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https://www.readbyqxmd.com/read/29779300/coroners-recommendations-for-prevention-of-resident-deaths-in-aged-care-the-role-of-primary-care-providers
#1
Georgia Aitken, Athena Demosthenous, Lyndal Bugeja, Melissa Willoughby, Carmel Young, Joseph E Ibrahim
BACKGROUND AND OBJECTIVES: Currently, very little is known about how coroners consider a role for general practitioners (GPs) and registered nurses (RNs) in recommendations for the prevention of premature death. Involving these professions in recommendations generally directed towards government organisations or residential aged care providers and management may contribute to more successful broader policy changes. The aim of this article was to examine whether coroners' recommendations describe a specific role for GPs and RNs in the prevention of premature death in residential aged care settings and, if so, what domains of practice were considered...
May 2018: Australian journal of general practice
https://www.readbyqxmd.com/read/29753518/application-of-the-canadian-computed-tomography-head-rule-to-patients-with-minimal-head-injury
#2
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
#3
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/29731288/the-impact-of-drug-policy-liberalisation-on-willingness-to-seek-help-for-problem-drug-use-a-comparison-of-20-countries
#4
Isabella Benfer, Renee Zahnow, Monica J Barratt, Larissa Maier, Adam Winstock, Jason Ferris
BACKGROUND: While the impact of changing drug policies on rates of drug use has been investigated, research into how help-seeking behaviour changes as drug policies become more public-health focused is limited. This paper investigates reported changes in confidence to utilise drug services following hypothetical changes in national drug policy among a sample of individuals who report recent illicit drug use. We predict that liberalising national drug policy will increase the propensity for people who take illegal drugs to utilise health services...
May 3, 2018: International Journal on Drug Policy
https://www.readbyqxmd.com/read/29725136/unexpected-agency-on-the-threshold-asylum-seekers-narrating-from-an-asylum-seeker-centre
#5
Halleh Ghorashi, Marije de Boer, Floor Ten Holder
Several studies have described the condition of asylum seekers as being on the threshold or in-between structures . Victor Turner's concept of liminality and Agamben's state of exception have been used extensively to analyse this condition, mostly to show the negative implications of the ambiguous legal (non-) status. This article argues that the condition of liminality provides an intensified doubleness of impossibility and possibility for action, which casts a different light on conceptualizing agency. Without disregarding the downside of this liminal, in-between condition, the article shows that the lack of 'normalized' connectedness to the new structure combined with physical distance from the past structure, enables reflection and feeds the power of imagination...
May 2018: Current Sociology. la Sociologie Contemporaine.
https://www.readbyqxmd.com/read/29708042/the-epidemiology-of-5-methoxy-n-n-dimethyltryptamine-5-meo-dmt-use-benefits-consequences-patterns-of-use-subjective-effects-and-reasons-for-consumption
#6
Alan K Davis, Joseph P Barsuglia, Rafael Lancelotta, Robert M Grant, Elise Renn
BACKGROUND/AIM: 5-Methoxy- N,N-dimethyltryptamine (5-MeO-DMT) is a psychoactive compound found in several plants and in high concentrations in Bufo alvarius toad venom. Synthetic, toad, and plant-sourced 5-MeO-DMT are used for spiritual and recreational purposes and may have psychotherapeutic effects. However, the use of 5-MeO-DMT is not well understood. Therefore, we examined patterns of use, motivations for consumption, subjective effects, and potential benefits and consequences associated with 5-MeO-DMT use...
April 1, 2018: Journal of Psychopharmacology
https://www.readbyqxmd.com/read/29705886/media-messaging-in-diagnosis-of-acute-cxr-pathology-an-interobserver-study-among-residents
#7
Guy S Handelman, Ailin C Rogers, Zafir Babiker, Michael J Lee, Morgan P McMonagle
The objectives of the study were to determine whether diagnostic accuracy and reliability by on-call teams is affected by communicating chest radiograph (CXR) images via instant messaging on smartphones in comparison to viewing on a workstation. 12 residents viewed 100 CXR images each with a 24% positive rate for significant or acute findings sent to their phones via a popular instant messaging application and reported their findings if any. After an interval of 42 days they viewed the original DICOM images on personal computers and again reported their findings...
April 28, 2018: Internal and Emergency Medicine
https://www.readbyqxmd.com/read/29673342/medical-end-of-life-practices-in-swiss-cultural-regions-a-death-certificate-study
#8
Samia A Hurst, Ueli Zellweger, Georg Bosshard, Matthias Bopp
BACKGROUND: End-of-life decisions remain controversial. Switzerland, with three main languages shared with surrounding countries and legal suicide assistance, allows exploration of the effects of cultural differences on end-of-life practices within the same legal framework. METHODS: We conducted a death certificate study on a nationwide continuous random sample of Swiss residents. Using an internationally standardized tool, we sent 4998, 2965, and 1000 anonymous questionnaires to certifying physicians in the German-, French-, and Italian-speaking regions...
April 20, 2018: BMC Medicine
https://www.readbyqxmd.com/read/29649186/current-marijuana-use-by-industry-and-occupation-colorado-2014-2015
#9
Roberta Smith, Katelyn E Hall, Paul Etkind, Mike Van Dyke
The effects of marijuana use on workplace safety are of concern for public health and workplace safety professionals. Twenty-nine states and the District of Columbia have enacted laws legalizing marijuana at the state level for recreational and/or medical purposes. Employers and safety professionals in states where marijuana use is legal have expressed concerns about potential increases in occupational injuries, such as on-the-job motor vehicle crashes, related to employee impairment. Data published in 2017 by the Colorado Department of Public Health and Environment (CDPHE) showed that more than one in eight adult state residents aged ≥18 years currently used marijuana in 2014 (13...
April 13, 2018: MMWR. Morbidity and Mortality Weekly Report
https://www.readbyqxmd.com/read/29626630/reefer-madness-or-much-ado-about-nothing-cannabis-legalization-outcomes-among-young-adults-in-the-united-states
#10
Jamie E Parnes, Joey K Smith, Bradley T Conner
In 2012, Colorado became one of the first two U.S. States to legalize cannabis for recreational use for adults 21 and older. Given that cannabis use holds potential physical and mental health risks, particularly among adolescent users, concerns have grown regarding changes in use following this change in policy. Studies examining medical cannabis legalization have found inconsistent changes in cannabis use and prevalence of dependence following medical implementation. However, recreational legalization holds potential unique changes, such as increased availability and social acceptance, as well as decreased price and perceived harm of use...
April 4, 2018: International Journal on Drug Policy
https://www.readbyqxmd.com/read/29608521/-is-there-value-to-seeing-a-transgender-fellowship-trained-surgeon
#11
Christopher J Salgado, Ajani Nugent, Joseph Kuhn
We are presently at a unique crossroad in medicine, where the healthcare field has the opportunity to recognize and treat transgender patients on a scale that was previously unattainable. As more professionals join the effort to treat this increasingly visible population, we have a duty to set standards for training residents and credentialing our colleagues to protect the wellbeing of this already vulnerable group. Fellowship training may be the fundamental answer to surmounting the significant medical, legal, and social complexities entailed with treating this deserving population...
March 22, 2018: Plastic and Reconstructive Surgery
https://www.readbyqxmd.com/read/29607335/using-newly-deceased-patients-in-teaching-clinical-skills-its-ethical-and-educational-challenges
#12
Mahboobeh Saber, Seyed Ali Enjoo, Ali Mahboudi, Seyed Ziaadin Tabei
Introduction: The newly deceased patients have long been used in medical schools to teach clinical skills without any challenges as it helps to train skilled doctors. Nowadays, the use of moulages and simulators are common in teaching clinical skills since these tools provide the opportunity for frequent practice without any pain and injury. There are specific procedures which still require the use of cadavers. However, the increased significance of patient rights has generally challenged the practicality of using the deceased bodies for this purpose...
April 2018: Journal of Advances in Medical Education & Professionalism
https://www.readbyqxmd.com/read/29576827/impact-of-an-educational-intervention-on-medical-records-documentation
#13
Hojat Sheikhmotahar Vahedi, Minasadat Mirfakhrai, Elnaz Vahidi, Morteza Saeedi
BACKGROUND: Inaccurate and incomplete documentation can lead to poor treatment and medico-legal consequences. Studies indicate that teaching programs in this field can improve the documentation of medical records. The study aimed to evaluate the effect of an educational workshop on medical record documentation by emergency medicine residents in the emergency department. METHODS: An interventional study was performed on 30 residents in their first year of training emergency medicine (PGY1), in three tertiary referral hospitals of Tehran University of Medical Sciences...
2018: World Journal of Emergency Medicine
https://www.readbyqxmd.com/read/29574611/betting-on-life-associations-between-significant-life-events-and-gambling-trajectories-among-gamblers-with-the-intent-to-quit
#14
Alexandra Godinho, Vladyslav Kushnir, David C Hodgins, Christian S Hendershot, John A Cunningham
Considerable evidence has suggested that problem gambling may be transitory and episodic, with gamblers routinely moving in and out of clinical thresholds. Findings in qualitative and quantitative studies have converged on identifying preliminary evidence for the role of life events as motivators and contributing factors for gambling changes over time. The aim of this study was to conduct an exploratory analysis of the relationship between life events, their respective experience as positive or negative, and gambling trajectories among problem gamblers intending to quit...
March 24, 2018: Journal of Gambling Studies
https://www.readbyqxmd.com/read/29567626/trends-in-and-correlates-of-medical-marijuana-use-among-adults-in-the-united-states
#15
Beth Han, Wilson M Compton, Carlos Blanco, Christopher M Jones
BACKGROUND: Trends in and correlates of medical marijuana use are important to inform ongoing clinical, research, policy, and programmatic efforts. This study assessed trends in and correlates of medical marijuana use among U.S. adults. METHODS: We analyzed data from approximately 147,200 U.S. civilians aged 18 or older who participated in the 2013-2015 National Surveys on Drug Use and Health. Descriptive analyses, multivariable logistic regressions, and zero-truncated native binomial regressions were applied...
March 14, 2018: Drug and Alcohol Dependence
https://www.readbyqxmd.com/read/29561859/relationship-between-race-and-community-water-and-sewer-service-in-north-carolina-usa
#16
Hannah Gordon Leker, Jacqueline MacDonald Gibson
Previous evidence has identified potential racial disparities in access to community water and sewer service in peri-urban areas adjacent to North Carolina municipalities. We performed the first quantitative, multi-county analysis of these disparities. Using publicly available data, we identified areas bordering municipalities and lacking community water and/or sewer service in 75 North Carolina counties. Logistic regression was performed to evaluate the relationship between race and access to service in peri-urban areas, controlling for population density, median home value, urban status, and percent white in the adjacent municipality...
2018: PloS One
https://www.readbyqxmd.com/read/29543913/reimbursement-for-injury-induced-medical-expenses-in-chinese-social-medical-insurance-schemes-a-systematic-analysis-of-legislative-documents
#17
Yuyan Gao, Li Li, David C Schwebel, Peishan Ning, Peixia Cheng, Guoqing Hu
Social medical insurance schemes are crucial for realizing universal health coverage and health equity. The aim of this study was to investigate whether and how reimbursement for injury-induced medical expenses is addressed in Chinese legislative documents relevant to social medical insurance. We retrieved legislative documents from the China National Knowledge Infrastructure and the Lawyee databases. Four types of social medical insurance schemes were included: urban employee basic medical insurance, urban resident basic medical insurance, new rural cooperative medical system, and urban and rural resident medical insurance...
2018: PloS One
https://www.readbyqxmd.com/read/29534863/representation-in-the-care-planning-process-for-nursing-home-residents-with-dementia
#18
Ellen McCreedy, Lacey Loomer, Jennifer A Palmer, Susan L Mitchell, Angelo Volandes, Vincent Mor
OBJECTIVES: Federally mandated assessments of nursing home (NH) residents drive individualized care planning. Residents with cognitive impairment may not be able to meaningfully communicate their care needs and preferences during this process-a gap that may be partially addressed by involving surrogates. We describe the prevalence of family participation in the care planning process for long-stay NH residents with varying degrees of cognitive impairment. DESIGN: Retrospective study using administrative data made available as part of an ongoing pragmatic cluster randomized controlled trial...
May 2018: Journal of the American Medical Directors Association
https://www.readbyqxmd.com/read/29525729/immunophenotypic-analysis-of-the-chronological-events-of-tissue-repair-in-aortic-medial-dissections
#19
Silvia D Visonà, Onno J de Boer, Claire Mackaaij, Hans H de Boer, Kartika R Pertiwi, Ruben W de Winter, Antonio Osculati, Allard C van der Wal
Acute medial dissection of aorta can occur in the context of a sudden and unexpected death. For medico-legal reasons it is important to estimate as accurately the histological age of dissections. We evaluated the additional value of a systematic application of immunohistochemistry, compared with conventional histology only, in determining chronological steps of injury and repair. Thirty two paraffin embedded specimens of aortic dissection were retrospectively allocated to one of four defined stages: acute (I), subacute (II), early organizing (III) and scarring (IV) using Hematoxylin and Eosin and Elastica van Gieson stained sections...
May 2018: Cardiovascular Pathology: the Official Journal of the Society for Cardiovascular Pathology
https://www.readbyqxmd.com/read/29514754/understanding-americans-abortion-attitudes-the-role-of-the-local-religious-context
#20
Amy Adamczyk, Margrét Valdimarsdóttir
Although abortion became legal over 40 years ago, Americans remain staunchly divided over its acceptability. Personal religious beliefs and behaviors have emerged as some of the most important factors shaping disapproval. Despite religion's importance, very little attention has been given to how the local religious context may shape views and abortion access. Using data from the General Social Survey (N = 6922) that has geographical identifiers, we examine the role of the local religious context for shaping attitudes and the presence of a county abortion clinic...
March 2018: Social Science Research
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