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Health care regulation

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https://www.readbyqxmd.com/read/29458088/antibiotics-use-among-palestine-refugees-attending-unrwa-primary-health-care-centers-in-jordan-a-cross-sectional-study
#1
Maysun Al Baz, Michael R Law, Rawan Saadeh
The irrational use of antibiotics is increasing in Jordanian refugee camps and consequently so too is bacterial resistance. About one-third of health expenditures at UNRWA health centers in Jordan are attributed to antibiotics. OBJECTIVE: We studied knowledge, attitude and behaviour of Palestine refugees attending UNRWA health centers in Jordan regarding antibiotic use in order to plan public health interventions accordingly. METHODS: A cross-sectional, interviewer-administered survey among 250 adult Palestine refugees at four different health centres was conducted...
February 16, 2018: Travel Medicine and Infectious Disease
https://www.readbyqxmd.com/read/29457243/raising-the-stakes-for-nondiscrimination-protections-in-the-aca
#2
Kristen Underhill
In the struggle over the durability of the Affordable Care Act, defenders of the ACA stand guard at many fronts. A major contribution of the ACA to nondiscrimination law, however, appears increasingly vulnerable. The ACA established significant new nondiscrimination protections for patients under section 1557 and its implementing regulations. Several of these regulations-including protections on the basis of gender identity and pregnancy termination-are now under reconsideration at the Department of Health and Human Services, after a nationwide injunction lasting almost a year...
January 2018: Hastings Center Report
https://www.readbyqxmd.com/read/29457239/patient-care-to-public-health-to-synthetic-biology
#3
EDITORIAL
(no author information available yet)
The January-February 2018 issue of the Hastings Center Report includes pieces addressing patient care concerns that lie at the original core of bioethics and pieces that reflect the field's growing breadth. Among the pieces getting at the original core is an article by philosopher Daniel Brudney on the moral values underpinning surrogate decision-making. The article and the two commentaries that follow it contribute to the debate on the moral authority of surrogate decision-makers. Several items in the issue take up matters of public health and health policy...
January 2018: Hastings Center Report
https://www.readbyqxmd.com/read/29452562/deciphering-the-sunshine-act-transparency-regulation-and-financial-conflicts-in-health-care
#4
Richard S Saver
The Physician Payments Sunshine Act ("Sunshine Act"), enacted to address financial conflicts in health care, is the first comprehensive federal legislation mandating public reporting of payments between drug companies, device manufacturers, and medicine. This article analyzes the Sunshine Act's uneven record, exploring how the law serves as an intriguing example of the uncertain case for transparency regulation in health care. The Sunshine Act's bumpy rollout demonstrates that commanding transparency through legislation can be arduous because of considerable implementation challenges...
November 2017: American Journal of Law & Medicine
https://www.readbyqxmd.com/read/29452560/health-care-efficiencies-consolidation-and-alternative-models-vs-health-care-and-antitrust-regulation-irreconcilable-differences
#5
Michael W King
Despite the U.S. substantially outspending peer high income nations with almost 18% of GDP dedicated to health care, on any number of statistical measurements from life expectancy to birth rates to chronic disease, 1 the U.S. achieves inferior health outcomes. In short, Americans receive a very disappointing return on investment on their health care dollars, causing economic and social strain. 2 Accordingly, the debates rage on: what is the top driver of health care spending? Among the culprits: poor communication and coordination among disparate providers, paperwork required by payors and regulations, well-intentioned physicians overprescribing treatments, drugs and devices, outright fraud and abuse, and medical malpractice litigation...
November 2017: American Journal of Law & Medicine
https://www.readbyqxmd.com/read/29436708/nursing-wound-care-practices-in-haiti-facilitators-and-barriers-to-quality-care
#6
B A Timmins, C Thomas Riché, M W Saint-Jean, J Tuck, L Merry
AIM: To describe the facilitators and barriers for nurses to perform quality wound care in three surgical wards of a hospital in Port-au-Prince, Haiti. BACKGROUND: Up to a quarter of patients in low- and middle-income countries may acquire at least one infection while hospitalized. There is a paucity of research investigating nursing wound care practices in low- and middle-income countries regarding the prevention of hospital-acquired infections. METHODS: The design was qualitative descriptive...
February 13, 2018: International Nursing Review
https://www.readbyqxmd.com/read/29435275/safe-use-of-chemicals-by-professional-users-and-health-care-specialists
#7
Margarita Apatsidou, Ioanna Konstantopoulou, Eleni Foufa, Konstantinos Tsarouhas, Petros Papalexis, Ramin Rezaee, Demetrios A Spandidos, Demetrios Kouretas, Christina Tsitsimpikou
The awareness of Greek professional users and health care specialists regarding the safe use of chemicals was investigated, to be the best of our knowledge, for the first time after the introduction of Regulations (EC) 1907/2006 (REACH) and 1272/2008 (CLP) on chemicals. A total of 200 professional users and 150 health care specialists from various regions of Greece contributed to the use of a closed-ended, anonymous and validated questionnaire. The findings showed that over 85% of the responders were not aware of classification, labelling and packaging (CLP) and 67...
February 2018: Biomedical Reports
https://www.readbyqxmd.com/read/29434521/nursing-education-challenges-and-solutions-in-sub-saharan-africa-an-integrative-review
#8
Thokozani Bvumbwe, Ntombifikile Mtshali
Background: The Lancet Commission and the Global Health Workforce Alliance reported that professional education has generally not kept up the pace of health care challenges. Sub Saharan Africa needs an effective and efficient nursing education system to build an adequate, competent and relevant nursing workforce necessary for the achievement of Sustainable Development Goals. The Plan of Action for Scaling up Quality Nursing and Midwifery Education and Practice for the African Region 2012 - 2022 provided a framework for scale up of nurses and midwives...
2018: BMC Nursing
https://www.readbyqxmd.com/read/29431916/clinical-relevance-of-smartphone-apps-for-diabetes-management-a-global-overview
#9
Zhilian Huang, Michael Soljak, Bernhard Otto Boehm, Josip Car
AIMS: We assessed the number, proportion and clinical relevance of diabetes self-management apps in major languages spoken by ten countries with the greatest number of people with diabetes. METHODS: China, India, USA, Brazil, Russian Federation, Mexico, Indonesia, Egypt, Japan and Pakistan were identified as the ten countries with the largest number of people with diabetes based on the latest NCD-RisC survey. Android and iOS apps in the ten national languages were extracted with a search strategy...
February 12, 2018: Diabetes/metabolism Research and Reviews
https://www.readbyqxmd.com/read/29429871/case-study-comparison-of-functional-vs-organic-stability-approaches-for-assessing-threat-potential-at-closed-landfills-in-the-usa
#10
Sean T O'Donnell, Michael D Caldwell, Morton A Barlaz, Jeremy W F Morris
Municipal solid waste (MSW) landfills in the USA are regulated under Subtitle D of the Resource Conservation and Recovery Act (RCRA), which includes the requirement to protect human health and the environment (HHE) during the post-closure care (PCC) period. Several approaches have been published for assessment of potential threats to HHE. These approaches can be broadly divided into organic stabilization, which establishes an inert waste mass as the ultimate objective, and functional stability, which considers long-term emissions in the context of minimizing threats to HHE in the absence of active controls...
February 8, 2018: Waste Management
https://www.readbyqxmd.com/read/29429454/-association-of-leptin-adiponectin-and-ghrelin-in-breast-milk-with-the-growth-of-infants-with-exclusive-breastfeeding
#11
Li-Li Huang, Fan Yang, Fei Xiong
OBJECTIVE: To investigate the association of leptin, adiponectin, and ghrelin in breast milk with the weight growth velocity of infants with exclusive breastfeeding. METHODS: A total of 67 full-term singleton infants who received regular child care and exclusive breastfeeding and their mothers were enrolled. The nutritional status was evaluated based on the measurements of body weight and body length (underweight, growth retardation, emaciation, overweight, and obesity)...
February 2018: Zhongguo Dang Dai Er Ke za Zhi, Chinese Journal of Contemporary Pediatrics
https://www.readbyqxmd.com/read/29427016/media-and-young-minds-comparing-state-screen-media-use-regulations-for-children-under-24-months-of-age-in-early-care-and-education-to-a-national-standard
#12
Sarah Gonzalez-Nahm, Elyse R Grossman, Natasha Frost, Carly Babcock, Sara E Benjamin-Neelon
Introduction Excessive screen media use has been associated with a number of negative health outcomes in young children, including increased risk for obesity and comparatively lagging cognitive development. The purpose of this study was to assess state licensing regulations restricting screen media use for children under 24 months old in early care and education (ECE) and to compare regulations to a national standard. Methods We reviewed screen media use regulations for all US states for child care centers ("centers") and family child care homes ("homes") and compared these regulations to a national standard discouraging screen media use in children under 24 months of age...
February 9, 2018: Maternal and Child Health Journal
https://www.readbyqxmd.com/read/29426661/national-immunization-strategies-targeting-migrants-in-six-european-countries
#13
Cristina Giambi, Martina Del Manso, Teresa Dalla Zuanna, Flavia Riccardo, Antonino Bella, Maria Grazia Caporali, Agoritsa Baka, Nuska Caks-Jager, Tanya Melillo, Ricardo Mexia, Goranka Petrović, Silvia Declich
Over the last three years an unprecedented flow of migrants arrived in Europe. There is evidence that vaccine preventable diseases have caused outbreaks in migrant holding centres. These outbreaks can be favored by a combination of factors including low immunization coverage, bad conditions that migrants face during their exhausting journey and overcrowding within holding facilities. In 2017, we conducted an online survey in Croatia, Greece, Italy, Malta, Portugal and Slovenia to explore the national immunization strategies targeting irregular migrants, refugees and asylum seekers...
February 6, 2018: Vaccine
https://www.readbyqxmd.com/read/29426318/hospital-discharge-documentation-of-a-designated-clinician-for-follow-up-care-and-30-day-outcomes-in-hip-fracture-and-stroke-patients-discharged-to-sub-acute-care
#14
Andrea L Gilmore-Bykovskyi, Korey A Kennelty, Eva DuGoff, Amy J H Kind
BACKGROUND: Transitions to sub-acute care are regularly complicated by inadequate discharge communication, which is exacerbated by a lack of clarity regarding accountability for important follow-up care. Patients discharged to sub-acute care often have complex medical conditions and are at heightened risk for poor post-hospital outcomes, yet many do not see a provider until 30 days post discharge due to current standards in Medicare regulations. Lack of designation of a responsible clinician or clinic for follow-up care may adversely impact patient outcomes, but the magnitude of this potential impact has not been previously studied...
February 9, 2018: BMC Health Services Research
https://www.readbyqxmd.com/read/29422722/sleeping-in-a-brave-new-world-opportunities-for-improving-learning-and-clinical-outcomes-through-targeted-memory-reactivation
#15
Ken A Paller
Neuroscientific insights into learning and memory have mostly concerned input and output, but intervening processing during the time between acquisition and retrieval is also critical. Indeed, intervening memory reactivation may regulate memory longevity, and a growing body of evidence implicates sleep in changing memory storage. For example, subtle auditory stimulation can be used experimentally to selectively encourage memory reactivation during sleep, which thereby improves learning. Much remains to be elucidated about how learning depends on sleep...
December 2017: Current Directions in Psychological Science
https://www.readbyqxmd.com/read/29417634/building-hospital-capacity-planning-mechanisms-in-poland-the-impact-of-2016-2017-regulatory-changes
#16
REVIEW
Katarzyna Dubas-Jakóbczyk, Christoph Sowada, Alicja Domagała, Barbara Więckowska
Capacity planning is a crucial component of modern health care governance. The aim of this paper is to analyze the requirements that need to be met to build effective hospital capacity planning mechanisms in Poland. In this context, the recent regulatory changes strongly influencing hospital sector functioning, including introduction of health care needs maps, capital investment assessment, and hospital network regulations, are analyzed. Some possible ways forward, based on review of international experiences in hospital capacity planning, are discussed...
February 7, 2018: International Journal of Health Planning and Management
https://www.readbyqxmd.com/read/29416207/contribution-of-arabic-medicine-and-pharmacy-to-the-development-of-health-care-protection-in-bosnia-and-herzegovina-the-second-part
#17
Izet Masic
After the collapse of the Arab rule, the Arab territorial expanses and cultural heritage were taken over by the Turks. Although scientific progress in the Turkish period slowed down due to numerous unfavorable political-economic and other circumstances. Thanks to the Turks, Arabic culture and useful Islamic principles expanded to the territory of our homeland of Bosnia and Herzegovina (B&H). Significant role in the transfer of Arabic pharmaceutical knowledge was also attributed to the Sephardic Jews who, with their arrival, continued to perform their attar activities, which were largely based on Arab achievements...
December 2017: Medical Archives
https://www.readbyqxmd.com/read/29414342/dep-and-dbp-induce-cytotoxicity-in-mouse-embryonic-stem-cells-and-abnormally-enhance-neural-ectoderm-development
#18
Nuoya Yin, Shengxian Liang, Shaojun Liang, Bowen Hu, Renjun Yang, Qunfang Zhou, Guibin Jiang, Francesco Faiola
Diethyl phthalate (DEP) and dibutyl phthalate (DBP) are two typical small phthalate esters, extensively used in personal care and consumer products. Although previous studies have linked phthalate esters to several health issues, it is still unclear whether they can affects the early stages of embryonic development. In this study, we evaluated the early developmental neurotoxicity as well as the cytotoxicity of DEP and DBP, using mouse embryonic stem cells (mESCs). Our results showed that both DEP and DBP could decrease mESC viability in a dose-dependent manner...
February 1, 2018: Environmental Pollution
https://www.readbyqxmd.com/read/29410215/cytokine-targeting-biologics-for-allergic-diseases
#19
REVIEW
Monica G Lawrence, John W Steinke, Larry Borish
OBJECTIVE: Asthma and allergic diseases continue to increase in prevalence, creating a financial burden on the health care system and impacting the quality of life for those who suffer from these diseases. Many intrinsic and extrinsic factors are involved in the initiation and maintenance of the allergic response. Cytokines are proteins with growth, differentiation, and activation functions that regulate and direct the nature of immune responses. DATA SOURCES/STUDY SELECTIONS: We searched clinicaltrials...
February 1, 2018: Annals of Allergy, Asthma & Immunology
https://www.readbyqxmd.com/read/29406420/reporting-of-sepsis-cases-for-performance-measurement-versus-for-reimbursement-in-new-york-state
#20
Hallie C Prescott, Tara M Cope, Foster C Gesten, Tatiana A Ledneva, Marcus E Friedrich, Theodore J Iwashyna, Tiffany M Osborn, Christopher W Seymour, Mitchell M Levy
OBJECTIVES: Under "Rory's Regulations," New York State Article 28 acute care hospitals were mandated to implement sepsis protocols and report patient-level data. This study sought to determine how well cases reported under state mandate align with discharge records in a statewide administrative database. DESIGN: Observational cohort study. SETTING: First 27 months of mandated sepsis reporting (April 1, 2014, to June 30, 2016). PATIENTS: Hospitalizations with sepsis at New York State Article 28 acute care hospitals...
February 5, 2018: Critical Care Medicine
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