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https://www.readbyqxmd.com/read/29649186/current-marijuana-use-by-industry-and-occupation-colorado-2014-2015
#1
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
#2
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
#3
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
#4
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
#5
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
#6
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
#7
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
#8
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
#9
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
#10
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...
March 10, 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
#11
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...
February 10, 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
#12
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
https://www.readbyqxmd.com/read/29505665/suicide-among-nursing-home-residents-in-australia-a-national-population-based-retrospective-analysis-of-medico-legal-death-investigation-information
#13
Briony J Murphy, Lyndal C Bugeja, Jennifer L Pilgrim, Joseph E Ibrahim
OBJECTIVES: Suicide among nursing home residents is a growing public health concern, currently lacking in empirical research. This study aims to describe the frequency and nature of suicide among nursing home residents in Australia. METHODS: This research comprised a national population-based retrospective analysis of suicide deaths among nursing home residents in Australia reported to the Coroner between July 2000 and December 2013. Cases were identified using the National Coronial Information System, and data collected from paper-based coroners' records on individual, incident, and organizational factors, as well as details of the medico-legal death investigation...
March 5, 2018: International Journal of Geriatric Psychiatry
https://www.readbyqxmd.com/read/29503832/workplace-violence-against-residents-in-emergency-department-and-reasons-for-not-reporting-them-a-cross-sectional-study
#14
Gilava Hedayati Emam, Hossein Alimohammadi, Akram Zolfaghari Sadrabad, Hamidreza Hatamabadi
Introduction: Due to the stressful nature of emergency Department (ED), residents in ED are at risk of violence from patients or their associates. This study aimed to determine the prevalence of workplace violence against ED residents and the reasons for not reporting them. Methods: This cross-sectional study was conducted on ED residents of three educational hospitals, Tehran, Iran, during 2015. The national questionnaire about workplace violence was used for data gathering...
2018: Emergency (Tehran, Iran)
https://www.readbyqxmd.com/read/29503033/impacts-of-immigration-actions-and-news-and-the-psychological-distress-of-u-s-latino-parents-raising-adolescents
#15
Kathleen M Roche, Elizabeth Vaquera, Rebecca M B White, Maria Ivonne Rivera
PURPOSE: U.S. Latino parents of adolescents face unprecedented threats to family stability and well-being due to rapid and far-reaching transformations in U.S. immigration policy. METHODS: Two hundred thirteen Latino parents of adolescents were recruited from community settings in a suburb of a large mid-Atlantic city to complete surveys assessing parents' psychological distress and responses to immigration actions and news. Univariate and bivariate analyses were conducted to describe the prevalence of parents' responses to immigration news and actions across diverse residency statuses...
March 1, 2018: Journal of Adolescent Health: Official Publication of the Society for Adolescent Medicine
https://www.readbyqxmd.com/read/29492258/benzodiazepine-prescription-in-ontario-residents-aged-65-and-over-a-population-based-study-from-1998-to-2013
#16
Simon J C Davies, Binu Jacob, David Rudoler, Juveria Zaheer, Claire de Oliveira, Paul Kurdyak
Background: Although commonly used in anxiety and insomnia, recent guidelines recommend caution when prescribing benzodiazepines in the elderly. Here we examined rates of benzodiazepine prescribing to older adults in Ontario, Canada from 1998 to 2013 and impact of legislation that made prescribing regulations more strict. Method: Annual benzodiazepine prescription rates for Ontario residents aged 65 and over were examined using the Ontario Drug Benefit database which captures all publicly funded prescriptions...
March 2018: Therapeutic Advances in Psychopharmacology
https://www.readbyqxmd.com/read/29488829/is-tourism-marriage-of-young-girls-in-egypt-a-form-of-child-sexual-abuse-a-family-exploitation-perspective
#17
Hussein Hassan Soliman, Nagwa Ibrahim Alsharqawi, Mustafa Ahmed Younis
Tourism marriage in Egypt is considered a part of the child marriage phenomenon, as parents following false interpretations of Islamic teachings offer up their daughters for short-term sexual relationships in return for money from tourists. This exploratory study used qualitative methods to interview 42 parents who reside in the city of Darasa, Giza, Egypt, whose daughters were persuaded to engage in tourism marriage. Eight social work students utilized an interview guide that contained 10 questions exploring how parents strike deals with tourists and avoid all legal and traditional procedures of marriage in Egypt...
February 28, 2018: Journal of Child Sexual Abuse
https://www.readbyqxmd.com/read/29485487/describing-the-journey-and-lessons-learned-implementing-a-competency-based-time-variable-undergraduate-medical-education-curriculum
#18
George C Mejicano, Tracy N Bumsted
Oregon Health & Science University School of Medicine launched a completely new undergraduate medical education curriculum in 2014. This initiative dramatically transformed the MD degree program, changing the instructional content taught, the pedagogical methods used by the faculty, and the methods of assessment, and it added new elements such as academic coaching and programmatic entrustment to the program. One of the most exciting and impactful aspects to date of this curricular transformation has been the deliberate implementation of a competency-based framework that incorporates frequent assessment, tracking of student progression using an electronic portfolio, and academic coaching to optimize learning and customize curricular elements for each student...
March 2018: Academic Medicine: Journal of the Association of American Medical Colleges
https://www.readbyqxmd.com/read/29477631/what-are-people-looking-for-when-they-google-self-abortion
#19
Jenna Jerman, Tsuyoshi Onda, Rachel K Jones
OBJECTIVE: To examine the motivations and circumstances of individuals seeking information about self-abortion on the Internet. STUDY DESIGN: We identified 26 terms that we anticipated someone might use to find information about self-abortion on the internet. Users who entered these terms into the Google search engine were provided with a link to our survey via Google AdWords. We fielded the survey over a 32-day period; users were eligible if accessing the survey from a U...
February 22, 2018: Contraception
https://www.readbyqxmd.com/read/29473059/assessing-community-cancer-care-after-insurance-expansions-access-study-protocol
#20
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
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