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Management: Expenditures

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Patients With CKD Incur the Highest Out-of-Pocket Expenses Patients With CKD Incur the Highest Out-of-Pocket Expenses
Dr Desai discusses a study on the total and out-of-pocket healthcare expenditures incurred by patients with nondialysis CKD in the US vs patients with cancer or stroke, published in BMC Nephrology.Medscape Nephrology
Source: Medscape Today Headlines - March 3, 2017 Category: Consumer Health News Tags: Nephrology Viewpoint Source Type: news

Mind the Treatment Gap
getty images/ istock photoBy Vani S. Kulkarni and Raghav GaihaPHILADELPHIA AND NEW DELHI, Apr 14 2017 (IPS)Implementation of the Mental Healthcare Act will require a restructuring of health-care services The Mental Healthcare Bill, 2016, which was passed in the Lok Sabha on March 27, 2017, has been hailed as a momentous reform. According to the Bill, every person will have the right to access mental health care operated or funded by the government; good quality and affordable health care; equality of treatment and protection from inhuman practices; access to legal services; and right to complain against coercion and cruelt...
Source: IPS Inter Press Service - Health - April 14, 2017 Category: Global & Universal Authors: Vani Kulkarni and Raghav Gaiha Tags: Asia-Pacific Development & Aid Gender Gender Violence Headlines Health Human Rights Women's Health Source Type: news

Estimating lifetime medical costs from censored claims data
In this study, we propose a survival‐adjusted estimator for estimating mean lifetime costs, which integrates the product of the survival function and the mean cost function over the lifetime horizon. The survival function is estimated by a new algorithm of rolling extrapolation, aided by external information of age‐ and sex‐matched referents simulated from national vital statistics. The mean cost function is estimated by a weighted average of mean expenditures of patients in a number of months prior to their death, of which the number could be determined by observed costs in their final months, and the weights depend...
Source: Health Economics - May 12, 2017 Category: Health Management Authors: Jing ‐Shiang Hwang, Tsuey‐Hwa Hu, Lukas Jyuhn‐Hsiarn Lee, Jung‐Der Wang Tags: RESEARCH ARTICLE Source Type: research

Overfed and Underfed: Global Food Extremes
The international community of nations has made commitments to eliminate hunger, achieve food security and improved nutrition by 2030 and also to promote and protect health through nutritious diet, healthy eating and increased physical activity. Credit: IPSBy Joseph ChamieNEW YORK, Jun 12 2017 (IPS)Global food extremes of chronic undernourishment and obesity have brought about a bipolar world of hundreds of millions of underfed and overfed people. Of the world’s population of 7.5 billion the proportions suffering from chronic undernourishment and those afflicted by obesity are similar, approximately 11 percent or togethe...
Source: IPS Inter Press Service - Health - June 12, 2017 Category: International Medicine & Public Health Authors: Joseph Chamie Tags: Development & Aid Food & Agriculture Global Headlines Health Poverty & SDGs Regional Categories Source Type: news

Dihydrocapsiate improved age-associated impairments in mice by increasing energy expenditure.
In this study, we investigated whether DCT supplementation in aged mice improves age-associated impairments. We obtained five-week-old and one-year-old male C57BL/6J mice and randomly assigned the aged mice to two groups, resulting in a total of three groups: 1) young mice, 2) old mice, and 3) old mice supplemented with 0.3% DCT. After 12 weeks of supplementation, blood and tissue samples were collected and analyzed. DCT significantly suppressed age-associated fat accumulation, adipocyte hypertrophy, and liver steatosis. In addition, the DCT treatment dramatically suppressed age-associated increases in hepatic inflammation...
Source: American Journal of Physiology. Endocrinology and Metabolism - August 15, 2017 Category: Physiology Authors: Ohyama K, Suzuki K Tags: Am J Physiol Endocrinol Metab Source Type: research

On the Adaptation of Pelvic Motion by Applying 3-dimensional Guidance Forces Using TPAD
Pelvic movement is important to human locomotion as the center of mass is located near the center of pelvis. Lateral pelvic motion plays a crucial role to shift the center of mass on the stance leg, while swinging the other leg and keeping the body balanced. In addition, vertical pelvic movement helps to reduce metabolic energy expenditure by exchanging potential and kinetic energy during the gait cycle. However, patient groups with cerebral palsy or stroke have excessive pelvic motion that leads to high energy expenditure. In addition, they have higher chances of falls as the center ofmass could deviate outside the base o...
Source: IEE Transactions on Neural Systems and Rehabilitation Engineering - September 1, 2017 Category: Neuroscience Source Type: research

A review on irisin, a new protagonist that mediates muscle-adipose-bone-neuron connectivity.
This study presents irisin as a new champion of the molecule, which could be considered as the messenger in the muscle-fat-bone-brain axis. PMID: 29131244 [PubMed - in process]
Source: European Review for Medical and Pharmacological Sciences - November 14, 2017 Category: Drugs & Pharmacology Tags: Eur Rev Med Pharmacol Sci Source Type: research

Outpatient therapy for acute symptomatic pulmonary embolism diagnosed in the emergency department: Time to improve the evidence base
Pulmonary embolism (PE) remains a worldwide major public health issue [1 –4]. After myocardial infarction and stroke, PE is the third most common cause of vascular death. In addition, PE is the leading preventable cause of death in hospitalized patients [2]. Treatment of PE costs over 19 billion dollars annually in the USA [3], and more than 50% of that expenditure rel ates to the cost of in-patient care [4]. The initial decision to admit the patient diagnosed with acute symptomatic PE in the emergency department (ED) to the hospital or to treat the patient at home therefore has significant patient care and public health implications.
Source: Thrombosis Research - November 25, 2017 Category: Hematology Authors: David Jim énez, Roger D. Yusen Tags: Editorial Source Type: research

Dihydrocapsiate improved age-associated impairments in mice by increasing energy expenditure
In this study, we investigated whether DCT supplementation in aged mice improves age-associated impairments. We obtained 5-wk-old and 1-yr-old male C57BL/6J mice and randomly assigned the aged mice to two groups, resulting in a total of three groups: 1) young mice, 2) old mice, and 3) old mice supplemented with 0.3% DCT. After 12 wk of supplementation, blood and tissue samples were collected and analyzed. DCT significantly suppressed age-associated fat accumulation, adipocyte hypertrophy, and liver steatosis. In addition, the DCT treatment dramatically suppressed age-associated increases in hepatic inflammation, immune cel...
Source: AJP: Endocrinology and Metabolism - November 29, 2017 Category: Endocrinology Authors: Ohyama, K., Suzuki, K. Tags: Research Article Source Type: research

Paradoxical escape responses by narwhals (Monodon monoceros)
Until recent declines in Arctic sea ice levels, narwhals (Monodon monoceros) have lived in relative isolation from human perturbation and sustained predation pressures. The resulting naïvety has made this cryptic, deep-diving cetacean highly susceptible to disturbance, although quantifiable effects have been lacking. We deployed a submersible, animal-borne electrocardiograph-accelerometer-depth recorder to monitor physiological and behavioral responses of East Greenland narwhals after release from net entanglement and stranding. Escaping narwhals displayed a paradoxical cardiovascular down-regulation (extreme brady...
Source: ScienceNOW - December 7, 2017 Category: Science Authors: Williams, T. M., Blackwell, S. B., Richter, B., Sinding, M.-H. S., Heide-Jorgensen, M. P. Tags: Anatomy, Morphology, Biomechanics, Physiology reports Source Type: news

Case Study: Physical Capacity and Nutritional Status Before and After a Single-Handed Yacht Race.
Abstract During solitary sailing the sailor is exposed to sleep deprivation and difficulties in consuming regular meals. Sailor weight loss is often reported. In the present case study we describe changes in the physical capacity and the nutritional status of an athlete attempting a single-handed yacht race around the globe. An Italian male ocean racer (GM) asked for our help to reach an optimum level of physical and nutritional preparation. We planned his diet after assessing his anthropometric parameters and body composition as well as his usual energy intake and nutritional expenditure. The diet consisted in 12...
Source: International Journal of Sport Nutrition and Exercise Metabolism - December 18, 2017 Category: Sports Medicine Authors: Ghiani G, Magnani S, Doneddu A, Sainas G, Pinna V, Caboi M, Palazzolo G, Tocco F, Crisafulli A Tags: Int J Sport Nutr Exerc Metab Source Type: research

A long-term quality-of-care score for predicting the occurrence of macrovascular diseases in patients with type 2 diabetes mellitus
Diabetes mellitus (DM) is prevalent worldwide, and the number of patients was estimated to be 382 million in 2013 and expected to rise to 592 million by 2035 [1]. In Taiwan, around 7% of the total population (about 1.6 million) had DM in 2012, 90% of whom had type 2 diabetes mellitus. DM has been among the top five leading causes of death in Taiwan for more than three decades and took up about 11.5% of the total healthcare expenditures in the recent years [2]. In addition, DM is associated with a 2-4 times higher risk of cardiovascular disease (CVD) and stroke, which are the leading causes of death and disability among peo...
Source: Diabetes Research and Clinical Practice - February 23, 2018 Category: Endocrinology Authors: Pi-I Li, Jian-Nan Wang, How-Ran Guo Source Type: research

Estimating external loads and internal demands by positioning systems and innovative data processing approaches during intermittent running activities in team and racquet sports
Publication date: February 2018 Source:Sports Orthopaedics and Traumatology, Volume 34, Issue 1 Author(s): Matthias W. Hoppe, Christian Baumgart, Jürgen Freiwald In this article, we introduce positioning systems in combination with innovative data processing approaches for estimating external loads and internal demands during intermittent running activities in team and racquet sports. Potential application fields are (i) performance analyses for profiling athletes; (ii) training analyses for allowing periodizations; and (iii) rehabilitative analyses for supporting return to play/competition decisions. Technological prere...
Source: Sports Orthopaedics and Traumatology - March 16, 2018 Category: Sports Medicine Source Type: research

Comment The social sciences, humanities, and health
Humanities and social sciences have had many positive influences on health experiences, care, and expenditure. These include on self-management for diabetes, provision of psychological therapy, handwashing, hospital checklists, the Scottish Government's stroke guidelines, England's tobacco control strategy, the response to the Ebola outbreak in west Africa and Zika virus in Brazil, and many more.1 Researchers have shown time and time again the political, practical, economic, and civic value of education and research in disciplines like anthropology, history, and philosophy.
Source: LANCET - April 13, 2018 Category: General Medicine Authors: Martyn Pickersgill, Sarah Chan, Gill Haddow, Graeme Laurie, Devi Sridhar, Steve Sturdy, Sarah Cunningham-Burley Tags: Comment Source Type: research

Magnolol promotes thermogenesis and attenuates oxidative stress in 3T3-L1 adipocytes
Obesity incidence is increasing worldwide at an alarming pace and has become a major threat to public health [1]. Indeed, obesity facilitates the development of hypertension, diabetes, stroke, osteoarthritis, and cancer [2,3]. It is well accepted that obesity results from an imbalance between energy expenditure and energy consumption, which causes excess energy storage in the form of lipids in white adipose tissue (WAT). Methods that either increase energy expenditure or reduce energy consumption are potential antiobesity strategies [4].
Source: Nutrition - February 5, 2018 Category: Nutrition Authors: Hilal Ahmad Parray, Jameel Lone, Jong Pil Park, Jang Won Choi, Jong Won Yun Tags: Basic nutritional investigation Source Type: research