Rare Classic Car Preview. The PA program consisted of 50-minute center-based exercise 2 weekly, augmented with home-based activity to achieve a goal of 150min/wk of PA. Health education consisted of weekly workshops for 26 weeks, and monthly sessions thereafter. Greater time spent in higher but not lower intensities of light activity (assessed objectively) was associated with greater grip strength in men but not women, while neither objectively assessed nor self-reported sedentary time was associated with grip strength.In this cross-sectional study, greater time spent in light intensity activity and lower sedentary times were associated with lower BMI. Discover Book Depository's huge selection of Robert M Kaplan books online. Acute alcohol intoxication is responsible for a sizable share of emergency department visits. ISBN 10: . Epub 2019 Sep 26. The number of older adults living in the United States continues to increase, and recent research has begun to target interventions to older adults who have mobility limitations and are at risk for disability. View details for DOI 10.1093/milmed/usab271. Converging evidence suggests that physical activity is an effective intervention for both clinical depression and sub-threshold depressive symptoms; however, findings are not always consistent. South Africa . The traditional 22 table starts with the hypothesis, uses a test and a gold standard to confirm or exclude the investigated condition. He joined the HBS faculty in 1984 after spending 16 years on the faculty of the business school at Carnegie-Mellon University, where he served as Dean from 1977 to 1983. 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. The subgroups with the lowest obesity prevalence (45.5-59.4%) consisted of participants who reported living in neighborhoods with higher residential density. More than Medicine Robert M. Kaplan | Harvard University Press Noncommunicable diseases are now the primary cause of death worldwide and most are strongly linked to behavior. We here illustrate a quantification of the difference between objective and subjective risks.The objective risks (or chances) can be obtained from traditional 22 tables by calculating the positive (+LR) and negative (-LR) likelihood ratios. 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. Health care remains the most expensive sector in the U.S. economy, now accounting for nearly 1 in every 5 dollars spent. These include the EQ-5D, the Health Utilities Index (HUI), the self-administered Quality of Well-being Scale (QWB-SA), and the Health and Activities Limitation Index (HALex). The purpose of health care is to improve the health of populations. Collaborative care has been widely studied from an economic perspective, with most studies demonstrating its relative cost-effectiveness per quality-adjusted life year (QALY) and some studies demonstrating its potential for cost neutrality or cost savings. Jacobsen, P. B., Prasad, R., Villani, J., Lee, C., Rochlin, D., Scheuter, C., Kaplan, R. M., Freedland, K. E., Manber, R., Kanaan, J., Wilson, D. K. Economic analysis in behavioral health: Toward application of standardized methodologies. 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. Zpas Robert Q. vs Dembek M. sa zana 5. The Nothing That Is A Natural History Of Zero Robert M Kaplan is available in our digital library an online access to it is set as public 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. Lower mental health functioning also had a significant impact on cost. The incremental cost-effectiveness ratios were US$42,376/major mobility disability prevented and US$49,167/QALY. View details for Web of Science ID 000326466800004, View details for PubMedCentralID PMC3775886. Robert M Kaplan Forensic Psychiatrist Clinical Associate Professor Graduate School of Medicine University of Wollongong However, more research is necessary to conclusively rule out medical care as a mediator between education and health. Better compliance with mandated reporting and improved reporting standards would facilitate a more comprehensive representation of depression treatment research. 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. 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. The objective of this study was to evaluate cross-sectional and longitudinal associations between ankle-brachial index (ABI) and indicators of cognitive function.Randomized clinical trial (Lifestyle Interventions and Independence for Elders Trial).Eight US academic centers.A total of 1601 adults ages 70-89 years, sedentary, without dementia, and with functional limitations.Baseline ABI and interviewer- and computer-administered cognitive function assessments were obtained. This multisite RCT compared physical activity to health education among 1,635 randomly assigned sedentary older adults at risk for mobility disability in 2010-2011. Kaplan, R. M., Glassman, J. R., Millstein, A. Last updated 4 months ago. During the transition to a democratic South Africa, a team of researchers and activists uncovered about 900 cases of young men aged 16 to 24 years old who underwent forceful surgeries and. Attorney Schaumburg IL | Call for a Free Legal Consultation Robert M. Kaplan has served as Chief Science Officer at the US Agency for Health Care Research and Quality (AHRQ) and Associate Director of the National Institutes of Health, where he led the behavioral and social sciences programs. 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. Mendel Kaplan, a prominent leader of the South African Jewish community, died in South Africa on Thursday evening at the age of 73 after suffering a massive stroke on Tuesday. Published by Wadsworth Publishing, 2000. Mr. Kaplan holds degrees from Cape Town University and Columbia University. View details for Web of Science ID 000324170300001, View details for PubMedCentralID PMC3775623. Sensitivity analyses indicated that results were relatively robust to varied assumptions.The PA intervention costs and QALYs gained are comparable to those found in other studies. His books are on politics, primarily foreign affairs, and travel. The assessment of mobility is essential to both aging research and clinical geriatric practice. Glynn, N. W., Gmelin, T., Santanasto, A. J., Lovato, L. C., Lange-Maia, B. S., Nicklas, B. J., Fielding, R. A., Manini, T. M., Myers, V. H., de Rekeneire, N., Spring, B. J., Pahor, M., King, A. C., Rejeski, W. J., Newman, A. 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. Accelerometer patterns were characterized as bouts of sedentary (<100 counts/min; 1, 10, 30, 60 minute lengths) and activity (100 counts/min; 1, 2, 5, 10 minute lengths) time. Work Experience T2 Hospitality 1996- Education Bachelor of Science - Physics Stony Brook University Doctor of Jurisprudence Baseline and long-term follow-up (2.6 years) health-related quality of life data were collected as a secondary outcome. To date, physical exercise is the only intervention consistently demonstrated to attenuate age-related declines in physical function. 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). 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. Books by Robert M Kaplan | Book Depository View details for DOI 10.1371/journal.pone.0116058. Robert Kaplan - Financial Director - Pensana Plc | LinkedIn Each participant was categorized as having 0, 1 to 3, or 4 or more cumulative hospital days before each accelerometer assessment.RESULTS: Hospitalization increased sedentary time similarly in both intervention groups (8 min/d for 1-3 cumulative hospital days and 16 min/d for 4 cumulative hospital days). March Wunderkammer Auction 9th - 19th March. The results suggest that a targeted approach to recommending PA therapy for treatment of depression is viable. Russell Kaplan Auctioneers. These interventions illustrate differences in the availability of cost and cost-effectiveness data and in the extent of intervention adoption and integration into routine delivery of medical care. 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 . 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. A., Gill, T. M., Marsh, A. P., Hsu, F., Yaghjyan, L., Woods, A. J., Glynn, N. W., King, A. C., Newton, R. L., Fielding, R. A., Pahor, M., Manini, T. M., Guralnik, J. M., Anton, S. D., Buford, T. W., Leeuwenburgh, C., Nayfield, S. G., Caudle, C., Crump, L., Holmes, L., Lee, J., Lu, C., Miller, M. E., Espeland, M. A., Ambrosius, W. T., Applegate, W., Beavers, D. P., Byington, R. P., Cook, D., Furberg, C. D., Harvin, L. N., Henkin, L., Hepler, J., Joyce, K., Lovato, L., Pierce, J., Roberson, W., Robertson, J., Rushing, J., Rushing, S., Stowe, C. L., Walkup, M. P., Hire, D., Rejeski, W., Katula, J. View details for Web of Science ID 000349893300002, View details for PubMedCentralID PMC4333053, Because they are potentially modifiable and may coexist, we evaluated the combined occurrence of a reduced forced expiratory volume in 1 second (FEV1) and peripheral artery disease (PAD), including its association with exertional symptoms, physical inactivity, and impaired mobility, in sedentary elders with functional limitations.Cross sectional.Lifestyle Interventions and Independence in Elder (LIFE) Study.A total of 1307 sedentary community-dwelling persons, mean age 78.9, with functional limitations (Short Physical Performance Battery [SPPB] <10).A reduced FEV1 was defined by a z-score less than -1.64 ( Groessl, E. J., Kaplan, R. M., Rejeski, W., Katula, J. Lives in New York, NY. Baseline data (collected in April-December 2004, analyzed in 2006) included demographics, medical history, the Quality of Well-Being Scale (QWB-SA), a timed 400-m walk, and the Short Physical Performance Battery (SPPB). Sink, K. M., Espeland, M. A., Castro, C. M., Church, T., Cohen, R., Dodson, J. Accelerometry data collected during PA training revealed that the average intensity - 1,555 counts/minute for men and 1,237 counts/minute for women - was well below the cutoff point used to classify exercise as being of moderate intensity or higher for adults. These findings suggest combining physical and mental training may achieve better health and quality of life results for an aging population. Rochlin, D. H., Lee, C. M., Scheuter, C. n., Platchek, T. n., Kaplan, R. M., Milstein, A. n. Questioning the Benefit of Statins for Low-risk Populations-Medical Misinformation or Scientific Evidence? The success of collaborative care for depression can be viewed as a model for how to promote greater adoption of other interventions, such as psychological therapies for chronic pain and insomnia. Using data from the nationally representative Medical Expenditures Panel Survey (MEPS), we explored the extent to which health care utilization and health risk-taking, together with previously examined mediators, can explain the education-health gradient above and beyond what can be explained by previously examined mediators such as age, race, and poverty status.Health was measured using the Physical Component Score (PCS) from the Medical Outcomes Study 12-Item Short Form (SF-12). A., King, A. C., Frierson, G., Hsu, F., Walkup, M., Pahor, M. Health-related quality of life in older adults at risk for disability. 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. Furthermore, we consider hybrid measures such as the SF-6D and the PROMIS-Preference (PROPr). 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. View details for Web of Science ID 000337624300008, View details for PubMedCentralID PMC4057978, To evaluate the prevalence of respiratory impairment and dyspnea and their associations with objectively measured physical inactivity and performance-based mobility in sedentary older persons.Cross-sectional.Lifestyle Interventions and Independence for Elders Study.Community-dwelling older persons (n = 1,635, mean age 78.9) who reported being sedentary (<20 min/wk of regular physical activity and <125 min/wk of moderate physical activity in past month).Respiratory impairment was defined as low ventilatory capacity (forced expiratory volume in 1 second less than lower limit of normal (LLN)) and respiratory muscle weakness (maximal inspiratory pressure Both groups declined in quality of life over time, but assignment to the physical activity intervention resulted in a slower decline in health-related quality of life scores (p=0.03). In addition, we review methods used for economic analysis and calculation of the quality-adjusted life year (QALY). In addition, education was associated with having more office visits and outpatient visits and less risk tolerance. The odds of having MetS or its individual components were similar in obese and nonobese, combined or not with dynapenia (nonsignificant odds ratio [95% confidence interval]).Nonobese dynapenic older adults had fewer metabolic disease risk factors than nonobese and nondynapenic older adults. Robert D. Kaplan - amazon.com 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. PROSPERO REGISTRATION NUMBER: #CRD42019136840. However, longitudinal and experimental studies are needed to strengthen causal inferences. Before 2011 rates of hospitalization for heart attacks were about the same in San Diego County as they were in the rest of California. The 22 table with inverted axes starts with the communication of a test result and presumes that the communication of bad news (whether right or false) will induce 'Perceived Anxiety' while good news will induce 'Perceived Safety'. View details for PubMedCentralID PMC4145029, View details for DOI 10.1016/j.jamda.2014.05.008, View details for Web of Science ID 000341167700011, View details for PubMedCentralID PMC4145029. 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. His Randomized controlled trial research integrates issues from Clinical trial, Intensive care medicine, Pharmacotherapy, Evidence-based practice and Social support. The outcome was respondents' reported likelihood of receiving a vaccine for the coronavirus. View details for Web of Science ID 000467759600011, View details for DOI 10.2105/AJPH.2018.304857, View details for Web of Science ID 000457864000048, View details for DOI 10.1016/j.jagp.2018.09.015, View details for Web of Science ID 000455373700006, View details for Web of Science ID 000459714900011. 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 D. Kaplan - Career Reflections 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. 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. Click a location below to find Robert more easily. Psychosocial treatment followed MI, and for participants with severe or unremitting depression, was supplemented with a selective serotonin reuptake inhibitor. Home | University of Cape Town He is affiliated with medical facilities Desert Springs Hospital Medical Center and Sunrise Hospital And Medical Center. A., Bailey, C., Charpentier, P., Hawthorne-Jones, G., Mignosa, B., Lewis, L., 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., Fragoso, C., Groessl, E. J., Kaplan, R. M., LIFE Study Grp. (PDF) TheAversion Project Psychiatric abuses in the South Looking for books by Robert M. Kaplan? View details for DOI 10.1001/jama.2015.9617, View details for Web of Science ID 000360017200018, View details for PubMedCentralID PMC4698980. #204. A replication following the announcement that vaccines were 95% effective showed small, but significant increases in the likelihood of taking a vaccine. Using hospital discharge data for the period 2007-16, we compared acute myocardial infarction (AMI) hospitalization rates in San Diego County and the rest of the state before and after the demonstration project started. Designers and architects created the rule 'form follows function (FFF)' for their own profession. Dr Robert Kaplan [Kaplan R. The Aversion Project - Psychiatric abuses in the South African Defence Force during the Apartheid Era. Impact of Baseline Fatigue on a Physical Activity Intervention to Prevent Mobility Disability. Robert Joubert Expand search. Robert D. Kaplan: 'The South China Sea is to China what the Greater Consistent with prior research, the AS incidence rate was greater in the White population than the Black population (aOR = 1.39, 95% CI 1.01 - 1.66, p = 0.04).CONCLUSION: In this study population, the incidence of AS was similar for the sexes. View details for DOI 10.1093/gerona/glw001, View details for Web of Science ID 000376398400015. Of the 173 total ClinicalTrials.gov records identified across the five projects, between 11 and 43% did not have an associated publication. 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. Published - rkaplan.com.au In the Lifestyle Interventions and Independence for Elders cohort, their external validity was further demonstrated by associations with other risk factors for cognitive dysfunction: education, hypertension, diabetes, and physical function. A., Brubaker, P. H., Mihalko, S. L., Jennings, J. M., Hadley, E. C., Romashkan, S., Patel, K. V., Bonds, D., McDermott, M. M., Spring, B., Hauser, J., Kerwin, D., Domanchuk, K., Graff, R., Rego, A., Church, T. S., Blair, S. N., Myers, V. H., Monce, R., Britt, N. E., Harris, M., McGucken, A., Rodarte, R., Millet, H. K., Tudor-Locke, C., Butitta, B. P., Donatto, S., Cocreham, S. H., King, A. C., Castro, C. M., Haskell, W. L., Stafford, R. S., Pruitt, L. A., Berra, K., Yank, V., Fielding, R. A., Nelson, M. E., Folta, S. C., Phillips, E. M., Liu, C. K., McDavitt, E. C., Reid, K. F., Kirn, D. R., Pasha, E. P., Kim, W. S., Beard, V. E., Tsiroyannis, E. X., Hau, C., Manini, T. M., Anton, S. D., Nayfield, S., Buford, T. W., Marsiske, M., Sandesara, B. D., Knaggs, J. D., Lorow, M. S., Marena, W. C., Korytov, I., Morris, H. L., Fitch, M., Singletary, F. F., Causer, J., Radcliff, K. A., Newman, A.
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