keyword
MENU ▼
Read by QxMD icon Read
search

decision making capacity

keyword
https://www.readbyqxmd.com/read/29925272/canada-should-retain-its-reservation-on-the-united-nation-s-convention-on-the-rights-of-persons-with-disabilities
#1
Mathieu Dufour, Thomas Hastings, Richard O'Reilly
The United Nations adopted the Convention on the Rights of Persons with Disabilities (CRPD) in 2006. When Canada ratified the CRPD, it reserved the right to continue using substitute decision making schemes even if the CRPD was 'interpreted as requiring their elimination'. This was a prescient decision because the CRPD Committee, which is tasked with overseeing the interpretation and implementation of the CRPD, subsequently opined that all legislation supporting substitute decision making schemes contravene the CRPD and must be revoked...
January 1, 2018: Canadian Journal of Psychiatry. Revue Canadienne de Psychiatrie
https://www.readbyqxmd.com/read/29924886/integrative-interdisciplinary-approaches-to-critical-infrastructure-interdependency-analysis
#2
Diana Mitsova
There is a growing understanding that cross-sector risks faced by critical infrastructure assets in natural disasters require a collaborative foresight from multiple disciplines. However, current contributions to infrastructure interdependency analysis remain centered in discipline-specific methodologies often constrained by underlying theories and assumptions. This perspective article contributes to ongoing discussions about the uses, challenges, and opportunities provided by interdisciplinary research in critical infrastructure interdependency analysis...
June 20, 2018: Risk Analysis: An Official Publication of the Society for Risk Analysis
https://www.readbyqxmd.com/read/29920158/barriers-to-end-of-life-care-for-lgbt-persons-in-the-absence-of-legal-marriage-or-adequate-legal-documentation
#3
Jessica Marsack, Rob Stephenson
End-of-life care has attracted increased attention in recent years due to increases in both the number and mean age of the world's population; however, the experiences of LGBT persons during end-of-life care remain understudied. Given the health disparities and barriers to care experienced throughout the life course of LGBT persons, the frequent involvement of legal spouses in end-of-life care, and the recency of marriage equality, it can be surmised that LGBT persons might experience significantly different barriers to their desired end-of-life care compared to their heterosexual and cisgender counterparts...
June 19, 2018: LGBT Health
https://www.readbyqxmd.com/read/29916935/mortality-after-total-knee-arthroplasty-a-systematic-review-of-incidence-temporal-trends-and-risk-factors
#4
James R Berstock, Andrew D Beswick, José A López-López, Michael R Whitehouse, Ashley W Blom
BACKGROUND: The capacity for total knee arthroplasty to improve pain, quality of life, and functional outcomes is widely recognized. Postoperative mortality is rare but of paramount importance, and needs to be accurately quantified and conveyed to patients in order to support decision-making prior to surgery. The purpose of this study was to determine a contemporary estimate of the risk of mortality following total knee arthroplasty, including the identification of temporal trends, common causes, and modifiable and nonmodifiable risk factors...
June 20, 2018: Journal of Bone and Joint Surgery. American Volume
https://www.readbyqxmd.com/read/29915290/controlling-the-impact-of-the-managed-honeybee-on-wild-bees-in-protected-areas
#5
Mickaël Henry, Guy Rodet
In recent years, conservation biologists have raised awareness about the risk of ecological interference between massively introduced managed honeybees and the native wild bee fauna in protected natural areas. In this study, we surveyed wild bees and quantified their nectar and pollen foraging success in a rosemary Mediterranean scrubland in southern France, under different conditions of apiary size and proximity. We found that high-density beekeeping triggers foraging competition which depresses not only the occurrence (-55%) and nectar foraging success (-50%) of local wild bees but also nectar (-44%) and pollen (-36%) harvesting by the honeybees themselves...
June 18, 2018: Scientific Reports
https://www.readbyqxmd.com/read/29914525/qualitative-assessment-of-opportunities-and-challenges-to-improve-evidence-informed-health-policy-making-in-hungary-an-evipnet-situation-analysis-pilot
#6
Péter Mihalicza, Mark Leys, Ilona Borbás, Szabolcs Szigeti, Olivia Biermann, Tanja Kuchenmüller
BACKGROUND: In evidence-informed policy-making (EIP), major knowledge gaps remain in understanding the context and possibilities for institutionalisation of knowledge translation. In 2014, the WHO Evidence-informed Policy Network (EVIPNet) Europe initiated a number of pilot countries, with Hungary among them, to engage in a 'situation analysis' (SA) in order to fill some of those gaps. This contribution discusses the results of the SA in Hungary on research-policy interactions, facilitating factors and potential barriers to establish a knowledge translation platform (KTP)...
June 19, 2018: Health Research Policy and Systems
https://www.readbyqxmd.com/read/29914440/ethical-competence-in-dnr-decisions-a-qualitative-study-of-swedish-physicians-and-nurses-working-in-hematology-and-oncology-care
#7
Mona Pettersson, Mariann Hedström, Anna T Höglund
BACKGROUND: DNR decisions are frequently made in oncology and hematology care and physicians and nurses may face related ethical dilemmas. Ethics is considered a basic competence in health care and can be understood as a capacity to handle a task that involves an ethical dilemma in an adequate, ethically responsible manner. One model of ethical competence for healthcare staff includes three main aspects: being, doing and knowing, suggesting that ethical competence requires abilities of character, action and knowledge...
June 19, 2018: BMC Medical Ethics
https://www.readbyqxmd.com/read/29913588/the-water-energy-nexus-at-water-supply-and-its-implications-on-the-integrated-water-and-energy-management
#8
Masoumeh Khalkhali, Kirk Westphal, Weiwei Mo
Water and energy are highly interdependent in the modern world, and hence, it is important to understand their constantly changing and nonlinear interconnections to inform the integrated management of water and energy. In this study, a hydrologic model, a water systems model, and an energy model were developed and integrated into a system dynamics modeling framework. This framework was then applied to a water supply system in the northeast US to capture its water-energy interactions under a set of future population, climate, and system operation scenarios...
September 15, 2018: Science of the Total Environment
https://www.readbyqxmd.com/read/29911758/force-feeding-and-resuscitation-of-patients-with-advanced-dementia-a-public-opinion-study
#9
Tamar Shalom, Avichai Shuv-Ami
BACKGROUND: The treatment of advanced dementia patients is very complex and presents a difficult dilemma for physicians, and especially for the patient's family. In many cases, when the advanced dementia patient has no decisional capacity, the family needs to decide about force-feeding and resuscitation for their relative. OBJECTIVES: To examine public opinion regarding force-feeding and resuscitation of patients with advanced dementia. METHODS: Data from 1002 people who accompanied a patient to a hospital emergency department in Israel were collected and analyzed...
June 2018: Israel Medical Association Journal: IMAJ
https://www.readbyqxmd.com/read/29910113/evaluation-of-the-vasoactive-inotropic-score-mid-regional-pro-adrenomedullin-and-cardiac-troponin-i-as-predictors-of-low-cardiac-output-syndrome-in-children-after-congenital-heart-disease-surgery
#10
J L Pérez-Navero, C Merino-Cejas, I Ibarra de la Rosa, S Jaraba-Caballero, M Frias-Perez, E Gómez-Guzmán, M Gil-Campos, M J de la Torre-Aguilar
OBJECTIVE: To determine the predictive value of the inotropic score (IS) and vasoactive-inotropic score (VIS) in low cardiac output syndrome (LCOS) in children after congenital heart disease surgery involving cardiopulmonary bypass (CPB), and to establish whether mid-regional pro-adrenomedullin (MR-proADM) and cardiac troponin I (cTn-I), associated to the IS and VIS scores, increases the predictive capacity in LCOS. DESIGN: A prospective observational study was carried out...
June 14, 2018: Medicina Intensiva
https://www.readbyqxmd.com/read/29909778/unwell-in-hospital-but-not-incapable-cross-sectional-study-on-the-dissociation-of-decision-making-capacity-for-treatment-and-research-in-in-patients-with-schizophrenia-and-related-psychoses
#11
Benjamin Walter Jack Spencer, Tania Gergel, Matthew Hotopf, Gareth S Owen
BACKGROUND: Consent to research with decision-making capacity for research (DMC-R) is normally a requirement for study participation. Although the symptoms of schizophrenia and related psychoses are known to affect decision-making capacity for treatment (DMC-T), we know little about their effect on DMC-R.AimsWe aimed to determine if DMC-R differs from DMC-T in proportion and associated symptoms in an in-patient sample of people with schizophrenia and related psychoses. METHOD: Cross-sectional study of psychiatric in-patients admitted for assessment and/or treatment of schizophrenia and related psychoses...
June 18, 2018: British Journal of Psychiatry: the Journal of Mental Science
https://www.readbyqxmd.com/read/29905139/the-four-quadrant-approach-to-ethical-issues-in-burn-care
#12
Chad M Teven, Lawrence J Gottlieb
Burn injuries raise questions about decision-making capacity, informed consent, medical decision making, patient autonomy, the patient-physician relationship, and medical futility that must be acutely addressed. A commonly used approach to managing ethical challenges focuses on moral principles including respect for patient autonomy, beneficence, nonmaleficence, and justice. Another paradigm for ethical analysis is the "four-quadrant" approach, which poses questions for a given case regarding medical indications, patient preferences, quality of life, and contextual features...
June 1, 2018: AMA Journal of Ethics
https://www.readbyqxmd.com/read/29903688/the-usefulness-of-the-meessi-score-for-risk-stratification-of-patients-with-acute-heart-failure-at-the-emergency-department
#13
Òscar Miró, Xavier Rosselló, Víctor Gil, Francisco Javier Martín-Sánchez, Pere Llorens, Pablo Herrero, Javier Jacob, María Luisa López-Grima, Cristina Gil, Francisco Javier Lucas Imbernón, José Manuel Garrido, María José Pérez-Durá, María Pilar López-Díez, Fernando Richard, Héctor Bueno, Stuart J Pocock
INTRODUCTION AND OBJECTIVES: The MEESSI scale stratifies acute heart failure (AHF) patients at the emergency department (ED) according to the 30-day mortality risk. We validated the MEESSI risk score in a new cohort of Spanish patients to assess its accuracy in stratifying patients by risk and to compare its performance in different settings. METHODS: We included consecutive patients diagnosed with AHF in 30 EDs during January and February 2016. The MEESSI score was calculated for each patient...
June 11, 2018: Revista Española de Cardiología
https://www.readbyqxmd.com/read/29902964/australian-standards-of-care-and-treatment-guidelines-for-transgender-and-gender-diverse-children-and-adolescents
#14
Michelle M Telfer, Michelle A Tollit, Carmen C Pace, Ken C Pang
The Australian standards of care and treatment guidelines aim to maximise quality care provision to transgender and gender diverse (TGD) children and adolescents across Australia, while recognising the unique circumstances of providing such care to this population. Recommendations are made based on available empirical evidence and clinician consensus, and have been developed in consultation with Australian professionals from multiple disciplines working with the TGD population, TGD support organisations, as well as TGD children and adolescents and their families...
June 18, 2018: Medical Journal of Australia
https://www.readbyqxmd.com/read/29899604/capacity-building-through-operational-research-training-in-tobacco-control-experiences-and-lesson-learned
#15
Sonu Goel, Ajay M V Kumar, Arun Kumar Aggarwal, Rana J Singh, Pranay Lal, Ravinder Kumar, Madhu Gupta, Vishal Dogra, Deepti Gupta
Background: Several competing priorities with health and development sector currently deter research, and as a result of which evidence does not drive policy- or decision-making. There is limited operational research (OR) within the India's National Tobacco Control Programme, as it is in other middle- and low-income countries, primarily due to limited capacity and skills in undertaking OR and lack of dedicated funding. Few models of OR have been developed to meet the needs of different settings; however, they were found to be costly and time-consuming...
April 2018: Indian Journal of Community Medicine
https://www.readbyqxmd.com/read/29898716/multidisciplinary-teams-and-ict-a-qualitative-study-exploring-the-use-of-technology-and-its-impact-on-multidisciplinary-team-meetings
#16
Anna Janssen, Tracy Robinson, Melissa Brunner, Paul Harnett, Kylie E Museth, Tim Shaw
BACKGROUND: Multidisciplinary teams (MDTs) are an integral component in the delivery of health care. This is particularly evident in the delivery of cancer care, where multidisciplinary teams are internationally recognized as the preferred method for service delivery. The use of health information systems and technology are key enabling factors for building the capacity of MDTs to engage in improvement and implementation projects but there is scant research on how MDTs make use of technology and information systems or the kinds of systems needed for them to undertake improvement and implementation research...
June 13, 2018: BMC Health Services Research
https://www.readbyqxmd.com/read/29893468/patient-autonomy-in-a-high-tech-care-context-a-theoretical-framework
#17
Catharina Lindberg, Cecilia Fagerström, Ania Willman
AIMS AND OBJECTIVES: To synthesise and interpret previous findings with the aim of developing a theoretical framework for patient autonomy in a high-tech care context. BACKGROUND: Putting the somewhat abstract concept of patient autonomy into practice can prove difficult since when it is highlighted in healthcare literature the patient perspective is often invisible. Autonomy presumes that a person has experience, education, self-discipline and decision-making capacity...
June 12, 2018: Journal of Clinical Nursing
https://www.readbyqxmd.com/read/29891198/perceptions-of-impact-invasive-alien-plants-in-the-urban-environment
#18
Luke J Potgieter, Mirijam Gaertner, Patrick J O'Farrell, David M Richardson
Many alien plant species are introduced to urban areas to create, augment or restore ecosystem services (ES). However, many of these species spread beyond original plantings, sometimes causing negative effects on existing ES or creating novel ecosystem disservices (EDS). An understanding of the perceptions of urban residents regarding invasive alien plants (IAPs) and the ES and EDS they provide is needed for the effective prioritisation of IAP management efforts in cities. Using the city of Cape Town, South Africa as a case study, we conducted questionnaire-based surveys (online and face-to-face) to determine the perceptions of urban residents regarding IAPs and their capacity to provide ES and EDS...
June 8, 2018: Journal of Environmental Management
https://www.readbyqxmd.com/read/29890478/integrated-modelling-of-stormwater-treatment-systems-uptake
#19
A C Castonguay, M S Iftekhar, C Urich, P M Bach, A Deletic
Nature-based solutions provide a variety of benefits in growing cities, ranging from stormwater treatment to amenity provision such as aesthetics. However, the decision-making process involved in the installation of such green infrastructure is not straightforward, as much uncertainty around the location, size, costs and benefits impedes systematic decision-making. We developed a model to simulate decision rules used by local municipalities to install nature-based stormwater treatment systems, namely constructed wetlands, ponds/basins and raingardens...
May 24, 2018: Water Research
https://www.readbyqxmd.com/read/29883276/quantifying-risk-of-financial-incapacity-and-financial-exploitation-in-community-dwelling-older-adults-utility-of-a-scoring-system-for-the-lichtenberg-financial-decision-making-rating-scale
#20
Peter A Lichtenberg, Evan Gross, Lisa J Ficker
OBJECTIVES: This work examines the clinical utility of the scoring system for the Lichtenberg Financial Decision Rating Scale (LFDRS) and its usefulness for decision making capacity and financial exploitation. Objective 1 was to examine the clinical utility of a person centered, empirically supported, financial decision making scale. Objective 2 was to determine whether the risk-scoring system created for this rating scale is sufficiently accurate for the use of cutoff scores in cases of decisional capacity and cases of suspected financial exploitation...
June 8, 2018: Clinical Gerontologist
keyword
keyword
31086
1
2
Fetch more papers »
Fetching more papers... Fetching...
Read by QxMD. Sign in or create an account to discover new knowledge that matter to you.
Remove bar
Read by QxMD icon Read
×

Search Tips

Use Boolean operators: AND/OR

diabetic AND foot
diabetes OR diabetic

Exclude a word using the 'minus' sign

Virchow -triad

Use Parentheses

water AND (cup OR glass)

Add an asterisk (*) at end of a word to include word stems

Neuro* will search for Neurology, Neuroscientist, Neurological, and so on

Use quotes to search for an exact phrase

"primary prevention of cancer"
(heart or cardiac or cardio*) AND arrest -"American Heart Association"