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https://www.readbyqxmd.com/read/27909568/implementation-of-minimal-invasive-gynaecological-surgery-certification-will-challenge-gynaecologists-with-new-legal-and-ethical-issues
#1
V Tanos, R Socolov, P Demetriou, M Kyprianou, A Watrelot, Y Van Belle, R Campo
The introduction of a certification / diploma program in Minimal Invasive Surgery (MIS) is expected to improve surgical performance, patient's safety and outcome. The Gynaecological Endoscopic Surgical Education and Assessment programme (GESEA) and the ESHRE Certification for Reproductive Endoscopic Surgery (ECRES) provides a structured learning path, recognising different pillars of competence. In order to achieve a high level of competence a two steps validation is necessary: (a) the individual should be certified of having the appropriate theoretical knowledge and (b) the endoscopic psychomotor skills before entering in the diploma programme reflecting the surgical competence...
June 27, 2016: Facts, Views & Vision in ObGyn
https://www.readbyqxmd.com/read/27909269/chaperones-and-intimate-physical-examinations-what-do-male-and-female-patients-want
#2
V C Fan, H T Choy, G Yj Kwok, H G Lam, Q Y Lim, Y Y Man, C K Tang, C C Wong, Y F Yu, G Kk Leung
INTRODUCTION: Many studies of patients' perception of a medical chaperone have focused on female patients; that of male patients are less well studied. Moreover, previous studies were largely based on patient populations in English-speaking countries. Therefore, this study was conducted to investigate the perception and attitude of male and female Chinese patients to the presence of a chaperone during an intimate physical examination. METHODS: A cross-sectional guided questionnaire survey was conducted on a convenient sample of 150 patients at a public teaching hospital in Hong Kong...
December 2, 2016: Hong Kong Medical Journal, Xianggang Yi Xue za Zhi
https://www.readbyqxmd.com/read/27909154/towards-a-novel-modular-architecture-for-cern-radiation-monitoring
#3
Hamza Boukabache, Michel Pangallo, Gael Ducos, Nicola Cardines, Antonio Bellotta, Ciarán Toner, Daniel Perrin, Doris Forkel-Wirth
The European Organization for Nuclear Research (CERN) has the legal obligation to protect the public and the people working on its premises from any unjustified exposure to ionising radiation. In this context, radiation monitoring is one of the main concerns of the Radiation Protection Group. After 30 y of reliable service, the ARea CONtroller (ARCON) system is approaching the end of its lifecycle, which raises the need for new, more efficient radiation monitors with a high level of modularity to ensure better maintainability...
November 30, 2016: Radiation Protection Dosimetry
https://www.readbyqxmd.com/read/27906442/the-role-of-fillers-in-aesthetic-medicine-medico-legal-aspects
#4
E Marinelli, G Montanari Vergallo, G Reale, A di Luca, I Catarinozzi, S Napoletano, S Zaami
In recent years there has been an exponential increase of fillers use in aesthetic medicine. The popularity of this anti-wrinkle product is based on their capacity to offer significant improvement in the aesthetic field, particularly to skin rejuvenating processes with non-invasive and less expensive techniques, if compared to the surgical methods (i.e. surgical lifting). The great number of fillers on the market is composed of a large heterogenic number of biomaterials. The aim of this review was to provide an overview and a classification of the filling materials that are most commonly used...
November 2016: European Review for Medical and Pharmacological Sciences
https://www.readbyqxmd.com/read/27898496/distinctive-trajectories-of-opioid-use-over-an-extended-follow-up-of-patients-in-a-multisite-trial-on-buprenorphine%C3%A2-%C3%A2-naloxone-and-methadone
#5
Yih-Ing Hser, David Huang, Andrew J Saxon, George Woody, Andrew L Moskowitz, Abigail G Matthews, Walter Ling
OBJECTIVES: Uncovering heterogeneities in longitudinal patterns (trajectories) of opioid use among individuals with opioid use disorder can increase our understanding of disease progression and treatment responses to improve care. The present study aims to identify distinctive opioid use trajectories and factors associated with these patterns among participants randomized to treatment with methadone (MET) or buprenorphine + naloxone (BUP). METHODS: Growth mixture modeling was applied to identify distinctive opioid use trajectories among 795 opioid users after their enrollment in a multisite trial during 2006 to 2009, with follow-up interviews conducted during 2011 to 2014...
November 24, 2016: Journal of Addiction Medicine
https://www.readbyqxmd.com/read/27896390/-assisted-suicide-in-the-movies-what-is-not-shown
#6
Kurt W Schmidt
Whereas changes to the existing legal situation regarding assisted suicide have been a topic of controversial debate in Germany for the last few years, this issue has long been of interest for international film-makers. Since the mid-1980s, the theme of assisted suicide has repeatedly been taken up by cinema, predominantly as central to a relationship drama. A sick person asks somebody close to them for help. Often this somebody is a physician or a nurse, ultimately an obvious way of solving the practical problem of how the assistant is to gain access to a lethal substance...
November 28, 2016: Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz
https://www.readbyqxmd.com/read/27894904/from-niche-to-stigma-headshops-to-prison-exploring-the-rise-and-fall-of-synthetic-cannabinoid-use-among-young-adults
#7
Shane Blackman, Rick Bradley
The aim of this paper will be to consider the rise and subsequent fall in NPS use at national and local level with a focus on synthetic cannabinoid products in Kent. We will examine the local practice and policy responses by Kent's Young Persons' Drug and Alcohol Service towards a possible change in patterns of NPS drug consumption. The county has seen an expansion in the number of Headshops and we present local media coverage on NPS, and the Trading Standards and Kent Police intervention Operation Lantern to regulate Headshops...
November 25, 2016: International Journal on Drug Policy
https://www.readbyqxmd.com/read/27894887/ultrasound-tissue-pulsatility-imaging-suggests-impairment-in-global-brain-pulsatility-and-small-vessels-in-elderly-patients-with-orthostatic-hypotension
#8
Julie Biogeau, Thomas Desmidt, Paul-Armand Dujardin, Redouane Ternifi, Charlotte Eudo, Emilie Vierron, Jean-Pierre Remenieras, Frédéric Patat, Vincent Camus, Thierry Constans
BACKGROUND: Orthostatic hypotension (OH) is highly prevalent in the elderly, and this population can be exposed to serious complications, including falls and cognitive disorders, as well as overall mortality. However, the pathophysiology of OH is still poorly understood, and innovative methods of cerebral blood flow (CBF) assessment have been required to accurately investigate cerebrovascular reactivity in OH. OBJECTIVES: We want to compare brain tissue pulsatility (BTP) changes during an orthostatic challenge in elderly patients over 80 with and without OH...
November 25, 2016: Journal of Stroke and Cerebrovascular Diseases: the Official Journal of National Stroke Association
https://www.readbyqxmd.com/read/27893596/pharmacists-knowledge-and-practices-surrounding-expedited-partner-therapy-for-chlamydia-trachomatis-new-york-city-2012-and-2014
#9
Amanda Reid, Meighan E Rogers, Vibhuti Arya, Zoe R Edelstein, Julia A Schillinger
BACKGROUND: Health care providers in New York City can prescribe treatment for Chlamydia trachomatis (Ct) for a patient's partner without the partner having a medical evaluation ("prescription-expedited partner therapy" [EPT]), and use of prescription-EPT is common. However, there is little known about pharmacists' knowledge and practices surrounding EPT. METHODS: Two cross-sectional surveys, in 2012 and 2014, were conducted with representative samples of supervising pharmacists in NYC neighborhoods with high rates of Ct infection...
November 2016: Sexually Transmitted Diseases
https://www.readbyqxmd.com/read/27891019/medical-negligence-indian-legal-perspective
#10
REVIEW
Amit Agrawal
A basic knowledge of how judicial forums deal with the cases relating to medical negligence is of absolute necessity for doctors. The need for such knowledge is more now than before in light of higher premium being placed by the Indian forums on the value of human life and suffering, and perhaps rightly so. Judicial forums, while seeking to identify delinquents and delinquency in the cases of medical negligence, actually aim at striking a careful balance between the autonomy of a doctor to make judgments and the rights of a patient to be dealt with fairly...
October 2016: Annals of Indian Academy of Neurology
https://www.readbyqxmd.com/read/27888378/interactive-effect-of-immigration-related-factors-with-legal-and-discrimination-acculturative-stress-in-predicting-depression-among-asian-american-immigrants
#11
Shipra Singh, Amy Jo Schulz, Harold W Neighbors, Derek M Griffith
This study examined the impact of discrimination and legal acculturative stress on Major Depression Episode lifetime among Asian American immigrants. It further examined the role of immigration related-factors (age at immigration, reason for immigration, and years spent in the U.S.) on the relationship of acculturative stress and Major Depression Episode lifetime. The National Latino and Asian American Study 2002-2003 dataset was used. The study findings were: (1) high discrimination and legal acculturative stress were associated with Major Depression Episode lifetime; (2) age at immigration buffered the relationship of discrimination acculturative stress and Major Depression Episode lifetime as well as the relationship of legal acculturative stress and Major Depression Episode lifetime; and (3) years spent in the U...
November 25, 2016: Community Mental Health Journal
https://www.readbyqxmd.com/read/27887961/clinical-perspective-creating-an-effective-practice-peer-review-process-a-primer
#12
Manisha Gandhi, Frances S Louis, Shae H Wilson, Steven L Clark
Peer review serves as an important adjunct to other hospital quality and safety programs. Despite its importance, the available literature contains virtually no guidance regarding the structure and function of effective peer review committees. This Clinical Perspective provides a summary of the purposes, structure, and functioning of effective peer review committees. We also discuss important legal considerations that are a necessary component of such processes. This discussion includes useful templates for case selection and review...
November 22, 2016: American Journal of Obstetrics and Gynecology
https://www.readbyqxmd.com/read/27885854/gossypibomas-a-surgeon-s-nightmare-patient-demographics-risk-factors-imaging-and-how-we-can-prevent-it
#13
Rishi Philip Mathew, Binston Thomas, Ram Shenoy Basti, Hadihally B Suresh
OBJECTIVES: Gossypibomas are cottinoid matrix left behind following surgery. Due to the legal issues associated with it, very few literature studies are available online, most of them being case reports. The purpose of our study was to identify the patient demographics, risk factors and imaging features. METHODS: Six surgically identified and histopathologically confirmed cases of gossypibomas recorded over a period 7 years from a single tertiary institution were retrospectively evaluated for patient demographics (sex, age, BMI), type of surgery, and duration from time of surgery to onset of symptoms...
November 25, 2016: British Journal of Radiology
https://www.readbyqxmd.com/read/27883985/a-systematic-review-of-passive-exposure-to-cannabis
#14
REVIEW
Aurélie Berthet, Mariangela De Cesare, Bernard Favrat, Frank Sporkert, Marc Augsburger, Aurélien Thomas, Christian Giroud
Passive exposure to cannabis smoke may induce effects on behavior and psychomotor skills, and have legal consequences, including the risk of being falsely considered as a cannabis user. This can become a concern, especially in occupational contexts or when driving vehicles. In order to enable a differentiation between a passive and an active exposure to cannabis and to limit the likeliness to be detected positive following passive exposure, this review identified specific biomarkers of passive exposure in urine, blood, oral fluid, hair, and sebum...
November 16, 2016: Forensic Science International
https://www.readbyqxmd.com/read/27880751/abortion-surveillance-united-states-2013
#15
Tara C Jatlaoui, Alexander Ewing, Michele G Mandel, Katharine B Simmons, Danielle B Suchdev, Denise J Jamieson, Karen Pazol
PROBLEM/CONDITION: Since 1969, CDC has conducted abortion surveillance to document the number and characteristics of women obtaining legal induced abortions in the United States. PERIOD COVERED: 2013. DESCRIPTION OF SYSTEM: Each year, CDC requests abortion data from the central health agencies of 52 reporting areas (the 50 states, the District of Columbia, and New York City). The reporting areas provide this information voluntarily. For 2013, data were received from 49 reporting areas...
November 25, 2016: MMWR. Surveillance Summaries: Morbidity and Mortality Weekly Report. Surveillance Summaries
https://www.readbyqxmd.com/read/27880090/the-differential-impact-of-alcohol-and-interpersonal-violence-on-the-severity-of-violent-traumatic-brain-injuries-among-american-indians
#16
Kristen F Linton, Paul B Perrin
Research shows connections between substance use and traumatic brain injury (TBI), high rates of substance use and interpersonal violence (IPV) in American Indians with TBI, and connections between IPV and TBI. This study assessed the effects of substance use at the time of a violent TBI and possible mediators such as American Indian race on injury severity (injury severity score [ISS]). A secondary data analysis of 3,351 individuals who experienced a TBI due to violence was conducted. American Indians with TBI were more likely to experience IPV (χ(2) = 4...
November 23, 2016: Social Work in Public Health
https://www.readbyqxmd.com/read/27879430/factors-that-can-influence-feelings-towards-and-interactions-with-people-living-with-hiv-aids-in-rural-central-kenya
#17
Caroline Kingori, Zelalem T Haile, Peter Ngatia, Ruth Nderitu
BACKGROUND: In Kenya, HIV incidence and prevalence have declined. HIV rates are lower in rural areas than in urban areas. However, HIV infection is reported higher in men in rural areas (4.5%) compared to those in urban areas (3.7%). OBJECTIVES: This study examined HIV knowledge, feelings, and interactions towards HIV-infected from 302 participants in rural Central Kenya. METHODS: Chi square tests and multivariable logistic regression analyzed variables of interest...
November 22, 2016: International Journal of STD & AIDS
https://www.readbyqxmd.com/read/27878484/pilot-scale-nanofiltration-treatment-of-olive-mill-wastewater-a-technical-and-economical-evaluation
#18
S Sanches, M C Fraga, N A Silva, P Nunes, J G Crespo, V J Pereira
The treatment of large volumes of olive mill wastewater is presently a challenge. This study reports the technical and economical feasibility of a sequential treatment of olive mill wastewater comprising a dissolved air flotation pre-treatment and nanofiltration. Different pilot nanofiltration assays were conducted in a concentration mode up to different volume reduction factors (29, 45, 58, and 81). Data attained demonstrated that nanofiltration can be operated at considerably high volume reduction factors and still be effective towards the removal of several components...
November 22, 2016: Environmental Science and Pollution Research International
https://www.readbyqxmd.com/read/27876373/bioaccumulation-of-heavy-metals-by-shrimp-litopenaeus-schmitti-a-dose-response-approach-for-coastal-resources-management
#19
Juliana Ribeiro Nascimento, Elisamara Sabadini-Santos, Cassia Carvalho, Karina Annes Keunecke, Ricardo César, Edison D Bidone
We reveal a dose-response relationship for bioaccumulation of Zn, Cu and Cr in shrimp Litopenaeus schmitti from Sepetiba Bay, Rio de Janeiro, Brazil. Our model estimates the current risk (AD50 was 70% of the legal limit) and the daily metal uptake rate for each metal. It can also evaluate the relative reliability of predictions for tissue concentrations reaching the legal limits for human consumption (approximately 1year) and predictions related to asymptotic length, arising from (i) direct regression of the metal concentration (MeC) versus total length (TL) and age (duration of exposure), and (ii) correlation of the incorporation rate (IR=MeC/TL) with age...
November 19, 2016: Marine Pollution Bulletin
https://www.readbyqxmd.com/read/27875802/urgency-traits-moderate-daily-relations-between-affect-and-drinking-to-intoxication-among-young-adults
#20
Krysten W Bold, Lisa M Fucito, Kelly S DeMartini, Robert F Leeman, Henry R Kranzler, William R Corbin, Stephanie S O'Malley
BACKGROUND: Young adults with higher trait urgency (i.e., a tendency to act rashly in response to heightened affect) may be especially vulnerable to heavy drinking. The current study examined 1) the influence of urgency on daily relations between affect and drinking to intoxication, and 2) whether urgency influenced the effectiveness of naltrexone (vs. placebo) for reducing alcohol use. METHODS: This study is a secondary analysis of data from 126 (n=40 female) heavy drinking young adults, ages 18-25, enrolled in a double-blind, 8-week clinical trial comparing brief motivational intervention and either naltrexone or placebo...
November 3, 2016: Drug and Alcohol Dependence
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