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Screening high-risk Veterans for cirrhosis: taking a stepwise population health approach.
BMC Health Serv Res
January 2025
VA Center for Health Equity Research and Promotion, Pittsburgh, PA, USA.
Background: Because cirrhosis is often unrecognized, we aimed to develop a stepwise screening algorithm for cirrhosis in the Veterans Health Administration (VHA) and assess this approach's feasibility and acceptability.
Methods: VHA hepatology clinicians ("champions") were invited to participate in a pilot program from June 2020 to October 2022. The VHA Corporate Data Warehouse was queried to identify Veterans with possible undiagnosed cirrhosis using Fibrosis-4 (FIB-4) ≥ 3.
Monitoring Use of Language Interpreting Services for Patients with Limited English Proficiency: Methods to Match Patient Medical Records with Interpreter Billing Logs.
J Gen Intern Med
January 2025
Icahn School of Medicine at Mount Sinai, Institute for Health Equity Research, New York, USA.
Background: Over 60 million patients in the USA have limited English proficiency (LEP) and experience barriers in care. Still, there exists no standardized method of monitoring the utilization of language interpreting services (LIS).
Objective: To introduce a methodological approach to systematically monitor utilization of LIS for LEP patients.
Flower colour contrast, 'spectral purity' and a red herring.
Plant Biol (Stuttg)
January 2025
Department of Behavioral Physiology and Sociobiology, University of Würzburg, Würzburg, Germany.
Nature offers a bewildering diversity of flower colours. Understanding the ecology and evolution of this fantastic floral diversity requires knowledge about the visual systems of their natural observers, such as insect pollinators. The key question is how flower colour and pattern can be measured and represented to characterise the signals that are relevant to pollinators.
View Article and Find Full Text PDFVariable schedules of reinforcement do not reliably distinguish habit from goal-directed behavior.
Neurosci Lett
January 2025
Institute of Higher Nervous Activity and Neurophysiology, RAS, 5A Butlerova Street, 117485 Moscow, Russian Federation. Electronic address:
Contemporary analyses of neurophysiological mechanisms of associative learning suggest that instrumental behavior can be controlled by separable action and habit processes. An increasingly broad range of human psychiatric and neurological disorders are now associated with maladaptive habit formation. The question of how the brain controls transitions into habit is thus relevant.
View Article and Find Full Text PDFPotential for Misdiagnosis of Detrusor Underactivity Due to Urodynamic Voiding Position and Seating Characteristics.
Neurourol Urodyn
January 2025
Department of Obstetrics and Gynecology, Division of Urogynecology, Albany Medical Center, Albany, New York, USA.
Background: Detrusor underactivity (DUA) is a lower urinary tract (LUT) diagnosis that is diagnosed with multichannel urodynamic studies (UDS). The effect of voiding position and DUA detection is unclear.
Objectives: We investigated whether moving individuals from the UDS chair to their typical voiding position would more accurately assess detrusor function in cases of absent or nonrepresentative voiding.
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