8,518 research outputs found

    Patterns of Treatment for Psychiatric Disorders Among Children and Adolesecents in Mississippi Medicaid

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    The nature of services for psychiatric disorders in public health systems has been understudied, particularly with regard to frequency, duration, and costs. The current study examines patterns of service reception and costs among Medicaid-covered youth newly diagnosed with anxiety, depression, or behavioral disturbance in a large data set of provider billing claims submitted between 2015–2016. Eligibility criteria included: 1) identification of an initial diagnosis of a single anxiety, unipolar mood, or specific behavioral disorder; 2) continuous Medicaid eligibility over the duration of the time period studied; and 3) under 18 years of age on the date of initial psychiatric diagnosis. The final cohort included 7,627 cases with a mean age of 10.65 (±4.36), of which 58.04% were male, 57.09% were Black, 38.97% were White, and 3.95% were of other ethnicities. Data indicated that 65.94% of the cohort received at least some follow-up services within a median 18 days of diagnosis. Of those, 54.27% received a combination of medical and psychosocial services, 32.01% received medical services only, and 13.72% received psychosocial services only. Overall median costs for direct treatment were 576.69,withwidediscrepanciesbetweenthelowest(anxiety=576.69, with wide discrepancies between the lowest (anxiety = 308.41) and highest (behavioral disturbance = $653.59) diagnostic categories. Across all categories the frequency and duration of psychosocial services were much lower than would be expected in comparison to data from a well-known effectiveness trial. Overall, follow-up to psychiatric diagnosis could be characterized as highly variable, underutilized, and emphasizing biomedical treatment. Understanding more about these patterns may facilitate systematic improvements and greater cost efficiency in the future

    Empirical Evaluation of Information Security Planning and Integration

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    Organizations can choose how to integrate information security through planning and structuring of the information security function. This study aims to examine how the planning and structuring choices of the organization impacts the effective utilization of information security strategies. This study examines information security planning integration through a stages of growth perspective and finds that more mature information security planning integration is positively correlated with more effective utilization of information security deterrence, detection, and recovery strategies. This study also finds that a decentralized structure of information security management activities has a positive effect on the maturity of information security planning integration. This study suggest the maturity of information security planning integration that has a direct effect on the utilization of information security strategies and mediates the relationship between structure of information security management activities and utilization of information security strategies

    Exploring the origins of the Dzyalloshinski-Moria interaction in MnSi

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    By using magnetization and small-angle neutron scattering (SANS) measurements, we have investigated the magnetic behavior of Mn_{1-x}Ir_{x}Si system to explore the effect of increased carrier density and spin-orbit interaction on the magnetic properties of MnSi. We determine estimates of the spin wave stiffness and the Dzyalloshinski-Moria, DM, interaction strength and compare with Mn_{1-x}Co_{x}Si and Mn_{1-x}Fe_{x}Si. Despite the large differences in atomic mass and size of the substituted elements, Mn_{1-x}Co_{x}Si and Mn_{1-x}Ir_{x}Si show nearly identical variations in their magnetic properties with substitution. We find a systematic dependence of the transition temperature, the ordered moment, the helix period and the DM interaction strength with electron count for Mn{1-x}Ir{x}Si, Mn_{1-x}Co_{x}Si, and Mn_{1-x}Fe_{x}Si indicating that the magnetic behavior is primarily dependent upon the additional carrier density rather than on the mass or size of the substituting species. This indicates that the variation in magnetic properties, including the DM interaction strength, are primarily controlled by the electronic structure as Co and Ir are isovalent. Our work suggests that although the rigid band model of electronic structure along with Moira's model of weak itinerant magnetism describe this system surprisingly well, phenomenological models for the DM interaction strength are not adequate to describe this system.Comment: 17 pages, 7 Figure

    Tributes to Editorial Assistant Patricia A. Trice

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    Fermi surface, possible unconventional fermions, and unusually robust resistive critical fields in the chiral-structured superconductor AuBe

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    The noncentrosymmetric superconductor (NCS) AuBe is investigated using a variety of thermodynamic and resistive probes in magnetic fields of up to 65~T and temperatures down to 0.3~K. Despite the polycrystalline nature of the samples, the observation of a complex series of de Haas-van Alphen (dHvA) oscillations has allowed the calculated bandstructure for AuBe to be validated. This permits a variety of BCS parameters describing the superconductivity to be estimated, despite the complexity of the measured Fermi surface. In addition, AuBe displays a nonstandard field dependence of the phase of dHvA oscillations associated with a band thought to host unconventional fermions in this chiral lattice. This result demonstrates the power of the dHvA effect to establish the properties of a single band despite the presence of other electronic bands with a larger density of states, even in polycrystalline samples. In common with several other NCSs, we find that the resistive upper critical field exceeds that measured by heat capacity and magnetization by a considerable factor. We suggest that our data exclude mechanisms for such an effect associated with disorder, implying that topologically protected superconducting surface states may be involved

    Dissecting the genetic components of a quantitative trait locus for blood pressure and renal pathology on rat chromosome 3

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    Background: We have previously confirmed the importance of rat chromosome 3 (RNO3) genetic loci on blood pressure elevation, pulse pressure (PP) variability and renal pathology during salt challenge in the stroke-prone spontaneously hypertensive (SHRSP) rat. The aims of this study were to generate a panel of RNO3 congenic sub-strains to genetically dissect the implicated loci and identify positional candidate genes by microarray expression profiling and analysis of next-generation sequencing data. Method and results: A panel of congenic sub-strains were generated containing Wistar-Kyoto (WKY)-introgressed segments of varying size on the SHRSP genetic background, focused within the first 50 Mbp of RNO3. Haemodynamic profiling during salt challenge demonstrated significantly reduced systolic blood pressure, diastolic blood pressure and PP variability in SP.WKYGla3a, SP.WKYGla3c, SP.WKYGla3d and SP.WKYGla3e sub-strains. Only SBP and DBP were significantly reduced during salt challenge in SP.WKYGla3b and SP.WKYGla3f sub-strains, whereas SP.WKYGla3g rats did not differ in haemodynamic response to SHRSP. Those sub-strains demonstrating significantly reduced PP variability during salt challenge also demonstrated significantly reduced renal pathology and proteinuria. Microarray expression profiling prioritized two candidate genes for blood pressure regulation (Dnm1, Tor1b), localized within the common congenic interval shared by SP.WKYGla3d and SP.WKYGla3f strains, and one candidate gene for salt-induced PP variability and renal pathology (Rabgap1), located within the region unique to the SP.WKYGla3d strain. Comparison of next-generation sequencing data identified variants within additional positional genes that are likely to affect protein function. Conclusion: This study has identified distinct intervals on RNO3-containing genes that may be important for blood pressure regulation and renal pathology during salt challenge
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