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https://www.readbyqxmd.com/read/29771251/-ebm-guidelines-protocols-knowledge-attitudes-and-utilization-in-the-era-of-law-on-professional-responsibility-and-safety-of-health-care
#1
Silvia Minozzi, Francesca Ruggiero, Matteo Capobussi, Marien González-Lorenzo, Micaela La Regina, Alessandro Squizzato, Lorenzo Moja, Francesco Orlandini
INTRODUCTION: <AbstractText Label="INTRODUCTION" NlmCategory="BACKGROUND">The knowledge of principles and methods of Evidence Based Medicine (EBM) and the use of Clinical Practice Guidelines to inform clinical decisions are recognised as key instruments to improve the quality of care. In Italy the Parliament has revised the legal system that rules the responsibilities of health professionals and health care safety, prescribing health professionals to adhere to guidelines and good practice recommendations...
May 2018: Recenti Progressi in Medicina
https://www.readbyqxmd.com/read/29770893/the-biogenetical-revolution-of-the-council-of-europe-twenty-years-of-the-convention-on-human-rights-and-biomedicine-oviedo-convention
#2
REVIEW
Oktawian Nawrot
The Council of Europe's legal regulation concerning development of biology and medicine undoubtedly form the most interesting, but certainly not perfect, over-national system of protection of human beings in prenatal stages of development. The strength of the mentioned system is that it based on well-known and common acceptable values and rules such as human dignity and its protection. The aim of the paper is to present the reasons behind adopting such a system, as well as the consequences of the latter.The author argues that in such a way a revolution within the human rights system of the Council of Europe took place...
May 16, 2018: Life Sciences, Society and Policy
https://www.readbyqxmd.com/read/29770294/three-dimensional-modelling-and-three-dimensional-printing-in-pediatric-and-congenital-cardiac-surgery
#3
REVIEW
Laszlo Kiraly
Three-dimensional (3D) modelling and printing methods greatly support advances in individualized medicine and surgery. In pediatric and congenital cardiac surgery, personalized imaging and 3D modelling presents with a range of advantages, e.g., better understanding of complex anatomy, interactivity and hands-on approach, possibility for preoperative surgical planning and virtual surgery, ability to assess expected results, and improved communication within the multidisciplinary team and with patients. 3D virtual and printed models often add important new anatomical findings and prompt alternative operative scenarios...
April 2018: Translational Pediatrics
https://www.readbyqxmd.com/read/29769100/what-did-the-go4health-policy-research-project-contribute-to-the-policy-discourse-on-the-sustainable-development-goals-a-reflexive-review
#4
REVIEW
Vannarath Te, Nadia Floden, Sameera Hussain, Claire E Brolan, Peter S Hill
BACKGROUND: In 2012, the European Commission funded Go4Health-Goals and Governance for Global Health, a consortium of 13 academic research and human rights institutions from both Global North and South-to track the evolution of the Sustainable Development Goals (SDGs), and provide ongoing policy advice. This paper reviews the research outputs published between 2012 and 2016, analyzing the thematic content of the publications, and the influence on global health and development discourse through citation metrics...
May 16, 2018: Globalization and Health
https://www.readbyqxmd.com/read/29766205/-effective-nutritional-supplements-or-pharmaceuticals-how-can-they-be-classified-and-used
#5
REVIEW
K Stephan
Health awareness is increasing in the population, which means that more and more dietary supplements are being bought. These are very similar to well known medicines and sometimes indistinguishable both for healthcare professionals as well as for the consumer. Unclear legal terms and missing maximum quantities and substance lists contribute to this. Both product groups are subject to completely different legal norms and have different market access procedures and risk assessment systems. They also differ in purpose...
May 15, 2018: Der Internist
https://www.readbyqxmd.com/read/29753518/application-of-the-canadian-computed-tomography-head-rule-to-patients-with-minimal-head-injury
#6
Kevin Davey, Turandot Saul, Geoffrey Russel, Jonathan Wassermann, Joshua Quaas
STUDY OBJECTIVE: Two clinical decision rules, the Canadian CT Head Rule and the New Orleans Criteria, set the standard to guide clinicians in determining which patients with minor head trauma need computed tomography (CT) imaging. Both rules were derived with patients with minor head injury who had had a loss of consciousness or witnessed disorientation. No evidence exists for evaluating patients and need for CT imaging with minimal head injury; that is, patients who had a head injury but no loss of consciousness or disorientation and therefore would have been excluded from the Canadian CT Head Rule and New Orleans Criteria trials...
May 9, 2018: Annals of Emergency Medicine
https://www.readbyqxmd.com/read/29751892/temporal-trends-in-physical-violence-gender-differences-and-spatial-vulnerability-of-the-location-of-victim-s-residences
#7
Gigliana Maria Sobral Cavalcante, Ítalo de Macedo Bernardino, Lorena Marques da Nóbrega, Raquel Conceição Ferreira, Efigênia Ferreira E Ferreira, Sérgio d'Avila
The aim of study was to describe trends in physical violence among Brazilian victims and investigate spatial vulnerability of the location of victim's residences. This study performed an ecological-level longitudinal analysis, examining violence rates over 4 years. Cases of 4795 victims of physical aggression attended at a Center of Legal Medicine were investigated. Trend analysis was used to evaluate the data, with the creation of polynomial regression models (p < 0.05). Violence rates showed significant temporal variations according to sociodemographic characteristics of victims (p < 0...
June 2018: Spatial and Spatio-temporal Epidemiology
https://www.readbyqxmd.com/read/29751277/study-of-chemiluminescence-measured-by-luminometry-and-its-application-in-the-estimation-of-postmortem-interval-of-bone-remains
#8
Jesús Sarabia, Cristina Pérez-Martínez, Juan Pedro Hernández Del Rincón, Aurelio Luna
A substantial challenge faced by forensic medicine is determining the postmortem interval (PMI) of skeletonized remains. Currently, the luminol method is of limited forensic usefulness, since it uses qualitative and subjective methods to estimate PMI by the naked eye assessing the degree of chemiluminescence (CL) emitted by bone remains, a technique which is not sensitive enough to distinguish between historical or forensically significant time intervals. The aim of the present study was to use a direct and accurate measurement of the CL by luminol technique in relative light units (RLU) using a luminometer to establish this method as a possible complementary and low cost tool for the determination of the PMI for distinguishing between remains of medical-legal (<20 years) and historical (≥20 years) interest in 102 femur remains with a range of PMI between 15 and 64 years...
May 5, 2018: Legal Medicine
https://www.readbyqxmd.com/read/29750922/legal-aspects-of-sleep-medicine-in-the-21-st-century
#9
REVIEW
Saiprakash B Venkateshiah, Romy Hoque, Nancy A Collop
Multiple manifestations of sleep disorders may interact with the law making it important to increase awareness of such interactions among clinicians. Patients with excessive sleepiness may have civil (and in some states criminal) liability if they fall asleep while driving and cause a motor vehicle accident. Employers may be held vicariously liable due to the actions of sleepy employees. Hence awareness of causes of excessive sleepiness such as sleep deprivation and OSA is increasing among trucking, railroad, and other safety sensitive occupations...
May 8, 2018: Chest
https://www.readbyqxmd.com/read/29745484/-transition-from-postgraduate-training-to-independent-practice-can-we-do-better
#10
Noëlle Junod Perron, Cédric Lanier, Sanae Mazouri
Transition from postgraduate training to independent practice in primary care can be experienced as very stressful. This may be partly explained by the fact that in Switzerland, only six months training in ambulatory medicine are required as part of a five year training for the title of primary care physician. This seems largely insufficient given the diversity of tasks and skills to master. This article aims to make junior doctors aware of the medical and non medical skills they should acquire before entering in primary care independent practice (practice management, insurance, medico-legal issues)...
May 9, 2018: Revue Médicale Suisse
https://www.readbyqxmd.com/read/29741426/yoga-therapy-in-the-german-healthcare-system
#11
Holger Cramer
An estimated 15.7 million Germans are currently practicing yoga or are at least interested in starting to practice, and they often perceive yoga as a therapeutic approach. From a healthcare system perspective, the situation is less clear. Here, yoga is only recognized as a recreational or preventive activity. When yoga teachers fulfill specific qualifications, their preventive yoga classes are covered by the statutory health insurances. Only those with additional qualifications in medicine or psychotherapy, however, can independently use and promote "yoga therapy...
May 9, 2018: International Journal of Yoga Therapy
https://www.readbyqxmd.com/read/29736897/the-normalization-of-intersex-bodies-and-othering-of-intersex-identities-in-australia
#12
EDITORIAL
Morgan Carpenter
Once described as hermaphrodites and later as intersex people, individuals born with intersex variations are routinely subject to so-called "normalizing" medical interventions, often in childhood. Opposition to such practices has been met by attempts to discredit critics and reasserted clinical authority over the bodies of women and men with "disorders of sex development." However, claims of clinical consensus have been selectively constructed and applied and lack evidence. Limited transparency and lack of access to justice have helped to perpetuate forced interventions...
May 7, 2018: Journal of Bioethical Inquiry
https://www.readbyqxmd.com/read/29736676/basic-photographic-standards-for-abdominal-contouring-procedures-and-abdominoplasty-lipectomy
#13
Marion Dietl, Peter Kompatscher
Standardized reliable medical photographic documentation should be made by every plastic surgeon for valid comparisons of preoperative and post-operative illustrations. However, photographic documentation in aesthetic surgery has also an important medico-legal impact as if not performed accurately it can result in severe legal ramifications. Therefore, we evaluated and redefined the existing photographic standards for abdominal contouring procedures and abdominoplasty/lipectomy further, to achieve consistent detailed photographs without any corresponding distortion or distraction...
May 7, 2018: Aesthetic Plastic Surgery
https://www.readbyqxmd.com/read/29732484/crispr-cas9-the-powerful-new-genome-editing-tool-for-putative-therapeutics-in-obesity
#14
REVIEW
María José Franco-Tormo, Mireille Salas-Crisostomo, Nuno Barbosa Rocha, Henning Budde, Sérgio Machado, Eric Murillo-Rodríguez
The molecular technology known as clustered regularly interspaced palindromic repeats (CRISPR)/CRISPR-associated protein (Cas) is revolutionizing the field of medical research and deepening our understanding of numerous biological processes. The attraction of CRISPR/Cas9 lies in its ability to efficiently edit DNA or modulate gene expression in living eukaryotic cells and organisms, a technology that was once considered either too expensive or scientifically risky. CRISPR/Cas9 has been successfully applied in agriculture to develop the next generation of disease-resistant plants...
May 7, 2018: Journal of Molecular Neuroscience: MN
https://www.readbyqxmd.com/read/29728978/aspects-of-modern-biobank-activity-comprehensive-review
#15
REVIEW
Wiktor Paskal, Adriana M Paskal, Tomasz Dębski, Maciej Gryziak, Janusz Jaworowski
Biobanks play an increasing role in contemporary research projects. These units meet all requirements to regard them as a one of the most innovative and up-to-date in the field of biomedical research. They enable conducting wide-scale research by the professional collection of biological specimens and correlated clinical data. Pathology units may be perceived roots of biobanking. The review aims at describing the concept of biobanks, their model of function and scientific potential. It comprises the division of biobanks, sample preservation methods and IT solutions as well as guidelines and recommendations for management of a vast number of biological samples and clinical data...
May 5, 2018: Pathology Oncology Research: POR
https://www.readbyqxmd.com/read/29727247/how-blockchain-technology-can-change-medicine
#16
Juan M Roman-Belmonte, Hortensia De la Corte-Rodriguez, E Carlos Rodriguez-Merchan
Although the best-known use of blockchain technology (BCT) is in the field of economics and cryptocurrencies in general, its usefulness is extending to other fields, including the biomedical field. The purpose of this article is to clarify the role that BCT can play in the field of medicine. We have performed a narrative review of the literature on BCT in general and on medicine in particular. The great advantage of BCT in the health arena is that it allows development of a stable and secure data set with which users can interact through transactions of various types...
May 10, 2018: Postgraduate Medicine
https://www.readbyqxmd.com/read/29723905/-psychologically-psychosomatically-relevant-aspects-in-the-german-medical-association-s-guidelines-for-transplant-medicine
#17
Sylvia Kröncke, Hans-Werner Künsebeck, Gertrud Greif-Higer
Transplant medicine in Germany is regulated by mandatory guidelines of the German Medical Association, the transplant law passed in 1997 serving as the legal basis. In 2012 a comprehensive modification of the guideline procedure was initiated. Since then, all guidelines are subject to an elaborate revision process. The present contribution initially depicts relevant background information and explains the formal aspects of the guideline procedure. Subsequently, the psychologically/psychosomatically relevant contents of the guidelines for organ transplantation are presented...
May 2018: Psychotherapie, Psychosomatik, Medizinische Psychologie
https://www.readbyqxmd.com/read/29722005/physician-assisted-suicide-why-neutrality-by-organized-medicine-is-neither-neutral-nor-appropriate
#18
Daniel P Sulmasy, Ilora Finlay, Faith Fitzgerald, Kathleen Foley, Richard Payne, Mark Siegler
It has been proposed that medical organizations adopt neutrality with respect to physician-assisted suicide (PAS), given that the practice is legal in some jurisdictions and that membership is divided. We review developments in end-of-life care and the role of medical organizations with respect to the legalization of PAS since the 1990s. We argue that moving from opposition to neutrality is not ethically neutral, but a substantive shift from prohibited to optional. We argue that medical organizations already oppose many practices that are legal in many jurisdictions, and that unanimity among membership has not been required for any other clinical or ethical policy positions...
May 2, 2018: Journal of General Internal Medicine
https://www.readbyqxmd.com/read/29721740/off-label-and-unlicensed-prescribing-in-europe-implications-for-patients-informed-consent-and-liability
#19
Lise Aagaard, Kent Kristensen
This article reviews the implications of off-label (OL) and unlicensed (UL) medicine use with respect to the legal duty to inform patients and the liability for failure to provide the patient with adequate information on benefits and risks. Informed consent is a legal prerequisite to any medical treatment and requires the physician to inform the patient about benefits and risks important for the patient's decision. Since OL/UL medicine use is common in all fields of medical practice, physicians must be aware of the stricter requirements for information of the patient...
May 2, 2018: International Journal of Clinical Pharmacy
https://www.readbyqxmd.com/read/29718956/a-reliable-and-validated-lc-ms-ms-method-for-the-simultaneous-quantification-of-4-cannabinoids-in-40-consumer-products
#20
Qingfang Meng, Beth Buchanan, Jonathan Zuccolo, Mathieu-Marc Poulin, Joseph Gabriele, David Charles Baranowski
In the past 50 years, Cannabis sativa (C. sativa) has gone from a substance essentially prohibited worldwide to one that is gaining acceptance both culturally and legally in many countries for medicinal and recreational use. As additional jurisdictions legalize Cannabis products and the variety and complexity of these products surpass the classical dried plant material, appropriate methods for measuring the biologically active constituents is paramount to ensure safety and regulatory compliance. While there are numerous active compounds in C...
2018: PloS One
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