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. Overall support for the partitioned subgroupings was obtained using mixed model regression analysis.The results suggest that, in combination with race/ethnicity, features of the perceived neighborhood built and social environments differentiated distinct groups of vulnerable older adults from different age strata that differed in obesity prevalence. The examples are collaborative care for depression, chronic pain management, and cognitive-behavioral therapy for insomnia. When expanded it provides a list of search options that will switch the search inputs to match the current selection. A general linear model estimated costs with fixed effects for chronic disease (present or absent) and mental health functioning (lowest, middle, and highest MCS score tertiles indicating low, middle, and high levels of mental health functioning, respectively). Prevalence rates were 33.0% for insomnia, 18.1% for daytime drowsiness, 47.8% for poor sleep quality, and 32.9% for high risk of sleep apnea. 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. 1968-1973 PUBLICATIONS BOOKS . 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. They were recruited at eight field centers and randomly assigned to either PA or health education. Kaplan, R. M., Glassman, J. R., Millstein, A. The traditional 22 table starts with the hypothesis, uses a test and a gold standard to confirm or exclude the investigated condition. 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]). At baseline, the 2 groups were well balanced by age, comorbidity, and baseline eGFRCysC. 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. The ICERS are less than many commonly recommended medical treatments. Impact of Baseline Fatigue on a Physical Activity Intervention to Prevent Mobility Disability. The outcome of interest was the first occurrence of MMD or incident MMD.After controlling for age, sex, clinic site, and treatment arm, baseline MAT-sf scores were found to be effective in identifying risk for MMD (p < .0001). Costs for this PA program for older adults are comparable to those of other PA interventions. View details for DOI 10.1152/physiolgenomics.00169.2013, View details for Web of Science ID 000332245700001, View details for PubMedCentralID PMC3949106. The results are preliminary and a longer study is required to fully assess the costs and health benefits of these interventions. Robert M. Kaplan. We evaluated associations of light intensity physical activity and sedentary time-assessed both objectively and by self-report-with body mass index (BMI) and grip strength in a large sample of older adults.We used cross-sectional baseline data from 1130 participants of the Lifestyle Interventions and Independence for Elders (LIFE) study, a community-dwelling sample of relatively sedentary older adults (70-89 years) at heightened risk of mobility disability. In addition, we review methods used for economic analysis and calculation of the quality-adjusted life year (QALY). The MAT-sf was administered at baseline; MMD, operationalized as failure to complete the 400-m walk 15 minutes, was evaluated at 6-month intervals across a period of 42 months. doi:10.2105/AJPH.2018.304857). (PsycINFO Database Record (c) 2019 APA, all rights reserved). View details for Web of Science ID 000334289900004 Journalist and geopolitical analyst Robert Kaplan on the South China Sea, China and Asia's future. Sink, K. M., Espeland, M. A., Castro, C. M., Church, T., Cohen, R., Dodson, J. Using hospital discharge data for the period 2007-16, we compared acute myocardial infarction (AMI) hospitalization rates in San Diego County and the rest of the state before and after the demonstration project started. Prof. Robert Kaplan is the Baker Foundation Professor at Harvard Business School. Acute alcohol intoxication is responsible for a sizable share of emergency department visits. This polymorphism is known to influence a variety of physiological adaptions to exercise. 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? 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. Full adresss: 1535 W Schaumburg Rd. The Neuropsychiatry of Shamanism Robert M Kaplan Graduate School of Medicine, Building 28, University of Wollongong, NSW, 2522, Australia rob.liaison@gmail.com Keywords Shamanism, neuropsychiatry, hallucinations, altered states of consciousness, trance state, schizophrenia, epilepsy, laterality Abstract The shamanic state is a human constant, 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. Conjoint analysis may be a more robust approach to preference measurement for men at risk for prostate cancer. Economic Benefit of "Modern" Nonemergency Medical Transportation That Utilizes Digital Transportation Networks. A renewed effort to increase the federal investment in behavioral and social sciences research is necessary. 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. Groessl, E. J., Kaplan, R. M., Rejeski, W., Katula, J. View details for PubMedCentralID PMC3989438, View details for Web of Science ID 000334289900004, View details for PubMedCentralID PMC3989438. To explore vaccine acceptance decisions, we conducted a national survey of 1,000 people from all US states in August of 2020 and a replication in December of 2020. 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. Robert D. Kaplan is the bestselling author of sixteen books on foreign affairs and travel translated into many languages, including In Europe's Shadow, Asia's Cauldron, The Revenge of Geography, Monsoon, The Coming Anarchy, and Balkan Ghosts. For those with lower baseline fatigue, no group differences in MMD (P=.36) or PMMD (P=.82) were found. Pending further verification, the results may help to inform subsequent targeting of such subgroups for further investigation.Clinicaltrials.gov Identifier= NCT01072500. When expanded it provides a list of search options that will switch the search inputs to match the current selection. Each participant was categorized as having 0, 1 to 3, or 4 or more cumulative hospital days before each accelerometer assessment.RESULTS: Hospitalization increased sedentary time similarly in both intervention groups (8 min/d for 1-3 cumulative hospital days and 16 min/d for 4 cumulative hospital days). Moreover, among obese older adults, dynapenia was associated with lower risk of meeting MetS criteria for waist circumference and diastolic blood pressure. Eight conditions (arthritis, chronic obstructive pulmonary disease [COPD], high cholesterol, cancer, diabetes, stroke, coronary heart disease, and asthma) were analyzed separately.RESULTS: For each analysis, presence or absence of the chronic condition had a strong impact on cost. Groessl, E. J., Kaplan, R. M., Rejeski, W. J., Katula, J. Foreign Correspondent. Healthy older adults were randomly selected from a large community health project and the groups were compared on measures of quality of life, autonomic activity (heart rate, heart rate variability, skin conductance response, respiratory amplitude/rate), immune function (secretory Immunoglobulin A, sIgA), stress hormone (cortisol) and brain imaging (resting state functional connectivity, structural differences). In a multistate model, the hazard ratios for comparisons of physical activity with health education were 0.87 (CI, 0.73 to 1.03) for the transition from no MMD to MMD; 0.52 (CI, 0.10 to 2.67) for no MMD to death; 1.33 (CI, 0.99 to 1.77) for MMD to no MMD; and 1.92 (CI, 1.15 to 3.20) for MMD to death.The intention-to-treat principle was maintained for MMD burden and first transition out of no MMD, but not for subsequent transitions.A structured physical activity program reduced the MMD burden for an extended period, in part through enhanced recovery after the onset of disability and diminished risk for subsequent disability episodes.National Institute on Aging, National Institutes of Health. Time spent watching television was positively associated with BMI, while reading and computer use were not. 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. OBJECTIVE: The authors describe a comprehensive care model for Alzheimer disease (AD) that improves value within 1-3 years after implementation by leveraging targeted outpatient chronic care management, cognitively protective acute care, and timely caregiver support.METHODS: Using current best evidence, expert opinion, and macroeconomic modeling, the authors designed a comprehensive care model for AD that improves the quality of care while reducing total per capita healthcare spending by more than 15%. Report. Robert M. Kaplan combines subjects such as Diabetes mellitus, Psychiatry, Respondent and Emergency medicine with his study of Quality of life. 424 older adults at risk for mobility disability were randomly assigned to either condition. Rejeski, W. J., Axtell, R., Fielding, R., Katula, J., King, A. C., Manini, T. M., Marsh, A. P., Pahor, M., Rego, A., Tudor-Locke, C., Newman, M., Walkup, M. P., Miller, M. E. Determinants of Racial/Ethnic Disparities in Incidence of Diabetes in Postmenopausal Women in the U.S. Consistent with prior research, the AS incidence rate was greater in the White population than the Black population (aOR = 1.39, 95% CI 1.01 - 1.66, p = 0.04).CONCLUSION: In this study population, the incidence of AS was similar for the sexes. This is particularly the case for more vulnerable older adults already showing functional limitations associated with subsequent disability.The Lifestyle Interventions and Independence for Elders (LIFE) trial dataset (n=1600) was used to explore the associations between perceived built environment variables and baseline obesity levels. Investigators and advocates are encumbered by an over focus on studies designed to determine if a treatment can work under ideal circumstances. All titles by Robert M. Kaplan: Handbook of Health Psychology and Behavioral Medicine Edited by Jerry M. Suls, Karina W. Davidson, and Robert M. Kaplan Hardcover Rare Classic Car Preview. His office accepts new patients. Published online ahead of print January 24, 2019: e1-e3. In comparison with PE, we found significantly higher ratings for the IBMT group on dimensions of life quality. B., Studenski, S. A., Goodpaster, B. H., Glynn, N. W., Lopez, O., Nadkarni, N. K., Williams, K., Newman, M. A., Grove, G., Bonk, J. T., Rushing, J., Kost, P., Ives, D. G., Kritchevsky, S. B., Marsh, A. P., Brinkley, T. E., Demons, J. S., Sink, K. M., Kennedy, K., Shertzer-Skinner, R., Wrights, A., Fries, R., Barr, D., Gill, T. M., Axtell, R. S., Kashaf, S. S., de Rekeneire, N., McGloin, J. M., Wu, K. C., Shepard, D. M., Fennelly, B., Iannone, L. P., Mautner, R., Sweeney Barnett, T., Halpin, S. N., Brennan, M. J., Bugaj, J. A 'safety loop' model postulates risk-related decisions are not based on objective and measurable risks but on the subjective perception of those risks. February 1994 Issue. Gill, T. M., Guralnik, J. M., Pahor, M., Church, T., Fielding, R. A., King, A. C., Marsh, A. P., Newman, A. In two of these eight tests, a -LR (0.25 and 0.004) excluded the induction of 'Perceived Safety'.Communication of test results caused perceived anxiety but not perceived safety in 80% of the investigated tests. Additionally, the presence of dynapenia did not increase cardiometabolic disease risk in either obese or nonobese older adults. All cognitive measures loaded onto the first principal component (global cognitive function), which accounted for 40% of the overall variance.Our results support the use of computer-based tools for assessing cognitive function in multicenter clinical trials of older individuals. In 1990, the Senate Appropriations Committee, recognizing that behavior may contribute to about half of all premature deaths, recommended that funding for behavioral and social sciences research should be about 10% of the NIH budget. Baseline data (collected in April-December 2004, analyzed in 2006) included demographics, medical history, the Quality of Well-Being Scale (QWB-SA), a timed 400-m walk, and the Short Physical Performance Battery (SPPB). He was Chair of the Department of Health Services from 2004 to 2009. This strategy is presented. 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. Parasympathetic activity indexed by skin conductance response and high-frequency heart rate variability also showed more favorable outcomes in the IBMT group. The lack of distinguishable characteristics suggests that variably applied terminology may hinder efforts to narrow the gap between research and practice. 416 (57.4%) of the studies posted some results. After checking Hardy-Weinberg equilibrium, we used using linear regression to evaluate the genotype*treatment interaction for each outcome. View details for Web of Science ID 000337624300008, View details for PubMedCentralID PMC4057978, To evaluate the prevalence of respiratory impairment and dyspnea and their associations with objectively measured physical inactivity and performance-based mobility in sedentary older persons.Cross-sectional.Lifestyle Interventions and Independence for Elders Study.Community-dwelling older persons (n = 1,635, mean age 78.9) who reported being sedentary (<20 min/wk of regular physical activity and <125 min/wk of moderate physical activity in past month).Respiratory impairment was defined as low ventilatory capacity (forced expiratory volume in 1 second less than lower limit of normal (LLN)) and respiratory muscle weakness (maximal inspiratory pressure Robert M. Kaplan is a Clinical Associate Professor, Graduate School Of Medicine at University of Wollongong. The subgroups with the lowest obesity prevalence (45.5-59.4%) consisted of participants who reported living in neighborhoods with higher residential density. Mr. Kaplan holds degrees from Cape Town University and Columbia University. MetS was associated with stronger grip strength (mean difference () = 1.2 kg, P = .01) in the overall sample and in participants without diabetes mellitus and with poorer self-rated health ( = 0.1 kg, P < .001) in the overall sample only. ISBN 10: . The original trial was conducted across 8 academic centers in the US from February 2010 through December 2013. Groessl, E. J., Kaplan, R. M., Rejeski, W., Katula, J. Schaettle, P. R., Kaplan, R. S., Lee, V. S., Parkinson, M. D., Gorman, G. H., Browne, M. Transparency of results reporting for depression treatment studies in ClinicalTrials.gov: a cross-sectional study. 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). These results are consistent with the hypothesis that replacing sedentary activities with light intensity activities could lead to lower BMI levels and obesity prevalence among the population of older adults. A., Glynn, N. W., King, A. C., Anton, S. D., Walkup, M., Lu, C., Reid, K., Spring, B., Pahor, M. METHODS FOR QUANTIFYING EFFICACY-EFFECTIVENESS GAP OF RANDOMIZED CONTROLLED TRIALS: EXAMPLES IN ARDS. Presumed owner of the real estate located at 151 Tremont St #7j, Boston. Results. 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. Kaplan is a former Editor-in-Chief of Health Psychology and of the Annals of Behavioral Medicine. View details for DOI 10.1016/j.jamda.2014.05.008 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. 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. Effect of Structured, Moderate Exercise on Kidney Function Decline in Sedentary Older Adults: An Ancillary Analysis of the LIFE Study Randomized Clinical Trial. View details for DOI 10.1161/JAHA.114.001288. We provide an overview of generic HRQoL measures used widely in epidemiological studies, health services research, population studies, and randomized clinical trials [e.g., Medical Outcomes Study SF-36 and the Patient-Reported Outcomes Measurement Information System (PROMIS)-29]. To advance the field, we need a greater emphasis on evaluations that ask 'Does the treatment work under real-world conditions? We examined 4 different methods of estimating the effect of health care on health outcomes.METHODS: We reviewed the contributions of medical care to health outcomes using 4 methods: (1) analyses by McGinnis and Schroeder, (2) Wennberg and colleagues' studies of small area variation, (3) Park and colleagues' analysis of County Health Rankings and Roadmaps, and (4) the RAND Health Insurance Experiment.RESULTS: The 4 methods, using different data sets, produced estimates ranging from 0% to 17% of premature mortality attributable to deficiencies in health care access or delivery. In this report, we offer three examples of how economic data could promote greater adoption of behavioral and psychosocial interventions in clinical settings where primary or specialty medical care is delivered to patients. Forensic psychiatrist and historian Robert M. Kaplan is of the opinion the coronavirus pandemic will not last that much longer. Associated persons: . This pilot work examined associations of brain grey matter volumes (GMV) with perceived fatigability in older adults to elucidate disablement mechanisms. A., King, A. C., Frierson, G., Hsu, F., Walkup, M., Pahor, M. Health-related quality of life in older adults at risk for disability. Incidence of Ankylosing Spondylitis Among Male and Female United States Army Personnel. He serves as Chair of United Jewish Appeal (UIA) South Africa and as Chair of the Keren Hayesod Budget Committee. Dr Robert M Kaplan is a company that operates in the Hospital & Health Care industry. Lower mental health functioning also had a significant impact on cost. In addition, consistent indexing in databases, such as MEDLINE, would allow for better matching of records and publications, leading to increased utility of these searches for systematic review projects. 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 ( 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). View details for Web of Science ID 000324170300001, View details for PubMedCentralID PMC3775623. Conclusions. 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. 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. with Honors and Academic Distinction Psychology Department Special Award for graduation with highest academic View PDF In February of 2011,Robert M. Kaplan, Ph.D. joined the National Institutes of Health (NIH) Office of the Director as Associate Director for Behavioral and Social . Despite enthusiasm for cancer screening, systematic reviews consistently fail to show that screening reduces all-cause mortality.
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