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https://www.readbyqxmd.com/read/27903015/neurosurgical-resident-training-in-germany
#1
Martin N Stienen, Jens Gempt, Oliver P Gautschi, Andreas K Demetriades, David Netuka, Dominique E Kuhlen, Karl Schaller, Florian Ringel
Introduction Efficient neurosurgical training is of paramount importance to provide continuing high-quality medical care to patients. In this era of law-enforced working hour restrictions, however, maintaining high-quality training can be a challenge and requires some restructuring. We evaluated the current status of resident training in Germany. Methods An electronic survey was sent to European neurosurgical trainees between June 2014 and March 2015. The responses of German trainees were compared with those of trainees from other European countries...
November 30, 2016: Journal of Neurological Surgery. Part A, Central European Neurosurgery
https://www.readbyqxmd.com/read/27885404/-health-examination-of-asylum-seekers-a-nationwide-analysis-of-state-policies-in-germany-%C3%A2-%C3%A2-62-of-the-asylum-law
#2
Katharina Wahedi, Stefan Nöst, Kayvan Bozorgmehr
BACKGROUND: A health examination of newly arrived asylum seekers, aimed at detecting infectious diseases and preventing disease outbreaks in accommodation facilities, is mandated by national law in all German states. Due to the decentralized German federal system, different state policies are in place and lead to substantial variation in the content and implementation of the health examination. OBJECTIVES: To compare health examination policies in the 16 German states with a focus on conducted tests, preventive measures and the general procedure...
November 24, 2016: Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz
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 MACRA permanently repealed the Medicare Sustainable Growth Rate so as to stabilize physician part B Medicare payments, consolidated pre-existing federal performance programs into the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/27873295/colleges-and-universities-sticking-to-their-guns
#4
Jesse Perez Mendez, Lou Sabina, Jon Loffi
Firearm possession on college and university campuses remains a volatile public policy issue among policymakers, legislators, scholars, and administrators. Given the American federal governmental structure, many states have developed legislative approaches to "carry on campus" policies throughout the years that align with federal law. This study explores the diversity of state approaches and nuances of "carry on campus" throughout recent years and current state legislation under consideration. The implications of "carry on campus" legislation vary on college campuses, depending on applicable state law; however, some general dynamics apply to all...
September 2016: Journal of Emergency Management: JEM
https://www.readbyqxmd.com/read/27871188/what-can-35-years-and-over-700-000-measurements-tell-us-about-noise-exposure-in-the-mining-industry
#5
Benjamin Roberts, Kan Sun, Richard L Neitzel
OBJECTIVE: To analyse over 700,000 cross-sectional measurements from the Mine Safety and Health Administration (MHSA) and develop statistical models to predict noise exposure for a worker. DESIGN: Descriptive statistics were used to summarise the data. Two linear regression models were used to predict noise exposure based on MSHA-permissible exposure limit (PEL) and action level (AL), respectively. Twofold cross validation was used to compare the exposure estimates from the models to actual measurement...
November 22, 2016: International Journal of Audiology
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/27843958/evaluation-of-prescriptions-of-medicines-not-included-in-iran-medicine-list-a-cross-sectional-study
#7
Marzieh Zargaran, Shekoufeh Nikfar, Abdol Majid Cheraghali
OBJECTIVE: Iran Food and Drug Administration (IFDA) has the mission to regulate all aspects of pharmaceutical market including registration of the new medicines. Iran Drug Selection Committee has the responsibility to maintain and revise Iran Medicine List (IML). The National law has banned production, importation, distribution, and prescription of medicines not included in IML. Although, IFDA policy makers have created a mechanism to provide medicines not included in the list but might be essential for the treatment of specific patients...
October 2016: Journal of Research in Pharmacy Practice
https://www.readbyqxmd.com/read/27837287/status-quo-of-management-of-the-human-tissue-banks-in-taiwan
#8
REVIEW
Ching-Pang Chou, Szu-Cheng Chou, Ying-Hua Chen, Yu-Hsuan Chen, Ming-Shin Lee
As the technologies associated with transplantation and biological tissue engineering continue to advance, human cells and tissues form an integral part to the practice of regenerative medicine. The patient's use of tissues entails the risk of introducing, transmitting and spreading communicable diseases. To prevent such risk and to ensure that the human organs, tissues and cells remain intact and functional after being handled and processed, the transplanted tissues must be subject to good management standards through all stages of collection, screening, processing, storage and distribution as the safety of the users is of the utmost importance...
November 11, 2016: Cell and Tissue Banking
https://www.readbyqxmd.com/read/27821385/adjuvant-endocrine-therapy-in-breast-cancer-a-novel-e-health-approach-in-optimizing-treatment-for-seniors-optimum-a-two-group-controlled-comparison-pilot-study
#9
Ari Meguerditchian, Robyn Tamblyn, Sarkis Meterissian, Susan Law, Jaroslav Prchal, Nancy Winslade, Donna Stern
BACKGROUND: In women with hormone receptor positive breast cancer, adjuvant endocrine therapy (AET) is associated with a significant survival advantage. Nonadherence is a particular challenge in older women, even though they stand to benefit the most from AET. Therefore, a novel eHealth tool (OPTIMUM) that integrates real-time analysis of health administrative claims data was developed to provide point-of-care decision support for clinicians. OBJECTIVES: The objectives of the study are to determine the effectiveness of a patient-specific, real-time eHealth alert delivered at point-of-care in reducing rates of AET discontinuation and to understand patient-level factors related to AET discontinuation as well as to assess integration of eHealth alerts regarding deviations from best practices in administration of AET by cancer care teams...
November 7, 2016: JMIR Research Protocols
https://www.readbyqxmd.com/read/27818322/an-overview-of-herb-and-dietary-supplement-efficacy-safety-and-government-regulations-in-the-united-states-with-suggested-improvements-part-1-of-5-series
#10
REVIEW
Amy Christine Brown
This is the first of five review articles investigating dietary supplements (DS; includes herbs) that now exceed over 50,000 in the Office of Dietary Supplement's "Dietary Supplement Label Database." Four review articles follow summarizing published medical case reports of DS related to liver toxicity, kidney toxicity, heart toxicity, and cancer. The most popular DS were vitamin or mineral supplements (43%) followed by specialty supplements (20%), botanicals (herbs; 20%), and sports supplements (16%). The 2013 Annual Report of the American Association of Poison Control Centers revealed 1692 fatalities due to drugs and zero deaths due to DS...
November 3, 2016: Food and Chemical Toxicology
https://www.readbyqxmd.com/read/27815437/special-competencies-for-psychological-assessment-of-torture-survivors
#11
Kirby Huminuik
In spite of the absolute prohibition against torture in international law, this grave human rights abuse is still practiced systematically and with impunity in the majority of countries around the world. Mental health professionals can play a positive role in the fight against torture and impunity, by developing competencies to assess the psychological sequelae of torture. High-quality psychological evidence can help to substantiate allegations of torture, thereby increasing the likelihood of success in civil, administrative, and criminal proceedings...
November 4, 2016: Transcultural Psychiatry
https://www.readbyqxmd.com/read/27812846/a-comparative-study-of-obsessionality-in-medical-students-law-students-and-controls
#12
Michael D Harries, Suck Won Kim, Jon E Grant
Understanding obsessive-compulsive behavior in medical students and law students is necessary for administrators and educators to properly work with students struggling with obsessionality. We aim to compare the differences in obsessive symptoms between medical students, law students and a control population. A total of 100 third-year medical students, 102 third-year law students and 103 control subjects drawn from the general population completed the Leyton Obsessional Inventory (LOI). Subjects were examined on all three sections (symptoms/traits, resistance and interference) of the LOI...
November 3, 2016: Psychiatric Quarterly
https://www.readbyqxmd.com/read/27790468/knowledge-attitudes-and-practices-kap-relating-to-dietary-supplements-among-health-sciences-and-non-health-sciences-students-in-one-of-the-universities-of-united-arab-emirates-uae
#13
Farah Kais Alhomoud, Mohammed Basil, Andrey Bondarev
INTRODUCTION: The use of Dietary Supplements (DS) has increased substantially in the United Arab Emirates (UAE) in recent years, despite the fact that the efficacy and safety of these supplements are not proven yet. In addition, the practices of supplement users in the UAE remain undocumented. AIM: To determine the usage of DS in health sciences and non-health sciences students; and to determine their knowledge, attitudes and practices (KAP) regarding these supplements...
September 2016: Journal of Clinical and Diagnostic Research: JCDR
https://www.readbyqxmd.com/read/27774217/a-pragmatic-analysis-of-the-regulation-of%C3%A2-consumer-transcranial-direct-current-stimulation-tdcs-devices-in-the-united-states
#14
Anna Wexler
Several recent articles have called for the regulation of consumer transcranial direct current stimulation (tDCS) devices, which provide low levels of electrical current to the brain. However, most of the discussion to-date has focused on ethical or normative considerations; there has been a notable absence of scholarship regarding the actual legal framework in the United States. This article aims to fill that gap by providing a pragmatic analysis of the consumer tDCS market and relevant laws and regulations...
November 2015: Journal of Law and the Biosciences
https://www.readbyqxmd.com/read/27768266/procedures-for-the-handling-of-retaliation-complaints-under-section-1558-of-the-affordable-care-act-final-rule
#15
(no author information available yet)
This document provides the final text of regulations governing employee protection (retaliation or whistleblower) claims under section 1558 of the Affordable Care Act, which added section 18C to the Fair Labor Standards Act to provide protections to employees who may have been subject to retaliation for seeking assistance under certain affordability assistance provisions (for example, health insurance premium tax credits) or for reporting potential violations of the Affordable Care Act's consumer protections (for example, the prohibition on rescissions)...
October 13, 2016: Federal Register
https://www.readbyqxmd.com/read/27749346/intravenous-air-the-partially-invisible-phenomenon
#16
Christopher Varga, Isaac Luria, Nikolaus Gravenstein
BACKGROUND: Air injection is carefully avoided during IV solution administration; however, ambient air is dissolved in all liquids used for intravenous (IV) therapy. A portion of this gas will come out of solution in the form of bubbles as the solution is warmed to body temperature in a fluid warming system and/or within the body. We sought to quantify the proportion of the gas theoretically dissolved in room temperature crystalloid and 4°C blood products that comes out of solution in the IV tubing on warming to 37°C...
November 2016: Anesthesia and Analgesia
https://www.readbyqxmd.com/read/27719679/community-perspectives-on-the-determinants-of-maternal-health-in-rural-southern-mozambique-a-qualitative-study
#17
Tabassum Firoz, Marianne Vidler, Prestige Tatenda Makanga, Helena Boene, Rogério Chiaú, Esperança Sevene, Laura A Magee, Peter von Dadelszen, Khátia Munguambe
BACKGROUND: Mozambique has one of the highest rates of maternal mortality in sub-Saharan Africa. The main influences on maternal health encompass social, economic, political, environmental and cultural determinants of health. To effectively address maternal mortality in the post-2015 agenda, interventions need to consider the determinants of health so that their delivery is not limited to the health sector. The objective of this exploratory qualitative study was to identify key community groups' perspectives on the perceived determinants of maternal health in rural areas of southern Mozambique...
September 30, 2016: Reproductive Health
https://www.readbyqxmd.com/read/27716178/securizing-data-linkage-in-french-public-statistics
#18
Maxence Guesdon, Eric Benzenine, Kamel Gadouche, Catherine Quantin
Administrative records in France, especially medical and social records, have huge potential for statistical studies. The NIR (a national identifier) is widely used in medico-social administrations, and this would theoretically provide considerable scope for data matching, on condition that the legislation on such matters was respected.The law, however, forbids the processing of non-anonymized medical data, thus making it difficult to carry out studies that require several sources of social and medical data...
October 6, 2016: BMC Medical Informatics and Decision Making
https://www.readbyqxmd.com/read/27706510/unattended-sleep-studies-in-a-va-population-initial-evaluation-by-chart-review-versus-clinic-visit-by-a-midlevel-provider
#19
Abdelhamid M Alsharif, Michelle Potts, Regina Laws, Amado X Freire, Ibrahim Sultan-Ali
OBJECTIVES: Obstructive sleep apnea (OSA) is a prevalent disorder that is associated with multiple medical consequences. Although in-laboratory polysomnography is the gold standard for the diagnosis of OSA, portable monitors have been developed and studied to help increase efficiency and ease of diagnosis. We aimed to assess the adequacy of a midlevel provider specializing in sleep medicine to risk-stratify patients for OSA based on a chart review versus a comprehensive clinic evaluation before scheduling an unattended sleep study...
October 2016: Southern Medical Journal
https://www.readbyqxmd.com/read/27703102/-drug-dependence-and-toxicity-of-law-evading-drugs-their-mechanisms-explored-from-basic-research
#20
Masahiko Funada
The number of law-evading chemical substances that pose serious health risks to humans is increasing worldwide, including Japan and the Western world, and their abuse is becoming a serious social problem. Analysis of the chemical substances in these herbal products revealed the presence of synthetic cannabinoids. This review summarizes the pharmacological actions and dangers of chemical substances contained in law-evading herbal products by focusing on synthetic cannabinoids as a group of chemical substances contained in these products...
October 2016: Brain and Nerve, Shinkei Kenkyū No Shinpo
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