A., Guralnik, J., Hendrie, H. C., Jennings, J., Katula, J., Lopez, O. L., McDermott, M. M., Pahor, M., Reid, K. F., Rushing, J., Verghese, J., Rapp, S., Williamson, J. D. Associations Between Ankle-Brachial Index and Cognitive Function: Results From the Lifestyle Interventions and Independence for Elders Trial. Four examples present are as follows: disregarding this FFF rule causes an inconsistent terminology to differentiate between efficacy and effectiveness, inconsistent differentiation of efficacy and effectiveness interferes with the consistent interpretation of the results of clinical studies, inconsistent interpretation of clinical studies results in an unexpectedly variance of recommendations in clinical guidelines and the fusion of the FFF designer rule and of the demands of Cochrane and Bradford Hill ('can it work? His funeral. Kaplan is a past President of five academic societies. However, in analyses that were not prespecified, sex specific differences were observed for rates of all serious fall injuries (rate ratio 0.54, 95% confidence interval 0.31 to 0.95 in men; 1.07, 0.75 to 1.53 in women; P=0.043 for interaction), fall related fractures (0.47, 0.25 to 0.86 in men; 1.12, 0.77 to 1.64 in women; P=0.017 for interaction), and fall related hospital admissions (0.41, 0.19 to 0.89 in men; 1.10, 0.65 to 1.88 in women; P=0.039 for interaction).In this trial, which was underpowered to detect small, but possibly important reductions in serious fall injuries, a structured physical activity program compared with a health education program did not reduce the risk of serious fall injuries among sedentary older people with functional limitations. The interpretation of screening results is also affected by several known biases. The subjective perception of objective risks is calculated from the same 22 tables by exchanging the X- and Y-axes. Effect of Hospitalizations on Physical Activity Patterns in Mobility-Limited Older Adults, Wanigatunga, A. Effect of Hospitalizations on Physical Activity Patterns in Mobility-Limited Older Adults. 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 DOI 10.1136/bmjebm-2020-111641. Estimates of the effect of behavioral factors ranged from 16% to 65%.CONCLUSIONS: The results converge to suggest that restricted access to medical care accounts for about 10% of premature death or other undesirable health outcomes. No significant effect on event-free survival was associated with individual therapy alone. Behavioral interventions often use measures that are not generally applied in other areas of health outcomes research. Data for this study were analyzed from March 29, 2021, to February 28, 2022.Interventions: Structured, 2-year, partially supervised, moderate-intensity physical activity and exercise (strength, flexibility) intervention compared with a health education control intervention with 2-year follow-up. View details for DOI 10.1080/21642850.2021.1979407, View details for PubMedCentralID PMC8462930. Cost analyses were conducted from the "payer's" perspective, with a 1-year time horizon. Systematic standardized methodologies for valuing outcomes are available and are being applied by economists and health services researchers, but are not widely used in our field. Baseline characteristics including younger age, fewer comorbid conditions, non-white ethnicity, and faster 400-meter walk times were also associated with higher health-related quality of life over time.CONCLUSIONS: Declining mobility measured by physical performance is associated with lower quality of life in sedentary older adults. He is currently Editor-in-Chief of Health Psychology and is the former Editor-in-Chief of the Annals of Behavioral Medicine. We considered subject inclusion and exclusion criteria; numbers of subjects enrolled and the proportion in the primary analyses; inclusion of a Consolidated Standards of Reporting Trials (CONSORT) flow diagram; use of random assignment; use of placebo control conditions; lengths of treatment and follow-up; primary outcome variable; trial registration; journal impact factor.STUDY SELECTION: Studies indexed as efficacy AND 'real-world' AND depression or effectiveness AND 'real-world' AND depression in PubMed up to 18 May 2019.FINDINGS: 27 studies met the inclusion criteria: 13 effectiveness studies, 6 efficacy studies and 8 studies indexed as both effectiveness and efficacy. 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. Outcome assessors were blinded to the intervention assignment. Intervention attendance was associated with higher health-related quality of life for both groups. Economic Benefit of "Modern" Nonemergency Medical Transportation That Utilizes Digital Transportation Networks. Dismiss. and 'is it worth it?') Complete, transparent reporting of clinical trial data facilitates valid estimates of treatment efficacy. 416 (57.4%) of the studies posted some results. We randomized a volunteer sample of 1635 sedentary men and women aged 70 to 89 years who had physical limitations, defined as a score on the Short Physical Performance Battery of 9 or below, but were able to walk 400 m.Participants were randomized to a structured, moderate-intensity physical activity program (n=818) conducted in a center (twice/wk) and at home (3-4 times/wk) that included aerobic, resistance, and flexibility training activities or to a health education program (n=817) consisting of workshops on topics relevant to older adults and upper extremity stretching exercises.The primary outcome was major mobility disability objectively defined by loss of ability to walk 400 m.Incident major mobility disability occurred in 30.1% (246 participants) of the physical activity group and 35.5% (290 participants) of the health education group (hazard ratio [HR], 0.82 [95% CI, 0.69-0.98], P=.03).Persistent mobility disability was experienced by 120 participants (14.7%) in the physical activity group and 162 participants (19.8%) in the health education group (HR, 0.72 [95% CI, 0.57-0.91]; P=.006). Time spent watching television was positively associated with BMI, while reading and computer use were not. 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. Robert M. Kaplan. Adding a variety of variables on health care and attitudes to the models provided no additional explanatory power. 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. He is an elected member of the National Academy of Medicine. View details for DOI 10.1001/jamainternmed.2022.1449, View details for Web of Science ID 000788118600200. Intervention costs were estimated by tracking personnel activities and materials used for each intervention and multiplying by national unit cost averages. A poll completed in August 2020 showed that about 20% of the population reported they were very unlikely to take a vaccine even if the evidence suggested it was safe and effective. 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 - 1983. 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. About the. Incident MCI or dementia occurred in 98 participants (13.2%) in the physical activity group and 91 participants (12.1%) in the health education group (odds ratio, 1.08 [95% CI, 0.80 to 1.46]).Among sedentary older adults, a 24-month moderate-intensity physical activity program compared with a health education program did not result in improvements in global or domain-specific cognitive function.clinicaltrials.gov Identifier: NCT01072500. View details for DOI 10.1152/physiolgenomics.00169.2013, View details for Web of Science ID 000332245700001, View details for PubMedCentralID PMC3949106. This pilot work examined associations of brain grey matter volumes (GMV) with perceived fatigability in older adults to elucidate disablement mechanisms. The University of Wollongong expert, who is well known for his work studying the Spanish Flu and Encephalitis lethargica epidemics, fears another epidemic is just around the corner. Although the Enhancing Recovery in Coronary Heart Disease (ENRICHD) treatment was designed to include individual therapy and cognitive behavioral group training for patients with depression and/or low perceived social support, only 31% of treated participants received group training. Costs for this PA program for older adults are comparable to those of other PA interventions. View details for Web of Science ID 000334289900004 Gender, age, and scores on a short physical performance battery did not moderate these effects. Wednesday, May 31, 2017. 160 likes. Our findings show that the majority of diabetes cases are preventable, and risk reduction strategies can be effectively applied to all racial/ethnic groups. B., Kritchevsky, S. B., Myers, V., Manini, T. M., Pahor, M., LIFE Study Grp. Although lower baseline ABI was not associated with overall changes in cognitive function test scores, it was associated with higher odds for 2-year progression to a composite of either mild cognitive impairment or probable dementia (odds ratio 2.60 per unit lower ABI; 95% confidence interval 1.06-6.37). Currently, Robert Kaplan works as a Partner at Jeffer Mangels Butler & Mitchell. Quality of life outcome results are reported from a large trial of physical activity for sedentary older adults at risk for mobility disability.METHODS: Data were from the Lifestyle Interventions and Independence for Elders study. We examined the costs of a physical activity (PA) and an educational comparison intervention. We had a great time on holiday in Kwazulu-Natal as well. We estimate the impact on U.S. health care spending if individuals with uncomplicated, acute alcohol intoxication were treated in sobering centers instead of the emergency department. Our findings suggest that sex may not predict AS incidence in the US population. March Wunderkammer Auction 9th - 19th March. 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. Report. 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 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. The PA program consisted of center-based exercise sessions 3x weekly for 8 weeks, 2x weekly for weeks 9 to 24 and weekly behavioral counseling for 10 weeks. Conjoint analysis may be a more robust approach to preference measurement for men at risk for prostate cancer. B., Lifestyle Interventions and Independence for Elders Study Group, Pahor, M., Guralnik, J. M., Anton, S. D., Buford, T. W., Leeuwenburgh, C., Nayfield, S. G., Manini, T. M., 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., Hsu, F., Joyce, K., Lovato, L., Pierce, J., Roberson, W., Robertson, J., Rushing, J., Rushing, S., Stowe, C. L., Walkup, M. P., Hire, D., Rejeski, W. J., Katula, J. Participants in the physical activity intervention had more favorable changes in both outcomes as a result of treatment than those in the successful aging intervention. But that's where the good news ends. The role of economic analyses in promoting adoption of behavioral and psychosocial interventions in clinical settings. 104 people named Robert Kaplan found in Boston-Worcester-Lawrence, Springfield and 4 other cities. America's medical system is . At a time when women were rare in. Our paper demonstrates thatthis FFF rule applies equally well to the designers of clinical studies. 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. Wilson, D. K., Kaufmann, P., Kaplan, R. M., Davidson, K. NIH behavioral and social sciences research support: 1980-2016. Fremont, A., Kim, A. Y., Bailey, K., Hanley, H. R., Thorne, C., Dudl, R. J., Kaplan, R. M., Shortell, S. M., DeMaria, A. N. Educational Attainment and Health Outcomes: Data From the Medical Expenditures Panel Survey, Dynapenia and Metabolic Health in Obese and Nonobese Adults Aged 70 Years and Older: The LIFE Study. Bob has taken hundreds of jury trials to verdict, defending clients in premises liability, professional malpractice, products liability, assault, and motor vehicle liability cases. Results of prior research have been mixed, including findings of a 3:1 incidence ratio for males vs. females, but increasing AS rates among females.METHODS: We estimated the incidence of AS in a retrospective cohort study of diverse, working-age US military service members during March 2014 - June 2017 (N = 728,556) who underwent clinical practice guideline-directed screening for chronic back pain. Participants in the physical activity group who were 80 years or older (n=307) and those with poorer baseline physical performance (n=328) had better changes in executive function composite scores compared with the health education group (P=.01 for interaction for both comparisons). The ICERS are less than many commonly recommended medical treatments. 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. View details for DOI 10.1177/0272989X19873667, View details for DOI 10.1007/s11606-019-04998-5, View details for Web of Science ID 000483539200011. 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'. 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). Furthermore, we consider hybrid measures such as the SF-6D and the PROMIS-Preference (PROPr). PA interventions costs were slightly higher than other recent PA interventions. Fragoso, C. A., Miller, M. E., Fielding, R. A., King, A. C., Kritchevsky, S. B., McDermott, M. M., Myers, V., Newman, A. Fields of study that have received more extramural funding are associated with greater growth in faculty and higher faculty salaries. Before 2011 rates of hospitalization for heart attacks were about the same in San Diego County as they were in the rest of California. 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. View details for Web of Science ID 000431185201257. Mental and general medical conditions appear to have independent effects on health care costs. Participants (n=1170, 795 years) spent 642111 min/day in sedentary behavior (ie, <100 accelerometry counts/min). 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. Please see http://www.annualreviews.org/page/journal/pubdates for revised estimates. Groessl, E. J., Kaplan, R. M., Castro Sweet, C. M., Church, T., Espeland, M. A., Gill, T. M., Glynn, N. W., King, A. C., Kritchevsky, S., Manini, T., McDermott, M. M., Reid, K. F., Rushing, J., Pahor, M. Cost-effectiveness of the LIFE Physical Activity Intervention for Older Adults at Increased Risk for Mobility Disability. Health services researchStudies on the cost and quality of health careHealth outcome measurementSocial determinants of health. Rare Classic Car Preview. Jobs People Learning Dismiss Dismiss. Early diagnosis does not assure application of an intervention that alters the pathway toward demise. The Tragic Mind Fear, Fate and the Burden of Power Kissinger "A moving culmination by one of America's most thoughtful observers of international trends." - Dr. Henry Kissinger Amazon | Barnes & Noble | Indiebound Robert D. Kaplan: Writing Career Reflections The relationship between race/ethnicity, other potential risk factors, and the risk of incident diabetes was estimated using Cox proportional hazards models from which hazard ratios (HRs) and 95% CIs were computed.Participants were aged 63 years on average at baseline. Mr. Kaplan holds degrees from Cape Town University and Columbia University. Partitioning the MAT-sf into four groups revealed that persons with scores <40, 40-49, 50-59, and 60+ had failure rates across 42 months of follow-up of 66%, 52%, 35%, and 22%, respectively.The MAT-sf is a quick and efficient way of identifying older adults at risk for MMD. View details for DOI 10.1093/gerona/glr123, View details for Web of Science ID 000296102100011. A replication following the announcement that vaccines were 95% effective showed small, but significant increases in the likelihood of taking a vaccine. Robert M Kaplan Boca Raton, FL (Century Village West) AGE 70s AGE 70s Robert M Kaplan Boca Raton, FL (Century Village West) Aliases Bob L Kaplan Phone NumberAddressBackground Report Aliases Bob L Kaplan Addresses Preston a Boca Raton, FL Eagle Creek Ct Boca Raton, FL James St Aledo, TX Relatives Linking among different measures and consensus on standard HRQoL measurement should now be prioritized. Previous studies have shown that physical exercise and mindfulness meditation can both lead to improvement in physical and mental health. 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. Additionally, NDYN-O demonstrated higher diastolic blood pressure compared with DYN-O (70.910.1 vs 67.79.7, P.001). Behavioral interventions can be offered within a wide range of contexts, including public health, medicine, surgery, physical rehabilitation, nutrition, and other health services. Psychosocial treatment followed MI, and for participants with severe or unremitting depression, was supplemented with a selective serotonin reuptake inhibitor. The Kaplan Centre, working with KAS Media Africa and the Johannesburg Holocaust and . Kaplan was elected to the National Academy of Medicine (formerly the Institute of Medicine) in 2005. Robert Kaplan; Found 609 results for. Covid-19 pandemic lessons: uncritical communication of test results can induce more harm than benefit and raises questions on standardized quality criteria for communication and liability. Physical Activity and Performance Impact Long-term Quality of Life in Older Adults at Risk for Major Mobility Disability. A Conversation With Robert Kaplan. With more than 550 articles, chapters, and books, Dr. Kaplan is one of the most cited authors in his field. Prior to the onset of training, 31.4% of participants noted slight conflict with being able to meet the demands of the program and 6.4% indicated that the degree of conflict would be moderate. However, a significant interaction was observed between sex and count frequency (P=0.036) for those without CVD, as counts per minute was related to HCHD risk in women (=-0.94, -1.48 to -0.41; P<0.001) but not in men (=-0.14, -0.59 to 0.88; P=0.704).Daily time spent being sedentary is positively associated with predicted 10-year HCHD risk among mobility-limited older adults. Implementing the intervention in non-research settings may reduce costs further. View details for Web of Science ID 000311424100024, View details for PubMedCentralID PMC3476929. View details for DOI 10.1146/annurev-publhealth-052120-012811. In adjusted models, measures of mobility and physical inactivity were generally not associated with sleep-wake disturbances, using continuous or categorical variables.In a large sample of sedentary community-dwelling elderly adults with functional limitations, sleep-wake disturbances were prevalent but only mildly severe and were generally not associated with mobility impairment or physical inactivity.

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