We expect that the ability for ultrathin ta-C coated Ag nanoparticles as the SERS substrates to detect low concentrations of target biomolecules opens the door to the applications where it can be used as a detection tool for integrated, on-chip devices.”
“Background: STI571 purchase Purchasers can play an important role in eliminating racial and ethnic disparities in health care. A need exists to develop a compelling “business case” from the employer perspective to put, and keep, the issue of racial/ethnic disparities in health care on the quality improvement agenda for health plans and providers.\n\nMethods: To illustrate a method for calculating an employer business case for disparity reduction and to compare the
business case in two clinical areas, we conducted analyses VX-770 concentration of the direct (medical care costs paid by employers) and indirect (absenteeism, productivity) effects of eliminating known racial/ethnic disparities in mammography screening and appropriate medication use for patients with asthma. We used Markov simulation models to estimate the consequences, for defined populations of African-American employees or health plan members, of a 10% increase in HEDIS mammography rates or a 10% increase in appropriate medication use among either adults or children/adolescents with asthma.\n\nResults: The savings per employed African-American woman aged 50-65 associated with a 10% increase in HEDIS mammography rate, from direct
medical expenses and indirect costs (absenteeism, productivity) combined, was $50. The findings for asthma find more were more favorable from an employer point of view
at approximately $1,660 per person if raising medication adherence rates in African-American employees or dependents by 10%.\n\nConclusions: For the employer business case, both clinical scenarios modeled showed positive results. There is a greater potential financial gain related to eliminating a disparity in asthma medications than there is for eliminating a disparity in mammography rates.”
“The purpose of the study was to quantify the impact that ultrasound (US) of the hands and feet has on the rheumatologists’ diagnostic confidence and on patient management.\n\nThere were 62 consecutive referrals from two rheumatologists for US of the hands and/or feet for this prospective controlled observational study. Measurements of diagnostic confidence for both specific clinical findings as well as overall diagnosis using a Likert scale were made both before and after the US examination in each case. Proposed management was also recorded before US and then with the benefit of the US result. McNemar’s test was performed to determine differences in diagnostic certainty and proposed management before and after US.\n\nThe physician certainty for specific clinical findings increased significantly following US for synovitis (9.7 vs 38.7%), tenosynovitis (9.7 vs 46.8%), erosions (1.6 vs 58.1%), enthesitis (50.0 vs 83.9%) and other (53.2 vs 77.4%).