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https://www.readbyqxmd.com/read/28530527/health-care-costs-associated-with-addition-titration-and-switching-antihypertensive-medications-after-first-line-treatment-results-from-a-commercially-insured-sample
#1
Kalyani B Sonawane Deshmukh, Jingjing Qian, Kimberly B Garza, Bradley M Wright, Peng Zeng, Cecilia M Ganduglia Cazaban, Richard A Hansen
BACKGROUND: Treatment modifications are necessary for addressing issues related to efficacy and tolerance of first-line monotherapy, but they increase the economic burden on patients and their health plans. Understanding the differences in costs between alternative treatment modification strategies, if any, can serve as a guideline for clinical decision making and for designing cost-containment strategies. OBJECTIVE: To compare the health care utilization costs between (a) addition (i...
June 2017: Journal of Managed Care & Specialty Pharmacy
https://www.readbyqxmd.com/read/28525430/qualitative-analysis-of-prosecutors-perspectives-on-sexual-assault-nurse-examiners-and-the-criminal-justice-response-to-sexual-assault
#2
Thaddeus Schmitt, Theodore P Cross, Megan Alderden
OBJECTIVE: The aim of this study was to understand prosecutors' perspectives on the contribution of Sexual Assault Nurse Examiners (SANEs) to evidence collection and trials in sexual assault cases. BACKGROUND: Several studies have suggested that a sexual assault case is more likely to progress in the criminal justice system when a SANE conducts the forensic medical examination. However, little is known about how prosecutors perceive SANEs and what they value about SANEs versus other medical professionals...
April 2017: Journal of Forensic Nursing
https://www.readbyqxmd.com/read/28507768/in-patient-suicide-selection-of-people-at-risk-failure-of-protection-and-the-possibility-of-causation
#3
Matthew Michael Large, Daniel Thomas Chung, Michael Davidson, Mark Weiser, Christopher James Ryan
BACKGROUND: Being a current psychiatric in-patient is one of the strongest statistical risk factors for suicide. It is usually assumed that this strong association is not causal but is a result of the combination of the selection of high-risk patients for admission and the imperfect protection from suicide afforded by psychiatric wards. Logically, a third factor, which is causal, might play a role in the association. It has recently been suggested that adverse experiences in psychiatric units such as trauma, stigma and loss of social role might precipitate some in-patient suicides...
May 2017: BJPsych Open
https://www.readbyqxmd.com/read/28501731/learning-and-unlearning-dignity-in-care-experiential-and-experimental-educational-approaches
#4
Richard G Kyle, Wayne Medford, Julie Blundell, Elaine Webster, Sarah-Anne Munoz, Leah Macaden
Guarding against loss of human dignity is fundamental to nursing practice. It is assumed in the existing literature that 'dignity' as a concept and 'dignity in care' as a practice is amenable to education. Building on this assumption, a range of experiential and experimental educational approaches have been used to enhance students' understanding of dignity. However, little is known about student nurses' views on whether dignity is amenable to education and, if so, which educational approaches would be welcomed...
May 4, 2017: Nurse Education in Practice
https://www.readbyqxmd.com/read/28498046/social-media-propagation-of-content-promoting-risky-health-behavior
#5
Mina Park, Yao Sun, Margaret L McLaughlin
While social media have been found useful in providing social support and health information, they have also been home to content advocating risky health behavior. This study focused on how content defending and even celebrating anorexia as a lifestyle are circulated among social media users, and investigates the characteristics that promote wide propagation of such messages. We captured anorexia-related content on Tumblr, a popular blog for talking about eating disorders, during a one-month period. Among the 35,432 posts collected, we examined the most highly propagated posts and coded them for message characteristics...
May 2017: Cyberpsychology, Behavior and Social Networking
https://www.readbyqxmd.com/read/28481847/madoff-testimonial-for-festschrift-hear-hear-and-endless-thanks-rob-for-a-job-well-done
#6
David A Rothenberger
No abstract text is available yet for this article.
June 2017: Diseases of the Colon and Rectum
https://www.readbyqxmd.com/read/28464277/forensic-case-reports-presenting-immersion-pulmonary-edema-as-a-differential-diagnosis-in-fatal-diving-accidents
#7
Julie Vinkel, Peter Bak, Peter Juel Thiis Knudsen, Ole Hyldegaard
Immersion Pulmonary Edema (IPE) reduces the transport of gases over the respiratory membrane due to edema in the interstitium and respiratory zones. IPE has previously been described in both swimmers and divers, with a few known fatal cases. We have reviewed 42 SCUBA and snorkeling-related drowning deaths, and through a thorough analysis of each case, including both diving physiology and forensic pathology, we present IPE as a differential diagnosis to drowning in four cases. Our findings propose that; absence of watery content in the stomach and conducting airways, and liquid filled lungs without hyperexpansion, may be compatible with IPE...
May 2, 2017: Journal of Forensic Sciences
https://www.readbyqxmd.com/read/28464190/amniotic-fluid-embolism-is-a-new-pregnancy-possible-case-report
#8
Ana Filipa Cabrita Caeiro, Irina Dulce Tapadinhas Matos Ramilo, Ana Paula Santos, Elizabeth Ferreira, Isabel Santos Batalha
Amniotic fluid embolism (AFE) is a rare but potentially catastrophic clinical condition, characterized by a combination of signs and symptoms that reflect respiratory distress, cardiovascular collapse and disseminated intravascular coagulation (DIC). Its pathogenesis is still unclear. More recently, the traditional view of obstruction of pulmonary capillary vessels by amniotic fluid emboli as the main explanation for the etiology has been ruled out, and immunologic factors and the activation of the inflammatory cascade took on an important role...
May 2, 2017: Revista Brasileira de Ginecologia e Obstetrícia
https://www.readbyqxmd.com/read/28449257/the-development-and-application-of-random-match-probabilities-to-firearm-and-toolmark-identification
#9
John E Murdock, Nicholas D K Petraco, John I Thornton, Michael T Neel, Todd J Weller, Robert M Thompson, James E Hamby, Eric R Collins
The field of firearms and toolmark analysis has encountered deep scrutiny of late, stemming from a handful of voices, primarily in the law and statistical communities. While strong scrutiny is a healthy and necessary part of any scientific endeavor, much of the current criticism leveled at firearm and toolmark analysis is, at best, misinformed and, at worst, punditry. One of the most persistent criticisms stems from the view that as the field lacks quantified random match probability data (or at least a firm statistical model) with which to calculate the probability of a false match, all expert testimony concerning firearm and toolmark identification or source attribution is unreliable and should be ruled inadmissible...
May 2017: Journal of Forensic Sciences
https://www.readbyqxmd.com/read/28444055/prospects-of-studies-on-violence-adolescence-and-cortisol-a-systematic-literature-review
#10
Leonardo Planel Lugarinho, Joviana Quintes Avanci, Liana Wernersbach Pinto
Violence has a negative impact on adolescents and affects their quality of life. It causes stress and requires the victim's adaptive capacity, which can cause psychological and biological changes. Hormone cortisol levels have been used as stress biomarker in several studies. This paper aims to perform a systematic literature review of publications on cortisol and violence involving teenagers from 2000 to 2013. Descriptors "cortisol", "violence" and "adolescent" were used in both English and Portuguese in this review, which included bibliographic databases PubMed/Medline, Lilacs, BVS and SciELO...
April 2017: Ciência & Saúde Coletiva
https://www.readbyqxmd.com/read/28441573/the-role-of-negative-affect-and-message-credibility-in-perceived-effectiveness-of-smokeless-tobacco-health-warning-labels-in-navi-mumbai-india-and-dhaka-bangladesh-a-moderated-mediation-analysis
#11
Seema Mutti-Packer, Jessica L Reid, James F Thrasher, Daniel Romer, Geoffrey T Fong, Prakash C Gupta, Mangesh S Pednekar, Nigar Nargis, David Hammond
OBJECTIVE: There is strong evidence showing that pictorial health warnings are more effective than text-only warnings. However, much of this evidence comes from high-income countries and is limited to cigarette packaging. Moreover, few studies have identified mechanisms that might explain the impact of warnings. METHODS: The current study examined the potential mediating role of negative affect and the moderating influence of message credibility in perceived effectiveness of smokeless tobacco warnings in two low- and middle-income countries (LMICs)...
April 4, 2017: Addictive Behaviors
https://www.readbyqxmd.com/read/28440999/-epistemic-injustice-during-the-medical-education-process-in-the-hospital-context
#12
Carolina Consejo-Y Chapela, Carlos Alfonso Viesca-Treviño
BACKGROUND: The educational model adopted by the Universidad Nacional Autónoma de México (UNAM) Faculty of Medicine is constructivist; it is a model based on competence development. It aims to provide learning environments that incorporate real activities (it helps the students to develop social negotiation skills, as part of their integral learning; it encourages them to take a critical and reflexive approach; and it is also a student-centered model). However, many challenges arise when this model is implemented in the context of hospital environments...
May 2017: Revista Médica del Instituto Mexicano del Seguro Social
https://www.readbyqxmd.com/read/28438552/immunomodulation-of-autoimmune-arthritis-by-pro-inflammatory-cytokines
#13
REVIEW
Eugene Y Kim, Kamal D Moudgil
Pro-inflammatory cytokines promote autoimmune inflammation and tissue damage, while anti-inflammatory cytokines help resolve inflammation and facilitate tissue repair. Over the past few decades, this general feature of cytokine-mediated events has offered a broad framework to comprehend the pathogenesis of autoimmune and other immune-mediated diseases, and to successfully develop therapeutic approaches for diseases such as rheumatoid arthritis (RA). Anti-tumor necrosis factor-α (TNF-α) therapy is a testimony in support of this endeavor...
April 21, 2017: Cytokine
https://www.readbyqxmd.com/read/28437730/the-practice-of-prosecuting-child-maltreatment-results-of-an-online-survey-of-prosecutors
#14
Theodore P Cross, Debra Whitcomb
Despite efforts by advocates, practitioners, and legislators to alleviate the burden on child maltreatment victims in the criminal justice system, many challenges remain for prosecutors as they seek to hold offenders accountable while minimizing the emotional impact on children. More than 200 state and local prosecutors in 37 states responded to an online survey to share their perspectives on current challenges, procedures to support children in the adjudication process, and the impact of the U.S. Supreme Court opinion in Crawford v...
April 21, 2017: Child Abuse & Neglect
https://www.readbyqxmd.com/read/28436575/the-influence-of-first-hand-testimony-and-hearsay-on-children-s-belief-in-the-improbable
#15
Jonathan D Lane, Samuel Ronfard, Diana El-Sherif
Children (3.5-8.5 years; n = 105) heard claims about the occurrence of improbable or impossible events, then were asked whether the events could really happen. Some claims were based on informants' first-hand observations and others were hearsay. A baseline group (n = 56) reported their beliefs about these events without hearing testimony. Neither first-hand claims nor hearsay influenced beliefs about impossible events, which remained low across the age range. Hearsay (but not first-hand claims) did influence beliefs about improbable events...
April 24, 2017: Child Development
https://www.readbyqxmd.com/read/28408135/the-missing-person-the-outcome-of-the-rule-based-totalitarianism-of-too-much-contemporary-healthcare
#16
Iona Heath
OBJECTIVES: Medicine has an obsession with scientific progress and a misplaced belief in the perfectibility of the human body and mind and, as a result, there seems never to be time for the necessary backward glance. If we in healthcare are to learn any of the lessons of history, it seems important that we pay attention to those who have suffered at the sharp end of historical events. METHODS AND RESULTS: This paper invokes thinkers and writers who lived lives scarred by totalitarian politics...
April 3, 2017: Patient Education and Counseling
https://www.readbyqxmd.com/read/28401045/differences-between-british-and-japanese-perspectives-on-forensic-mental-health-systems-a-preliminary-study
#17
Akihiro Shiina, Aika Tomoto, Soichiro Omiya, Aiko Sato, Masaomi Iyo, Yoshito Igarashi
AIM: To clarify the differences in views on forensic mental health (FMH) systems between the United Kingdom and Japan. METHODS: We conducted a series of semi-structured interviews with six leading forensic psychiatrists. Based on a discussion by the research team, we created an interview form. After we finished conducting all the interviews, we qualitatively analyzed their content. RESULTS: In the United Kingdom the core domain of FMH was risk assessment and management; however, in Japan, the core domain of FMH was psychiatric testimony...
March 22, 2017: World Journal of Psychiatry
https://www.readbyqxmd.com/read/28392593/st-padre-pio-home-for-the-relief-of-suffering-in-the-usa-responding-to-the-call
#18
Jere D Palazzolo
This exposition is not intended to be a scientific or theological treatise, but rather a testimony to a personal call by Padre Pio, a commitment in faith, to duplicate St. Pio's model of healthcare delivery as a "Beacon of Light" in our increasingly secular country, an example of truly faithful Catholic health care fully faithful to the Magisterial authority of the Church, and a model for other Catholic hospitals to emulate in their ministries.
November 2016: Linacre Quarterly
https://www.readbyqxmd.com/read/28392005/robert-wood-johnson-foundation-nurse-faculty-scholars-program-leadership-training
#19
Jacquelyn C Campbell, Angela Barron McBride, LuAnn Etcher, Katie Deming
BACKGROUND: The Robert Wood Johnson Foundation Nurse Faculty Scholars program was created to address the nursing shortage via development of the next generation of national leaders in academic nursing. PURPOSE: The leadership training combined development at the scholar's home institution with in-person didactic and interactive sessions with notable leaders in nursing and other disciplines. METHODS: A curriculum matrix, organized by six domains, was evaluated quantitatively and qualitatively...
February 20, 2017: Nursing Outlook
https://www.readbyqxmd.com/read/28390520/medicolegal-issues-in-traumatic-brain-injury
#20
REVIEW
Nathan D Zasler, Erin Bigler
The role of the physiatrist in provision of medicolegal expert testimony in cases involving traumatic brain injury is challenging and complex. This article provides an overview of how such work should be conducted from a practical perspective including discussion of ethical, legal, medical, and business aspects of such activities. Additionally, pointers are provided with regards to how information including preinjury, injury, and postinjury (including neuroimaging and neuropsychological data) should be considered and integrated into medicolegal opinions and testimony...
May 2017: Physical Medicine and Rehabilitation Clinics of North America
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