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https://www.readbyqxmd.com/read/29132423/effect-of-having-private-health-insurance-on-the-use-of-health-care-services-the-case-of-spain
#1
David Cantarero-Prieto, Marta Pascual-Sáez, Noelia Gonzalez-Prieto
BACKGROUND: Several stakeholders have undertaken initiatives to propose solutions towards a more sustainable health system and Spain, as an example of a European country affected by austerity measures, is looking for ways to cut healthcare budgets. METHODS: The aim of this paper is to study the effect of private health insurance on health care utilization using the latest micro-data from the European Community Household Panel (ECHP), the Spanish National Health Survey (SNHS) and the European Union Statistics on Income and Living Conditions (EU-SILC)...
November 13, 2017: BMC Health Services Research
https://www.readbyqxmd.com/read/29129963/-if-i-was-a-different-ethnicity-would-she-treat-me-the-same-latino-parents-experiences-obtaining-autism-services
#2
Amber M Angell, Olga Solomon
This article reports on an ethnographic study with 12 Latino families of children on the autism spectrum related to obtaining autism services in Los Angeles County. Using critical discourse analysis of interviews, observations, and records, we consider the experiences of the Latino families in relation to: 1) A discursively constructed 'autism parent' subject position that mandates 'fighting' service systems to 'win' autism services for children, originating from White middle-class parents' socio-economic resources and social capital; 2) A neoliberal social services climate that assumes scarcity of available resources and prioritizes austerity in their authorization; and 3) A media and institutional 'cultural deficit' discourse that attributes disparities in autism services for Latino children to their parents' presumed culturally-based 'passivity...
2017: Disability & Society
https://www.readbyqxmd.com/read/29115771/an-advanced-nurse-practitioner-service-for-neonates-children-and-young-people
#3
Robin Hyde
The NHS continues to face unprecedented demands and reform which necessitates a move away from traditional modes of delivery. Over the past ten years economic austerity, changes to legislation and professional career developments have led to healthcare service redesign and innovations in nursing roles, including the development of the advanced nurse practitioner (ANP) role. This article explores how one organisation created an ANP service for out-of-hours neonatal and paediatric care in a district general hospital setting...
October 10, 2017: Nursing Children and Young People
https://www.readbyqxmd.com/read/29091504/chronic-oedema-on-the-ground-education-programme
#4
Tessa Watts, Ruth Davies
The impact of chronic oedema on community nurses' work, the NHS and those directly affected by the condition is immense. As chronic oedema prevalence is projected to rise and financial austerity continues, innovative, sustainable solutions that ensure positive outcomes for patients must be found. This paper reports findings from a focus group (n=3) investigation of the effects of an innovative workplace education intervention designed to enhance community nurses' knowledge for practice in chronic oedema prevention and management in Wales...
November 2, 2017: British Journal of Community Nursing
https://www.readbyqxmd.com/read/29083270/-leisurely-dining-exploring-how-work-organization-informal-care-and-dining-spaces-shape-residents-experiences-of-eating-in-long-term-residential-care
#5
Ruth Lowndes, Tamara Daly, Pat Armstrong
Mealtimes are among the busiest times in nursing homes. Austerity measures resulting in insufficient staff with heavy workloads limit the amount of time available to assist residents with eating. Within a feminist political economy framework, rapid team-based ethnography was used for an international study involving six countries exploring promising practices and also for a study conducted in one Canadian province in which interrelationships between formal and informal care were investigated. Data collection methods included interviews and observations...
October 1, 2017: Qualitative Health Research
https://www.readbyqxmd.com/read/29079661/development-of-a-portable-blood-salvage-and-autotransfusion-technology-to-enhance-survivability-of-personnel-requiring-major-medical-interventions-in-austere-or-military-environments
#6
Terence Gourlay, C Simpson, C A Robertson
INTRODUCTION: Uncontrolled haemorrhage is the leading cause of death on the battlefield, and two-thirds of these deaths result from non-compressible haemorrhage. Blood salvage and autotransfusion represent an alternative to conventional blood transfusion techniques for austere environments, potentially providing blood to the casualty at point of injury. The aim of this paper is to describe the design, development and initial proof-of-concept testing of a portable blood salvage and autotransfusion technology to enhance survivability of personnel requiring major medical interventions in austere or military environments...
October 26, 2017: Journal of the Royal Army Medical Corps
https://www.readbyqxmd.com/read/29072190/employment-insecurity-mental-health-and-suicide
#7
K N Fountoulakis
With the economic crisis an increase in suicidality has been reported across Europe but especially in Greece. Τhese reports hit the mass media headlines and were also included in the debate among political parties. The literature suggests that during periods of deep economic crisis, there is an increase specifically in suicides but causality remains unclear. The prevailing picture both in the scientific literature and in the mass media is that the economic crisis acts as a more or less generic risk factor on the entire population putting at risk literally anybody...
July 2017: Psychiatrikē, Psychiatriki
https://www.readbyqxmd.com/read/29070050/potential-barriers-in-healthcare-access-of-the-elderly-population-influenced-by-the-economic-crisis-and-the-troika-agreement-a-qualitative-case-study-in-lisbon-portugal
#8
Julia Doetsch, Eva Pilot, Paula Santana, Thomas Krafft
BACKGROUND: The recent economic and financial crisis in Portugal urged the Portuguese Government in April 2011 to request financial assistance from the troika austerity bail out program to get aid for its government debt. The troika agreement included health reforms and austerity measures of the National Health Service (NHS) in Portugal to save non-essential health care costs. This research aimed to identify potential barriers among the elderly population (aged 65 and above) to healthcare access influenced by the economic crisis and the troika agreement focussing on the Memorandum of Understanding on Specific Economic Policy Conditionality (MoU) in Lisbon metropolitan area, Portugal...
October 25, 2017: International Journal for Equity in Health
https://www.readbyqxmd.com/read/29055266/geographical-inequalities-in-health-in-a-time-of-austerity-baseline-findings-from-the-stockton-on-tees-cohort-study
#9
R Bhandari, A Kasim, J Warren, N Akhter, C Bambra
Stockton-on-Tees has the highest geographical inequalities in health in England with the life expectancy at birth gap between the most and deprived neighbourhoods standing at over 17 years for men and 11 years for women. In this study, we provide the first detailed empirical examination of this geographical health divide by: estimating the gap in physical and general health (as measured by EQ. 5D, EQ. 5D-VAS and SF8PCS) between the most and least deprived areas; using a novel statistical technique to examining the causal role of compositional and contextual factors and their interaction; and doing so in a time of economic recession and austerity...
October 18, 2017: Health & Place
https://www.readbyqxmd.com/read/29053565/a-synthetic-analogue-of-neopeltolide-8-9-dehydroneopeltolide-is-a-potent-anti-austerity-agent-against-starved-tumor-cells
#10
Haruhiko Fuwa, Mizuho Sato
Neopeltolide, an antiproliferative marine macrolide, is known to specifically inhibit complex III of the mitochondrial electron transport chain (mETC). However, details of the biological mode-of-action(s) remain largely unknown. This work demonstrates potent cytotoxic activity of synthetic neopeltolide analogue, 8,9-dehydroneopeltolide (8,9-DNP), against starved human pancreatic adenocarcinoma PANC-1 cells and human non-small cell lung adenocarcinoma A549 cells. 8,9-DNP induced rapid dissipation of the mitochondrial membrane potential and depletion of intracellular ATP level in nutrient-deprived medium...
October 20, 2017: Marine Drugs
https://www.readbyqxmd.com/read/29043091/hope-help-for-people-with-money-employment-benefit-or-housing-problems-study-protocol-for-a-randomised-controlled-trial
#11
M C Barnes, A M Haase, A M Bard, J L Donovan, R Davies, S Dursley, J Potokar, N Kapur, K Hawton, R C O'Connor, W Hollingworth, C Metcalfe, D Gunnell
BACKGROUND: Self-harm and suicide increase in times of economic recession. Factors including job loss, austerity measures, financial difficulties and house repossession contribute to the risk. Vulnerable individuals commonly experience difficulties in navigating the benefits system and in accessing the available sources of welfare and debt advice, and this contributes to their distress. Our aim is to determine the feasibility and acceptability of a brief psychosocial intervention (the "HOPE" service) for people presenting to hospital emergency departments (ED) following self-harm or in acute distress because of financial, employment, or welfare (benefit) difficulties...
2017: Pilot and Feasibility Studies
https://www.readbyqxmd.com/read/29036716/reconsidering-set-the-people-free-neoliberalism-and-freedom-rhetoric-in-churchill-s-conservative-party
#12
James Freeman
It is often assumed that 'Hayekian' or 'neoliberal' influences lay behind Conservative attacks on socialism in 1945 and subsequent calls to 'set the people free' in 1950 and 1951. This assumption has had consequences for our understanding of late-1940s Conservatism and for wider interpretations of post-war politics. Heeding recent calls to reconnect the inter-war and post-war parties and to pay closer attention to how opponents and contexts generate arguments, this article revisits senior Conservatives' rhetoric between 1945 and 1951 to break the link between neoliberal influence and freedom rhetoric...
September 18, 2017: 20 Century British History
https://www.readbyqxmd.com/read/29028245/austerity-and-health-the-impact-in-the-uk-and-europe
#13
David Stuckler, Aaron Reeves, Rachel Loopstra, Marina Karanikolos, Martin McKee
Austerity measures-reducing social spending and increasing taxation-hurts deprived groups the most. Less is known about the impact on health. In this short review, we evaluate the evidence of austerity's impact on health, through two main mechanisms: a 'social risk effect' of increasing unemployment, poverty, homelessness and other socio-economic risk factors (indirect), and a 'healthcare effect' through cuts to healthcare services, as well as reductions in health coverage and restricting access to care (direct)...
October 1, 2017: European Journal of Public Health
https://www.readbyqxmd.com/read/29018173/a-pilot-study-of-surgical-telementoring-for-leg-fasciotomy
#14
Max Talbot, E J Harvey, G K Berry, R Reindl, H Tien, D J Stinner, G Slobogean
INTRODUCTION: Acute extremity compartment syndrome requires rapid decompression. In remote locations, distance, weather and logistics may delay the evacuation of patients with extremity trauma beyond the desired timeline for compartment release. The aim of this study was to establish the feasibility of performing telementored surgery for leg compartment release and to identify methodological issues relevant for future research. METHODS: Three anaethetists and one critical care physician were recruited as operators...
October 10, 2017: Journal of the Royal Army Medical Corps
https://www.readbyqxmd.com/read/28989200/man-thou-art-dust-rites-of-passage-in-austere-times
#15
Deirdre M O'Loughlin, Isabelle Szmigin, Morven G McEachern, Belem Barbosa, Kalipso Karantinou, María Eugenia Fernández-Moya
In response to recent calls for further cross-disciplinary research on austerity and a deeper sociological understanding of the impact and aftermath of the economic crisis on individuals and societies, this article builds on extant austerity literature through an exploration of its effects on European men. Informed by theories of liminality and rites of passage, this qualitative investigation examines the experience of austerity from the perspective of 11 men through the three liminal stages of separation, transition and reaggregation and investigates its impact on their identity, responsibilities and expectations...
October 2017: Sociology
https://www.readbyqxmd.com/read/28982709/the-british-services-dhaulagiri-medical-research-expedition-2016-a-unique-military-and-civilian-research-collaboration
#16
Adrian Mellor, J Bakker-Dyos, M Howard, C Boos, M Cooke, E Vincent, P Scott, J O'Hara, S B Clarke, M Barlow, J Matu, K Deighton, N Hill, C Newman, R Cruttenden, D Holdsworth, D Woods
INTRODUCTION: High-altitude environments lead to a significant physiological challenge and disease processes which can be life threatening; operational effectiveness at high altitude can be severely compromised. The UK military research is investigating ways of mitigating the physiological effects of high altitude. METHODS: The British Service Dhaulagiri Research Expedition took place from March to May 2016, and the military personnel were invited to consent to a variety of study protocols investigating adaptation to high altitudes and diagnosis of high-altitude illness...
October 5, 2017: Journal of the Royal Army Medical Corps
https://www.readbyqxmd.com/read/28977634/using-local-authority-entrance-charges-to-tackle-inequalities-in-physical-activity-a-qualitative-study-of-leisure-and-public-health-perspectives
#17
E Halliday, B Barr, J Higgerson, V Holt, A Ortiz-Nunez, F Ward
Background: Reducing or eliminating entrance charges for the public use of leisure facilities is one potential tool that local authorities (LA) have to reduce inequalities in physical activity (PA). Facility charges are likely to be a greater barrier to access for those who have lower incomes. Methods: Semi-structured 1-to-1 and group interviews were conducted with 33 leisure and public health professionals in seven LAs in north-west England. We investigated how approaches to pricing varied in these settings and rationales influencing decision making...
September 11, 2017: Journal of Public Health
https://www.readbyqxmd.com/read/28977282/economic-crisis-and-inequalities-in-health-systems-in-the-countries-of-southern-europe
#18
Mauro Serapioni
The current article addresses the issue of health system inequalities in the countries of Southern Europe, specifically Spain, Greece, Italy, and Portugal. The study resulted from a non-systematic literature review, based on the scoping review proposal. We begin by presenting a brief contextualization of the social welfare state systems in these European countries, highlighting the principal specificities and differences in relation to other European welfare state systems. Next, we describe the health systems in the four countries, emphasizing the respective reform processes and the main health inequalities that have characterized them before and during the economic crisis...
September 28, 2017: Cadernos de Saúde Pública
https://www.readbyqxmd.com/read/28970194/could-the-rise-in-mortality-rates-since-2015-be-explained-by-changes-in-the-number-of-delayed-discharges-of-nhs-patients
#19
Mark A Green, Danny Dorling, Jonathan Minton, Kate E Pickett
BACKGROUND: 2015 saw the largest annual spike of mortality rates in England in almost 50 years. We examine whether these changes in mortality rates are associated with an indicator of poor functioning of health and social care: delay in hospital discharges. METHODS: Office for National Statistics monthly data of death counts and mortality rates for the period August 2010-March 2016 were compared with delays in discharges from National Health Service (NHS) England data on transfers of care for acute and non-acute patients in England...
October 2, 2017: Journal of Epidemiology and Community Health
https://www.readbyqxmd.com/read/28968286/2017-military-supplement-hemoglobin-based-oxygen-carriers-current-state-of-the-art-and-novel-molecules
#20
Anirban Sen Gupta
In blood, the primary role of RBCs is to transport oxygen via highly regulated mechanisms involving hemoglobin (Hb). Hb is a tetrameric porphyrin protein comprising of two α- and two β-polypeptide chains, each containing an iron-containing heme group capable of binding one oxygen molecule. In military as well as civilian traumatic exsanguinating hemorrhage, rapid loss of RBCs can lead to sub-optimal tissue oxygenation and subsequent morbidity and mortality. In such cases, transfusion of whole blood or RBCs can significantly improve survival...
September 29, 2017: Shock
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