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7% versus 2.0%, hazard ratio, 1.81, P=0.034; CTA 5.0% versus 2.2%, hazard ratio, 1.85; P=0.044) and positive tests (stress 8.3% versus 2.0%, hazard ratio, 3.50; CTA 9.2% versus 2.2%, hazard ratio, 3.66; P less then 0.001). Twenty-four-month costs were higher for inconclusive tests than negative tests by $2905 (stress) and $4030 (CTA). CONCLUSIONS Among patients with stable chest pain undergoing a noninvasive test, inconclusive results occurred in 6% of CTA and 10% of stress tests. Compared with those with conclusive negative tests, individuals with inconclusive results more often underwent subsequent testing, had increased medical costs, and experienced worse outcomes. Registration URL https//www.clinicaltrials.gov; Unique identifier NCT01174550.Alcohol usage among young adults remains a prominent public health concern. Communicating with family members about alcohol can positively influence young adults' perceptions of social norms, yet the stigmatized nature of alcohol-related conversations in the family create a barrier to occurrence of these conversations. This study examines how young adults' familial communication patterns relate to their descriptive and injunctive social norms about limiting alcohol, using Communication Privacy Management Theory as the theoretical framework. Specifically, this study seeks to understand how conversation orientation, conformity orientation, warm conformity orientation, and cold conformity orientation associates with two sets of social norms (descriptive and injunctive), and to investigate how implicit privacy rules mediates each of these relationships. The current study examines 444 college students' responses to several quantitative measures. Implicit privacy rules did fully mediate the relationships between conversation orientation and injunctive social norms about limiting alcohol as well as warm conformity orientation and injunctive social norms about limiting alcohol.We investigated changes in the anticipatory activity of the leg and trunk muscles in preparation for a step during support surface perturbation. Eight healthy subjects performed stepping tasks under three conditions normal, forward perturbation, and backward perturbation. R and C indices were calculated for the reciprocal and co-activation patterns of muscle pairs within the time intervals typical of anticipatory postural adjustments. When the support surface perturbation occurred, anticipatory muscle activations were predominantly in the C indices in the leg muscles. Significant differences in the maximum displacement of the centre of pressure were seen between conditions (FS vs NS; BS vs FS). The results suggest that activation of the leg muscles rather than the trunk muscles was modified to ensure equilibrium for taking a step in response to support surface perturbation.Purpose Food insecurity, which leads to adverse health outcomes, has even more severe implications for cancer patients. Yet medically underserved cancer patients are more likely to be food insecure than the general population.Methods This study is a cross-sectional analysis of intake data from patients who participated in the Integrated Cancer Care Access Network (ICCAN). ICCAN is a specialized program that addresses socioeconomic barriers to cancer care among underserved cancer patients in NYC. This study utilized ICCAN data from 2011 to 2017. The USDA food insecurity score, self-reported SNAP receipt, and SNAP eligibility based on household income were compared between SNAP and non-SNAP recipients.Results 681 patients were assessed for food insecurity. Sixty-nine percent of participants lived in food insecure households. Despite SNAP assistance, most SNAP recipients (68%) were food insecure; 69% of respondents who did not receive SNAP were also food insecure.Conclusions Underserved cancer patients who receive SNAP are still food insecure, hence at more significant risk for its associated negative outcomes. Supplemental programs for patients with chronic diseases are needed in clinics with large low income populations. SNAP benefits should account for the additional financial burden posed by treatment costs and exceptional circumstances faced by cancer patients.Perceived message effectiveness (PME) is commonly used in health communication research and practice, yet there has been a dearth of studies comparing different operationalizations of the PME construct. In the present study, we compared the two major types of PME - message perceptions and effects perceptions - among N = 557 young adults. Participants were randomized to one of two conditions 1) The Real Cost e-cigarette prevention ads developed by the Food and Drug Administration (FDA condition) or 2) information-only e-cigarette control ads developed by the Mayo Clinic (control ad condition). Study predictors were message and effects perceptions measures and actual message effectiveness (AME) outcomes were risk beliefs about vaping and intentions to vape. Results showed that both message perceptions (M = 3.82 vs M = 3.29; p less then .001) and effects perceptions (M = 4.13 vs M = 3.82; p less then .001) were higher in the FDA ad condition compared to control. Risk beliefs about vaping were also higher in the FDA ad condition than control (M = 3.95 vs M = 3.79; p =.022), but we found no differences in participants' intentions to vape, which were low overall (M = 1.59 in FDA vs M = 1.58 in control). In multivariate analyses adjusting for covariates and including both types of PME, only effects perceptions (not message perceptions) were associated with risk beliefs about vaping (b =.37, p less then .001) and intentions to vape (b = -.26, p less then .001). Our findings advance PME research by demonstrating the differing nature of message and effects perceptions, and suggest that effects perceptions should be utilized during message pretesting.Social media is an increasingly popular tool for disseminating health research findings to members of the general public and may contribute to improving the effectiveness of science communication. This study was designed to investigate how retransmission (i.e., social media content shared by a familiar, credible organization) and modality (i.e., how the message is delivered) influence the effectiveness of communicating health research findings via social media. The findings from a 2 (source) X 3 (modality) X 2 (topic) mixed factorial design experiment (N = 517) indicated that source had a significant effect, such that posts that were retransmitted by a credible organization resulted in greater perceived source credibility, greater perceived message effectiveness, and greater likelihood of an individual to engage with the post on Facebook. selleck compound Modality significantly increased perceived source credibility and perceived message effectiveness when posts were retransmitted by a credible source, indicating that modality made a difference when messages were elaborated as a function of the retransmission.
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