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Full-Text Articles in Medicine and Health Sciences

Exploring The Relationship Between Drug And Alcohol Treatment Facilities And Violent And Property Crime: A Socioeconomic Contingent Relationship, Christopher Salvatore, Travis A. Taniguchi Oct 2019

Exploring The Relationship Between Drug And Alcohol Treatment Facilities And Violent And Property Crime: A Socioeconomic Contingent Relationship, Christopher Salvatore, Travis A. Taniguchi

Christopher Salvatore

Siting of drug and alcohol treatment facilities is often met with negative reactions because of the assumption that these facilities increase crime by attracting drug users (and possibly dealers) to an area. This assumption, however, rests on weak empirical footings that have not been subjected to strong empirical analyses. Using census block groups from Philadelphia, PA, it was found that the criminogenic impact of treatment facilities in and near a neighborhood on its violent and property crime rates may be contingent on the socioeconomic status (SES) of the neighborhood. Paying attention to both the density and proximity of facilities in …


Is Emerging Adulthood Influencing Moffitt’S Developmental Taxonomy? Adding The “Prolonged” Adolescent Offender, Christopher Salvatore, Travis A. Taniguchi, Wayne Welsh Oct 2019

Is Emerging Adulthood Influencing Moffitt’S Developmental Taxonomy? Adding The “Prolonged” Adolescent Offender, Christopher Salvatore, Travis A. Taniguchi, Wayne Welsh

Christopher Salvatore

The study of offender trajectories has been a prolific area of criminological research. However, few studies have incorporated the influence of emerging adulthood, a recently identified stage of the life course, on offending trajectories. The present study addressed this shortcoming by introducing the "prolonged adolescent" offender, a low-level offender between the ages of 18 and 25 that has failed to successfully transition into adult social roles. A theoretical background based on prior research in life-course criminology and emerging adulthood is presented. Using data from the National Longitudinal Study of Adolescent Health analyses examined the relationship between indicators of traditional turning …


Evidence-Based Design: Documenting A Research Experiment In A School Environment With Children With Autism Spectrum Disorder, Julie E. Irish Sep 2019

Evidence-Based Design: Documenting A Research Experiment In A School Environment With Children With Autism Spectrum Disorder, Julie E. Irish

Julie Elaine Irish

Purpose Autism spectrum disorder (ASD) is a developmental disorder affecting around 1:59 children. Among other characteristics, children with ASD can be unduly sensitive to elements in the built environment, such as noise or light. Despite this knowledge, to date there has been little evidence-based experimental research investigating how the environment affects them. The purpose of this paper is to conduct an experiment in a school environment with children with ASD and document the process as a model that other researchers could apply to similar studies.

Design/methodology/approach The study focused on whether the application of wayfinding aids (colored doors, colored shapes …


Jual Obat Perangsang Wanita Di Jogja 082232553334, Jadu Farma Jadu Farma Jul 2019

Jual Obat Perangsang Wanita Di Jogja 082232553334, Jadu Farma Jadu Farma

Obat Kuat Pria | Obat Perangsang Wanita | Alat Bantu Pria / Wanita

Jual Obat Perangsang Wanita Di Jogja, Obat Perangsang Wanita Di Jogja, Toko Obat Perangsang Wanita Di Jogja, Agen Obat Perangsang Wanita Di Jogja, Alamat Jual Perangsang Wanita Di Yogyakarta,


Protocol For A Study Investigating The Influence Of Graded Levels Of Human Support On Adherence And Outcomes Of An Online, Multimodal Lifestyle Intervention To Improve Mental Health, Mel Renfrew, Darren Morton, Lillian Kent, Peter Beamish, Jason Hinze, Geraldine Przybylko, Bevan Craig Jul 2019

Protocol For A Study Investigating The Influence Of Graded Levels Of Human Support On Adherence And Outcomes Of An Online, Multimodal Lifestyle Intervention To Improve Mental Health, Mel Renfrew, Darren Morton, Lillian Kent, Peter Beamish, Jason Hinze, Geraldine Przybylko, Bevan Craig

Peter Beamish

Introduction: Mental health is in global jeopardy and devising effective preventative and curative solutions are vital. Lifestyle interventions have been shown to be efficacious for improving mental health; however, in a progressively digital culture, face-to-face (F2F) interventions are being replaced by online and mobile options.1 While online delivery can overcome ‘hurdles’ of inaccessibility and may also be more ‘scalable’, it poses unique challenges, as decreasing levels of human support can affect adherence to lifestyle interventions and associated outcomes.2,3,4 Research is needed to better understand the importance of human support in online interventions and the type and dosage of …


Protocol For A Study Investigating The Influence Of Graded Levels Of Human Support On Adherence And Outcomes Of An Online, Multimodal Lifestyle Intervention To Improve Mental Health, Mel Renfrew, Darren Morton, Lillian Kent, Peter Beamish, Jason Hinze, Geraldine Przybylko, Bevan Craig Jul 2019

Protocol For A Study Investigating The Influence Of Graded Levels Of Human Support On Adherence And Outcomes Of An Online, Multimodal Lifestyle Intervention To Improve Mental Health, Mel Renfrew, Darren Morton, Lillian Kent, Peter Beamish, Jason Hinze, Geraldine Przybylko, Bevan Craig

Lillian Kent

Introduction: Mental health is in global jeopardy and devising effective preventative and curative solutions are vital. Lifestyle interventions have been shown to be efficacious for improving mental health; however, in a progressively digital culture, face-to-face (F2F) interventions are being replaced by online and mobile options.1 While online delivery can overcome ‘hurdles’ of inaccessibility and may also be more ‘scalable’, it poses unique challenges, as decreasing levels of human support can affect adherence to lifestyle interventions and associated outcomes.2,3,4 Research is needed to better understand the importance of human support in online interventions and the type and dosage of …


The Influence Of Human Support On The Effectiveness Of A Web And Mobile App-Based Multimodal Lifestyle Intervention Targeting Mental Health: A Randomised Comparative Study, Mel Renfrew, Darren Morton, Jason K. Morton, Jason Hinze, Peter Beamish, Geraldine Przybylko Jul 2019

The Influence Of Human Support On The Effectiveness Of A Web And Mobile App-Based Multimodal Lifestyle Intervention Targeting Mental Health: A Randomised Comparative Study, Mel Renfrew, Darren Morton, Jason K. Morton, Jason Hinze, Peter Beamish, Geraldine Przybylko

Darren Morton

Introduction: There is a need for efficacious lifestyle interventions that promote the mental health and emotional wellness of both healthy and clinical cohorts. Evidence regarding the usefulness of adding human support (i.e. guidance) to improve the outcomes of web- and mobile app-based psychological interventions for clinical populations is mixed,1-3 however little is known about healthy cohorts.

Methods: 458 self-selected participants registered to join a 10-week, web- and mobile app-based, multimodal lifestyle intervention. The participants were randomised into three groups, differentiated by support mode: standard, who received automated emails only (S); standard plus personalised SMS messages (S+pSMS); standard plus online …


Protocol For A Study Investigating The Influence Of Graded Levels Of Human Support On Adherence And Outcomes Of An Online, Multimodal Lifestyle Intervention To Improve Mental Health, Mel Renfrew, Darren Morton, Lillian Kent, Peter Beamish, Jason Hinze, Geraldine Przybylko, Bevan Craig Jul 2019

Protocol For A Study Investigating The Influence Of Graded Levels Of Human Support On Adherence And Outcomes Of An Online, Multimodal Lifestyle Intervention To Improve Mental Health, Mel Renfrew, Darren Morton, Lillian Kent, Peter Beamish, Jason Hinze, Geraldine Przybylko, Bevan Craig

Darren Morton

Introduction: Mental health is in global jeopardy and devising effective preventative and curative solutions are vital. Lifestyle interventions have been shown to be efficacious for improving mental health; however, in a progressively digital culture, face-to-face (F2F) interventions are being replaced by online and mobile options.1 While online delivery can overcome ‘hurdles’ of inaccessibility and may also be more ‘scalable’, it poses unique challenges, as decreasing levels of human support can affect adherence to lifestyle interventions and associated outcomes.2,3,4 Research is needed to better understand the importance of human support in online interventions and the type and dosage of …


Humor's Effect On Short-Term Memory In Older Adults: An Innovative Wellness Paradigm, Gurinder Singh Bains Jul 2019

Humor's Effect On Short-Term Memory In Older Adults: An Innovative Wellness Paradigm, Gurinder Singh Bains

Gurinder Bains, PhD

Context: With ageing, the detrimental effects of stress can impair the ability to learn and sustain memory. Humor and the associated mirthful laughter can reduce stress by decreasing the hormone cortisol. Chronic release of cortisol can damage hippocampal neurons leading to impairment of learning and memory. Objectives: To examine the effect of watching a humor video on short term memory in older adults. Design: A randomized, controlled trial. Setting: Loma Linda University, Loma Linda, CA. Participants: 30 subjects: 20 normal healthy, older adults, 11 males and 9 females; 10 Type 2 Diabetic older adults, 6 males and 4 females. Intervention: …


Predictors Of Neonatal Abstinence Syndrome In Buprenorphine Exposed Newborn: Can Cord Blood Buprenorphine Metabolite Levels Help?, Darshan Shah, Stacy Brown, Nick Hagemeier, Shimin Zheng, Amy Kyle, Jason Pryor, Nilesh Dankhara, Piyuesh Singh Jun 2019

Predictors Of Neonatal Abstinence Syndrome In Buprenorphine Exposed Newborn: Can Cord Blood Buprenorphine Metabolite Levels Help?, Darshan Shah, Stacy Brown, Nick Hagemeier, Shimin Zheng, Amy Kyle, Jason Pryor, Nilesh Dankhara, Piyuesh Singh

Stacy D. Brown

Background

Buprenorphine is a semi-synthetic opioid used for the treatment of opioid dependence. Opioid use, including buprenorphine, has been increasing in recent years, in the general population and in pregnant women. Consequently, there has been a rise in frequency of neonatal abstinence syndrome (NAS), associated with buprenorphine use during pregnancy. The purpose of this study was to investigate correlations between buprenorphine and buprenorphine-metabolite concentrations in cord blood and onset of NAS in buprenorphine exposed newborns.

Methods

Nineteen (19) newborns who met inclusion criteria were followed after birth until discharge in a double-blind non-intervention study, after maternal consent. Cord blood and …


Addiction Panel Discussion: Finding Support, Karen Yost, Matthew Q. Christiansen M.D., M.P.H., Lyn M. O'Connell Ph.D., Dan Curry, Amy Saunders, Michelle Perdue, Sabrina Thomas May 2019

Addiction Panel Discussion: Finding Support, Karen Yost, Matthew Q. Christiansen M.D., M.P.H., Lyn M. O'Connell Ph.D., Dan Curry, Amy Saunders, Michelle Perdue, Sabrina Thomas

Matthew Christiansen

“Addiction Panel Discussion: Finding Support,” is the third of five in the, “Don’t Call Me Crazy: MU Mental Health Initiative,” panel discussion series, which was held on January 24, 2019. This initiative is comprised of three major components: “Resiliency through Education;” which includes: panel discussions with mental health professionals and a research guide, “Resiliency through Art;” an art exhibition that featured works form MU students, faculty and staff, and community members, and “Resiliency through Community;” an extensive collection of campus, local, state, and national mental health resources. Libraries hold a unique position as places to hold civil conversations on challenging …


Addiction Panel Discussion: Finding Support, Karen Yost, Matthew Q. Christiansen M.D., M.P.H., Lyn M. O'Connell Ph.D., Dan Curry, Amy Saunders, Michelle Perdue, Sabrina Thomas May 2019

Addiction Panel Discussion: Finding Support, Karen Yost, Matthew Q. Christiansen M.D., M.P.H., Lyn M. O'Connell Ph.D., Dan Curry, Amy Saunders, Michelle Perdue, Sabrina Thomas

Sabrina Thomas

“Addiction Panel Discussion: Finding Support,” is the third of five in the, “Don’t Call Me Crazy: MU Mental Health Initiative,” panel discussion series, which was held on January 24, 2019. This initiative is comprised of three major components: “Resiliency through Education;” which includes: panel discussions with mental health professionals and a research guide, “Resiliency through Art;” an art exhibition that featured works form MU students, faculty and staff, and community members, and “Resiliency through Community;” an extensive collection of campus, local, state, and national mental health resources. Libraries hold a unique position as places to hold civil conversations on challenging …


Exploring Places Of Street Drug Dealing In A Downtown Area In Brazil: An Analysis Of The Reliability Of Google Street View In International Criminological Research, Elenice De Souza Oliveira, Ko-Hsin Hsu Apr 2019

Exploring Places Of Street Drug Dealing In A Downtown Area In Brazil: An Analysis Of The Reliability Of Google Street View In International Criminological Research, Elenice De Souza Oliveira, Ko-Hsin Hsu

Elenice De Souza Oliveira

This study assesses the reliability of Google Street View (GSV) in auditing environmental features that help create hotbeds of drug dealing in Belo Horizonte, one of Brazil’s largest cities. Based on concepts of “crime generators” and “crime enablers,” a set of 40 items were selected using arrest data related to drug activities for the period between 2007 and 2011. These items served to develop a GSV data collection instrument used to observe features of 135 street segments that were identified as drug dealing hot spots in downtown Belo Horizonte. The study employs an intra-class correlation (ICC) statistics as a measure …


Sanism And Mad Pride: Critical Perspectives On Mental Health, Karen Mccarthy, Bianca Doherty Apr 2019

Sanism And Mad Pride: Critical Perspectives On Mental Health, Karen Mccarthy, Bianca Doherty

Karen McCarthy

The issue of stigma surrounding mental health has received increasing attention within occupational therapy, however, the focus has been primarily limited to the individual(s) being stigmatized, rather than on the underlying processes that create and maintain stigma. This presentation will explore the concept of ‘sanism’ as a system of thought that provides a foundation upon which stigma is maintained against persons labelled with a mental health diagnosis. The Mad Pride movement will also be discussed as an alternative perspective of mental health and a way to combat the sanism and the negative impacts of stigma.


Self-Management Strategies Mediate Self-Efficacy And Physical Activity, Amanda Birnbaum, Rod K. Dishman, Robert W. Motl, James F. Sallis, Andrea L. Dunn, Greg J. Welk, Ariane L. Yung, Carolyn C. Voorhees, Jared B. Jobe Mar 2019

Self-Management Strategies Mediate Self-Efficacy And Physical Activity, Amanda Birnbaum, Rod K. Dishman, Robert W. Motl, James F. Sallis, Andrea L. Dunn, Greg J. Welk, Ariane L. Yung, Carolyn C. Voorhees, Jared B. Jobe

Amanda Birnbaum

Self-efficacy theory proposes that girls who have confidence in their capability to be physically active will perceive fewer barriers to physical activity or be less influenced by them, be more likely to pursue perceived benefits of being physically active, and be more likely to enjoy physical activity. Self-efficacy is theorized also to influence physical activity through self-management strategies (e.g., thoughts, goals, plans, and acts) that support physical activity, but this idea has not been empirically tested.


The Fertility Problem Inventory And Infertility-Related Stress: A Case Study, Staci L. Born, Jennifer J. Preston Mar 2019

The Fertility Problem Inventory And Infertility-Related Stress: A Case Study, Staci L. Born, Jennifer J. Preston

Staci Born

More than seven million people of childbearing age in the United States experience infertility. Oftentimes, for women, the experience of infertility is stressful. The Fertility Problem Inventory (FPI) has been used to quantitatively measure women’s experience of infertility-related stress. However, the construct of infertility-related stress is poorly described in existing literature. The purpose of this case study was to understand how women experience the FPI as a measure of infertility-related stress. To address this issue, women who were undergoing infertility treatment completed the FPI and participated in unstructured interviews. Archival documents were also retrieved to corroborate findings and satisfy saturation. …


A Multicase Study Exploring Women’S Narratives Of Infertility: Implications For Counselors, Staci L. Born, Christin L. Carotta, Kristine Ramsay-Seaner Mar 2019

A Multicase Study Exploring Women’S Narratives Of Infertility: Implications For Counselors, Staci L. Born, Christin L. Carotta, Kristine Ramsay-Seaner

Staci Born

Infertility affects 6.7 million women in the United States (Chandra, Copen, & Stephen, 2013). Women’s experiences with infertility are not only influenced by biological health factors, but also by social, cultural, and personal variables. Given the prevalence and complexity of infertility, additional research is needed to further examine the nuances of women’s experiences. The purpose of this multicase study, as informed by four individual cases, was to explore how women construct their infertility narratives. Review of reflective journals found five common elements: (1) Emotional Rollercoaster, (2) Mind-Body (Dis)Connection, (3) Secret Identity, (4) Supportive vs. Constrained Communication Patterns, and (5) Fatalistic- …


The Intersection Of Marital Problems, Unhealthy Lifestyles, And Adhd Challenges.Pdf, Ron J. Hammond, Christopher Anderson Ph.D., Devin Gilbert, Justin Wilbert, Michelle Chatterly Mar 2019

The Intersection Of Marital Problems, Unhealthy Lifestyles, And Adhd Challenges.Pdf, Ron J. Hammond, Christopher Anderson Ph.D., Devin Gilbert, Justin Wilbert, Michelle Chatterly

Ron J. Hammond

Obesity is a well-documented health risk in many nations and particularly in the United States. Pharmacological and surgical treatments are not shown to be universally available and have inherent risks.  Long-term lifestyle changes in diet and exercise are encouraged for initial weight-loss as well as maintaining weight loss thereafter. Marital status and well-being have been associated with marital challenges which intersect spousal health issues.  The purpose of this study was to further investigate the statistical relationship between ADHD, Obesity, and Marital Status and Quality. Using a random sample of 10,000 former Utah Valley University students a sample of 177 married …


At-Risk Ems Employees- A Model Of Assessment And Intervention.Pdf, Ron J. Hammond, Kate Miller Mar 2019

At-Risk Ems Employees- A Model Of Assessment And Intervention.Pdf, Ron J. Hammond, Kate Miller

Ron J. Hammond

This paper includes data results from a survey of Utah (U.S.) EMS personnel.  Those who reported having already reach a point of wanting to quit the field and having reached a point of wanting to resign their current position were classified as being “At Risk” (N=142) and were compared to those who had not (N=395).  T-Test and ratio analysis indicated that those At Risk were found to have significantly higher incidences of difficult past calls, PTSD-like symptoms, and a variety of personal hardships. Both groups had relatively high indicators of negative impact of working in the EMS field on their …


Antibiotik Obat Sipilis Gonore Kencing Sakit Keluar Nanah Paling Ampuh, Obat Kencing Nanah Dec 2018

Antibiotik Obat Sipilis Gonore Kencing Sakit Keluar Nanah Paling Ampuh, Obat Kencing Nanah

Syarifuddin

Antibiotik obat sipilis gonore kencing sakit keluar nanah paling ampuh-Gejala kemaluan baik pria maupun wanita kencing sakit panas perih keluar cairan lendir nanah adalah gejala infeksi gonore kencing nanah salah satu infeksi menular seksual yang berbahaya jika tidak segera diobati, Namun banyak dari banyak orang awam yang menyebutnya juga sipilis. Solusi pengobatan kencing nanah sipilis gonore sebelum infeksi semakin parah dan membahayakan kelanjutan hidup anda berikut beberapa obat sipilis kencing nanah gonore jenis antibiotik di apotik diantaranya adalah ceftriaxone (rocephin), azithromycin (zithromax, zmax), cefixime dan sefalosporin, doxycyclin, erythromycin, Namun penggunaan antibiotik harus menggunakan resep dokter mengingat masuk kategori obat keras serta …


Prescription Drug Abuse Communication: A Qualitative Analysis Of Prescriber And Pharmacist Perceptions And Behaviors, Nicholas E. Hagemeier, Fred Tudiver, Scott Brewster, Elizabeth J. Hagy, Angela Hagaman, Robert P. Pack Oct 2018

Prescription Drug Abuse Communication: A Qualitative Analysis Of Prescriber And Pharmacist Perceptions And Behaviors, Nicholas E. Hagemeier, Fred Tudiver, Scott Brewster, Elizabeth J. Hagy, Angela Hagaman, Robert P. Pack

Angela M. Hagaman

Background: Interpersonal communication is inherent in a majority of strategies seeking to engage prescriber and pharmacist health care professionals (HCPs) in the reduction and prevention of prescription drug abuse (PDA). However, research on HCP PDA communication behavioral engagement and factors that influence it is limited. Objectives This study quantitatively examined communication behaviors and trait-level communication metrics, and qualitatively described prescription drug abuse-related communication perceptions and behaviors among primary care prescribers and community pharmacists. Methods: Five focus groups (N = 35) were conducted within the Appalachian Research Network (AppNET), a rural primary care practice-based research network (PBRN) in South Central …


Prescription Drug Abuse And Misuse In Southern Appalachia: An Epidemiologic Perspective, Billy Brooks Oct 2018

Prescription Drug Abuse And Misuse In Southern Appalachia: An Epidemiologic Perspective, Billy Brooks

Billy Brooks

No abstract provided.


Ibusy: Research On Children, Families, And Smartphones, Bill R. Garris, Lindsay Lester, Erin Doran, Andrea Lowery Oct 2018

Ibusy: Research On Children, Families, And Smartphones, Bill R. Garris, Lindsay Lester, Erin Doran, Andrea Lowery

Bill R. Garris

Within the past 10 years, mobile devices have been widely adopted by adults and are now present in the lives of almost all U.S. children. While phones are common, our understanding of what effect this technology has upon children's development is lagging. Bioecological theory and attachment theory suggest that this new technology may be disruptive, especially to the degree to which it interferes with the parent-child relationship. This article reflects a National Organization for Human Services conference presentation and shares preliminary results from semi-structured interviews conducted with 18 youth, ages 7 through 11. Only four of eighteen interviewees voiced any …


Antidepressant-Like Actions Of Inhibitors Of Poly(Adp-Ribose) Polymerase In Rodent Models, Gregory A. Ordway, Attila Szebeni, Liza J. Hernandez, Jessica D. Crawford, Katalin Szebeni, Michelle J. Chandley, Katherine C. Burgess, Corwin Miller, Erol Bakkalbasi, Russell W. Brown Aug 2018

Antidepressant-Like Actions Of Inhibitors Of Poly(Adp-Ribose) Polymerase In Rodent Models, Gregory A. Ordway, Attila Szebeni, Liza J. Hernandez, Jessica D. Crawford, Katalin Szebeni, Michelle J. Chandley, Katherine C. Burgess, Corwin Miller, Erol Bakkalbasi, Russell W. Brown

Russell W. Brown

Many patients suffering from depressive disorders are refractory to treatment with currently available antidepressant medications, while many more exhibit only a partial response. These factors drive research to discover new pharmacological approaches to treat depression. Numerous studies demonstrate evidence of inflammation and elevated oxidative stress in major depression. Recently, major depression has been shown to be associated with elevated levels of DNA oxidation in brain cells, accompanied by increased gene expression of the nuclear base excision repair enzyme, poly(ADP-ribose) polymerase-1. Given these findings and evidence that drugs that inhibit poly(ADP-ribose) polymerase-1 activity have antiinflammatory and neuroprotective properties, the present study …


Data From: Tobacco Smoke Exposure Is An Independent Predictor Of Vitamin D Deficiency In Us Children, Benjamin U. Nwosu, Philip Kum-Nji Jul 2018

Data From: Tobacco Smoke Exposure Is An Independent Predictor Of Vitamin D Deficiency In Us Children, Benjamin U. Nwosu, Philip Kum-Nji

Benjamin U. Nwosu

Manuscript abstract:

IMPORTANCE:

The role of tobacco-smoke exposure on serum vitamin D concentration in US pediatric population is not known. We hypothesized that tobacco smoke exposure would increase the prevalence of vitamin D deficiency in US children.

METHODS:

Representative national data were accessed from the National Health and Nutrition Examination Survey (NHANES) 2009-2010 databank on 2,263 subjects of ages 3 to 17 years. Subjects were categorized into two groups based on their age: children, if <10 >years; and youth if 10 to 17 years. Descriptive and multiple logistic regression analyses were conducted to determine the effect of serum cotinine-verified tobacco smoke …


The Social Class And Mental Illness Correlation: Implications Of The Research For Policy And Practice, Christopher G. Hudson Jun 2018

The Social Class And Mental Illness Correlation: Implications Of The Research For Policy And Practice, Christopher G. Hudson

Christopher Hudson

Ongoing efforts to unravel the causal issues involved in the correlation between socioeconomic status and mental illness suggest that the hypothesis of a recursive or interactive relationship may be the most tenable, at least with the psychoses. Implications of this research are explored, with particular attention paid to the mental health costs of economic policies, the principles with which states allocate mental health resources, and the use of this knowledge-base in service planning.


Patterns Of Residential Mobility Of People With Schizophrenia: Multi-Level Tests Of Downward Geographic Drift, Christopher G. Hudson Jun 2018

Patterns Of Residential Mobility Of People With Schizophrenia: Multi-Level Tests Of Downward Geographic Drift, Christopher G. Hudson

Christopher Hudson

This study tests the geographic drift hypothesis that the negative SES-MI correlation results from individuals first developing conditions such as schizophrenia and then moving frequently because of their disability to low income and urban areas, and to neighborhoods with high concentrations of SMI persons. This is a secondary analysis of hospital records of 1,667,956 individuals in Massachusetts, USA, between 1994 and 2000. It employs a longitudinal cohort design and techniques of multi-level modeling. Downward geographic drift of those with schizophrenia was found to be small, but greater than other groups examined. The small level of drift was best explained by …


Changing Patterns Of Acute Psychiatric Hospitalization Under A Public Managed Care Program, Christopher G. Hudson Jun 2018

Changing Patterns Of Acute Psychiatric Hospitalization Under A Public Managed Care Program, Christopher G. Hudson

Christopher Hudson

This study evaluates changes in patterns of acute psychiatric hospitalization under Massachusetts' Medicaid-funded Mental Health and Substance Abuse (MMHSA) carve-out program. The data consists of the Case Mix Database, for FY 1996 and FY 1997, compiled by the state's Division of Health Care Finance and Policy, on all acute hospital episodes in the state. Key comparisons involve hospital utilization during the nine months preceding the 1996 implementation of the current expanded carve-out program and the subsequent 15 months of its implementation. Secondary comparisons are made between patients funded by the state's two major Medicaid programs, its behavioral carve-out and its …


Apotik Jual Obat Aborsi Lumajang 081901222272 Agen Obat Cytotec Penggugur Kandungan Di Lumajang, Apotik Cytotec Jun 2018

Apotik Jual Obat Aborsi Lumajang 081901222272 Agen Obat Cytotec Penggugur Kandungan Di Lumajang, Apotik Cytotec

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Massachusetts Medicaid Members That Smoked In 2008: Characteristics Associated With Smoking Status In 2014, Alexis D. Henry, John Gettens, Judith A. Savageau, Doris Cullen, Anna Landau Mar 2018

Massachusetts Medicaid Members That Smoked In 2008: Characteristics Associated With Smoking Status In 2014, Alexis D. Henry, John Gettens, Judith A. Savageau, Doris Cullen, Anna Landau

Judith A. Savageau

The smoking rate among non-elderly Medicaid enrollees is more than double the rate for those privately insured; smoking-related conditions account for 15% of Medicaid expenditures. Under state health reform, Massachusetts Medicaid (MassHealth) made tobacco cessation treatment available beginning in 2006. We used surveys conducted in 2008 and 2014 to examine changes in smoking abstinence rates among MassHealth members identified as smokers and to identify factors associated with being a former smoker. Members previously identified as smokers were surveyed by mail or phone; 2008 and 2014 samples included 3,116 and 2,971 members, respectively. Surveys collected demographic and health information, asked members …