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Effects of a 12-Week Mindfulness, Compassion, and Loving Kindness Program on Chronic Depression: A Pilot Within-Subjects Wait-List Controlled Trial.

PURPOSE: Social workers are positioned to address social determinants of health (SDHs), but their specific roles in outpatient primary care … at the SW consultation using SDH categories established by Wilkinson and Marmot. RESULTS: Patient insurance status included 52% Medicare and 32% Medicaid. The SDHs most often addressed were social gradient (67%; obtaining medications or health insurance) and social support (25%). Among our total population, there were no significant improvements in glycos …

Association of asthma and anxiety: A nationwide population-based study in Taiwan.

BACKGROUND: Few studies have investigated the bidirectional relationship between asthma and anxiety; we sought to investigate asthma and anxiety in a large national sample. METHODS: Cases were identified from Taiwan's National Health Insurance Research Database with a new primary diagnosis of asthma (ICD-9:493) aged more than 15 years between 2000 and 2007. Case status required the presence of any inpatient diagnosis of asthma and/or at least one year diagnosis of asthma in outpatient service. These 22,797 cases were compared to 22,797 sex-, age-, residence- and insurance premium-matched cont…

Nurse Staffing and Quality of Care of Nursing Home Residents in Korea.

PURPOSE: To investigate the relationship between nurse staffing and quality of care in nursing homes in Korea. METHODS: This study used a c … nters for Medicare & Medicaid and 2013 nursing home evaluation manual by the Korean National Health Insurance Service. FINDINGS: The effects of registered nurse (RN) HPRD was supported in fall prevention, decreased tube feeding, decreased numbers of residents with deteriorated range of motion, and decreased aggressive behavior. Higher turnover of RNs relat …

HIV Sexual Risk and Syndemics among Women in Three Urban Areas in the United States: Analysis from HVTN 906.

Limited data are available on the longitudinal occurrence of syndemic factors among women at risk for HIV infection in the USA and how these factors relate to sexual risk over time. HVTN 906 was a longitudinal study enrolling 799 HIV-uninfected women in three cities. Assessments were done at baseline, 6, 12, and 18 months to assess syndemic factors (low education, low income, unemployment, lack of health insurance, housing instability, substance use, heavy alcohol use, partner violence, incarceration) and sexual risk outcomes. For each sexual risk outcome, a GEE model was fit with syndemic fac…

Achievement of national clinical practice recommendations among those in the Puerto Rican population with diabetes mellitus.

OBJECTIVE: To analyze glycemic control among patients with diabetes mellitus (DM) in Puerto Rico (PR) using the 2011 American Diabetes Association (ADA) recommendations and glycemic goals as standards. We also explored other factors that are related to glycemic control. METHODS: Glycemic data were obtained from 600 adults with DM from 5 different regions in PR. The patient's health insurance coverage, type of health care provider, type of diabetes treatment, gender, age, physical activity, weight, degree of hypertension and degree and type of dyslipidemia comorbidities (when one or both were …

Clinician adherence to recommendations for screening of adolescents for sexual activity and sexually transmitted infection/human immunodeficiency virus.

OBJECTIVES: To evaluate clinician adherence to guidelines for documentation of sexual history and screening for sexually transmitted infecti … ual history documentation included older patient age, non-Hispanic black race/ethnicity, nonprivate insurance status, and care by female clinician. Factors associated with GC/CT testing included male gender, non-Hispanic black race/ethnicity, and nonprivate insurance. HIV testing was more likely to be performed on older adolescents, those of non-Hispanic bl …

Pediatric testicular torsion: demographics of national orchiopexy versus orchiectomy rates.

PURPOSE: While the timely diagnosis and management of pediatric torsion can lead to testicular salvage, limited data exist on rates of orchi … y rate was seen in black vs white children (37.6% vs 28.1%) and in patients without vs with private insurance (36.7% vs 27.0%). Multivariate analysis revealed an association of age (p <0.0001), race (p <0.0001) and insurance status (p <0.001) with orchiectomy. CONCLUSIONS: Nationally an average of 32% of the 411 pediatric torsion cases explored annually re …

Prescription medication borrowing among adult patients at an urban medical center.

Prescription medication borrowing can result in adverse health outcomes. We aimed to study the patterns of borrowing prescription medications in an adult urban population seeking healthcare in the outpatient, emergency, and inpatient units of an urban medical center. Participants indicated whether they (1) had a primary care doctor, medical insurance, a prior history of substance abuse, psychiatric disorders, or chronic pain; and (2) had borrowed a prescription medication. If so, they noted the medication obtained, source, frequency of use, and reasons why they had not obtained a prescription …

State Medicaid coverage for tobacco-dependence treatments--United States, 2005.

In 2005, approximately 41 million persons in the United States had health insurance coverage through Medicaid, a federally and state-funded health-care program, managed at the state level, for persons with limited incomes. An estimated 29% of adult Medicaid recipients were current smokers in 2004. The 2000 Public Health Service (PHS) clinical practice guideline recommends that insurance coverage be provided for tobacco-dependence treatments, including both medication (i.e., bupropion hydrochloride or nicotine patch, gum, inhaler, or nasal spray) and counseling (i.e., individual, group, or tele…

Health care expenditure burdens among adults with diabetes in 2001.

OBJECTIVE: High out-of-pocket costs can pose a significant burden on patients with chronic conditions such as diabetes and contribute to decreased treatment adherence. We examined financial burdens among adults with diabetes using nationally representative data. METHODS: estimated how frequently adults with diabetes live in families in which spending on health insurance premiums and health care services exceed a specified percentage of family-level after-tax disposable income. RESULTS: We found that adults with diabetes face greater risks of high burdens compared with adults with any other h…

Wegener's granulomatosis presenting as subglottic stenosis.

One of the rarest diseases associated with upper airway obstruction in adults is subglottic stenosis from the necrotizing vasculitis of Wegener's granulomatosis. Early recognition and treatment of this potentially fatal syndrome is necessary to insure long-term survival.

Prevalence and Determinants of Food Insecurity among United States Cancer Survivors Based on the Medical Expenditure Panel Survey 2021.

UNLABELLED: Food insecurity is a significant public health issue that adversely affects the health outcomes of cancer survivors in the Unite … variates included age, sex, race/ethnicity, marital status, educational attainment, poverty status, insurance status, and the number of comorbid conditions. The prevalence of food insecurity among cancer survivors was 13.47% overall in 2021. Younger cancer survivors (ages 18 to <50 years), those of non-Hispanic Black or non-Hispanic Asian/other race/ethnici …

Novel approaches in linkage of data sources to explore the associations between purchase of opioid prescriptions during pregnancy and adverse neonatal outcomes.

OBJECTIVE: To evaluate patterns of opioid purchases by payment source among pregnant women in Arkansas and examine their associations with adverse neonatal outcomes. METHODS: Liveborn singleton infants born in Arkansas between 2014 and 2016 were identified from the Birth Certificate Records and linked to the All-Payer Claims Database (APCD), capturing public and private insurance claims; the Prescription Drug Monitoring Program (PDMP), recording controlled substance dispensations regardless of payment source; and the Social Determinants of Health Database, providing neighborhood socioeconomic…

Real-world clinical, safety, and economic evaluation of infliximab biosimilar adoption for crohn's disease.

BACKGROUND: Biosimilar infliximab (B-IFX) offers a lower-cost alternative to originator infliximab (O-IFX) for treating Crohn's disease (CD) … budget impact analysis evaluated direct healthcare costs (Chinese Yuan, CNY) and projected medical insurance fund expenditures under a reference scenario (continued O-IFX use) and a base-case scenario with increased B-IFX uptake for 2025-2027. One-way sensitivity analyses assessed model robustness. RESULTS: Rates of treatment failure, clinical remission, …

Where We Live Matters: Varied Disease Burden and Treatment Patterns in Psoriatic Arthritis in the United States.

OBJECTIVE: To evaluate the clinical characteristics, social deprivation, insurance coverage, and medication use across regional subsets of patients with psoriatic arthritis (PsA) in the US. METHODS: A cross-sectional study of patients with PsA in the Rheumatology Informatics System for Effectiveness (RISE) registry between January 2020 and March 2023 was conducted. Distribution of high disease activity (HDA; Routine Assessment of Patient Index Data >12), high comorbidity (RxRisk ≥90th percentile), high Area Deprivation Index (ADI ≥80), insurance coverage, prednisone ≥10 mg daily, and all dise…

Опыт женщин в области психосоциальной поддержки после периодических нарушений: качественный анализ содержания.

КОЛИЧЕСТВО: Дородовой уход (АНК) имеет решающее значение для сокращения материнской и неонатальной смертности путем выявления и лечения осложнений во время беременности. В Индонезии политика, предусматривающая, по крайней мере, six Введены посещения АНК (К6) на одну беременность, однако факторы, влияющие на адекватность АНК в рамках этой новой политики, остаются неоцененными. В этом исследовании рассматриваются национальные и субнациональные распространенность надлежащих посещений АНК, а также связанные с ними географические и социально-экономические факторы. МЕТОДЫ: В настоящем перекрестном и

Совпадение в аннотации оригинала
BACKGROUND: Antenatal care (ANC) is crucial for reducing maternal and neonatal mortality by detecting and managing pregnancy complications. … ssion was used to assess predictors of ANC adequacy, such as age, education, marital status, health insurance, employment, urbanicity, economic status, and travel time to healthcare facilities. The data were analyzed through SPSS version 23 using descriptive statistics, chi square test, and multiple logistic regression. Final regression model was based on s …

Factors associated with discontinuation of bDMARDs and JAK inhibitors in patients with rheumatoid arthritis: a retrospective study.

OBJECTIVES: To compare the discontinuation rates of different biologic agents and Janus kinase (JAK) inhibitors in patients with rheumatoid … t after adjusting for other variables. Multivariable logistic regression identified lack of medical insurance as an independent risk factor for discontinuation, while JAK inhibitor usage was an independent protective factor. The finding of superior retention for JAK inhibitors was confirmed in a propensity score-matched analysis. CONCLUSIONS: In conclusion …

Oral Health on Sal, Cape Verde: A Population-Based, Cross-Sectional Study.

OBJECTIVES: Sal is one of the ten islands of Cape Verde, a lower-middle-income country in Africa. Local reports suggest poor oral health amo … ). Data on brushing frequency, toothbrush ownership, toothpaste availability, dental visits, dental insurance, and tobacco use (adults only) were collected. Adults completed the OHIP-14 questionnaire (OHRQoL). Descriptive statistics summarized characteristics; multivariable regressions assessed associations. RESULTS: A total of 1,371 dentulous residents pa …

Access to movement disorders care and advanced surgical therapies in a tertiary care center.

BACKGROUND: Barriers in access to Movement Disorders specialty care may explain sociodemographic differences in the utilization of deep brai … ere higher proportions of Hispanic ethnicity, non-English language preference, Medicare or Medi-Cal insurance, and residence in neighborhoods with lower socioeconomic status (SES). On multivariable logistic regression analysis, MediCal insurance and low neighborhood SES were associated with higher odds of surgery. Conversely, younger age at initial visit, s …

Socioeconomic Factors Associated with Fetal Tachyarrhythmia Management and Outcomes: A Single-Center Retrospective Review of a Consistent Protocol.

Data regarding fetal tachyarrhythmia outcomes are based upon observational studies without consistent protocols and without evaluating socio … by echocardiography and treated using the center's protocol. Socioeconomic variables included race, insurance, and area deprivation indices (ADI). Standard statistics were applied. Thirty-two patients were included. Mean gestational age was 29.6 ± 4.6 weeks. Twenty-three patients had supraventricular tachycardia (SVT) and 9 had atrial flutter (AFl). Twelve …