PURPOSE To assess the impact of mental health visits (MHV) on the cost of care for Veterans with diabetes and comorbid mental health conditions. METHODS A national cohort of 120,852 Veterans with diabetes and at least one mental health diagnosis (i.e., substance abuse, depression or psychoses) in 2002 was followed through 2006. Outcomes were pharmacy, inpatient and outpatient costs in 2012 do...

There have been repeated instances of police forces having violent, sometimes fatal, interactions with individuals with mental illness. Police forces are frequently first responders to those with mental illness. Despite this, training police in how to best interact with individuals who have a mental illness has been poorly studied. The present article reviews the literature examining mental ill...

This paper presents a computational modeling approach for negative effects simulation of visual distraction while driving a car. In order to investigate these effects, an experiment was firstly implemented on a driving simulator. Twenty participants were invited to perform a car following task in different driving conditions (12 driving scenarios), with or without a secondary task of visual dis...

Although decisional incapacity can be caused by various medical conditions, incapacity due to mental illness is often singled out for scrutiny in research ethics policy debates. We assessed whether there is a general discriminatory perception of mental illness research and, if so, aimed to characterize the nature of that perception. We conducted an experimental, randomized Internet survey of th...

We conducted a qualitative study in the Emergency Departments (EDs) of four hospitals in order to investigate the perceived scope and causes of 'diagnostic overshadowing'--the misattribution of physical symptoms to mental illness--and other challenges involved in the diagnostic process of people with mental illness who present in EDs with physical symptoms. Eighteen doctors and twenty-one nurse...

background: the number of people aged 60 and older is increasing faster than other age groups worldwide. iran will experience a sharp aging population increase in the next decades, and this will pose new challenges to the healthcare system. since providing high quality aged-care services would be the major concern of the policymakers, this question arises that what types of aged care services s...

the objective of this study was to compare the accuracy of estimating and predicting breeding values using two diverse approaches, gblup and bayesc, using simulated data under different quantitative trait locus(qtl) effect distributions. data were simulated with three different distributions for the qtl effect which were uniform, normal and gamma (1.66, 0.4). the number of qtl was assumed to be...

the objective of this study was to evaluate the ability of ten gcms and three emission scenarios to reproduce the rainfall and temperature parameters in kermanshah, ravansar and west islamabad stations located inside qaresou basin in iran using the average weighting method, over 1989-2008 period. at first, the models output and the scenarios were provided for this period. then, the models valid...

Reacting to an emergency requires quick decisions under stressful and dynamic conditions. To react effectively, responders need to know the right actions to take given the risks posed by the emergency. While existing research on risk scales focuses primarily on decision making in static environments with known risks, these scales may be inappropriate for conditions where the decision maker's ti...

Nearly all armies of the Western Hemisphere use modeling and simulation tools as an essential part for analysis and training their leaders and war fighters. Tremendous resources have been applied to increase the level of fidelity and detail with which real combat units are represented in computer simulations. Current models digress from Lanchester equations used for modeling the big Cold War sc...