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https://www.readbyqxmd.com/read/29771249/-new-italian-law-about-end-of-life-self-determination-and-shared-care-pathway
#1
Rosagemma Ciliberti, Matteo Gulino, Ilaria Gorini
The Italian Parliament has recently approved the Law n. 219/2017 concerning "Rules on informed consent and advance directives". The manuscript points out the main key points of the new law, in order to clarify the role of the advance directives and to provide clear operational guidelines for healthcare personnel. Taking into consideration the Italian deontological and juridical context, along with the main jurisprudential judgements, the law has been analysed. The Authors discussed the new rules and the bioethical issues also in relation to the provisions stated by the Convention on Human Rights and Biomedicine (Convention of Oviedo)...
May 2018: Recenti Progressi in Medicina
https://www.readbyqxmd.com/read/29750096/three-dimensional-reliability-analyses-of-currently-used-methods-for-assessment-of-sagittal-jaw-discrepancy
#2
Bushra-Sufyan Almaqrami, Maged-Sultan Alhammadi, BaoChang Cao
Background: The objective of this study was to analyse three dimensionally the reliability and correlation of angular and linear measurements in assessment of anteroposterior skeletal discrepancy. Material and Methods: In this retrospective cross sectional study, a sample of 213 subjects were three-dimensionally analysed from cone-beam computed tomography scans. The sample was divided according to three dimensional measurement of anteroposterior relation (ANB angle) into three groups (skeletal Class I, Class II and Class III)...
April 2018: Journal of Clinical and Experimental Dentistry
https://www.readbyqxmd.com/read/29728126/validity-and-reliability-of-the-utrecht-work-engagement-scale-student-version-in-sri-lanka
#3
Nuwan Darshana Wickramasinghe, Devani Sakunthala Dissanayake, Gihan Sajiwa Abeywardena
OBJECTIVE: The present study was aimed at assessing the validity and the reliability of the Sinhala version of the Utrecht Work Engagement Scale-Student Version (UWES-S) among collegiate cycle students in Sri Lanka. RESULTS: The 17-item UWES-S was translated to Sinhala and the judgmental validity was assessed by a multi-disciplinary panel of experts. Construct validity of the UWES-S was appraised by using multi-trait scaling analysis and exploratory factor analysis (EFA) on data obtained from a sample of 194 grade thirteen students in the Kurunegala district, Sri Lanka...
May 4, 2018: BMC Research Notes
https://www.readbyqxmd.com/read/29724808/why-charlie-gard-s-parents-should-have-been-the-decision-makers-about-their-son-s-best-interests
#4
Raanan Gillon
This paper argues that Charlie Gard's parents should have been the decision-makers about their son's best interests and that determination of Charlie's best interests depended on a moral decision about which horn of a profound moral dilemma to choose. Charlie's parents chose one horn of that moral dilemma and the courts, like Charlie Gard's doctors, chose the other horn. Contrary to the first UK court's assertion, supported by all the higher courts that considered it, that its judgement was 'objective', this paper argues that the judgement was not and could not be 'objective' in the sense of objectively correct but was instead a value judgement based on the judge's choice of one horn of the moral dilemma...
May 3, 2018: Journal of Medical Ethics
https://www.readbyqxmd.com/read/29721257/assessment-of-raw-cow-milk-quality-in-smallholder-dairy-farms-in-pemba-island-zanzibar-tanzania
#5
S H Gwandu, H E Nonga, R H Mdegela, A S Katakweba, T S Suleiman, R Ryoba
Milk quality depends on the physicochemical characteristics, hygienic standards, and nutritional quality; however, animal husbandry practices, unhygienic harvesting and processing, may affect its quality. A cross-sectional study was conducted between August 2010 and July 2011 to assess the hygiene of cow milk production environment, raw cow milk physicochemical characteristics, and microbial quality and estimate the prevalence of antimicrobial residues using standard methods in Pemba Island. A total of 98 raw cow milk samples from selected smallholder dairy farms were analyzed, and the judgement on the quality used the East African Standards...
2018: Veterinary Medicine International
https://www.readbyqxmd.com/read/29697150/components-of-responsibility-in-estimating-relative-value-units-how-do-dentists-value-their-work
#6
D S Brennan, X Ju, D N Teusner
OBJECTIVES: Responsibility weights can translate services into a common scale of work effort (relative value units). The aims were to describe the responsibility weights for main areas of dental services and assess associations of ratings of the importance of the components of responsibility with responsibility weights. METHODS: Mailed questionnaires were used to collect responsibility weights and components of responsibility from a random sample of Australian dentists who were randomly assigned into panels...
April 26, 2018: Community Dentistry and Oral Epidemiology
https://www.readbyqxmd.com/read/29693788/-what-the-hell-is-water-how-to-use-deliberate-clinical-inertia-in-common-emergency-department-situations
#7
Diana Egerton-Warburton, Louise Cullen, Gerben Keijzers, Daniel M Fatovich
Appropriate deliberate clinical inertia refers to the art of doing nothing as a positive clinical response. It includes shared decision-making to improve patient care with the use of clinical judgement. We discuss common clinical scenarios where the use of deliberate clinical inertia can occur. The insertion of peripheral intravenous cannulae, investigating patients with suspected renal colic and the investigation of low risk chest pain are all opportunities for the thoughtful clinician to 'stand there' and use effective patient communication to avoid low value tests and procedures...
April 25, 2018: Emergency Medicine Australasia: EMA
https://www.readbyqxmd.com/read/29693206/3d-printed-model-improves-clinical-assessment-of-surgeons-on-anatomy
#8
Bin Zheng, Xiaolin Wang, Yixiong Zheng, Jiexiong Feng
Performing surgical procedures often requires a surgeon to develop a skill to create 3-dimensional (3D) mental model on patient's anatomy. Question remains whether the touching on the 3D printed model can facilitate learning of patient anatomy than viewing the rendered virtual on-screen model. The printed and the virtual 3D model were developed from CT films taken from a 4-year-old girl, who had dysplasia of the hip in the left hip. Eleven subjects were called to report measures on six key anatomical features on the hips...
April 24, 2018: Journal of Robotic Surgery
https://www.readbyqxmd.com/read/29659795/managing-uncertainty-a-qualitative-study-of-gps-views-on-the-diagnosis-and-immediate-management-of-transient-ischaemic-attack-and-the-potential-of-a-diagnostic-tool
#9
Priyanka Bose, Carolyn Tarrant, Amit K Mistri, Andrew Wilson
Background: Most patients with transient ischaemic attack (TIA) present to their GP. Early identification and treatment reduces the risk of subsequent stroke and consequent disability and mortality. Objective: To explore GPs' views on the diagnosis and immediate management of suspected TIA, and the potential utility of a diagnostic tool. Methods: This is a qualitative interview study based in Leicestershire, UK. A purposive sample of 10 GPs participated in 30-minute semi-structured telephone interviews...
April 12, 2018: Family Practice
https://www.readbyqxmd.com/read/29624137/multi-disciplinary-decision-making-in-general-practice
#10
Ann Kirby, Aileen Murphy, Colin Bradley
Purpose Internationally, healthcare systems are moving towards delivering care in an integrated manner which advocates a multi-disciplinary approach to decision making. Such an approach is formally encouraged in the management of Atrial Fibrillation patients through the European Society of Cardiology guidelines. Since the emergence of new oral anticoagulants switching between oral anticoagulants (OACs) has become prevalent. This case study considers the role of multi-disciplinary decision making, given the complex nature of the agents...
April 9, 2018: Journal of Health Organization and Management
https://www.readbyqxmd.com/read/29611623/evaluating-facts-and-facting-evaluations-on-the-fact-value-relationship-in-hta
#11
Bjørn Hofmann, Ken Bond, Lars Sandman
Health technology assessment (HTA) is an evaluation of health technologies in terms of facts and evidence. However, the relationship between facts and values is still not clear in HTA. This is problematic in an era of "fake facts" and "truth production." Accordingly, the objective of this study is to clarify the relationship between facts and values in HTA. We start with the perspectives of the traditional positivist account of "evaluating facts" and the social-constructivist account of "facting values...
April 3, 2018: Journal of Evaluation in Clinical Practice
https://www.readbyqxmd.com/read/29610049/the-king-devick-test-is-a-valid-and-reliable-tool-for-assessing-sport-related-concussion-in-australian-football-a-prospective-cohort-study
#12
Mark Hecimovich, Doug King, Alasdair R Dempsey, Myles Murphy
OBJECTIVES: Sport-related concussion (SRC) research has focused on impaired oculomotor function. The King-Devick (K-D) test measures oculomotor performance and is reported to identify suboptimal brain function. The use of the K-D test in Australian football (AF), a sport involving body contact and tackling, has not been documented. Therefore, the objective of this study was to determine the test-retest reliability and diagnostic accuracy of the K-D test on a sub-elite AF team. DESIGN: Prospective cohort study METHODS: In total, 22 male players (19...
March 28, 2018: Journal of Science and Medicine in Sport
https://www.readbyqxmd.com/read/29571843/identification-of-a-prospective-early-motor-progression-cluster-of-parkinson-s-disease-data-from-the-ppmi-study
#13
George D Vavougios, Triantafyllos Doskas, Constantinos Kormas, Karen A Krogfelt, Sotirios G Zarogiannis, Leonidas Stefanis
AIM: The aim of our study is to phenotype PD motor progression, and to detect whether serum, cerebrospinal fluid (CSF), neuroimaging biomarkers and neuropsychological measures characterize PD motor progression phenotypes. METHODS: We defined motor progression as a difference of at least one point in the Hoehn & Yahr (H&Y) scale between the baseline (Visit 0, V0), 12 months (Visit 04, V04) and 36 months (Visit 08, V08) milestones of the Progression Markers Initiative (PPMI) study...
April 15, 2018: Journal of the Neurological Sciences
https://www.readbyqxmd.com/read/29547787/do-trunk-based-left-right-judgment-tasks-elicit-motor-imagery
#14
Latifah Alazmi, Grace E Gadsby, Nicola R Heneghan, T David Punt
BACKGROUND: Left/right judgment tasks (LRJTs) are used in the management of chronic pain. This use is predicated on their ability to elicit the simulation of movements (i.e. motor imagery), including those where the execution of the same movements induces pain. While established for limb-based LRJTs, the ability of trunk-based LRJTs to elicit motor imagery of trunk movements has not been demonstrated. OBJECTIVE: To establish whether data from a trunk-based LRJT are indicative of motor imagery being elicited for the specific lateralised trunk postures presented...
June 2018: Musculoskeletal Science & Practice
https://www.readbyqxmd.com/read/29534406/-predictive-value-of-serum-s100b-levels-in-patients-with-multiple-trauma-combined-delirium-for-their-outcome-at-intensive-care-unit-discharge
#15
J Liu, Y Li, Y Cai, Z C Jin
Objective: To investigate the predictive value of elevated serum S100B level in patients with multiple traumas combined delirium for the clinical prognosis prior to intensive care unit (ICU) discharge. Methods: One hundred seventy-nine patients with multiple traumas diagnosed as delirium after admission over 48 hours to the Department of Critical Care Medicine, People's Hospital Affiliated to Jiangsu University from January 2013 to December 2016 were divided into two groups according to the level of serum S100B measured prior to the ICU discharge: high S100B group (≥0...
March 6, 2018: Zhonghua Yi Xue za Zhi [Chinese medical journal]
https://www.readbyqxmd.com/read/29503749/bayesian-based-decision-support-system-for-assessing-the-needs-for-orthodontic-treatment
#16
Bhornsawan Thanathornwong
Objectives: In this study, a clinical decision support system was developed to help general practitioners assess the need for orthodontic treatment in patients with permanent dentition. Methods: We chose a Bayesian network (BN) as the underlying model for assessing the need for orthodontic treatment. One thousand permanent dentition patient data sets chosen from a hospital record system were prepared in which one data element represented one participant with information for all variables and their stated need for orthodontic treatment...
January 2018: Healthcare Informatics Research
https://www.readbyqxmd.com/read/29497495/improving-the-biomedical-research-literature-insights-from-authors-editors-can-help-journal-editors-define-and-refine-their-core-competencies
#17
Valerie Matarese, Karen Shashok
A team of stakeholders in biomedical publishing recently proposed a set of core competencies for journal editors, as a resource that can inform training programs for editors and ultimately improve the quality of the biomedical research literature. This initiative, still in its early stages, would benefit from additional sources of expert information. Based on our experiences as authors' editors, we offer two suggestions on how to strengthen these competencies so that they better respond to the needs of readers and authors - the main users of and contributors to research journals...
2018: F1000Research
https://www.readbyqxmd.com/read/29493428/fuzzy-risk-assessment-for-mechanized-underground-coal-mines-in-turkey
#18
Melih Iphar, Ali Kivanc Cukurluoz
The decision matrix method is preferred as a measure of risk evaluation considering the risk value obtained by two risk factors such as the likelihood and severity of a hazard. However, it has some deficiencies since a crisp risk score is assigned for likelihood and severity. In this article, a fuzzy logic-based safety evaluation method to enhance the risk assessment process is introduced to overcome the uncertainties encountered in the classical decision matrix risk assessment method. The proposed method is a more realistic evaluation of the risks which may be available in mechanized coal mines in Turkey...
April 11, 2018: International Journal of Occupational Safety and Ergonomics: JOSE
https://www.readbyqxmd.com/read/29484796/maternal-perceptions-of-advice-on-sleep-in-young-children-how-what-and-when
#19
Rosalind E M Hatton, Maria Gardani
OBJECTIVES: Parental knowledge on sleep hygiene in children may be a contributing factor for sleep difficulties in preschoolers. As sleep is crucial for healthy development, it is important to understand how parental knowledge can be improved. The aim of this qualitative study was to develop an understanding of advice available in the United Kingdom (UK) on sleep in young children. DESIGN: This study employed constructivist grounded theory methodology. METHODS: Participants were recruited via social media and a previously constructed participant database...
May 2018: British Journal of Health Psychology
https://www.readbyqxmd.com/read/29459211/a-new-approach-to-formulating-and-appraising-drug-policy-a-multi-criterion-decision-analysis-applied-to-alcohol-and-cannabis-regulation
#20
Ole Rogeberg, Daniel Bergsvik, Lawrence D Phillips, Jan van Amsterdam, Niamh Eastwood, Graeme Henderson, Micheal Lynskey, Fiona Measham, Rhys Ponton, Steve Rolles, Anne Katrin Schlag, Polly Taylor, David Nutt
BACKGROUND: Drug policy, whether for legal or illegal substances, is a controversial field that encompasses many complex issues. Policies can have effects on a myriad of outcomes and stakeholders differ in the outcomes they consider and value, while relevant knowledge on policy effects is dispersed across multiple research disciplines making integrated judgements difficult. METHODS: Experts on drug harms, addiction, criminology and drug policy were invited to a decision conference to develop a multi-criterion decision analysis (MCDA) model for appraising alternative regulatory regimes...
February 16, 2018: International Journal on Drug Policy
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