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https://www.readbyqxmd.com/read/28328382/interpreting-and-applying-the-precautionary-principle-a-response-to-open-peer-commentaries-on-the-precautionary-principle-and-the-tolerability-of-blood-transfusion-risks
#1
Koen Kramer, Hans L Zaaijer, Marcel F Verweij
No abstract text is available yet for this article.
April 2017: American Journal of Bioethics: AJOB
https://www.readbyqxmd.com/read/28326998/effects-of-organizational-safety-practices-and-perceived-safety-climate-on-ppe-usage-engineering-controls-and-adverse-events-involving-liquid-antineoplastic-drugs-among-nurses
#2
David M DeJoy, Todd D Smith, Henok Woldu, Mari-Amanda Dyal, Andrea L Steege, James M Boiano
PURPOSE: Antineoplastic drugs pose risks to the healthcare workers who handle them. This fact notwithstanding, adherence to safe handing guidelines remains inconsistent and often poor. This study examined the effects of pertinent organizational safety practices and perceived safety climate on the use of personal protective equipment, engineering controls, and adverse events (spill/leak or skin contact) involving liquid antineoplastic drugs Method: Data for this study came from the 2011 National Institute for Occupational Safety and Health (NIOSH) Health and Safety Practices Survey of Healthcare Workers which included a sample of approximately 1,800 nurses who had administered liquid antineoplastic drugs during the past seven days...
March 22, 2017: Journal of Occupational and Environmental Hygiene
https://www.readbyqxmd.com/read/28325543/consensus-recommendations-on-exploring-effective-solutions-for-the-rising-cost-of-diabetes
#3
REVIEW
Shaukat M Sadikot, Ashok Kumar Das, John Wilding, Ali Siyan, Abdul Hamid Zargar, Banshi Saboo, S R Aravind, Bhavana Sosale, Sanjay Kalra, G Vijayakumar, K K Manojan, Anuj Maheshwari, Jayant K Panda, Samar Banerjee, Rajeev Chawla, Sambu Potty Vasudevan, O S Syam Sundar, Jothydev Kesavadev
Diabetes remains asymptomatic for a long period of time and its real burden gets noticed only once the complications set in. The number of individuals affected with the disease is also on the rise and more so in the low income countries. This scenario calls for urgent precautionary measures that need to be undertaken to equip ourselves to fight against this chronic disease. Individuals with financial constraints cannot afford to access even the basic treatment facilities and thus stands the most burdened. The International Diabetes Federation calls for 'Eyes on Diabetes' for the society to focus on early screening and early intervention...
March 7, 2017: Diabetes & Metabolic Syndrome
https://www.readbyqxmd.com/read/28324787/interactive-ebooks-in-educating-patients-and-their-families-about-head-injury-regardless-of-age
#4
Ronald Sahyouni, Amin Mahmoodi, Amir Mahmoodi, Melissa Huang, Diem Kieu Tran, Jefferson W Chen
OBJECTIVES: Traumatic Brain Injury (TBI) is a common and debilitating injury that is particularly prevalent in patients over 60. Given the influence of head injury on dementia (and vice versa), and the increased likelihood of ground-level falls, elderly patients are vulnerable to TBI. Educational interventions can increase knowledge and influence preventative activity to decrease the likelihood of further TBI. We sought to determine the efficacy of interactive tablet-based educational interventions in elderly patients on self-reported knowledge...
March 8, 2017: Clinical Neurology and Neurosurgery
https://www.readbyqxmd.com/read/28321366/climate-change-induced-range-shifts-of-three-allergenic-ragweeds-ambrosia-l-in-europe-and-their-potential-impact-on-human-health
#5
Karen Rasmussen, Jakob Thyrring, Robert Muscarella, Finn Borchsenius
Invasive allergenic plant species may have severe health-related impacts. In this study we aim to predict the effects of climate change on the distribution of three allergenic ragweed species (Ambrosia spp.) in Europe and discuss the potential associated health impact. We built species distribution models based on presence-only data for three ragweed species, using MAXENT software. Future climatic habitat suitability was modeled under two IPCC climate change scenarios (RCP 6.0 and RCP 8.5). We quantify the extent of the increase in 'high allergy risk' (HAR) areas, i...
2017: PeerJ
https://www.readbyqxmd.com/read/28295718/the-practice-and-perception-of-precautionary-allergen-labelling-by-the-australasian-food-manufacturing-industry
#6
Giovanni A Zurzolo, Rachel L Peters, Jennifer J Koplin, Maximilian de Courten, Michael L Mathai, Jason A Tye-Din, Mimi L K Tang, Dianne E Campbell, Anne-Louise Ponsonby, Susan L Prescott, Lyle Gurrin, Shyamali Dharmage, Katrina J Allen
BACKGROUND: The precautionary allergen labelling (PAL) and Voluntary Incidental Trace Allergen Labelling (VITAL(®) ) tools were designed by industry to assist consumers with selecting safe foods for consumption. However, a sizeable proportion of food products bear no label and it is unclear whether these products are free from allergens and therefore safe to consume or have simply not undergone a risk assessment and therefore remain unlabelled for that reason. OBJECTIVE: To assess the prevalence of unlabelled products that have undergone a risk assessment process and to examine the factors influencing industry's uptake of the VITAL(®) process...
March 14, 2017: Clinical and Experimental Allergy: Journal of the British Society for Allergy and Clinical Immunology
https://www.readbyqxmd.com/read/28286968/a-12-week-interdisciplinary-rehabilitation-trial-in-patients-with-gliomas-a-feasibility-study
#7
Anders Hansen, Karen Søgaard, Lisbeth Rosenbek Minet, Jens Ole Jarden
PURPOSE: This report aims to assess the safety and feasibility of using an interdisciplinary rehabilitation intervention for a future randomized controlled trial in patients with gliomas in the initial treatment phase. METHOD: We conducted an outpatient two-part rehabilitation intervention that involved six weeks of therapeutic supervised training (part one) and six weeks of unsupervised training in a local gym following a training protocol (part two). RESULTS: Predefined feasibility objectives of safety (100%), consent rate (>80%), drop-out (<20%), adherence (>80%) and patient satisfaction (>80%) was achieved at part one...
March 12, 2017: Disability and Rehabilitation
https://www.readbyqxmd.com/read/28284128/application-of-decomposition-ensemble-learning-paradigm-with-phase-space-reconstruction-for-day-ahead-pm2-5-concentration-forecasting
#8
Mingfei Niu, Kai Gan, Shaolong Sun, Fengying Li
PM2.5 concentration have received considerable attention from meteorologists, who are able to notify the public and take precautionary measures to prevent negative effects on health. Therefore, establishing an efficient early warning system plays a critical role in fostering public health in heavily polluted areas. In this study, ensemble empirical mode decomposition and least square support vector machine (EEMD-LSSVM) based on Phase space reconstruction (PSR) is proposed for day-ahead PM2.5 concentration prediction, according to the application of a decomposition-ensemble learning paradigm...
March 8, 2017: Journal of Environmental Management
https://www.readbyqxmd.com/read/28248436/defining-ecologically-relevant-scales-for-spatial-protection-with-long-term-data-on-an-endangered-seabird-and-local-prey-availability
#9
Richard B Sherley, Philna Botha, Les G Underhill, Peter G Ryan, Danie van Zyl, Andrew C Cockcroft, Robert J M Crawford, Bruce M Dyer, Timothée R Cook
Human activities are important drivers of marine ecosystem functioning. However, separating the synergistic effects of fishing and environmental variability on the prey base of non-target predators is difficult, often because prey availability estimates on appropriate scales are lacking. Understanding how prey abundance at different spatial scales links to population change can help integrate the needs of non-target predators into fisheries management by defining ecologically-relevant areas for spatial protection...
March 1, 2017: Conservation Biology: the Journal of the Society for Conservation Biology
https://www.readbyqxmd.com/read/28244116/is-the-precautionary-principle-really-incoherent
#10
Thomas Boyer-Kassem
The Precautionary Principle has been an increasingly important principle in international treaties since the 1980s. Through varying formulations, it states that when an activity can lead to a catastrophe for human health or the environment, measures should be taken to prevent it even if the cause-and-effect relationship is not fully established scientifically. The Precautionary Principle has been critically discussed from many sides. This article concentrates on a theoretical argument by Peterson (2006) according to which the Precautionary Principle is incoherent with other desiderata of rational decision making, and thus cannot be used as a decision rule that selects an action among several ones...
February 28, 2017: Risk Analysis: An Official Publication of the Society for Risk Analysis
https://www.readbyqxmd.com/read/28238744/peanut-allergen-threshold-study-pats-novel-single-dose-oral-food-challenge-study-to-validate-eliciting-doses-in-peanut-allergic-children
#11
Jonathan O'B Hourihane, Katrina J Allen, Wayne G Shreffler, Gillian Dunngalvin, Julie A Nordlee, Giovanni A Zurzolo, Audrey DunnGalvin, Lyle C Gurrin, Joseph L Baumert, Steve L Taylor
BACKGROUND: Eliciting doses (ED) of allergenic foods can be defined by the distribution of threshold doses for individuals within a specific population. ED05 is the dose that elicits a reaction in 5% of allergic subjects. The predicted ED05 for peanut (PN) is 1.5 mg of peanut protein (6 mg whole peanut). OBJECTIVE: We sought to validate the predicted peanut ED05 (1.5 mg) with a novel single dose challenge. METHODS: Consecutive eligible peanut allergic children in 3 centres were prospectively invited to participate, irrespective of previous reaction severity...
February 24, 2017: Journal of Allergy and Clinical Immunology
https://www.readbyqxmd.com/read/28238125/post-marketing-regulation-of-medicines-withdrawn-from-the-market-because-of-drug-attributed-deaths-an-analysis-of-justification
#12
Igho J Onakpoya, Carl J Heneghan, Jeffrey K Aronson
INTRODUCTION: Several medicinal products have been withdrawn from the market because of drug-attributed deaths. However, there has been no investigation of whether such withdrawals were justified, and the extent to which confirmatory studies are used to investigate drug-adverse event relationships when deaths are reported is uncertain. We documented medicinal products withdrawn from the market because of drug-attributed deaths, identified confirmatory studies investigating the drug-adverse event relationships, examined whether withdrawals of medicinal products because of drug-attributed deaths after marketing were justified based on a mechanistic analysis, and examined the trends over time...
February 25, 2017: Drug Safety: An International Journal of Medical Toxicology and Drug Experience
https://www.readbyqxmd.com/read/28230256/yes-the-precautionary-principle-is-incoherent
#13
Martin Peterson
This article is a reply to Thomas Boyer-Kassem's discussion of my criticism of the precautionary principle published in this journal about a decade ago. Boyer-Kassem does not question the logical validity of the theorem proved in my original article, but he brings up important questions about its scope. He also challenges the plausibility of some of the assumptions on which it is based. In this comment, I argue that each objection can be adequately dealt with. As a decision rule, the precautionary principle is (still) incoherent...
February 23, 2017: Risk Analysis: An Official Publication of the Society for Risk Analysis
https://www.readbyqxmd.com/read/28214853/chronic-consumption-of-artificial-sweetener-in-packets-or-tablets-and-type-2-diabetes-risk-evidence-from-the-e3n-european-prospective-investigation-into-cancer-and-nutrition-study
#14
Guy Fagherazzi, Gaëlle Gusto, Aurélie Affret, Francesca Romana Mancini, Courtney Dow, Beverley Balkau, Françoise Clavel-Chapelon, Fabrice Bonnet, Marie-Christine Boutron-Ruault
BACKGROUND: The influence of artificial sweeteners on metabolic diseases is controversial. Artificially sweetened beverages have been associated with an increased risk of type 2 diabetes (T2D) but biases and reverse causation have been suspected to have influenced the observed association. In addition, it has been suggested that investigation into the relationship between the frequency and duration of the consumption of packet or tablet artificial sweeteners and T2D risk is necessary...
February 18, 2017: Annals of Nutrition & Metabolism
https://www.readbyqxmd.com/read/28208930/precautionary-measures-for-successful-open-heart-surgery-in-g6pd-deficient-patient-a-case-report
#15
Rupesh Kumar
Glucose-6-Phosphate Dehydrogenase (G6PD) deficiency is among the most common enzymatic disorders of red blood cells. Cardiac surgeries on this group of individuals are associated with an additional risk in terms of impaired oxygenation, prolonged ventilation and increased risk of haemolysis. These patients have a very low threshold for haemolysis due to oxidative stress. Many commonly used drugs also predispose the individual for haemolysis when they are subjected to surgery. Here we present a known case of G6PD deficient patient with symptoms of breathlessness for the last nine years who was taken for surgery with pre-planned precautionary measures to avoid unnecessary haemolysis...
December 2016: Journal of Clinical and Diagnostic Research: JCDR
https://www.readbyqxmd.com/read/28207368/the-precautionary-petard-who-should-tolerate-blood-transfusion-risks
#16
Anthony Vernillo
No abstract text is available yet for this article.
March 2017: American Journal of Bioethics: AJOB
https://www.readbyqxmd.com/read/28207367/is-the-precautionary-principle-a-principle
#17
Carlo Petrini
No abstract text is available yet for this article.
March 2017: American Journal of Bioethics: AJOB
https://www.readbyqxmd.com/read/28207364/the-precautionary-principle-and-the-social-institution-of-blood-donation
#18
Cristian Timmermann
No abstract text is available yet for this article.
March 2017: American Journal of Bioethics: AJOB
https://www.readbyqxmd.com/read/28207363/structural-concerns-for-msm-health-in-revising-the-precautionary-principle
#19
Barry DeCoster
No abstract text is available yet for this article.
March 2017: American Journal of Bioethics: AJOB
https://www.readbyqxmd.com/read/28207362/the-precautionary-principle-and-the-tolerability-of-blood-transfusion-risks
#20
Koen Kramer, Hans L Zaaijer, Marcel F Verweij
Tolerance for blood transfusion risks is very low, as evidenced by the implementation of expensive blood tests and the rejection of gay men as blood donors. Is this low risk tolerance supported by the precautionary principle, as defenders of such policies claim? We discuss three constraints on applying (any version of) the precautionary principle and show that respecting these implies tolerating certain risks. Consistency means that the precautionary principle cannot prescribe precautions that it must simultaneously forbid taking, considering the harms they might cause...
March 2017: American Journal of Bioethics: AJOB
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