001) with increasing driving distance to the appointment. Patients with Medicaid insurance were significantly less likely (p < 0.001) to present with problems of simple clinical complexity than patients with Medicare and those with private insurance. Primary care physicians reported that 62% of local surgeons accepted patients PKC412 with Medicaid insurance and 100% of local surgeons accepted patients with private insurance. Forty-four percent of these primary care physicians reported that, if patients who were underinsured (i.e., patients with Medicaid insurance or no insurance) had been refused by community surgeons, they were unable
to drive to our tertiary center because of limited personal resources. Patients with Medicaid insurance (26%) were significantly more likely (p < 0.001) to fail to arrive for appointments than patients with private insurance (11%), with no-show rates increasing with the greater distance required to reach the tertiary center.
Conclusions: Economically disadvantaged patients face barriers to accessing specialty surgical care. Among patients with Medicaid coverage or no insurance, local surgical care is less likely to be offered and yet personal resources may limit a patient’s ability selleck products to reach distant centers for non-emergency care.”
“The objective of this work was to evaluate the effect of relative humidity
(RH) on oxidation of the free and encapsulated oil fractions of dried microencapsulated oils (DMOs) during long-term storage at 30 degrees C. Sunflower and fish oils with different tocopherol content were encapsulated
CP-690550 solubility dmso in a milk-based encapsulation matrix. The total non-volatile oxidation products and tocopherol were quantitated. Results showed that 0% and 32% RH were, respectively, the most unfavourable and favourable conditions against lipid oxidation. The 32% RH atmosphere exerted a great protective effect on the free oil as compared to 0% RH, while no or a negligible effect was found in the encapsulated oil. Except for the samples most susceptible to oxidation, the free oil remarkably oxidized more slowly than the encapsulated oil regardless of RH. Therefore, there were factors other than moisture that determined the oxidation rate in the free and encapsulated fractions of the DMOs. (C) 2009 Elsevier Ltd. All rights reserved.”
“Background: The purpose of this study was to evaluate serial changes in QRS duration in the 12-lead electrocardiogram (ECG) and their prognostic value in patients with atrial fibrillation (AF).
Methods: Retrospective evaluation of the 12-lead ECG was performed in 822 patients with AF. Inclusion criteria included AF in two sequential ECGs and an echocardiogram obtained within 7 days of the second ECG. The mean age of the 228 patients enrolled in the study was 71.2 +/- 12.9 and 45.6% were females. Nearly half of the patients had hypertension (49.5%) and a history of heart failure (44.7%).