OBJECTIVE To assess the relationship between annual fills for antidiabetes medications, ACE inhibitors, angiotensin II receptor blockers (ARBs), and lipid-lowering agents on hospitalization Medicare spending beneficiaries with diabetes. RESEARCH DESIGN AND METHODS Using Current Beneficiary Survey data from 1997 to 2004, we identified 7,441 community-dwelling diabetes, who contributed 14,317 person-years of analysis. We used multivariate regression analysis estimate effect persistency in...

One of the goals nursing education is to facilitate transition students positions on graduation, and career locus control can assess students' expectations beliefs about their future careers, while 'critical thinking skill' listed by International Organization for Medical Education as one most essential core competencies medical graduates. To investigate distribution among before after COVID-19 epidemic, explore association between critical analyse pathways influence students. In this study,...

Objective: To compare the efficiency and accuracy of contour delineation organs at risk (OARs) in intensity modulated radiotherapy (IMRT) for nasopharyngeal carcinoma (NPC) between a homemade automatic contouring software (Yorktal-CS 1.0) two commercial treatment planning system (TPS). Methods: A total 100 NPC patients who underwent IMRT five hospitals different levels Chongqing from January 1, 2016 to December 31, 2018 were enrolled. 12 OARs contoured using Yorktal-CS 1.0, while 2 TPSs...

Background Phenylketonuria (PKU) is a hereditary metabolic disorder caused by mutations in the phenylalanine hydroxylase ( PAH ) gene, leading to accumulation of (Phe) blood. Without timely treatment, PKU patients may develop irreversible intellectual and neurocognitive deficits. The primary treatment for strict low-Phe diet, which must be initiated early life achieve better outcomes. Therefore, parents parents’ caregivers play crucial role dietary management. However, poor adherence...

To assess drug utilization and cost patterns by body mass index (BMI) for Medicare beneficiaries including cohorts diagnosed with diseases resulting from, or aggravated by, obesity.We used data from the 2003 Current Beneficiary Survey to characterize community-dwelling population BMI class following outcomes: (1) prevalence of drugs recommended in treating obesity-related chronic diseases, (2) annual spending on these medications disease cohort, (3) all full study sample. Linear regression...

Abstract Background The experiences and perceptions of geriatric specialist nurses are pivotal to understanding the complexities managing delirium developing effective nursing interventions. This qualitative study aims explore these inform enhancement clinical care practices. Methods Utilizing a exploratory design, this research engaged convenience sample at tertiary hospital in Shanghai, China through focus groups semi-structured interviews. Data were rigorously analyzed using Colaizzi’s...

Reversible posterior leukoencephalopathy syndrome (RPLS) is a rare brain-capillary leak syndrome, characterized by clinical symptoms of headache, visual loss, seizures and altered mental functioning. This usually reversible associated with hypertension, nephropathy, use immunosuppressive medication cytotoxic agents. We describe two cases RPLS occurring in colorectal cancer, both which presented coma, that we believe can be directly attributed to bevacizumab, monoclonal antibody inhibits the...

Background:Chronic obstructive pulmonary disease (COPD) is a highly prevalent condition with high morbidity and mortality among older disabled adults. Few studies have examined the comparative effectiveness of maintenance therapies for chronic in this vulnerable population.Objectives:The study aims to compare healthcare resource utilization associated hospitalization or emergency department (ED) visits between FDA-approved inhaled corticosteroid/long-acting β-agonist combinations...

Purpose: Online adaptive correction in image-guided intensity-modulated radiotherapy appears to be a promising approach for precision radiation treatment head-and-neck tumors. This research is designed evaluate the setup uncertainties left-right (L-R), superior-inferior (S-I), and anterior-posterior (A-P) directions rotational variations: pitch, roll, yaw cancer (HNC) patients with ExacTrac 6 degree-of-freedom (6D) (IGRT) system. Materials Methods: The errors measured by 6D IGRT system at...

Abstract Purpose To investigate the daily setup, interfraction motion, variability in junction areas, and dosimetric effect craniospinal irradiation (CSI) patients. Methods Fifteen CSI patients who had undergone split‐field IMRT were followed study. Previous, middle, posttreatment, each target volume position was evaluated using ExacTrac system. Interfraction intrafraction motions, margin of adjacent targets volumes, longitudinal residual error analyzed. Results The lowest attainment rate...

Very little is known about the characteristics of Medicare beneficiaries receiving hospice at home, defined using Healthcare Common Procedure Coding System codes, as a traditional an assisted living facility, or nursing home. A secondary analysis 2015 data regression to describe decedents (n = 675 782) in residing and home was completed. Results suggest that proportion with more than 180 lifetime days highest among those who resided facility (25.03%) compared (18.87%) (13.04%). Regression...

MicroFlow imaging (MFI) is a novel noninvasive ultrasound (US) technique that depicts microcirculatory blood vessels in the kidney while filtering out tissue motion and enhancing flow signals. We aimed to investigate value of MFI for detection renal microvascular perfusion chronic disease caused by stage I-II membranous nephropathy (MN).

Rationale: This article presents a challenging case involving an elderly male patient with misdiagnosed intraductal mammary papilloma initially identified as sweat adenoma through ultrasound imaging. The study aims to explore the histopathology, clinical presentations, and sonographic features of both conditions, emphasizing contributing factors diagnostic misstep. Patient Concerns: A 61-year-old reported persistent left breast mass, along pain swelling, spanning 6-month duration. Diagnoses:...

Background: The 11.4 million Americans who receive both Medicare and Medicaid benefi ts constitute one of the nation's most vulnerable costly populations. Objectives:We examine relationship between persistently high costs (PHC) physical, mental, disability-related conditions among community-dwelling dully eligible enrollees.Research Design: Retrospective longitudinal study.Subjects: Community-dwelling ciaries were continuously enrolled in fee-for-service 2007 through 2009.Measures: Benefi...

The anti-neutrophil cytoplasmic antibody (ANCA) associated vasculitides are a collection of relatively rare autoimmune diseases characterized by the presence ANCAs, predominantly against myeloperoxidase and proteinase 3. Multiple organs systems involved, but superficial lymph node involvement is rarely reported.A 31-year-old woman initially presented with bilateral axillary lymphadenopathy that hilums were not clear. We report case patient who an ANCA-associated systemic vasculitis whose...

The aim of the present study was to investigate optimal strategy and dosimetric measurement thoracic radiotherapy based on three‑dimensional (3D) modeling mediastinal lymph nodes (MLNs). A 3D model MLNs constructed from a Chinese Visible Human female dataset. Image registration fusion between reconstructed original chest computed tomography (CT) images conducted in Eclipse™ treatment planning system (TPS). There were three plans, including conformal (3D‑CRT), intensity‑modulated (IMRT)...

Abstract There is little empirical work documenting the characteristics of Medicare beneficiaries receiving hospice services in home setting using place service codes. The objective this study to examine differences decedents who received traditional and non-traditional homes (assisted living, nursing settings) defined by these We conducted a secondary analysis 675,782 2015. Chi-squared ANOVA tests were used describe socio-demographics, health conditions, utilization, payments decedents....

Abstract This study aimed to compare the different volume of interest (VOI) selection among VOI Head & Neck (HN), only (H), and (N) when used for cranial phantom with imaging guidance system ExacTrac. Exactrac anthropomorphic phantoms was positioned known set-up deviations from reference position in linear accelerator. Verification accuracy evaluated based on residual root-mean-square (RMS) positioning error after image registration selection. The RMS translational dimensions < 0.6 mm...