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https://www.readbyqxmd.com/read/29306873/a-critical-review-of-conscientious-objection-and-decriminalisation-of-abortion-in-chile
#1
Adela Montero, Raúl Villarroel
From 1989 through September 2017, Chile's highly restrictive abortion laws exposed women to victimisation and needlessly threatened their health, freedom and even lives. However, after decades of unsuccessful attempts to decriminalise abortion, legislation regulating pregnancy termination on three grounds was recently enacted. In the aftermath, an aggressive conservative drive designed to turn conscientious objection into a pivotal new obstacle, mounted during the congressional debate, has led to extensive, complex arguments about the validity and legitimacy of conscientious objection...
January 6, 2018: Journal of Medical Ethics
https://www.readbyqxmd.com/read/29297725/prescription-drug-monitoring-programs-and-pharmacist-orientation-toward-dispensing-controlled-substances
#2
Michael Fendrich, Janelle K Bryan, Katinka Hooyer
OBJECTIVES: We sought to understand how pharmacists viewed and used a newly implemented prescription drug monitoring program (PDMP). We also sought to understand pharmacist orientation toward dispensing of controlled substances and the people who obtain them. METHODS: We conducted three mini focus groups. The focus group findings were used to inform the design of a structured survey. We emailed a survey to 160 pharmacists who were employed in one statewide community chain store; we obtained 48 survey responses...
January 3, 2018: Substance Use & Misuse
https://www.readbyqxmd.com/read/29284475/existential-decision-making-in-a-fatal-progressive-disease-how-much-do-legal-and-medical-frameworks-matter
#3
Christian Weber, Barbara Fijalkowska, Katarzyna Ciecwierska, Anna Lindblad, Gisela Badura-Lotter, Peter M Andersen, Magdalena Kuźma-Kozakiewicz, Albert C Ludolph, Dorothée Lulé, Tomasz Pasierski, Niels Lynöe
BACKGROUND: Healthcare legislation in European countries is similar in many respects. Most importantly, the framework of informed consent determines that physicians have the duty to provide detailed information about available therapeutic options and that patients have the right to refuse measures that contradict their personal values. However, when it comes to end-of-life decision-making a number of differences exist in the more specific regulations of individual countries. These differences and how they might nevertheless impact patient's choices will be addressed in the current debate...
December 28, 2017: BMC Palliative Care
https://www.readbyqxmd.com/read/29276398/cost-effectiveness-analysis-of-ideglira-versus-basal-bolus-insulin-for-patients-with-type-2-diabetes-in-the-slovak-health-system
#4
Marek Psota, Maria Bucek Psenkova, Natalia Racekova, Antonio Ramirez de Arellano, Tom Vandebrouck, Barnaby Hunt
Aims: To investigate the cost-effectiveness of once-daily insulin degludec/liraglutide (IDegLira) versus basal-bolus therapy in patients with type 2 diabetes not meeting glycemic targets on basal insulin from a healthcare payer perspective in Slovakia. Methods: Long-term clinical and economic outcomes for patients receiving IDegLira and basal-bolus therapy were estimated using the IMS CORE Diabetes Model based on a published pooled analysis of patient-level data...
2017: ClinicoEconomics and Outcomes Research: CEOR
https://www.readbyqxmd.com/read/29258513/systems-healthcare-a-holistic-paradigm-for-tomorrow
#5
REVIEW
Massimo S Fiandaca, Mark Mapstone, Elenora Connors, Mireille Jacobson, Edwin S Monuki, Shaista Malik, Fabio Macciardi, Howard J Federoff
Systems healthcare is a holistic approach to health premised on systems biology and medicine. The approach integrates data from molecules, cells, organs, the individual, families, communities, and the natural and man-made environment. Both extrinsic and intrinsic influences constantly challenge the biological networks associated with wellness. Such influences may dysregulate networks and allow pathobiology to evolve, resulting in early clinical presentation that requires astute assessment and timely intervention for successful mitigation...
December 19, 2017: BMC Systems Biology
https://www.readbyqxmd.com/read/29249919/abortion-and-conscientious-objection-rethinking-conflicting-rights-in-the-mexican-context
#6
Gustavo Ortiz-Millán
Since 2007, when Mexico City decriminalized abortion during the first trimester, a debate has been taking place regarding abortion and the right to conscientious objection (CO). Many people argue that, since the provision of abortions (or "legal terminations of pregnancy" as they are called under Mexico City's law) is now a statutory duty of healthcare personnel there can be no place for "conscientious objection." Others claim that, even if such an objection were to be allowed, it should not be seen as a right, since talk about a right to CO may lead to a slippery slope where we may end up recognizing a right to disobey the law...
2018: Global Bioethics, Problemi di Bioetica
https://www.readbyqxmd.com/read/29249897/is-it-time-for-a-sudden-infant-death-syndrome-sids-awareness-campaign-community-stakeholders-perceptions-of-sids
#7
Audra Gollenberg, Kim Fendley
Background: Sudden infant death syndrome (SIDS) remains a leading cause of infant death in the United States and in Virginia, the SIDS rate is higher than the national average. We sought to gauge the perceptions among community-identified stakeholders as to community resource needs to reduce SIDS. Methods: We used snowball sampling to identify important community stakeholders to be interviewed as key informants. A semi-structured interview lasting 45 min-2 hours was delivered to determine resource needs to reduce SIDS, and whether high-risk community members were aware of SIDS risk factors among stakeholders representing a variety of disciplines...
2018: Child care in practice: Northern Ireland journal of multi-disciplinary child care practice
https://www.readbyqxmd.com/read/29246254/disclosure-of-domestic-violence-and-sexual-assault-within-the-context-of-abortion-meta-ethnographic-synthesis-of-qualitative-studies-protocol
#8
Lydia Mainey, Annabel Taylor, Kathleen Baird, Catherine O'Mullan
BACKGROUND: One third of women will have an abortion in their lifetime (Kerr, QUT Law Rev 14:15, 2014; Aston and Bewley, Obstetrician & Gynaecologist 11:163-8, 2009). These women are more likely to have experienced domestic violence or sexual assault than women who continue with their pregnancies. Frontline health personnel involved in the care of women seeking abortions are uniquely positioned to support patients who choose to disclose their violence. Yet, the disclosure of domestic violence or sexual assault within the context of abortion is not well understood...
December 15, 2017: Systematic Reviews
https://www.readbyqxmd.com/read/29242087/complications-with-use-of-misoprostol-for-abortion-in-madagascar-between-ease-of-access-and-lack-of-information
#9
Dolorès Pourette, Chiarella Mattern, Rila Ratovoson, Patricia Raharimalala
OBJECTIVES: To learn what complications some women experienced in Madagascar following use of misoprostol for abortion and what treatment they received post-misoprostol use. STUDY DESIGN: This was a qualitative study in 2015-16 among women who had experienced complications after use of misoprostol, with or without additional methods, for abortion, what information they received before use, what dosage and regimens they used, what complications they experienced and what treatment they received post-use...
December 11, 2017: Contraception
https://www.readbyqxmd.com/read/29238478/exploring-the-challenges-of-the-iranian-parliament-about-passing-laws-for-resource-allocation-in-healthcare-a-qualitative-study
#10
Seyed Ramezan Mohsenpour, Mohammad Arab, Seyed Hasan Emami Razavi, Ali Akbari Sari
Background: Awareness about the process of law making and the factors that affect the legislative process have an important role in improving legislations that are approved by parliaments. Objective: This study aimed to explore and analyze the process of development and enactment of law in Iran's parliament, and factors that might affect the enactment of laws that are related to the allocation and distribution of health sector resources in Iran. Methods: In this case study, data were collected through review of literature and national documents, and experts' interviews...
October 2017: Electronic Physician
https://www.readbyqxmd.com/read/29236624/a-socio-ecological-examination-of-treatment-access-uptake-and-adherence-issues-encountered-by-hiv-positive-women-in-rural-north-central-nigeria
#11
Llewellyn J Cornelius, Salome C Erekaha, Joshua N Okundaye, Nadia A Sam-Agudu
BACKGROUND: In spite of the global decline in HIV infections, sub-Saharan Africa still accounts for a non-proportional majority of global new infections. While many studies have documented the importance of facilitating access to anti-retroviral therapy (ART) as a means of reducing infections, the relationship between interpersonal, community, healthcare facility, and policy-level factors and treatment adherence in Africa have not been well-described. The authors examined these factors in the context of prevention of mother-to-child transmission (PMTCT) of HIV in rural north-central Nigeria, where HIV burden is high and service coverage is low...
December 13, 2017: Journal of Evidence-informed Social Work
https://www.readbyqxmd.com/read/29236230/gene-patents-in-canada-is-there-a-new-legal-landscape
#12
Katherine L Bonter, Carmela De Luca, Christi J Guerrini
In 2016, the Children's Hospital of Eastern Ontario (CHEO) announced the settlement of its patent lawsuit against US-based Transgenomic, Inc. At issue in the case was CHEO's ability to test for gene mutations associated with long QT syndrome (LQTS) that are described in Transgenomic's patents. CHEO challenged the patents as invalid, and Transgenomic ultimately agreed to license them on a royalty-free basis to CHEO and other healthcare institutions for LQTS testing and research. While widely celebrated in the media, the ethical rhetoric surrounding the settlement has at times obscured the practical and legal context in which it was made and will operate...
December 13, 2017: Molecular Diagnosis & Therapy
https://www.readbyqxmd.com/read/29235408/balint-work-and-the-creation-of-medical-knowledge
#13
John Muench
Michael Balint's pioneering work in primary care was not simply the application of psychodynamic theory to the complex problems and relationships encountered by clinicians. Rather, Balint's work was part of a wider conversation in Western epistemology that had already begun to break down the enlightenment rationalist agenda. Since the time of Descartes, we sought to find certain truth through decontextualizing and abstracting problems, and through separation of the observer from the thing observed, with a focus on finding universal timeless laws that could be generalized...
January 1, 2017: International Journal of Psychiatry in Medicine
https://www.readbyqxmd.com/read/29205995/volume-and-health-outcomes-evidence-from-systematic-reviews-and-from-evaluation-of-italian-hospital-data
#14
Laura Amato, Danilo Fusco, Anna Acampora, Katia Bontempi, Alessandro Cesare Rosa, Paola Colais, Fabio Cruciani, Mariangela D'Ovidio, Francesca Mataloni, Silvia Minozzi, Zuzana Mitrova, Luigi Pinnarelli, Rosella Saulle, Salvatore Soldati, Chiara Sorge, Simona Vecchi, Martina Ventura, Marina Davoli
BACKGROUND Improving quality and effectiveness of healthcare is one of the priorities of health policies. Hospital or physician volume represents a measurable variable with an impact on effectiveness of healthcare. An Italian law calls for the definition of «qualitative, structural, technological, and quantitative standards of hospital care». There is a need for an evaluation of the available scientific evidence in order to identify qualitative, structural, technological, and quantitative standards of hospital care, including the volume of care above or below which the public and private hospitals may be accredited (or not) to provide specific healthcare interventions...
September 2017: Epidemiologia e Prevenzione
https://www.readbyqxmd.com/read/29193167/childbearing-importance-a-qualitative-study-of-women-with-infertility-in-china
#15
Hong Yao, Celia Hoi Yan Chan, Cecilia Lai Wan Chan
The primary goal of this study was to examine and describe the importance of childbearing as perceived by infertile women in the Chinese familial and social context. We adopted a qualitative descriptive method and conducted semi-structured interviews with female patients diagnosed with infertility. Participants were recruited at a high-volume fertility clinic in Tianjin, China. Fifteen women with a diagnosis of infertility were interviewed for 60-90 min. Data were analyzed by thematic analysis. Two themes supported the importance of childbearing for Chinese women with infertility: childbearing as natural law, and childbearing for relational harmony...
November 29, 2017: Research in Nursing & Health
https://www.readbyqxmd.com/read/29191186/roles-and-responsibilities-of-clinical-ethics-committees-in-priority-setting
#16
Morten Magelssen, Ingrid Miljeteig, Reidar Pedersen, Reidun Førde
BACKGROUND: Fair prioritization of healthcare resources has been on the agenda for decades, but resource allocation dilemmas in clinical practice remain challenging. Can clinical ethics committees (CECs) be of help? The aim of the study was to explore whether and how CECs handle priority setting dilemmas and contribute to raising awareness of fairness concerns. METHOD: Descriptions of activities involving priority setting in annual reports from Norwegian CECs (2003-2015) were studied and categorized through qualitative content analysis...
December 1, 2017: BMC Medical Ethics
https://www.readbyqxmd.com/read/29180941/legislating-for-transnational-ageing-a-challenge-to-the-logics-of-the-welfare-state
#17
Anita Böcker, Alistair Hunter
Transnational ageing presents fundamental challenges to nationally bounded welfare states, which historically have tended to be organised according to a logic of solidarity among nationals and permanent residents of a given state territory. Nonetheless, the Dutch and French governments have taken steps to break this link between solidarity and territorially bounded consumption of welfare, by providing lifelong income security for older migrants who return to countries of origin on a permanent or semi-permanent basis...
December 2017: European Journal of Ageing
https://www.readbyqxmd.com/read/29177916/direct-to-consumer-genetic-testing-law-and-policy-concerns-in-ireland
#18
Aisling de Paor
BACKGROUND: With rapid scientific and technological advances, the past few years has witnessed the emergence of a new genetic era and a growing understanding of the genetic make-up of human beings. These advances have propelled the introduction of companies offering direct to consumer (DTC) genetic testing, which facilitates the direct provision of such tests to consumers, (for example, via the internet). Although DTC genetic testing offers benefits by enhancing consumer accessibility to such technology, promoting proactive healthcare and increasing genetic awareness, it presents a myriad of challenges, from an ethical, legal and regulatory perspective...
November 25, 2017: Irish Journal of Medical Science
https://www.readbyqxmd.com/read/29176111/dialysis-hospitalization-inequities-by-hispanic-ethnicity-and-immigration-status
#19
Erin Fanning Madden, Fares Qeadan
Medicare provides access to chronic outpatient dialysis for most U.S. patients diagnosed with end-stage renal disease. However, many new and/or undocumented immigrants do not qualify due to lawful presence and work credit requirements. Medicare-ineligible dialysis patients often wait until their health is poor enough for admission to emergency room dialysis. We use University of New Mexico Hospital chart data from 2013-2016 for a case-control study measuring the likelihood of being admitted to an emergency room for dialysis among patients who use interpreters, which is employed as a proxy for new and undocumented immigrants, compared with other patients...
2017: Journal of Health Care for the Poor and Underserved
https://www.readbyqxmd.com/read/29175690/human-trafficking-education-for-nurse-practitioners-integration-into-standard-curriculum
#20
Rebecca M Lutz
BACKGROUND: Human trafficking is a crime resulting in serious negative health outcomes for the victims. To provide optimal care, thus improving health outcomes, healthcare providers must be able to identify victims as they seek care for acute and chronic physical illness, communicable diseases, sexually transmitted infections, and mental health disorders (Lederer and Wetzel, 2014; Oram et al., 2012). Unfortunately, healthcare providers lack appropriate knowledge of clues that would lead to victim identification...
November 16, 2017: Nurse Education Today
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