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Total 214 results found since Jan 2013.

The Fault in our (Three) Stars
Conclusions Like it or not (I think only a minority of CEOs will be happy with their star rating and many physicians will chafe at the ED metrics being used) CMS has started rating your hospital on a five star scale. All of the ED metrics used in the star rating system are typically followed by the ED medical director and nursing leaders, but now you may notice hospital administration is more interested in your performance. The good news is that with added visibility, hospital admin may provide more support in helping to improve performance. We need to know which of our metrics are involved and how we’re contributing to ...
Source: EPMonthly.com - September 27, 2016 Category: Emergency Medicine Authors: Matt McGahen Tags: Uncategorized Source Type: news

Polypharmacy and Polymorbidity in Older Adults in Brazil: a public health challenge
CONCLUSIONS Older adults with specific diseases have risk factors for polypharmacy modifiable by actions aimed at the rational use of medicines. With the current population aging and successful drug access policy, the trend is an increase in drug use by older adults, which should feature as a priority in the planning agenda of the Brazilian Unified Health System (SUS).RESUMO OBJETIVO Analisar as varia ções da prevalência do uso crônico de medicamentos por idosos no Brasil segundo sua possível associação com as doenças crônicas mais prevalentes, fatores sociodemográficos e de saúde, e identificar fatores de risco...
Source: Revista de Saude Publica - December 13, 2016 Category: Global & Universal Source Type: research

The right to be forgotten: a change in access to insurance and loans after childhood cancer?
ConclusionThis study showed that the financial burden of cancer can extend decades after diagnosis.Implications for Cancer SurvivorsThanks to a 2016 law, French cancer survivors no longer have to disclose their cancer to insurers after a fixed number of years. This law will probably lessen the socioeconomic burden of cancer.
Source: Journal of Cancer Survivorship - January 26, 2017 Category: Cancer & Oncology Source Type: research

Abstract 043: Health Insurance and the Risk of Incident Cardiovascular Disease in the Multi-Ethnic Study of Atherosclerosis Session Title: Poster Session I
Conclusions: The association of health insurance with CVD incidence varied by insurance group, and private insurance was associated with a lower risk of incident CVD. Further exploration of the features of health insurance coverage that impact CVD incidence may facilitate improvements in the primary prevention of CVD.
Source: Circulation: Cardiovascular Quality and Outcomes - March 31, 2017 Category: Cardiology Authors: Crim, M. T., Xie, J. X., Ko, Y.-A., Blumenthal, R. S., Blaha, M. J., Nasir, K., Budoff, M. J., Shaw, L. J. Tags: Session Title: Poster Session I Source Type: research

Daily diet of fresh fruit linked to lower diabetes risk
Conclusion The study findings – that eating fresh fruit every day does not raise the risk of diabetes, and may reduce it – are reassuring and in line with dietary advice in the UK. It's also helpful to see evidence that people who already have diabetes are likely to benefit from fresh fruit as well, because there has not been much research into fruit-eating for people with diabetes. However, it's a step too far to say that fresh fruit prevents diabetes or diabetes complications. Fresh fruit is just one part of a healthy diet, and diet is just one of the things that may affect someone's risk of getting diabetes. This ty...
Source: NHS News Feed - April 12, 2017 Category: Consumer Health News Tags: Diabetes Food/diet Source Type: news

DIS-17-0023 The Enduring Health Challenges of Afghan Immigrants and Refugees in Iran: A Systematic Review
This article does not contain any studies with human participants or animals performed by the author. Data Availability All national (MagIran, Science Information Database (SID) and Iranmedex) and international (PubMed, Scopus) databases were searched from November 2010 to November 2016 using keywords both in English and Persian: Afghan immigrants, Afghan refugees, Iran, infectious diseases, tuberculosis, HIV, Hepatitis B and C, non-communicable disease, food security, mental health, barriers, health insurance, access to health service. All related websites and webpages were also searched by Google with the same keywords ...
Source: PLOS Currents Disasters - July 21, 2017 Category: International Medicine & Public Health Authors: nasim Source Type: research

The Enduring Health Challenges of Afghan Immigrants and Refugees in Iran: A Systematic Review
This article does not contain any studies with human participants or animals performed by the author. Data Availability All national (MagIran, Science Information Database (SID) and Iranmedex) and international (PubMed, Scopus) databases were searched from November 2010 to November 2016 using keywords both in English and Persian: Afghan immigrants, Afghan refugees, Iran, infectious diseases, tuberculosis, HIV, Hepatitis B and C, non-communicable disease, food security, mental health, barriers, health insurance, access to health service. All related websites and webpages were also searched by Google with the same keywords ...
Source: PLOS Currents Disasters - July 21, 2017 Category: International Medicine & Public Health Authors: nasim Source Type: research

Association of Long-Term Exposure to Transportation Noise and Traffic-Related Air Pollution with the Incidence of Diabetes: A Prospective Cohort Study
Conclusion: We found a positive association between residential transportation noise and diabetes, adding to the growing body of evidence that noise pollution exposure may be independently linked to metabolic health and should be considered when developing public health interventions. https://doi.org/10.1289/EHP1279 Received: 26 October 2016 Revised: 07 May 2017 Accepted: 09 May 2017 Published: 31 August 2017 Address correspondence to C. Clark, Ove Arup and Partners, Acoustics, 13 Fitzroy Street, London, W1T 4BQ, UK. Telephone: +44 207755 4702. Email: Charlotte.Clark@arup.com The authors declare they have no actual o...
Source: EHP Research - August 31, 2017 Category: Environmental Health Authors: Daniil Lyalko Tags: Research Source Type: research

Abstract P478: Barriers to Health Care Access and Hypertension Treatment Among Us Adults With Self-reported Hypertension Session Title: Antihypertensive Drugs and Pharmacology, Patient-Provider-Healthcare System Issues, and Pediatric and Adolescent Hypertension
Conclusion: Although antihypertensive medication use is common among those with hypertension, this study found lower levels of reported antihypertensive medication use among those with perceived barriers to health care access.
Source: Hypertension - September 14, 2017 Category: Cardiology Authors: Jing Fang, Guijing Wang, Carma Ayala, Sal Lucido, Fleetwood Loustatol Tags: Poster Abstract Presentations Source Type: research

Hypertension Medication Access and Self-Management Among the Elderly by Education: Insights from the 2013 USA Medicare Current Beneficiary ’s Survey
Hypertension, a major risk-factor for cardiovascular disease and stroke, is a global public health problem. Effective antihypertensive medication use can decrease morbidity/mortality, yet medication access may vary by factors beyond insurance coverage. We measured educational disparities in hypertension medication access and confidence in hypertension self-management among the elderly with Medicare coverage in the USA.
Source: Value in Health - October 1, 2017 Category: International Medicine & Public Health Authors: T Sentell, C Shen, D Landsittel, D Taira Tags: CARDIOVASCULAR DISORDERS - Health Care Use & Policy Studies Source Type: research

Lower-extremity Dynamometry as a Novel Outcome Measure in a Double-blind, Placebo-controlled, Feasibility Trial of Intravenous Immunoglobulin (IVIG) for HIV-associated Myelopathy
Conclusion: We conclude that an adequately powered clinical trial of IVIG for HIVM would likely require a prolonged recruitment period and multiple participating sites. Lower limb dynamometry is a useful outcome measure for HIVM, which might also be useful in other HIV-related gait disorders. KEYWORDS: Dynamometry, intravenous immunoglobulin (IVIG), human immunodeficiency virus (HIV), myelopathy INTRODUCTION Human immunodeficiency virus (HIV)-associated myelopathy (HIVM) is a rare but well-described neurologic complication of HIV; it was first described early in the acquired immunodeficiency syndrome (AIDS) epidemic, and i...
Source: Innovations in Clinical Neuroscience - February 1, 2018 Category: Neuroscience Authors: ICN Online Editor Tags: Assessment Tools Current Issue Demyelinating Disease Movement Disorders Neurodegenerative Disease Neurology Original Research Primary Care Technology Trial Methodology Dynamometry human immunodeficiency virus (HIV) intravenous immu Source Type: research

Correlations Among Self-Rated Health, Chronic Disease, and Healthcare Utilization in Widowed Older Adults in Taiwan
Conclusions/Implications for Practice: These findings identified that chronic diseases and healthcare utilization correlated strongly with self-rated health for widowed older adults. Therefore, self-rated health may be used as a screening tool by the National Health Insurance System in Taiwan, and the results may be referenced by public health officials who are responsible for developing welfare strategies to promote healthy aging among the widowed in Taiwan.
Source: Journal of Nursing Research - September 8, 2018 Category: Nursing Tags: Original Articles Source Type: research

Correlates of Emergency Department Service Utilization Among U.S. Chinese Older Adults
AbstractOlder adults visit emergency departments (EDs) at a disproportionally higher rate than other age groups. Prior studies examining racial disparities in ED utilization focus on African Americans and Hispanics. There is a dearth of information on ED utilization patterns among older Asian Americans despite the evidence that ED expenditures in Asian Americans are comparable to that of Caucasians. To address this knowledge gap, we examined factors associated with ED service utilization in the largest Asian subgroup, U.S. Chinese older adults. Cross-sectional data from the Population Study of Chinese Elderly in Chicago (P...
Source: Journal of Immigrant and Minority Health - October 9, 2018 Category: International Medicine & Public Health Source Type: research

Tobacco Product Use Among Adults - United States, 2017.
Abstract Cigarette smoking harms nearly every organ of the body and causes adverse health consequences, including heart disease, stroke, and multiple types of cancer (1). Although cigarette smoking among U.S. adults has declined considerably, tobacco products have evolved in recent years to include various combustible, noncombustible, and electronic products (1,2). To assess recent national estimates of tobacco product use among U.S. adults aged ≥18 years, CDC, the Food and Drug Administration (FDA), and the National Institutes of Health's National Cancer Institute analyzed data from the 2017 National Health Int...
Source: MMWR Morb Mortal Wkl... - November 9, 2018 Category: Epidemiology Authors: Wang TW, Asman K, Gentzke AS, Cullen KA, Holder-Hayes E, Reyes-Guzman C, Jamal A, Neff L, King BA Tags: MMWR Morb Mortal Wkly Rep Source Type: research

Dental status is Associated with Incident Functional Disability in Community-Dwelling Older Japanese: A Prospective Cohort Study Using Propensity Score Matching.
CONCLUSIONS: In this prospective cohort study targeting community-dwelling older adults in Japan, less than 20 teeth was confirmed to be an independent risk factor for functional disability even after conducting propensity score matching. This study supports previous publications showing that oral health is associated with functional disability. PMID: 30686817 [PubMed - as supplied by publisher]
Source: Journal of Epidemiology - January 29, 2019 Category: Epidemiology Tags: J Epidemiol Source Type: research