B., Studenski, S. A., Goodpaster, B. H., Lopez, O., Nadkarni, N. K., Ives, D. G., Newman, M. A., Grove, G., Williams, K., Bonk, J. T., Rush, J., Kost, P., Vincent, P., Gerger, A., Romeo, J. R., Monheim, L. C., Kritchevsky, S. B., Marsh, A. P., Brinkley, T. E., Demons, J. S., Sink, K. M., Kennedy, K., Shertzer-Skinner, R., Wrights, A., Fries, R., Barr, D., Gill, T. M., Axtell, R. S., Kashaf, S. S., de Rekeneire, N., McGloin, J. M., Mautner, R., Huie-White, S. M., Bianco, L., Zocher, J., Wu, K. C., Shepard, D. M., Fennelly, B., Castro, R., Halpin, S., Brennan, M., Barnett, T., Iannone, L. P., Zenoni, M. A., Bugaj, J. Our study population also differed in being subject to organized screenings for musculoskeletal complaints. Published by Wadsworth Publishing, 2000. and 'is it worth it?') Incident AS cases were identified using diagnostic codes from electronic medical and administrative records.RESULTS: In contrast to some prior studies, AS incidence was similar among males and females (incidence rate ratio: 1.16, p = 0.23; adjusted odds ratio [aOR] = 0.79, 95% confidence interval: 0.61 - 1.02; p = 0.072). These findings suggest combining physical and mental training may achieve better health and quality of life results for an aging population. However, the interaction between mental health functioning and chronic disease diagnoses was statistically significant for only three conditions and accounted for only a small variation in cost. Rejeski, W. J., Axtell, R., Fielding, R., Katula, J., King, A. C., Manini, T. M., Marsh, A. P., Pahor, M., Rego, A., Tudor-Locke, C., Newman, M., Walkup, M. P., Miller, M. E. Determinants of Racial/Ethnic Disparities in Incidence of Diabetes in Postmenopausal Women in the U.S. In 2011 a multistakeholder population health collaborative consisting of partners at the federal, state, and local levels launched Be There San Diego. He is a senior fellow at the Center for a New American Security and a contributing editor at The Atlantic, where his work has appeared for three decades. Mr. Kaplan holds degrees from Cape Town University and Columbia University. This is particularly the case for more vulnerable older adults already showing functional limitations associated with subsequent disability.The Lifestyle Interventions and Independence for Elders (LIFE) trial dataset (n=1600) was used to explore the associations between perceived built environment variables and baseline obesity levels. Baseline frailty status did not modify the effect of physical activity on reducing incident MMD (P for interaction= 0.91).Frailty status was neither an entry criterion nor a randomization stratum.A structured, moderate-intensity physical activity program was not associated with a reduced risk for frailty over 2 years among sedentary, community-dwelling older adults. Associations between these exposures and measured BMI and grip strength were evaluated using linear regression.Greater time spent in light intensity activity and lower sedentary times were both associated with lower BMI. 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 Acute alcohol intoxication is responsible for a sizable share of emergency department visits. View details for DOI 10.1093/gerona/glv003. The Neuropsychiatry of Shamanism Robert M Kaplan Graduate School of Medicine, Building 28, University of Wollongong, NSW, 2522, Australia rob.liaison@gmail.com Keywords Shamanism, neuropsychiatry, hallucinations, altered states of consciousness, trance state, schizophrenia, epilepsy, laterality Abstract The shamanic state is a human constant, The genotype*treatment interaction was statistically significant for both gait speed (P = 0.002) and SPPB (P = 0.020). A/ PROFESSOR ROBERT KAPLAN www.MEDirect.com.au P 1300 001 633 E bookings@MEDirect.com.au . 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. Robert Joubert Expand search. With more than 550 articles, chapters, and books, Dr. Kaplan is one of the most cited authors in his field. Participants with insomnia had a mean ISI score of 12.1, those with daytime drowsiness had a mean ESS score of 12.5, and those with poor sleep quality had a mean PSQI score of 9.2. In comparison with traditional, modern NEMT was estimated to save $268 per expected user (95% CI=$248, $288 per member per year) and $537 million annually (95% CI=$496 million, $577 million) when scaled nationally.CONCLUSIONS: Modern NEMT has the potential to yield greater cost savings than traditional NEMT while also improving patient experience. B., Studenski, S. A., Goodpaster, B. H., Lopez, O., Glynn, N. W., Nadkarni, N. K., Ives, D. G., Newman, M. A., Grove, G., Williams, K., Bonk, J. T., Rush, J., Kost, P., Vincent, P., Gerger, A., Romeo, J. R., Monheim, L. C., Kritchevsky, S. B., Marsh, A. P., Brinkley, T. E., Demons, J. S., Sink, K. M., Kennedy, K., Shertzer-Skinner, R., Wrights, A., Fries, R., Barr, D., Gill, T. M., Axtell, R. S., Kashaf, S. S., de Rekeneire, N., McGloin, J. M., Mautner, R., Huie-White, S. M., Bianco, L., Zocher, J., Wu, K. C., Shepard, D. M., Fennelly, B., Castro, R., Halpin, S., Brennan, M., Barnett, T., Iannone, L. P., Zenoni, M. A., Bugaj, J. We compared two groups of older adults with 10 years of mindfulness meditation (integrative body-mind training, IBMT) or physical exercise (PE) experience to demonstrate their effects on brain, physiology and behavior. Quality of life outcome results are reported from a large trial of physical activity for sedentary older adults at risk for mobility disability.METHODS: Data were from the Lifestyle Interventions and Independence for Elders study. A renewed effort to increase the federal investment in behavioral and social sciences research is necessary. Intervention costs were estimated by tracking personnel activities and materials used for each intervention and multiplying by national unit cost averages. View details for DOI 10.1016/j.amepre.2018.09.006, View details for Web of Science ID 000453383700020, View details for Web of Science ID 000498593400292. A., King, A. C., Fielding, R. A., Glynn, N. W., Pahor, M. The impact of cognitive behavioral group training on event-free survival in patients with myocardial infarction: The ENRICHD experience. Complete, transparent reporting of clinical trial data facilitates valid estimates of treatment efficacy. Designers and architects created the rule 'form follows function (FFF)' for their own profession. Baseline gait speed was significantly correlated with baseline CAF level (r = -0.151, p= 0.006), however the association between CAF and SPPB was not significant. Robert M. Kaplan, Dennis P. Saccuzzo. These differing services compete for the same resources and it is difficult to compare their value. Psychosocial treatment followed MI, and for participants with severe or unremitting depression, was supplemented with a selective serotonin reuptake inhibitor. Effect of Hospitalizations on Physical Activity Patterns in Mobility-Limited Older Adults, Wanigatunga, A. The purpose of this study was to examine the relationship between dynapenia and metabolic risk factors in obese and nonobese older adults.A total of 1453 men and women (age 70years) from the Lifestyle Interventions and Independence for Elders (LIFE) Study were categorized as (1) nondynapenic/nonobese (NDYN-NO), (2) dynapenic/nonobese (DYN-NO), (3) nondynapenic/obese (NDYN-O), or (4) dynapenic/obese (DYN-O), based on muscle strength (Foundation for the National Institute of Health criteria) and body mass index. March Wunderkammer Auction 9th - 19th March. To date, physical exercise is the only intervention consistently demonstrated to attenuate age-related declines in physical function. The average cost/participant was $1134 and $175 for the PA and the comparison interventions, respectively. Among participants aged 79-89 years, the subgroup (of three distinct subgroups identified) with the lowest obesity prevalence (19.4%) consisted of non-African American/Black participants who reported living in neighborhoods with friends or acquaintances similar in demographic characteristics to themselves. He serves as Chair of United Jewish Appeal (UIA) South Africa and as Chair of the Keren Hayesod Budget Committee. Baseline and long-term follow-up (2.6 years) health-related quality of life data were collected as a secondary outcome. To test whether a long term, structured physical activity program compared with a health education program reduces the risk of serious fall injuries among sedentary older people with functional limitations.Multicenter, single blinded randomized trial (Lifestyle Interventions and Independence for Elders (LIFE) study).Eight centers across the United States, February 2010 to December 2011.1635 sedentary adults aged 70-89 years with functional limitations, defined as a short physical performance battery score 9, but who were able to walk 400 m.A permuted block algorithm stratified by field center and sex was used to allocate interventions. Bann, D., Hire, D., Manini, T., Cooper, R., Botoseneanu, A., McDermott, M. M., Pahor, M., Glynn, N. W., Fielding, R., King, A. C., Church, T., Ambrosius, W. T., Gill, T. Association of objectively measured physical activity with cardiovascular risk in mobility-limited older adults. Serious adverse events were reported by 404 participants (49.4%) in the physical activity group and 373 participants (45.7%) in the health education group (risk ratio, 1.08 [95% CI, 0.98-1.20]).A structured, moderate-intensity physical activity program compared with a health education program reduced major mobility disability over 2.6 years among older adults at risk for disability. Measures included demographics; comorbidity; a timed 400-meter walk; the Short Physical Performance Battery; and the Quality of Well-Being Scale (0-1.0 scale). To determine the effect of a one-year PA intervention on changes in CAF concentrations and to evaluate baseline and longitudinal associations between CAF concentrations and indices of physical function.Ancillary study to the Lifestyle Interventions and Independence for Elders Pilot (LIFE-P), a multi-site randomized clinical trial designed to evaluate the effects of chronic exercise on the physical function of older adults at risk for mobility disability.Four academic research centers within the U.S.Three hundred thirty three older adults aged 70 to 89 with mild to moderate impairments in physical function.A 12-month intervention of either structured physical activity (PA) or health education promoting successful aging (SA).Serum CAF concentrations and objectives measures of physical function - i.e. Robert Kaplan is Managing Director of Cape Gate Fence & Wire Works, and is a past president of the Cape Chamber of Industries. Sun 5 March, 9:30 - 12:30. Patient-reported outcomes are recognized as essential for the evaluation of medical and public health interventions. Responses ranged from 0 (none of the time) to 5 (all of the time). In older adults reduced mobility is common and is an independent risk factor for morbidity, hospitalization, disability, and mortality. Genealogy profile for Robert Roman Kaplan. The Diplomat 's Justin McDonnell spoke with Robert D. Kaplan, American journalist, Chief Geopolitical Analyst for Stratfor, and correspondent for The Atlantic regarding his upcoming book Asia . Kaplan, R. M., Crespi, C. M., Dahan, E., Saucedo, J. D., Pagan, C., Saigal, C. S. A Budget Impact Analysis of the Collaborative Care Model for Treating Opioid Use Disorder in Primary Care. View details for Web of Science ID 000334289900004 A., Rushing, J., Kramer, A. F., Jennings, J. M., Sink, K. M., Nadkarni, N. K., Reid, K. F., Castro, C. M., Church, T., Kerwin, D. R., Williamson, J. D., Marottoli, R. A., Rushing, S., Marsiske, M., Rapp, S. R. Promoting physical activity for elders with compromised function: the Lifestyle Interventions and Independence for Elders (LIFE) Study physical activity intervention. Three articles address (1) standardizing methods for conducting cost-effectiveness and cost-utility analyses, (2) providing examples to illustrate progress in applying these methods to evaluate interventions delivered in whole or in part in clinical settings, and (3) providing nonclinical intervention examples selected to highlight the challenges and opportunities for evaluating the cost-effectiveness of interventions in more diverse settings. Espeland, M. A., Newman, A. All participants were included in the analysis.Over a median follow-up of 2.6 years, a serious fall injury was experienced by 75 (9.2%) participants in the physical activity group and 84 (10.3%) in the health education group (hazard ratio 0.90, 95% confidence interval 0.66 to 1.23; P=0.52). We evaluated associations of light intensity physical activity and sedentary time-assessed both objectively and by self-report-with body mass index (BMI) and grip strength in a large sample of older adults.We used cross-sectional baseline data from 1130 participants of the Lifestyle Interventions and Independence for Elders (LIFE) study, a community-dwelling sample of relatively sedentary older adults (70-89 years) at heightened risk of mobility disability. Dr Robert M Kaplan Profile and History . View details for DOI 10.1080/21642850.2021.1979407, View details for PubMedCentralID PMC8462930. 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. To advance the field, we need a greater emphasis on evaluations that ask 'Does the treatment work under real-world conditions? All interactions between the factors were nonsignificant. Standardized cost-effectiveness methodologies are now commonly used in the evaluation of medical therapies and new technologies. Behavioral interventions often use measures that are not generally applied in other areas of health outcomes research. Robert D. Kaplan Dr. Duyeon Kim Dr. Daniel Kliman Michael Kofman Christopher D. Kolenda Margarita "Rita" Konaev Steven Kosiak Dr. Andrew F. Krepinevich, Jr. Peter L. Levin Jennifer McArdle Brendan McCord Dr. ED McGrady Jack Midgley J Travis Mosier Dr. Go Myong-Hyun Catherine A. Novelli Dr. John Park Ben Renda Elina Ribakova Diem Salmon The authors wish to acknowledge the support and work done on this project by Christopher Davies Junior. Nelson, D. A., Kaplan, R. M., Kurina, L. M., Weisman, M. H. Mobilizing the U.S. Military's TRICARE Program for Value-Based Care: A Report From the Defense Health Board. B., Studenski, S. A., Goodpaster, B. H., Glynn, N. W., Lopez, O., Nadkarni, N. K., Williams, K., Newman, M. A., Grove, G., Bonk, J. T., Rushing, J., Kost, P., Ives, D. G., Kritchevsky, S. B., Marsh, A. P., Brinkley, T. E., Demons, J. S., Sink, K. M., Kennedy, K., Shertzer-Skinner, R., Wrights, A., Fries, R., Barr, D., Gill, T. M., Axtell, R. S., Kashaf, S. S., de Rekeneire, N., McGloin, J. M., Wu, K. C., Shepard, D. M., Fennelly, B., Iannone, L. P., Mautner, R., Sweeney Barnett, T., Halpin, S. N., Brennan, M. J., Bugaj, J. He failed to recognize the innovativeness of man to overcome challenges. In a multistate model, the hazard ratios for comparisons of physical activity with health education were 0.87 (CI, 0.73 to 1.03) for the transition from no MMD to MMD; 0.52 (CI, 0.10 to 2.67) for no MMD to death; 1.33 (CI, 0.99 to 1.77) for MMD to no MMD; and 1.92 (CI, 1.15 to 3.20) for MMD to death.The intention-to-treat principle was maintained for MMD burden and first transition out of no MMD, but not for subsequent transitions.A structured physical activity program reduced the MMD burden for an extended period, in part through enhanced recovery after the onset of disability and diminished risk for subsequent disability episodes.National Institute on Aging, National Institutes of Health. Espeland, M. A., Katula, J. However, a significant interaction was observed between sex and count frequency (P=0.036) for those without CVD, as counts per minute was related to HCHD risk in women (=-0.94, -1.48 to -0.41; P<0.001) but not in men (=-0.14, -0.59 to 0.88; P=0.704).Daily time spent being sedentary is positively associated with predicted 10-year HCHD risk among mobility-limited older adults. However, the PE group showed lower basal heart rate and greater chest respiratory amplitude. Scheuter, C., Rochlin, D. H., Lee, C., Milstein, A., Kaplan, R. M. Contributions of Health Care to Longevity: A Review of 4 Estimation Methods. Mr. Kaplan holds degrees from Cape Town University and Columbia University. Robert M Kaplan Forensic Psychiatrist, Crime & Medicine Writer, Historian and Speaker at Dr Robert Kaplan Greater Sydney Area 112 followers 97 connections Join to connect Dr Robert. Jobs People Learning Dismiss Dismiss. 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. The Isaac and Jessie Kaplan Centre for Jewish Studies and Research, . Robert M Kaplan Catherine M Crespi Ely Dahan Josemanuel D Saucedo Casey Pagan Christopher S Saigal. As the number of older adults in the United States rises, maintaining functional independence among older Americans has emerged as a major clinical and public health priority. Finally, a large number of published studies were not registered in ClinicalTrials.gov, but many of these were published before ClinicalTrials.gov's inception date of 2000.Improved prospective registration of trials and consistent reporting of results in ClinicalTrials.gov would help make ClinicalTrials.gov records more useful in finding unpublished information and identifying potential biases. Botoseneanu, A., Ambrosius, W. T., Beavers, D. P., De Rekeneire, N., Anton, S., Church, T., Folta, S. C., Goodpaster, B. H., King, A. C., Nicklas, B. J., Spring, B., Wang, X., Gill, T. M. Combined Reduced Forced Expiratory Volume in 1 Second (FEV1) and Peripheral Artery Disease in Sedentary Elders With Functional Limitations. According to ZoomInfo records, Robert Kaplan's professional experience began in 1996. 2018 o 8:00 UTC na Court 2, Stellenbosch, South Africa. View details for DOI 10.1371/journal.pone.0116058. One potential source of variability is the insertion (I allele) or deletion (D allele) of a 287 bp fragment in intron 16 of the angiotensin-converting enzyme (ACE) gene. ICCs among clinics were at least as low (ICC < 0.013) as for interviewer measures (ICC < 0.023), reflecting good standardization. Results of prior research have been mixed, including findings of a 3:1 incidence ratio for males vs. females, but increasing AS rates among females.METHODS: We estimated the incidence of AS in a retrospective cohort study of diverse, working-age US military service members during March 2014 - June 2017 (N = 728,556) who underwent clinical practice guideline-directed screening for chronic back pain. B., Kritchevsky, S. B., Myers, V., Manini, T. M., Pahor, M., LIFE Study Grp. Ninety-five percent confidence intervals (CI) were estimated using Monte Carlo modeling with random variation for three variables (cost of an emergency department visit, cost of a sobering center visit, and start-up costs per sobering center visit) and the percentage of cases diverted from emergency departments to sobering centers. However, these methods have rarely been employed for the evaluation of behavioral interventions. A., King, A. C., Frierson, G., Glynn, N. W., Hsu, F., Walkup, M., Pahor, M. Freeman Spogli Institute for International Studies, Institute for Computational and Mathematical Engineering (ICME), Institute for Human-Centered Artificial Intelligence (HAI), Institute for Stem Cell Biology and Regenerative Medicine, Stanford Institute for Economic Policy Research (SIEPR), Stanford Woods Institute for the Environment, Office of VP for University Human Resources, Office of Vice President for Business Affairs and Chief Financial Officer, Medicine - Primary Care and Population Health, DOI 10.1146/annurev-publhealth-052120-012811.
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