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https://www.readbyqxmd.com/read/28924688/the-barrier-to-informed-choice-in-cancer-screening-statistical-illiteracy-in-physicians-and-patients
#1
Odette Wegwarth, Gerd Gigerenzer
An efficient health care requires both informed doctors and patients. Our current healthcare system falls short on both counts. Most doctors and patients do not understand the available medical evidence. To illustrate the extent of the problem in the setting of cancer screening: In a representative sample of some 5000 women in nine European countries, 92% overestimated the reduction of breast cancer mortality by mammography by a factor of 10-200, or did not know. For a similar sample of about 5000 men with respect to PSA screening, this number was 89%...
2018: Recent Results in Cancer Research
https://www.readbyqxmd.com/read/28914268/impact-of-hipaa-s-minimum-necessary-standard-on-genomic-data-sharing
#2
Barbara J Evans, Gail P Jarvik
This article provides a brief introduction to the Health Insurance Portability and Accountability Act of 1996 (HIPAA) Privacy Rule's minimum necessary standard, which applies to sharing of genomic data, particularly clinical data, following 2013 Privacy Rule revisions. This research used the Thomson Reuters Westlaw database and law library resources in its legal analysis of the HIPAA privacy tiers and the impact of the minimum necessary standard on genomic data sharing. We considered relevant example cases of genomic data-sharing needs...
September 14, 2017: Genetics in Medicine: Official Journal of the American College of Medical Genetics
https://www.readbyqxmd.com/read/28882155/barriers-to-retention-in-methadone-maintenance-therapy-among-people-who-inject-drugs-in-bangkok-thailand-a-mixed-methods-study
#3
Kanna Hayashi, Lianping Ti, Prempreeda Pramoj Na Ayutthaya, Paisan Suwannawong, Karyn Kaplan, Will Small, Thomas Kerr
BACKGROUND: Methadone maintenance therapy (MMT) is a mainstay for treating opioid use disorder and preventing and managing HIV among people who inject drugs (PWID). While previous research suggested low dosing of methadone and high rates of discontinuation of MMT among PWID in Thailand, little is known about patients' lived experiences with MMT in this setting. Therefore, we conducted a mixed-methods study to examine barriers to retention in MMT among PWID in Bangkok, Thailand, with particular attention to methadone dosing...
September 7, 2017: Harm Reduction Journal
https://www.readbyqxmd.com/read/28833852/pharmacist-awareness-and-views-towards-counterfeit-medicine-in-lebanon
#4
Lydia Sholy, Paul Gard, Sian Williams, Angela MacAdam
BACKGROUND: Pharmacists, as healthcare professionals, have patients' well-being and safety as their primary concern. However, the safety and efficacy of treatments may be compromised by the availability of counterfeit medicine (CFM) which could have serious consequences for public health. OBJECTIVES: To assess pharmacist awareness and views towards CFM in Lebanon. METHODS: The study used convenience sampling and selected pharmacists based on their willingness to participate and used a questionnaire as a tool to determine their experiences and views towards CFM...
August 22, 2017: International Journal of Pharmacy Practice
https://www.readbyqxmd.com/read/28689643/suicide-means-among-decedents-aged-50-years-2005-2014-trends-and-associations-with-sociodemographic-and-precipitating-factors
#5
Namkee G Choi, Diana M DiNitto, C Nathan Marti, Mark S Kaplan, Yeates Conwell
OBJECTIVE: To examine 1) temporal trends between 2005 and 2014 in the three most frequently used suicide means (firearms, hanging/suffocation, alcohol/drug/medicine overdose) by decedents aged 50+ years and 2) associations of suicide means with sociodemographic and precipitating factors. METHODS: The National Violent Death Reporting System, 2005-2014, provided data (N = 46,857). Suicide means were identified from ICD-10 codes for underlying cause of death and coroner/medical examiner (CME) reports...
July 6, 2017: American Journal of Geriatric Psychiatry
https://www.readbyqxmd.com/read/28630556/how-drug-control-policy-and-practice-undermine-access-to-controlled-medicines
#6
Naomi Burke-Shyne, Joanne Csete, Duncan Wilson, Edward Fox, Daniel Wolfe, Jennifer J K Rasanathan
Drug conventions serve as the cornerstone for domestic drug laws and impose a dual obligation upon states to prevent the misuse of controlled substances while ensuring their adequate availability for medical and scientific purposes. Despite the mandate that these obligations be enforced equally, the dominant paradigm enshrined in the drug conventions is an enforcement-heavy criminal justice response to controlled substances that prohibits and penalizes their misuse. Prioritizing restrictive control is to the detriment of ensuring adequate availability of and access to controlled medicines, thereby violating the rights of people who need them...
June 2017: Health and Human Rights
https://www.readbyqxmd.com/read/28616436/initiatives-to-reduce-nonprescription-sales-and-dispensing-of-antibiotics-findings-and-implications
#7
Vanda Marković-Peković, Nataša Grubiša, Johanita Burger, Ljubica Bojanić, Brian Godman
OBJECTIVE: Irrational use of antimicrobials is a major driver of antimicrobial resistance, exacerbated by dispensing antibiotics without a prescription. Our previous study suggested this was a problem in the Republic of Srpska despite legislation. Since then, a number of activities have been initiated. Consequently, the study aimed to ascertain whether these multiple initiatives had reduced this. METHODS: Patients visiting all community pharmacies in the Republic from October 2014 to July 2015 presenting with symptoms typical of an acute, viral, and mostly uncomplicated upper respiratory tract infection, with results compared to the previous study...
April 2017: Journal of Research in Pharmacy Practice
https://www.readbyqxmd.com/read/28538338/supporting-a-culture-of-evidence-based-policy-federal-funding-for-public-health-law-evaluation-research-1985-2014
#8
Jennifer K Ibrahim, Aaron A Sorensen, Heidi Grunwald, Scott Burris
OBJECTIVE: Law powerfully influences health and can be a critical tool for promoting population well-being. Evaluation research is needed to measure the health effects of law and guide policy making and implementation. The purpose of this study was to assess trends in National Institutes of Health (NIH) funding for scientific public health law research (PHLR). METHODS: Using data from the UberResearch NIH grant repository, we collected and coded all grants with a focus on health law between FY'85 and FY'14 and then analyzed the grants by funding agency and topic areas...
May 23, 2017: Journal of Public Health Management and Practice: JPHMP
https://www.readbyqxmd.com/read/28521917/the-global-health-law-trilogy-towards-a-safer-healthier-and-fairer-world
#9
Lawrence O Gostin, Mary Clare DeBartolo, Rebecca Katz
Global health advocates often turn to medicine and science for solutions to enduring health risks, but law is also a powerful tool. No state acting alone can ward off health threats that span borders, requiring international solutions. A trilogy of global health law-the Framework Convention on Tobacco Control, International Health Regulations (2005), and Pandemic Influenza Preparedness Framework-strives for a safer, healthier, and fairer world. Yet, these international agreements are not well understood, and contain gaps in scope and enforceability...
May 15, 2017: Lancet
https://www.readbyqxmd.com/read/28486327/tourniquets-in-trauma-care-a-review-of-application
#10
Brian Cornelius, Ryan Campbell, Pat McGauly
Traumatic hemorrhage has been identified as the leading cause of battlefield death in recent conflicts. Although injury patterns are not directly reproducible to the civilian world, treatment advancements can be used to provide care to patients worldwide. Long-standing dogma regarding the use of tourniquets has been disproved, and there is now recognition of the critical role that tourniquets play in trauma care. The history and evolution of tourniquets, including the identification of previous faults in application, will lead to an examination of the current devices in use along with evidence-based recommendations for use...
May 2017: Journal of Trauma Nursing: the Official Journal of the Society of Trauma Nurses
https://www.readbyqxmd.com/read/28453716/inflated-medicine-prices-in-vietnam-a-qualitative-study
#11
Tuan Anh Nguyen, Rosemary Knight, Andrea Mant, Husna Razee, Geoffrey Brooks, Thu Ha Dang, Elizabeth Ellen Roughead
One third of the world's population lacks regular access to essential medicines partly because of the high cost of medicines. In Vietnam, the cost to patients of medicines was 47 times the international reference price for originator brands and 11 times the price for generic equivalents in the public sector. In this article, we report the results of a qualitative study conducted to identify the principal reasons for inflated medicine prices in Vietnam.Between April 2008 and December 2009, 29 semi-structured interviews were conducted with staff from pharmaceutical companies, private pharmacies, the Ministry of Health, and the Ministry of Finance of Vietnam...
June 1, 2017: Health Policy and Planning
https://www.readbyqxmd.com/read/28293104/factors-driving-customers-to-seek-health-care-from-pharmacies-for-acute-respiratory-illness-and-treatment-recommendations-from-drug-sellers-in-dhaka-city-bangladesh
#12
Fahmida Chowdhury, Katharine Sturm-Ramirez, Abdullah Al Mamun, A Danielle Iuliano, Mejbah Uddin Bhuiyan, Mohammod Jobayer Chisti, Makhdum Ahmed, Sabbir Haider, Mahmudur Rahman, Eduardo Azziz-Baumgartner
BACKGROUND: Pharmacies in Bangladesh serve as an important source of health service. A survey in Dhaka reported that 48% of respondents with symptoms of acute respiratory illness (ARI) identified local pharmacies as their first point of care. This study explores the factors driving urban customers to seek health care from pharmacies for ARI, their treatment adherence, and outcome. METHODS: A cross-sectional study was conducted among 100 selected pharmacies within Dhaka from June to December 2012...
2017: Patient Preference and Adherence
https://www.readbyqxmd.com/read/28285488/graduate-medical-education-in-tactical-medicine-and-the-impact-of-acgme-accreditation-of-ems-fellowships
#13
Nelson Tang, Matthew J Levy, Asa M Margolis, Nathan Woltman
Physician interest in tactical medicine as an area of professional practice has grown significantly over the past decade. The prevalence of physician involvement in terms of medical oversight and operational support of civilian tactical medicine has experienced tremendous growth during this timeframe. Factors contributing to this trend are multifactorial and include enhanced law enforcement agency understanding of the role of the tactical physician, support for the engagement of qualified medical oversight, increasing numbers of physicians formally trained in tactical medicine, and the ongoing escalation of intentional mass-casualty incidents worldwide...
December 0: Journal of Special Operations Medicine: a Peer Reviewed Journal for SOF Medical Professionals
https://www.readbyqxmd.com/read/28255632/population-based-autopsy-study-of-traumatic-fatalities
#14
S Saar, A Lomp, J Laos, V Mihnovitš, R Šalkauskas, T Lustenberger, M Väli, U Lepner, P Talving
BACKGROUND: Injuries result in 5.8 million global fatalities annually and are the leading cause of death in younger individuals. Nevertheless, population-based autopsy investigations on traumatic deaths are scarce. We set out to study all consecutive autopsies on traumatic fatalities performed in a 5-year time segment in Estonia. METHODS: After the ethics review board approval, all consecutive autopsies after blunt or penetrating deaths occurring in prehospital or in-hospital settings between January 1, 2009, and December 31, 2013, were retrospectively reviewed using the National Forensic Medicine Database...
July 2017: World Journal of Surgery
https://www.readbyqxmd.com/read/28219471/a-descriptive-analysis-of-tactical-casualty-care-interventions-performed-by-law-enforcement-personnel-in-the-state-of-wisconsin-2010-2015
#15
Chad M Stiles, Christopher Cook, Matthew D Sztajnkrycer
Introduction Based upon military experience, law enforcement has developed guidelines for medical care during high-threat conditions. The purpose of the current study was to provide a descriptive analysis of reported outcomes of law enforcement medical interventions. METHODS: This was a descriptive analysis of a convenience sample of cases submitted to the Wisconsin Tactical Medicine Initiative (Wisconsin USA), after the provision of successful patient care, between January 2010 and December 2015...
June 2017: Prehospital and Disaster Medicine
https://www.readbyqxmd.com/read/27788677/quality-of-artemisinin-based-combination-therapy-for-malaria-found-in-ghanaian-markets-and-public-health-implications-of-their-use
#16
Mathilda Tivura, Isaac Asante, Albert van Wyk, Stephaney Gyaase, Naiela Malik, Emmanuel Mahama, Dana M Hostetler, Facundo M Fernandez, Kwaku Poku Asante, Harparkash Kaur, Seth Owusu-Agyei
BACKGROUND: Ghana changed their antimalarial drug policy from monotherapies to Artemisinin-based Combination Therapies in 2004 in order to provide more efficacious medicines for treatment of malaria. The policy change can be eroded if poor quality Artemisinin-based Combination Therapies are allowed to remain on the Ghanaian market unchecked by regulatory bodies and law enforcement agencies. The presence and prevalence of substandard and counterfeit Artemisinin-based Combination Therapies need to be determined on open markets in Ghana; a review of the current policy; identifying any gaps and making recommendations on actions to be taken in addressing gaps identified are essential as the data provided and recommendations made will help in ensuring effective control of malaria in Ghana...
October 28, 2016: BMC Pharmacology & Toxicology
https://www.readbyqxmd.com/read/27713830/fighting-falsified-medicines-with-paperwork-a-historic-review-of-danish-legislation-governing-distribution-of-medicines
#17
Rasmus Borup, Susanne Kaae, Timo Minssen, Janine Traulsen
BACKGROUND: Many areas of pharmaceutical legislation in the European Union (EU) are harmonised in order to promote the internal market and protect public health. Ideally, harmonisation leads to less fragmented regulation and cross-border complexities. This study, however, focuses on an increasingly harmonised legislative area that is subject to increases in requirements and complexities: the distribution of medicines. This study compared Danish legislation governing the distribution of medicines before and after Denmark joined the EU in order to assess the impact of EU harmonisation, as well as to evaluate whether the drastic increases in requirements mandated by the Falsified Medicines Directive of 2011 correspond to a new approach to governing the pharmaceutical supply chain...
2016: Journal of Pharmaceutical Policy and Practice
https://www.readbyqxmd.com/read/27676851/accessibility-to-general-medicine-practice-for-the-disabled-people
#18
Vincent Gautheron, Jean-Christophe Lachat, Jean Feuillet
OPINION/FEEDBACK: Introduction: In modern society many disabled people are confronted with architectural barriers. The law of 11 February 2005 has introduced regulations imposing accessibility to all buildings open to the general public and this measure is in line with sustainable development. MATERIAL AND METHODS: This survey was carried out in 2010, among general practitioners of the Loire département as well as wheelchair users to evaluate the accessibility to doctors' surgeries...
September 2016: Annals of Physical and Rehabilitation Medicine
https://www.readbyqxmd.com/read/27630566/preparation-and-distribution-of-cannabis-and-cannabis-derived-dosage-formulations-for-investigational-and-therapeutic-use-in-the-united-states
#19
Brian F Thomas, Gerald T Pollard
Cannabis is classified as a schedule I controlled substance by the US Drug Enforcement Agency, meaning that it has no medicinal value. Production is legally restricted to a single supplier at the University of Mississippi, and distribution to researchers is tightly controlled. However, a majority of the population is estimated to believe that cannabis has legitimate medical or recreational value, numerous states have legalized or decriminalized possession to some degree, and the federal government does not strictly enforce its law and is considering rescheduling...
2016: Frontiers in Pharmacology
https://www.readbyqxmd.com/read/27547162/three-myths-about-dietary-supplements-%C3%A2-and-how-knowing-the-right-answers-is-good-for-your-integrative-medicine-practice
#20
Loren Israelsen, Frank Lampe
The use of safe and beneficial dietary supplements remains an important part of your patients' healthy lifestyle-and supplements are likely an important part of your integrative medicine practice. Although issues surrounding potency, ingredient identification, adulteration, and the enforcement of existing laws are legitimate concerns for medical professionals and consumers, the responsible industry is actively working to raise quality standards for its products through a number of self-regulatory measures. These include education about and adoption of additional quality assurance initiatives, such as GMPs for botanical ingredients; better supply-chain management; adoption of improved identification and testing methodologies; an industry-wide product registry; the use of accredited third-party certifications and seals; and initiatives to promote widespread membership in the industry's trade associations, which is a reliable indicator of a company's support of and adherence to strict quality guidelines...
June 2016: Integrative Medicine
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