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Several sociodemographic and clinical factors were found to be significantly associated with repeat abortions and should be considered in post-abortion family planning services.
A high proportion of repeat induced abortion was observed across many Chinese provinces, highlighting the need to reduce the incidence of unwanted pregnancy. Several sociodemographic and clinical factors were found to be significantly associated with repeat abortions and should be considered in post-abortion family planning services.
Abnormal blood lipid levels are common in bipolar disorder (BD) and correlate with mood symptoms and neurocognition. However, studies have not examined the lipid-brain structure association in BD or youth.
This study examined low-density lipoprotein (LDL-C), high-density lipoprotein (HDL-C), triglycerides, and total cholesterol (TC) levels in relation to brain structure utilizing T1-weighted images, among participants ages 13-20 with BD (n=55) and healthy controls (HC; n=47). General linear models investigated group differences in the association of lipids with anterior cingulate cortex (ACC), hippocampus, and inferior parietal lobe structure, controlling for age, sex, body mass index, and intracranial volume. For significant associations, post hoc within-group analyses were undertaken. Exploratory vertex-wise analyses further investigated group differences in the lipid-brain structure association.
There were significant group differences in the association of LDL-C (β=-0.29 p=0.001), and TC (β=-0.21 p= has salutary effects on brain structure is necessary.Perylene- as well as naphthalenediimides were fused to hexabenzocoronenes (HBCs) at their imide position to realize highly π-extended donor-acceptor (D-A)-hybrids. Successful isomer separation in the first step was decisive to guarantee a straightforward synthetic sequence. Hexaphenylbenzenes as precursors were accessed via Diels-Alder reactions and reacted in a Scholl oxidation to yield the respective HBC derivatives. The fully conjugated benzimidazole linker, which separates the electron donating HBC from the electron accepting rylenediimide, enabled the formation of either a linear or a helical configuration. Largely different chemical, physical, and optoelectrical characteristics were noted for the two configurations. What stood out was their aggregation and their excited state deactivation depending on the solvent polarity. Results from global analysis of the femtosecond transient absorption data corroborated the formation of a charge-transfer (CT) state that is stabilized in the helically fused configuration relative to the linear analogue. However, a comparison with spectroelectrochemical experiments failed to disclose evidence for a charge-separated (CS) state.
We aimed to assess cognitive function in women with preeclampsia stratified by severity, before and after onset of disease.
Prospective study performed at a referral hospital in Cape Town, South Africa. Pregnant women between 20 and 42weeks of gestation with eclampsia, pulmonary edema and preeclampsia without severe features, and a normotensive pregnancy were approached. Women were included at diagnosis of preeclampsia or at admission for delivery (women with normotensive pregnancies). Two cognitive assessments, the Cognitive Failure Questionnaire to assess the cognitive function subjectively before inclusion in the study, and Montreal Cognitive Assessment to assess the current cognitive function objectively before discharge from the hospital after delivery, were performed.
We included 61 women with eclampsia, 28 with preeclampsia complicated by pulmonary edema, 38 with preeclampsia without severe features, and 26 with normotensive pregnancies. There was no difference in cognitive function from early pregnancy between groups. Women with eclampsia and preeclampsia complicated by pulmonary edema scored lower on the Montreal Cognitive Assessment at time of discharge compared with women with normotensive pregnancies. The results were attenuated in pulmonary edema after adjustment for confounders.
Women with preeclampsia complicated by pulmonary edema and in particular eclampsia had impaired cognitive function after onset of disease compared with women with normotensive pregnancies. The impairment did not seem to be present before onset of disease. Women with preeclampsia without severe features did not have impaired cognitive function.
Women with preeclampsia complicated by pulmonary edema and in particular eclampsia had impaired cognitive function after onset of disease compared with women with normotensive pregnancies. click here The impairment did not seem to be present before onset of disease. Women with preeclampsia without severe features did not have impaired cognitive function.
To illustrate a method that accounts for sampling variation in identifying suppliers and counties with outlying rates of a particular pattern of inconsistent billing for ambulance services to Medicare.
US Medicare claims for a 20% simple random sample of 2010-2014 fee-for-service beneficiaries.
We identified instances in which ambulance suppliers billed Medicare for transporting a patient to a hospital, but no corresponding hospital visit appeared in billing claims. We estimated the distributions of outlier supplier and county rates of such "ghost rides" by fitting a nonparametric empirical Bayes model with flexible distributional assumptions to account for sampling variation.
We included Basic and advanced life support ground emergency ambulance claims with a hospital destination.
"Ghost ride" rates varied considerably across both ambulance suppliers and counties. We estimated 6.1% of suppliers and 5.0% of counties had rates that exceeded 3.6%, which was twice the national average of "ghost rides" (1.8% of all ambulance transports).
Health care fraud and abuse are frequently asserted but can be difficult to detect. Our data-driven approach may be a useful starting point for further investigation.
Health care fraud and abuse are frequently asserted but can be difficult to detect. Our data-driven approach may be a useful starting point for further investigation.
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