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https://www.readbyqxmd.com/read/29901716/nursing-home-residents-legal-access-to-onsite-professional-psychosocial-care-federal-and-state-regulations-do-not-meet-minimum-professional-social-work-standards
#1
Mercedes Bern-Klug, Elizabeth Byram, Nadia Sabbagh Steinberg, Herminia Gamez Garcia, Kyle C Burke
Background and Objective: The federal government holds nursing homes (NHs) responsible for assessing and addressing resident psychosocial needs. The staff person most responsible for psychosocial care planning is the social worker. However, the federal government requires only NHs with 120+ beds to employ one full-time social worker, and that person need not hold a social work degree. We compare/contrast state laws against federal laws and professional standards in terms of the minimum qualifications of NH social workers to determine in which states NH residents are legally entitled to receive services from a professional social work staff member...
June 13, 2018: Gerontologist
https://www.readbyqxmd.com/read/29895288/registered-or-unregistered-levels-and-differentials-in-registration-and-certification-of-births-in-ghana
#2
Fidelia A A Dake, Kamil Fuseini
BACKGROUND: The birth of a child is a vital event that needs to be registered but this is not always the case as an estimated 40 million births go unregistered annually. Birth registration safeguards the basic rights of children and gives them an identity, citizenship/nationality and legal protection against violence, abuse and human rights violations. It is therefore necessary that all births are registered and even more critical that the registration of a birth is followed by the issuance of a birth certificate...
June 13, 2018: BMC International Health and Human Rights
https://www.readbyqxmd.com/read/29880095/deprescribing-in-newly-admitted-psychogeriatric-nursing-facility-patients
#3
Audrey A Blenke, Rob J van Marum, Annemieke M Vermeulen Windsant-van den Tweel, Walter A Hermens, Hieronymus J Derijks
OBJECTIVE: To determine whether advised changes as a result of structured medication reviews in psychogeriatric patients were implemented and if the implemented changes were maintained. DESIGN: Prospective cohort study. SETTING: Three nursing facilities in The Netherlands. PATIENTS, PARTICIPANTS: Newly admitted psychogeriatric residents. INTERVENTION: After admission, a structured medication review was performed by a pharmacist and physician resulting in a treatment plan that was approved by the patient's legal representative and implemented...
June 1, 2018: Consultant Pharmacist: the Journal of the American Society of Consultant Pharmacists
https://www.readbyqxmd.com/read/29869592/resident-centred-care-and-architecture-of-two-different-types-of-caring-residences-a-comparative-study
#4
Catharina Nord
The relationship between architectural space and resident-centred care is poorly understood, even though architectural space is indicated as an important factor in the quality of care. This paper aims to address this gap in existing research by putting resident-centred care in the theoretical context of relationality and emergence in which space is a co-producing component. This qualitative case study includes two housing alternatives, which are compared: one assisted living and one extra-care housing residence, which differ in their legal status and architecturally...
December 2018: International Journal of Qualitative Studies on Health and Well-being
https://www.readbyqxmd.com/read/29864557/the-barrow-innovation-center-case-series-a-novel-3d-printed-retractor-for-use-with-electromagnetic-neuronavigation-systems
#5
Michael A Bohl, David S Xu, Claudio Cavallo, Gabriella M Paisan, Kris A Smith, Peter Nakaji
OBJECTIVE: The Barrow Innovation Center consists of an educational program that promotes interdisciplinary collaboration among neurosurgery, legal, and engineering professionals to foster the development of new medical devices. This report describes a common issue faced during the placement of ventricular shunts for the treatment of hydrocephalus, and the solution to this problem that was developed through the Barrow Innovation Center. METHODS: Neurosurgery residents involved in the Barrow Innovation Center presented the problem of ferromagnetic retractors interfering with pinless image-guidance systems at a monthly meeting...
June 1, 2018: World Neurosurgery
https://www.readbyqxmd.com/read/29859073/abortion-education-in-canadian-family-medicine-residency-programs
#6
Daniel T Myran, Jillian Bardsley, Tania El Hindi, Kristine Whitehead
BACKGROUND: Abortion has been decriminalized in Canada since 1988 and is considered an essential medical service. There is concern that decreasing numbers of abortion providers may impair access to abortion. This study examined the quantity of exposure and education that Canadian family medicine residents receive on abortion during training and their preparation to provide abortions. In addition, the study assessed residents' attitudes, intention and expressed competency to provide abortion in future practice and the association between medical training and changes in these factors...
June 1, 2018: BMC Medical Education
https://www.readbyqxmd.com/read/29794528/sexual-harassment-in-medical-schools-the-challenge-of-covert-retaliation-as-a-barrier-to-reporting
#7
Renee Binder, Paul Garcia, Bonnie Johnson, Elena Fuentes-Afflick
Although Title IX, the federal law prohibiting sexual harassment in educational institutions, was enacted in 1972, sexual harassment continues to be distressingly common in medical training. In addition, many women who experience sexual harassment do not report their experiences to authorities within the medical school.In this article, the authors review the literature on the prevalence of sexual harassment in medical schools since Title IX was enacted and on the cultural and legal changes that have occurred during that period that have affected behaviors...
May 22, 2018: Academic Medicine: Journal of the Association of American Medical Colleges
https://www.readbyqxmd.com/read/29793472/realization-of-the-right-to-adequate-food-and-the-nutritional-status-of-land-evictees-a-case-for-mothers-caregivers-and-their-children-in-rural-central-uganda
#8
Aziiza Nahalomo, Per Ole Iversen, Peter Milton Rukundo, Archileo Kaaya, Joyce Kikafunda, Wenche Barth Eide, Maritha Marais, Edward Wamala, Margaret Kabahenda
BACKGROUND: In developing countries like Uganda, the human right to adequate food (RtAF) is inextricably linked to access to land for households to feed themselves directly through production or means for its procurement. Whether RtAF is enjoyed among Ugandan land evictees, is unknown. We therefore explored this among land evictees (rights-holders) in Wakiso and Mpigi districts in rural Central Uganda. We assessed food accessibility and related coping strategies, diet quality and nutritional status of children 6-59 months old, and their caregivers...
May 24, 2018: BMC International Health and Human Rights
https://www.readbyqxmd.com/read/29793085/socio-demographic-factors-associated-with-choosing-violent-methods-of-suicide-2011-2016-ilam-province
#9
Yousef Veisani, Fathola Mohamadian, Ali Delpisheh, Salman Khazaei
BACKGROUND: In new strategies towards of suicide prevention the best approach currently is based on specific method had specific risk factors. Therefore in this study we aimed to find out the association between socio-demographic factors and methods in completed suicide, 2011-2016, Ilam province. METHODS: A cross-sectional study, 2011-2016, was conducted. A total of 540 completed suicides were recruited to the study. Data were collected by systematic registration suicide data (SRSD) and Legal Medicine Organization (LMO)...
May 21, 2018: Asian Journal of Psychiatry
https://www.readbyqxmd.com/read/29787344/a-survey-of-current-practice-of-informed-consent-in-iranian-hospitals
#10
Seyed Hosein Shaker, Seyed Mohammad Hosseini Kasnavieh, Milad Amini, Ali Tahmasebi, Siamak Soltani
BACKGROUND: Informed consent is legal and ethical process which is considered as important issue in quality of patient's treatment. The aim of the current study was to assess current informed consent of patients admitted in Iranian selected Hospitals, 2016. MATERIALS AND METHODS: This cross-sectional study was conducted on 2150 patients admitted in 11 public Hospitals. Data was collected using a dichotomous questionnaire with 30 questions. Statistical analysis was done using SPSS software (version 18)...
May 22, 2018: Hospital Topics
https://www.readbyqxmd.com/read/29779300/coroners-recommendations-for-prevention-of-resident-deaths-in-aged-care-the-role-of-primary-care-providers
#11
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
#12
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
#13
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
#14
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
#15
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
#16
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
#17
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
#18
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
#19
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
#20
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...
June 2018: International Journal on Drug Policy
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