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https://www.readbyqxmd.com/read/29456599/deprivation-of-liberty-and-intensive-care-an-update-post-ferreira
#1
Behrad Baharlo, Daniele Bryden, Stephen J Brett
The right to liberty and security of the person is protected by Article 5 of the European Convention on Human Rights which has been incorporated into the Human Rights Act 1998. The 2014 Supreme Court judgment in the case commonly known as Cheshire West provided for an 'acid test' to be employed in establishing a deprivation of liberty. This 'acid test' of 'continuous supervision and not free to leave' led to concerns that patients lacking capacity being treated on an Intensive Care Unit could be at risk of a 'deprivation of liberty', if this authority was applicable to this setting...
February 2018: Journal of the Intensive Care Society
https://www.readbyqxmd.com/read/29452563/code-red-the-essential-yet-neglected-role-of-emergency-care-in-health-law-reform
#2
Shaun Ossei-Owusu
The United States' health care system is mired in uncertainty. Public opinion on the Patient Protection and Affordable Care Act ("ACA") is undeniably mixed and politicized. The individual mandate, tax subsidies, and Medicaid expansion dominate the discussion. This Article argues that the ACA and reform discourse have given short shrift to a more static problem: the law of emergency care. The Emergency Medical Treatment and Active Labor Act of 1986 ("EMTALA") requires most hospitals to screen patients for emergency medical conditions and provide stabilizing treatment regardless of patients' insurance status or ability to pay...
November 2017: American Journal of Law & Medicine
https://www.readbyqxmd.com/read/29446214/new-developments-in-india-concerning-the-policy-of-passive-euthanasia
#3
Scaria Kanniyakonil
Euthanasia and assisted dying are illegal in India according to Sections 306 and 309 of the Indian Penal Code (IPC), and Article 21 of the Constitution of India. There have been a number of cases where the Indian High Courts and Indian Supreme Court issued differing verdicts concerning the right to life and the right to die. Nevertheless, on 7 March 2011, a paradigm shift happened as a result of the Indian Supreme Court's judgment on involuntary passive euthanasia in the case of Aruna Shanbaug. In its judgment, the Supreme Court requested the government to prepare a law on euthanasia...
February 15, 2018: Developing World Bioethics
https://www.readbyqxmd.com/read/29441173/a-comparison-of-i-gel%C3%A2-and-laryngeal-mask-airway-supreme%C3%A2-during-general-anesthesia-in-infants
#4
Yoon Chan Lee, Kyoung Seop Yoon, Sang Yoong Park, So Ron Choi, Chan Jong Chung
Background: The i-gel™ (i-gel) and Laryngeal Mask Airway Supreme™ (LMA Supreme) have been safely used in children. We compared the airway performance of the i-gel and LMA Supreme in infants undergoing general anesthesia. Methods: Sixty infants with American Society of Anesthesiologists physical status I or II were randomly assigned to place either the i-gel or the LMA Supreme. The size 1 or 1.5 of each airway was selected by the weight of infants. The primary outcome variable was oropharyngeal leak pressure (OLP)...
February 2018: Korean Journal of Anesthesiology
https://www.readbyqxmd.com/read/29429603/saturation-reduces-in-vitro-leakage-of-monomers-from-composites
#5
Stevan M Cokic, Radu C Duca, Jan De Munck, Peter Hoet, Bart Van Meerbeek, Mario Smet, Lode Godderis, Kirsten L Van Landuyt
OBJECTIVE: Accurate knowledge of the quantity of released monomers from composites is important. To evaluate the elution of monomers, polymerized composites are typically immersed in an extraction solvent. The objective was to determine whether the volume of extraction solvent and the immersion time influences monomer leachability from dental composite materials. METHODS: Composite disks of two commercial composites, (Filtek Supreme XTE, 3M ESPE and G-aenial Universal Flo, GC) were prepared...
February 8, 2018: Dental Materials: Official Publication of the Academy of Dental Materials
https://www.readbyqxmd.com/read/29405549/solvent-induced-crystal-polymorphism-as-studied-by-pyroelectricity-and-impedance-spectroscopy-alcohols-as-tailor-made-inhibitors-of-%C3%AE-glycine
#6
Meir Lahav, Elena Meirzadeh, Shiri Dishon, Isabelle Weissbuch, David Ehre, Igor Lubomirsky
Despite the supreme importance played by polymorphs in pharmacology and material sciences, emergence of meta-stable polymorphs commonly occurs when the stable analogues are preferentially inhibited using different solvents or auxiliaries. It has been presumed in previous studies that the efficiency of crystal growth inhibition is determined by the strength of binding of solvent molecules to given crystal-growing faces. Here we report, the unforeseen effect, that when glycine is grown in aqueous solutions, in the presence of low concentrations of different co-solvents, only alcohols and acetone, in variance to water and acetic acid, are selectively incorporated in minute amounts within the bulk of the α-polymorph...
February 5, 2018: Angewandte Chemie
https://www.readbyqxmd.com/read/29404890/comparison-of-clinical-performance-of-size-1-5-supreme%C3%A2-lma-and-proseal%C3%A2-lma-among-asian-children-a-randomized-controlled-trial
#7
Sook Hui Chaw, Ina I Shariffuddin, Li Lian Foo, Pui Kuan Lee, Ramona Maya Paran, Peak Chee Cheang, Lucy Chan
To date, most of the studies on safety and efficacy of supraglottic airway devices were done in Caucasian patients, and the results may not be extrapolated to Asian patients due to the different airway anatomy. We conducted this study to compare Supreme™ LMA (SLMA) and Proseal™ LMA (PLMA) size 1.5 in anaesthetized children among an Asian population. This prospective randomized clinical trial was conducted in a tertiary teaching hospital from September 2013 until May 2016. Sixty children, weighing 5-10 kg, who were scheduled for elective surgery under general anaesthesia were recruited and completed the study...
February 5, 2018: Journal of Clinical Monitoring and Computing
https://www.readbyqxmd.com/read/29403326/levers-of-change-a-review-of-contemporary-interventions-to-enhance-diversity-in-medical-schools-in-the-usa
#8
Alexis Danielle Vick, Aaron Baugh, Julie Lambert, Allison A Vanderbilt, Evan Ingram, Richard Garcia, Reginald F Baugh
A growing body of research illustrates the importance of aligning efforts across the operational continuum to achieve diversity goals. This alignment begins with the institutional mission and the message it conveys about the priorities of the institution to potential applicants, community, staff, and faculty. The traditional themes of education, research, and service dominate most medical school mission statements. The emerging themes of physician maldistribution, overall primary-care physician shortage, diversity, and cost control are cited less frequently...
2018: Advances in Medical Education and Practice
https://www.readbyqxmd.com/read/29403239/chiari-malformation-has-the-dilemma-ended
#9
REVIEW
Abhidha Harshad Shah, Arjun Dhar, Mohamed Said Mohamed Elsanafiry, Atul Goel
Chiari malformation as a clinical entity has been described more than hundred years ago. The concepts regarding pathogenesis, clinical features and management options have not yet conclusively evolved. Considering that a variety of treatment methods are being adopted to treat Chiari malformation is suggestive of the fact that confusion still reigns supreme in the minds of treating clinicians. Over the years, the understanding of Chiari malformation has changed from a disease process to a natural protective phenomenon and the treatment from decompression to fixation...
October 2017: Journal of Craniovertebral Junction and Spine
https://www.readbyqxmd.com/read/29395542/extending-euthanasia-to-those-tired-of-living-in-the-netherlands-could-jeopardize-a-well-functioning-practice-of-physicians-assessment-of-a-patient-s-request-for-death
#10
Barend W Florijn
The Dutch Euthanasia Act (EA) took effect in 2002 and regulates the ending of one's life by a physician at the request of a patient who is suffering unbearably. According to the Dutch Supreme Court, unbearable suffering is a state for which the presence of a medical condition is a strict prerequisite. As a consequence, the Dutch EA has attributed the assessment of unbearable suffering to physicians who evaluate the presence of a medical classifiable disorder. Currently, a debate within the Netherlands questions whether older people, without a medical condition, who value their life as completed, should be granted euthanasia...
January 29, 2018: Health Policy
https://www.readbyqxmd.com/read/29362855/-medical-knowledge-in-accident-insurance-assessing-pneumatic-tool-damages-at-the-bergmannsheil-hospital-1929-1944
#11
Alexa Geisthövel
The article focuses on one central element of medical activity in the context of the German social insurance system: providing expert assessments in accident pension cases. Taking an example from interwar coal mining, it aims to reconstruct how social policy makers first conceived of "pneumatic tool damages" as occupational disease and how trauma surgeons had to deal with this new entity of social law once it had been institutionalized in 1929. Drawing on physicians' publications as well as archival sources from the supreme court in social insurance, the Reichsversicherungsamt, the article examines how the controversial generation of new knowledge took place...
January 23, 2018: NTM
https://www.readbyqxmd.com/read/29360492/a-randomised-controlled-study-on-the-use-of-finishing-and-polishing-systems-on-different-resin-composites-using-3d-contact-optical-profilometry-and-scanning-electron-microscopy
#12
Alaa Daud, Gordon Gray, Christopher D Lynch, Nairn H F Wilson, Igor R Blum
OBJECTIVES: The aim of this study was to evaluate theeffects of different finishing and polishing techniques on the surface roughness of microhybrid and nanofilled resin composites. METHODS: The resin composites included were Filtek Z250 (a universal microhybrid resin composite) and Filtek Supreme XTE (a universal nanofill resin composite). Ninety cylindrical-shaped specimens were prepared for each composite resin material. The polishing methods used included tungsten carbide bur (TC); diamond bur (Db); Sof-Lex discs (S); Enhance PoGo discs (PG); TC + S; Db + S; TC + PG; Db + PG...
January 19, 2018: Journal of Dentistry
https://www.readbyqxmd.com/read/29340980/facile-synthesis-of-chitosan-capped-mesoporous-silica-nanoparticles-a-ph-responsive-smart-delivery-platform-for-raloxifene-hydrochloride
#13
Priya V Shah, Sadhana J Rajput
An encapsulation of model drug raloxifene hydrochloride (RAL) inside the chitosan decorated pH responsive mesoporous system has a greater potential for accumulating in the tumor cells. The present study involves synthesis of surface modified mesoporous silica nanoparticles (MSN) with the aim of achieving pH sensitive drug delivery system. A silanol skeleton of MSN has been productively modified to amine intermediate which served as a firm platform to adapt chitosan grafted assembly and systematically evaluated...
January 16, 2018: AAPS PharmSciTech
https://www.readbyqxmd.com/read/29336326/-current-status-of-urological-education-in-spain
#14
Juan Gómez Rivas, Ramiro Cabello-Benavente, Gonzalo Bueno-Serrano, Moises Rodríguez Socarrás, Manuel Esteban Fuertes
INTRODUCTION: Urology is a medicalsurgical specialty that deals with the study, diagnosis and treatment of medical and surgical conditions of the urinary tract and retroperitoneum in both sexes and of the male genital tract without age limit. The traditional method of training is based on the imitation of the skills and behaviors of the tutors, creating variability in the training between different centers and giving a passive role to resident internal physicians (MIR). LEGISLATIVE FRAMEWORK: The 2006 BOE establishes the specific formative content in its theoretical, practical and scientific facets...
January 2018: Archivos Españoles de Urología
https://www.readbyqxmd.com/read/29330706/color-stability-of-different-composite-resins-after-polishing
#15
Stefano Ardu, O Duc, E Di Bella, I Krejci
The goals of the present study were to evaluate, in vitro, the staining of different composite resins submitted to different common beverages, and to compare the staining effect of each of these solutions. A total of 288 specimens were randomly divided into six groups and immersed for 4 weeks in five staining solutions represented by red wine, orange juice, coke, tea and coffee or in artificial saliva as a control group. When analyzed over a black background, mean ΔE00 values varied from 0.8 for Venus Diamond, Saremco Microhybrid and ELS in saliva and Estelite Posterior in coke to 37...
January 12, 2018: Odontology
https://www.readbyqxmd.com/read/29321040/automated-image-analysis-detects-aging-in-clinical-grade-mesenchymal-stromal-cell-cultures
#16
S Oja, P Komulainen, A Penttilä, J Nystedt, M Korhonen
BACKGROUND: Senescent cells are undesirable in cell therapy products due to reduced therapeutic activity and risk of aberrant cellular effects, and methods for assessing senescence are needed. Early-passage mesenchymal stromal cells (MSCs) are known to be small and spindle-shaped but become enlarged upon cell aging. Indeed, cell morphology is routinely evaluated during MSC production using subjective methods. We have therefore explored the possibility of utilizing automated imaging-based analysis of cell morphology in clinical cell manufacturing...
January 10, 2018: Stem Cell Research & Therapy
https://www.readbyqxmd.com/read/29319839/are-you-experienced
#17
Joey Berlin
A case going before the Texas Supreme Court spotlights the Medical Disclosure Panel and what physicians must disclose before performing a procedure.
January 1, 2018: Texas Medicine
https://www.readbyqxmd.com/read/29319437/backlash-or-a-positive-response-public-opinion-of-lgb-issues-after-obergefell-v-hodges
#18
Emily Kazyak, Mathew Stange
Following Obergefell v. Hodges, same-sex marriage remains controversial and anti-LGBT state legislation has been passed, which raises questions about whether the Supreme Court's ruling may have created a backlash. We use data from two waves of a general population survey of Nebraskans conducted before and after the decision to answer three questions. First, we test three theories of how the Court decision influenced public opinion. We find that support for same-sex marriage was significantly higher following the ruling, suggesting that there was not a backlash to it...
January 10, 2018: Journal of Homosexuality
https://www.readbyqxmd.com/read/29319431/same-sex-marriage-and-the-assimilationist-dilemma-a-research-agenda-on-marriage-equality-and-the-future-of-lgbtq-activism-politics-communities-and-identities
#19
Mary Bernstein
This special issue of the Journal of Homosexuality, examines the impact of the marriage equality movement and the resulting landmark U.S. Supreme Court decision, Obergefell v. Hodges (2015) that legalized same-sex marriage in the U.S. on LGBTQ activism, politics, communities, and identities. The articles in this issue examine the complicated ways in which the discourse used in same-sex marriage court cases is related to heteronormative discursive frames; the lived reality of married same-sex couples and the complex ways in which they think about marriage and heteronormativity; the ways that heteronormativity is racialized which affects how African Americans perceive the impact of same-sex marriage on their lives; how same-sex marriage has influenced public opinion and the likelihood of anti-gay backlash; and the impact of same-sex marriage on family law...
January 10, 2018: Journal of Homosexuality
https://www.readbyqxmd.com/read/29306486/modulation-of-gingival-cell-response-towards-dental-composites
#20
A Jerg, S D Schulz, P Tomakidi, E Hellwig, O Polydorou
OBJECTIVE: This aim of this study was to investigate the cell behavioural response on clinically applied dental composites in exposition-relevant target cells, i.e. human gingival fibroblasts (HGF) and epithelial keratinocytes (HGK). METHODS: HGF and HGK were exposed to eluates of Ceram X™, Filtek™ Silorane, Filtek™ Supreme XTE, Fusio™ Liquid Dentin and Vertise™ Flow. Eluates were created by storing material samples in respective cell culture medium, for 24h and 72h (n=17), according to ISO 10993-12:2012...
January 3, 2018: Dental Materials: Official Publication of the Academy of Dental Materials
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