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https://www.readbyqxmd.com/read/28342434/-mothers-talk-part-unless-told-of-voluntary-abortion
#1
José Manuel Hernández Garre, Isabel María Aznar Mula, Paloma Echevarría Pérez
The aim of the study was to investigate the experiences linked to the post-abortion syndrome in mothers who have had a voluntary abortion. A phenomenological qualitative approach to collect the experiences of mothers who had voluntarily interrupted their pregnancy was used. The research technique was the semistructured interviews with women who had contacted different association's help of the Murcia region for support after experiencing symptoms consistent with post-abortion syndrome. The testimonies show feminist or utilitarian arguments to justify the decision to abort, they talk about a system, to some extent, mercantilist that has no real intention of giving real life choices...
January 2017: Cuadernos de Bioética: Revista Oficial de la Asociación Española de Bioética y Ética Médica
https://www.readbyqxmd.com/read/28323477/-the-service-i-rendered-was-just-as-true-african-american-soldiers-and-veterans-as-activist-patients
#2
Jessica L Adler
In this article, I examine how African American soldiers and veterans experienced and shaped federally sponsored health care during and after World War I. Building on studies of the struggles of Black leaders and health care providers to win professional and public health advancement in the 1920s and 1930s, and of advocates to mobilize for health care rights in the mid-20th century, I focus primarily on the experiences and activism of patients in the interwar years. Private and government correspondence, congressional testimony, and reports from Black newspapers reveal that African American soldiers and veterans communicated directly with policymakers and bureaucrats regarding unequal treatment, assuming roles as "policy actors" who viewed health and medical care as "politics by other means...
March 21, 2017: American Journal of Public Health
https://www.readbyqxmd.com/read/28319551/a-contemporary-medicolegal-analysis-of-implanted-devices-for-chronic-pain-management
#3
Christopher R Abrecht, Penny Greenberg, Ellen Song, Richard D Urman, James P Rathmell
BACKGROUND: Analysis of closed malpractice claims allows the study of rare but serious complications and likely results in improved patient safety by raising awareness of such complications. Clinical studies and closed claims analyses have previously reported on the common complications associated with intrathecal drug delivery systems (IDDS) and spinal cord stimulators (SCS). This study provides a contemporary analysis of claims from within the past 10 years. METHODS: We performed a closed claims analysis for a period January 1, 2009 to December 31, 2013 for cases with pain medicine as the primary service...
April 2017: Anesthesia and Analgesia
https://www.readbyqxmd.com/read/28303075/epistemic-injustice-and-illness
#4
Ian James Kidd, Havi Carel
This article analyses the phenomenon of epistemic injustice within contemporary healthcare. We begin by detailing the persistent complaints patients make about their testimonial frustration and hermeneutical marginalization, and the negative impact this has on their care. We offer an epistemic analysis of this problem using Miranda Fricker's account of epistemic injustice. We detail two types of epistemic injustice, testimonial and hermeneutical, and identify the negative stereotypes and structural features of modern healthcare practices that generate them...
February 2017: Journal of Applied Philosophy
https://www.readbyqxmd.com/read/28254688/sexual-abuse-and-preschoolers-forensic-details-in-regard-of-question-types
#5
Karine Gagnon, Mireille Cyr
The present study looks into the association between the types of questions used by interviewers and the number of details obtained among preschoolers during an investigative interview. An innovative aspect of this study concerns the analysis of question subtypes (eg. open-ended directive and closed-ended). Analysis of variance were carried out on 55 NICHD interview protocols conducted among children aged three to five years old who disclosed an episode of sexual abuse. Findings reveal that interviewers' style is in accordance with best practices in conducting investigative interviews with children allegedly victims of sexual abuse...
February 27, 2017: Child Abuse & Neglect
https://www.readbyqxmd.com/read/28252990/ignoring-memory-hints-the-stubborn-influence-of-environmental-cues-on-recognition-memory
#6
Diana Selmeczy, Ian G Dobbins
Recognition judgments can benefit from the use of environmental cues that signal the general likelihood of encountering familiar versus unfamiliar stimuli. While incorporating such cues is often adaptive, there are circumstances (e.g., eyewitness testimony) in which observers should fully ignore environmental cues in order to preserve memory report fidelity. The current studies used the explicit memory cueing paradigm to examine whether participants could intentionally ignore reliable environmental cues when instructed...
March 2, 2017: Journal of Experimental Psychology. Learning, Memory, and Cognition
https://www.readbyqxmd.com/read/28247431/partners-under-pressure-examining-the-consistency-of-true-and-false-alibi-statements
#7
Marthe Lefsaker Sakrisvold, Pär Anders Granhag, Erik Mac Giolla
How to discriminate between honest and deceptive alibi statements holds great legal importance. We examined this issue from the perspective of group deception. Our goals were to (a) compare the consistency between the statements of guilty and innocent suspects and those of their respective alibi witnesses, and (b) to examine the moderating role of object-salience on the level of consistency between their statements. Pairs of truth-tellers provided honest testimonies. Pairs of liars were divided into perpetrators and alibi witnesses...
March 1, 2017: Behavioral Sciences & the Law
https://www.readbyqxmd.com/read/28240349/the-griffiths-question-map-a-forensic-tool-for-expert-witnesses-assessments-of-witnesses-and-victims-statements
#8
Olivier Dodier, Vincent Denault
Expert witnesses are sometimes asked to assess the reliability of young witnesses and victims' statements because of their high susceptibility to memory biases. This technical note aims to highlight the relevance of the Griffiths Question Map (GQM) as a professional forensic tool to improve expert witnesses' assessments of young witnesses and victims' testimonies. To do so, this innovative question type assessment grid was used to proceed to an in-depth analysis of the interview of an alleged 13-year-old victim of a sexual assault and two rapes...
February 27, 2017: Journal of Forensic Sciences
https://www.readbyqxmd.com/read/28236613/ayurvedic-profiling-of-alzheimer-s-disease
#9
Dale E Bredesen, Rammohan V Rao
Alzheimer's disease (AD) is an age-associated, progressive neurodegenerative disease that is characterized by severe memory loss, personality changes, and an overall decline in cognitive function. The cause of AD is not yet completely defined and efforts to find a cure for it have so far been disappointing. AD is one of the most significant health care problems nationally and globally. Recently, we described a personalized therapeutic approach called metabolic enhancement for neurodegeneration (MEND) that successfully reversed the cognitive decline in patients with early AD...
February 27, 2017: Alternative Therapies in Health and Medicine
https://www.readbyqxmd.com/read/28225699/what-is-the-relevance-of-procedural-fairness-to-making-determinations-about-medical-evidence
#10
Govind Persad
Approaches relying on fair procedures rather than substantive principles have been proposed for answering dilemmas in medical ethics and health policy. These dilemmas generally involve two questions: the epistemological (factual) question of which benefits an intervention will have, and the ethical (value) question of how to distribute those benefits. This article focuses on the potential of fair procedures to help address epistemological and factual questions in medicine, using the debate over antidepressant efficacy as a test case...
February 1, 2017: AMA Journal of Ethics
https://www.readbyqxmd.com/read/28219967/expert-witness-participation-in-civil-and-criminal-proceedings
#11
Stephan R Paul, Sandeep K Narang
The interests of the public and both the medical and legal professions are best served when scientifically sound and unbiased expert witness testimony is readily available in civil and criminal proceedings. As members of the medical community, patient advocates, and private citizens, pediatricians have ethical and professional obligations to assist in the civil and criminal judicial processes. This policy statement offers recommendations on advocacy, education, research, qualifications, standards, and ethical business practices all aimed at improving expert testimony...
March 2017: Pediatrics
https://www.readbyqxmd.com/read/28219966/the-child-witness-in-the-courtroom
#12
Robert H Pantell
Beginning in the 1980s, children have increasingly served as witnesses in the criminal, civil, and family courts; currently, >100 000 children appear in court each year. This statement updates the 1992 American Academy of Pediatrics (AAP) policy statement "The Child as a Witness" and the subsequent 1999 "The Child in Court: A Subject Review." It also builds on existing AAP policy on adverse life events affecting children and resources developed to understand and address childhood trauma. The purpose of this policy statement is to provide background information on some of the legal issues involving children testifying in court, including the accuracy and psychological impact of child testimony; to provide suggestions for how pediatricians can support patients who will testify in court; and to make recommendations for policy improvements to minimize the adverse psychological consequences for child witnesses...
February 20, 2017: Pediatrics
https://www.readbyqxmd.com/read/28219964/expert-witness-participation-in-civil-and-criminal-proceedings
#13
Sandeep K Narang, Stephan R Paul
The interests of the public and both the medical and legal professions are best served when scientifically sound and unbiased expert witness testimony is readily available in civil and criminal proceedings. As members of the medical community, patient advocates, and private citizens, pediatricians have ethical and professional obligations to assist in the civil and criminal judicial processes. This technical report explains how the role of the expert witness differs in civil and criminal proceedings, legal and ethical standards for expert witnesses, and strategies that have been employed to deter unscientific and irresponsible testimony...
February 20, 2017: Pediatrics
https://www.readbyqxmd.com/read/28216771/filicide-in-the-united-states
#14
Phillip J Resnick
In the United States the Accreditation Council of Graduate Medical Education determines the curriculum required for fellows in forensic psychiatry to become board certified as a subspecialist. Areas that must be covered during the one year fellowship include criminal issues, such as insanity; civil issues, such as tort law and Workers' Compensation; legal regulation of psychiatry, such as confidentiality and involuntary hospitalization; and correctional psychiatry issues, such as dual agency and prisoner's rights...
December 2016: Indian Journal of Psychiatry
https://www.readbyqxmd.com/read/28216769/the-insanity-defense-related-issues
#15
REVIEW
T V Asokan
For the past 150 years, there is no change in the understanding and knowledge other than autonomy and capacity to choose the right and wrong for criminal liability. The alternative concept that human behavior is the result of an interaction between biological and environmental factors other than free choice failed to impress the criminal justice system because of a direct threat to a society's deep seated need to blame someone than themselves for criminal harms that occur. The insanity defense has a long history, and is evolved after many tests that have been tried and tested...
December 2016: Indian Journal of Psychiatry
https://www.readbyqxmd.com/read/28198722/triad-viii-nationwide-multicenter-evaluation-to-determine-whether-patient-video-testimonials-can-safely-help-ensure-appropriate-critical-versus-end-of-life-care
#16
Ferdinando L Mirarchi, Timothy E Cooney, Arvind Venkat, David Wang, Thaddeus M Pope, Abra L Fant, Stanley A Terman, Kevin M Klauer, Monica Williams-Murphy, Michael A Gisondi, Brian Clemency, Ankur A Doshi, Mari Siegel, Mary S Kraemer, Kate Aberger, Stephanie Harman, Neera Ahuja, Jestin N Carlson, Melody L Milliron, Kristopher K Hart, Chelsey D Gilbertson, Jason W Wilson, Larissa Mueller, Lori Brown, Bradley D Gordon
OBJECTIVE: End-of-life interventions should be predicated on consensus understanding of patient wishes. Written documents are not always understood; adding a video testimonial/message (VM) might improve clarity. Goals of this study were to (1) determine baseline rates of consensus in assigning code status and resuscitation decisions in critically ill scenarios and (2) determine whether adding a VM increases consensus. METHODS: We randomly assigned 2 web-based survey links to 1366 faculty and resident physicians at institutions with graduate medical education programs in emergency medicine, family practice, and internal medicine...
February 14, 2017: Journal of Patient Safety
https://www.readbyqxmd.com/read/28191996/the-impact-of-testimony-on-children-s-moralization-of-novel-actions
#17
Joshua Rottman, Liane Young, Deborah Kelemen
What leads children to moralize actions that cause no apparent harm? We hypothesized that adults' verbal instruction ("testimony"), as well as emotions such as disgust, would influence children's moralization of apparently harmless actions. To test this hypothesis, 7-year-old children were asked to render moral judgments of novel, seemingly victimless, body-directed or nature-directed actions after being exposed to adults' testimony or to an emotional induction. Study 1 demonstrated that children became more likely to judge actions as "wrong" upon being verbally presented with testimony about disgust or anger-but not upon being directly induced to feel disgusted...
February 13, 2017: Emotion
https://www.readbyqxmd.com/read/28190937/belonging-and-unbelonging-jewish-refugee-and-survivor-women-in-1950s-britain
#18
Angela Davis
This article analyses the life stories of female Jewish refugees and survivors in 1950s Britain in order to explore their relationship with the existing Jewish community and wider society. The paper is based on an analysis of twenty-one oral history testimonies from the Jewish survivors of the Holocaust collection held at the British library. Around 50,000 Jewish refugees from Central Europe came to Britain in the 1930s after fleeing from Hitler. In addition, a relatively small number of camp survivors and former hidden children settled in the country after the war; the Board of Deputies of British Jews Demographic Unit estimates the figure at 2000...
January 2, 2017: Women's History Review
https://www.readbyqxmd.com/read/28188152/perineal-resuturing-versus-expectant-management-following-vaginal-delivery-complicated-by-a-dehisced-wound-preview-a-nested-qualitative-study
#19
L Dudley, C Kettle, J Waterfield, Khaled M K Ismail
OBJECTIVE: To explore women's lived experiences of a dehisced perineal wound following childbirth and how they felt participating in a pilot and feasibility randomised controlled trial (RCT). DESIGN: A nested qualitative study using semistructured interviews, underpinned by descriptive phenomenology. PARTICIPANTS AND SETTING: A purposive sample of six women at 6-9 months postnatal who participated in the RCT were interviewed in their own homes...
February 10, 2017: BMJ Open
https://www.readbyqxmd.com/read/28182533/the-reality-of-routine-practice-a-pooled-data-analysis-on-chronic-wounds-treated-with-tlc-nosf-wound-dressings
#20
K C Münter, S Meaume, M Augustin, P Senet, J C Kérihuel
OBJECTIVE: A number of randomised controlled trials (RCT) have compared control groups with TLC-NOSF dressings (UrgoStart) on chronic wounds. Our aim was to determine whether the clinical trials' results translate into routine management of such wounds, by pooling the data from real-life observational studies. METHOD: Observational studies, conducted in France and Germany, evaluating current practices in patients suffering from non-selected chronic wounds treated with a TLC-NOSF dressing were identified...
February 2017: Journal of Wound Care
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