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https://www.readbyqxmd.com/read/28550729/bioaccessibility-and-size-distribution-of-metals-in-road-dust-and-roadside-soils-along-a-peri-urban-transect
#1
Elio Padoan, Chiara Romè, Franco Ajmone-Marsan
Road dust (RD), together with surface soils, is recognized as one of the main sinks of pollutants in urban environments. Over the last years, many studies have focused on total and bioaccessible concentrations while few have assessed the bioaccessibility of size-fractionated elements in RD. Therefore, the distribution and bioaccessibility of Fe, Mn, Cd, Cr, Cu, Ni, Pb, Sb and Zn in size fractions of RD and roadside soils (<2.5μm, 2.5-10μm and 10-200μm) have been studied using aqua regia extraction and the Simple Bioaccessibility Extraction Test...
May 24, 2017: Science of the Total Environment
https://www.readbyqxmd.com/read/28550702/listening-to-improve-transforming-patient-relations-measurement-and-reporting-in-ontario
#2
Patricia Sullivan-Taylor, Rachel Frohlich, Anita Singh, Anna Greenberg
Effective patient relations are important to improve patient experience and deliver better care. Policy and legislative changes in Ontario have increased accountabilities for patient relations and expanded Health Quality Ontario (HQO)'s mandate. In response, HQO collaborated with patients, health sector organizations, associations and the Ministry of Health and Long-Term Care to co-design a patient relations measurement and reporting approach. Informed by an environmental scan, broad consultations, a multi-sector survey and a provincial advisory group, the approach includes standardized patient relations indicators to support measurement and public reporting across the hospital, home and long-term care sectors...
2017: Healthcare Quarterly
https://www.readbyqxmd.com/read/28549750/shared-decision-making-in-brazil-concrete-efforts-to-empowering-patient-s-voice
#3
Mirhelen Mendes de Abreu, Joao Pedro Simao de Mello, Lilah Ferreira F Ribeiro, Luiza Andrade Mussi, Mariana Luiza L Borges, Maurício Petroli, Nycholas da Costa Tavares, Rafael da Cunha Cancela, Sabrina Fausto de Lima
Patient involvement in healthcare decisions has grown in Brazil at three different levels: 1) the macro level, which includes the patient actively influencing legislation and regulation of medical care as well as political changes in the process of care itself; 2) the meso level, which includes institutions that aim to improve information, empowerment and counseling to patients, and 3) the micro level, which focuses on the actual decision-making process that takes place within patient-physician encounter. In Brazil, the macro and meso levels are stronger than the micro one...
May 23, 2017: Zeitschrift Für Evidenz, Fortbildung und Qualität Im Gesundheitswesen
https://www.readbyqxmd.com/read/28549749/shared-decision-making-in-iran-current-and-future-trends
#4
Samira Abbasgholizadeh Rahimi, Mahasti Alizadeh, France Légaré
This paper describes the current situation of shared decision making (SDM) in the Iranian healthcare system, discusses barriers to implementation and gives future directions. What about policy regarding SDM? Although the Ministry of Health and Medical Education has enacted some legislation on informed consent and patients' rights, there is no policy specifically regarding SDM in Iran. What about decision support tools for patients? Although some Iranian researchers and clinicians have highlighted patients' desire to be informed and involved in decisions related to their health, there is no program to develop or evaluate decision support tools such as patient decision aids in Iran...
May 23, 2017: Zeitschrift Für Evidenz, Fortbildung und Qualität Im Gesundheitswesen
https://www.readbyqxmd.com/read/28549399/a-systematic-review-investigating-psychosocial-aspects-of-egg-sharing-in-the-united-kingdom-and-their-potential-effects-on-egg-donation-numbers
#5
Timothy Bracewell-Milnes, Srdjan Saso, Hossam Abdalla, Meen-Yau Thum
This review aims to provide an up-to-date knowledge of the psychosocial aspects of egg donation from the perspectives of the egg share donor and their recipient. It explores the motives, experiences and attitudes of egg sharers and their views towards donor anonymity and disclosure. Conclusions are made on how these findings can guide clinical practice and improve egg sharing numbers. A systematic search of peer-reviewed journals of four computerized databases was undertaken. Eleven studies were included in the review...
May 26, 2017: Human Fertility: Journal of the British Fertility Society
https://www.readbyqxmd.com/read/28549272/acute-toxicity-of-emerging-atmospheric-pollutants-from-wood-lignin-due-to-biomass-burning
#6
Maryline Pflieger, Ana Kroflič
Guaiacol (2-methoxyphenol) is an important atmospheric pollutant. It is the major component of wood lignin and is essentially emitted to the atmosphere during biomass burning. Its aging in the tropospheric aqueous phase leads to the generation of the following ring-retaining transformation products, also during nighttime: 4-nitroguaiacol, 6-nitroguaiacol, and dinitroguaiacol. This study presents the first toxicological data of guaiacol and its nitro derivatives and reveals their harmful potential for the ecosystem...
May 15, 2017: Journal of Hazardous Materials
https://www.readbyqxmd.com/read/28548694/towards-a-proportionality-assessment-of-risk-reduction-measures-aimed-at-restricting-the-use-of-persistent-and-bioaccumulative-substances
#7
Frans Oosterhuis, Roy Brouwer, Martien Janssen, Julia Verhoeven, Cees Luttikhuizen
International chemicals legislation aims at adequately controlling persistent organic pollutants (POPs) and substances of very high concern (SVHCs), such as persistent, bioaccumulative and toxic (PBT) and very persistent and very bioaccumative (vPvB) substances, with a view to progressively substitute these substances with suitable less hazardous alternatives. Using cost-effectiveness analysis to assess the (dis)proportionality of measures to control such substances (collectively called PBT in this paper) requires benchmarks...
May 26, 2017: Integrated Environmental Assessment and Management
https://www.readbyqxmd.com/read/28547375/the-effects-of-ozone-on-human-health
#8
Daniela Nuvolone, Davide Petri, Fabio Voller
Ozone is a highly reactive, oxidative gas associated with adverse health outcome, including mortality and morbidity. Data from monitoring sites worldwide show levels of ozone often exceeding EU legislation threshold and the more restrictive WHO guidelines for the protection of human health. Well-established evidence has been produced for short-term effects, especially on respiratory and cardiovascular systems, associated to ozone exposure. Less conclusive is the evidence for long-term effects, reporting suggestive associations with respiratory mortality, new-onset asthma in children and increased respiratory symptom effects in asthmatics...
May 25, 2017: Environmental Science and Pollution Research International
https://www.readbyqxmd.com/read/28547369/air-protection-programmes-in-poland-in-the-context-of-the-low-emission
#9
Janusz Adamczyk, Arkadiusz Piwowar, Maciej Dzikuć
The protection of the air against pollutants from individual boiler plants is a big challenge in Poland. It results mainly from the preference for coal, the national energy carrier, the use of old low-efficiency boilers and the location of Poland in a temperate climate where the heating period lasts at least 5 months. This article presents a wide range of activities aimed at the reduction of the environmental impact of the emissions of pollutants from individual heat sources-the so-called low emission. The article presents the extent of the national legislation resulting from the European Union regulations...
May 25, 2017: Environmental Science and Pollution Research International
https://www.readbyqxmd.com/read/28546591/the-healthcare-system-and-the-provision-of-oral-healthcare-in-european-union-member-states-part-8-italy
#10
M Bindi, C Paganelli, K A Eaton, E Widström
In Italy healthcare is provided for all Italian citizens and residents and it is delivered mainly by public providers, with some private or private-public entities. Italy's public healthcare system - the Servizio Sanitario Nazionale (SSN) - is organised by the Ministry of Health and administered on a devolved regional basis. It is financed by general taxation that provides universal coverage, largely free of charge at the point of service. The central government establishes the basic national health benefits package, which must be uniformly provided throughout the country, through services guaranteed under the NHS provision called LEA - (Livelli Essenziali di Assistenza [Essential Level of Assistance]) and allocates national funds to the regions...
May 26, 2017: British Dental Journal
https://www.readbyqxmd.com/read/28546054/moving-towards-shared-decision-making-in-the-physician-patient-encounter-in-france-state-of-the-art-and-future-prospects
#11
Nora Moumjid, Julien Carretier, Giovanna Marsico, François Blot, Christine Durif-Bruckert, Franck Chauvin
In this paper we present the evolution of shared decision-making since the mid-nineties in terms of legislation, official statements and guidelines. We outline the goals and declarations of the French Ministry of Health and the French National Authority for Health, for whom informing patients and shared decision-making are central concerns. Finally, we discuss research projects and clinical initiatives in shared decision-making in France and provide a general overview of progress and barriers to progress.
May 22, 2017: Zeitschrift Für Evidenz, Fortbildung und Qualität Im Gesundheitswesen
https://www.readbyqxmd.com/read/28545614/-hera-quest-hta-evaluation-of-generic-pharmaceutical-products-to-improve-quality-economic-efficiency-patient-safety-and-transparency-in-drug-product-changes-in-hospitals
#12
Miriam Gyalrong-Steur, Anita Kellermann, Rudolf Bernard, Georg Berndt, Meike Bindemann, Elfriede Nusser-Rothermundt, Steffen Amann, Myga Brakebusch, Jörg Brüggmann, Eva Tydecks, Markus Müller, Frank Dörje, Eberhard Kochs, Rainer Riedel
In view of the rising cost pressure and an increasing number of drug shortages, switches between generic drug preparations have become a daily routine in hospitals. To ensure consistently high treatment quality and best possible patient safety, the equivalence of the new and the previous drug preparation must be ensured before any change in the purchase of pharmaceutical products takes place. So far, no easily usable, transparent and standardized instrument for this kind of comparison between generic drug products has been available...
April 2017: Zeitschrift Für Evidenz, Fortbildung und Qualität Im Gesundheitswesen
https://www.readbyqxmd.com/read/28545215/fertilizer-performance-of-liquid-fraction-of-digestate-as-synthetic-nitrogen-substitute-in-silage-maize-cultivation-for-three-consecutive-years
#13
I Sigurnjak, C Vaneeckhaute, E Michels, B Ryckaert, G Ghekiere, F M G Tack, E Meers
Following changes over recent years in fertilizer legislative framework throughout Europe, phosphorus (P) is taking over the role of being the limiting factor in fertilizer application rate of animal manure. This results in less placement area for spreading animal manure. As a consequence, more expensive and energy demanding synthetic fertilizers are required to meet crop nutrient requirements despite existing manure surpluses. Anaerobic digestion followed by mechanical separation of raw digestate, results in liquid fraction (LF) of digestate, a product poor in P but rich in nitrogen (N) and potassium (K)...
May 21, 2017: Science of the Total Environment
https://www.readbyqxmd.com/read/28545159/the-value-transformation-of-health-care-impact-on-neuromuscular-and-electrodiagnostic-medicine
#14
Pushpa Narayanaswami, Millie Suk, Lyell K Jones
INTRODUCTION: Beginning in 2017, most physicians who participate in Medicare are subject to the Medicare Access and CHIP Reauthorization Act (MACRA), the milestone legislation that signals the US health care system's transition from volume-based to value-based care. METHODS: Review of emerging trends in development of value-based healthcare systems in the US. RESULTS: MACRA and the resulting Quality Payment Program (QPP) create two participation pathways, the Merit-based Incentive Payment System (MIPS) and the Advanced Alternative Payment Model (AAPM) pathway...
May 25, 2017: Muscle & Nerve
https://www.readbyqxmd.com/read/28544816/analytical-characterization-of-three-cathinone-derivatives-4-mpd-4%C3%A2-f-php-and-bk-epdp-purchased-as-bulk-powder-from-online-vendors
#15
Orapan Apirakkan, Anca Frinculescu, Trevor Shine, Mark C Parkin, Agostino Cilibrizzi, Nunzianda Frascione, Vincenzo Abbate
Novel emerging drugs of abuse, also referred as new psychoactive substances (NPS), constitute an ever-changing mixture of chemical compounds designed to circumvent legislative controls by means of chemical modifications of previously banned recreational drugs. One of such class, synthetic cathinones, namely β-keto derivatives of amphetamines, has been largely abused over the past decade. A number of new synthetic cathinones are detected each year, either in bulk powders/crystals or in biological matrices. It is therefore important to continuously monitor the supply of new synthetic derivatives and promptly report them...
May 23, 2017: Drug Testing and Analysis
https://www.readbyqxmd.com/read/28544284/the-national-healthcare-system-claims-databases-in-france-sniiram-and-egb-powerful-tools-for-pharmacoepidemiology
#16
Julien Bezin, Mai Duong, Régis Lassalle, Cécile Droz, Antoine Pariente, Patrick Blin, Nicholas Moore
The French health care system is based on universal coverage by one of several health care insurance plans. The SNIIRAM database merges anonymous information of reimbursed claims from all these plans, linked to the national hospital-discharge summaries database system (PMSI) and the national death registry. It now covers 98.8% of the French population, over 66 million persons, from birth (or immigration) to death (or emigration), making it possibly the world's largest continuous homogeneous claims database...
May 24, 2017: Pharmacoepidemiology and Drug Safety
https://www.readbyqxmd.com/read/28544053/sickness-sin-and-discrimination-some-contemporary-challenges-for-uk-mental-health-nursing-practice-with-lesbian-gay-and-bisexual-lgb-people-and-communities
#17
Sarah Carr, Alfonso Pezzella
Curing 'homosexuality' or same-sex attraction has been a recurrent trope in Western psychiatry and mental health services for over a century. Despite the progress made in the UK with equality legislation, improvements in general social attitudes and the slowly increasing confidence of lesbian, gay and bisexual (LGB) individuals and communities (Carr, 2005), it appears to pose challenges for practice in the UK even today. This was recently highlighted in 2014 when the Department of Health requested the publication of a consensus statement from major UK mental health professional bodies outlining concern about and opposition to 'conversion' or 'reparative' therapy being offered to LGB people by practitioners (often working within a religious frame of reference) claiming to be able to 'cure' same-sex attraction (UK Council for Psychotherapy, 2014)...
May 25, 2017: Journal of Psychiatric and Mental Health Nursing
https://www.readbyqxmd.com/read/28543658/the-virtues-of-national-ethics-committees
#18
Jonathan Montgomery
The United Kingdom has many bodies that play their part in carrying out the work of national ethics committees, but its nearest equivalent of a U.S. presidential bioethics commission is the Nuffield Council on Bioethics, established in 1991. The Council is charged with examining ethical questions raised by developments in biological and medical research, publishing reports, and making representations to appropriate bodies in order to respond to or anticipate public concern. It is a nongovernment organization with no defined or guaranteed channels of influence...
May 2017: Hastings Center Report
https://www.readbyqxmd.com/read/28542323/short-term-impacts-and-value-of-a-periodic-no-take-zone-ntz-in-a-community-managed-small-scale-lobster-fishery-madagascar
#19
Stephen Long
The small-scale lobster fisheries of Madagascar's impoverished southeast coast account for the majority of national catch and export, making a significant contribution to the regional economy. Data suggests catches have declined, likely due to over-exploitation. In response, the community of Sainte Luce has established a locally managed marine area (LMMA) to manage their lobster fishery, including a 13 km2 periodic no take zone (NTZ). Participatory monitoring data were used to assess compliance, identify changes in catch per unit effort (CPUE) associated with the NTZ and consider the short-term value of the NTZ...
2017: PloS One
https://www.readbyqxmd.com/read/28541710/planned-parenthood-is-health-care-and-health-care-must-defend-it-a-call-to-action
#20
Diana Silver, Farzana Kapadia
Emboldened by the hostile rhetoric of the current presidential administration, federal and state legislators are intent on enacting legislation further curtailing, if not eliminating, Title X funding and Medicaid reimbursement to sexual and reproductive health care services providers-which are predominantly Planned Parenthood health centers. Defunding Planned Parenthood health centers would result in the loss of reproductive health and primary health care services that cannot be immediately replaced by community health clinics (CHCs) or other providers in underresourced counties...
May 25, 2017: American Journal of Public Health
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