BACKGROUND Medicare managed care enrollees who disenroll to fee-for-service (FFS) historically have worse health and higher costs than continuing enrollees and beneficiaries remaining in FFS. OBJECTIVE To examine disenrollment patterns by analyzing Medicare payments following disenrollment from Medicare Advantage (MA) to FFS in 2007. Recent growth in the MA program, introduction of limits on ...

BACKGROUND Dose-escalated (DE) radiation therapy (RT) and androgen deprivation therapy (ADT) improve prostate cancer outcomes over standard-dose RT. The benefit of adding ADT to DE-RT for men with intermediate-risk prostate cancer (IR-PrCa) is uncertain. PATIENTS AND METHODS We identified 636 men treated for IR-PrCa with DE-RT (>75Gy). The adult comorbidity evaluation-27 index classifed comor...

To achieve the most energy-efficient operation, this brief presents a circuit design technique for separating the power supply voltage (VDD) of flip-flops (FFs) from that of combinational circuits, called the higher voltage FF (HVFF). Although VDD scaling can reduce the energy, the minimum operating voltage (VDDmin) of FFs prevents the operation at the optimum supply voltage that minimizes the ...

In this study, the distribution of channel-bed sediment facies in the lowermost Mississippi River is analysed using multibeam data, complemented by sidescan sonar and compressed high-intensity radar pulse seismic data, as well as grab and core samples of bed material. The channel bed is composed of a discontinuous layer of alluvial sediment and a relict substratum that is exposed on the channel...

BACKGROUND AND OBJECTIVES Superficial fungal skin infections are treated using topical antifungals. The aim of this study was to demonstrate the efficacy of a single application of 1 % terbinafine film-forming solution (FFS) versus placebo for the treatment of tinea pedis in the Chinese population. METHODS Six centers in China randomized 290 patients in a 1:1 ratio to receive either 1 % terbi...

BACKGROUND The purpose of this study is to analyze the relationship between newly introduced primary care models in Ontario, Canada, and patients' primary care and total health care costs. A specific focus is on the payment mechanisms for primary care physicians, i.e. fee-for-service (FFS), enhanced-FFS, and blended capitation, and whether providers practiced as part of a multidisciplinary team...

There are errors in the third sentence of the Results section of the Abstract. The correct sentence is: The average physical activity (in metabolic equivalents [METS]/week) of the FFs was 3953±2688, whereas those of the POs was 2838±2872 (vs. FFs: -985, CI: -1941-30, p = 0.043) and of the SCs 2212±2293 (vs. FFs: -1598.8, CI: -2477-721, p = 0.000; vs. POs: -613.6, CI: -1617.4–390.3, p = 0.229), ...

PURPOSE Barefoot running (BF) is gaining popularity in the running community. Biomechanical changes occur with BF, especially when initial contact changes from rearfoot strike (RFS) to forefoot strike (FFS). Changes in lumbar spine range of motion (ROM), particularly involving lumbar lordosis, have been associated with increased low back pain. However, it is not known if changing from RFS to FF...

BACKGROUND Food and nutrition security in eastern Democratic Republic of the Congo are threatened by political instability and chronic poverty. The Jenga Jamaa II project, implemented between 2011 and 2016 in South Kivu Province, aimed to improve household food security and child nutritional status using various intervention strategies, including farmer field school (FFS) programs. OBJECTIVE ...

An Integrated Pest Management (IPM) Farmer Field School (FFS) is a field-based activity that lasts a full cropping season. A typical FFS meets once a week and 25-30 farmers participate in an FFS. In addition to group dynamics activity and a special topic session, an FFS emphasizes scientific learning through experimentation. Biological control is discussed and confirmed by carrying out insect z...