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https://www.readbyqxmd.com/read/27902133/understanding-mental-capacity-law-and-making-best-interests-decisions
#1
Ann Regan, Caitlin Sheehy
The Mental Capacity Act 2005 was enacted with the aim of improving the protection provided by the law to the most vulnerable people in society. The principles of the act specify to whom the act can be applied, and how to ensure these individuals are placed at the centre of decision-making about their treatment and care. It covers those people who raise objections to treatments and care proposed by health and social care professionals and, crucially, it offers protection to those who raise no objection. Appropriate application of the act should ensure all treatment and care planned for vulnerable people is in those individuals' best interests...
November 30, 2016: Nursing Standard
https://www.readbyqxmd.com/read/27891020/preventing-medico-legal-issues-in-clinical-practice
#2
REVIEW
Bevinahalli N Raveesh, Ragavendra B Nayak, Shivakumar F Kumbar
The medical profession is considered to be one of the noblest professions in the world. The practice of medicine is capable of rendering noble service to humanity provided due care, sincerity, efficiency, and professional skill is observed by the doctors. However, today, the patient-doctor relationship has almost diminished its fiduciary character and has become more formal and structured. Doctors are no longer regarded as infallible and beyond questioning. Corporatization of health care has made it like any other business, and the medical profession is increasingly being guided by the profit motive rather than that of service...
October 2016: Annals of Indian Academy of Neurology
https://www.readbyqxmd.com/read/27884928/macra-2-0-are-you-ready-for-mips
#3
REVIEW
Joshua A Hirsch, Andrew B Rosenkrantz, Sameer A Ansari, Laxmaiah Manchikanti, Gregory N Nicola
The annual cost of healthcare delivery in the USA now exceeds US$3 trillion. Fee for service methodology is often implicated as a cause of this exceedingly high figure. The Affordable Care Act created the Center for Medicare and Medicaid Innovation (CMMI) to pilot test value based alternative payments for reimbursing physician services. In 2015, the Medicare Access and CHIP Reauthorization Act (MACRA) was passed into law. MACRA has dramatic implications for all US based healthcare providers. MACRA permanently repealed the Medicare Sustainable Growth Rate so as to stabilize physician part B Medicare payments, consolidated pre-existing federal performance programs into the Merit based Incentive Payments System (MIPS), and legislatively mandated new approaches to paying clinicians...
November 24, 2016: Journal of Neurointerventional Surgery
https://www.readbyqxmd.com/read/27875035/mothers-experience-of-not-breastfeeding-in-a-breastfeeding-culture
#4
Ingjerd Hvatum, Kari Glavin
AIM AND OBJECTIVES: To describe women's experience of not breastfeeding in a breastfeeding culture. BACKGROUND: Breastfeeding represents a fundamental cultural value in Norway and many other countries, and a mother may often have intense emotions about breastfeeding her child. Political and health authorities in many countries have given high priority to encouraging breastfeeding among mothers. However, breastfeeding can be challenging and sometimes affects mothers' mental health and the joy of interaction...
November 22, 2016: Journal of Clinical Nursing
https://www.readbyqxmd.com/read/27868442/-hiv-aids-and-law-in-hungary
#5
Máté Julesz
INTRODUCTION: The legal aspects of HIV/AIDS are mirrored by the statistical data. AIM: The aim of the author is to show the effect of HIV/AIDS on today's Hungarian society. METHOD: Analysis of data issued by the National Center for Epidemiology in Hungary and those to be found in the professional literature, as well as analysis of the Hungarian legal practice. RESULTS: Hungarian courts tend to impose a lighter punishment on a perpetrator diagnosed with AIDS than on a healthy perpetrator...
November 2016: Orvosi Hetilap
https://www.readbyqxmd.com/read/27865163/evaluation-of-patients-with-type-2-diabetes-mellitus-receiving-treatment-during-the-pre-diabetes-period-is-early-treatment-associated-with-improved-outcomes
#6
Paresh Chaudhari, Carlos Vallarino, Ernest H Law, Raafat Seifeldin
AIM: This study evaluates the association of pretreatment with oral antidiabetics (OADs) on clinical outcomes and health resource utilization among commercially insured type II diabetes mellitus (T2DM) patients in the United States. METHODS: Using administrative data (Truven MarketScan® Research Databases), patients diagnosed with T2DM between 2007 and 2014 with ⩾6months continuous enrolment pre- and post-diagnosis were evaluated. Pretreatment was defined as OAD use at least 3months prior to T2DM diagnosis...
November 3, 2016: Diabetes Research and Clinical Practice
https://www.readbyqxmd.com/read/27836014/is-the-un-convention-on-the-rights-of-persons-with-disabilities-impacting-mental-health-laws-and-policies-in-high-income-countries-a-case-study-of-implementation-in-canada
#7
EDITORIAL
Steven J Hoffman, Lathika Sritharan, Ali Tejpar
BACKGROUND: Persons with psychosocial disabilities face disparate access to healthcare and social services worldwide, along with systemic discrimination, structural inequalities, and widespread human rights abuses. Accordingly, many people have looked to international human rights law to help address mental health challenges. On December 13, 2006, the United Nations formally adopted the Convention on the Rights of Persons with Disabilities (CRPD) - the first human rights treaty of the 21st century and the fastest ever negotiated...
November 11, 2016: BMC International Health and Human Rights
https://www.readbyqxmd.com/read/27834520/protecting-patients-pressure-ulcer-prevention
#8
John Tingle
John Tingle, Reader in Health Law, Nottingham Trent University, continues his discussion of Healthcare Improvement Scotland patient safety publications and its standards for management of pressure ulcers.
November 10, 2016: British Journal of Nursing: BJN
https://www.readbyqxmd.com/read/27792429/learning-from-adverse-events
#9
John Tingle
John Tingle, Reader in Health Law, Nottingham Trent University, discusses Healthcare Improvement Scotland's 2016 report Learning from adverse events: Learning and improvement summary.
October 27, 2016: British Journal of Nursing: BJN
https://www.readbyqxmd.com/read/27785707/medical-malpractice-in-dermatology-part-ii-%C3%A2-what-to-do-once-you-have-been-served-with-a-lawsuit
#10
Vidhi V Shah, Marshall B Kapp, Stephen E Wolverton
Facing a malpractice lawsuit can be a daunting and traumatic experience for healthcare practitioners, with most clinicians naïve to the legal landscape. It is crucial for physicians to know and understand the malpractice system and his or her role once challenged with litigation. We present part II of a two-part series addressing the most common medicolegal questions that cause a great deal of anxiety. Part I focused upon risk-management strategies and prevention of malpractice lawsuits, whereas part II provides helpful suggestions and guidance for the physician who has been served with a lawsuit complaint...
December 2016: American Journal of Clinical Dermatology
https://www.readbyqxmd.com/read/27783606/-a-proposed-organizational-model-for-health-districts-of-the-lazio-region-italy
#11
Rosario Mete
In the Lazio Region (Italy), health districts were established with Regional Law n. 18 of 1994. In the absence of specific regional recommendations, this was done by taking into account local situations and the needs of individual local health authorities, resulting in a network of markedly heterogeneous health districts. This serious situation has never been dealt with in a concrete manner and no measures have been undertaken over the years to correct it. The Regional Association of healthcare directors, managers and workers, established in 2001, has performed a number of studies to compare corporate acts and healthcare services provided by individual health units; these have confirmed the existence of varied organizational structures...
July 2016: Igiene e Sanità Pubblica
https://www.readbyqxmd.com/read/27753522/are-health-plan-design-and-prior-use-of-long-acting-reversible-contraception-associated-with-pregnancy-intention
#12
Mary Anne Armstrong, Debbie A Postlethwaite, Jeanne A Darbinian, Mark McCoy, Amy Law
BACKGROUND: In 2007, high-deductible plans were added to the primarily nondeductible Kaiser Permanente Northern California (KPNC) integrated health plan, which had covered 100% of device and procedure costs of long-acting reversible contraception (LARC) for members regardless of prescription/visit copay amount. We hypothesized that nondeductible plans and prior LARC use decreased unintended pregnancy. OBJECTIVE: The purpose of this study was to determine if health plan design (nondeductible vs...
October 18, 2016: Journal of Women's Health
https://www.readbyqxmd.com/read/27745910/measuring-decisional-certainty-among-women-seeking-abortion
#13
Lauren J Ralph, Diana Greene Foster, Katrina Kimport, David Turok, Sarah C M Roberts
OBJECTIVE: Evaluating decisional certainty is an important component of medical care, including preabortion care. However, minimal research has examined how to measure certainty with reliability and validity among women seeking abortion. We examine whether the Decisional Conflict Scale (DCS), a measure widely used in other health specialties and considered the gold standard for measuring this construct, and the Taft-Baker Scale (TBS), a measure developed by abortion counselors, are valid and reliable for use with women seeking abortion and predict the decision to continue the pregnancy...
October 10, 2016: Contraception
https://www.readbyqxmd.com/read/27722965/the-social-cost-of-drugs-in-france-in-2010
#14
Pierre Kopp, Marysia Ogrodnik
The social cost of drugs is the monetary cost of both the consequences of their trade and their consumption. In this paper, drugs considered are tobacco and alcohol, which are legal, plus those that are illegal. The social cost is the sum of the external cost: value of loss in quality of life, value of years of life lost and value of loss in productivity, plus public expenditure. Public expenditure consists of public spending on medical care, prevention, and law enforcement, minus savings from unpaid pensions and taxes levied on tobacco and alcohol...
October 8, 2016: European Journal of Health Economics: HEPAC: Health Economics in Prevention and Care
https://www.readbyqxmd.com/read/27714604/improving-education-and-coping-of-scoliosis-patients-undergoing-surgery-and-their-families-using-e-health
#15
Magdalena Lysenko, Peggy Law, James Jarvis, James G Wright
PURPOSE: Healthcare providers have limited time to spend with scoliosis patients who are considering surgery and their families. The purpose of this study was to evaluate an e-health strategy to increase knowledge and coping in patients with scoliosis who are surgical candidates and their families. METHODS: We enrolled patients with scoliosis who were candidates for surgery and their families. Patients and their families completed the scoliosis knowledge questionnaire, meaning of illness questionnaire, social support and coping questionnaires before and after access to a comprehensive evidence-based scoliosis website ( http://www...
October 6, 2016: Journal of Children's Orthopaedics
https://www.readbyqxmd.com/read/27713991/cmos-biosensors-for-in-vitro-diagnosis-transducing-mechanisms-and-applications
#16
Ka-Meng Lei, Pui-In Mak, Man-Kay Law, Rui P Martins
Complementary metal oxide semiconductor (CMOS) technology enables low-cost and large-scale integration of transistors and physical sensing materials on tiny chips (e.g., <1 cm(2)), seamlessly combining the two key functions of biosensors: transducing and signal processing. Recent CMOS biosensors unified different transducing mechanisms (impedance, fluorescence, and nuclear spin) and readout electronics have demonstrated competitive sensitivity for in vitro diagnosis, such as detection of DNA (down to 10 aM), protein (down to 10 fM), or bacteria/cells (single cell)...
September 21, 2016: Lab on a Chip
https://www.readbyqxmd.com/read/27708172/handling-big-data-in-modern-healthcare
#17
Hassan A Aziz
The constant growth of medical knowledge and the increases in specialization in clinical practice have created a significant need to share and access patient information with speed and efficiency. However, current technology is centered on processing data, rather than gathering information. To realize the potential of modern technology in improving patient health, merely collecting and storing data are insufficient: one must convert these data into information and knowledge. In this article, I present an overview of 2 recent advances in technology and their assimilation into the practice of medicine, in the attempt to make clinical data meaningful and then to learn from aggregated clinical data...
November 2016: Laboratory Medicine
https://www.readbyqxmd.com/read/27688951/significance-of-concussions-in-hawai-i-from-land-to-sea
#18
David X Cifu, Olivia K Uchima, Alaina S Davis, Amy E Lower, Jingyu L Jin, Henry L Lew
Head injuries are a particular concern in Hawai'i given the large military population, the presence of many land and water sports such as football and surfing, and the lenient helmet laws for motorcycle and bicycle riders. Physical, psychological, and cognitive symptoms from single or repeated concussions can affect an individual's reentry to society and activity. Current literature indicates that repeated head injuries are associated with chronic traumatic encephalopathy (CTE) which is thought to lead to dementia...
September 2016: Hawai'i Journal of Medicine & Public Health: a Journal of Asia Pacific Medicine & Public Health
https://www.readbyqxmd.com/read/27688212/patient-adherence-and-experience-with-extended-use-of-prophylactic-low-molecular-weight-heparin-following-pancreas-and-liver-resection
#19
Madeline Lemke, Kaitlyn Beyfuss, Julie Hallet, Natalie G Coburn, Calvin H L Law, Paul J Karanicolas
BACKGROUND: Guidelines recommend 28 days venous thromboembolism (VTE) prophylaxis with low-molecular-weight heparin (LMWH) following major abdominal surgery for cancer. Overall adherence with these recommendations is poor, but little is known about feasibility and tolerability from a patient perspective. METHODS: An institution-wide policy for routine administration of 28 days of post-operative LMWH following major hepatic or pancreatic resection for cancer was implemented in April 2013...
September 29, 2016: Journal of Gastrointestinal Surgery: Official Journal of the Society for Surgery of the Alimentary Tract
https://www.readbyqxmd.com/read/27682549/staffing-levels-law-will-bolster-the-front-line
#20
Jean White
Sustaining a sufficient, well-educated nursing workforce that can meet growing healthcare needs is an important challenge in many countries.
September 28, 2016: Nursing Standard
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