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https://www.readbyqxmd.com/read/28198942/normative-analysis-of-the-voice-of-children-in-brazilian-child-protection-legislation
#1
Renata de Moura Bubadué, Ivone Evangelista Cabral, Franco Carnevale, Felipe Dutra Asensi
Objective: to identify and analyse children's voices in healthcare decision making in the discourse of Brazil's child protection laws. Method: Documentary normative analysis of Brazil's child protection legislation (1988-2012) based on the content analysis of nine texts, conducted in 2015. Results: The legislation acknowledges and stresses the voice of children in the decision-making process in research and healthcare. Any recognition of the right to dignity, liberty, information, and protection depends on what the adult decision-maker (with parental authority) believes is the child's capacity for discernment and whether the situation will cause self-harm...
February 9, 2017: Revista Gaúcha de Enfermagem
https://www.readbyqxmd.com/read/28196811/the-heart-failure-epidemic-a-uk-perspective
#2
REVIEW
Martin R Cowie
Heart failure is appropriately described as an epidemic, with 1-2% of healthcare expenditure being directed at its management. In England, the National Institute for Health and Care Excellence (NICE) has issued guidance on best practice for the diagnosis and treatment of acute and chronic heart failure. Echocardiography is key to the diagnosis of the underlying cardiac abnormalities, and access to this (with our without biochemical testing using natriuretic peptides) is key to high quality and speedy diagnosis...
February 14, 2017: Echo Research and Practice
https://www.readbyqxmd.com/read/28195533/ethical-concerns-related-to-mandatory-reporting-of-sexual-violence
#3
N Jagadeesh, Padma Bhate-Deosthali, Sangeeta Rege
The provision of care for survivors of sexual violence is a medico-legal emergency. However, due to social issues, healthcare providers face several ethical and legal dilemmas when administering care to such survivors at hospitals. Added to these are the compulsions under mandatory reporting laws, which oblige healthcare providers to abide by the ethical commitments of care and treatment, and make it mandatory for them to report cases of sexual violence to the police, failing which they face legal sanctions...
November 25, 2016: Indian Journal of Medical Ethics
https://www.readbyqxmd.com/read/28188772/two-year-continuation-of-intrauterine-devices-and-contraceptive-implants-in-a-mixed-payer-setting-a-retrospective-review
#4
Jessica N Sanders, David K Turok, Lori M Gawron, Amy Law, Lonnie Wen, Richard Lynen
BACKGROUND: As the popularity of long-acting reversible contraception increases, so does the need for accurate data on method continuation in diverse clinical settings. We determined two-year continuation rates for the levonorgestrel 52mg intrauterine device, the copper T380A intrauterine device, and the 68mg etonogestrel contraceptive implant in an academic healthcare system with mixed-payer reimbursement. OBJECTIVE(S): To examine the proportion and characteristics of women who continue IUD and implant use to two years and relate continuation to device type when controlling for patient characteristics...
February 8, 2017: American Journal of Obstetrics and Gynecology
https://www.readbyqxmd.com/read/28185517/deprivation-of-liberty-collected-guidance-the-law-society-deprivation-of-liberty-collected-guidance-400pp-%C3%A2-29-95-law-society-publishing-9781784460433-1784460435-formula-see-text
#5
(no author information available yet)
Deprivation of liberty (DoL) is a complicated subject that healthcare professionals may find challenging. Understanding and applying safeguards against DoL can be difficult because regulations and guidance are complex and varied.
February 10, 2017: Emergency Nurse: the Journal of the RCN Accident and Emergency Nursing Association
https://www.readbyqxmd.com/read/28174394/-past-present-and-future-of-national-clinical-database
#6
Tadashi Iwanaka
The National Clinical Database of Japan( NCD) was established in April 2010 in the collaboration of 9 surgical subspecialty societies on the platform of the Japan Surgical Society(JSS). Registrations began in 2011, and because NCD is strongly linked to the board certification system by JSS, the ratio of registration of surgical procedures is very high, over than 97%. To date, more than 4,000 facilities have enrolled and over 7 million cases were registered over a 5-year period. The analyses of NCD are compared to the foreign database, such as American College of Surgeon National Surgical Quality Improvement Program in the gastrointestinal (GI) surgical field, and the Society of Thoracic Surgeons National Adult Cardiac Database in the cardiovascular surgical field, with a goal of creating a standardized surgery database for quality improvement...
January 2017: Kyobu Geka. the Japanese Journal of Thoracic Surgery
https://www.readbyqxmd.com/read/28169144/the-legal-status-of-cannabis-marijuana-and-cannabidiol-cbd-under-u-s-law
#7
REVIEW
Alice Mead
In the United States, federal and state laws regarding the medical use of cannabis and cannabinoids are in conflict and have led to confusion among patients, caregivers, and healthcare providers. Currently, cannabis is legal for medical purposes in 50% of the states, and another seventeen states allow products that are high in cannabidiol (CBD) and low in THC (tetrahydrocannabinol) for medical use. Many of these artisanal products are sold in dispensaries or over the internet. However, none of these products has been approved by the Food and Drug Administration (FDA)...
February 3, 2017: Epilepsy & Behavior: E&B
https://www.readbyqxmd.com/read/28162966/over-the-counter-antibiotics-in-saudi-arabia-an-urgent-call-for-policy-makers
#8
Sharafaldeen Bin Nafisah, Salahaldin Bin Nafesa, Aliyah H Alamery, Mazen A Alhumaid, Haitham M AlMuhaidib, Fahad A Al-Eidan
Antibiotics over-consumption is a pandemic that has a tremendous cost on the overwhelmed healthcare system. The accessibility of antibiotics coupled with the misconception of public toward those drugs both of which implicated in the use and misuse of antibiotics. The aim of this study was to investigate the perception of the community toward antibiotics, its purpose and harmfulness, in addition to the accessibility of those drugs as over the counter and without prescriptions. We also investigated the behavior toward antibiotic prescriptions when perceived unnecessary...
February 2, 2017: Journal of Infection and Public Health
https://www.readbyqxmd.com/read/28157426/comparison-of-healthcare-costs-among-commercially-insured-women-in-the-united-states-who-underwent-hysteroscopic-sterilization-versus-laparoscopic-bilateral-tubal-ligation-sterilization
#9
Patricia I Carney, Jianying Yao, Jay Lin, Amy Law
BACKGROUND: This study evaluated healthcare costs of index procedures and during a 6-month follow-up of women who had hysteroscopic sterilization (HS) versus laparoscopic bilateral tubal ligation (LBTL). MATERIALS AND METHODS: Women (18-49 years) with claims for HS and LBTL procedures were identified from the MarketScan commercial claims database (January 1, 2010, to December 31, 2012) and placed into separate cohorts. Demographics, characteristics, index procedure costs, and 6-month total healthcare costs and sterilization procedure-related costs were compared...
February 3, 2017: Journal of Women's Health
https://www.readbyqxmd.com/read/28155225/accountability-for-maternal-healthcare-services-in-nigeria
#10
Onyema Afulukwe-Eruchalu
High maternal mortality ratios (MMRs) serve as objective indicators of the poor condition of women's health in any country and point to violations of human rights that are entrenched in national, regional, and global laws. For more than a decade, Nigeria has consistently been one of the top five listed countries with the highest MMRs in the world; in 2015, its MMR was estimated at 814 deaths per 100 000 live births, accounting for 19% of maternal deaths worldwide and approximately 58 000 deaths each year...
February 2, 2017: International Journal of Gynaecology and Obstetrics
https://www.readbyqxmd.com/read/28153557/infection-control-capacity-building-in-european-countries-with-limited-resources-issues-and-priorities
#11
M Licker, L Bădiţoiu, D Lungeanu, R Dobrevska, E Szilagy, L Raka, L Markovic-Denic, S Brusaferro
We report the results of a panel investigation aimed at assessing the critical aspects regarding healthcare-associated infections in European countries with limited resources and pinpointing the highest priority issues that need to be addressed for effective infection control. Questionnaires were designed and information collected from national EUNETIPS representatives in Bulgaria, Hungary, Kosovo, Romania, and Serbia. Based on the data collected, we concluded that rigorous implementation of existing law, standardized training, and political commitment constitute a common relevant background and provide the lessons to be learnt for aligning healthcare systems in this area with internationally recommended standards of infection control...
January 5, 2017: Journal of Hospital Infection
https://www.readbyqxmd.com/read/28153043/a-study-protocol-for-facility-assessment-and-follow-up-evaluations-of-the-barriers-to-access-availability-utilization-and-readiness-of-contraception-abortion-and-postabortion-services-in-zika-affected-areas
#12
Moazzam Ali, Rachel Folz, Kelsey Miller, Brooke Ronald Johnson, James Kiarie
BACKGROUND: The Zika virus epidemic in Latin America has elicited official recommendations for women to delay or avoid pregnancy in affected countries, which has increased demand for family planning services. It is likely, however, that health facilities in areas where the population is most vulnerable to the disease lack the capacity to respond to the increased demand for family planning services. Our objectives are to perform facilities assessment and understand client perceptions in areas affected by Zika virus, and to track changes in these parameters over time...
February 2, 2017: Reproductive Health
https://www.readbyqxmd.com/read/28151522/-plagiarism-a-fools-errand
#13
EDITORIAL
Tom Jefferson, Luca De Fiore
An old Italian proverb states that lies have short legs. In other words, in the end you get found out. This is exactly what happened to an Italian researcher who acted as a referee for a manuscript submitted in 2015 to Annals of Internal Medicine. After a negative report (which presumably led to the rejection of the submission) he submitted a manuscript which was essentially the same. But he and his accomplices got found out and paraded in front of the world in an earth-shatteringly polite "Dear Plagiarist" letter by the first robbed author: Dr Michael Dansinger...
2017: Recenti Progressi in Medicina
https://www.readbyqxmd.com/read/28143534/pregnant-women-s-preferences-for-and-concerns-about-preterm-birth-prevention-a-cross-sectional-survey
#14
Vanessa Ha, Sarah D McDonald
BACKGROUND: Although there is a call for patient-centred prenatal care, women's preferences for and concerns about preterm birth (PTB) prevention have not been well-studied. Therefore, we conducted a cross-sectional survey to determine women's preferences for PTB prevention and their likelihood of following their healthcare provider's recommendations for PTB prevention, as well as factors associated with these responses. METHODS: A piloted self-administered questionnaire was completed by pregnant women who could read English...
January 31, 2017: BMC Pregnancy and Childbirth
https://www.readbyqxmd.com/read/28138827/improving-receipt-and-preventive-care-delivery-for-adolescents-and-young-adults-initial-lessons-from-top-performing-states
#15
Claire D Brindis, Lauren Twietmeyer, M Jane Park, Sally Adams, Charles E Irwin
Purpose Provisions of the Patient Protection and Affordable Care Act (ACA) of 2010 hold promise for improving access to and receipt of preventive services for adolescents and young adults (AYAs). The Title V Block Grant transformation also includes a focus on improving adolescent preventive care. This brief report describes and discusses an inquiry of promising strategies for improving access and preventive care delivery identified in selected high-performing states. Methods Two data sources were used to identify top-performing states in insurance enrollment and preventive care delivery: National Survey of Children's Health for adolescents (ages 12-17 years) and Behavioral Risk Factors Surveillance System for young adults (ages 18-25 years)...
January 30, 2017: Maternal and Child Health Journal
https://www.readbyqxmd.com/read/28130949/how-appropriate-is-all-this-data-sharing-building-consensus-around-what-we-need-to-know-about-shared-electronic-health-records-in-extended-circles-of-care
#16
Josephine McMurray, Kelly A Grindrod, Catherine Burns
BACKGROUND: The bulk of healthcare spending is on individuals who have complex needs related to age, income, chronic disease and mental illness. Care involves many different professions, and interoperable electronic health records (EHRs) are increasingly essential. OBJECTIVES: The objective of this paper is to describe the use of a nominal group technique (NGT) to develop a stakeholder-centred research agenda for clinical interoperability in extended circles of care that include social supports...
2017: Healthcare Quarterly
https://www.readbyqxmd.com/read/28108993/experience-from-a-multi-country-initiative-to-improve-the-monitoring-of-selected-reproductive-health-indicators-in-africa
#17
Maria Barreix, Özge Tunçalp, Namuunda Mutombo, Ayotunde A Adegboyega, Lale Say
Universal access to sexual and reproductive health remains part of the unfinished business of global development in the Africa. To achieve it, health interventions should be monitored using programmatic indicators. WHO's Strengthening Measurement of Reproductive Health Indicators in Africa initiative, implemented in Ghana, Nigeria, Kenya, Uganda, and Zimbabwe, aimed to improve national information systems for routine monitoring of reproductive health indicators. Participating countries developed action plans employing a two-pronged strategy: (1) revising, standardizing, and harmonizing existing information-system reproductive health indicators; and (2) building data-collection capacity through training and supervision at select pilot sites...
January 21, 2017: International Journal of Gynaecology and Obstetrics
https://www.readbyqxmd.com/read/28099705/prevalence-of-induced-abortions-and-contraceptive-use-among-married-women-in-an-urban-slum-of-delhi-india
#18
Meenakshi Bhilwar, Panna Lal, Nandini Sharma, Preena Bhalla, Ashok Kumar
OBJECTIVE: To document abortion practices and contraceptive use among women of reproductive age in an urban slum of Delhi. METHODS: Data were collected as part of a cross-sectional study conducted in an urban resettlement colony in the North East District of Delhi between November 2010 and December 2011. Systematic random sampling was used to enroll 200 married women aged 15-49 years from each of the four blocks of the colony. Participants were interviewed and data were entered into a pretested semi-structured questionnaire...
January 2017: International Journal of Gynaecology and Obstetrics
https://www.readbyqxmd.com/read/28097606/colorado-medical-students-attitudes-and-beliefs-about-marijuana
#19
Michael H Chan, Christopher E Knoepke, Madeline L Cole, James McKinnon, Daniel D Matlock
BACKGROUND: Over the past two decades, state and local governments across the U.S. have been increasingly reforming marijuana laws. Despite growing support for marijuana as a medical treatment, little is known about medical students' perceptions of marijuana use. OBJECTIVE: To assess Colorado medical students' personal and professional opinions on current and future marijuana use in a healthcare setting. DESIGN: A voluntary, anonymous, online cross-sectional survey...
January 17, 2017: Journal of General Internal Medicine
https://www.readbyqxmd.com/read/28094051/competition-policy-for-health-care-provision-in-portugal
#20
Pedro Pita Barros
We review the role of competition among healthcare providers in Portugal, which has a public National Health Service (NHS) at the core of the health system. There is little competition among healthcare providers within the NHS. Competition among NHS primary care providers is hindered by excess demand (many residents in Portugal do not have a designated family doctor). Competition among NHS hospitals has been traditionally limited to cases of maximum guaranteed waiting time for surgery being exceeded. The Portuguese Competition Authority enforces competition law...
February 2017: Health Policy
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