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https://www.readbyqxmd.com/read/29473059/assessing-community-cancer-care-after-insurance-expansions-access-study-protocol
#1
H Angier, N Huguet, M Marino, M Mori, K Winters-Stone, J Shannon, L Raynor, H Holderness, J E DeVoe
Background: Cancer is the second most common cause of mortality in the United States. Cancer screening and prevention services have contributed to improved overall cancer survival rates in the past 40 years. Vulnerable populations (i.e., uninsured, low-income, and racial/ethnic minorities) are disproportionately affected by cancer, receive significantly fewer cancer prevention services, poorer healthcare, and subsequently lower survival rates than insured, white, non-Hispanic populations...
September 2017: Contemporary Clinical Trials Communications
https://www.readbyqxmd.com/read/29467065/medication-refusal-resident-rights-administration-dilemma
#2
Danielle R Haskins, Jeannette Y Wick
Occasionally, residents actively or passively refuse to take medications. Residents may refuse medication for a number of reasons, including religious beliefs, dietary restrictions, misunderstandings, cognitive impairment, desire to self-harm, or simple inconvenience. This action creates a unique situation for pharmacists and long-term facility staff, especially if patients have dementia. Residents have the legal right to refuse medications, and long-term care facilities need to employ a process to resolve disagreement between the health care team that recommends the medication and the resident who refuses it...
December 1, 2017: Consultant Pharmacist: the Journal of the American Society of Consultant Pharmacists
https://www.readbyqxmd.com/read/29461907/personalizing-patients-advance-directives-decreases-the-willingness-of-intensive-care-unit-residents-to-stop-treatment-a-randomized-study
#3
Stéphane Jouffre, Joanne Ghazal, René Robert, Jean Reignier, Dolores Albarracín
BACKGROUND: While following patients' advance directives (ADs) is legally binding, French physicians in Intensive Care Unit (ICU) perceive them as complicating their decision. Decision making and ICU residents benefit from personalizing the dying process. In France, ADs can include personal information. OBJECTIVE: Whether personalizing ADs affects ICU residents' decisions and perception of the patient. SUBJECTS AND DESIGN: Sixty-six ICU residents assigned to three experimental groups and presented with a case file for an ICU patient...
February 20, 2018: Journal of Palliative Medicine
https://www.readbyqxmd.com/read/29415515/prevention-of-common-mental-disorders-in-employees-perspectives-on-collaboration-from-three-health-care-professions
#4
Eva Rothermund, Martina Michaelis, Marc N Jarczok, Elisabeth M Balint, Rahna Lange, Stephan Zipfel, Harald Gündel, Monika A Rieger, Florian Junne
Collaboration among occupational health physicians, primary care physicians and psychotherapists in the prevention and treatment of common mental disorders in employees has been scarcely researched. To identify potential for improvement, these professions were surveyed in Baden-Württemberg (Germany). Four hundred and fifty occupational health physicians, 1000 primary care physicians and 700 resident medical and psychological psychotherapists received a standardized questionnaire about their experiences, attitudes and wishes regarding activities for primary, secondary and tertiary prevention of common mental disorders in employees...
February 6, 2018: International Journal of Environmental Research and Public Health
https://www.readbyqxmd.com/read/29409400/barriers-to-and-methods-of-help-seeking-for-domestic-violence-victimization-a-comparison-of-hispanic-and-non-hispanic-white-women-residing-in-the-united-states
#5
Ana J Bridges, Marie E Karlsson, Jennifer C Jackson, Arthur R Andrews, Bianca T Villalobos
This study examined strategies Hispanic and non-Hispanic White victims of domestic violence use to manage violence and leave their relationships. Participants ( N = 76, 41% Hispanic) completed self-report questionnaires and a semistructured interview with a language-congruent research assistant. Hispanics reported child care needs and fears of social embarrassment as barriers to leaving, while non-Hispanic Whites reported fewer social supports as a barrier. Hispanics were more likely to use legal resources for help, while non-Hispanic Whites used more informal resources...
February 1, 2018: Violence Against Women
https://www.readbyqxmd.com/read/29402266/the-gravitational-force-of-mental-health-services-distance-decay-effects-in-a-rural-swiss-service-area
#6
Niklaus Stulz, Eva-Maria Pichler, Wolfram Kawohl, Urs Hepp
BACKGROUND: Previous research suggested a distance decay effect in health services systems, with people living closer to service facilities being more likely to use them. METHOD: In this ecological cross sectional study, we conducted spatial and statistical analyses in a Swiss mental health services system being legally bound to provide primary mental health care to approximately 620,000 inhabitants. We examined a cohort of all patients who were over 18 years old and who were treated in the mental health services system between January and December 2011...
February 5, 2018: BMC Health Services Research
https://www.readbyqxmd.com/read/29391841/relationships-of-demographic-variables-to-usmle-physician-licensing-exam-scores-a-statistical-analysis-on-five-years-of-medical-student-data
#7
Jacqueline L Gauer, J Brooks Jackson
Introduction: The purpose of this study was to determine the associations of the demographic variables of gender, state of legal residency, student age, and undergraduate major with scores on the Medical College Admissions Test (MCAT) and the United States Medical Licensing Exam (USMLE) Step 1 and Step 2 Clinical Knowledge. Methods: The researchers collected and analyzed exam scores and demographic student data from participants of five graduating classes of students at the University of Minnesota Medical School (N = 1,067)...
2018: Advances in Medical Education and Practice
https://www.readbyqxmd.com/read/29384746/day-to-day-issues-in-the-forensic-identification-practice-related-to-illegal-immigration-in-italy
#8
V Pinchi, M Focardi, F Pradella, R Grifoni, M Palandri, G A Norelli
The migratory flows to Europe from the African countries, Asia and Middle East, have hugely intensified in the recent years. In 2016, more than 98,000 out of a total of 260,000 migrants across the Mediterranean Sea arrived in Italy and in May 2017, the trend of arrivals is: Italy +576%; Greece -39% compared to previous years. Some migrants die before touching the sole of the European continent, during the crossing, often afforded with ships, made available by unscrupulous smugglers or criminal organizations, which are unsuitable for this type of transportation...
December 1, 2017: Journal of Forensic Odonto-stomatology
https://www.readbyqxmd.com/read/29384744/the-age-estimation-practice-related-to-illegal-unaccompanied-minors-immigration-in-italy
#9
F Pradella, V Pinchi, M Focardi, R Grifoni, M Palandri, G A Norelli
The migrants arrived to the Italian coasts in 2016 were 181.436, 18% more than the previous year and 6% more than the highest number ever since. An "unaccompanied minor" (UAM) is a third-country national or a stateless person under eighteen years of age, who arrives on the territory of the Member State unaccompanied by an adult responsible for him/her whether by law or by the practice of the Member State concerned, and for as long as he or she is not effectively taken into the care of such a person; it includes a minor who is left unaccompanied after he/she entered the territory of the Member States...
December 1, 2017: Journal of Forensic Odonto-stomatology
https://www.readbyqxmd.com/read/29369649/a-review-of-published-guidance-for-video-recording-in-medical-education
#10
Dennis J Butler
INTRODUCTION: Medical educators have used resident-patient video recording to verify trainee competence in interpersonal and technical skills for 50 years. Although numerous authors acknowledge that video recording can compromise patient privacy and confidentiality, no summary of potential risks is available. METHOD: A scoping review of the literature on resident-patient video recording in medical education from the 1960s to the present was conducted. The review examined publications that addressed ethical, policy, procedural, or legal issues affecting patients' rights when video recording...
January 25, 2018: Families, Systems & Health: the Journal of Collaborative Family Healthcare
https://www.readbyqxmd.com/read/29336326/-current-status-of-urological-education-in-spain
#11
Juan Gómez Rivas, Ramiro Cabello-Benavente, Gonzalo Bueno-Serrano, Moises Rodríguez Socarrás, Manuel Esteban Fuertes
INTRODUCTION: Urology is a medicalsurgical specialty that deals with the study, diagnosis and treatment of medical and surgical conditions of the urinary tract and retroperitoneum in both sexes and of the male genital tract without age limit. The traditional method of training is based on the imitation of the skills and behaviors of the tutors, creating variability in the training between different centers and giving a passive role to resident internal physicians (MIR). LEGISLATIVE FRAMEWORK: The 2006 BOE establishes the specific formative content in its theoretical, practical and scientific facets...
January 2018: Archivos Españoles de Urología
https://www.readbyqxmd.com/read/29335810/sexual-and-reproductive-health-education-needs-gender-roles-attitudes-and-acceptance-of-couple-violence-according-to-engaged-men-and-women
#12
Fusun Terzioglu, Gulsah Kok, Gulten Guvenc, Funda Ozdemir, Ilknur Munevver Gonenc, Basak Demirtas Hicyilmaz, Neslihan Yılmaz Sezer
This descriptive study was aimed to evaluate the attitudes of the engaged men and women who are of legal age to marry towards gender roles and acceptance of couple violence, and determine their sexual/reproductive health education needs. It was conducted in two marriage registry offices in Ankara, Turkey. The study sample consisted of 740 participants. Data were collected by using semi-structured form, Gender Roles Attitude Scale and Acceptance of Couple Violence Scale. It was found that the engaged couples had educational needs concerning sexual/reproductive health; socio-demographic characteristics such as gender, age, education, residence, and income level created significant differences in the attitudes related to accepting gender roles and violence; and having an egalitarian attitude towards gender roles decreased the rate of accepting violence between the couples...
January 15, 2018: Community Mental Health Journal
https://www.readbyqxmd.com/read/29302165/dedicated-caravan-sites-for-french-gens-du-voyage-public-health-policy-or-construction-of-health-and-environmental-inequalities
#13
Lise Foisneau
In France, gens du voyage ("people who travel" or "travellers") is a term used by the government to categorize various itinerant populations, the majority of which are diverse Romani groups. People categorized as gens du voyage are legally required to reside in particular locations called "dedicated caravan sites." Parliamentary debates about these dedicated caravan sites have clarified that one of the objectives of such sites is to help fulfill the gens du voyage's right to health. However, there is a significant gap between the officially stated goals of such sites and the reality of life within them...
December 2017: Health and Human Rights
https://www.readbyqxmd.com/read/29295006/seeking-help-from-police-for-intimate-partner-violence-applying-a-relationship-phase-framework-to-the-exploration-of-victims-evolving-needs
#14
Kim M Shearson
Intimate partner violence (IPV) is a pervasive social problem requiring multiple levels of intervention across sectors. Women experiencing IPV often seek assistance from police. Such help-seeking efforts are frequently perceived as problematic by both victims and police. A deeper understanding of victims' needs than is currently evident in the literature is needed to facilitate an appropriate, victim-centered police response across a diverse range of victim presentations. Applying a symbolic interactionist and feminist perspective and guided by a constructivist grounded theory approach, this qualitative study aimed to explore the application of Landenburger's model of entrapment in and recovery from violent relationships to understand victims' help-seeking needs when accessing police services...
November 1, 2017: Journal of Interpersonal Violence
https://www.readbyqxmd.com/read/29294828/prevalence-and-correlates-of-forced-sex-as-a-self-reported-mode-of-hiv-acquisition-among-a-cohort-of-women-living-with-hiv-in-canada
#15
Carmen H Logie, Angela Kaida, Alexandra de Pokomandy, Nadia O'Brien, Pat O'Campo, Jay MacGillivray, Uzma Ahmed, Nikita Arora, Lu Wang, Shahab Jabbari, Logan Kennedy, Allison Carter, Karène Proulx-Boucher, Tracey Conway, Paul Sereda, Mona Loutfy
Gender-based violence (GBV) is a global epidemic associated with increased HIV exposure. We assessed the prevalence and correlates of HIV acquisition via forced sex among women living with HIV (WLWH) in Canada. Baseline questionnaire data were analyzed for WLWH (≥16 years) with data on self-reported mode of HIV acquisition, enrolled in a community-based cohort study in British Columbia, Ontario, and Québec. We assessed forced sex (childhood, adulthood) as a self-reported mode of HIV acquisition. Of 1,330 participants, the median age was 42 (interquartile range [IQR] = 35-50) years; 23...
July 1, 2017: Journal of Interpersonal Violence
https://www.readbyqxmd.com/read/29294811/playing-by-the-rules-agency-policy-and-procedure-in-service-experience-of-ipv-survivors
#16
Leila Wood, Laurie Cook Heffron, Molly Voyles, Shanti Kulkarni
More than 1,800 programs exist in the United States, providing not only shelter but also transitional housing, advocacy and support, transportation, legal aid, and group and individual counseling for women who have experienced intimate partner violence (IPV). Shelter and transitional housing provide critical support for survivors, but have also been critiqued for having too many restrictive rules and code of conduct. More information is needed about the impact of rules and agency policy on women seeking services in IPV residential settings...
June 1, 2017: Journal of Interpersonal Violence
https://www.readbyqxmd.com/read/29281091/self-reported-drowsiness-and-safety-outcomes-while-driving-after-an-extended-duration-work-shift-in-trainee-physicians
#17
Clare Anderson, Suzanne Ftouni, Joseph M Ronda, Shantha M W Rajaratnam, Charles A Czeisler, Steven W Lockley
Objectives: Extended duration (≥24 h) work shifts (EDWS) are associated with increased risk of motor vehicle crashes, and awareness of any impairment has important implications on legal accountability for any adverse driving outcome. The extent to which adverse driving events were preceded by pre-drive self -reported sleepiness was evaluated in medical residents after EDWS. Methods: Sixteen resident physicians (10F;29.2±2.0y) working EDWS were monitored when driving on their commute to and from the hospital (438 drives)...
December 22, 2017: Sleep
https://www.readbyqxmd.com/read/29277409/the-geography-of-crime-and-violence-surrounding-tobacco-shops-medical-marijuana-dispensaries-and-off-sale-alcohol-outlets-in-a-large-urban-low-income-community-of-color
#18
Andrew M Subica, Jason A Douglas, Nancy J Kepple, Sandra Villanueva, Cheryl T Grills
Tobacco shops, medical marijuana dispensaries (MMD), and off-sale alcohol outlets are legal and prevalent in South Los Angeles, California-a high-crime, low-income urban community of color. This research is the first to explore the geographic associations between these three legal drug outlets with surrounding crime and violence in a large low-income urban community of color. First, spatial buffer analyses were performed using point-location and publically accessible January-December 2014 crime data to examine the geography of all felony property and violent crimes occurring within 100, 200, 500, and 1000-foot buffers of these three legal drug outlet types across South Los Angeles...
December 22, 2017: Preventive Medicine
https://www.readbyqxmd.com/read/29249401/-infants-living-with-their-mothers-in-the-rennes-france-prison-for-women-between-1998%C3%A2-and-2013-facts-and-perspectives
#19
A Blanchard, L Bébin, S Leroux, M Roussey, M-A Horel, M Desforges, I Page, Y Bidet, M Balençon
Every year in France, nearly 50 infants live in a prison nursery with their mother. According to French law, infants can live with their mother in the prison nursery until they reach 18 months of age. The international community is concerned about the lack of validated social, medical and legal data on these infants living in prison. This was a retrospective and descriptive study. Medical and paramedical files of the General Council of Île-et-Vilaine, France, were studied. Every infant born between 1998 and 2013 while their mother was in prison were included...
December 14, 2017: Archives de Pédiatrie: Organe Officiel de la Sociéte Française de Pédiatrie
https://www.readbyqxmd.com/read/29247094/oral-medicine-modification-for-older-adults-a-qualitative-study-of-nurses
#20
Aoife Mc Gillicuddy, Abina M Crean, Maria Kelly, Laura Sahm
OBJECTIVE: Oral medicines are frequently modified (eg, tablets crushed) for older adults. However, these modifications can have clinical, legal and/or ethical implications. Nurses bear responsibility for medicine administration and hence, perform these modifications. The aim of this study was to investigate the knowledge, attitudes and beliefs of nurses about oral medicine modification for older adults. DESIGN: A qualitative study was conducted using semi-structured, face-to-face interviews with nurses providing care to older adults in acute and long-term care settings...
December 14, 2017: BMJ Open
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