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https://www.readbyqxmd.com/read/28430700/prescriber-compliance-with-liver-monitoring-guidelines-for-pazopanib-in-the-postapproval-setting-results-from-a-distributed-research-network
#1
Sumitra Shantakumar, Beth L Nordstrom, Susan A Hall, Luc Djousse, Myrthe P P van Herk-Sukel, Kathy H Fraeman, David R Gagnon, Karen Chagin, Jeanenne J Nelson
OBJECTIVES: Pazopanib received US Food and Drug Administration approval in 2009 for advanced renal cell carcinoma. During clinical development, liver chemistry abnormalities and adverse hepatic events were observed, leading to a boxed warning for hepatotoxicity and detailed label prescriber guidelines for liver monitoring. As part of postapproval regulatory commitments, a cohort study was conducted to assess prescriber compliance with liver monitoring guidelines. METHODS: Over a 4-year period, a distributed network approach was used across 3 databases: US Veterans Affairs Healthcare System, a US outpatient oncology community practice database, and the Dutch PHARMO Database Network...
April 20, 2017: Journal of Patient Safety
https://www.readbyqxmd.com/read/28422621/historic-leadership-one-courageous-school-nurse-s-heroic-journey-part-3
#2
Ellen F Johnsen, Katherine J Pohlman
School nursing practice establishes itself in the midst of both education and nursing philosophies, ethics, standards, laws, and regulations. Treading these two worlds is difficult at times and requires that a school nurse possess a strong foundational knowledge base, seek professional collaboration, and navigate conflicting professional demands in order to promote student and public safety. This article is Part 3 of a four-part series that recounts the inspiring story of a school nurse, Ellen Johnsen, who did just that back in the 1980s in Broken Arrow, Oklahoma...
May 2017: NASN School Nurse
https://www.readbyqxmd.com/read/28420546/facilitating-fresh-state-laws-supporting-school-gardens-are-associated-with-use-of-garden-grown-produce-in-school-nutrition-services-programs
#3
Lindsey Turner, Julien Leider, Elizabeth Piekarz, Rebecca M Schermbeck, Caitlin Merlo, Nancy Brener, Jamie F Chriqui
OBJECTIVE: To examine whether state laws are associated with the presence of school gardens and the use of garden-grown produce in school nutrition services programs. DESIGN: Nationally representative data from the School Health Policies and Practices Study 2014 were combined with objectively coded state law data regarding school gardens. MAIN OUTCOME MEASURES: Outcomes were: (1) the presence of a school garden at each school (n = 419 schools), and (2) the use of garden-grown items in the school nutrition services program...
April 15, 2017: Journal of Nutrition Education and Behavior
https://www.readbyqxmd.com/read/28403937/glucocorticoids-modulate-human-brown-adipose-tissue-thermogenesis-in-vivo
#4
RANDOMIZED CONTROLLED TRIAL
Hannah Scotney, Michael E Symonds, James Law, Helen Budge, Don Sharkey, Konstantinos N Manolopoulos
INTRODUCTION: Brown adipose tissue (BAT) is a thermogenic organ with substantial metabolic capacity and has important roles in the maintenance of body weight and metabolism. Regulation of BAT is primarily mediated through the β-adrenoceptor (β-AR) pathway. The in vivo endocrine regulation of this pathway in humans is unknown. The objective of our study was to assess the in vivo BAT temperature responses to acute glucocorticoid administration. METHODS: We studied 8 healthy male volunteers, not pre-selected for BAT presence or activity and without prior BAT cold-activation, on two occasions, following an infusion with hydrocortisone (0...
May 2017: Metabolism: Clinical and Experimental
https://www.readbyqxmd.com/read/28400490/flavour-chemicals-in-a-sample-of-non-cigarette-tobacco-products-without-explicit-flavour-names-sold-in-new-york-city-in-2015
#5
Shannon M Farley, Kevin Rj Schroth, Victoria Grimshaw, Wentai Luo, Julia L DeGagne, Peyton A Tierney, Kilsun Kim, James F Pankow
BACKGROUND: Youth who experiment with tobacco often start with flavoured products. In New York City (NYC), local law restricts sales of all tobacco products with 'characterising flavours' except for 'tobacco, menthol, mint and wintergreen'. Enforcement is based on packaging: explicit use of a flavour name (eg, 'strawberry') or image depicting a flavour (eg, a fruit) is presumptive evidence that a product is flavoured and therefore prohibited. However, a tobacco product may contain significant levels of added flavour chemicals even when the label does not explicitly use a flavour name...
April 11, 2017: Tobacco Control
https://www.readbyqxmd.com/read/28398137/developing-an-undue-influence-screening-tool-for-adult-protective-services
#6
Mary Joy Quinn, Lisa Nerenberg, Adria E Navarro, Kathleen H Wilber
The study purpose was to develop and pilot an undue influence screening tool for Adult Protective Services (APS) personnel based on the definition of undue influence enacted into California law January 1, 2014. Methods included four focus groups with APS providers (n = 33), piloting the preliminary tool by APS personnel (n = 15), and interviews with four elder abuse experts and two APS administrators. Social service literature-including ex-isting undue influence models-was reviewed, as were existing screening and assessment tools...
April 11, 2017: Journal of Elder Abuse & Neglect
https://www.readbyqxmd.com/read/28392595/the-principles-of-catholic-social-teaching-a-guide-for-decision-making-from-daily-clinical-encounters-to-national-policy-making
#7
Karen Shields Wright
Catholic social teaching (CST), a branch of moral theology, addresses contemporary issues within the political, economic, and cultural structures of society. The threefold cornerstone of CST contains the principles of human dignity, solidarity, and subsidiarity. It is the foundation on which to form our conscience in order to evaluate the framework of society and is the Catholic criteria for prudential judgment and direction in developing current policy-making. With knowledge of these social principles, in combination with our faith, we will be more armed and informed as to articulate the Catholic vision of reality, the truthful nature of the human person and society, to apply and integrate the social teachings in our everyday administrative and clinical encounters, and through the virtue of charity take action within the social, political, and economic spheres in which we have influence...
February 2017: Linacre Quarterly
https://www.readbyqxmd.com/read/28378627/evaluation-of-implementation-of-massachusetts-sports-concussion-regulations
#8
Jonathan Howland, Holly Hackman, Alyssa Taylor, Linda Brown, Mary Ann Gapinski, Julie Kautz Mills, Kathleen Thornton
In 2015, the Massachusetts Department of Public Health conducted focus groups with school nurses (SNs) and athletic trainers (ATs) from Massachusetts middle and high schools to assess implementation of legislated regulations relative to the management of students' head injuries incurred during extracurricular sports. Four tape-recorded focus groups were conducted by experienced facilitators. Lists of themes were synthesized by investigators for each focus group. Participating SNs and ATs supported the sports concussion legislation, felt that implementation had gone well, indicated that the law empowered them in managing return-to-school/play for students with concussion, and experienced support from their school administrators...
January 1, 2017: Journal of School Nursing: the Official Publication of the National Association of School Nurses
https://www.readbyqxmd.com/read/28375918/mitigating-cybersecurity-risks
#9
Rachel V Rose, Joseph S Kass
Cybersecurity issues and their impact on compliance with the Health Insurance Portability and Accountability Act (HIPAA) and the Health Information Technology for Economic and Clinical Health (HITECH) Act are becoming more of an enforcement focus for a variety of government agencies, including the US Department of Health and Human Services, the Federal Trade Commission, and the Department of Justice. In the case presented in this article, a nurse in a neurology practice opted to speak with a patient about human immunodeficiency virus testing procedures in a manner audible to others in the waiting room...
April 2017: Continuum: Lifelong Learning in Neurology
https://www.readbyqxmd.com/read/28375589/health-care-s-other-big-deal-direct-primary-care-regulation-in-contemporary-american-health-law
#10
Glenn E Chappell
Direct primary care is a promising, market-based alternative to the fee-for-service payment structure that shapes doctor–patient relationships in America. Instead of billing patients and insurers service by service, direct primary care doctors charge their patients a periodic, prenegotiated fee in exchange for providing a wide range of healthcare services and increased availability compared to traditional practices. This “subscription” model is intended to eliminate the administrative burdens associated with insurer interaction, which, in theory, allows doctors to spend more time with their patients and less time doing paperwork...
March 2017: Duke Law Journal
https://www.readbyqxmd.com/read/28365427/classification-of-maltreatment-related-mortality-by-child-death-review-teams-how-reliable-are-they
#11
Jared W Parrish, Patricia G Schnitzer, Paul Lanier, Meghan E Shanahan, Julie L Daniels, Steven W Marshall
Accurate estimation of the incidence of maltreatment-related child mortality depends on reliable child fatality review. We examined the inter-rater reliability of maltreatment designation for two Alaskan Child Death Review (CDR) panels. Two different multidisciplinary CDR panels each reviewed a series of 101 infant and child deaths (ages 0-4 years) in Alaska. Both panels independently reviewed identical medical, autopsy, law enforcement, child welfare, and administrative records for each death utilizing the same maltreatment criteria...
March 30, 2017: Child Abuse & Neglect
https://www.readbyqxmd.com/read/28355045/schedules-of-controlled-substances-placement-of-brivaracetam-into-schedule-v-final-rule
#12
(no author information available yet)
This final rule adopts without change an interim final rule with request for comments published in the Federal Register on May 12, 2016. The Drug Enforcement Administration is placing the substance brivaracetam ((2S)-2-[(4R)-2-oxo-4-propylpyrrolidin-1-yl] butanamide) (also referred to as BRV; UCB-34714; Briviact) (including its salts) into schedule V of the Controlled Substances Act. This scheduling action is pursuant to the Controlled Substances Act, as revised by the Improving Regulatory Transparency for New Medical Therapies Act which was signed into law on November 25, 2015...
March 9, 2017: Federal Register
https://www.readbyqxmd.com/read/28345985/reviewing-the-investigative-landscape-to-move-towards-a-learning-culture
#13
John Tingle
John Tingle, Reader in Health Law at Nottingham Trent University, discusses the Public Administration and Constitutional Affairs Committee follow up to the report, Learning from Mistakes, on the NHS in England.
March 23, 2017: British Journal of Nursing: BJN
https://www.readbyqxmd.com/read/28333682/discrepancies-in-the-law-and-the-u-s-food-and-drug-administration-pharmacy-compounding-compliance-policy-guidelines
#14
Loyd V Allen
No abstract text is available yet for this article.
July 2016: International Journal of Pharmaceutical Compounding
https://www.readbyqxmd.com/read/28287120/optimizing-non-invasive-radiofrequency-hyperthermia-treatment-for-improving-drug-delivery-in-4t1-mouse-breast-cancer-model
#15
Matthew J Ware, Martyna Krzykawska-Serda, Jason Chak-Shing Ho, Jared Newton, Sarah Suki, Justin Law, Lam Nguyen, Vazrik Keshishian, Maciej Serda, Kimberly Taylor, Steven A Curley, Stuart J Corr
Interactions of high-frequency radio waves (RF) with biological tissues are currently being investigated as a therapeutic platform for non-invasive cancer hyperthermia therapy. RF delivers thermal energy into tissues, which increases intra-tumoral drug perfusion and blood-flow. Herein, we describe an optical-based method to optimize the short-term treatment schedules of drug and hyperthermia administration in a 4T1 breast cancer model via RF, with the aim of maximizing drug localization and homogenous distribution within the tumor microenvironment...
March 13, 2017: Scientific Reports
https://www.readbyqxmd.com/read/28257646/a-decade-of-progress-providing-safe-abortion-services-in-ethiopia-results-of-national-assessments-in-2008-and-2014
#16
Yohannes Dibaba, Sally Dijkerman, Tamara Fetters, Ann Moore, Hailemichael Gebreselassie, Yirgu Gebrehiwot, Janie Benson
BACKGROUND: Ethiopia has one of the highest maternal mortality ratios in the world (420 per 100,000 live births in 2013), and unsafe abortion continues to be one of the major causes. To reduce deaths and disabilities from unsafe abortion, Ethiopia liberalized its abortion law in 2005 to allow safe abortion under certain conditions. This study aimed to measure how availability and utilization of safe abortion services has changed in the last decade in Ethiopia. METHODS: This paper draws on results from nationally representative health facility studies conducted in Ethiopia in 2008 and 2014...
March 4, 2017: BMC Pregnancy and Childbirth
https://www.readbyqxmd.com/read/28244644/optimizing-the-analysis-strategy-for-the-canvas-program-a-prespecified-plan-for-the-integrated-analyses-of-the-canvas-and-canvas-r-trials
#17
Bruce Neal, Vlado Perkovic, Kenneth W Mahaffey, Greg Fulcher, Ngozi Erondu, Mehul Desai, Wayne Shaw, Gordon Law, Marc K Walton, Norm Rosenthal, Dick de Zeeuw, David R Matthews
Two large cardiovascular outcome trials of canagliflozin, comprising the CANVAS Program, will complete in early 2017: the CANagliflozin cardioVascular Assessment Study (CANVAS) and the CANagliflozin cardioVascular Assessment Study-Renal (CANVAS-R). Accruing data for the sodium glucose co-transporter 2 (SGLT2) inhibitor class has identified questions and opportunities that were not apparent when the trials were designed. Accordingly, a series of modifications have been made to the planned analyses. These updates will ensure that the data from the CANVAS Program will maximize advances in scientific knowledge and patient care...
February 28, 2017: Diabetes, Obesity & Metabolism
https://www.readbyqxmd.com/read/28244581/work-related-stress-and-blood-glucose-levels
#18
A Sancini, S Ricci, F Tomei, C Sacco, A Pacchiarotti, N Nardone, P Ricci, A Suppi, D P De Cesare, V Anzelmo, R Giubilati, B Pimpinella, M V Rosati, G Tomei
AIM: The aim of the study is to evaluate work-related subjective stress in a group of workers on a major Italian company in the field of healthcare through the administration of a valid "questionnaire-tool indicator" (HSE Indicator Tool), and to analyze any correlation between stress levels taken from questionnaire scores and blood glucose values. MATERIAL AND METHODS: We studied a final sample consisting of 241 subjects with different tasks. The HSE questionnaire - made up of 35 items (divided into 7 organizational dimensions) with 5 possible answers - has been distributed to all the subjects in occasion of the health surveillance examinations provided by law...
March 2017: Annali di Igiene: Medicina Preventiva e di Comunità
https://www.readbyqxmd.com/read/28239807/adiponectin-partially-rescues-high-glucose-high-fat-induced-impairment-of-mitochondrial-biogenesis-and-function-in-a-pgc-1%C3%AE-dependent-manner
#19
H Wang, W-J Yan, J-L Zhang, F-Y Zhang, C Gao, Y-J Wang, W Bond Law, L Tao
OBJECTIVE: Plasma adiponectin (APN) levels are decreased in diabetic patients. Dysfunctional mitochondrial biogenesis is involved in type 2 diabetes (T2DM) pathogenesis, by unclear mechanisms. The present study determined (1) whether myocardial mitochondrial biogenesis was impaired in cardiomyocytes exposed to a high glucose/high fat (HGHF) medium (a T2DM in vitro model), (2) the effects of APN administration upon mitochondrial biogenesis in cardiomyocytes affected by HGHF incubation, and 3) the involved underlying mechanisms...
January 2017: European Review for Medical and Pharmacological Sciences
https://www.readbyqxmd.com/read/28231127/a-summary-of-the-united-states-food-and-drug-administrations-food-safety-program-for-imported-seafood-one-country-s-approach
#20
REVIEW
Brett Koonse
It is well known that the vast majority of seafood is captured or farmed in emerging countries and exported to developed countries. This has resulted in seafood being the number one traded food commodity in the world. Food safety is essential to this trade. Exporting countries should understand the regulatory food safety programs of the countries they ship to in order to comply with their applicable laws and regulations to avoid violations and disruptions in trade. The United States (U.S.) imports more seafood than any individual country in the world but the European Union (E...
April 29, 2016: Foods (Basel, Switzerland)
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