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Fragoso, C. A., Hsu, F., Brinkley, T., Church, T., Liu, C. K., Manini, T., Newman, A. These mixed results might reflect heterogeneity in response to physical activity, with some subgroups of individuals responding positively, but not others.1) To examine the impact of genetic variation and sex on changes in depressive symptoms in older adults after a physical activity (PA) intervention, and 2) to determine if PA differentially improves particular symptom dimensions of depression.Randomized controlled trial.Four field centers (Cooper Institute, Stanford University, University of Pittsburgh, and Wake Forest University).396 community-dwelling adults aged 70-89 years who participated in the Lifestyle Interventions and Independence for Elders Pilot Study (LIFE-P).12-month PA intervention compared to an education control.Polymorphisms in the serotonin transporter (5-HTT), brain-derived neurotrophic factor (BDNF), and apolipoprotein E (APOE) genes; 12-month change in the Center for Epidemiologic Studies Depression Scale total score, as well as scores on the depressed affect, somatic symptoms, and lack of positive affect subscales.Men randomized to the PA arm showed the greatest decreases in somatic symptoms, with a preferential benefit in male carriers of the BDNF Met allele. Intoxicated individuals without other medical needs may not require the high level of care provided by an emergency department. Zpas Robert Q. vs Dembek M. sa zana 5. Russell Kaplan Auctioneers. Background. (PsycINFO Database Record (c) 2019 APA, all rights reserved). However, it is unclear whether these two forms of training share the same underlying mechanisms. A., Zenoni, M. A., Mignosa, B. M., Williamson, J., Hendrie, H. C., Rapp, S. R., Verghese, J., Woolard, N., Espeland, M., Jennings, J., Wilson, V. K., Pepine, C. J., Ariet, M., Handberg, E., Deluca, D., Hill, J., Szady, A., Chupp, G. L., Flynn, G. M., Hankinson, J. L., Vaz Fragoso, C. A., Groessl, E. J., Kaplan, R. M. THE NEED FOR ADAPTION: A CALL FOR PROMOTING THE VALUE OF BEHAVIORAL SCIENTISTS IN PUBLIC HEALTH CHALLENGES AND POLICIES. Outcome estimates were determined at year 2, accounting for implementation and steady-state intervention costs.RESULTS: After accounting for implementation and recurring operating costs of approximately $9.5 billion, estimated net cost savings of between $13 and $41 billion can be accomplished concurrently with improvements in quality and experience of coordinated chronic care ($0.01-$6.8 billion), cognitively protective acute care ($8.7-$26.6 billion), timely caregiver support ($4.3-$7.5 billion), and caregiver efficiency ($4.1-$7.2 billion).CONCLUSION: A high-value care model for AD may improve the experience of patients with AD while significantly lowering costs. B., Pellegrini, C. A., Chen, S., Allore, H. G., Miller, M. E. Cost-effectiveness of the LIFE Physical Activity Intervention for Older Adults at Increased Risk for Mobility Disability. ISBN 10: . OBJECTIVES: To evaluate the effect of hospitalizations on patterns of sedentary and physical activity time in mobility-limited older adults randomized to structured physical activity or health education.DESIGN: Secondary analysis of investigator-blinded, parallel-group, randomized trial conducted at 8 U.S. centers between February 2010 and December 2013.PARTICIPANTS: Sedentary men and women aged 70 to 89 at baseline who wore a hip-fitted accelerometer 7 consecutive days at baseline and 6, 12, and 24 months after randomization (N=1,341).MEASUREMENTS: Participants were randomized to a physical activity (PA; n = 669) intervention that included aerobic, resistance, and flexibility training or to a health education (HE; n = 672) intervention that consisted of workshops on older adult health and light upper-extremity stretching. View details for DOI 10.1093/gerona/glr123, View details for Web of Science ID 000296102100011. 2021-04-13 . A., Kritchevsky, S., Miller, M. E., Walkup, M. P., Glynn, N. W., Pahor, M. QUALITY OF LIFE IN SEDENTARY OLDER ADULTS PARTICIPATING IN A PHYSICAL ACTIVITY INTERVENTION. Bott, N. T., Sheckter, C. C., Yang, D., Peters, S., Brady, B., Plowman, S., Borson, S., Leff, B., Kaplan, R. M., Platchek, T., Milstein, A. The PA program consisted of center-based exercise sessions 3x weekly for 8 weeks, 2x weekly for weeks 9 to 24 and weekly behavioral counseling for 10 weeks. Epidemiological evidence suggests that physical activity benefits cognition, but results from randomized trials are limited and mixed.To determine whether a 24-month physical activity program results in better cognitive function, lower risk of mild cognitive impairment (MCI) or dementia, or both, compared with a health education program.A randomized clinical trial, the Lifestyle Interventions and Independence for Elders (LIFE) study, enrolled 1635 community-living participants at 8 US centers from February 2010 until December 2011. From 1997 to 2004 he was Professor and Chair of the Department of Family and Preventive Medicine, at the University of California, San Diego. These assessments were used to compare a physical activity intervention with a health education control. Total score was calculated by averaging across questions; baseline fatigue was based on the median split: 2 or higher=more fatigue (N=856) and lower than 2=less fatigue (N=735). View details for Web of Science ID 000324170300001, View details for PubMedCentralID PMC3775623. Clinicians should consider targeted recommendation of physical activity and moderate-intensity exercise for older adults as a treatment to slow decline in eGFRCysC.Trial Registration: ClinicalTrials.gov Identifier: NCT01072500. No significant differences were found across dynapenia and obesity status for all other metabolic components (P>.05). The original trial was conducted across 8 academic centers in the US from February 2010 through December 2013. A replication following the announcement that vaccines were 95% effective showed small, but significant increases in the likelihood of taking a vaccine. He is also director of the UCLA/RAND health services training program and PI of the UCLA/RAND CDC Prevention Research Center. One In Five Fewer Heart Attacks: Impact, Savings, And Sustainability In San Diego County Collaborative. Dependent variables were blood lipids, fasting glucose, blood pressure, presence of at least 3 metabolic syndrome (MetS) criteria, and other chronic conditions.A significantly higher likelihood of having abdominal obesity criteria in NDYN-NO compared with DYN-NO groups (55.6 vs 45.1%, P.01) was observed. Economic Benefit of "Modern" Nonemergency Medical Transportation That Utilizes Digital Transportation Networks. Kaplan is a former Editor-in-Chief of Health Psychology and of the Annals of Behavioral Medicine. Jobs People Learning Dismiss Dismiss. Cost analyses were conducted from the "payer's" perspective, with a 1-year time horizon. Prevalence rates were 33.0% for insomnia, 18.1% for daytime drowsiness, 47.8% for poor sleep quality, and 32.9% for high risk of sleep apnea. All titles by Robert M. Kaplan: Handbook of Health Psychology and Behavioral Medicine Edited by Jerry M. Suls, Karina W. Davidson, and Robert M. Kaplan Hardcover A consequence of neglecting to employ standardized cost-effectiveness analysis is that behavioral, psychological, and environmental interventions may be left out of resource allocation discussions. A., Guralnik, J., Hendrie, H. C., Jennings, J., Katula, J., Lopez, O. L., McDermott, M. M., Pahor, M., Reid, K. F., Rushing, J., Verghese, J., Rapp, S., Williamson, J. D. Associations Between Ankle-Brachial Index and Cognitive Function: Results From the Lifestyle Interventions and Independence for Elders Trial. Interview: Robert Kaplan, . Robert D. Kaplan 11 languages Robert David Kaplan (born June 23, 1952) is an American author. Several studies have shown that regular physical activity improves functional limitations and intermediate functional outcomes, but definitive evidence showing that major mobility disability can be prevented is lacking. doi:10.2105/AJPH.2018.304857). PROSPERO REGISTRATION NUMBER: #CRD42019136840. A randomized controlled trial is warranted to definitively resolve this issue. Dr. Kaplan is expected to join the NIH in early 2011. Sensitivity analyses using MCS score as a continuous variable, using a log10 transformation of the cost variable, and focusing only on persons with scores on the extreme low end did not significantly alter the conclusions.CONCLUSIONS: Contrary to expectation, the combination of poor mental functioning and chronic disease diagnosis did not have a strong synergistic effect on cost. A preliminary cost/effectiveness analysis gauged the cost/disability avoided to be $28,206. Lee, C., Scheuter, C., Rochlin, D., Platchek, T., Kaplan, R. M. Effects of Mental Health on the Costs of Care for Chronic Illnesses. We examined characteristics of the transparent reporting of depression treatment studies registered in ClinicalTrials.gov.DESIGN: Cross sectional.SETTING AND PARTICIPANTS: US-based studies identified in a search of ClinicalTrials.gov with depression as the condition, enrolling ages 18 and older, and completed between 1 January 2008 and 1 May 2019.INTERVENTIONS: All interventions were included.MAIN OUTCOMES AND MEASURES: The main outcome was whether any results were reported prior to 1 May 2020. Download Record Provide Feedback. PURPOSE: Health care expenditures and biomedical research funding are often justified by the belief that modern health care powerfully improves life expectancy in wealthy countries. Aubertin-Leheudre, M., Anton, S., Beavers, D. P., Manini, T. M., Fielding, R., Newman, A., Church, T., Kritchevsky, S. B., Conroy, D., McDermott, M. M., Botoseneanu, A., Hauser, M. E., Pahor, M. BEHAVIORAL INTERVENTIONS FOR OBESITY: A DEBATE ON THE STATE OF THE EVIDENCE. Robert S. Kaplan is Senior Fellow and Marvin Bower Professor of Leadership Development, Emeritus at the Harvard Business School. Duration, but not intensity (ie, mean counts/min), of daily PA is inversely associated with HCHD risk score in this population-although the association for intensity may be sex specific among persons without CVD.www.clinicaltrials.gov Unique identifier: NCT01072500. Application of standardized methods of cost-effectiveness analysis will allow direct comparisons between investing in behavioral interventions programs in comparison to a wide range of other alternatives. by Robert M. Kaplan First published in 1992 3 editions in 1 language 1 previewable Borrow Listen Disease, diagnoses, and dollars: facing the ever-expanding market for medical care by Robert M. Kaplan First published in 2009 2 editions in 1 language Not in Library Viaje a Los Confines de La Tierra Lee, C. M., Scheuter, C., Rochlin, D., Platchek, T., Kaplan, R. M. Economic Benefit of "Modern" Nonemergency Medical Transportation That Utilizes Digital Transportation Networks. Phone Numbers: 419-194-1606. March Wunderkammer Auction 9th - 19th March. Robert M. Kaplan is a forensic psychiatrist, speaker and writer based in Wollongong, Australia. Ma, Y., Hebert, J. R., Manson, J. E., Balasubramanian, R., Liu, S., LaMonte, M. J., Bird, C. E., Ockene, J. K., Qiao, Y., Olendzki, B., Schneider, K. L., Rosal, M. C., Sepavich, D. M., Wactawski-Wende, J., Stefanick, M. L., Phillips, L. S., Ockene, I. S., Kaplan, R. C., Sarto, G. E., Garcia, L., Howard, B. V. The Lifestyle Interventions and Independence for Elders Study: Design and Methods. He currently chairs the Allocations Subcommittee, The Jewish Agency is funded by the Jewish Federations of North America / United Israel Appeal, Keren Hayesod, foundations and donors from Israel and around the world. C-terminal Agrin Fragment (CAF) has been proposed as a potential circulating biomarker for predicting changes in physical function among older adults. In older adults reduced mobility is common and is an independent risk factor for morbidity, hospitalization, disability, and mortality. In two of these eight tests, a -LR (0.25 and 0.004) excluded the induction of 'Perceived Safety'.Communication of test results caused perceived anxiety but not perceived safety in 80% of the investigated tests. Of the 173 total ClinicalTrials.gov records identified across the five projects, between 11 and 43% did not have an associated publication. Incidence of Ankylosing Spondylitis Among Male and Female United States Army Personnel. View details for Web of Science ID 000334289900004 Methods. Rating scales and conjoint measures demonstrated significantly higher internal validity compared to time tradeoff when evaluated through R2 of the fitted utility function. Data were extracted regarding inclusion and exclusion criteria, publications related to the study and specification of hypotheses.RESULTS: 725 studies involving 156634 patients met inclusion criteria. Health services researchStudies on the cost and quality of health careHealth outcome measurementSocial determinants of health. The chances of a serious adverse reaction, such as temporary or permanent paralysis, had a small but significant effect. Assuming a diversion rate of 50% based on previous studies, national savings range from $230 million to $1.0 billion annually. According to ZoomInfo records, Robert Kaplan's professional experience began in 1996. View details for DOI 10.1016/j.jamda.2014.05.008 We estimated confidence intervals (CIs) by using Monte Carlo simulation.RESULTS: Total annual net savings for traditional NEMT in Medicaid was approximately $4 billion. Participants (n=1170, 795 years) spent 642111 min/day in sedentary behavior (ie, <100 accelerometry counts/min). Espeland, M. A., Newman, A. We randomized a volunteer sample of 1635 sedentary men and women aged 70 to 89 years who had physical limitations, defined as a score on the Short Physical Performance Battery of 9 or below, but were able to walk 400 m.Participants were randomized to a structured, moderate-intensity physical activity program (n=818) conducted in a center (twice/wk) and at home (3-4 times/wk) that included aerobic, resistance, and flexibility training activities or to a health education program (n=817) consisting of workshops on topics relevant to older adults and upper extremity stretching exercises.The primary outcome was major mobility disability objectively defined by loss of ability to walk 400 m.Incident major mobility disability occurred in 30.1% (246 participants) of the physical activity group and 35.5% (290 participants) of the health education group (hazard ratio [HR], 0.82 [95% CI, 0.69-0.98], P=.03).Persistent mobility disability was experienced by 120 participants (14.7%) in the physical activity group and 162 participants (19.8%) in the health education group (HR, 0.72 [95% CI, 0.57-0.91]; P=.006).

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