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The Long Term Health Effects Of Fetal Malnutrition: Evidence From The 1959–1961 China Great Leap Forward Famine, Seonghoon KIM, Belton FLEISHER, Jessica Ya SUN 2017 Singapore Management University

The Long Term Health Effects Of Fetal Malnutrition: Evidence From The 1959–1961 China Great Leap Forward Famine, Seonghoon Kim, Belton Fleisher, Jessica Ya Sun

Research Collection School Of Economics

We report evidence of long-term adverse health impacts of in utero exposure to malnutrition based on survivors in their 50s who were born during the China Famine that occurred in the years 1959-1961. We take advantage of recently available data provided by the China Health and Retirement Longitudinal Study (CHARLS) to corroborate evidence supporting the Fetal Origin Hypothesis. We find that fetal exposure to malnutrition has large and long-lasting impacts on both physical health and cognitive abilities, including the risks of suffering a stroke, physical disabilities in speech, walking and vision, and measures of mental acuity. Our findings on the ...


Wealth Disparities For Early Childhood Anthropometrics And Skills: Evidence From Chilean Longitudinal Data, Jere R. Behrman, Dante Contreras, Isidora Palma, Esteban Puentes 2017 University of Pennsylvania

Wealth Disparities For Early Childhood Anthropometrics And Skills: Evidence From Chilean Longitudinal Data, Jere R. Behrman, Dante Contreras, Isidora Palma, Esteban Puentes

Population Center Working Papers (PSC/PARC)

We study wealth disparities in the formation of anthropometrics, cognitive skills and socio-emotional skills. We use a sample of preschool and early school children in Chile. We extend the previous literature by using longitudinal data, which allow us to study the dynamics of child growth and skills formation. Also, we include information on mother's and father's schooling attainment and mother's cognitive ability. We find that there are no significant anthropometric differences favoring the better-off at birth (and indeed length differences at birth to the disadvantage of the better-off), but during the first 30 months of life wealth ...


Sources Of Health Financing And Health Outcomes: A Panel Data Analysis, Tomoki FUJII 2017 Singapore Management University

Sources Of Health Financing And Health Outcomes: A Panel Data Analysis, Tomoki Fujii

Research Collection School Of Economics

We study the differential impacts of public and private sources of health spending on health outcomes using a triple difference approach. We find that private health spending has on average a higher health-promoting effect than public health spending. This result is robust with respect to the choice of outcome measure and covariates in the regression and driven primarily by the countries with ineffective governments. Once we restrict our sample to countries with effective governments, private health spending is no better than public health spending for improving the health outcome.


Integrating Third Party Liability (Tpl) Across Medicaid Operations And Enterprise Systems In Massachusetts, Jenifer Hartman 2017 University of Massachusetts Medical School

Integrating Third Party Liability (Tpl) Across Medicaid Operations And Enterprise Systems In Massachusetts, Jenifer Hartman

Commonwealth Medicine Publications

This poster highlights the results of a UMass Medical School partnership with MassHealth, the Massachusetts Medicaid program, to integrate third party liability (TPL) activities across all aspects of the Medicaid program. By embedding TPL at all stages of Medicaid operations and interfacing with all Medicaid systems, the partners optimized identification of and access to TPL sources for all Medicaid members.

The TPL activities include eligibility coordination, coverage coordination, payment coordination and recovery coordination. The partnership has achieved over $40 million in cost avoidance through the identification of missed Medicare benefits, over $64 million in cost avoidance over enhanced coordination of ...


Longevity And Lifetime Education: Global Evidence From 919 Surveys, Mohammad Mainul Hoque, Elizabeth M. King, Claudio M. Montenegro, Peter Orazem 2017 Bangladesh Institute of Development Studies

Longevity And Lifetime Education: Global Evidence From 919 Surveys, Mohammad Mainul Hoque, Elizabeth M. King, Claudio M. Montenegro, Peter Orazem

Economics Working Papers

Data from 919 household surveys conducted between 1960 and 2012 spanning 147 countries are used to evaluate the relationship between rising life expectancy at birth and lifetime years of schooling for successive birth cohorts between 1905 and 1988. We find significant positive effects of increased life expectancy at birth on lifetime completed years of schooling in 95% of the surveys with significant negative effects found in only 2.3%.

Rising life expectancy at birth for a birth cohort has intergenerational benefits in that their children’s schooling also increases. Rising life expectancy at birth since 1905 can explain 70% of ...


Direct Effects Of Bundled Payments For Care Improvement Initiative: A County-Level Approach, Konstantinos Panitsas Mr 2017 City University of New York (CUNY)

Direct Effects Of Bundled Payments For Care Improvement Initiative: A County-Level Approach, Konstantinos Panitsas Mr

School of Arts & Sciences Theses

Implementing a nonlinear, Difference-in-Differences estimation method, I quantify the positive impact bundled payment reforms have on vulnerable population groups living in U.S. counties where this cost reducing initiative was implemented. I find statistically significant effects of this health-care initiative on the elderly and the economically disadvantaged individuals.


The Effect Of Paid Sick Leave On Physician Office-Based Visits, Korvin Vicente 2017 CUNY Hunter College

The Effect Of Paid Sick Leave On Physician Office-Based Visits, Korvin Vicente

School of Arts & Sciences Theses

This paper uses a balanced sample of workers from cross-sections of the National Health Interview Survey to estimate the causal effects of paid sick leave on the medical care seeking behavior of individuals, as measured by physician office-based visits.


A Cross-Sectional Exploration Of Household Financial Reactions And Homebuyer Awareness Of Registered Sex Offenders In A Rural, Suburban, And Urban County., John Charles Navarro 2017 University of Louisville

A Cross-Sectional Exploration Of Household Financial Reactions And Homebuyer Awareness Of Registered Sex Offenders In A Rural, Suburban, And Urban County., John Charles Navarro

Electronic Theses and Dissertations

As stigmatized persons, registered sex offenders betoken instability in communities. Depressed home sale values are associated with the presence of registered sex offenders even though the public is largely unaware of the presence of registered sex offenders. Using a spatial multilevel approach, the current study examines the role registered sex offenders influence sale values of homes sold in 2015 for three U.S. counties (rural, suburban, and urban) located in Illinois and Kentucky within the social disorganization framework. Homebuyers were surveyed to examine whether awareness of local registered sex offenders and the homebuyer’s community type operate as moderators between ...


Using Assessment Data To Perform Outcome-Based Quality Measurement, Marybeth McCaffrey 2017 University of Massachusetts Medical School

Using Assessment Data To Perform Outcome-Based Quality Measurement, Marybeth Mccaffrey

Commonwealth Medicine Publications

The MDS-HC, or the Minimum Data Set Home Care, is a tool to help identify the needs of and services for older adults and people with disabilities who live in the community. Twenty-four states perform assessments using the MDS-HC.

In addition to determining eligibility and creating service plans, this assessment data can be used to measure outcomes of home and community-based services (HCBS). These quality indicators are validated, relatively fast and easy to implement, place no additional burden on staff and providers, and enable analysis of population results.

Outcome-based measures are an essential but often missing puzzle piece in assuring ...


Socioeconomic Status, Air Quality And Geographic Variation In Emergency Room Visits For Acute Bronchitis On The California Central Coast, Sean Lang-Brown, Heather W. Starnes, Gary B. Hughes 2017 California Polytechnic State University

Socioeconomic Status, Air Quality And Geographic Variation In Emergency Room Visits For Acute Bronchitis On The California Central Coast, Sean Lang-Brown, Heather W. Starnes, Gary B. Hughes

Symposium

IMPORTANCE: Analysis of geospatial variation in acute bronchitis due to socioeconomic and environmental factors can allow the efficient delivery of resources to populations most at risk.

OBJECTIVE: We sought to determine if small scale variation in socioeconomic factors and emergency room (ER) visits for acute bronchitis are associated in small cities or rural communities. We also modeled the effects of air quality on daily rates of ER visits for acute bronchitis in the context of socioeconomic factors to investigate modifying relationships.

DESIGN, SETTING, AND PARTICIPANTS: We examined ER visits for acute bronchitis in San Luis Obispo and Santa Barbara counties ...


Recurrent Clostridium Difficile Infection Among Medicare Patients In Nursing Homes: A Population-Based Cohort Study, Marya D. Zilberberg, Andrew F. Shorr, William M. Jesdale, Jennifer Tjia, Kate L. Lapane 2017 University of Massachusetts Amherst

Recurrent Clostridium Difficile Infection Among Medicare Patients In Nursing Homes: A Population-Based Cohort Study, Marya D. Zilberberg, Andrew F. Shorr, William M. Jesdale, Jennifer Tjia, Kate L. Lapane

Jennifer Tjia

We explored the epidemiology and outcomes of Clostridium difficile infection (CDI) recurrence among Medicare patients in a nursing home (NH) whose CDI originated in acute care hospitals. We conducted a retrospective, population-based matched cohort combining Medicare claims with Minimum Data Set 3.0, including all hospitalized patients age > /=65 years transferred to an NH after hospitalization with CDI 1/2011-11/2012. Incident CDI was defined as ICD-9-CM code 008.45 with no others in prior 60 days. CDI recurrence was defined as (within 60 days of last day of CDI treatment): oral metronidazole, oral vancomycin, or fidaxomicin for > /=3 days ...


Burden Of Atopic Dermatitis In The United States: Analysis Of Healthcare Claims Data In The Commercial, Medicare, And Medi-Cal Databases, Sulena Shrestha, Raymond Miao, Li Wang, Jingdong Chao, Huseyin Yuce, Wenhui Wei 2017 STATinMED Research/SIMR, Inc.

Burden Of Atopic Dermatitis In The United States: Analysis Of Healthcare Claims Data In The Commercial, Medicare, And Medi-Cal Databases, Sulena Shrestha, Raymond Miao, Li Wang, Jingdong Chao, Huseyin Yuce, Wenhui Wei

Publications and Research

Comparative data on the burden of atopic dermatitis (AD) in adults relative to the general population are limited. We performed a large-scale evaluation of the burden of disease among US adults with AD relative to matched non-AD controls, encompassing comorbidities, healthcare resource utilization (HCRU), and costs, using healthcare claims data. The impact of AD disease severity on these outcomes was also evaluated.


Congenital Toxoplasmosis In Austria: Prenatal Screening For Prevention Is Cost-Saving, Andrea-Romana Prusa, David C. Kasper, Larry Sawers, Evelyn Walter, Michael Hayde, Eileen Stillwaggon 2017 Medical University of Vienna

Congenital Toxoplasmosis In Austria: Prenatal Screening For Prevention Is Cost-Saving, Andrea-Romana Prusa, David C. Kasper, Larry Sawers, Evelyn Walter, Michael Hayde, Eileen Stillwaggon

Economics Faculty Publications

Background:

Primary infection of Toxoplasma gondii during pregnancy can be transmitted to the unborn child and may have serious consequences, including retinochoroiditis, hydrocephaly, cerebral calcifications, encephalitis, splenomegaly, hearing loss, blindness, and death. Austria, a country with moderate seroprevalence, instituted mandatory prenatal screening for toxoplasma infection to minimize the effects of congenital transmission. This work compares the societal costs of congenital toxoplasmosis under the Austrian national prenatal screening program with the societal costs that would have occurred in a No-Screening scenario.

Methodology/Principal Findings:

We retrospectively investigated data from the Austrian Toxoplasmosis Register for birth cohorts from 1992 to 2008, including ...


State Differences In The Application Of Medical Frailty Under The Affordable Care Act: 2017 Update, Peter Mosbach, Sherry J. Campanelli 2017 University of Massachusetts Medical School

State Differences In The Application Of Medical Frailty Under The Affordable Care Act: 2017 Update, Peter Mosbach, Sherry J. Campanelli

Commonwealth Medicine Publications

This poster details the effects of Medicaid coverage expansion since the Affordable Care Act began the inclusion of childless adults below the poverty level. This change has created a divide in how different states handle Medicaid coverage and this study examines how states undergoing Medicaid expansion differ in their treatment of individuals who may need the extra benefits offered by traditional Medicaid.

Researchers studied 14 different states and found substantial differences in how each state assessed eligibility for Medicaid coverage. In states like Massachusetts, individuals who were applying for disability-based Medicaid could self-declare that they had special medical needs, while ...


Relation Between Narrow Networks And Providers Of Cancer Care, Laura Yasaitis, Justin E. Bekelman, Daniel Polsky 2017 University of Pennsylvania

Relation Between Narrow Networks And Providers Of Cancer Care, Laura Yasaitis, Justin E. Bekelman, Daniel Polsky

Research Briefs

No abstract provided.


Structural, Nursing, And Physician Characteristics And 30-Day Mortality For Patients Undergoing Cardiac Surgery In Pennsylania, Meghan Lane-Fall, Tara Ramaswamy, Sydney E. S Brown, Xu He, Jacob Gutsche, Lee A. Fleisher, Neuman Mark 2017 University of Pennsylvania

Structural, Nursing, And Physician Characteristics And 30-Day Mortality For Patients Undergoing Cardiac Surgery In Pennsylania, Meghan Lane-Fall, Tara Ramaswamy, Sydney E. S Brown, Xu He, Jacob Gutsche, Lee A. Fleisher, Neuman Mark

Research Briefs

No abstract provided.


The Truck Seat That Breathe, Sajjad Khaksari 2017 Politecnico di Torino

The Truck Seat That Breathe, Sajjad Khaksari

SAJJAD KHAKSARI

On 10 April 2017, Mario Moretti Polegato participated the Top Experiences event which organized by Polytechnic of Turin. The following brief innovative idea has submitted personally to the Dr Mario Moretti by the author. Meanwhile, the author desires to share openly the comparable idea with readers those work to improve the job condition of Heavy Truck Drivers (HTD) concerning the Occupational Health and Safety Assessment Series (OHSAS). The history of innovation taught a valuable lesson in which the usage of innovative product a bit later when it survives the fluid phase and enters the transition phase of Innovation’s Dynamic ...


Life Satisfaction And Diet: Evidence From The Russian Longitudinal Monitoring Survey, Sonya Huffman, Marian Rizov 2017 Iowa State University

Life Satisfaction And Diet: Evidence From The Russian Longitudinal Monitoring Survey, Sonya Huffman, Marian Rizov

Sonya Huffman

The goal of this study is to improve our understanding of life satisfaction overall and in Russia in particular by examining the impacts of diet on lifetime satisfaction and correcting for reverse causality using 1994–2005 data from the Russian Longitudinal Monitoring Survey (RLMS). Do people with better diets report higher levels of lifestyle satisfaction? Results suggest that calories, fat, and protein consumption, and a more diverse diet have a positive and statistically significant effect on life satisfaction levels of the Russian people. In addition, living in a region with higher per capita income increases life satisfaction of the citizens ...


Crop Residues: The Rest Of The Story, Douglas L. Karlen, Rattan Lal, Ronald F. Follett, John M. Kimble, Jerry L. Hatfield, John A. Miranowski, Cynthia A. Cambardella, Andrew Manale, Robert P. Anex, Charles W. Rice 2017 United States Department of Agriculture

Crop Residues: The Rest Of The Story, Douglas L. Karlen, Rattan Lal, Ronald F. Follett, John M. Kimble, Jerry L. Hatfield, John A. Miranowski, Cynthia A. Cambardella, Andrew Manale, Robert P. Anex, Charles W. Rice

Douglas L Karlen

Synopsis In the February 15, 2009 issue of ES&T Strand and Benford argued that oceanic deposition of agricultural crop residues was a viable option for net carbon sequestration (43 [4], 1000−1007). In reviewing the calculations and bringing their experience to bear, Karlen et al. argue in this Viewpoint that crop residue oceanic permanent sequestration (CROPS) as envisioned by Strand and Benford will not work. They further propose alternative possibilities in agricultural methods to achieve a net decrease of CO2 emissions.


Avian Influenza Economic Impacts In Iowa, David Swenson 2017 Iowa State University

Avian Influenza Economic Impacts In Iowa, David Swenson

David Swenson

The avian influenza (AI) outbreak in Iowa has resulted in the loss of as much as a third of the state’s current egg producing capacity along with smaller, but still significant, losses among some turkey and pullet producers. As with any disaster, there will be losses to those operations, to the suppliers to those operations, and, ultimately, to the regions of the state where those operations are located. This analysis assumes a 34 percent reduction in poultry sector output for one full year.


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