian adult population using data from the 2013 Brazilian National Health Survey. METHOD: Based on a sample of 49,025 individuals aged 20 to 59 years, we estimated the prevalence of several health behaviors and a score of unhealthy behaviors according to gender, education, race/color and possession of private health insurance...
November 17, 2016: International Journal for Equity in Health
https://www.readbyqxmd.com/read/27852269/inequities-in-healthcare-utilization-results-of-the-brazilian-national-health-survey-2013
#16
Cristiano Siqueira Boccolini, Paulo Roberto Borges de Souza Junior
BACKGROUND: The Brazilian Unified Health System is a public healthcare system that has universal and equitable access among its main principles, but the continental size of the country and the complexity of the public health system complicate the task of providing equal access to all. We aim to investigate the factors associated with inequities in healthcare utilization in Brazil. METHODS: We employed data from a nationally representative cross-sectional study (2013 National Health Survey; n = 60,202)...
November 17, 2016: International Journal for Equity in Health
https://www.readbyqxmd.com/read/27849350/maternal-mental-health-and-infant-mortality-for-healthy-weight-infants
#17
Susan E White, Robert W Gladden
OBJECTIVES: The objective of this study was to determine if severe mental illness and/or a history of substance use in mothers of babies of a healthy weight was associated with infant mortality. STUDY DESIGN: This was a cross-sectional observational study using CareSource historical billed Medicaid Managed Care plan (MMC) claims in Ohio. METHODS: CareSource is Ohio's largest MMCP, serving approximately 1.2 million Medicaid consumers. Claims from 89,159 babies of a healthy weight (≥ 2500 grams) and their mothers were selected from the CareSource Ohio MMCP population from January 2011 through December 2014...
November 1, 2016: American Journal of Managed Care
https://www.readbyqxmd.com/read/27834237/promoting-health-equity-and-population-health-how-americans-views-differ
#18
Larry Bye, Alyssa Ghirardelli, Angela Fontes
To increase understanding of what Americans think about personal and public health, a national survey of US adults was conducted in 2015-16 to develop a typology of values and beliefs. The survey was commissioned by the Robert Wood Johnson Foundation for its Culture of Health initiative. Six specific population groupings, or segments, were identified. Three segments included people who supported an active government role in health, two segments were characterized by people who were skeptical toward government, and one segment was characterized by people with conflicted attitudes toward government in health...
November 1, 2016: Health Affairs
https://www.readbyqxmd.com/read/27828982/discovery-and-partial-genomic-characterisation-of-a-novel-nidovirus-associated-with-respiratory-disease-in-wild-shingleback-lizards-tiliqua-rugosa
#19
Mark A O'Dea, Bethany Jackson, Carol Jackson, Pally Xavier, Kristin Warren
A respiratory disease syndrome has been observed in large numbers of wild shingleback lizards (Tiliqua rugosa) admitted to wildlife care facilities in the Perth metropolitan region of Western Australia. Mortality rates are reportedly high without supportive treatment and care. Here we used next generation sequencing techniques to screen affected and unaffected individuals admitted to Kanyana Wildlife Rehabilitation Centre in Perth between April and December 2015, with the resultant discovery of a novel nidovirus significantly associated with cases of respiratory disease according to a case definition based on clinical signs...
2016: PloS One
https://www.readbyqxmd.com/read/27828679/innovation-in-healthcare-services-notes-on-the-limits-of-field-research
#20
Laís Silveira Costa
The contemporary context of population aging, itsthe population's different health and disease characteristics, and the growing incorporation of technologies by healthcare systems have highlighted the need to adjust the healthcare structure as a whole. The defense of a democratic and sustainable system reveals the importance of understanding how changes in healthcare take place. The current article aims to contribute to the understanding of innovation in healthcare services. The study's results indicate that the existence of certain knowledge gaps means that public policies tend to overlook a whole rangeseries of innovations normally associated with social changes, with a consequentwith an impact on human development, social cohesion, equality, and equity, allcentral issues that are central toin the field of collective public healthcare field...
November 3, 2016: Cadernos de Saúde Pública
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