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Carla T Murray, Matthew Schmit
Introduction: We estimate the effect on health care spending of an option to change TRICARE. Under the option, which is based on a proposal made by the Military Compensation and Retirement Modernization Commission (MCRMC), most beneficiaries could choose from a range of commercial health networks instead of the current TRICARE plans. Military treatment facilities would become network providers under the commercial plans. Materials and Methods: We used data from the Department of Defense (DoD) to estimate the cost of providing the current health care benefit to working-age retirees and their dependents and survivors, and active duty family members...
March 14, 2018: Military Medicine
T S Ravikumar, R Kanagarethinam, Divya Nair, Sitanshu S Kar
Background: Prevalence of cardiovascular diseases are reported to be high in police force, which constitute a special occupational group. "Partners in Prevention" was a special surveillance activity carried out among the personnel of the Department of Police, Government of Puducherry by JIPMER, Puducherry. The present study reports the prevalence of metabolic syndrome and other cardiovascular risk factors in this group. Materials and Methods: The design was cross-sectional analytical study covering 1618 policemen during 2013-15...
May 2017: Indian Journal of Occupational and Environmental Medicine
G F Pierce, A Haffar, G Ampartzidis, F Peyvandi, S Diop, M El-Ekiaby, H M van den Berg
INTRODUCTION: The gaps in haemophilia treatment around the world are enormous; approximately 60% of an estimated 475 000 individuals are not identified. Of the 187 000 diagnosed, 30% (57 000) access clotting factor replacement therapy. Since 1996, humanitarian aid distributed by the World Federation of Hemophilia (WFH) has played a minor, yet vital role providing life-saving clotting factor to countries in emergency situations. Donated amounts have been small and sporadic, often salvaging short-dated products, providing little opportunity to leverage donations with governments...
March 14, 2018: Haemophilia: the Official Journal of the World Federation of Hemophilia
Katie L Hill, Roger L Breton, Gillian E Manning, R Scott Teed, Marie Capdevielle, Brian Slezak
Triclosan is an antibacterial and antifungal chemical used in a variety of consumer products including soaps, detergents, moisturizers, and cosmetics. Aquatic ecosystems may be exposed to triclosan following the release of remaining residues in wastewater effluents and biosolids. In December of 2017, Environment and Climate Change Canada (ECCC) released a Federal Environmental Quality Guideline (FEQG) report that contained a Federal Water Quality Guideline (FWQG) for triclosan. This guideline will be used as an adjunct to the risk assessment and risk management of priority chemicals identified under the Government of Canada's Chemicals Management Plan (CMP)...
March 12, 2018: Integrated Environmental Assessment and Management
Tiffany M Phan, Cezanne A Bianco, Dmitriy Nikitin, David S Timberlake
The uneven diffusion of local and state laws restricting the use of electronic nicotine delivery systems (ENDS) in the United States may be a function of inconclusive scientific evidence and lack of guidance from the federal government. The objective of this study was to assess whether the rationale for amending clean indoor air acts (CIAAs) is being conflated by issues that are not directly relevant to protecting the health of ENDS non-users. Online sources were used in identifying bills ( n  = 25) that were presented in U...
March 2018: Preventive Medicine Reports
David Showalter
BACKGROUND: The United States prohibited federal funding for syringe exchange programs for people who inject drugs nearly continuously from 1988 to 2015, despite growing scientific evidence, diminishing AIDS-related controversy, and tens of thousands of deaths from injection-related AIDS. This study investigates the political and institutional bases of this long-term failure to support lifesaving public policy. METHODS: This study draws on national, regional, and local media coverage, archival sources, and semi-structured, in-depth interviews with 6 long-time syringe exchange researchers and activists from California...
March 8, 2018: International Journal on Drug Policy
Sebastian F Winter, Stefan F Winter
BACKGROUND: There is ample evidence that since the turn of the millennium German health policy made a considerable step towards prevention and health promotion, putting the strategies of 'personal empowerment' and 'settings based approach' high on the federal government's agenda. This phenomenon has challenged the role of ethics in health policy. Concurrently, increasing relevance of the Concept of Human Dignity for health and human rights has been discussed. However, a direct relationship between Human Dignity and Public Health Ethics (PHE) has surprisingly not yet been established...
June 10, 2017: International Journal of Health Policy and Management
Sabrina Roy, Fred H Hochberg, Pamela S Jones
This article aims to document the growth in extracellular vesicle (EV) research. Here, we report the growth in EV-related studies, patents, and grants as well as emerging companies with major intent on exosomes. Four different databases were utilized for electronic searches of published literature: two general databases - Scopus/Elsevier and Web of Science (WoS), as well as two specialized US government databases - the USA Patent and Trademark Office and National Institutes of Health (NIH) of the Department of Health and Human Services...
2018: Journal of Extracellular Vesicles
Emma M Smith, Lynn Roberts, Mary Ann McColl, Kathleen A Martin Ginis, William C Miller
BACKGROUND: Wheelchairs, scooters, and related equipment are essential for the well-being of individuals with limited mobility and impact participation, health, and quality of life. PURPOSE: Our objective was to identify and evaluate policies governing equipment funding for Canadian adults. We reviewed funding legislation and program documentation for adult Canadians (≥18 years of age) covered by their provincial, territorial, or federal health care plan. Documents were obtained online or through administrative staff...
February 2018: Canadian Journal of Occupational Therapy. Revue Canadienne D'ergothérapie
Teresa A Rummans, M Caroline Burton, Nancy L Dawson
The opioid crisis that exists today developed over the past 30 years. The reasons for this are many. Good intentions to improve pain and suffering led to increased prescribing of opioids, which contributed to misuse of opioids and even death. Following the publication of a short letter to the editor in a major medical journal declaring that those with chronic pain who received opioids rarely became addicted, prescriber attitude toward opioid use changed. Opioids were no longer reserved for treatment of acute pain or terminal pain conditions but now were used to treat any pain condition...
March 2018: Mayo Clinic Proceedings
Jon S Patricios, Clare L Ardern, Michael David Hislop, Mark Aubry, Paul Bloomfield, Carolyn Broderick, Patrick Clifton, Ruben J Echemendia, Richard G Ellenbogen, Éanna Cian Falvey, Gordon Ward Fuller, Julie Grand, Dallas Hack, Peter Rex Harcourt, David Hughes, Nathan McGuirk, Willem Meeuwisse, Jeffrey Miller, John T Parsons, Simona Richiger, Allen Sills, Kevin B Moran, Jenny Shute, Martin Raftery
The 2017 Berlin Concussion in Sport Group Consensus Statement provides a global summary of best practice in concussion prevention, diagnosis and management, underpinned by systematic reviews and expert consensus. Due to their different settings and rules, individual sports need to adapt concussion guidelines according to their specific regulatory environment. At the same time, consistent application of the Berlin Consensus Statement's themes across sporting codes is likely to facilitate superior and uniform diagnosis and management, improve concussion education and highlight collaborative research opportunities...
March 2, 2018: British Journal of Sports Medicine
Jens Christian König, Andrea Titieni, Martin Konrad
Hereditary cystic kidney diseases comprise a complex group of genetic disorders representing one of the most common causes of end-stage renal failure in childhood. The main representatives are autosomal recessive polycystic kidney disease, nephronophthisis, Bardet-Biedl syndrome, and hepatocyte nuclear factor-1beta nephropathy. Within the last years, genetic efforts have brought tremendous progress for the molecular understanding of hereditary cystic kidney diseases identifying more than 70 genes. Yet, genetic heterogeneity, phenotypic variability, a lack of reliable genotype-phenotype correlations and the absence of disease-specific biomarkers remain major challenges for physicians treating children with cystic kidney diseases...
2018: Frontiers in Pediatrics
Ana Paula Loch, Maria Ines Battistella Nemes, Maria Altenfelder Santos, Ana Maroso Alves, Regina Melchior, Cáritas Relva Basso, Joselita Maria de Magalhães Caraciolo, Maria Teresa Seabra Soares de Britto E Alves, Elen Rose Lodeiro Castanheira, Wania Maria do Espírito Santo Carvalho, Ruth Terezinha Kehrig, Aline Aparecida Monroe
Health services play a crucial role in reaching the 90-90-90 target of controlling the HIV epidemic. This study evaluates the organization of Brazilian health services in improving, monitoring, and retention in HIV care and adherence support. Percentage variation (PV) was used to compare the responses by services to an evaluation questionnaire on organizational quality (Qualiaids) in 2007 and 2010. The study analyzed the 419 services that completed the questionnaire in 2007 (83.1% of respondents) and 2010 (63...
February 19, 2018: Cadernos de Saúde Pública
Ahmed U Mishuk, Jingjing Qian, Jennifer N Howard, Ilene Harris, Gavriella Frank, Zippora Kiptanui, Richard Hansen
BACKGROUND: Generic drugs are bioequivalent and cost-effective alternatives to brand drugs. In 2014, $254 billion was saved because of the use of generic drugs in the United States. OBJECTIVE: To critically assess evidence on the association between patient characteristics and generic drug use in order to inform the development of educational outreach for improving generic drug use among patients. METHODS: We systematically searched the literature between January 2005 and December 2016 using PubMed, Web of Science, Ovid MEDLINE, Google Scholar, and EBSCO IPA-MEDLINE for potentially relevant studies...
March 2018: Journal of Managed Care & Specialty Pharmacy
John V Winters
This paper used microdata from the 2013-2015 American Community Survey to examine differences in federal government, state and local government, private sector, and self-employment among employed veterans and nonveterans. The U.S. federal and state governments have hiring preferences to benefit veterans, especially disabled veterans. Other factors may also push veterans toward public sector employment. I found that veteran status substantially increased the likelihood of federal employment, with the largest magnitudes for severely disabled veterans...
February 27, 2018: Health Economics
Danielle Martin, Ashley P Miller, Amélie Quesnel-Vallée, Nadine R Caron, Bilkis Vissandjée, Gregory P Marchildon
Access to health care based on need rather than ability to pay was the founding principle of the Canadian health-care system. Medicare was born in one province in 1947. It spread across the country through federal cost sharing, and eventually was harmonised through standards in a federal law, the Canada Health Act of 1984. The health-care system is less a true national system than a decentralised collection of provincial and territorial insurance plans covering a narrow basket of services, which are free at the point of care...
February 22, 2018: Lancet
Stephanie A Nixon, Kelley Lee, Zulfiqar A Bhutta, James Blanchard, Slim Haddad, Steven J Hoffman, Peter Tugwell
Canada's history of nation building, combined with its status as a so-called middle power in international affairs, has been translated into an approach to global health that is focused on equity and global citizenship. Canada has often aspired to be a socially progressive force abroad, using alliance building and collective action to exert influence beyond that expected from a country with moderate financial and military resources. Conversely, when Canada has primarily used economic self-interest to define its global role, the country's perceived leadership in global health has diminished...
February 22, 2018: Lancet
N Rink, F Muttalib, G Morantz, L Chase, J Cleveland, C Rousseau, P Li
Introduction: In June 2012, the government of Canada severely restricted the scope of the Interim Federal Health Program that had hitherto provided coverage for the health care needs of refugee claimants. The Quebec government decided to supplement coverage via the provincial health program. Despite this, we hypothesized that refugee claimant children in Montreal would continue to experience significant difficulties in accessing basic health care. Objectives: (1) Report the narrative experiences of refugee claimant families who were denied health care services in Montreal following June 2012, (2) describe the predominant barriers to accessing health care services and understanding their impact using thematic analysis and (3) derive concrete recommendations for child health care providers to improve access to care for refugee claimant children...
November 2017: Paediatrics & Child Health
Deborah O Aluh, Obinna C Anyachebelu, Chibueze Anosike, Ezinne L Anizoba
Background: Depression is a leading cause of disability and has been projected to become the 2nd most burdensome disease by the year 2020; depression has also been found to be the strongest single risk factor for attempted or completed suicides. Adolescent-onset mood disorders are frequently unrecognized or misdiagnosed and often go untreated. While there is a growing literature on the mental health literacy of adults, there has not been a parallel interest in the mental health literacy of young people in Nigeria...
2018: International Journal of Mental Health Systems
Diego Gijón-Díaz, Héctor Reyes-Bonilla, Triana P Guerrero-Izquierdo, Francisco J Fernández-Rivera Melo
Ornamental fisheries are economically viable activities in developing countries due to the fact that aquaria have become a worldwide hobby. In Mexico, the fishery has been conducted since the 1980s, especially in the Baja California Peninsula, but nevertheless, there are no adequate records of commercial production, or about the economic gain due to the exploitation of the resource. The objective of this paper was to calculate the maximum allowable catch for the five ornamental fishes included in the NOM-059-SEMARNAT (protected by federal mandate), and the net monetary gain that the resource might generate...
March 2017: Revista de Biología Tropical
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