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https://www.readbyqxmd.com/read/29161074/challenging-and-preventing-policies-that-prohibit-local-civil-rights-protections-for-lesbian-gay-bisexual-transgender-and-queer-people
#1
Jennifer L Pomeranz
Discrimination causes health inequities for stigmatized groups. Lesbian, gay, bisexual, transgender, and queer (LGBTQ) individuals, in particular, are at significantly increased risk for disparate health outcomes when they reside in states that fail to extend equal protections to them or that actively deprive equal rights to them. Several states and the federal government have proposed or enacted laws that permit residents to discriminate against LGBTQ individuals. One such law, Arkansas's Intrastate Commerce Improvement Act of 2015, preempts or prohibits local governments from enacting civil rights protections for LGBTQ individuals that are also lacking at the state level...
November 21, 2017: American Journal of Public Health
https://www.readbyqxmd.com/read/29152436/on-the-horizon-the-synthetic-opioid-u-49900
#2
EDITORIAL
Saeed K Alzghari, Zubair M Amin, Sophie Chau, Steven W Fleming, Kevin Cho, Victor Fung
Synthetic opioid use continues to be a problem in the United States. New designer opioids continue to be released as "research chemicals" by vendors, leading to widespread use and potentially devastating consequences. U-49900 is a new synthetic opioid with limited clinical data available. Herein, we provide an overview of U-49900, the anecdotal accounts of U-49900 use that clinicians need to be made aware of, and a call for the federal government to take immediate action in curtailing the use of U-49900.
September 12, 2017: Curēus
https://www.readbyqxmd.com/read/29149877/key-bottlenecks-to-the-provision-of-safe-obstetric-anaesthesia-in-low-income-countries-a-cross-sectional-survey-of-64-hospitals-in-uganda
#3
Isabella Epiu, Agnes Wabule, Andrew Kambugu, Harriet Mayanja-Kizza, Jossy Verel Bahe Tindimwebwa, Gerald Dubowitz
BACKGROUND: Despite recent advances in surgery and anaesthesia which significantly improve safety, many health facilities in low-and middle-income countries (LMICs) remain chronically under-resourced with inability to cope effectively with serious obstetric complications (Knight et al., PLoS One 8:e63846, 2013). As a result many of these countries still have unacceptably high maternal and neonatal mortality rates. Recent data at the national referral hospitals in East Africa reported that none of the national referral hospitals met the World Federation of Societies of Anesthesiologists (WFSA) international standards required to provide safe obstetric anaesthesia (Epiu I: Challenges of Anesthesia in Low-and Middle-Income Countries...
November 17, 2017: BMC Pregnancy and Childbirth
https://www.readbyqxmd.com/read/29140916/gender-disparities-in-medical-student-research-awards-a-thirteen-year-study-from-the-yale-school-of-medicine
#4
Joseph T King, Nancy R Angoff, John N Forrest, Amy C Justice
PURPOSE: Instruction in research conduct is currently required, and many U.S. medical schools require students to complete a research project. Each year all Yale School of Medicine (YSM) graduating students submit a research thesis, and ~5% are awarded highest honors. Gender disparities exist in areas related to physician research productivity, including academic rank, research funding, and publications. The authors asked whether gender disparities exist for medical student research. METHOD: The authors conducted a retrospective review of 1,120 theses submitted by graduating medical students from 2003-2015 at YSM and collected data on gender, mentoring, research type, sponsoring department, and other characteristics...
November 14, 2017: Academic Medicine: Journal of the Association of American Medical Colleges
https://www.readbyqxmd.com/read/29140663/a-recipe-for-justice-support-for-a-federal-food-justice-interagency-working-group
#5
Melanie Pugh
Systemic social justice issues are characterized as having complex and far-reaching causes. Food justice is one such an issue. Food justice is defined as “justice for all [people] in the food system,” from agricultural production to consumer products. Policies seeking to remedy systemic social justice issues often need to include the attention of many levels of government and coordination across multiple agencies to move issues forward. That is why finding a model for interagency collaboration that has evidenced success, especially over the long-term, is inspiring and worth mirroring...
2017: Food and Drug Law Journal
https://www.readbyqxmd.com/read/29140657/sunlight-and-other-disinfectants-disclosure-obligations-under-the-federal-securities-and-drug-regulatory-regimes
#6
Joseph G Milner
Drug development requires patience. Beyond the inherent uncertainty of the development process itself, U.S. drug developers must comply with the regulatory approval process overseen by the U.S. Food and Drug Administration (FDA). Because this process takes time, drug development also costs money. Drug companies seeking to raise funds in U.S. capital markets must navigate the securities regime governed by the Securities & Exchange Commission (SEC). Despite their similar roles as protectors of consumers and public markets, SEC and FDA send conflicting signals about the information drug companies need to disclose to the public...
2017: Food and Drug Law Journal
https://www.readbyqxmd.com/read/29140651/fda-required-tobacco-product-inserts-onserts%C3%A2-and-the-first-amendment
#7
Eric N Lindblom, Micah L Berman, James F Thrasher
In 2012, a federal court of appeals struck down an FDA rule requiring graphic health warnings on cigarettes as violating First Amendment commercial speech protections. Tobacco product inserts and onserts can more readily avoid First Amendment constraints while delivering more extensive information to tobacco users, and can work effectively to support and encourage smoking cessation. This paper examines FDA’s authority to require effective inserts and onserts and shows how FDA could design and support them to avoid First Amendment problems...
2017: Food and Drug Law Journal
https://www.readbyqxmd.com/read/29125444/online-postconcussion-return-to-play-instructions
#8
Jennylee S Swallow, Jacob R Joseph, Kylene Willsey, Andrea A Almeida, Matthew T Lorincz, Paul Park, Nicholas J Szerlip, Steven P Broglio
OBJECTIVE The authors of recent concussion guidelines have sought to form a consensus on injury management, but it is unclear if they have been effective in conveying this information to the public. Many parents and athletes obtain medical recommendations via the Internet. This review is aimed at evaluating consistency between online resources and published guideline statements in postconcussion return-to-play (RTP) decisions. METHODS Five websites were selected through a Google search for RTP after concussion, including a federal government institution (Centers for Disease Control and Prevention) website, a national high school association (National Federation of State High School Associations) website, a popular nationally recognized medical website for patients (WebMD), a popular parent-driven website for parents of children who participate in sports (MomsTeam), and the website of a private concussion clinic (Sports Concussion Institute), along with a university hospital website (University of Michigan Medicine)...
November 10, 2017: Journal of Neurosurgery. Pediatrics
https://www.readbyqxmd.com/read/29122801/how-are-clinical-commissioning-groups-managing-conflicts-of-interest-under-primary-care-co-commissioning-in-england-a-qualitative-analysis
#9
Valerie Moran, Pauline Allen, Imelda McDermott, Kath Checkland, Lynsey Warwick-Giles, Oz Gore, Donna Bramwell, Anna Coleman
OBJECTIVES: From April 2015, NHS England (NHSE) started to devolve responsibility for commissioning primary care services to clinical commissioning groups (CCGs). The aim of this paper is to explore how CCGs are managing potential conflicts of interest associated with groups of GPs commissioning themselves or their practices to provide services. DESIGN: We carried out two telephone surveys using a sample of CCGs. We also used a qualitative case study approach and collected data using interviews and meeting observations in four sites (CCGs)...
November 8, 2017: BMJ Open
https://www.readbyqxmd.com/read/29119478/after-the-demonstration-what-states-sustained-after-the-end-of-federal-grants-to-improve-children-s-health-care-quality
#10
Henry T Ireys, Cindy Brach, Grace Anglin, Kelly J Devers, Rachel Burton
Introduction Under the CHIPRA Quality Demonstration Grant Program, CMS awarded $100 million through 10 grants that 18 state Medicaid agencies implemented between 2010 and 2015. The program's legislatively-mandated purpose was to evaluate promising ideas for improving the quality of children's health care provided through Medicaid and CHIP. As part of the program's multifaceted evaluation, this study examined the extent to which states sustained key program activities after the demonstration ended. Methods We identified 115 potentially sustainable elements within states' CHIPRA demonstrations and analyzed data from grantee reports and key informant interviews to assess sustainment outcomes and key influential factors...
November 8, 2017: Maternal and Child Health Journal
https://www.readbyqxmd.com/read/29115070/legislative-issues-in-disclosing-financial-conflicts-of-interest-to-participants-in-biomedical-research-effectiveness-and-methodology
#11
REVIEW
Jae Sun Kim
This research focuses on the analysis regarding disclosure of financial conflicts of interest (FCOI) after Gelsinger v. University of Pennsylvania (Penn). The main legal issue was that the participants did not have enough opportunity to make an autonomous decision about participating in the research because he was not informed about the researchers' and the institution's substantial FCOI. The disclosure system was adopted by the Code of Federal Regulations. Under the regulation, researchers and institutions need to report FCOI over $5,000 to the institution, and the internal review boards have to report to the federal authority if needed...
December 2017: Journal of Korean Medical Science
https://www.readbyqxmd.com/read/29114874/the-revolt-of-the-rust-belt-place-and-politics-in-the-age-of-anger
#12
Michael McQuarrie
This paper argues that the election of Donald Trump is the product of a confluence of historical factors rather than the distinctive appeal of the victor himself. By paying particular attention to the geography of unusual voting behaviour the analytical question comes into view: why did so much uncharacteristic voting occur in the Rust Belt states of the upper Midwest? It is impossible to answer this question adequately using conventional categorical attributes. The usual hypotheses of 'economic anxiety' and white revanchism are unable to account for sudden shifts in the voting behaviour of both white and black voters in post-industrial territories...
November 2017: British Journal of Sociology
https://www.readbyqxmd.com/read/29113753/best-practices-for-online-canadian-prenatal-health-promotion-a-public-health-approach
#13
Rebecca A Chedid, Rowan M Terrell, Karen P Phillips
BACKGROUND: Prenatal health promotion provides information regarding pregnancy risks, protective behaviours and clinical and community resources. Typically, women obtain prenatal health information from health care providers, prenatal classes, peers/family, media and increasingly, Internet sites and mobile apps. Barriers to prenatal health promotion and related services include language, rural/remote location, citizenship and disability. Online public health platforms represent the capacity to reach underserved women and can be customised to address the needs of a heterogeneous population of pregnant women...
November 4, 2017: Women and Birth: Journal of the Australian College of Midwives
https://www.readbyqxmd.com/read/29112147/measuring-the-effect-of-housing-quality-interventions-the-case-of-the-new-zealand-rental-warrant-of-fitness
#14
Lucy Telfar-Barnard, Julie Bennett, Philippa Howden-Chapman, David E Jacobs, David Ormandy, Matthew Cutler-Welsh, Nicholas Preval, Michael G Baker, Michael Keall
In New Zealand, as in many other countries, housing in the private-rental sector is in worse condition than in the owner-occupier housing sector. New Zealand residential buildings have no inspection regime after original construction signoff. Laws and regulations mandating standards for existing residential housing are outdated and spread over a range of instruments. Policies to improve standards in existing housing have been notoriously difficult to implement. In this methods paper, we describe the development and implementation of a rental Warrant of Fitness (WoF) intended to address these problems...
November 7, 2017: International Journal of Environmental Research and Public Health
https://www.readbyqxmd.com/read/29106442/bioinformatics-on-a-national-scale-an-example-from-switzerland
#15
Vivienne Baillie Gerritsen, Patricia M Palagi, Christine Durinx
Switzerland has been a pioneer in the field of bioinformatics since the early 1980s. As time passed, the need for one entity to gather and represent bioinformatics on a national scale was felt and, in 1998, the SIB Swiss Institute of Bioinformatics was created. Hence, 2018 marks the Institute's 20th anniversary. Today, the Institute federates 65 research and service groups across the country-whose activity domains range from genomics, proteomics, medicine and health to structural biology, systems biology, phylogeny and evolution-and a group whose sole task is dedicated to training...
July 4, 2017: Briefings in Bioinformatics
https://www.readbyqxmd.com/read/29104389/eruption-chronology-in-children-a-cross-sectional-study
#16
Neha Verma, Arpana Bansal, Parimala Tyagi, Ankur Jain, Utkarsh Tiwari, Ruchika Gupta
Aims and objectives: The purpose of this study is to determine the appropriate reference standard for eruption timing of primary teeth in infants and preschool children of Bhopal city and to determine the role of various factors affecting the eruption of primary dentition. Materials and methods: A cross-sectional study was conducted among the infants and preschool children (4-36 months) attending the local government or private hospitals, and vaccination centers...
July 2017: International Journal of Clinical Pediatric Dentistry
https://www.readbyqxmd.com/read/29102439/the-barriers-to-a-national-inquiry-into-child-sexual-abuse-in-the-united-states
#17
Marci A Hamilton
There is an often-overlooked but critical factor at the center of institutional child sexual abuse that must be acknowledged and addressed: adults tend to place the interest of institutions and other adults above the protection of children. As the Australian Royal Commission into Institutional Responses to Child Sexual Abuse has shown, this phenomenon is evident across institutional settings and any institutional reform aimed at improving child safety must therefore guard against this tendency if it is to be effective in protecting children...
November 1, 2017: Child Abuse & Neglect
https://www.readbyqxmd.com/read/29095333/home-healthcare-and-the-medicare-fraud-strike-force
#18
Kyle Clark, Andrew George
Modern federal healthcare fraud investigations use big data to find outliers among providers who are then targeted for enforcement actions. This approach is being used to pursue an outsized number of criminal cases against home healthcare agencies, resulting in decades-long prison sentences and tens of millions in fines. But it is remarkably transparent, giving home healthcare providers ample opportunity to stay out of harm's way. The government has provided the statistical characteristics by which it searches for fraud among home healthcare agencies, along with the benchmarks it uses to determine who is an outlier...
November 2017: Home Healthcare Now
https://www.readbyqxmd.com/read/29095172/-the-questions-shape-the-answers-assessing-the-quality-of-published-survey-instruments-in-health-professions-education-research
#19
Anthony R Artino, Andrew W Phillips, Amol Utrankar, Andrew Q Ta, Steven J Durning
PURPOSE: Surveys are widely used in health professions education (HPE) research, yet little is known about the quality of the instruments employed. Poorly designed survey tools containing unclear or poorly formatted items can be difficult for respondents to interpret and answer, yielding low-quality data. This study assessed the quality of published survey instruments in HPE. METHOD: In 2017, the authors performed an analysis of HPE research articles published in three high-impact journals in 2013...
October 31, 2017: Academic Medicine: Journal of the Association of American Medical Colleges
https://www.readbyqxmd.com/read/29093969/interpreting-mobile-and-handheld-air-sensor-readings-in-relation-to-air-quality-standards-and-health-effect-reference-values-tackling-the-challenges
#20
George M Woodall, Mark D Hoover, Ronald Williams, Kristen Benedict, Martin Harper, Jhy-Charm Soo, Annie M Jarabek, Michael J Stewart, James S Brown, Janis E Hulla, Motria Caudill, Andrea L Clements, Amanda Kaufman, Alison J Parker, Martha Keating, David Balshaw, Kevin Garrahan, Laureen Burton, Sheila Batka, Vijay S Limaye, Pertti J Hakkinen, Bob Thompson
The US Environmental Protection Agency (EPA) and other federal agencies face a number of challenges in interpreting and reconciling short-duration (seconds to minutes) readings from mobile and handheld air sensors with the longer duration averages (hours to days) associated with the National Ambient Air Quality Standards (NAAQS) for the criteria pollutants-particulate matter (PM), ozone, carbon monoxide, lead, nitrogen oxides, and sulfur oxides. Similar issues are equally relevant to the hazardous air pollutants (HAPs) where chemical-specific health effect reference values are the best indicators of exposure limits; values which are often based on a lifetime of continuous exposure...
2017: Atmosphere
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