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https://www.readbyqxmd.com/read/28398089/post-mortem-in-the-victorian-asylum-practice-purpose-and-findings-at-the-littlemore-county-lunatic-asylum-1886-7
#1
Lynsey T Cullen
This article examines the purpose of the post-mortem in the late Victorian asylum and discusses what the findings reveal about contemporary understanding of mental health. By examining the practice at the Littlemore Asylum of Oxford, the definition of the asylum post-mortem will be questioned and issues of consent and ownership of the dead body explored. It will be argued that the purpose of the examination was partly to appease the demands of the Commissioners in Lunacy, to protect the asylum against accusations of malpractice, and to appease the resident assistant medical officer's own morbid curiosity...
April 1, 2017: History of Psychiatry
https://www.readbyqxmd.com/read/28396631/transcranial-electrical-stimulation-to-enhance-cognitive-performance-of-healthy-minors-a-complex-governance-challenge
#2
REVIEW
Jantien W Schuijer, Irja M de Jong, Frank Kupper, Nienke M van Atteveldt
An increasing number of healthy adolescents are consuming products that can enhance their cognitive performance in educational settings. Currently, the use of pharmaceuticals is the most widely discussed enhancement method in the literature, but new evidence suggests that other methods based on Transcranial Electrical Stimulation (tES) also have potential as cognitive enhancer. Just like pharmaceutical enhancers, the availability and education-related use of tES-devices raise a broad range of ethical, legal, and societal issues that need to be addressed by policy-makers...
2017: Frontiers in Human Neuroscience
https://www.readbyqxmd.com/read/28384683/characterizing-18-years-of-the-death-with-dignity-act-in-oregon
#3
Charles Blanke, Michael LeBlanc, Dawn Hershman, Lee Ellis, Frank Meyskens
Importance: Numerous states have pending physician-aided dying (PAD) legislation. Little research has been done regarding use of PAD, or ways to improve the process and/or results. Objectives: To evaluate results of Oregon PAD, the longest running US program; to disseminate results; and to determine promising PAD research areas. Design, Setting, and Participants: A retrospective observational cohort study of 991 Oregon residents who had prescriptions written as part of the state's Death with Dignity Act...
April 6, 2017: JAMA Oncology
https://www.readbyqxmd.com/read/28380712/differences-in-living-arrangements-among-older-adults-transitioning-into-the-community
#4
Chanee D Fabius, Julie Robison
The federal Money Follows the Person Rebalancing Demonstration program allows nursing home residents to use Medicaid funds for home and community-based services rather than institutional care. Race, choice in housing, and challenges faced prior to transitioning may impact living arrangements following a discharge into the community. This study examines the influence of these factors on living arrangements for 659 program participants age 65 or older. Unmarried Blacks and people with financial or legal challenges are less likely to live with a live-in caregiver or in supervised housing compared with unmarried Whites...
January 1, 2017: Journal of Applied Gerontology: the Official Journal of the Southern Gerontological Society
https://www.readbyqxmd.com/read/28380709/hospital-transfers-of-nursing-home-residents
#5
Olivia Kada
Nursing home (NH) nurses play a key role in hospital transfer decisions. In case of unavailability of physicians, they have to decide alone. In doing so, they consider potential threats to residents' quality of life (QoL), but they also fear the consequences of wrong decisions. The present study examines the causal influence of these deliberations on nurses' transfer decisions and emotional strain. In all, 241 NH nurses participated in the experiment. The vignette describing a resident with deteriorating health state elicited either thoughts on residents' QoL, on legal consequences, or on QoL and legal consequences...
January 1, 2017: Journal of Applied Gerontology: the Official Journal of the Southern Gerontological Society
https://www.readbyqxmd.com/read/28380567/integrating-the-fenton-s-process-with-biofiltration-by-to-reduce-chemical-oxygen-demand-of-winery-effluents
#6
Marco Pipolo, Rui C Martins, Rosa M Quinta-Ferreira, Raquel Costa
The discharge of poorly decontaminated winery wastewater remains a serious environmental problem in many regions, and the industry is welcoming improved treatment methods. Here, an innovative decontamination approach integrating Fenton's process with biofiltration by Asian clams is proposed. The potential of this approach was assessed at the pilot scale using real effluent and by taking an actual industrial treatment system as a benchmark. Fenton peroxidation was observed to remove 84% of the effluent's chemical oxygen demand (COD), reducing it to 205 mg L...
March 2017: Journal of Environmental Quality
https://www.readbyqxmd.com/read/28377022/use-of-a-mock-deposition-program-to-improve-resident-understanding-of-the-importance-of-documentation
#7
Mina Guerges, Eliza Slama, Yacoub Zayadin, Alicia Kieninger
INTRODUCTION: It has been estimated that the probability of a physician being involved in a medical litigation by 65 years of age ranges from 76 to 98% depending on specialty. We hypothesized that a mock deposition held by a medico-legal expert attorney could effectively increase awareness of the importance of accurate and complete medical documentation. METHODS: Pre and post-lecture and mock deposition surveys were analyzed and the contents evaluated. Residents and attendings from the surgical, medical and OB-GYN departments participated...
March 22, 2017: American Journal of Surgery
https://www.readbyqxmd.com/read/28375809/cannabis-cultivation-within-a-religious-context-a-case-study-of-ghomara-in-the-rif-mountain-northern-morocco
#8
Meklach Yassin, Randolph Haluza-Delay, Mohamed Kadiri, Abdeltif El Ouahrani, Joaquin Molero Mesa, Abderrahmane Merzouki
To understand the relationship between Muslim religious attitudes and the growing/consumption of cannabis, we surveyed 251 residents and conducted interviews in Northern Morocco. The local population is Ghomarian, an ethnic group of Berber heritage that experienced socioeconomic marginalization. Cannabis is grown throughout the region, despite Islamic legal code (shari'a) that makes cannabis, like any substances that alter consciousness, illicit (haram). The survey aimed to gather (a) the perceptions of the local population toward the cultivation of cannabis and its consumption and (b) their attitudes and intention to abandon or to continue this activity despite its unlawful aspect under Islamic legislation (Shari'a)...
April 4, 2017: Journal of Ethnicity in Substance Abuse
https://www.readbyqxmd.com/read/28368202/sexual-orientation-and-future-parenthood-in-a-2011-2013-nationally-representative-united-states-sample
#9
Rachel G Riskind, Samantha L Tornello
Previous researchers have found evidence for differences in parenting goals between lesbian and gay people and their heterosexual peers. However, no previous research has quantified the parenting goals of bisexual people or evaluated parenting goals as a function of sexual partner gender. In addition, political and social climates for sexual minority people had improved rapidly since the last representative data on lesbian and gay peoples' plans for parenthood were collected. We analyzed data from 3,941 childless lesbian, gay, bisexual, and heterosexual participants from the 2011-2013 National Survey of Family Growth (NSFG; United States Department of Health and Human Services, Centers for Disease Control and Prevention, National Center for Health Statistics, 2014), a nationally representative sample of United States residents aged 15 to 44 years...
April 3, 2017: Journal of Family Psychology: JFP
https://www.readbyqxmd.com/read/28365192/community-level-policy-responses-to-state-marijuana-legalization-in-washington-state
#10
Julia A Dilley, Laura Hitchcock, Nancy McGroder, Lindsey A Greto, Susan M Richardson
BACKGROUND: Washington State (WA) legalized a recreational marijuana market - including growing, processing and retail sales - through voter initiative 502 in November 2012. Legalized recreational marijuana retail sales began in July 2014. In response to state legalization of recreational marijuana, some cities and counties within the state have passed local ordinances that either further regulated marijuana markets, or banned them completely. The purpose of this study is to describe local-level marijuana regulations on recreational retail sales within the context of a state that had legalized a recreational marijuana market...
March 29, 2017: International Journal on Drug Policy
https://www.readbyqxmd.com/read/28364196/citizenship-length-of-stay-and-screening-for-breast-cervical-and-colorectal-cancer-in-women-2000-2010
#11
Patricia Y Miranda, Nengliang Yao, S Amy Snipes, Rhonda BeLue, Eugene Lengerich, Marianne M Hillemeier
BACKGROUND: Two factors jointly account for significant gaps in access to health care among immigrants who are present in the U.S.-legal status, and length of residence. The objective of this study is to examine the association between citizenship and length of residence in the U.S. and cancer screening (breast, cervical, and colorectal) among women. METHODS: We analyzed 11 years (2000-2010) of consolidated data from the Medical Expenditure Panel Survey linked with the National Health Interview Survey...
March 31, 2017: Cancer Causes & Control: CCC
https://www.readbyqxmd.com/read/28329834/social-security-contributions-and-return-migration-among-older-male-mexican-immigrants
#12
Emma Aguila, Alma Vega
Purpose: For decades, scholars have studied the effects of immigration on the U.S. social security system. To date, this research has been primarily limited to migrants within the United States and does not consider those who return to their countries of origin. We estimate the proportion of male Mexican return migrants who contributed to the U.S. social security system and analyze their socioeconomic characteristics and migration histories. We also estimate the proportion that receive or expect to receive U...
January 19, 2017: Gerontologist
https://www.readbyqxmd.com/read/28299502/a-universal-health-care-system-unmet-need-for-medical-care-among-regular-and-irregular-immigrants-in-italy
#13
Annalisa Busetta, Valeria Cetorelli, Ben Wilson
Italy has a universal health care system that covers, in principle, the whole resident population, irrespective of citizenship and legal status. This study calculates the prevalence of unmet need for medical care among Italian citizens, regular and irregular immigrants and estimates logistic regression models to assess whether differences by citizenship and legal status hold true once adjusting for potential confounders. The analysis is based on two Surveys on Income and Living Conditions of Italian households and households with foreigners...
March 16, 2017: Journal of Immigrant and Minority Health
https://www.readbyqxmd.com/read/28282000/the-fundamentals-of-resident-dismissal
#14
Paul J Schenarts, Sean Langenfeld
Residents have the rights and responsibilities of both students and employees. Dismissal of a resident from a training program is traumatic and has lasting repercussions for the program director, the faculty, the dismissed resident, and the residency. A review of English language literature was performed using PUBMED and OVID databases, using the search terms, resident dismissal, resident termination, student dismissal, student and resident evaluation, legal aspects of education, and remediation. The references of each publication were also reviewed to identify additional appropriate citations...
February 1, 2017: American Surgeon
https://www.readbyqxmd.com/read/28277018/gender-and-national-origin-differences-in-healthcare-utilization-among-u-s-immigrants-from-mexico-china-and-india
#15
Jen'nan Ghazal Read, Paige Borelli Smith
OBJECTIVES: To examine gender and national origin differences in the healthcare utilization of immigrants from the three largest populations in the U.S. today (Mexico, China, and India) and to determine if barriers to utilization operate similarly across groups. METHODS: The analysis uses nationally-representative data from the 2003 New Immigrant Survey (NIS) to compare utilization behaviors among legal permanent residents from Mexico, China, and India (nā€‰=ā€‰2244)...
February 28, 2017: Ethnicity & Health
https://www.readbyqxmd.com/read/28242030/determinants-of-adiposity-rebound-timing-in-children
#16
Edward H Ip, Sarah A Marshall, Santiago Saldana, Joseph A Skelton, Cynthia K Suerken, Thomas A Arcury, Sara A Quandt
OBJECTIVE: Adiposity rebound (AR) or BMI (body mass index) rebound refers to the increase in BMI following the minimum BMI in early childhood. Early AR (before age 5) is predictive of adult obesity. To determine how 4 domains - demographics, maternal BMI, food security, and behavioral characteristics - may affect timing of AR. STUDY DESIGN: A total of 248 children, ages 2.5-3.5 years, in Latino farmworker families in North Carolina were examined at baseline and every 3 months for 2 years...
February 24, 2017: Journal of Pediatrics
https://www.readbyqxmd.com/read/28238498/legal-social-ethical-and-medical-perspectives-on-the-care-of-the-statutory-rape-adolescent-in-the-emergency-department
#17
Shiu-Lin Tsai, Elvira Acosta, Toni Cardenas, Jeremy K Sigall, Kevin Van Geem
Rapes involving adolescents who present to the emergency department (ED) are fraught with ethical and legal complexities and are often emotionally turbulent for patients, their families, and medical providers. Management requires a thoughtful approach from multiple standpoints, including legal, psychosocial, ethical, and medical ones. However, there is no standardized sexual assault education for emergency medicine residents, and management practices vary widely.(1,2) We present a hypothetical statutory rape case based on real cases that occurred in New York City and bring together the perspectives of an attorney on the legal parameters, two social workers on the psychosocial issues, an ethicist on the moral considerations, and a pediatric emergency physician-who is also a sexual assault forensic examiner-on the medical treatments...
February 24, 2017: Annals of Emergency Medicine
https://www.readbyqxmd.com/read/28228197/the-fundamentals-of-resident-dismissal
#18
REVIEW
Paul J Schenarts, Sean Langenfeld
Residents have the rights and responsibilities of both students and employees. Dismissal of a resident from a training program is traumatic and has lasting repercussions for the program director, the faculty, the dismissed resident, and the residency. A review of English language literature was performed using PUBMED and OVID databases, using the search terms, resident dismissal, resident termination, student dismissal, student and resident evaluation, legal aspects of education, and remediation. The references of each publication were also reviewed to identify additional appropriate citations...
February 1, 2017: American Surgeon
https://www.readbyqxmd.com/read/28225730/the-medical-legal-partnership-approach-to-teaching-social-determinants-of-health-and-structural-competency-in-residency-programs
#19
Edward G Paul, Mallory Curran, Elizabeth Tobin Tyler
Medical-legal partnerships (MLPs) embed civil legal services lawyers into health care settings and interprofessional health care teams delivering care to low-income or otherwise vulnerable patients and communities. MLPs present the opportunity to instill in residents a practical understanding of the social determinants of health and provide them with concrete tools to address them. MLP training helps residents develop structural competency and build the skills necessary to address barriers to health at the patient, institutional, and population levels...
March 2017: Academic Medicine: Journal of the Association of American Medical Colleges
https://www.readbyqxmd.com/read/28225546/making-travel-to-cuba-work-for-health-and-sustainable-development
#20
Conner Gorry
In 2015, a record-breaking 3.5 million visitors-1 million from Canada alone-traveled to Cuba to explore its history, culture, natural splendor, and visit family. That same year, US President Barack Obama relaxed travel restrictions, giving general authorization for a dozen categories of legal travel by US citizens and residents. As a result, US visitors to the island ballooned by 80% between January 2015 and June 2016. And the numbers keep growing: the latest data show that foreign arrivals reached 4 million in 2016...
January 2017: MEDICC Review
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