402 research outputs found

    Interactive Device that Performs Output Based On Human Movement and/or Human Emotion Detected via Machine Learning

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    Generally, the present disclosure is directed to a device capable of providing an output that is specific to and/or based on nearby human movement and/or human emotion detected by one or more machine-learned models

    The Impact of Free Health Screenings at Community Pharmacies on Diabetes

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    Diabetes is a prevalent issue in the United States, with an estimated 8.1 million people un-diagnosed as of 2012. Health screenings have been proven to identify diseases earlier, thereby resulting in earlier and more satisfactory treatment. Community pharmacies can offer many of the same screenings as those in doctor offices. The objective of this study was to assess the impact of free health screenings in community pharmacies on patient follow-up, perceptions, and knowledge of diabetes through blood glucose screenings and patient education. The study design was a pre-post observational study using surveys, blood sugar screenings, and patient education on diabetes. Participants were voluntary patients from four REM Corporation pharmacies in Ohio who were 18 or older, not recently tested for diabetes, non-diabetic, not pregnant, and without disorders that could hinder survey responses and education. Pre- and post-surveys assessed both patient perceptions on free health screenings in community pharmacies and on diabetes knowledge. Results among the 26 participants showed there was no statistically significant difference between patient perception pre- and post-surveys (all p-values ≥ 0.05), however there was a statistically significant difference between pre and post diabetes knowledge surveys (p \u3c 0.001). Limitations of this study were the small sample size due to the relatively small pharmacies utilized and short length of study time. Future directions should focus on using more demographically diverse pharmacies and a longer study time. Due to patients already having highly positive perceptions of health screenings in community pharmacies, future research should assess patient knowledge of diseases and the impact of patient education on overall health outcomes. Results of the study showed patients had positive opinions on free health screenings in community pharmacies and these screenings can help patients understand disease states and be more aware of their health

    The Impact of Free Health Screenings at Community Pharmacies on Diabetes

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    Background: Health screenings can be beneficial when looking to detect diseases early on, thus making treatment easier. Free health screenings are typically performed in the community pharmacy setting. This makes it convenient because it is easily accessible and there is no appointment required. Diabetes is currently one of the most significant health issues faced today, with an estimated 7 million Americans going undiagnosed. Health screenings in community pharmacies are valuable to detect high blood glucose levels for patients to be referred for diagnosis and treatment. Previous studies related to health screenings have focused on hypertension and cholesterol, and few have been conducted on diabetes alone. Extensive research has not been performed regarding patient knowledge of diabetes or on the impact of health screenings. Due to this lack of research and the prevalence of diabetes, it is essential to explore the impact of free health screenings in regards to this growing health care issue. Objective: To assess the impact of free health screenings in community pharmacies on patient follow-up, perceptions, and knowledge of diabetes through blood glucose screenings and patient education. Methods: Data will be collected from local Kroger pharmacies. Patients will be purposefully selected based on inclusion and exclusion criteria. Selected patients will be given a pre-survey at baseline prior to blood glucose testing and diabetes education. Individuals with abnormally high blood glucose levels will be referred to see a physician. Referred participants will be called a month after referral regarding the follow-up with their physician and potential diabetes diagnosis. All of the subjects will be called after a month to remind them to complete the post-survey. The post-survey will be sent to individuals by mail or email a month after the pre-survey. These surveys will contain the exact same questions as the pre-survey

    The Impact of Free Health Screenings at Community Pharmacies on Diabetes

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    Title: The Impact of Free Health Screenings at Community Pharmacies on Diabetes Authors: Jacques Allou, Jessica Amtower, Nicholas Daniels, Jeniffer George, Anna Smith, Jeb Ballentine, Pharm.D., and Emily Laswell, Pharm.D. Background: Health screenings can be beneficial when looking to detect diseases early on, thus making treatment easier. Free health screenings are typically performed in the community pharmacy setting. This makes it convenient because it is easily accessible and there is no appointment required. Diabetes is currently one of the most significant health issues faced today, with an estimated 7 million Americans going undiagnosed. Health screenings in community pharmacies are valuable to detect high blood glucose levels for patients to be referred for diagnosis and treatment. Previous studies related to health screenings have focused on hypertension and cholesterol, and few have been conducted on diabetes alone. Extensive research has not been performed regarding patient knowledge of diabetes or on the impact of health screenings. Due to this lack of research and the prevalence of diabetes, it is essential to explore the impact of free health screenings in regards to this growing health care issue. Objective: To assess the impact of free health screenings in community pharmacies on patient follow-up, perceptions, and knowledge of diabetes through blood glucose screenings and patient education. Methods: Data will be collected from local Kroger pharmacies. Patients will be purposefully selected based on inclusion and exclusion criteria. Selected patients will be given a pre-survey at baseline prior to blood glucose testing and diabetes education. Individuals with abnormally high blood glucose levels will be referred to see a physician. Referred participants will be called a month after referral regarding the follow-up with their physician and potential diabetes diagnosis. All of the subjects will be called after a month to remind them to complete the post-survey. The post-survey will be sent to individuals by mail or email a month after the pre-survey. These surveys will contain the exact same questions as the pre-survey

    Seasonal variation of cardiac structure and function in the elite rugby football league athlete.

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    BACKGROUND: Pre-participation cardiac screening (PCS) of "Super-League" rugby football league (RFL) athletes is mandatory but may be completed at any time point. The aim of this study was to assess cardiac electrical, structural and functional variation across the competitive season. METHODS: Elite, male, RFL athletes from a single Super-League club underwent cardiac evaluation using electrocardiography (ECG), 2D echocardiography and speckle tracking echocardiography (STE) at four time points across the RFL season; (1) End pre-season (ENDPRE), (2) mid-season (MIDCOMP), (3) end-season (ENDCOMP) and (4) End off-season (ENDOFF). Training loads for each time point were also determined. One-way ANOVA with post-hoc Bonferroni were used for statistical analyses. RESULTS: Total workload undertaken by athletes was lower at both MIDCOMP and ENDCOMP compared to ENDPRE (P < 0.001). ECG patterns were normal with training-related changes that were largely consistent across assessments. Structural data did not vary across assessment points. Standard functional data was not different across assessment points but apical rotation and twist were higher at ENDPRE (9.83˚ and 16.55˚, respectively compared to all other time points (MIDCOMP, 6.13˚ and 12.62˚; ENDCOMP, 5.84˚ and 12.12˚; ENDOFF 6.60˚ and 12.35˚). CONCLUSIONS: Despite some seasonal variation in training load, the athletes' ECG and cardiac structure were stable across a competitive season. Seasonal variation in left ventricular (LV) apical rotation and twist, associated with higher training loads, should be noted in the context of PCS

    Addressing Inequity to Achieve the Maternal and Child Health Millennium Development Goals: Looking Beyond Averages.

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    Inequity in access to and use of child and maternal health interventions is impeding progress towards the maternal and child health Millennium Development Goals. This study explores the potential health gains and equity impact if a set of priority interventions for mothers and under fives were scaled up to reach national universal coverage targets for MDGs in Tanzania. We used the Lives Saved Tool (LiST) to estimate potential reductions in maternal and child mortality and the number of lives saved across wealth quintiles and between rural and urban settings. High impact maternal and child health interventions were modelled for a five-year scale up, by linking intervention coverage, effectiveness and cause of mortality using data from Tanzania. Concentration curves were drawn and the concentration index estimated to measure the equity impact of the scale up. In the poorest population quintiles in Tanzania, the lives of more than twice as many mothers and under-fives were likely to be saved, compared to the richest quintile. Scaling up coverage to equal levels across quintiles would reduce inequality in maternal and child mortality from a pro rich concentration index of -0.11 (maternal) and -0.12 (children) to a more equitable concentration index of -0,03 and -0.03 respectively. In rural areas, there would likely be an eight times greater reduction in maternal deaths than in urban areas and a five times greater reduction in child deaths than in urban areas. Scaling up priority maternal and child health interventions to equal levels would potentially save far more lives in the poorest populations, and would accelerate equitable progress towards maternal and child health MDGs

    Seasonal variation of cardiac structure and function in the elite rugby football league athlete

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    Background: Pre-participation cardiac screening (PCS) of “Super-League” rugby football league (RFL) athletes is mandatory but may be completed at any time point. The aim of this study was to assess cardiac electrical, structural and functional variation across the competitive season. Methods: Elite, male, RFL athletes from a single Super-League club underwent cardiac evaluation using electrocardiography (ECG), 2D echocardiography and speckle tracking echocardiography (STE) at four time points across the RFL season; (1) End pre-season (ENDPRE), (2) mid-season (MIDCOMP), (3) end-season (ENDCOMP) and (4) End off-season (ENDOFF). Training loads for each time point were also determined. One-way ANOVA with post-hoc Bonferroni were used for statistical analyses. Results: Total workload undertaken by athletes was lower at both MIDCOMP and ENDCOMP compared to ENDPRE (P < 0.001). ECG patterns were normal with training-related changes that were largely consistent across assessments. Structural data did not vary across assessment points. Standard functional data was not different across assessment points but apical rotation and twist were higher at ENDPRE (9.83˚ and 16.55˚, respectively compared to all other time points (MIDCOMP, 6.13˚ and 12.62˚; ENDCOMP, 5.84˚ and 12.12˚; ENDOFF 6.60˚ and 12.35˚). Conclusions: Despite some seasonal variation in training load, the athletes’ ECG and cardiac structure were stable across a competitive season. Seasonal variation in left ventricular (LV) apical rotation and twist, associated with higher training loads, should be noted in the context of PCS

    What guidance are researchers given on how to present network meta-analyses to end-users such as policymakers and clinicians? A systematic review

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    © 2014 Sullivan et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.Introduction: Network meta-analyses (NMAs) are complex methodological approaches that may be challenging for non-technical end-users, such as policymakers and clinicians, to understand. Consideration should be given to identifying optimal approaches to presenting NMAs that help clarify analyses. It is unclear what guidance researchers currently have on how to present and tailor NMAs to different end-users. Methods: A systematic review of NMA guidelines was conducted to identify guidance on how to present NMAs. Electronic databases and supplementary sources were searched for NMA guidelines. Presentation format details related to sample formats, target audiences, data sources, analysis methods and results were extracted and frequencies tabulated. Guideline quality was assessed following criteria developed for clinical practice guidelines. Results: Seven guidelines were included. Current guidelines focus on how to conduct NMAs but provide limited guidance to researchers on how to best present analyses to different end-users. None of the guidelines provided reporting templates. Few guidelines provided advice on tailoring presentations to different end-users, such as policymakers. Available guidance on presentation formats focused on evidence networks, characteristics of individual trials, comparisons between direct and indirect estimates and assumptions of heterogeneity and/or inconsistency. Some guidelines also provided examples of figures and tables that could be used to present information. Conclusions: Limited guidance exists for researchers on how best to present NMAs in an accessible format, especially for non-technical end-users such as policymakers and clinicians. NMA guidelines may require further integration with end-users' needs, when NMAs are used to support healthcare policy and practice decisions. Developing presentation formats that enhance understanding and accessibility of NMAs could also enhance the transparency and legitimacy of decisions informed by NMAs.The Canadian Institute of Health Research (CIHR) Drug Safety and Effectiveness Network (Funding reference number – 116573)

    The Correlation of Free Health Screenings at Community Pharmacies on Diabetes

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    Objective: To assess the correlation of free health screenings in community pharmacies on patient perceptions of free health screenings and diabetes knowledge. Methods: The study design was a pre-post observational study using surveys, blood sugar screenings, and patient education on diabetes. Participants were voluntary patients from four REM Corporation pharmacies in Ohio who were 18 or older, not recently tested for diabetes, non-diabetic, not pregnant, and without disorders that could hinder survey responses and education. Pre- and post-surveys assessed both patient perceptions on free health screenings in community pharmacies and on diabetes knowledge. Results: Among the 26 participants there was no statistically significant difference between patient perception pre- and post-surveys (all p-values ≥0.05), however there was a statistically significant difference between pre and post diabetes knowledge surveys (p&lt;0.001). Conclusion: Patients have positive opinions on free health screenings in community pharmacies and these screenings can help patients understand disease states and be more aware of their health. &nbsp; Type:&nbsp;Original Researc
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