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https://www.readbyqxmd.com/read/29209788/-reform-of-emergency-physician-training-in-austria-finally-up-to-date
#1
REVIEW
H Trimmel, M Baubin, J Kreutziger, G Frank, G Prause
During the last 20 years Austrian prehospital emergency medical services (EMS) have significantly improved. The structure and organization of Austrian EMS comply with European standards but training requirements for prehospital EMS physicians are insufficient when compared with other countries. Although some EMS systems follow the German or Swiss postgraduate training concepts, the legal requirements in Austria defining the scope of mandatory training for physicians in the prehospital setting are only minimal...
December 5, 2017: Der Anaesthesist
https://www.readbyqxmd.com/read/29200972/problems-and-service-needs-among-ex-offenders-with-hiv-risk-behaviors-entering-sober-living-recovery-homes
#2
Douglas L Polcin, Rachael Korcha, Amy A Mericle, Elizabeth Mahoney, Jordana Hemberg
There is currently a nationwide effort to decrease the number of persons who are incarcerated in jails and prisons. However, many ex-offenders on probation or parole do not have access to affordable housing and larger proportions have histories of HIV risk as well as substance abuse problems. In California, sober living houses (SLHs) are becoming an increasingly popular housing option for these individuals. Based largely on the principles of Alcoholics Anonymous (AA), SLHs require abstinence from alcohol and drugs and provide peer support for recovery...
2017: Criminal Justice Studies (Abingdon, England)
https://www.readbyqxmd.com/read/29191111/the-doing-and-undoing-of-male-household-decision-making-and-economic-authority-in-rwanda-and-its-implications-for-gender-transformative-programming
#3
Erin Stern, Lori Heise, Lyndsay McLean
This paper explores two key norms that underpin intimate partner violence in Rwanda: men's roles as economic providers and decision-making authorities in the household. It describes the political, legal and socio-economic factors affecting these norms and how they create opportunities and barriers to 'undoing' restrictive gender norms. Findings are drawn from an evaluation of Inadshyikirwa, an intimate partner violence prevention programme operating in Rwanda. Across three intervention sectors, 24 focus groups were conducted with unmarried and married men and women residing in intervention communities...
December 1, 2017: Culture, Health & Sexuality
https://www.readbyqxmd.com/read/29145849/monitoring-so2emission-trends-and-residents-perceived-health-risks-from-pgm-smelting-at-selous-metallurgical-complex-in-zimbabwe
#4
Patrick Gwimbi
BACKGROUND: Persistently high sulphur dioxide (SO2) emissions from platinum group metal (PGM) smelting pose a major threat to communities located around smelters. This paper examined SO2 emission trends, emission regulations and residents' perceived health risks from exposures to such emissions at Selous Metallurgical Complex (SMC) PGM smelting facility in Zimbabwe. METHODS: SO2 data from roof monitoring sites at the smelter furnace were aggregated into annual, quarterly and monthly emission trends from 2008 to 2015...
November 16, 2017: International Journal for Equity in Health
https://www.readbyqxmd.com/read/29120202/collaboration-confidentiality-and-care
#5
Latoya S Moss
There is an increasing call to attend to the needs of students in distress (Reynolds, 2013). Furthermore, research has begun to highlight links between distress, risky, or dangerous behaviors as well as issues in mental health in the higher education population (Deasy, Coughlan, Pironom, Jourdan, & Mannix-McNamara, 2014). The National Alliance on Mental Health and the Jed Foundation (National Alliance on Mental Illness & the Jed Foundation, 2016) estimate that about 20% of enrolled college students will face some type of mental illness...
November 2017: Psychological Services
https://www.readbyqxmd.com/read/29108141/teaching-ob-gyn-residents-bioethics-within-a-catholic-healthcare-context
#6
Andrew Steele
Residents entering training in the specialty of Obstetrics and Gynecology (OB/GYN) often have misconceptions as to what medical interventions Roman Catholic healthcare institutions prohibit, and why certain restrictions are placed on the provision of reproductive health options that are otherwise legally available to women. The Ethical and Religious Directives for Catholic Healthcare Services, produced by the United States Conference of Catholic Bishops seeks to provide a stable framework upon which reproductive health decisions can be based...
2017: Issues in Law & Medicine
https://www.readbyqxmd.com/read/29081242/assessing-the-special-need-for-protection-of-vulnerable-refugees-testing-the-applicability-of-a-screening-method-rhs-15-to-detect-traumatic-disorders-in-a-refugee-sample-in-germany
#7
Markus Stingl, Michael Knipper, Björge Hetzger, Jessica Richards, Bülent Yazgan, Bernd Gallhofer, Bernd Hanewald
OBJECTIVES: Although EU member states are obligated to take special account of the situation of particularly vulnerable refugees, appropriate and specific measures to detect affected asylum seekers are not yet available. This study tries to pave the way for the implementation of an adequate instrument which at the same time assesses these needs of suffering people whilst responding to the need for mental health assessments specifically designed for refugees. This was done by testing the implementation of a screening method (Refugee Health Screener RHS-15) for trauma related mental health problems in refugees...
October 29, 2017: Ethnicity & Health
https://www.readbyqxmd.com/read/29079913/radiation-protection-factors-influencing-compliance-to-referral-guidelines-in-minor-chest-trauma
#8
Denis Tack, Fabian Louagé, Alain Van Muylem, Nigel Howarth, Pierre Alain Gevenois
OBJECTIVES: To test the hypothesis that referral guidelines are not sufficiently known by prescribers and that medico-legal concerns could influence the prescription of radiographs in minor chest trauma. METHODS: We submitted a questionnaire including a typical clinical history and questions on reasons for prescribing radiographs of the ribs in minor chest trauma to 112 prescriptors (33 residents, 18 surgeons, 7 internists, 24 general practitioners and 30 ER physicians)...
October 27, 2017: European Radiology
https://www.readbyqxmd.com/read/29059407/state-level-support-for-tobacco-21-laws-results-of-a-5-state-survey
#9
Stephanie R Morain, Arthur Garson, Jean L Raphael
Introduction: Legal strategies to raise the minimum age of purchase for tobacco from 18 to 21, known as "Tobacco 21 laws" are a promising means to reduce adolescent tobacco initiation and use. Tobacco 21 laws are enacted at the local and state level, yet prior studies have examined national support. To address this gap, we assessed attitudes of residents in five states toward Tobacco 21 laws, and how attitudes varied by demographic, political, and health status characteristics. Methods: The data are derived from the 2016 Texas Medical Center (TMC) Consumer Health Report, a survey of 5,007 adults from five states: California, Florida, Ohio, New York, and Texas...
September 15, 2017: Nicotine & Tobacco Research: Official Journal of the Society for Research on Nicotine and Tobacco
https://www.readbyqxmd.com/read/29057159/supporting-veterans-in-massachusetts-an-assessment-of-needs-well-being-and-available-resources
#10
Carrie M Farmer, Terri Tanielian, Shira H Fischer, Erin L Duffy, Stephanie Dellva, Emily Butcher, Kristine M Brown, Emily Hoch
Massachusetts is home to approximately 380,000 of the nation's more than 21 million veterans, but there has been little research on the resources available to this population at the state level. There are numerous resources available to veterans and other military-affiliated groups in Massachusetts, but there are still pockets of unmet need in the areas of education, employment, health care, housing, financial, and legal services-particularly for newer veterans and current National Guard/reserve members. Although Massachusetts veterans fare better overall than their peers in other states, they lag behind other Massachusetts residents in terms of health and financial status...
January 2017: Rand Health Quarterly
https://www.readbyqxmd.com/read/29052921/a-concept-analysis-of-the-term-migrant-women-in-the-context-of-pregnancy
#11
Marie-Clare Balaam, Melanie Haith-Cooper, Alena Pařízková, Marina Joanna Weckend, Valerie Fleming, Triin Roosalu, Sanja Špoljar Vržina
AIM: This paper explores the concept of migrant women as used in European healthcare literature in context of pregnancy to provide a clearer understanding of the concept for use in research and service delivery. METHODS: Walker and Avant's method of concept analysis. RESULTS: The literature demonstrates ambiguity around the concept; most papers do not provide an explicit or detailed definition of the concept. They include the basic idea that women have moved from an identifiable region/country to the country in which the research is undertaken but fail to acknowledge adequately the heterogeneity of migrant women...
October 20, 2017: International Journal of Nursing Practice
https://www.readbyqxmd.com/read/29051795/criminogenic-needs-substance-use-and-offending-among-rural-stimulant-users
#12
Christine Timko, Brenda M Booth, Xiaotong Han, Nicole R Schultz, Daniel M Blonigen, Jessie J Wong, Michael A Cucciare
There is a need to understand the determinants of both substance use and criminal activity in rural areas in order to design appropriate treatment interventions for these linked problems. The present study drew on a predominant model used to assess and treat offenders -- the Risk-Need-Responsivity (RNR) model -- to examine risk factors for substance use and criminal activity in a rural drug using sample. This study extends the RNR model's focus on offenders to assessing rural-dwelling individuals using stimulants (N=462)...
April 2017: Rural Mental Health
https://www.readbyqxmd.com/read/29051721/a-comparison-of-medical-education-in-germany-and-the-united-states-from-applying-to-medical-school-to-the-beginnings-of-residency
#13
REVIEW
Dmitry Zavlin, Kevin T Jubbal, Jonas G Noé, Bernd Gansbacher
Both Germany and the United States of America have a long tradition of science and medical excellence reaching back as far as the nineteenth century. The same tribute must be paid to the medical educational system in both countries. Despite significant initial similarities and cross-inspiration, the paths from enrolling in a medical university to graduating as a medical doctor in Germany and the US seem to have become much different. To fill a void in literature, the authors' objective therefore is to delineate both structures of medical education in an up-to-date review and examine their current differences and similarities...
2017: German Medical Science: GMS E-journal
https://www.readbyqxmd.com/read/29039629/adolescents-contraception-continuation-in-switzerland-a-prospective-observational-study
#14
Cécile Diserens, Adeline Quach, Patrice Mathevet, Pierluigi Ballabeni, Martine Jacot-Guillarmod
BACKGROUND: Securing the adherence over time to contraception by adolescent girls is a challenge. Until now little was known about this topic in Switzerland. The aim of our study was to determine contraceptive continuation rates among adolescents in this country and assess possible predictive factors for discontinuation. METHODS: A prospective observational cohort study of 12- to 19-year-old girls starting contraception was performed. Patients were interviewed again after 1 year by phone, email or postal mail...
October 17, 2017: Swiss Medical Weekly
https://www.readbyqxmd.com/read/29034836/nanomedicine-for-intranasal-delivery-to-improve-brain-uptake
#15
Amit A Patel, Ravish J Patel, Shachi R Patel
Intranasal drug delivery system provide distinct advantage over conventional drug delivery system for a drug that is pharmacokenetically or biologically unstable. Major concern for treatment of central nervous system diseases are law concentration of therapeutically active molecule within brain as blood brain barrier is creating obstacle, where intranasal drug delivery provides direct transport of therapeutically active moiety into brain via olfactory or trigeminal pathway. Nasal mucosa provides distinct advantage like improved bioavailability, law dose and quick onset of action and high patient compliance, major disadvantage is residence time of drug and irreversible entrapment of drug...
October 13, 2017: Current Drug Delivery
https://www.readbyqxmd.com/read/29031478/patterns-of-facial-trauma-before-and-after-legalization-of-marijuana-in-denver-colorado-a-joint-study-between-two-denver-hospitals
#16
Mofiyinfolu Sokoya, Justin Eagles, Tyler Okland, Dylan Coughlin, Hannah Dauber, Christopher Greenlee, Andrew A Winkler
INTRODUCTION: The effect of marijuana on human health has been studied extensively. Marijuana intoxication has been shown to affect performance, attention span, and reaction time. The public health relationship between trauma and cannabis use has also been studied, with mixed conclusions. In this report, the effect of marijuana legalization on many aspects of facial trauma at two hospitals in Denver, Colorado is examined. METHODS: A retrospective review of the electronic medical records was undertaken...
October 7, 2017: American Journal of Emergency Medicine
https://www.readbyqxmd.com/read/29027283/does-managing-the-consumption-of-people-with-severe-alcohol-dependence-reduce-harm-a-comparison-of-participants-in-six-canadian-managed-alcohol-programs-with-locally-recruited-controls
#17
Tim Stockwell, Bernie Pauly, Clifton Chow, Rebekah A Erickson, Bonnie Krysowaty, Audra Roemer, Kate Vallance, Ashley Wettlaufer, Jinhui Zhao
INTRODUCTION AND AIMS: Managed alcohol programs (MAP) are intended for people with severe alcohol-related problems and unstable housing. We investigated whether MAP participation was associated with changes in drinking patterns and related harms. DESIGN AND METHODS: One hundred and seventy-five MAP participants from five Canadian cities (Hamilton, Ottawa, Toronto, Thunder Bay and Vancouver) and 189 same-city controls were assessed for alcohol consumption, health, safety and harm outcomes...
October 13, 2017: Drug and Alcohol Review
https://www.readbyqxmd.com/read/29019309/management-of-a-lassa-fever-outbreak-rhineland-palatinate-germany-2016
#18
Lutz Ehlkes, Maja George, Gerhard Samosny, Florian Burckhardt, Manfred Vogt, Stefan Bent, Klaus Jahn, Philipp Zanger
Due to rapid diagnosis and isolation of imported cases, community outbreaks of viral haemorrhagic fevers (VHF) are considered unlikely in industrialised countries. In March 2016, the first documented locally acquired case of Lassa fever (LF) outside Africa occurred, demonstrating the disease's potential as a cross-border health threat. We describe the management surrounding this case of LF in Rhineland-Palatinate - the German federal state where secondary transmission occurred. Twelve days after having been exposed to the corpse of a LF case imported from Togo, a symptomatic undertaker tested positive for Lassa virus RNA...
September 2017: Euro Surveillance: Bulletin Européen sur les Maladies Transmissibles, European Communicable Disease Bulletin
https://www.readbyqxmd.com/read/29016491/expanding-prenatal-care-to-unauthorized-immigrant-women-and-the-effects-on-infant-health
#19
Jonas J Swartz, Jens Hainmueller, Duncan Lawrence, Maria I Rodriguez
OBJECTIVE: To measure the effect of access to prenatal care on unauthorized and low-income, new legal permanent resident immigrant women and their offspring. METHODS: We used a difference-in-differences design that leverages the staggered rollout of Emergency Medicaid Plus by county from 2008 to 2013 as a natural experiment to estimate the effect on health service utilization for women and health outcomes for their infants. Regular Medicaid pregnancies were used as an additional control in a triple difference design...
November 2017: Obstetrics and Gynecology
https://www.readbyqxmd.com/read/28972355/-analysis-of-suicide-cases-in-post-mortem-examination-files-of-the-department-of-forensic-medicine-at-the-medical-university-of-bia%C3%A5-ystok-2003-to-2015
#20
Maciej Janica, Michał Szeremeta, Anna Bondar, Karolina Lomperta, Petra Drobuliakova, Anna Niemcunowicz-Janica
Aim of the study: The study presents the analysis of suicides based on the material consisting of the results of medico-legal autopsies and case files of the Department of Forensic Medicine of the Medical University of Bialystok. Material and methods: The material consisted of 6752 protocols of medico-legal autopsies carried out in the years 2003-2015 and case files, which enabled to classify cases as suicidal. The analysis included the dynamics of suicides over the years, basic demographic characteristics of victims, the ways, the time and place of suicide, the state of sobriety, the frequency of injuries in different regions of the body...
2017: Archiwum Medycyny Sa̧dowej i Kryminologii
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