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Bob has taken hundreds of jury trials to verdict, defending clients in premises liability, professional malpractice, products liability, assault, and motor vehicle liability cases. Kaplan, R. M., Glassman, J. R., Milstein, A. 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? Yet U.S. citizens lag behind their global peers in life expectancy and quality of life. Robert Kaplan. B., Rejeski, W., Guralnik, J. M., Pahor, M., Fielding, R. A., LIFE Study Investigators. This was evident using objective measures of lower-light intensity, and both objective and self-reported measures of higher-light intensity activity. 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. 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. 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. View details for PubMedCentralID PMC4772786. Each participant's most important attribute was identified and evaluated in relation to age group (age <65, age 65 and older), education (high school, some college, college graduate), race/ethnicity (white, black, Latino), and relationship status (in significant relationship v. not). 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). The ISI includes him in the listing of the most cited authors in . A., Goodpaster, B. H., McDermott, M. M., Nicklas, B. J., Yank, V., Johnson, J. Each minute per day spent being sedentary was associated with increased HCHD risk among both those with (0.04%, 95% CI 0.02% to 0.05%) and those without (0.03%, 95% CI 0.02% to 0.03%) CVD. 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. Dismiss. 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. However, statistical test results were not included in 230 studies (55.3%). The mean of 0.630 is 0.070 lower than a comparison group of healthy older adults. Wilson, D. K., Kaufmann, P., Kaplan, R. M., Davidson, K. NIH behavioral and social sciences research support: 1980-2016. Robert D. Kaplan is the bestselling author of sixteen books on foreign affairs and travel translated into many languages, including In Europe's Shadow, Asia's Cauldron, The Revenge of Geography, Monsoon, The Coming Anarchy, and Balkan Ghosts. 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. Laurel office. Cape Town, South Africa . The variables associated with lower HRQOL included white ethnicity, more comorbid conditions, slower 400-m walk times, and lower SPPB balance and chair stand scores.Older adults who are at risk for disability had reduced HRQOL. Robert Kaplan brings together extensive data to make the case that health care priorities in the United States are sorely misplaced. He is affiliated with medical facilities Desert Springs Hospital Medical Center and Sunrise Hospital And Medical Center. View details for DOI 10.1093/gerona/glv003. Contributions of Health Care to Longevity: A Review of 4 Estimation Methods. Furthermore, we consider hybrid measures such as the SF-6D and the PROMIS-Preference (PROPr). In older adults reduced mobility is common and is an independent risk factor for morbidity, hospitalization, disability, and mortality. A., Brubaker, P. H., Mihalko, S. L., Jennings, J. M., Hadley, E. C., Romashkan, S., Patel, K., 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. G., Cocreham, S. H., King, A. C., Castro, C. M., Haskell, W. L., Stafford, R. S., Pruitt, L. A., Yank, V., Berra, K., Bell, C., Thiessen, R. M., Youngman, K. P., Virgen, S. B., Maldonado, E., Tarin, K. N., Klaftenegger, H., Prosak, C. A., Campero, I., Garcia, D. M., Soto, J., Chio, L., Hoskins, D., Fielding, R. A., Nelson, M. E., Folta, S. C., Phillips, E. M., Liu, C. K., McDavitt, E. C., Reid, K. F., Kim, D. R., Pasha, E. P., Kim, W. S., Krol, J. M., Beard, V. E., Tsiroyannis, E. X., Hau, C., Marsiske, M., Sandesara, B. D., Black, M. L., Burk, W. L., Hoover, B. M., Knaggs, J. D., Marena, W. C., Korytov, I., Curtis, S. D., Lorow, M. S., Goswami, C. S., Lewis, M. A., Kamen, M., Bitz, J. N., Stanton, B. K., Hicks, T. T., Gay, C. W., Xie, C., Morris, H. L., Singletary, F. F., Causer, J., Yonce, S., Radcliff, K. A., Smith, M., Scott, J. S., Rodriguez, M. M., Fitch, M. S., Dunn, M. C., Schllesinger, J. Q., Newman, A. The genotype*treatment interaction was statistically significant for both gait speed (P = 0.002) and SPPB (P = 0.020). Journalist and geopolitical analyst Robert Kaplan on the South China Sea, China and Asia's future. B., Tudor-Locke, C., Gill, T. M. Light Intensity Physical Activity and Sedentary Behavior in Relation to Body Mass Index and Grip Strength in Older Adults: Cross-Sectional Findings from the Lifestyle Interventions and Independence for Elders (LIFE) Study. Primary Residence: New York, NY. 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. 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. 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. View details for Web of Science ID 000255893500005, View details for Web of Science ID 000261185300136. Abramson, J., Kaplan, R. M., Redberg, R. F. Association Between HEDIS Performance and Primary Care Physician Age, Group Affiliation, Training, and Participation in ACA Exchanges. He is also director of the UCLA/RAND health services training program and PI of the UCLA/RAND CDC Prevention Research Center. Noncommunicable diseases are now the primary cause of death worldwide and most are strongly linked to behavior. 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. The DHB emphasizes that TRICARE's size and focus on providing quality care at lower cost will incentivize providers to participate in the shift toward value-based care despite the potential challenges in transitioning to this system. This polymorphism is known to influence a variety of physiological adaptions to exercise. 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. Robert A Kaplan, age 70. Methods. 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. 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. 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. View details for DOI 10.1001/jama.2014.5616, View details for Web of Science ID 000337301500019. View details for DOI 10.1007/s12603-015-0474-3, View details for Web of Science ID 000364577300008, View details for PubMedCentralID PMC4682669. He 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. One In Five Fewer Heart Attacks: Impact, Savings, And Sustainability In San Diego County Collaborative. The time spent engaging in activities 100 to 499 as well as 500 counts/min was associated with decreased risk among both those with and without CVD (P<0.05). View details for DOI 10.1377/hlthaff.2018.0443, View details for Web of Science ID 000463962900016. 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. Last updated 4 months ago. America's medical system is . March Wunderkammer Auction 9th - 19th March. OBJECTIVES: To determine the economic benefit of "modern" nonemergency medical transportation (NEMT) that utilizes digital transportation networks compared with traditional NEMT in the United States.METHODS: We used the National Academies' NEMT cost-effectiveness model to perform a baseline cost savings analysis for provision of NEMT for transportation-disadvantaged Medicaid beneficiaries. Background. Robert M Kaplan South African Journal of Psychiatry | Vol 9, No 2 | a137 | DOI: https://doi.org/10.4102/sajpsychiatry.v9i2.137 | 2003 Robert M Kaplan | This work is licensed under CC Attribution 4.0 Submitted: 11 August 2008 | Published: 01 September 2003 About the author (s) Robert M Kaplan, HMPG, South Africa Probability of vaccine efficacy (50%, 70%, or 90%) had the largest effect among the three factors. 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. In 2011 a multistakeholder population health collaborative consisting of partners at the federal, state, and local levels launched Be There San Diego. Multivariate linear regression modeling was used to examine covariates of health-related quality of life over time in 2017.RESULTS: The sample had an overall mean Quality of Well-Being score of 0.613. Robert M. Kaplan is a Clinical Associate Professor, Graduate School Of Medicine at University of Wollongong. 416 (57.4%) of the studies posted some results. 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. Please see http://www.annualreviews.org/page/journal/pubdates for revised estimates. View details for DOI 10.1073/pnas.2021726118. 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'. Impact of Baseline Fatigue on a Physical Activity Intervention to Prevent Mobility Disability. The collaborative's goal was to reduce cardiovascular events through the spread of best practices aimed at improving control of hypertension, lipid levels, and blood sugar and through patient and medical community activation. The probability of minor side effects (50%, 75%, 90%) including fever and sore arm, did not significantly influence likelihood of receiving the vaccine. 2018 o 8:00 UTC na Court 2, Stellenbosch, South Africa. View details for Web of Science ID 000431185201257. View details for Web of Science ID 000334289900004 View details for DOI 10.1001/jamainternmed.2022.1449, View details for Web of Science ID 000788118600200. Additionally, NDYN-O demonstrated higher diastolic blood pressure compared with DYN-O (70.910.1 vs 67.79.7, P.001). In total, 194 men who were biopsy negative for prostate cancer were randomly assigned to complete 2 preference assessment modules, either conjoint analysis and a rating scale module or conjoint analysis and a time tradeoff module. However, longitudinal and experimental studies are needed to strengthen causal inferences. For the next TRICARE contracts which will begin in 2023, the DoD asked its health-focused federal advisory committee, the Defense Health Board (DHB), to recommend how best to assess and prioritize leading value-based healthcare initiatives identified from private, public, and employer-based health plans. Whites, blacks, and Hispanics with all factors (i.e., weight, physical activity, dietary quality, and smoking) in the low-risk category had 60, 69, and 63% lower risk for incident diabetes. Over the last 50 years, health-related quality of life (HRQoL) research has grown exponentially from 0 to more than 17,000 papers published annually. No significant effect on event-free survival was associated with individual therapy alone. Previous studies have shown that physical exercise and mindfulness meditation can both lead to improvement in physical and mental health. Each review team conducted a search of ClinicalTrials.gov up to the date of the review's last literature search, screened the records using the review's eligibility criteria, extracted information, and assessed risk of bias and applicability. Groessl, E. J., Kaplan, R. M., Rejeski, W. J., Katula, J. 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. Surprisingly, however, mobility was a stronger correlate of HRQOL than an index of comorbidity, suggesting that interventions addressing mobility limitations may provide significant health benefits to this population. Robert Kaplan; Found 609 results for. National Institutes of Health Director Francis S. Collins, M.D., Ph.D., announced today the appointment of Robert M. Kaplan, Ph.D., as Director, Office of Behavioral and Social Sciences Research (OBSSR) and NIH Associate Director for Behavioral and Social Sciences Research. Genealogy profile for Robert Roman Kaplan. View details for DOI 10.1371/journal.pone.0116058. 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., Lifestyles Intervention and Independence for Elders Study Investigators. A serious adverse reaction rate of 1/100,000 was more likely to discourage vaccine use in comparison to rates of 1/million or 1/100 million. Schaettle, P. R., Kaplan, R. S., Lee, V. S., Parkinson, M. D., Gorman, G. H., Browne, M. Transparency of results reporting for depression treatment studies in ClinicalTrials.gov: a cross-sectional study. 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. Systems Delivery Innovation for Alzheimer Disease. Robert M Kaplan Catherine M Crespi Ely Dahan Josemanuel D Saucedo Casey Pagan Christopher S Saigal. 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. The interpretation of screening results is also affected by several known biases. Despite enthusiasm for cancer screening, systematic reviews consistently fail to show that screening reduces all-cause mortality. Gender, age, and scores on a short physical performance battery did not moderate these effects. Robert M. Kaplan is a faculty member at Stanford Medical School Clinical Excellence Research Center, a former associate director of the National Institutes of Health and a former chief. Published online ahead of print January 24, 2019: e1-e3. We used an exploratory alpha level of p, View details for DOI 10.1016/j.exger.2018.12.003, View details for Web of Science ID 000455223100016, View details for PubMedCentralID PMC6331252. View details for DOI 10.1136/bmjebm-2020-111641. Wanigatunga, A. On the basis of a review of the literature, commercial information, and structured expert interviews, we performed a sensitivity analysis to determine the incremental economic benefit of using modern NEMT. Na naej strnke tenisovho podujatia . We compared the reliability, feasibility, and internal and predictive validity of conjoint scaling methods against better established rating scale and time tradeoff methods for assessing prostate cancer utilities in men at risk for prostate cancer. Patient-reported outcomes are recognized as essential for the evaluation of medical and public health interventions. Covariates included clinic site, body mass index, age, sex, baseline score, comorbidity, and use of angiotensin receptor blockers or ACE inhibitors. 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. 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. In the USA, ClinicalTrials.gov increases transparency through mandatory prospective trial registration and outcome reporting. Sleep-wake disturbances were evaluated using the Insomnia Severity Index (ISI) (range 0-28; 8 defined insomnia), Epworth Sleepiness Scale (ESS) (range 0-24; 10 defined daytime drowsiness), Pittsburgh Sleep Quality Index (PSQI) (range 0-21; >5 defined poor sleep quality), and Berlin Questionnaire (high risk of sleep apnea).Prevalence rates were 43.5% for slow gait speed and 44.7% for moderate to severe mobility impairment, with 77.0% of accelerometry wear time spent as sedentary time. Porzsolt, F., Wiedemann, F., Phlippen, M., Weiss, C., Weiss, M., Schmaling, K., Kaplan, R. M. Efficacy and effectiveness studies of depression are not well-differentiated in the literature: a systematic review. PA interventions costs were slightly higher than other recent PA interventions. A Budget Impact Analysis of the Collaborative Care Model for Treating Opioid Use Disorder in Primary Care. This narrative review explores conceptual issues, and inconsistencies between evidence and opinion about screening.We examined the interpretation of screening studies in relation to three intellectual traditions: (1) The relationship between prevention and cure; (2) Confirmation bias and the challenge of incorporating new data: less care may produce better outcomes than more care; (3) The answers to three structured questions about efficacy, effectiveness, and value of treatments proposed by Sir Archie Cochrane and Sir Austin Bradford Hill.When considering extensions of life expectancy or all-cause mortality, systematic reviews typically show cancer screening to have only small effects and often non-significant effects on all-cause mortality. He graduated from Chicago College of Osteopathic Medicine in 1973. Lee, C., Scheuter, C., Rochlin, D., Platchek, T., Kaplan, R. M. Effects of Mental Health on the Costs of Care for Chronic Illnesses. 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

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