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https://www.readbyqxmd.com/read/27923102/pain-treatment-continues-to-be-inaccessible-for-many-patients-around-the-globe-second-phase-of-opioid-price-watch-a-cross-sectional-study-to-monitor-the-prices-of-opioids
#1
Tania Pastrana, Roberto Wenk, Lukas Radbruch, Ebtesam Ahmed, Liliana De Lima
BACKGROUND: Strong opioids are a cornerstone of pain treatment, of which morphine is considered an essential analgesic by the World Health Organization. Access to opioids is limited, due to restrictive laws, limited education, and high prices. This is the second phase of a global project to monitor and report the dispensing price of opioids with the specific aim to expand and increase the information and allow further analysis of the challenges in their availability and affordability...
December 6, 2016: Journal of Palliative Medicine
https://www.readbyqxmd.com/read/27922454/a-clinician-s-guide-to-privacy-and-communication-in-the-icu
#2
Leslie Francis, Micah A Vorwaller, Hanan Aboumatar, Dominick L Frosch, John Halamka, Ronen Rozenblum, Eileen Rubin, Barbara Sarnoff Lee, Jeremy Sugarman, Kathleen Turner, Samuel M Brown
OBJECTIVE: To review the legal issues concerning family members' access to information when patients are in the ICU. DATA SOURCES: U.S. Code, U.S. Code of Federal Regulations, and state legislative codes. DATA EXTRACTION: Relevant legal statutes and regulations were identified and reviewed by the two attorney authors (L. F., M. A. V.). STUDY SELECTION: Not applicable. DATA SYNTHESIS: Review by all coauthors...
December 2, 2016: Critical Care Medicine
https://www.readbyqxmd.com/read/27920304/dental-care-presents-the-highest-level-of-financial-barriers-compared-to-other-types-of-health-care-services
#3
Marko Vujicic, Thomas Buchmueller, Rachel Klein
The Affordable Care Act is improving access to and the affordability of a wide range of health care services. While dental care for children is part of the law's essential health benefits and state Medicaid programs must cover it, coverage of dental care for adults is not guaranteed. As a result, even with the recent health insurance expansion, many Americans face financial barriers to receiving dental care that lead to unmet oral health needs. Using data from the 2014 National Health Interview Survey, we analyzed financial barriers to a wide range of health care services...
December 1, 2016: Health Affairs
https://www.readbyqxmd.com/read/27919147/-the-iodine-intake-in-a-female-population-of-an-apennine-valley-italy-in-years-2003-2013
#4
Giulio Ozzola, Lucia Gasbarri, Carlo Montaini
OBJECTIVES: to assess if the iodine intake of pregnant women had increased or not after the introduction of Law no. 55 of March 2005 («Provisions aimed at the prevention of endemic goitre and other diseases from iodine deficiency») and if it reached the levels recommended by the World Health Organisation (WHO). DESIGN: evaluation of ioduria values in the female local population enrolled. SETTING AND PARTICIPANTS: in 4 different years, 100 women per year (400 women in all) were enrolled in this study...
November 2016: Epidemiologia e Prevenzione
https://www.readbyqxmd.com/read/27918409/a-system-approach-to-advanced-practice-clinician-standardization-and-high-reliability
#5
Susan Okuno-Jones, Alice Siehoff, Jennifer Law, Patricia Juarez
Advanced practice clinicians (APCs) are an integral part of the health care team. Opportunities exist within Advocate Health Care to standardize and optimize APC practice across the system. To enhance the role and talents of APCs, an approach to role definition and optimization of practice and a structured approach to orientation and evaluation are shared. Although in the early stages of development, definition and standardization of accountabilities in a framework to support system changes are transforming the practice of APCs...
January 2017: Nursing Administration Quarterly
https://www.readbyqxmd.com/read/27918408/full-practice-authority-for-nurse-practitioners
#6
Deborah Dillon, Faye Gary
Implementation of the Affordable Care Act (2010) enabled more than 30 million people to have new access to primary care services. On the basis of current utilization patterns, demand for primary care providers is expected to grow more rapidly than physician supply. This imbalance is expected to worsen, as the aging population requires more health care resources. In addition, more patients are requiring critical care services and physician numbers are not keeping with this growing need. Restrictions on resident physician practice hours have impacted inpatient care as well...
January 2017: Nursing Administration Quarterly
https://www.readbyqxmd.com/read/27916235/the-rohingya-people-of-myanmar-health-human-rights-and-identity
#7
REVIEW
Syed S Mahmood, Emily Wroe, Arlan Fuller, Jennifer Leaning
The Rohingya people of Myanmar (known as Burma before 1989) were stripped of citizenship in 1982, because they could not meet the requirement of proving their forefathers settled in Burma before 1823, and now account for one in seven of the global population of stateless people. Of the total 1·5 million Rohingya people living in Myanmar and across southeast Asia, only 82 000 have any legal protection obtained through UN-designated refugee status. Since 2012, more than 159 000 people, most of whom are Rohingya, have fled Myanmar in poorly constructed boats for journeys lasting several weeks to neighbouring nations, causing hundreds of deaths...
December 1, 2016: Lancet
https://www.readbyqxmd.com/read/27914507/psychiatric-psychological-injury-and-law-introduction
#8
EDITORIAL
Gerald Young
This special issue on psychiatric/psychological injury and law covers major developments in the field, and illustrates the complexities for mental health professionals in dealing with psychiatric/psychological injuries in court. The articles vary in the range of topics covered, and include ones on posttraumatic stress disorder, other trauma reactions, dissociation, disability, pain, and traumatic brain injury, in particular but also new areas, such as the effects of early penile injury. Work in the area of psychiatric/psychological injury and law needs to be scientifically-informed, comprehensive, and impartial, and the series of articles to follow will help workers in the area meet this standard...
November 2016: International Journal of Law and Psychiatry
https://www.readbyqxmd.com/read/27914471/global-constitutionalism-applied-to-global-health-governance-uncovering-legitimacy-deficits-and-suggesting-remedies
#9
Gorik Ooms, Rachel Hammonds
BACKGROUND: Global constitutionalism is a way of looking at the world, at global rules and how they are made, as if there was a global constitution, empowering global institutions to act as a global government, setting rules which bind all states and people. ANALYSIS: This essay employs global constitutionalism to examine how and why global health governance, as currently structured, has struggled to advance the right to health, a fundamental human rights obligation enshrined in the International Covenant on Economic, Social and Cultural Rights...
December 3, 2016: Globalization and Health
https://www.readbyqxmd.com/read/27913574/intended-and-unintended-consequences-of-abortion-law-reform-perspectives-of-abortion-experts-in-victoria-australia
#10
L A Keogh, D Newton, C Bayly, K McNamee, A Hardiman, A Webster, M Bismark
INTRODUCTION: In Victoria, Australia, abortion was decriminalised in October 2008, bringing the law in line with clinical practice and community attitudes. We describe how experts in abortion service provision perceived the intent and subsequent impact of the 2008 Victorian abortion law reform. METHODS: Experts in abortion provision in Victoria were recruited for a qualitative semi-structured interview about the 2008 law reform and its perceived impact, until saturation was reached...
December 2, 2016: Journal of Family Planning and Reproductive Health Care
https://www.readbyqxmd.com/read/27913418/a-novel-rhamnose-rich-hetero-exopolysaccharide-isolated-from-lactobacillus-paracasei-dg-activates-thp-1-human-monocytic-cells
#11
Silvia Balzaretti, Valentina Taverniti, Simone Guglielmetti, Walter Fiore, Mario Minuzzo, Hansel N Ngo, Judith B Ngere, Sohaib Sadiq, Paul N Humphreys, Andrew P Laws
: Lactobacillus paracasei DG is a bacterial strain with recognized probiotic properties and is used in commercial probiotic products. However, the mechanisms underlying its probiotic properties are mainly unknown. In this study, we tested the hypothesis that the capability of strain DG to interact with the host is, at least partly, associated with its ability to synthesize a surface-associated exopolysaccharide (EPS). Comparative genomics revealed the presence of putative EPS gene clusters in DG genome; accordingly, EPS was isolated from the surface of the bacterium...
December 2, 2016: Applied and Environmental Microbiology
https://www.readbyqxmd.com/read/27911299/chronotropic-response-and-cognitive-function-in-a-cohort-at-risk-for%C3%A2-alzheimer-s-disease
#12
Lena L Law, Stephanie A Schultz, Elizabeth A Boots, Jean A Einerson, Ryan J Dougherty, Jennifer M Oh, Claudia E Korcarz, Dorothy F Edwards, Rebecca L Koscik, N Maritza Dowling, Catherine L Gallagher, Barbara B Bendlin, Cynthia M Carlsson, Sanjay Asthana, Bruce P Hermann, Mark A Sager, Sterling C Johnson, Dane B Cook, James H Stein, Ozioma C Okonkwo
The objective of this study was to examine the association of chronotropic response (CR) and heart rate (HR) recovery- two indices of cardiovascular function within the context of a graded exercise test- with cognitive performance in a cognitively healthy, late-middle-aged cohort at risk for Alzheimer's disease (AD). Ninety participants (age = 63.52±5.86 years; 65.6% female) from the Wisconsin Registry for Alzheimer's Prevention participated in this study. They underwent graded exercise testing and a comprehensive neuropsychological assessment that assessed the following four cognitive domains: Immediate Memory, Verbal & Learning Memory, Working Memory, and Speed & Flexibility...
December 1, 2016: Journal of Alzheimer's Disease: JAD
https://www.readbyqxmd.com/read/27910100/the-effect-of-certificate-of-need-laws-on-all-cause-mortality
#13
James Bailey
OBJECTIVE: To test how Certificate of Need laws affect all-cause mortality in the United States. DATA SOURCES: The data of 1992-2011 all-cause mortality are from the Center for Disease Control's Compressed Mortality File; control variables are from the Current Population Survey, Behavioral Risk Factor Surveillance System, and Area Health Resources File; and data on Certificate of Need laws are from Stratmann and Russ (). STUDY DESIGN: Using fixed- and random-effects regressions, I test how the scope of state Certificate of Need laws affects all-cause mortality within US counties...
December 1, 2016: Health Services Research
https://www.readbyqxmd.com/read/27908850/we-should-replace-conventional-mental-health-law-with-capacity-based-law
#14
George Szmukler, Brendan D Kelly
As general medicine moves away from 'paternalism' and places an increasing emphasis on patient choice and autonomy, George Szmukler and Brendan D. Kelly debate whether conventional mental health legislation should be replaced with a model that focuses on the person's decision-making capabilities.
December 2016: British Journal of Psychiatry: the Journal of Mental Science
https://www.readbyqxmd.com/read/27908564/competition-policy-for-health-care-provision-in-germany
#15
Mathias Kifmann
Since the 1990s, Germany has introduced a number of competitive elements into its public health care system. Sickness funds were given some freedom to sign selective contracts with providers. Competition between ambulatory care providers and hospitals was introduced for certain diseases and services. As competition has become more intense, the importance of competition law has increased. This paper reviews these areas of competition policy. The problems of introducing competition into a corporatist system are discussed...
November 24, 2016: Health Policy
https://www.readbyqxmd.com/read/27906931/repeal-and-replace-of-affordable-care-a-complex-but-not-an-impossible-task
#16
Laxmaiah Manchikanti, Joshua A Hirsch
The Affordable Care Act (ACA), signature legislation of President Obama, was arguably the most consequential and comprehensive health care reform since Medicare was introduced as part of President Lyndon B. Johnson's great society. It has been claimed that many of the law's reforms are now so integrated in the health system that full repeal would be impractical, while others including President Elect Trump have rejected that idea and called for full repeal and replacement claiming ACA law cannot be fixed. A tsunami of increasing regulatory burden over the past 8 years, the current health care milieu has moved independent practitioners towards hospital employment in great numbers...
November 2016: Pain Physician
https://www.readbyqxmd.com/read/27903958/global-approaches-to-regulating-electronic-cigarettes
#17
Ryan David Kennedy, Ayodeji Awopegba, Elaine De León, Joanna E Cohen
OBJECTIVES: Classify and describe the policy approaches used by countries to regulate e-cigarettes. METHODS: National policies regulating e-cigarettes were identified by (1) conducting web searches on Ministry of Health websites, and (2) broad web searches. The mechanisms used to regulate e-cigarettes were classified as new/amended laws, or existing laws. The policy domains identified include restrictions or prohibitions on product: sale, manufacturing, importation, distribution, use, product design including e-liquid ingredients, advertising/promotion/sponsorship, trademarks, and regulation requiring: taxation, health warning labels and child-safety standards...
November 30, 2016: Tobacco Control
https://www.readbyqxmd.com/read/27903141/does-the-second-amendment-protect-the-gun-rights-of-persons-with-mental-illness
#18
Paul S Appelbaum
Under federal law, persons who have been involuntarily hospitalized for psychiatric reasons are permanently barred from gun possession. That policy was challenged in 2012 by a Michigan man who had been committed 25 years earlier and who was blocked in 2011 from buying a gun. Considering his claim, the Sixth Circuit held that people with mental illness are not categorically excluded from Second Amendment protection and that an irreversible lifetime ban was unconstitutional. Although many mental health organizations and practitioners favor gun restrictions, they oppose discriminatory treatment of persons with mental illness, creating ambivalence about the decision, which presages greater involvement of mental health professionals in decisions regarding gun rights restoration...
December 1, 2016: Psychiatric Services: a Journal of the American Psychiatric Association
https://www.readbyqxmd.com/read/27902133/understanding-mental-capacity-law-and-making-best-interests-decisions
#19
Ann Regan, Caitlin Sheehy
The Mental Capacity Act 2005 was enacted with the aim of improving the protection provided by the law to the most vulnerable people in society. The principles of the act specify to whom the act can be applied, and how to ensure these individuals are placed at the centre of decision-making about their treatment and care. It covers those people who raise objections to treatments and care proposed by health and social care professionals and, crucially, it offers protection to those who raise no objection. Appropriate application of the act should ensure all treatment and care planned for vulnerable people is in those individuals' best interests...
November 30, 2016: Nursing Standard
https://www.readbyqxmd.com/read/27900957/attitudes-knowledge-and-willingness-to-donate-organs-among-indian-nursing-students
#20
Vijayalakshmi Poreddi, B V Katyayani, Sailaxmi Gandhi, Rohini Thimmaiah, Suresh Badamath
Globally, there is an acute shortage of organs for transplantation. Health professionals play an important role in raising awareness, motivating, and subsequently increasing the organ donation rates. Research related to nursing students' attitudes toward organ donation is limited from India. We aimed to assess undergraduate nursing students' knowledge, attitudes, and willingness to donate organs. This was a cross-sectional descriptive study carried out among conveniently selected undergraduate nursing students (n = 271) using self-reported questionnaires...
November 2016: Saudi Journal of Kidney Diseases and Transplantation
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