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https://www.readbyqxmd.com/read/28925799/factors-associated-with-marijuana-use-and-problems-among-college-students-in-colorado
#1
Kristina T Phillips, Michael M Phillips, Kerry D Duck
BACKGROUND: Past studies have shown that heavy marijuana use can impact student outcomes. Frequent use and misuse of marijuana have been associated with a range of psychological and personality factors in young adults, but there has been limited research focused on the college environment in states where marijuana has been legalized for recreational purposes. OBJECTIVES: We examined whether marijuana use and problems were associated with a range of demographic, personality, and psychological variables among college students at a midsized Colorado university...
September 19, 2017: Substance Use & Misuse
https://www.readbyqxmd.com/read/28923835/no-effects-of-increased-alcohol-availability-during-adolescence-on-alcohol-related-morbidity-and-mortality-during-four-decades-a-natural-experiment
#2
Emelie Thern, Ting Jia, Mikaela Willmer, Jeroen de Munter, Thor Norström, Mats Ramstedt, George Davey Smith, Per Tynelius, Finn Rasmussen
BACKGROUND: A strict high legal age limit for alcohol purchases decreases adolescents' access to alcohol, but little is known about long-term health effects. The aim was to estimate the effect of increased alcohol availability during adolescence on alcohol-related morbidity and mortality. METHODS: A nationwide register-based study using data from a natural experiment setting. In two regions of Sweden, strong beer (4.5%-5.6% alcohol by volume) became temporarily available for purchase in grocery stores for individuals 16 years or older (instead of 21) in 1967/1968...
September 18, 2017: Journal of Epidemiology and Community Health
https://www.readbyqxmd.com/read/28923578/coastal-dynamics-vs-beach-users-attitudes-and-perceptions-to-enhance-environmental-conservation-and-management-effectiveness
#3
Roberta Aretano, Luca Parlagreco, Teodoro Semeraro, Giovanni Zurlini, Irene Petrosillo
This work carries out a landscape analysis for the last 60years to compare the degree of preservation of two areas on the same Italian coastline characterized by different environmental protection levels: a National designated protected areas and a highly tourist coastal destination. The conversion of natural land-covers into human land uses were detected for protected and unprotected coastal stretches highlighting that the only establishment of a protected area is not enough to stem undesirable land-use outcomes...
September 15, 2017: Marine Pollution Bulletin
https://www.readbyqxmd.com/read/28923475/chemical-and-nano-mineralogical-study-for-determining-potential-uses-of-legal-colombian-gold-mine-sludge-experimental-evidence
#4
Nazly E Sánchez-Peña, José L Narváez-Semanate, Daniela Pabón-Patiño, Javier E Fernández-Mera, Marcos L S Oliveira, Kátia da Boit, Bernardo F Tutikian, Tito J Crissien, Diana C Pinto, Iván D Serrano, Claudia I Ayala, Ana L Duarte, José D Ruiz, Luis F O Silva
The present study is focused on the chemical and nano-mineralogical characterization of sludge from gold mine activities, in order to put forward diverse solution alternatives, where lack of knowledge has been found. The sample was collected from "La Estrella" mine of Suarez, located in Department of Cauca, south-west Colombia. The sludge micro-structure and chemical composition were analyzed using a high resolution transmission electron microscopy (HR-TEM) equipped with a dispersive X-ray detector (EDS). X-ray diffraction technique was employed to identify the mineralogical phases present in the sludge...
August 26, 2017: Chemosphere
https://www.readbyqxmd.com/read/28915916/effects-of-a-silent-mentor-initiation-ceremony-and-dissection-on-medical-students-humanity-and-learning
#5
Ruei-Jen Chiou, Po-Fang Tsai, Der-Yan Han
OBJECTIVES: Many medical schools in Taiwan have adopted a dignified "silent mentor" initiation ceremony to strengthen student's medical humanity and increase their learning attitudes. This ceremony consists of introductions of the body donor's conduct and deeds, wreath-laying, and a tea party. However, few empirical studies have examined the influences of the ceremony and dissection on medical humanity. This study explored if the initiation ceremony and the course can help students care more about others, develop more positive attitudes toward death, improve learning effectiveness in the course, and decrease negative emotions the first time they see a cadaver...
September 16, 2017: BMC Research Notes
https://www.readbyqxmd.com/read/28915888/stigmatization-of-people-who-inject-drugs-pwid-by-pharmacists-in-tajikistan-sociocultural-context-and-implications-for-a-pharmacy-based-prevention-approach
#6
Umedjon Ibragimov, Hannah L Cooper, Regine Haardörfer, Kristin L Dunkle, William A Zule, Frank Y Wong
BACKGROUND: Pharmacies are an important source of sterile syringes for people who inject drugs (PWID) in Tajikistan who are under high risk of HIV and hepatitis C virus. Accessibility of sterile syringes at pharmacies without prescription may depend on pharmacists' attitudes towards PWID. This qualitative inquiry examines meanings and processes of stigmatization of PWID among pharmacists and pharmacy students in Tajikistan. METHODS: We conducted semi-structured interviews with 19 pharmacists and 9 students (N = 28) in the cities of Dushanbe and Kulob, Tajikistan...
September 16, 2017: Harm Reduction Journal
https://www.readbyqxmd.com/read/28915822/what-hinders-the-uptake-of-computerized-decision-support-systems-in-hospitals-a-qualitative-study-and-framework-for-implementation
#7
Elisa G Liberati, Francesca Ruggiero, Laura Galuppo, Mara Gorli, Marien González-Lorenzo, Marco Maraldi, Pietro Ruggieri, Hernan Polo Friz, Giuseppe Scaratti, Koren H Kwag, Roberto Vespignani, Lorenzo Moja
BACKGROUND: Advanced Computerized Decision Support Systems (CDSSs) assist clinicians in their decision-making process, generating recommendations based on up-to-date scientific evidence. Although this technology has the potential to improve the quality of patient care, its mere provision does not guarantee uptake: even where CDSSs are available, clinicians often fail to adopt their recommendations. This study examines the barriers and facilitators to the uptake of an evidence-based CDSS as perceived by diverse health professionals in hospitals at different stages of CDSS adoption...
September 15, 2017: Implementation Science: IS
https://www.readbyqxmd.com/read/28914178/-you-just-have-to-learn-to-keep-moving-on-young-women-s-experiences-with-unplanned-pregnancy-in-the-cook-islands
#8
Ashley L White, Emily S Mann, Fiona Larkan
The Cook Islands is one of several countries in the Pacific region that has high rates of teenage pregnancy and birth. While the social determinants of pregnancy and early motherhood are well established in the global context, little is known about how Cook Islands young women who become pregnant before age 20 make sense of their experiences. Drawing on individual interviews with a purposive sample of 10 young mothers, this paper examines the phenomenology of early pregnancy from their perspectives. Structural, cultural and individual factors emerged as salient themes in participants' accounts...
September 15, 2017: Culture, Health & Sexuality
https://www.readbyqxmd.com/read/28910222/restricted-access-state-medicaid-coverage-of-sofosbuvir-hepatitis-c-treatment
#9
Marea B Tumber
Chronic hepatitis C (HCV) infection can persist for decades without symptoms. Many Americans are unaware of their infection status and are not receiving necessary care and treatment. This places them at greater risk for severe, even fatal, complications from the disease and increases the likelihood that they will transmit the virus to others. In late 2013, the Food and Drug Administration approved a direct acting antiviral drug called sofosbuvir to treat chronic HCV infection. Sofosbuvir is a highly effective, but very expensive, curative treatment for HCV...
January 2017: Journal of Legal Medicine
https://www.readbyqxmd.com/read/28910215/substance-misuse-is-associated-with-increased-psychiatric-severity-among-treatment-seeking-individuals-with-borderline-personality-disorder
#10
Laura M Heath, Lise Laporte, Joel Paris, Kevin Hamdullahpur, Kathryn J Gill
Despite high prevalence rates of concurrent borderline personality disorder (BPD) and substance use disorders (SUDs), little is known about the impact of substance misuse on the presentation of BPD. Sixty-five individuals with BPD were assessed at intake and at 3- and 6-month follow-up. Assessment included validated instruments such as the Addiction Severity Index and the Revised Symptom Checklist (SCL-90-R). Over half (58.5%) of individuals entering treatment were currently misusing substances. Substance misuse was associated with more legal and employment problems, greater mood disturbance, impulsivity, and psychiatric severity, including almost all SCL-90-R subscales...
September 14, 2017: Journal of Personality Disorders
https://www.readbyqxmd.com/read/28910182/consumers-perceptions-of-edible-marijuana-products-for-recreational-use-likes-dislikes-and-reasons-for-use
#11
Kristen C Giombi, Katherine M Kosa, Carrie Rains, Sheryl C Cates
BACKGROUND: Edible marijuana products have become extremely popular in states that have legalized marijuana for recreational use. OBJECTIVES: The goal of this research was to provide a better understanding of consumer perceptions of edible marijuana products, including why they prefer edibles relative to other forms of marijuana (e.g., smoking) and their concerns regarding the consumption of edibles. METHODS: We conducted eight focus groups (four groups in Denver, Colorado, and four groups in Seattle, Washington) in February 2016 with 62 adult consumers of edibles...
September 14, 2017: Substance Use & Misuse
https://www.readbyqxmd.com/read/28905873/cardiovascular-effects-of-marijuana-and-synthetic-cannabinoids-the-good-the-bad-and-the-ugly
#12
REVIEW
Pal Pacher, Sabine Steffens, György Haskó, Thomas H Schindler, George Kunos
Dysregulation of the endogenous lipid mediators endocannabinoids and their G-protein-coupled cannabinoid receptors 1 and 2 (CB1R and CB2R) has been implicated in a variety of cardiovascular pathologies. Activation of CB1R facilitates the development of cardiometabolic disease, whereas activation of CB2R (expressed primarily in immune cells) exerts anti-inflammatory effects. The psychoactive constituent of marijuana, Δ(9)-tetrahydrocannabinol (THC), is an agonist of both CB1R and CB2R, and exerts its psychoactive and adverse cardiovascular effects through the activation of CB1R in the central nervous and cardiovascular systems...
September 14, 2017: Nature Reviews. Cardiology
https://www.readbyqxmd.com/read/28904707/perspectives-on-utilization-of-community-based-health-information-systems-in-western-kenya
#13
Otieno Careena Flora, Kaseje Margaret, Kaseje Dan
INTRODUCTION: Health information systems (HIS) are considered fundamental for the efficient delivery of high quality health care. However, a large number of legal and practical constraints influence the design and introduction of such systems. The inability to quantify and analyse situations with credible data and to use data in planning and managing service delivery plagues Africa. Establishing effective information systems and using this data for planning efficient health service delivery is essential to district health systems' performance improvement...
2017: Pan African Medical Journal
https://www.readbyqxmd.com/read/28904138/a-restatement-of-the-natural-science-evidence-base-concerning-the-health-effects-of-low-level-ionizing-radiation
#14
REVIEW
Angela R McLean, Ella K Adlen, Elisabeth Cardis, Alex Elliott, Dudley T Goodhead, Mats Harms-Ringdahl, Jolyon H Hendry, Peter Hoskin, Penny A Jeggo, David J C Mackay, Colin R Muirhead, John Shepherd, Roy E Shore, Geraldine A Thomas, Richard Wakeford, H Charles J Godfray
Exposure to ionizing radiation is ubiquitous, and it is well established that moderate and high doses cause ill-health and can be lethal. The health effects of low doses or low dose-rates of ionizing radiation are not so clear. This paper describes a project which sets out to summarize, as a restatement, the natural science evidence base concerning the human health effects of exposure to low-level ionizing radiation. A novel feature, compared to other reviews, is that a series of statements are listed and categorized according to the nature and strength of the evidence that underpins them...
September 13, 2017: Proceedings. Biological Sciences
https://www.readbyqxmd.com/read/28892936/hazards-and-health-risks-encountered-by-manual-sand-dredgers-from-udupi-india-a-cross-sectional-study
#15
Sidhiprada Mohapatra, Alfiya Shaikh, Priyanka Nayak, Rajesh Navada
INTRODUCTION: Globalization and urbanization have resulted in an increased demand on sand dredging. Legal and environmental restrictions on automated dredging have led to a rise in manual technique. The working techniques and environment involved in manual sand dredging may expose the workers to multiple work related disorders. AIM: To determine the health risks and occupational hazards involved in manual sand dredging. MATERIALS AND METHODS: An assessment schedule was developed and content was validated by five experts for the study...
July 2017: Journal of Clinical and Diagnostic Research: JCDR
https://www.readbyqxmd.com/read/28891358/defensive-medicine-among-obstetricians-and-gynaecologists-in-turkey
#16
Mert Küçük
In recent years, there has been a remarkable increase in medical malpractice litigations against OB/GYNs in Turkey and globally. This high litigation atmosphere may have changed attitudes, behaviour and practice of OB/GYNs. In the current study, opinions and attitudes of OB/GYNs regarding defensive medicine and to what extent they practice it were investigated. One hundred and eight OB/GYNs participated in the study. All participants found obstetrics and gynaecology riskier when compared with other medical branches and reported that they were increasingly practising defensive medicine...
September 11, 2017: Journal of Obstetrics and Gynaecology: the Journal of the Institute of Obstetrics and Gynaecology
https://www.readbyqxmd.com/read/28890448/a-tale-of-two-disciplines-i-law-and-bioethics-i
#17
Rebecca Dresser
Fascination with In re Quinlan, the first high-profile right-to-die case in the United States, led the author to law school. By the time she received her law degree, bioethics was emerging as a field of study, and law and bioethics became her field. The mission of legal education is to teach students to "think like a lawyer," which can be a productive way to approach issues in many fields, including bioethics. Legal education can also teach individuals to respect people whose views on bioethics issues differ from their own...
2017: Perspectives in Biology and Medicine
https://www.readbyqxmd.com/read/28889868/three-dimensional-analysis-of-third-molar-development-to-estimate-age-of-majority
#18
Ana Belén Márquez-Ruiz, María Concepción Treviño-Tijerina, Lucas González-Herrera, Belén Sánchez, Amanda Rocío González-Ramírez, Aurora Valenzuela
Third molars are one of the few biological markers available for age estimation in undocumented juveniles close the legal age of majority, assuming an age of 18years as the most frequent legal demarcation between child and adult status. To obtain more accurate visualization and evaluation of third molar mineralization patterns from computed tomography images, a new software application, DentaVol©, was developed. Third molar mineralization according to qualitative (Demirjian's maturational stage) and quantitative parameters (third molar volume) of dental development was assessed in multi-slice helical computed tomography images of both maxillary arches displayed by DentaVol© from 135 individuals (62 females and 73 males) aged between 14 and 23years...
September 2017: Science & Justice: Journal of the Forensic Science Society
https://www.readbyqxmd.com/read/28888290/experiencing-discrimination-in-los-angeles-latinos-at-the-intersection-of-legal-status-and-socioeconomic-status
#19
Nancy S Landale, R S Oropesa, Aggie J Noah
Despite its recent slowdown, immigration from Latin America continues to be a controversial issue. Some scholars argue that the social climate is increasingly inhospitable to Latinos, potentially fueling discriminatory attitudes and behaviors. However, little research has examined Latinos' experiences with discrimination, especially variation by nativity and legal status. We address this issue with research on perceived discrimination among Mexican and Central American residents of Los Angeles County, a major destination for Latin American immigrants...
September 2017: Social Science Research
https://www.readbyqxmd.com/read/28878667/adaptive-pathways-possible-next-steps-for-payers-in-preparation-for-their-potential-implementation
#20
REVIEW
Patricia Vella Bonanno, Michael Ermisch, Brian Godman, Antony P Martin, Jesper Van Den Bergh, Liudmila Bezmelnitsyna, Anna Bucsics, Francis Arickx, Alexander Bybau, Tomasz Bochenek, Marc van de Casteele, Eduardo Diogene, Irene Eriksson, Jurij Fürst, Mohamed Gad, Ieva Greičiūtė-Kuprijanov, Martin van der Graaff, Jolanta Gulbinovic, Jan Jones, Roberta Joppi, Marija Kalaba, Ott Laius, Irene Langner, Ileana Mardare, Vanda Markovic-Pekovic, Einar Magnusson, Oyvind Melien, Dmitry O Meshkov, Guenka I Petrova, Gisbert Selke, Catherine Sermet, Steven Simoens, Ad Schuurman, Ricardo Ramos, Jorge Rodrigues, Corinne Zara, Eva Zebedin-Brandl, Alan Haycox
Medicines receiving a conditional marketing authorization through Medicines Adaptive Pathways to Patients (MAPPs) will be a challenge for payers. The "introduction" of MAPPs is already seen by the European Medicines Agency (EMA) as a fait accompli, with payers not consulted or involved. However, once medicines are approved through MAPPs, they will be evaluated for funding by payers through different activities. These include Health Technology Assessment (HTA) with often immature clinical data and high uncertainty, financial considerations, and negotiations through different types of agreements, which can require monitoring post launch...
2017: Frontiers in Pharmacology
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