Lower mental health functioning also had a significant impact on cost. How scarcity, crime, overpopulation, tribalism, and disease are rapidly destroying the social fabric of our planet. His books are on politics, primarily foreign affairs, and travel. Robert M Kaplan Catherine M Crespi Ely Dahan Josemanuel D Saucedo Casey Pagan Christopher S Saigal. Sensitivity analyses using MCS score as a continuous variable, using a log10 transformation of the cost variable, and focusing only on persons with scores on the extreme low end did not significantly alter the conclusions.CONCLUSIONS: Contrary to expectation, the combination of poor mental functioning and chronic disease diagnosis did not have a strong synergistic effect on cost. The role of economic analyses in promoting adoption of behavioral and psychosocial interventions in clinical settings. 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. 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. In comparison with traditional, modern NEMT was estimated to save $268 per expected user (95% CI=$248, $288 per member per year) and $537 million annually (95% CI=$496 million, $577 million) when scaled nationally.CONCLUSIONS: Modern NEMT has the potential to yield greater cost savings than traditional NEMT while also improving patient experience. View details for Web of Science ID 000334289900004 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. Robert M Kaplan Forensic Psychiatrist, Crime & Medicine Writer, Historian and Speaker at Dr Robert Kaplan Greater Sydney Area 112 followers 97 connections Join to connect Dr Robert. 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. 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. Robert Kaplan. 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. Contributions of Health Care to Longevity: A Review of 4 Estimation Methods. 104 people named Robert Kaplan found in Boston-Worcester-Lawrence, Springfield and 4 other cities. Groessl, E. J., Kaplan, R. M., Blair, S. N., Rejeski, W. J., Katula, J. Outcomes were assessed every six months for up to 42 months by staff masked to intervention assignment. 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. View Details. Rating scales and conjoint analysis exercises offer greater ease of use and higher satisfaction when measuring patient preferences in men biopsied for prostate cancer in comparison to time tradeoff exercises. Join now Sign in . About the. The mean number of counts per minute of daily PA was not significantly associated with HCHD risk in any model (P>0.05). Fremont, A., Kim, A. Y., Bailey, K., Hanley, H., Thorne, C., Dudl, R., Kaplan, R. M., Shortell, S. M., DeMaria, A. N. Does information from ClinicalTrials.gov increase transparency and reduce bias? View details for DOI 10.1073/pnas.2021726118. Schaumburg, IL 60194. Implementing the intervention in non-research settings may reduce costs further. Intervention costs were estimated by tracking personnel activities and materials used for each intervention and multiplying by national unit cost averages. 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. He is also director of the UCLA/RAND health services training program and PI of the UCLA/RAND CDC Prevention Research Center. Robert D. Kaplan, The Return of Marco Polo's World: War, Strategy, and American Interests in the Twenty-first Century 2 likes Like "Today, despite the jet and information age, 90 percent of global commerce and two thirds of all petroleum supplies travel by sea." Robert D. Kaplan, Monsoon: The Indian Ocean and the Future of American Power According to ZoomInfo records, Robert Kaplan's professional experience began in 1996. Kaplan is a former Editor-in-Chief of Health Psychology and of the Annals of Behavioral Medicine. However, variability exists in seniors' responsiveness to training. Noncommunicable diseases are now the primary cause of death worldwide and most are strongly linked to behavior. Our findings show that the majority of diabetes cases are preventable, and risk reduction strategies can be effectively applied to all racial/ethnic groups. We describe relationships that test scores have with those from interviewer-administered cognitive function tests and risk factors for cognitive deficits and describe performance measures (completeness, intraclass correlations [ICC]).Computer-based assessments of cognitive function had consistent relationships across the pilot and full-scale trial cohorts with interviewer-administered assessments of cognitive function, age, and a measure of physical function. Botoseneanu, A., Ambrosius, W. T., Beavers, D. P., De Rekeneire, N., Anton, S., Church, T., Folta, S. C., Goodpaster, B. H., King, A. C., Nicklas, B. J., Spring, B., Wang, X., Gill, T. M. Combined Reduced Forced Expiratory Volume in 1 Second (FEV1) and Peripheral Artery Disease in Sedentary Elders With Functional Limitations. Cox proportional hazards regression was used to estimate intervention effects on time to first occurrence of the composite end point of death plus nonfatal MI. However, further study is needed to definitively determine the utility of CAF as a biomarker of physical function. Rapid eGFRCysC decline was defined by the high tertile threshold of 6.7%/y.Results: Among the 1199 participants in the analysis, the mean (SD) age was 78.9 (5.2) years, and 800 (66.7%) were women. Espeland, M. A., Newman, A. Results of baseline fatigue by intervention interaction was MMD (P=.18) and PMMD (P=.05).CONCLUSION: A long-term moderate intensity PA intervention was particularly effective at preserving mobility in older adults with higher levels of baseline fatigue. Exercise improved gait speed by 0.06 0.01 m/sec and SPPB score by 0.72 0.16 points among those with at least one D allele (ID/DD carriers), but function was not improved among II carriers. In the 14% of records that contained results, the new data provided in the ClinicalTrials.gov records did not change the results or conclusions of the reviews. Espeland, M. A., Katula, J. His Randomized controlled trial research integrates issues from Clinical trial, Intensive care medicine, Pharmacotherapy, Evidence-based practice and Social support. Better compliance with mandated reporting and improved reporting standards would facilitate a more comprehensive representation of depression treatment research. To evaluate the prevalence of metabolic syndrome (MetS) and its association with physical capacity, disability, and self-rated health in older adults at high risk of mobility disability, including those with and without diabetes mellitus.Cross-sectional analysis.Lifestyle Interventions and Independence for Elders (LIFE) Study.Community-dwelling sedentary adults aged 70 to 89 at high risk of mobility disability (Short Physical Performance Battery (SPPB) score 9; mean 7.4 1.6) (N = 1,535).Metabolic syndrome was defined according to the 2009 multiagency harmonized criteria; outcomes were physical capacity (400-m walk time, grip strength, SPPB score), disability (composite 19-item score), and self-rated health (5-point scale ranging from excellent to poor).The prevalence of MetS was 49.8% in the overall sample (83.2% of those with diabetes mellitus, 38.1% of those without). 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. 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. However, it is unclear whether these two forms of training share the same underlying mechanisms. Because of our experience in family law, you can rely on us to do the right thing. Fragoso, C. A., Beavers, D. P., Hankinson, J. L., Flynn, G., Berra, K., Kritchevsky, S. B., Liu, C. K., McDermott, M., Manini, T. M., Rejeski, W. J., Gill, T. M. Genetic influence on exercise-induced changes in physical function among mobility-limited older adults. Data are presented on participants' motives and self-perceptions at the onset of the trial along with accelerometry data on patterns of PA during exercise training. 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. Additionally, the presence of dynapenia did not increase cardiometabolic disease risk in either obese or nonobese older adults. Parasympathetic activity indexed by skin conductance response and high-frequency heart rate variability also showed more favorable outcomes in the IBMT group. 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.