robert m kaplan south africa

This polymorphism is known to influence a variety of physiological adaptions to exercise. After an average of 10.4 years of follow-up, compared with whites and adjusting for potential confounders, the HRs for incident diabetes were 1.55 for blacks (95% CI 1.47-1.63), 1.67 for Hispanics (1.54-1.81), and 1.86 for Asians (1.68-2.06). Aubertin-Leheudre, M., Anton, S., Beavers, D. P., Manini, T. M., Fielding, R., Newman, A., Church, T., Kritchevsky, S. B., Conroy, D., McDermott, M. M., Botoseneanu, A., Hauser, M. E., Pahor, M. BEHAVIORAL INTERVENTIONS FOR OBESITY: A DEBATE ON THE STATE OF THE EVIDENCE. However, longitudinal and experimental studies are needed to strengthen causal inferences. Fragoso, C. A., Miller, M. E., Fielding, R. A., King, A. C., Kritchevsky, S. B., McDermott, M. M., Myers, V., Newman, A. View details for DOI 10.1176/appi.ps.701203. Developed under the prevailing zeitgeist of the biomedical model, behavioral and social science has often been underfunded at NIH. 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. Designers and architects created the rule 'form follows function (FFF)' for their own profession. View details for Web of Science ID 000467759600011, View details for DOI 10.2105/AJPH.2018.304857, View details for Web of Science ID 000457864000048, View details for DOI 10.1016/j.jagp.2018.09.015, View details for Web of Science ID 000455373700006, View details for Web of Science ID 000459714900011. Bondoc, I., Cochrane, S. K., Church, T. S., Dahinden, P., Hettwer, S., Hsu, F., Stafford, R. S., Pahor, M., Buford, T. W. Effect of a 24-Month Physical Activity Intervention vs Health Education on Cognitive Outcomes in Sedentary Older Adults The LIFE Randomized Trial. (PsycINFO Database Record (c) 2019 APA, all rights reserved). Robert M. Kaplan is highly experienced in all aspects of family law and will counsel you on possible approaches to your case as well as potential outcomes so that you can make informed decisions. Ninety-five percent confidence intervals (CI) were estimated using Monte Carlo modeling with random variation for three variables (cost of an emergency department visit, cost of a sobering center visit, and start-up costs per sobering center visit) and the percentage of cases diverted from emergency departments to sobering centers. View details for DOI 10.1111/jgs.12738 12. Cost savings were measured as reduced spending by payers. Robert M. Kaplan. Our paper demonstrates thatthis FFF rule applies equally well to the designers of clinical studies. The main effects and interactions in the model remained unchanged. These differing services compete for the same resources and it is difficult to compare their value. Groessl, E. J., Kaplan, R. M., Rejeski, W., Katula, J. These results were consistent across several subgroups, including sex. Also, a sizable subgroup required one or more rest stops. The SF-12 physical component summary score was a covariate. The objective of this study is to describe and examine correlates of health-related quality of life in this population subgroup using baseline data from a larger intervention study.The Lifestyle Interventions and Independence for Elders-Pilot study (LIFE-P) was a randomized controlled trial that compared a physical activity intervention to a non-exercise educational intervention among 424 older adults at risk for disability. Among the studies with both a record and publication, there was also wide variability in the match between published outcomes and those listed in ClinicalTrials.gov. Hospitalization was also associated with less physical activity time across all bouts of less than 10 minutes (1: -7 min/d for 1-3 cumulative hospital days, -16 min/d for 4 cumulative hospital days; 2: -5 min/d for 1-3 cumulative hospital days, -11 min/d for 4 cumulative hospital days; 5: -3 min/d for 1-3 cumulative hospital days, -4 min/d for 4 cumulative hospital days). 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. After checking Hardy-Weinberg equilibrium, we used using linear regression to evaluate the genotype*treatment interaction for each outcome. Wilson, D. K., Christensen, A., Jacobsen, P. B., Kaplan, R. M. Cost impact of sobering centers on national health care spending in the United States. Wanigatunga, A. The purpose of this paper is to review standardized approaches to cost-effectiveness analysis and to encourage their use for the evaluation of behavioral intervention programs. APOE status did not affect change in depressive symptoms.Results of this study suggest that the impact of PA on depressive symptoms varies by genotype and sex, and that PA may mitigate somatic symptoms of depression more than other symptoms. Interview: Robert Kaplan, . Robert M. Kaplan combines subjects such as Diabetes mellitus, Psychiatry, Respondent and Emergency medicine with his study of Quality of life. Porzsolt, F., Pfuhl, G., Kaplan, R. M., Eisemann, M. The terminology conflict on efficacy and effectiveness in healthcare. Robert Kaplan mbchb FRANZCP MA [Journ] Forensic Psychiatrist Clinical Associate Professor Graduate School of Medicine Wollongong University NSW Australia 332 Crown Street Wollongong and 16 Vernon Street Bondi Junction Phone (02) 4268 3949 Fax (02) 4210 7326 MOB 0408 363 383 E-Mail : info@rmkaplan.com.au DATE OF BIRTH: 13/04/50 Na naej strnke tenisovho podujatia . Public Health Implications: Barriers to NEMT are a health risk affecting high-need, economically disadvantaged patients. PA participants accrued 0.047 per person more Quality-Adjusted Life-Years (QALYs) than health education participants. The 3 methods were similar in terms of predictive validity, but conjoint analysis outperformed the rating scale method when patients were presented with novel combinations of attribute levels (68% correct v. 43%, P = 0.003). 160 likes. He is also director of the UCLA/RAND health services training program and PI of the UCLA/RAND CDC Prevention Research Center. You can email or call Law Offices of Robert M. Kaplan to arrange a meeting with a lawyer in one of their offices at 1535 W Schaumburg Rd. 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. Lee, C., Scheuter, C., Rochlin, D., Platchek, T., Kaplan, R. M. Effects of Mental Health on the Costs of Care for Chronic Illnesses. Last updated 4 months ago. We examined the hypothesis that physical activity will have favorable effects on measures of self-efficacy for a 400-m walk and satisfaction with physical functioning in older adults 70+ years of age who have deficits in mobility. Although a safe and effective vaccine holds the greatest promise for resolving the COVID-19 pandemic, hesitancy to accept vaccines remains common. Biography ID: 12846404 . In order to make better use of scarce resources, cost-effectiveness methodologies have been developed to evaluate how to produce the most health within the constraints of available resources. View details for DOI 10.14283/jfa.2016.76, View details for Web of Science ID 000449826700002, View details for PubMedCentralID PMC4905714. Run Background Search Optout of Search Copy Link. The ISI includes him in the listing of the most cited authors in . Please see http://www.annualreviews.org/page/journal/pubdates for revised estimates. 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 2021-04-13 . Competing interests: None declared Competing interests: No competing interests 20 February 2004 Robert M Kaplan psychiatrist 2500 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. The methods were also evaluated in terms of ease of use and satisfaction. Baseline frailty status did not modify the effect of physical activity on reducing incident MMD (P for interaction= 0.91).Frailty status was neither an entry criterion nor a randomization stratum.A structured, moderate-intensity physical activity program was not associated with a reduced risk for frailty over 2 years among sedentary, community-dwelling older adults. This button displays the currently selected search type. The Lifestyle Interventions and Independence for Elders study recently demonstrated that a physical activity (PA) intervention can delay the onset of major mobility disability. Full adresss: 1535 W Schaumburg Rd. We examined characteristics of the transparent reporting of depression treatment studies registered in ClinicalTrials.gov.DESIGN: Cross sectional.SETTING AND PARTICIPANTS: US-based studies identified in a search of ClinicalTrials.gov with depression as the condition, enrolling ages 18 and older, and completed between 1 January 2008 and 1 May 2019.INTERVENTIONS: All interventions were included.MAIN OUTCOMES AND MEASURES: The main outcome was whether any results were reported prior to 1 May 2020. Robert David Kaplan (born June 23, 1952 in New York City) is an American author of many books on politics primarily foreign affairs and travel, whose work over three decades has appeared in The Atlantic, The Washington Post, The New York Times, The New Republic, The National Interest, Foreign Affairs and The Wall Street Journal, among other This narrative review explores conceptual issues, and inconsistencies between evidence and opinion about screening.We examined the interpretation of screening studies in relation to three intellectual traditions: (1) The relationship between prevention and cure; (2) Confirmation bias and the challenge of incorporating new data: less care may produce better outcomes than more care; (3) The answers to three structured questions about efficacy, effectiveness, and value of treatments proposed by Sir Archie Cochrane and Sir Austin Bradford Hill.When considering extensions of life expectancy or all-cause mortality, systematic reviews typically show cancer screening to have only small effects and often non-significant effects on all-cause mortality. The total time a patient is disabled likely has a greater influence on his or her quality of life than the initial occurrence of disability alone.To compare the effect of a long-term, structured physical activity program with that of a health education intervention on the proportion of patient assessments indicating major mobility disability (MMD) (that is, MMD burden) and on the risk for transitions into and out of MMD.Single-blinded, parallel-group, randomized trial. The COVID-19 pandemic is characterized by both health and economic risks. View details for PubMedCentralID PMC3989438, View details for Web of Science ID 000334289900004, View details for PubMedCentralID PMC3989438. One In Five Fewer Heart Attacks: Impact, Savings, And Sustainability In San Diego County Collaborative. 416 (57.4%) of the studies posted some results. Dr. Robert Kaplan, DO is a Family Medicine Specialist in Las Vegas, NV and has over 50 years of experience in the medical field. Methods. His books are on politics, primarily foreign affairs, and travel. Definitive data from large long-term randomized trials are lacking.To determine whether a long-term, structured, moderate-intensity physical activity program is associated with a lower risk for frailty and whether frailty status alters the effect of physical activity on the reduction in major mobility disability (MMD) risk.Multicenter, single-blind, randomized trial.8 centers in the United States.1635 community-dwelling adults, aged 70 to 89 years, with functional limitations.A structured, moderate-intensity physical activity program incorporating aerobic, resistance, and flexibility activities or a health education program consisting of workshops and stretching exercises.Frailty, as defined by the SOF (Study of Osteoporotic Fractures) index, at baseline and 6, 12, and 24 months, and MMD, defined as the inability to walk 400 m, for up to 3.5 years.Over 24 months of follow-up, the risk for frailty (n= 1623) was not statistically significantly different in the physical activity versus the health education group (adjusted prevalence difference, -0.021 [95% CI, -0.049 to 0.007]). Older people who lose mobility are less likely to remain in the community; demonstrate higher rates of morbidity, mortality, and hospitalizations; and experience a poorer quality of life. 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. Among the 3 criteria of the SOF index, the physical activity intervention was associated with improvement in the inability to rise from a chair (adjusted prevalence difference, -0.050 [CI, -0.081 to -0.020]). Obesity is an increasingly prevalent condition among older adults, yet relatively little is known about how built environment variables may be associated with obesity in older age groups. However, the PE group showed lower basal heart rate and greater chest respiratory amplitude. However, evidence is inconclusive regarding the influence of this polymorphism on older adults' functional responses to exercise. Computer-administered assessment of cognitive function is being increasingly incorporated in clinical trials; however, its performance in these settings has not been systematically evaluated.The Seniors Health and Activity Research Program pilot trial (N = 73) developed a computer-based tool for assessing memory performance and executive functioning. . 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. Groessl, E. J., Kaplan, R. M., Rejeski, W., Katula, J. Acute alcohol intoxication is responsible for a sizable share of emergency department visits. 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. Follow-up ended in December 2013. Physical inactivity was defined according to sedentary time, as a percentage of accelerometry wear time with activity of <100 counts/min; participants in the top quartile of sedentary time were classified as having a high sedentary time. Sensitivity analyses indicated that results were relatively robust to varied assumptions.The PA intervention costs and QALYs gained are comparable to those found in other studies. Robert M. Kaplan, Dennis P. Saccuzzo. Converging evidence suggests that physical activity is an effective intervention for both clinical depression and sub-threshold depressive symptoms; however, findings are not always consistent. To examine determinants of racial/ethnic differences in diabetes incidence among postmenopausal women participating in the Women's Health Initiative.Data on race/ethnicity, baseline diabetes prevalence, and incident diabetes were obtained from 158,833 women recruited from 1993-1998 and followed through August 2009. Epidemiological evidence suggests that physical activity benefits cognition, but results from randomized trials are limited and mixed.To determine whether a 24-month physical activity program results in better cognitive function, lower risk of mild cognitive impairment (MCI) or dementia, or both, compared with a health education program.A randomized clinical trial, the Lifestyle Interventions and Independence for Elders (LIFE) study, enrolled 1635 community-living participants at 8 US centers from February 2010 until December 2011. Risk communication has to balance objective and subjective risks. Pending further verification, the results may help to inform subsequent targeting of such subgroups for further investigation.Clinicaltrials.gov Identifier= NCT01072500. Robert Kaplan is Managing Director of Cape Gate Fence & Wire Works, and is a past president of the Cape Chamber of Industries. Robert M. Kaplan has served as Chief Science Officer at the US Agency for Health Care Research and Quality (AHRQ) and Associate Director of the National Institutes of Health, where he led the behavioral and social sciences programs. MBCHB FRANZCP MA (JOUR) MPHIL (SCIENCE) . The lack of distinguishable characteristics suggests that variably applied terminology may hinder efforts to narrow the gap between research and practice. To advance the field, we need a greater emphasis on evaluations that ask 'Does the treatment work under real-world conditions? The beneficial effect of physical activity on the incidence of MMD did not differ between frail and nonfrail participants.National Institute on Aging, National Institutes of Health. Associations between these exposures and measured BMI and grip strength were evaluated using linear regression.Greater time spent in light intensity activity and lower sedentary times were both associated with lower BMI. Cost analyses were conducted from the "payer's" perspective, with a 1-year time horizon. 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. Our results indicate that mindfulness meditation and physical exercise function in part by different mechanisms, with PE increasing physical fitness and IBMT inducing plasticity in the central nervous systems. Measures included demographics; comorbidity; a timed 400-meter walk; the Short Physical Performance Battery; and the Quality of Well-Being Scale (0-1.0 scale). 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. South African Medical Journal March 2001, 90-3;216-217.] View details for Web of Science ID 000391236900011. This study aimed to evaluate the association of ACE I/D genotypes with changes in physical function among Caucasian older adults (n = 283) following 12 mo of either structured, multimodal physical activity or health education. A randomized controlled trial is warranted to definitively resolve this issue. Forensic psychiatrist and historian Robert M. Kaplan is of the opinion the coronavirus pandemic will not last that much longer. The Coming Anarchy. B., Pellegrini, C. A., Chen, S., Allore, H. G., Miller, M. E. Cost-effectiveness of the LIFE Physical Activity Intervention for Older Adults at Increased Risk for Mobility Disability. We performed a budget impact analysis from the perspective of the U.S. health care system based on published and gray literature reports. Participants were randomized to a structured, moderate intensity physical activity program (n=818) conducted in a center (twice a week) and at home (3-4 times a week) that included aerobic, strength, flexibility, and balance training activities, or to a health education program (n=817) consisting of workshops on topics relevant to older people and upper extremity stretching exercises.Serious fall injuries, defined as a fall that resulted in a clinical, non-vertebral fracture or that led to a hospital admission for another serious injury, was a prespecified secondary outcome in the LIFE Study. The Pittsburgh Fatigability Scale measured physical and mental fatigability (score 0-50; higher physical fatigability15; higher mental fatigability13). Our objective is to examine the resources required to deliver the PA intervention and calculate the incremental cost-effectiveness compared with a health education intervention.The Lifestyle Interventions and Independence for Elders study enrolled 1,635 older adults at risk for mobility disability. View details for DOI 10.1016/j.jamda.2016.10.001, View details for Web of Science ID 000398947400007, View details for Web of Science ID 000398947202129, View details for DOI 10.1200/JCO.2016.69.4570, The history of behavioral and social science research funding at the National Institutes of Health (NIH) between 1980 and 2016 is reviewed. Secondary analyses classified intervention participants into two subgroups, (1) individual therapy only or (2) group training (i.e., coping skills training) plus individual therapy, to determine whether medical outcomes differed in participants who received the combination of group training and individual therapy compared to participants who received individual therapy only or usual care.Secondary analyses of 1243 usual care, 781 individual therapy only, and 356 group plus individual therapy myocardial infarction (MI) patients were performed. However, statistical test results were not included in 230 studies (55.3%). 2018 o 8:00 UTC na Court 2, Stellenbosch, South Africa. View details for DOI 10.1073/pnas.2021726118. Collaborative care has been widely studied from an economic perspective, with most studies demonstrating its relative cost-effectiveness per quality-adjusted life year (QALY) and some studies demonstrating its potential for cost neutrality or cost savings. 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. A Phase 3 randomized controlled trial is needed to fill this evidence gap.The Lifestyle Interventions and Independence for Elders (LIFE) Study is a Phase 3 multicenter randomized controlled trial designed to compare a supervised moderate-intensity physical activity program with a successful aging health education program in 1,600 sedentary older persons followed for an average of 2.7 years.LIFE's primary outcome is major mobility disability, defined as the inability to walk 400 m. Secondary outcomes include cognitive function, serious fall injuries, persistent mobility disability, the combined outcome of major mobility disability or death, disability in activities of daily living, and cost-effectiveness.Results of this study are expected to have important public health implications for the large and growing population of older sedentary men and women. A renewed effort to increase the federal investment in behavioral and social sciences research is necessary.

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