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This pilot work examined associations of brain grey matter volumes (GMV) with perceived fatigability in older adults to elucidate disablement mechanisms. Multivariate linear regression modeling was used to examine covariates of health-related quality of life over time in 2017.RESULTS: The sample had an overall mean Quality of Well-Being score of 0.613. 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 Web of Science ID 000341167700011 PA participants accrued 0.047 per person more Quality-Adjusted Life-Years (QALYs) than health education participants. Noncommunicable diseases are now the primary cause of death worldwide and most are strongly linked to behavior. Cox proportional hazard models quantified the risk of MMD and PMMD in PA vs HE stratified by baseline fatigue adjusted for covariates.RESULTS: Among those with higher baseline fatigue, PA participants had a 29% and 40% lower risk of MMD and PMMD, respectively, over the trial compared with HE (hazard ratio [HR] for MMD=.71; 95% confidence interval [CI] =.57-.90; P=.004) and PMMD (HR=.60; 95% CI=.44-.82; P=.001). B., Rejeski, W., Guralnik, J. M., Pahor, M., Fielding, R. A., LIFE Study Investigators. Robert Kaplan brings together extensive data to make the case that health care priorities in the United States are sorely misplaced. This strategy is presented. BACKGROUND: In the literature on the treatment of depression, efficacy and effectiveness research have different purposes and should apply different research methodologies.OBJECTIVE: The purpose of the study was to review characteristics of depression treatment studies identified using efficacy or effectiveness search terms. He is currently Editor-in-Chief of Health Psychology and is the former Editor-in-Chief of the Annals of Behavioral Medicine. Robert M. Kaplan Profile | Philadelphia, PA Lawyer | Martindale.com Despite enthusiasm for cancer screening, systematic reviews consistently fail to show that screening reduces all-cause mortality. Kaplan, R. M., Johnson, S. B., Kobor, P. C. Effect of Structured Physical Activity on Overall Burden and Transitions Between States of Major Mobility Disability in Older Persons Secondary Analysis of a Randomized Trial. Time spent sedentary and in light intensity activity were assessed using an accelerometer worn for 3-7 days (Actigraph GT3X) and by self-report. 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. Kaplan, R. M., Gold, M., Duffy, S. Q., Miller, N., Glassman, J. R., Chambers, D. A., Ganiats, T. G., Berndt, S., Wilson, D. K. Standards for economic analyses of interventions for the field of health psychology and behavioral medicine. Saab, P. G., Bang, H., Williams, R. B., Powell, L. H., Schneiderman, N., Thoresen, C., Burg, M., Keefe, F. Physical activity in prefrail older adults: Confidence and satisfaction related to physical function. Robert D. Kaplan is a senior fellow at the Center for a New American Security and a . We had a great time on holiday in Kwazulu-Natal as well. View details for DOI 10.2217/cer-2020-0149. 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 A 'safety loop' model postulates risk-related decisions are not based on objective and measurable risks but on the subjective perception of those risks. Robert Kaplan | UCLA Fielding 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. Robert D. Kaplan: 'The South China Sea is to China what the Greater This multisite RCT compared physical activity to health education among 1,635 randomly assigned sedentary older adults at risk for mobility disability in 2010-2011. Robert D. Kaplan: The South China Sea Is the - History News Network 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. Bentley Kaplan Expand search. View details for Web of Science ID 000282842100012, View details for PubMedCentralID PMC3091594. 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. Optional sessions were offered during maintenance weeks (25-52). ISBN 10: . View details for Web of Science ID 000349893300002, View details for PubMedCentralID PMC4333053, Because they are potentially modifiable and may coexist, we evaluated the combined occurrence of a reduced forced expiratory volume in 1 second (FEV1) and peripheral artery disease (PAD), including its association with exertional symptoms, physical inactivity, and impaired mobility, in sedentary elders with functional limitations.Cross sectional.Lifestyle Interventions and Independence in Elder (LIFE) Study.A total of 1307 sedentary community-dwelling persons, mean age 78.9, with functional limitations (Short Physical Performance Battery [SPPB] <10).A reduced FEV1 was defined by a z-score less than -1.64 ( 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. Dr. Kaplan is expected to join the NIH in early 2011. by Robert M. Kaplan First published in 1992 3 editions in 1 language 1 previewable Borrow Listen Disease, diagnoses, and dollars: facing the ever-expanding market for medical care by Robert M. Kaplan First published in 2009 2 editions in 1 language Not in Library Viaje a Los Confines de La Tierra 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. The genotype*treatment interaction was statistically significant for both gait speed (P = 0.002) and SPPB (P = 0.020). Acceptable levels of data completeness (>83%) were achieved on all computer-based measures; however, rates of missing data were higher among older participants (odds ratio = 1.06 for each additional year; p < 0.001) and those who reported no current computer use (odds ratio = 2.71; p < 0.001). The chances of a serious adverse reaction, such as temporary or permanent paralysis, had a small but significant effect. Espeland, M. A., Katula, J. Robert D. Kaplan is a contributing editor at The Atlantic, a senior fellow at the Center for a New American Security in Washington and the author, most recently, of Asia's Cauldron: The South . Robert M Kaplan | PubFacts C-terminal Agrin Fragment (CAF) has been proposed as a potential circulating biomarker for predicting changes in physical function among older adults. Groessl, E. J., Kaplan, R. M., Rejeski, W. J., Katula, J. Lee, C., Scheuter, C., Rochlin, D., Platchek, T., Kaplan, R. M. Effects of Mental Health on the Costs of Care for Chronic Illnesses. OBJECTIVES: Our aim was to examine the impacts of baseline fatigue on the effectiveness of a physical activity (PA) intervention to prevent major mobility disability (MMD) and persistent major mobility disability (PMMD) in participants from the Lifestyle Interventions and Independence for Elders (LIFE) study.DESIGN: Prospective cohort of individuals aged 65years or older undergoing structured PA intervention or health education (HE) for a mean of 2.6years.SETTING: LIFE was a multicenter eight-site randomized trial that compared the efficacy of a structured PA intervention with an HE program in reducing the incidence of MMD.PARTICIPANTS: Study participants (N=1591) at baseline were 78.95.2years of age, with low PA and at risk for mobility impairment.MEASUREMENTS: Self-reported fatigue was assessed using the modified trait version of the Exercise-Induced Feelings Inventory, a six-question scale rating energy levels in the past week. One potential source of variability is the insertion (I allele) or deletion (D allele) of a 287 bp fragment in intron 16 of the angiotensin-converting enzyme (ACE) gene. Groessl, E. J., Kaplan, R. M., Rejeski, W., Katula, J. Jobs People Learning Dismiss Dismiss. 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 As the number of older adults in the United States rises, maintaining functional independence among older Americans has emerged as a major clinical and public health priority. (PDF) TheAversion Project Psychiatric abuses in the South However, evidence is inconclusive regarding the influence of this polymorphism on older adults' functional responses to exercise. ICCs among clinics were at least as low (ICC < 0.013) as for interviewer measures (ICC < 0.023), reflecting good standardization. doi:10.2105/AJPH.2018.304857). Ma, Y., Hebert, J. R., Manson, J. E., Balasubramanian, R., Liu, S., LaMonte, M. J., Bird, C. E., Ockene, J. K., Qiao, Y., Olendzki, B., Schneider, K. L., Rosal, M. C., Sepavich, D. M., Wactawski-Wende, J., Stefanick, M. L., Phillips, L. S., Ockene, I. S., Kaplan, R. C., Sarto, G. E., Garcia, L., Howard, B. V. The Lifestyle Interventions and Independence for Elders Study: Design and Methods. Robert Q. v Dembek M. je sasou turnaja South Africa F3, Singles. Catalogues live online from 5th March. He is a past President of several organizations, including the American Psychological Association Division of Health Psychology, Section J of the American Association for the Advancement of Science (Pacific), the International Society for Quality of Life Research, the Society for Behavioral Medicine, and the Academy of Behavioral Medicine Research. Costs for this PA program for older adults are comparable to those of other PA interventions. These differing services compete for the same resources and it is difficult to compare their value. A preliminary cost/effectiveness analysis gauged the cost/disability avoided to be $28,206. Looking for books by Robert M. Kaplan? 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. Each minute per day spent being sedentary was associated with increased HCHD risk among both those with (0.04%, 95% CI 0.02% to 0.05%) and those without (0.03%, 95% CI 0.02% to 0.03%) CVD. Costs were estimated from medical records and self-reported health care use. This polymorphism is known to influence a variety of physiological adaptions to exercise. 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. The Nothing That Is A Natural History Of Zero Robert M Kaplan is available in our digital library an online access to it is set as public Last updated 4 months ago. These interventions illustrate differences in the availability of cost and cost-effectiveness data and in the extent of intervention adoption and integration into routine delivery of medical care. A., Goodpaster, B. H., McDermott, M. M., Nicklas, B. J., Yank, V., Johnson, J. South Africa . His funeral. This shift also aims to motivate other large government and private payors to accelerate the adoption of value-based care through TRICARE's example. PROSPERO REGISTRATION NUMBER: #CRD42019136840. View details for DOI 10.1093/gerona/glw001, View details for Web of Science ID 000376398400015. My wife, Jackie, and I were briefly in South Africa just last month, mainly to visit my 98-year-old mother who is barely hanging on in Knysna. 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. 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. OBJECTIVE: The study examined whether comorbid low mental health functioning inflates the cost of treating a chronic disease.METHODS: Data were from the 2015 Medical Expenditure Panel Survey (N=33,893). To date, physical exercise is the only intervention consistently demonstrated to attenuate age-related declines in physical function. This was evident using objective measures of lower-light intensity, and both objective and self-reported measures of higher-light intensity activity. Pahor, M., Guralnik, J. M., Ambrosius, W. T., Blair, S., Bonds, D. E., Church, T. S., Espeland, M. A., Fielding, R. A., Gill, T. M., Groessl, E. J., King, A. C., Kritchevsky, S. B., Manini, T. M., McDermott, M. M., Miller, M. E., Newman, A. It could be used to clinically identify older adults that are in need of intervention for MMD and provides a simple means for monitoring the status of patients' mobility, an important dimension of functional health. Wednesday, May 31, 2017. With more than 550 articles, chapters, and books, Dr. Kaplan is one of the most cited authors in his field. Robert M. Kaplan is a Distinguished Research Professor of Health Policy and Management in the Fielding School. Intoxicated individuals without other medical needs may not require the high level of care provided by an emergency department. A serious adverse reaction rate of 1/100,000 was more likely to discourage vaccine use in comparison to rates of 1/million or 1/100 million. View details for DOI 10.1016/j.jamda.2015.03.010, View details for Web of Science ID 000358423400010, View details for PubMedCentralID PMC4516564. 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. These null results were accompanied by suggestive evidence that the physical activity program may reduce the rate of fall related fractures and hospital admissions in men.Trial registration ClinicalsTrials.gov NCT01072500. View details for DOI 10.14283/jfa.2016.76, View details for Web of Science ID 000449826700002, View details for PubMedCentralID PMC4905714. Robert M. Kaplan in the United States of America. A randomized controlled trial is warranted to definitively resolve this issue. View details for Web of Science ID 000391236900011. View details for DOI 10.3389/fpsyg.2020.00358, View details for DOI 10.1177/0033354920954496, View details for DOI 10.1001/jamacardio.2019.5117. 2018 o 8:00 UTC na Court 2, Stellenbosch, South Africa. Associated persons: . The Women's Health Initiative 1993-2009. Serious adverse events were reported by 404 participants (49.4%) in the physical activity group and 373 participants (45.7%) in the health education group (risk ratio, 1.08 [95% CI, 0.98-1.20]).A structured, moderate-intensity physical activity program compared with a health education program reduced major mobility disability over 2.6 years among older adults at risk for disability. View details for PubMedCentralID PMC3989438, View details for Web of Science ID 000334289900004, View details for PubMedCentralID PMC3989438. Finally, a large number of published studies were not registered in ClinicalTrials.gov, but many of these were published before ClinicalTrials.gov's inception date of 2000.Improved prospective registration of trials and consistent reporting of results in ClinicalTrials.gov would help make ClinicalTrials.gov records more useful in finding unpublished information and identifying potential biases. This pattern of results persisted even after stratifying on the number of self-reported chronic conditions.Our findings provide no evidence that access to and use of health care explains the education-health gradient. Foreign Correspondent. His 20 books and over 560 articles or chapters have been cited more than 55,000 times (H-index>100) and the ISI includes him in the listing of the most cited authors in his field (defined as above the 99.5th percentile). Participants with insomnia had a mean ISI score of 12.1, those with daytime drowsiness had a mean ESS score of 12.5, and those with poor sleep quality had a mean PSQI score of 9.2. 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. The relationship between accelerometry measures and predicted 10-year Hard Coronary Heart Disease (HCHD) risk was modeled by using linear regression, stratified according to CVD history. Both groups declined in quality of life over time, but assignment to the physical activity intervention resulted in a slower decline in health-related quality of life scores (p=0.03). #204. 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. The purpose of this study was to examine the relationship between dynapenia and metabolic risk factors in obese and nonobese older adults.A total of 1453 men and women (age 70years) from the Lifestyle Interventions and Independence for Elders (LIFE) Study were categorized as (1) nondynapenic/nonobese (NDYN-NO), (2) dynapenic/nonobese (DYN-NO), (3) nondynapenic/obese (NDYN-O), or (4) dynapenic/obese (DYN-O), based on muscle strength (Foundation for the National Institute of Health criteria) and body mass index. Moreover, the concept of what constitutes "moderate" exercise or an appropriate volume of work is dictated by the physical capacities of each individual and the level of comfort/stability in actually executing a specific prescription.