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https://www.readbyqxmd.com/read/29330984/polydioxanone-versus-polypropylene-closure-for-midline-abdominal-incisions
#1
Samina Naz, Sohail Ahmed Memon, Mansoor Ali Jamali, Muhammad Rashid Ahmed, Tahmida Almani
BACKGROUND: Midline laparotomy is the most common technique of abdominal incisions because it is simple, provides adequate exposure to all four quadrants, and is rapid to open. A major problem after midline laparotomy remains the adequate technique of abdominal fascia closure. This study was conducted to see the role of Polydioxanone and Prolene for midline abdominal closure in terms of postoperative wound infection and wound pain. METHODS: This study was carried out at surgical unit II, Federal Government Services Hospital Islamabad...
October 2017: Journal of Ayub Medical College, Abbottabad: JAMC
https://www.readbyqxmd.com/read/29330250/the-intersection-of-national-immigration-and-healthcare-policy
#2
Jeffrey Douaiher, Douglas J Inciarte, Edibaldo Silva
Immigration policy and health care policy remain principal undertakings of the federal government. The two have recently been pursued independently in the judicial and legislative arenas. Unbeknownst to many policymakers, however, national immigration policy and health care policy are linked in ways that, if unattended, could undermine the well-being of a significant portion of the US population, specifically medically underserved rural and urban populations. Using current data from a workforce report of the Association of American Colleges and the published literature, we demonstrate the significant impact that contemporary immigration policy directives may have on the number and distribution of international medical graduates who currently provide-and by the year 2025 will provide-a significant portion of primary health care in the United States, especially in underserved small urban and rural communities...
January 2018: Journal of the American Board of Family Medicine: JABFM
https://www.readbyqxmd.com/read/29320512/killing-wolves-to-prevent-predation-on-livestock-may-protect-one-farm-but-harm-neighbors
#3
Francisco J Santiago-Avila, Ari M Cornman, Adrian Treves
Large carnivores, such as gray wolves, Canis lupus, are difficult to protect in mixed-use landscapes because some people perceive them as dangerous and because they sometimes threaten human property and safety. Governments may respond by killing carnivores in an effort to prevent repeated conflicts or threats, although the functional effectiveness of lethal methods has long been questioned. We evaluated two methods of government intervention following independent events of verified wolf predation on domestic animals (depredation) in the Upper Peninsula of Michigan, USA between 1998-2014, at three spatial scales...
2018: PloS One
https://www.readbyqxmd.com/read/29319630/exposure-to-ambient-ultrafine-particles-and-nitrogen-dioxide-and-incident-hypertension-and-diabetes
#4
Li Bai, Hong Chen, Marianne Hatzopoulou, Michael Jerrett, Jeffrey C Kwong, Richard T Burnett, Aaron van Donkelaar, Ray Copes, Randall V Martin, Keith van Ryswyk, Hong Lu, Alexander Kopp, Scott Weichenthal
BACKGROUND: Previous studies reported that long-term exposure to traffic-related air pollution may increase the incidence of hypertension and diabetes. However, little is known about the associations of ultrafine particles (≤0.1 micrometers in diameter) with these two conditions. METHODS: We conducted a population-based cohort study to investigate the associations between exposures to ultrafine particles and nitrogen dioxide (NO2) and the incidence of diabetes and hypertension...
January 9, 2018: Epidemiology
https://www.readbyqxmd.com/read/29314438/transnational-comparability-of-advanced-pharmacy-practice-developmental-frameworks-a-country-level-crossover-mapping-study
#5
Arit Udoh, Andreia Bruno, Ian Bates, Kirsten Galbraith
BACKGROUND: Previous work by the International Pharmaceutical Federation Education Initiative (FIPEd) demonstrates that even though some country-specific variations occur in pharmacy practice, there exists a set of practice-related competencies that are globally applicable. This study aimed to evaluate the transnational comparability of the Royal Pharmaceutical Society Advanced Pharmacy Framework (RPS-APF, Great Britain) and the Advanced Pharmacy Practice Framework for Australia (APPF)...
January 4, 2018: International Journal of Pharmacy Practice
https://www.readbyqxmd.com/read/29306342/the-effects-of-competition-on-premiums-using-united-healthcare-s-2015-entry-into-affordable-care-act-s-marketplaces-as-an-instrumental-variable
#6
Cagdas Agirdas, Robert J Krebs, Masato Yano
One goal of the Affordable Care Act is to increase insurance coverage by improving competition and lowering premiums. To facilitate this goal, the federal government enacted online marketplaces in the 395 rating areas spanning 34 states that chose not to establish their own state-run marketplaces. Few multivariate regression studies analyzing the effects of competition on premiums suffer from endogeneity, due to simultaneity and omitted variable biases. However, United Healthcare's decision to enter these marketplaces in 2015 provides the researcher with an opportunity to address this endogeneity problem...
January 8, 2018: Health Economics, Policy, and Law
https://www.readbyqxmd.com/read/29306177/the-law-on-the-streets-evaluating-the-impact-of-mexico-s-drug-decriminalization-reform-on-drug-possession-arrests-in-tijuana-mexico
#7
J Arredondo, T Gaines, S Manian, C Vilalta, A Bañuelos, S A Strathdee, L Beletsky
BACKGROUND: In 2009, Mexican Federal Government enacted "narcomenudeo" reforms decriminalizing possession of small amounts of drugs, delegating prosecution of retail drug sales to the state courts, and mandating treatment diversion for habitual drug users. There has been insufficient effort to formally assess the decriminalization policy's population-level impact, despite mounting interest in analagous reforms across the globe. METHODS: Using a dataset of municipal police incident reports, we examined patterns of drug possession, and violent and non-violent crime arrests between January 2009 and December 2014...
January 3, 2018: International Journal on Drug Policy
https://www.readbyqxmd.com/read/29303963/attitudes-towards-potential-new-tobacco-control-regulations-among-u-s-adults
#8
Allison M Schmidt, Sarah D Kowitt, Allison E Myers, Adam O Goldstein
Favorable attitudes towards tobacco control policies can facilitate their implementation and success. We examined attitudes toward four potential U.S. Federal tobacco regulations (banning menthol from cigarettes, reducing nicotine levels in cigarettes, banning candy and fruit flavored electronic cigarettes, and banning candy and fruit flavored little cigars and cigarillos) and associations with individual and state variables. A nationally representative phone survey of 4337 adults assessed attitudes toward potential policies...
January 5, 2018: International Journal of Environmental Research and Public Health
https://www.readbyqxmd.com/read/29298183/an-integrated-career-coaching-and-time-banking-system-promoting-flexibility-wellness-and-success-a-pilot-program-at-stanford-university-school-of-medicine
#9
Magali Fassiotto, Caroline Simard, Christy Sandborg, Hannah Valantine, Jennifer Raymond
Faculty in academic medicine experience multiple demands on their time at work and at home, which can become a source of stress and dissatisfaction, compromising success. A taskforce convened to diagnose the state of work-life flexibility at Stanford University School of Medicine uncovered two major sources of conflict for faculty: work-life conflict, caused by juggling demands of career and home, and work-work conflict, caused by competing priorities of the tripartite research, teaching, and clinical mission of an academic medical center combined with service and administrative tasks...
January 2, 2018: Academic Medicine: Journal of the Association of American Medical Colleges
https://www.readbyqxmd.com/read/29294933/the-cycle-of-violence-examining-attitudes-toward-and-experiences-of-corporal-punishment-in-a-representative-german-sample
#10
Andreas Witt, Jörg M Fegert, Klaus P Rodens, Elmar Brähler, Claudia Lührs Da Silva, Paul L Plener
The use of corporal punishment (CP) is controversial despite the negative consequences of its use that have been documented. Consequences include the use of CP by those who experienced CP themselves, described in the theory of the cycle of violence. There are little data on the cycle of violence, especially on those who break it and in representative samples. This study examines the cycle of violence in a representative sample by analyzing experiences of and attitudes toward CP. Attitudes toward, and own experiences of, CP by their parents were assessed in a sample of 2,519 individuals (female 54...
September 1, 2017: Journal of Interpersonal Violence
https://www.readbyqxmd.com/read/29287039/effect-of-blast-injury-on-auditory-localization-in-military-service-members
#11
Lina R Kubli, Douglas Brungart, Jerry Northern
OBJECTIVES: Among the many advantages of binaural hearing are the abilities to localize sounds in space and to attend to one sound in the presence of many sounds. Binaural hearing provides benefits for all listeners, but it may be especially critical for military personnel who must maintain situational awareness in complex tactical environments with multiple speech and noise sources. There is concern that Military Service Members who have been exposed to one or more high-intensity blasts during their tour of duty may have difficulty with binaural and spatial ability due to degradation in auditory and cognitive processes...
December 27, 2017: Ear and Hearing
https://www.readbyqxmd.com/read/29283953/content-accessibility-and-dissemination-of-disaster-information-via-social-media-during-the-2016-louisiana-floods
#12
Katherine K Scott, Nicole A Errett
CONTEXT: Social media is becoming increasingly integrated into disaster response communication strategies of public health and emergency response agencies. OBJECTIVE: We sought to assess the content, accessibility, and dissemination of social media communications made by government agencies during a disaster response. DESIGN: A cross-sectional analysis of social media posts made by federal, state, and local government, public health and emergency management agencies before, during, and after the 2016 Louisiana floods was conducted to determine their content, accessibility, and dissemination by level of government and time relative to disaster onset...
December 27, 2017: Journal of Public Health Management and Practice: JPHMP
https://www.readbyqxmd.com/read/29282240/prohibition-of-persons-with-mental-illness-from-gun-ownership-under-tyler
#13
Alan R Felthous, Jeffrey Swanson
The U.S. Supreme Court's Heller and McDonald decisions are the most important legal affirmations of the right of U.S. citizens to possess and bear firearms under the Second Amendment. Heller and McDonald are also significant in citing persons with mental illness as an exceptional group, whose right may be restricted by the U.S. Government. From 1968 onward, federal and state governments have enacted legislation prohibiting gun ownership by persons with mental illness who have been involuntarily committed to an institution or deemed by a legal authority to be dangerous or mentally incompetent...
December 2017: Journal of the American Academy of Psychiatry and the Law
https://www.readbyqxmd.com/read/29280755/using-relational-reasoning-strategies-to-help-improve-clinical-reasoning-practice
#14
Denis Dumas, Dario M Torre, Steven J Durning
Clinical reasoning-the steps up to and including establishing a diagnosis and/or therapy-is a fundamentally important mental process for physicians. Unfortunately, mounting evidence suggests that errors in clinical reasoning lead to substantial problems for medical professionals and patients alike, including suboptimal care, malpractice claims, and rising health care costs. For this reason, cognitive strategies by which clinical reasoning may be improved-and that many expert clinicians are already utilizing-are highly relevant for all medical professionals, educators, and learners...
December 26, 2017: Academic Medicine: Journal of the Association of American Medical Colleges
https://www.readbyqxmd.com/read/29280752/medical-graduates-truthful-and-useful-analytics-with-big-data-and-the-art-of-persuasion
#15
Des Gorman, T Michael Kashner
The authors propose that the provision of state-of-the-art, effective, safe, and affordable health care requires medical school graduates not only to be competent practitioners and scientists, but also to be policy makers and professional leaders. To meet this challenge in the era of big data and cloud computing, these graduates must be able to understand and critically interpret analyses of large, observational datasets from electronic health records, third party claims files, surveys, and epidemiologic health datasets...
December 26, 2017: Academic Medicine: Journal of the Association of American Medical Colleges
https://www.readbyqxmd.com/read/29277156/supporting-aging-in-place-well-findings-from-a-cluster-analysis-of-the-reasons-for-aging-in-place-and-perceptions-of-well-being
#16
Mira Ahn, Hyun Joo Kwon, Jiyun Kang
Prior research on gerontology and housing has frequently adopted a perspective that aging-in-place is the "goal." Despite these meaningful results and policy implications, opportunities to explore consequences of aging-in-place, such as the association of this with overall well-being, have been overlooked. This study aims to fill this gap by investigating perceptions of well-being that could act as a driver or result of aging-in-place. With a nationwide random sample of non-Hispanic White, older individuals (60+), living in their homes ( N = 328), three segments of senior residents based on their reasons for aging-in-place were identified...
December 1, 2017: Journal of Applied Gerontology: the Official Journal of the Southern Gerontological Society
https://www.readbyqxmd.com/read/29251663/pain-or-nociception-subjective-experience-mediates-the-effects-of-acute-noxious-heat-on-autonomic-responses
#17
Dominik Mischkowski, Esther E Palacios-Barrios, Lauren Banker, Troy C Dildine, Lauren Y Atlas
Nociception reliably elicits an autonomic nervous system (ANS) response. Because pain and ANS circuitry interact on multiple spinal, subcortical, and cortical levels, it remains unclear whether autonomic responses are simply a reflexive product of noxious stimulation regardless of how stimulation is consciously perceived or whether the experience of pain mediates ANS responses to noxious stimulation. To test these alternative predictions, we examined the relative contribution of noxious stimulation and individual pain experience to ANS responses in healthy volunteers who underwent one or two pain assessment tasks...
December 13, 2017: Pain
https://www.readbyqxmd.com/read/29244540/overcoming-impediments-to-otp-expansion-in-the-united-states-and-abroad
#18
Mark W Parrino
By all published accounts and federal government reports, the United States is experiencing a serious opioid use epidemic. Additional treatment resources are needed in order to provide access to evidence based medical care for untreated individuals with substance use disorders. The focus of this commentary is increasing access to more opioid treatment programs and overcoming the significant impediments, which block such efforts.
December 15, 2017: Substance Use & Misuse
https://www.readbyqxmd.com/read/29239903/proposed-performance-based-metrics-for-the-future-funding-of-graduate-medical-education-starting-the-conversation
#19
Kelly J Caverzagie, Susan W Lane, Niraj Sharma, John Donnelly, Jeffrey R Jaeger, Heather Laird-Fick, John P Moriarty, Darilyn V Moyer, Sara L Wallach, Richard M Wardrop, Alwin F Steinmann
Graduate medical education (GME) in the United States is financed by contributions from both federal and state entities that total over $15 billion annually. Within institutions, these funds are distributed with limited transparency to achieve ill-defined outcomes. To address this, the Institute of Medicine convened a committee on the governance and financing of GME to recommend finance reform that would promote a physician training system that meets society's current and future needs. The resulting report provided several recommendations regarding the oversight and mechanisms of GME funding, including implementation of performance-based GME payments, but did not provide specific details about the content and development of metrics for these payments...
December 12, 2017: Academic Medicine: Journal of the Association of American Medical Colleges
https://www.readbyqxmd.com/read/29238449/the-physical-therapy-compact-from-development-to-implementation
#20
Leslie Adrian
The Federation of State Boards of Physical Therapy (FSBPT) began the process of implementing the Physical Therapy Compact (PTC) in 2010 with a delegate assembly motion. An interstate compact is an agreement between states to enact legislation and enter into a contract for a specific, limited purpose or to address a particular policy issue. An interstate compact benefits patients, consumers, and licensees by addressing workforce concerns improving licensure portability from state-to-state; facilitating short-term mobility and telehealth consultation for physical therapists...
2017: International Journal of Telerehabilitation
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