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https://www.readbyqxmd.com/read/28454191/-distress-main-burdens-engagement-motivators-and-needs-of-fulltime-and-volunteer-refugee-aid-workers
#1
Theresa Grimm, Ekaterini Georgiadou, Andrea Silbermann, Katharina Junker, Winfried Nisslbeck, Yesim Erim
In the psychosomatic department of the University Hospital of Erlangen trainings were conducted for active refugee aid workers with start in January, 2016. Meanwhile 49 helpers participated in the training and 45 of them filled out a survey questionnaire. Perceived distress when providing care for refugees, as well as engagement motivation and further training needs were explored. Furthermore, depressive symptoms as well as the prevalence of traumatic experiences were investigated. The main burden was experienced through lacking freedom of action on the background of legal regulations...
April 28, 2017: Psychotherapie, Psychosomatik, Medizinische Psychologie
https://www.readbyqxmd.com/read/28453993/sexual-violence-interventions-considerations-for-humanitarian-settings
#2
David Wells
Sexual and gender based violence may result in a range of destructive consequences to the individual, their family and the wider community. Addressing such violence and its immediate aftermath in circumstances of civil turmoil requires a timely, planned and coordinated multidisciplinary response. Such interventions need to be cognisant of, and address a range of challenges which might include economic barriers, religious and cultural divides, a dearth of respect for human rights and limited access or capacity of medical, policing and legal services...
April 14, 2017: Forensic Science International
https://www.readbyqxmd.com/read/28453716/inflated-medicine-prices-in-vietnam-a-qualitative-study
#3
Tuan Anh Nguyen, Rosemary Knight, Andrea Mant, Husna Razee, Geoffrey Brooks, Thu Ha Dang, Elizabeth Ellen Roughead
One third of the world's population lacks regular access to essential medicines partly because of the high cost of medicines. In Vietnam, the cost to patients of medicines was 47 times the international reference price for originator brands and 11 times the price for generic equivalents in the public sector. In this article, we report the results of a qualitative study conducted to identify the principal reasons for inflated medicine prices in Vietnam.Between April 2008 and December 2009, 29 semi-structured interviews were conducted with staff from pharmaceutical companies, private pharmacies, the Ministry of Health, and the Ministry of Finance of Vietnam...
June 1, 2017: Health Policy and Planning
https://www.readbyqxmd.com/read/28449191/perceived-harms-and-benefits-of-tobacco-marijuana-and-electronic-vaporizers-among-young-adults-in-colorado-implications-for-health-education-and-research
#4
Lucy Popova, Emily Anne McDonald, Sohrab Sidhu, Rachel Barry, Tracey A Richers Maruyama, Nicolas M Sheon, Pamela M Ling
AIMS: To evaluate how young adults perceive and compare harms and benefits of marijuana and tobacco products in the context of a legal marijuana market in Colorado. DESIGN: Semi-structured qualitative interviews. SETTING: Denver, Colorado, USA. PARTICIPANTS: Thirty-two young adults (18-26 years old) who used tobacco/marijuana/vaporizers. Semi-structured interviews addressed perceived harms and benefits of various tobacco and marijuana products and personal experiences with these products...
April 27, 2017: Addiction
https://www.readbyqxmd.com/read/28449014/ethnic-disparities-in-the-use-of-seclusion-for-adult-psychiatric-inpatients-in-new-zealand
#5
Melissa McLeod, Paula King, James Stanley, Cameron Lacey, Ruth Cunningham
AIM: This study aims to investigate disparities in seclusion between Māori and non-Māori non-Pacific (nMnP) adults in mental health inpatient units in New Zealand. METHOD: This study uses data on 7,239 inpatient psychiatric admissions and 782 seclusion events for nine district health boards (servicing 39% of the New Zealand population) for the period 1 July 2008 to 30 June 2010, from a New Zealand Ministry of Health dataset (PRIMHD). We calculate the age-standardised rates of seclusion per monthly inpatient admissions...
April 28, 2017: New Zealand Medical Journal
https://www.readbyqxmd.com/read/28448904/support-for-marijuana-legalization-in-the-us-state-of-washington-has-continued-to-increase-through-2016
#6
Meenakshi Sabina Subbaraman, William C Kerr
BACKGROUND: Support for the legalization of recreational marijuana continues to increase across the United States and globally. In 2016, recreational marijuana was legalized in the most populous US state of California, as well as three other states. The primary aim of this study was to examine trends in support for recreational marijuana legalization in Washington, a state which has had legal recreational marijuana for almost four years, using data collected over the four years post-legalization...
April 19, 2017: Drug and Alcohol Dependence
https://www.readbyqxmd.com/read/28448846/upcrowding-energy-co-operatives-evaluating-the-potential-of-crowdfunding-for-business-model-innovation-of-energy-co-operatives
#7
Mathias Georg Dilger, Tanja Jovanović, Kai-Ingo Voigt
Practice and theory have proven the relevance of energy co-operatives for civic participation in the energy turnaround. However, due to a still low awareness and changing regulation, there seems an unexploited potential of utilizing the legal form 'co-operative' in this context. The aim of this study is therefore to investigate the crowdfunding implementation in the business model of energy co-operatives in order to cope with the mentioned challenges. Based on a theoretical framework, we derive a Business Model Innovation (BMI) through crowdfunding including synergies and differences...
April 24, 2017: Journal of Environmental Management
https://www.readbyqxmd.com/read/28447899/the-american-college-of-surgeons-minimum-standards-for-hospitals-and-the-provision-of-high-quality-laboratory-services
#8
James R Wright
CONTEXT: - The first major project of the American College of Surgeons (Chicago, Illinois), founded in 1913, was implementing Minimum Standards for Hospitals. The 1918 standard (1) established medical staff organizations in hospitals; (2) restricted membership to licensed practitioners in good standing; (3) mandated that the medical staff work with hospital administration to develop and adopt regulations and policies governing their professional work; (4) required standardized, accessible medical records; and (5) required availability of diagnostic and therapeutic facilities...
May 2017: Archives of Pathology & Laboratory Medicine
https://www.readbyqxmd.com/read/28447836/the-goldilocks-contract-the-synergistic-benefits-of-combining-structure-and-autonomy-for-persistence-creativity-and-cooperation
#9
Eileen Y Chou, Nir Halevy, Adam D Galinsky, J Keith Murnighan
Contracts are commonly used to regulate a wide range of interactions and relationships. Yet relying on contracts as a mechanism of control often comes at a cost to motivation. Integrating theoretical perspectives from psychology, economics, and organizational theory, we explore this control-motivation dilemma inherent in contracts and present the Contract-Autonomy-Motivation-Performance-Structure (CAMPS) model, which highlights the synergistic benefits of combining structure and autonomy. The model proposes that subtle reductions in the specificity of a contract's language can boost autonomy, which increases intrinsic motivation and improves a range of desirable behaviors...
April 27, 2017: Journal of Personality and Social Psychology
https://www.readbyqxmd.com/read/28447466/results-of-a-randomized-trial-on-an-intervention-promoting-adoption-of-occupational-sun-protection-policies
#10
David B Buller, Barbara J Walkosz, Mary Klein Buller, Allan Wallis, Peter A Andersen, Michael D Scott, Rachel Eye, Xia Liu, Gary Cutter
PURPOSE: To evaluate an intervention promoting adoption of occupational sun protection policies by employers in a randomized trial. DESIGN: A randomized pretest-posttest controlled design with 2-year follow-up was conducted in 2010 to 2013. SETTING: Local government organizations in Colorado who had outdoor workers in public works, public safety, and/or parks and recreation. PARTICIPANTS: Ninety-eight local government organizations (n = 51 municipalities, 10 counties, and 37 special districts)...
January 1, 2017: American Journal of Health Promotion: AJHP
https://www.readbyqxmd.com/read/28446925/ethical-legal-and-clinical-aspects-of-live-surgery-in-urology-contemporary-issues-and-a-glimpse-of-the-future
#11
REVIEW
Alin Adrian Cumpanas, Ovidiu Catalin Ferician, Silviu Constantin Latcu, Catalin Pricop, Razvan Tiberiu Bardan
Beside dry and wet lab training, simulators, video tapes, fellowships and clinical visits, live surgery has gained popularity during the last years, being an attraction point at large scientific meetings and at postgraduate courses as well. This type of surgical training raises both ethical and legal issues. Thus, there are professional societies that have banned such meetings, mainly due to safety reasons for the patient. The current article aims to identify and to discuss ethical and legal issues related to the topic, advantages, disadvantages and weak points of this emerging challenge for modern medicine, trying to analyze the issues from all relevant points of view: those of the patient, the surgeon and the session attendant...
2017: Wideochirurgia i Inne Techniki Mało Inwazyjne, Videosurgery and Other Miniinvasive Techniques
https://www.readbyqxmd.com/read/28446164/core-information-sets-for-informed-consent-to-surgical-interventions-baseline-information-of-importance-to-patients-and-clinicians
#12
Barry G Main, Angus G K McNair, Richard Huxtable, Jenny L Donovan, Steven J Thomas, Paul Kinnersley, Jane M Blazeby
BACKGROUND: Consent remains a crucial, yet challenging, cornerstone of clinical practice. The ethical, legal and professional understandings of this construct have evolved away from a doctor-centred act to a patient-centred process that encompasses the patient's values, beliefs and goals. This alignment of consent with the philosophy of shared decision-making was affirmed in a recent high-profile Supreme Court ruling in England. The communication of information is central to this model of health care delivery but it can be difficult for doctors to gauge the information needs of the individual patient...
April 26, 2017: BMC Medical Ethics
https://www.readbyqxmd.com/read/28445835/economic-consequences-of-legal-and-illegal-drugs-the-case-of-social-costs-in-belgium
#13
Delfine Lievens, Freya Vander Laenen, Nick Verhaeghe, Koen Putman, Lieven Pauwels, Wim Hardyns, Lieven Annemans
BACKGROUND: Legal and illegal drugs impose a considerable burden to the individual and to society. The misuse of addictive substances results in healthcare and law enforcement costs, loss of productivity and reduced quality of life. METHODS: A social cost study was conducted to estimate the substance-attributable costs of alcohol, tobacco, illegal drugs and psychoactive medication to Belgian society in 2012. The cost-of-illness framework with prevalence-based and human capital approach was applied...
April 23, 2017: International Journal on Drug Policy
https://www.readbyqxmd.com/read/28444659/new-psychoactive-substances-nps-a-challenge-for-the-addiction-treatment-services
#14
Norbert Scherbaum, F Schifano, Udo Bonnet
Over the last few years, hundreds of new psychoactive substances (NPS) have been identified in Europe. Apart from some herbal compounds, NPS mainly include synthetic cannabinoids and a range of new synthetic stimulants (e. g., cathinones). Synthetic NPS are often developed whilst modifying the basic chemical (e. g., phenethylamine or tryptamine) structure. Although the pharmacology and toxicology of most NPS are hardly known, they are being offered, especially online, as "bath salts," as "incense mixtures," or under other misleading labels...
April 25, 2017: Pharmacopsychiatry
https://www.readbyqxmd.com/read/28444439/back-to-the-future-part-2-post-mortem-assessment-and-evolutionary-role-of-the-bio-medicolegal-sciences
#15
REVIEW
Santo Davide Ferrara, Giovanni Cecchetto, Rossana Cecchi, Donata Favretto, Silke Grabherr, Takaki Ishikawa, Toshikazu Kondo, Massimo Montisci, Heidi Pfeiffer, Maurizio Rippa Bonati, Dina Shokry, Marielle Vennemann, Thomas Bajanowski
Part 2 of the review "Back to the Future" is dedicated to the evolutionary role of the bio-medicolegal sciences, reporting the historical profiles, the state of the art, and prospects for future development of the main related techniques and methods of the ancillary disciplines that have risen to the role of "autonomous" sciences, namely, Genetics and Genomics, Toxicology, Radiology, and Imaging, involved in historic synergy in the "post-mortem assessment," together with the mother discipline Legal Medicine, by way of its primary fundament, universally denominated as Forensic Pathology...
April 25, 2017: International Journal of Legal Medicine
https://www.readbyqxmd.com/read/28444046/health-care-networks-implementation-and-regional-governance-challenges-in-the-legal-amazon-region-an-analysis-of-the-qualisus-rede-project
#16
Angela Oliveira Casanova, Marly Marques Cruz, Ligia Giovanella, Glaydes Dos Reis Alves, Gisela Cordeiro Pereira Cardoso
This paper aims to analyze the potential, limits and challenges of regional governance in the implementation process of health care networks in three Brazilian regions: Alto Solimões (Amazonas), Belém (Pará) and an interstate region comprising Tocantins, Pará and Maranhão states (Topama). The study is based on the evaluation study on the implementation of the Quality Health Care Network Development and Improvement Project (QualiSUS-Rede). This is a qualitative multiple case study with the analysis of official documents and use of semi-structured interviews with key stakeholders conducted from July to December 2014...
April 2017: Ciência & Saúde Coletiva
https://www.readbyqxmd.com/read/28444042/regionalization-in-the-sus-implementation-process-challenges-and-perspectives-in-the-critical-view-of-system-managers
#17
Andre Luis Bonifácio de Carvalho, Washington Luiz Abreu de Jesus, Isabel Maria Vilas Boas Senra
This article examines the regionalization process in the Brazilian Health System, identifying frameworks and challenges of this process from critical dialogue on the subject, contextualized by the experience of the management system and in the light of an established theoretical debate in the last decade. We used the thematic content analysis of legal and documentary surveys of the regionalization process in SUS, collated by elements of the historical and political context in the period. As evidence, it appears that the regionalization process has been incremental decentralization/deconcentration of management and health actions and services...
April 2017: Ciência & Saúde Coletiva
https://www.readbyqxmd.com/read/28444029/-risk-of-exposure-to-heatstroke-in-sugarcane-workers-in-s%C3%A3-o-paulo-state-brazil
#18
Rodrigo Cauduro Roscani, Daniel Pires Bitencourt, Paulo Alves Maia, Alvaro Cesar Ruas
Environmental heat is an aggravating factor for sugarcane workers, and manual cane cutting is one of the heavy work activities that favor the generation of metabolic heat. This can combine with other precarious working conditions to produce heatstroke, potentially leading to serious complications and even death. The study aimed to quantify the risk of overheating in sugarcane cutters in São Paulo, Brazil. Drawing on a specific methodology, the study used four years of data to estimate the Globe Thermometer Wet Bulb Index based on light, moderate, and heavy activities...
April 20, 2017: Cadernos de Saúde Pública
https://www.readbyqxmd.com/read/28443522/legal-and-organisational-innovation-in-the-italian-pharmacy-system-commercial-vs-public-interest
#19
Alceste Santuari
Pharmacy services are undoubtedly an important part of primary care. Pharmacists are entrepreneurs and simultaneously they are entrusted with a public mission in the health care sector. Pharmacies then reflect a contrast between a commercial/economic objective and public interest, which is to be identified with citizens' universal right to health care services. This is the reason why in Italy, as in many other EU countries, pharmacies supply their services according to a prior authorisation granted by public authorities...
April 26, 2017: Health Economics, Policy, and Law
https://www.readbyqxmd.com/read/28441877/health-justice-partnerships-initial-insights-into-the-delivery-of-an-integrated-health-and-legal-service-for-youth-in-regional-victoria
#20
Alison Ollerenshaw, Margaret Camilleri
INTRODUCTION: This article presents interim findings from research examining the implementation of a health justice partnership (HJP) focusing on the legal and health needs of regional young people. HJPs provide an innovative service model offering an integrated health and legal service for the community. HJPs are a relatively new service model for Australia, yet the program is well suited to meet the needs of particular population cohorts, including young people and those in regional locations experiencing complex legal issues...
April 2017: Rural and Remote Health
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