OBJECTIVE: The authors describe a comprehensive care model for Alzheimer disease (AD) that improves value within 1-3 years after implementation by leveraging targeted outpatient chronic care management, cognitively protective acute care, and timely caregiver support.METHODS: Using current best evidence, expert opinion, and macroeconomic modeling, the authors designed a comprehensive care model for AD that improves the quality of care while reducing total per capita healthcare spending by more than 15%. However, more research is necessary to conclusively rule out medical care as a mediator between education and health. Standardized cost-effectiveness methodologies are now commonly used in the evaluation of medical therapies and new technologies. Better compliance with mandated reporting and improved reporting standards would facilitate a more comprehensive representation of depression treatment research. Robert A Kaplan, age 70. 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. People Projects Discussions . 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. Intervention costs were estimated by tracking personnel activities and materials used for each intervention and multiplying by national unit cost averages. Implementing sobering centers as a treatment alternative for individuals with uncomplicated acute alcohol intoxication could yield substantial cost savings for the U.S. health care system. Zpas Robert Q. vs Dembek M. sa zana 5. 104 people named Robert Kaplan found in Boston-Worcester-Lawrence, Springfield and 4 other cities. No significant differences were found in 400-m walk time, SPPB score, or disability score between participants with and without MetS, in the overall sample or diabetes mellitus subgroups.Metabolic dysfunction is highly prevalent in older adults at risk of mobility disability, yet consistent associations were not observed between MetS and walking speed, lower extremity function, or self-reported disability after adjusting for known and potential confounders. These null results were accompanied by suggestive evidence that the physical activity program may reduce the rate of fall related fractures and hospital admissions in men.Trial registration ClinicalsTrials.gov NCT01072500. Basal sIgA level was significantly higher and cortisol concentration was lower in the IBMT group. Dr Robert M Kaplan is a company that operates in the Hospital & Health Care industry. 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. Computer-administered assessment of cognitive function is being increasingly incorporated in clinical trials; however, its performance in these settings has not been systematically evaluated.The Seniors Health and Activity Research Program pilot trial (N = 73) developed a computer-based tool for assessing memory performance and executive functioning. Dismiss. Investigators and advocates are encumbered by an over focus on studies designed to determine if a treatment can work under ideal circumstances. Two different functions (confirmation and exclusion) of both perceptions (Perceived Anxiety and Safety) can be quantified with those calculations.The analysis of six published tests and of one incompletely reported test on COVID-19 polymerase chain reactions (completed by four assumptions on high and low sensitivities and specificities) demonstrated that none of these tests induces 'Perceived Safety'. Moreover, among obese older adults, dynapenia was associated with lower risk of meeting MetS criteria for waist circumference and diastolic blood pressure. The lack of distinguishable characteristics suggests that variably applied terminology may hinder efforts to narrow the gap between research and practice. Robert M. Kaplan, Dennis P. Saccuzzo. Fields of study that have received more extramural funding are associated with greater growth in faculty and higher faculty salaries. Measures of physical function included usual-paced gait speed and performance on the Short Physical Performance Battery (SPPB). Acceptable levels of data completeness (>83%) were achieved on all computer-based measures; however, rates of missing data were higher among older participants (odds ratio = 1.06 for each additional year; p < 0.001) and those who reported no current computer use (odds ratio = 2.71; p < 0.001). No significant differences were found across dynapenia and obesity status for all other metabolic components (P>.05). A., Ahn, D. K., Gill, T. M., Miller, M., Newman, A. Wanigatunga, A. Cost estimates were derived from medical literature and national databases, including both public and private U.S. payers. Porzsolt, F. n., Matosevic, R. n., Kaplan, R. M. Long-Term Physical Exercise and Mindfulness Practice in an Aging Population. After checking Hardy-Weinberg equilibrium, we used using linear regression to evaluate the genotype*treatment interaction for each outcome. Pahor, M., Guralnik, J. M., Ambrosius, W. T., Blair, S., Bonds, D. E., Church, T. S., Espeland, M. A., Fielding, R. A., Gill, T. M., Groessl, E. J., King, A. C., Kritchevsky, S. B., Manini, T. M., McDermott, M. M., Miller, M. E., Newman, A. Time spent watching television was positively associated with BMI, while reading and computer use were not. 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. The Coming Anarchy. A subsample (n=29; age=77.25.5; 86% female) of participants from the Lifestyle Interventions and Independence for Elders (LIFE) Study was utilized to quantify GMV for regions of interest in the basal ganglia and limbic system normalized to intracranial volume. undertook a large oral history project designed to record the memories of Jews of Lithuanian-origin who settled in South Africa before and after the First World War. Robert Kaplan mbchb FRANZCP MA [Journ] Forensic Psychiatrist Clinical Associate Professor Graduate School of Medicine Wollongong University NSW Australia 332 Crown Street Wollongong and 16 Vernon Street Bondi Junction Phone (02) 4268 3949 Fax (02) 4210 7326 MOB 0408 363 383 E-Mail : info@rmkaplan.com.au DATE OF BIRTH: 13/04/50 Laurel office. Previous observations of male predominance have typically been derived from clinic populations that are less representative of the US race/ethnicity distribution and based on disease ascertainment tools that may have identified subjects later in their disease course. Results show that a science-based health collaborative can improve outcomes while lowering costs, and efforts are under way to ensure the collaborative's sustainability. 550-58) by T. D. Roberts, Mary Elizabeth Carroll, Irving Kaplan, Jan M. Matthews, David S. McMorris, Charles Townsend and a great selection of related books, art and collectibles available now at AbeBooks.com. Groessl, E. J., Kaplan, R. M., Blair, S. N., Rejeski, W. J., Katula, J. View details for DOI 10.14283/jfa.2016.76, View details for Web of Science ID 000449826700002, View details for PubMedCentralID PMC4905714. Definitive data from large long-term randomized trials are lacking.To determine whether a long-term, structured, moderate-intensity physical activity program is associated with a lower risk for frailty and whether frailty status alters the effect of physical activity on the reduction in major mobility disability (MMD) risk.Multicenter, single-blind, randomized trial.8 centers in the United States.1635 community-dwelling adults, aged 70 to 89 years, with functional limitations.A structured, moderate-intensity physical activity program incorporating aerobic, resistance, and flexibility activities or a health education program consisting of workshops and stretching exercises.Frailty, as defined by the SOF (Study of Osteoporotic Fractures) index, at baseline and 6, 12, and 24 months, and MMD, defined as the inability to walk 400 m, for up to 3.5 years.Over 24 months of follow-up, the risk for frailty (n= 1623) was not statistically significantly different in the physical activity versus the health education group (adjusted prevalence difference, -0.021 [95% CI, -0.049 to 0.007]). Bentley Kaplan Expand search. All interactions between the factors were nonsignificant. View details for Web of Science ID 000431185201257. Data are presented on participants' motives and self-perceptions at the onset of the trial along with accelerometry data on patterns of PA during exercise training. TRICARE follows the predominant payment model in the USA-fee-for-service-although the Department of Defense (DoD) and Congress encourage and mandate a move toward alternative payment models-mainly, fee-for-value. View details for PubMedCentralID PMC3989438, View details for Web of Science ID 000334289900004, View details for PubMedCentralID PMC3989438. PA participants had less sedentary time in bouts of less than 30 minutes than HE participants (-8 to -10 min/d) and more total activity (+3 to +6 min/d), although hospital-related changes were similar between the intervention groups (interaction effect p >.26).CONCLUSION: Participating in a PA intervention before hospitalization had expected benefits, but participants remained susceptible to hospitalization's detrimental effects on their daily activity levels. A newly developed self-report measure of mobility, the mobility assessment tool-short form (MAT-sf), uses video animations as an innovative method to improve measurement accuracy/precision. Adam, G. P., Springs, S., Trikalinos, T., Williams, J. W., Eaton, J. L., Von Isenburg, M., Gierisch, J. M., Wilson, L. M., Robinson, K. A., Viswanathan, M., Middleton, J., Forman-Hoffman, V. L., Berliner, E., Kaplan, R. M. AN UPDATE ON THE COST-EFFECTIVENESS WORKING GROUP ON METHODOLOGY, COLLABORATIVE CARE AND DISSEMINATION. The outcome of interest was the first occurrence of MMD or incident MMD.After controlling for age, sex, clinic site, and treatment arm, baseline MAT-sf scores were found to be effective in identifying risk for MMD (p < .0001). Health care has modest effects on the extension of US life expectancy, while behavioral and social determinants may have larger effects. View details for Web of Science ID 000324170300001, View details for PubMedCentralID PMC3775623. doi:10.2105/AJPH.2018.304857). 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. Using a 3 * 3 * 3 factorial experimental design, we estimated the impact of three factors: probability of 1) protection against COVID-19, 2) minor side effects, and 3) a serious adverse reactions. 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. Kaplan, R. M., Johnson, S. B., Kobor, P. C. Effect of Structured Physical Activity on Overall Burden and Transitions Between States of Major Mobility Disability in Older Persons Secondary Analysis of a Randomized Trial. Bob has taken hundreds of jury trials to verdict, defending clients in premises liability, professional malpractice, products liability, assault, and motor vehicle liability cases. These findings suggest mobility benefit from such a program in vulnerable older adults.clinicaltrials.gov Identifier: NCT01072500. 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). Across 2 years, changes in ABI were not associated with changes in cognitive function.In an older cohort sedentary individuals with dementia and with functional limitations, lower baseline ABI was independently correlated with cognitive function and associated with greater 2-year risk for progression to mild cognitive impairment or probable dementia. Age-stratified recursive partitioning methods were applied to identify distinct subgroups with varying obesity prevalence.Among participants aged 70-78 years, four distinct subgroups, defined by combinations of perceived environment and race-ethnicity variables, were identified. Acute alcohol intoxication is responsible for a sizable share of emergency department visits. Noncommunicable diseases are now the primary cause of death worldwide and most are strongly linked to behavior. Fielding, R. A., Rejeski, W. J., Blair, S., Church, T., Espeland, M. A., Gill, T. M., Guralnik, J. M., Hsu, F., Katula, J., King, A. C., Kritchevsky, S. B., McDermott, M. M., Miller, M. E., Nayfield, S., Newman, A. Rather than reading a good book with a cup of coffee in the afternoon, instead they cope with some infectious bugs inside their desktop computer. Studies identified as effectiveness, efficacy, or both differed on three outcome measures: the inclusion criteria were lengthier for efficacy than for effectiveness studies; efficacy studies were more likely to have a placebo control condition than effectiveness studies; and the journal impact factor was lower for effectiveness studies than for studies from the efficacy search or studies identified by both searches.CONCLUSIONS: Efficacy and effectiveness research hypothetically use different methodologies, but the efficacy and effectiveness literatures in the treatment of depression were comparable for most of the coded characteristics. A composite performance measure also was constructed.For the average 35- versus 75-year-old PCP, regression-adjusted mean composite relative performance scores were at the 60th versus 47th percentile (89% vs. 86% composite absolute HEDIS scores; p, View details for DOI 10.1007/s11606-020-05642-3. He is currently Editor-in-Chief of Health Psychology and is the former Editor-in-Chief of the Annals of Behavioral Medicine. View details for DOI 10.1176/appi.ps.201900098. In this report, we offer three examples of how economic data could promote greater adoption of behavioral and psychosocial interventions in clinical settings where primary or specialty medical care is delivered to patients. 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. 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.