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https://www.readbyqxmd.com/read/28546772/the-impact-of-socioeconomic-status-and-multimorbidity-on-mortality-a-population-based-cohort-study
#1
Nikoline Lund Jensen, Henrik Søndergaard Pedersen, Mogens Vestergaard, Stewart W Mercer, Charlotte Glümer, Anders Prior
OBJECTIVE: Multimorbidity (MM) is more prevalent among people of lower socioeconomic status (SES), and both MM and SES are associated with higher mortality rates. However, little is known about the relationship between SES, MM, and mortality. This study investigates the association between educational level and mortality, and to what extent MM modifies this association. METHODS: We followed 239,547 individuals invited to participate in the Danish National Health Survey 2010 (mean follow-up time: 3...
2017: Clinical Epidemiology
https://www.readbyqxmd.com/read/28546640/civil-society-in-a-divided-society-linking-legitimacy-and-ethnicness-of-civil-society-organizations-in-bosnia-herzegovina
#2
Randall Puljek-Shank, Willemijn Verkoren
Civil society (CS) strengthening is central to peacebuilding policies for divided, post-war societies. However, it has been criticized for creating internationalized organizations without local backing, unable to represent citizens' interests. Based on in-depth empirical research in Bosnia-Herzegovina, this article focuses on the legitimacy of CS organizations (CSOs). It explores why legitimacy for donors rarely accompanies legitimacy for local actors. We hypothesized that whilst donors avoid supporting mono-ethnic organizations, seen as problematic for peacebuilding, 'ethnicness' may provide local legitimacy...
June 2017: Cooperation and Conflict
https://www.readbyqxmd.com/read/28546052/status-report-from-norway-implementation-of-patient-involvement-in-norwegian-health-care
#3
Jürgen Kasper, Anne Regine Lager, Markus Rumpsfeld, Simone Kienlin, Kristine Hoel Smestad, Tone Bråthen, Holly Ankell, Tore Knutsen, Rune Kløvtveit, Pål Gulbrandsen, Per Olav Vandvik, Anja Fog Heen, Signe Flottorp, Geir Tollåli, Øystein Eiring
Norway has traditionally high standards regarding civil rights particularly emphasizing equal access to societal resources including health care. This background and the health care system's centralized national organization make it perfectly suited for implementation of shared decision making (SDM). In recent years, great efforts have been made by policy- makers, regional health authorities and not least the patients to facilitate a process of change in health communication culture. SDM is currently even given highest priority in health care strategies on all system levels...
May 22, 2017: Zeitschrift Für Evidenz, Fortbildung und Qualität Im Gesundheitswesen
https://www.readbyqxmd.com/read/28545526/effective-implementation-of-the-uncrpd-by-thailand-state-party-challenges-and-potential-remedies
#4
Donruedee Srisuppaphon, Arnon Sriboonroj, Wachara Riewpaiboon, Viroj Tangcharoensathien
BACKGROUND: The Thai government ratified the United Nations Convention on the Rights of Persons with Disabilities (UNCRPD) in 2008, and the first progress report by the State Party was issued in 2012. This study assesses and identifies gaps in the Government's implementation of the Convention. METHODS: Using the Deming Plan-Do-Check-Act Cycle as an analytical framework for continuous quality improvement, we reviewed five documents which are: the 2012 State Party report; the list of issues by the Committee on the Rights of Persons with Disabilities; the 2015 replies to the list of issues by the Thai government; an alternative report produced by Civil Society Organizations (CSOs); and an alternative report produced by the National Human Rights Commission of Thailand...
May 25, 2017: BMC International Health and Human Rights
https://www.readbyqxmd.com/read/28543662/inclusion-access-and-civility-in-public-bioethics
#5
Rebecca Dresser
I could tell many war stories about my experience serving on the President's Council on Bioethics-one of the most controversial national bioethics commissions so far-but I want to focus instead on how the experience influenced my views on bioethics, politics, and the potential contributions of national commissions. The executive order that established the Council directed it to consider policy questions, but it spoke primarily of providing a forum for national discussion, inquiry, and education. In this sense, the Council's mission departed from that of other national bioethics commissions, which have had more direct policy functions...
May 2017: Hastings Center Report
https://www.readbyqxmd.com/read/28543602/a-longitudinal-mixed-methods-investigation-of-newly-qualified-nurses-workplace-stressors-and-stress-experiences-during-transition
#6
Yvonne Halpin, Louise M Terry, Joan Curzio
AIM: To investigate transition in newly qualified nurses through an exploration of their stressors and stress experiences during their first 12 months post-qualifying. BACKGROUND: Globally, thousands of new nurses qualify annually. They are crucial for the profession and healthcare service delivery. Work-related stress has multiple serious consequences, yet there is a lack of robust, empirical evidence that directly analyses newly qualified nurses and the stress they feel and experience in the workplace...
May 24, 2017: Journal of Advanced Nursing
https://www.readbyqxmd.com/read/28541174/enhancing-a-person-enhancing-a-civilization-a-research-program-at-the-intersection-of-bioethics-future-studies-and-astrobiology
#7
Milan M Ćirković
There are manifold intriguing issues located within largely unexplored borderlands of bioethics, future studies (including global risk analysis), and astrobiology. Human enhancement has for quite some time been among the foci of bioethical debates, but the same cannot be said about its global, transgenerational, and even cosmological consequences. In recent years, discussions of posthuman and, in general terms, postbiological civilization(s) have slowly gained a measure of academic respect, in parallel with the renewed interest in the entire field of future studies and the great strides made in understanding of the origin and evolution of life and intelligence in their widest, cosmic context...
July 2017: Cambridge Quarterly of Healthcare Ethics: CQ: the International Journal of Healthcare Ethics Committees
https://www.readbyqxmd.com/read/28540650/awareness-of-osteoporosis-in-a-polytechnic-in-enugu-south-east-nigeria
#8
R Njeze Ngozi, Obi Ikechukwu, Ajuba Miriam, Agwu-Umahi Olanike, D Akpagbula Ulugo, C Njeze Nneze
This study aims to determine the awareness of osteoporosis and factors that determine awareness of osteoporosis. Results showed that osteoporosis awareness was associated with age (p = 0.006) and occupation (p < 0.001) but not gender, marital status, and level of education. There is therefore need for educational interventions to improve awareness of osteoporosis. INTRODUCTION: Osteoporosis is a bone disease in which the bone becomes porous, brittle, and more susceptible to fracture...
December 2017: Archives of Osteoporosis
https://www.readbyqxmd.com/read/28539146/keratoconus-in-civil-aviation-pilots-in-a-report-of-six-cases
#9
Albert Rebello, Bênesson Rodrigues, Marcos Pereira
BACKGROUND: Keratoconus is a progressive noninflammatory ectatic corneal dystrophy, characterized by corneal thinning and increased curvature with central or paracentral tapered protrusion. Such changes in corneal morphology induce irregular astigmatism and myopia, resulting in visual acuity impairment. This report assesses cases in which keratoconus is not an absolute disabling condition for civil aviation pilots. METHODS: Six cases of keratoconus in active pilots are presented...
June 1, 2017: Aerospace Medicine and Human Performance
https://www.readbyqxmd.com/read/28538756/psychiatric-evaluation-of-civil-capacity-with-the-new-brazilian-statute-of-the-person-with-disabilities
#10
Elias Abdalla-Filho
The objective of this paper is to provide an update to psychiatrists regarding the new Brazilian Law for the Inclusion of People with Disabilities (BLI, Law 13,146 of 2015), and, specifically, to discuss potential implications of situations in which examination by a forensic psychiatrist points toward civil incompetence, while the above-mentioned law mandates full civil capacity for disabled persons. A study of Law 13,146/2015 was conducted, including a comparative analysis of legal and psychiatric approaches on the subject...
May 22, 2017: Revista Brasileira de Psiquiatria
https://www.readbyqxmd.com/read/28536553/succumbing-to-the-call-of-violence-sex-linked-development-of-appetitive-aggression-in-relation-to-familial-and-organized-violence
#11
Mareike Augsburger, Danie Meyer-Parlapanis, Thomas Elbert, Corina Nandi, Manassé Bambonye, Anselm Crombach
Appetitive aggression is the attraction to violent behavior, which can peak in the experience of a combat high. In various war and conflict scenarios, members of armed groups have reported developing a desire to hunt and even kill humans. More recently, we reported that the phenomenon has also been observed in female ex-combatants with varying participation in warfare. Despite recent investigations on risk factors for appetitive aggression, sex-specific pathways in the development of appetitive aggression have not yet been delineated...
2017: Frontiers in Psychology
https://www.readbyqxmd.com/read/28532557/pd-first-policy-thailand-s-response-to-the-challenge-of-meeting-the-needs-of-patients-with-end-stage-renal-disease
#12
REVIEW
Piyatida Chuengsaman, Vijj Kasemsup
Providing dialysis for end-stage kidney disease (ESKD) patients nationwide in a developing country such as Thailand is challenging. Even after roll-out of the Thai Universal Coverage Scheme in 2002, treatment for ESKD was not covered and patients struggled to afford dialysis. There was an urgent need to improve financial risk protection for patients with ESKD. Advocacy by nephrologists, health economists, and civil society seeking equity in access to dialysis, and responsiveness from policy makers, led to the methodical development of the Peritoneal Dialysis (PD) First policy and marked a turning point in ESKD care in Thailand...
May 2017: Seminars in Nephrology
https://www.readbyqxmd.com/read/28532410/malaria-mortality-characterization-and-the-relationship-between-malaria-mortality-and-climate-in-chimoio-mozambique
#13
João Luís Ferrão, Jorge M Mendes, Marco Painho, Sara Zacarias
BACKGROUND: The United Nation's sustainable development goal for 2030 is to eradicate the global malaria epidemic, primarily as the disease continues to be one of the major concerns for public health in sub-Saharan Africa. In 2015, the region accounted for 90% of malaria deaths. Mozambique recorded a malaria mortality rate of 42.75 (per 100,000). In Chimoio, Mozambique's fifth largest city, malaria is the fourth leading cause of death (9.4%). Few data on malaria mortality exists in Mozambique, particularly in relation to Chimoio...
May 22, 2017: Malaria Journal
https://www.readbyqxmd.com/read/28530814/reactive-molecular-dynamics-simulations-to-understand-mechanical-response-of-thaumasite-under-temperature-and-strain-rate-effects
#14
Shahin Hajilar, Behrouz Shafei, Tao Cheng, Andres Jaramillo-Botero
Understanding the structural, thermal, and mechanical properties of thaumasite is of great interest to the cement industry, mainly because it is the phase responsible for the aging and deterioration of civil infrastructures made of cementitious materials attacked by external sources of sulfate. Despite its importance, the effects of temperature and strain rate on the mechanical response of thaumasite have remained unexplored to date. In this study, the mechanical properties of thaumasite are fully characterized using the reactive molecular dynamics (RMD) method...
May 22, 2017: Journal of Physical Chemistry. A
https://www.readbyqxmd.com/read/28530772/characteristics-of-the-injuries-of-syrian-refugees-sustained-during-the-civil-war
#15
Betül Kocamer Şimşek, Mehmet Dokur, Erdal Uysal, Necdet Çalıker, Oruç Numan Gökçe, İbrahim Kürşat Deniz, Murat Uğur, Murat Geyik, Mehmet Kaya, Güner Dağlı
BACKGROUND: During a war, many civilians are severely injured by firearms, bombs, and shrapnel. The triage of war injuries involves difficult and complicated processes requiring surgical procedures and patient monitoring in the Intensive Care Unit (ICU) of hospitals. In this study, we examine the demographic, traumatic, and critical care characteristics of cases injured during the civil war in Syria and requiring emergency surgery. METHODS: Electronic data of the traumatic, surgical, and ICU monitoring features of 707 patients admitted to Kilis Public Hospital between March 2012 and January 2013 were analyzed retrospectively RESULTS: Most of the patients reported having been injured due to firearms (83...
May 2017: Ulusal Travma Ve Acil Cerrahi Dergisi, Turkish Journal of Trauma & Emergency Surgery: TJTES
https://www.readbyqxmd.com/read/28528990/proteomics-survey-of-solanaceae-family-current-status-and-challenges-ahead
#16
Arindam Ghatak, Palak Chaturvedi, Puneet Paul, Ganesh Kumar Agrawal, Randeep Rakwal, Sun Tae Kim, Wolfram Weckwerth, Ravi Gupta
Solanaceae is one of the major economically important families of higher plants and has played a central role in human nutrition since the dawn of human civilization. Therefore, researchers have always been interested in understanding the complex behavior of Solanaceae members to identify key transcripts, proteins or metabolites, which are potentially associated with major traits. Proteomics studies have contributed significantly to understanding the physiology of Solanaceae members. A compilation of all the published reports showed that both gel-based (75%) and gel-free (25%) proteomic technologies have been utilized to establish the proteomes of different tissues, organs, and organelles under normal and adverse environmental conditions...
May 18, 2017: Journal of Proteomics
https://www.readbyqxmd.com/read/28527534/austerity-and-the-sector-wide-approach-to-health-the-mozambique-experience
#17
James Pfeiffer, Sarah Gimbel, Baltazar Chilundo, Stephen Gloyd, Rachel Chapman, Kenneth Sherr
Fiscal austerity policies imposed by the IMF have reduced investments in social services, leaving post-independence nations like Mozambique struggling to recover from civil war and high disease burden. By 2000, a sector-wide approach (SWAp) was promoted to maximize aid effectiveness. 'Like-minded' bilateral donors, from Europe and Canada, promoted a unified approach to health sector support focusing on joint planning, common basket funding, and streamlined monitoring and evaluation to improve sector coordination, amplify country ownership, and build sustainable health systems...
May 4, 2017: Social Science & Medicine
https://www.readbyqxmd.com/read/28526258/sleep-duration-and-the-associated-cardiometabolic-risk-scores-in-adults
#18
Thirumagal Kanagasabai, Jean-Philippe Chaput
OBJECTIVES: To identify the sleep duration associated with the lowest cardiometabolic risk score in adults and to determine if the association varies by subgroups (eg, sex, age groups, ethnicity, and smoking status). DESIGN: Cross-sectional data from the 2005-2012 National Health and Nutrition Examination Survey. SETTING: Non-institutionalized civil sample from the United States. PARTICIPANTS: Age ≥20 y (N=8827) with sleep and cardiometabolic health data...
June 2017: Sleep Health
https://www.readbyqxmd.com/read/28523058/comparison-of-hydralazine-and-labetalol-to-lower-severe-hypertension-in-pregnancy
#19
Ayesha Khan, Sajida Hafeez, Farah Deeba Nasrullah
OBJECTIVE: To compare the intravenous Labetalol versus intravenous hydralazine in patients having severe Pregnancy induced hypertension (PIH) and pre eclampsia (PE) in pregnancy. METHODS: Seventy eight women admitted in the Department of Gynecology and Obstetrics, Civil Hospital Karachi, having severe PIH/PE and fulfilling the inclusion criteria were included in the study. Random selection of patients was performed using sealed opaqe envelop for administration of either intravenous noted (IV) Labetalol or Hydrallazine...
March 2017: Pakistan Journal of Medical Sciences Quarterly
https://www.readbyqxmd.com/read/28514356/-the-criteria-for-the-relationship-between-hearing-impairment-and-professional-occupation-and-the-criteria-for-professional-suitability-in-terms-of-hearing-among-the-aeronautical-personnel-engaged-in-civilian-aviation
#20
V B Pankova
This article describes the main clinical features associated with the development and manifestations of disturbed sound perception in the members of the aeronautical personnel engaged in the Russian civilian aviation. The main expert criteria for the relationship between the diseases of the organs of hearing (as exemplified by chronic sensorineural hearing impairment) and professional occupation have been developed based on the results of the clinical and diagnostic examination with the use of whispered and loud speech acumetry, tonal threshold audiometry, speech audiometry, impedancometry and evoked optoacoustic emission...
2017: Vestnik Otorinolaringologii
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