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https://www.readbyqxmd.com/read/28214237/knowledge-attitudes-and-preferences-of-advance-decisions-end-of-life-care-and-place-of-care-and-death-in-hong-kong-a%C3%A2-population-based-telephone-survey-of-1067-adults
#1
Roger Yat-Nork Chung, Eliza Lai-Yi Wong, Nicole Kiang, Patsy Yuen-Kwan Chau, Janice Y C Lau, Samuel Yeung-Shan Wong, Eng-Kiong Yeoh, Jean W Woo
OBJECTIVES: According to the 2015 Quality of Death Index published by the Intelligence Unit of the Economist, Hong Kong is ranked 22nd in terms of quality of palliative care in the world, behind many other major developed countries in Asia, including Taiwan, Singapore, Japan, and South Korea. The objectives of the present study were to describe the knowledge, attitude, and preferences of the general Hong Kong adult population across different age groups regarding end-of-life (EOL) care decisions, place of care and death, as well as advance directive (AD)...
February 14, 2017: Journal of the American Medical Directors Association
https://www.readbyqxmd.com/read/28213485/proposed-legislation-cms-guidance-portend-advancements-for-pharmacists
#2
Cheryl A Thompson
No abstract text is available yet for this article.
March 1, 2017: American Journal of Health-system Pharmacy: AJHP
https://www.readbyqxmd.com/read/28213395/the-politics-of-evidence-use-in-health-policy-making-in-germany-the-case-of-regulating-hospital-minimum-volumes
#3
Stefanie Ettelt
This article examines the role of scientific evidence in informing health policy decisions in Germany, using minimum volumes policy as a case study. It argues that scientific evidence was used strategically at various stages of the policy process both by individual corporatist actors and by the Federal Joint Committee as the regulator. Minimum volumes regulation was inspired by scientific evidence suggesting a positive relationship between service volume and patient outcomes for complex surgical interventions...
February 17, 2017: Journal of Health Politics, Policy and Law
https://www.readbyqxmd.com/read/28213222/development-of-a-qcm-d-biosensor-for-ochratoxin-a-detection-in-red-wine
#4
Aleksandra Karczmarczyk, Karsten Haupt, Karl-Heinz Feller
Ochratoxin A (OTA), a highly toxic compound, is one of the most widely spread mycotoxins that contaminates a large variety of agricultural commodities. Due to its presence in the food chain, it imposes a hazard on both human and animal health. Therefore, there is a need for precise, fast and simple methods for toxin quantification. Herein, a novel sensor based on a quartz crystal microbalance with dissipation monitoring (QCM-D) and antibodies for specific analyte recognition was developed for rapid and sensitive detection of OTA in red wine...
May 1, 2017: Talanta
https://www.readbyqxmd.com/read/28213081/-user-committees-within-health-centres
#5
Régine Raymond, Agnès Borgia, Yannick Ruelle
The legislative and regulatory arsenal has resulted in the gradual increase of the involvement of users of the health system within supervisory decision-making bodies and hospitals. In the field of primary care, this representation in the form of user committees is not regulated, but some historical examples exist. The advantage of implementing a health democracy in primary care structures is however real and must be developed.
January 2017: Soins; la Revue de Référence Infirmière
https://www.readbyqxmd.com/read/28212504/-kicked-out-lgbtq-youths-bathroom-experiences-and-preferences
#6
Carolyn M Porta, Amy L Gower, Christopher J Mehus, Xiaohui Yu, Elizabeth M Saewyc, Marla E Eisenberg
Attention toward who can use which gender binary, multi-stall bathroom has brought to the forefront, once again, the ways in which youth are supported or marginalized. No study has documented sexual and gender minority youths' experiences with and perspectives about bathrooms. We collected qualitative data in 2014-2015. Participants were 25 lesbian, gay, bisexual, transgender, and queer/questioning (LGBTQ) youth, aged 14-19, in the United States and Canada. Their comments describe first- and second-hand bathroom experiences, identify advocacy efforts, and highlight the roles of peers and adults in making bathrooms safe (or not)...
February 14, 2017: Journal of Adolescence
https://www.readbyqxmd.com/read/28211195/a-comparison-of-the-new-japanese-expedited-approval-legislation-for-regenerative-medicine-product-with-the-existing-systems-of-the-united-states-and-european-union
#7
Yoji Jokura, Kazuo Yano, Masayuki Yamato
Expedited approval pathways/programs for drugs, biologics, or medical devices have been enacted for rapid product commercialization of innovative products in the United States (US) and European Union (EU). However, less innovative products are increasingly using these expedited pathways and frequently obligations to collect and report post-marketing data on approved products are being bypassed. The Japanese government recently enacted a new conditional and time-limited approval pathway dedicated to regenerative medicine products...
February 17, 2017: Journal of Tissue Engineering and Regenerative Medicine
https://www.readbyqxmd.com/read/28211039/cutaneous-squamous-cell-carcinoma-an-epidemiological-review
#8
REVIEW
A C Green, C M Olsen
Cutaneous squamous cell carcinoma (SCC) is a common cancer in white populations and its disease burden is often substantially underestimated. SCC occurs more often in men than women and increases dramatically with age; those affected often develop multiple primaries over time, which increases the burden. The main external cause is solar ultraviolet radiation (UVR), with immunosuppression being the other established risk factor, shown by the high SCC rates in organ transplant recipients. Sunbed use and certain genetic disorders and medical conditions are also associated with SCC, while associations with human papillomavirus infection and high bodyweight are not established...
February 16, 2017: British Journal of Dermatology
https://www.readbyqxmd.com/read/28210891/aquatic-monitoring-programs-conducted-during-environmental-impact-assessments-in-canada-preliminary-assessment-before-and-after-weakened-environmental-regulation
#9
Brynn Roach, Tony R Walker
Aquatic monitoring programs are imperative for the functioning of the environmental impact assessment (EIA) process and a cornerstone for industrial compliance in Canada. However, in 2012, several leading pieces of federal environmental legislation (e.g., Canadian Environmental Assessment Act c.19, s. 52, 2012) were drastically altered, effectively weakening levels of environmental protection for aquatic ecosystems during project developments. This paper assesses the impact of CEAA 2012 on aquatic monitoring programs (and subsequent monitoring data reporting) across Canada for ten projects (five completed pre-CEAA 2012 and five completed post-CEAA 2012)...
March 2017: Environmental Monitoring and Assessment
https://www.readbyqxmd.com/read/28210521/the-right-to-die-in-chronic-disorders-of-consciousness-can-we-avoid-the-slippery-slope-argument
#10
REVIEW
Rocco Salvatore Calabrò, Antonino Naro, Rosaria De Luca, Margherita Russo, Lory Caccamo, Alfredo Manuli, Alessia Bramanti, Placido Bramanti
Managing individuals with chronic disorders of consciousness raises ethical questions about the appropriateness of maintaining life-sustaining treatments and end-of-life decisions for those who are unable to make decisions for themselves. For many years, the positions fostering the "sanctity" of human life (i.e., life is inviolable in any case) have led to maintaining life-sustaining treatments (including artificial nutrition and hydration) in patients with disorders of consciousness, allowing them to live for as long as possible...
November 2016: Innovations in Clinical Neuroscience
https://www.readbyqxmd.com/read/28210408/patterns-of-maxillofacial-fractures-in-uttar-pradesh-india
#11
Padmanidhi Agarwal, Divya Mehrotra, Rajul Agarwal, Sumit Kumar, Rahul Pandey
This study aimed to obtain dependable epidemiologic data of the variation in cause and characteristics of maxillofacial fractures by identifying, describing, and quantifying trauma. This retrospective study was conducted in the state of Uttar Pradesh, India, over 1 year, based on a systematic computer-assisted database search from March 2015 to March 2016 for maxillofacial fractures. The demographics, etiology, geographic distribution, date of injury, site and number of fractures, and type of intervention were recorded for each...
March 2017: Craniomaxillofacial Trauma & Reconstruction
https://www.readbyqxmd.com/read/28207807/how-much-is-a-child-worth-providers-and-patients-views-and-responses-concerning-ethical-and-policy-challenges-in-paying-for-art
#12
Robert Klitzman
Infertility treatments remain expensive and in many countries are covered by little, if any, insurance, raising critical questions concerning how patients and providers view and make decisions regarding these challenges. In-depth semi-structured interviews of approximately 1 hour were conducted with 37 IVF providers and 10 patients (17 physicians, 10 other providers and 10 patients), and were systematically analyzed. These data suggest current insurance policies and legislation pose critical ethical and logistical challenges for both patients and providers...
2017: PloS One
https://www.readbyqxmd.com/read/28207333/handgun-legislation-and-changes-in-statewide-overall-suicide-rates
#13
Michael D Anestis, Joye C Anestis, Sarah E Butterworth
OBJECTIVES: To examine the extent to which 4 laws regulating handgun ownership were associated with statewide suicide rate changes. METHODS: To test between-group differences in statewide suicide rate changes between 2013 and 2014 in all 50 states and the District of Columbia with and without specific laws, we ran analyses of covariance. RESULTS: We found significant differences in suicide rate changes from 2013 to 2014 in states with mandatory waiting periods and universal background checks relative to states without such laws...
February 16, 2017: American Journal of Public Health
https://www.readbyqxmd.com/read/28202929/prohibition-of-e-cigarettes-in-the-us-are-prohibitions-where-alcohol-is-consumed-related-to-lower-alcohol-consumption
#14
Alexandra R Hershberger, Kenny A Karyadi, Melissa A Cyders
Recently, research has suggested negative consequences related to electronic cigarette (e-cig) use, including the increased risk for alcohol use and abuse. Previous work found that cigarette smoking ban legislation lowered overall smoking and alcohol use rates; however, researchers have not yet examined the potential effects of prohibiting e-cig use. The present study surveyed 617 individuals from a community-based online sample in the US (mean age = 33.33, SD = 10.50, 54.7 per cent female) who reported their smoking/e-cig use status, alcohol consumption, and the presence of e-cig prohibitions where they consume alcohol...
December 2016: Journal of Public Health Policy
https://www.readbyqxmd.com/read/28199873/assessing-the-agricultural-reuse-of-the-digestate-from-microalgae-anaerobic-digestion-and-co-digestion-with-sewage-sludge
#15
Maria Solé-Bundó, Mirko Cucina, Montserrat Folch, Josefina Tàpias, Giovanni Gigliotti, Marianna Garfí, Ivet Ferrer
Microalgae anaerobic digestion produces biogas along with a digestate that may be reused in agriculture. However, the properties of this digestate for agricultural reuse have yet to be determined. The aim of this study was to characterise digestates from different microalgae anaerobic digestion processes (i.e. digestion of untreated microalgae, thermally pretreated microalgae and thermally pretreated microalgae in co-digestion with primary sludge). The main parameters evaluated were organic matter, macronutrients and heavy metals content, hygenisation, potential phytotoxicity and organic matter stabilisation...
February 12, 2017: Science of the Total Environment
https://www.readbyqxmd.com/read/28198942/normative-analysis-of-the-voice-of-children-in-brazilian-child-protection-legislation
#16
Renata de Moura Bubadué, Ivone Evangelista Cabral, Franco Carnevale, Felipe Dutra Asensi
Objective: to identify and analyse children's voices in healthcare decision making in the discourse of Brazil's child protection laws. Method: Documentary normative analysis of Brazil's child protection legislation (1988-2012) based on the content analysis of nine texts, conducted in 2015. Results: The legislation acknowledges and stresses the voice of children in the decision-making process in research and healthcare. Any recognition of the right to dignity, liberty, information, and protection depends on what the adult decision-maker (with parental authority) believes is the child's capacity for discernment and whether the situation will cause self-harm...
February 9, 2017: Revista Gaúcha de Enfermagem
https://www.readbyqxmd.com/read/28198535/new-simple-and-low-cost-methods-for-periodic-checks-of-cyclone%C3%A2-plus-storage-phosphor-system
#17
Elisabetta Edalucci, Anna Margherita Maffione, Maria Rosa Fornasier, Mario De Denaro, Giovanni Scian, Franca Dore, Domenico Rubello
The recent large use of the Cyclone® Plus Storage Phosphor System, especially in European countries, as imaging system for quantification of radiochemical purity of radiopharmaceuticals raised the problem of setting the periodic controls as required by European Legislation. We described simple, low-cost methods for Cyclone® Plus quality controls, which can be useful to evaluate the performance measurement of this imaging system.
2017: Nuclear Medicine Review. Central & Eastern Europe
https://www.readbyqxmd.com/read/28197662/-trends-in-medical-rehabilitation-supply-structure-and-target-groups
#18
Rolf Buschmann-Steinhage
Medical rehabilitation in Germany has been changing continuously since its inception following the Bismarck Legislation. This article describes its development in past years and discusses quantitative and qualitative changes. Central quantitative changes are discussed using the examples of rehabilitation utilisation, spectrum of diseases, setting and follow-up rehabilitation. Important qualitative changes in medical rehabilitation pertain to multiple morbidities, the emphasis on work-related problems in rehabilitative concepts and their implementation, more flexible forms of rehabilitation, prevention, rehabilitation for people from other countries, mobile rehabilitation and rehabilitation after-care (also with new media)...
February 14, 2017: Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz
https://www.readbyqxmd.com/read/28196340/effects-of-a-ladle-furnace-slag-added-to-soil-on-morpho-physiological-and-biochemical-parameters-of-amaranthus-paniculatus-l-plants
#19
Fabrizio Pietrini, Valentina Iori, Teresa Beone, Daphne Mirabile, Massimo Zacchini
Industrial slag from steelwork activities is considered a by-product by the EU legislation and it can be used for civil construction. In this work, an experiment in a greenhouse was conducted over a 6-week period to investigate the effect of soil enrichment with ladle furnace slag on morpho-physiological parameters of Amaranthus paniculatus L. plants. Results showed that the addition of 5% (w/w) slag to soil did not alter the plant growth, highlighting a high tolerance to this slag concentration. Contrarily, plants cultivated in a soil with 10% (w/w) slag showed a marked reduction both in growth and biometric parameters...
January 28, 2017: Journal of Hazardous Materials
https://www.readbyqxmd.com/read/28194686/implementing-a-prison-medicaid-enrollment-program-for-inmates-with-a-community-inpatient-hospitalization
#20
David L Rosen, Catherine A Grodensky, Anna R Miller, Carol E Golin, Marisa E Domino, Wizdom Powell, David A Wohl
In 2011, North Carolina (NC) created a program to facilitate Medicaid enrollment for state prisoners experiencing community inpatient hospitalization during their incarceration. The program, which has been described as a model for prison systems nationwide, has saved the NC prison system approximately $10 million annually in hospitalization costs and has potential to increase prisoners' access to Medicaid benefits as they return to their communities. This study aims to describe the history of NC's Prison-Based Medicaid Enrollment Assistance Program (PBMEAP), its structure and processes, and program personnel's perspectives on the challenges and facilitators of program implementation...
February 13, 2017: Journal of Urban Health: Bulletin of the New York Academy of Medicine
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