keyword
https://read.qxmd.com/read/38536997/portuguese-advance-directives-a-twist-against-futility-a-cross-sectional-study
#1
JOURNAL ARTICLE
Catarina Sampaio Martins, Rui Nunes
BACKGROUND: Advance Directive documents allow citizens to choose the treatments they want for end-of-life care without considering therapeutic futility. OBJECTIVES: To analyze patients' and caregivers' answers to Advance Directives and understand their expectations regarding their decisions. DESIGN AND SETTING: This study analyzed participants' answers to a previously published trial, conceived to test the document's efficacy as a communication tool...
2024: São Paulo Medical Journal
https://read.qxmd.com/read/38535825/comprehensive-analysis-of-bufadienolide-and-protein-profiles-of-gland-secretions-from-medicinal-bufo-species
#2
JOURNAL ARTICLE
Yunge Fang, Liangmian Chen, Pengfei Wang, Yating Liu, Yuxiu Wang, Zhimin Wang, Yue Ma, Huimin Gao
Toad Venom (TV) is the dried product of toxic secretions from Bufo bufo gargarizans Cantor (BgC) or B. melanostictus Schneider (BmS). Given the increasing medical demand and the severe depletion of wild toads, a number of counterfeit TVs appeared on the market, posing challenges to its quality control. In order to develop an efficient, feasible, and comprehensive approach to evaluate TV quality, a thorough analysis and comparison of chemical compounds among legal species BgC and BmS, as well as the main confusion species B...
March 20, 2024: Toxins
https://read.qxmd.com/read/38534839/use-of-biomaterials-in-3d-printing-as-a-solution-to-microbial-infections-in-arthroplasty-and-osseous-reconstruction
#3
REVIEW
Argyrios Periferakis, Aristodemos-Theodoros Periferakis, Lamprini Troumpata, Serban Dragosloveanu, Iosif-Aliodor Timofticiuc, Spyrangelos Georgatos-Garcia, Andreea-Elena Scheau, Konstantinos Periferakis, Ana Caruntu, Ioana Anca Badarau, Cristian Scheau, Constantin Caruntu
The incidence of microbial infections in orthopedic prosthetic surgeries is a perennial problem that increases morbidity and mortality, representing one of the major complications of such medical interventions. The emergence of novel technologies, especially 3D printing, represents a promising avenue of development for reducing the risk of such eventualities. There are already a host of biomaterials, suitable for 3D printing, that are being tested for antimicrobial properties when they are coated with bioactive compounds, such as antibiotics, or combined with hydrogels with antimicrobial and antioxidant properties, such as chitosan and metal nanoparticles, among others...
March 1, 2024: Biomimetics
https://read.qxmd.com/read/38534233/detection-of-cannabinoids-in-oral-fluid-specimens-as-the-preferred-biological-matrix-for-a-point-of-care-biosensor-diagnostic-device
#4
REVIEW
Călin Trif, Dorin Harpaz, Evgeni Eltzov, Yardnapar Parcharoen, Chiravoot Pechyen, Robert S Marks
An increasing number of countries have started to decriminalize or legalize the consumption of cannabis for recreational and medical purposes. The active ingredients in cannabis, termed cannabinoids, affect multiple functions in the human body, including coordination, motor skills, memory, response time to external stimuli, and even judgment. Cannabinoids are a unique class of terpeno-phenolic compounds, with 120 molecules discovered so far. There are certain situations when people under the influence of cannabis may be a risk to themselves or the public safety...
February 27, 2024: Biosensors
https://read.qxmd.com/read/38533857/-not-available
#5
JOURNAL ARTICLE
Malene Tanderup, Lone Schmidt, Charlotte Kroløkke, Birgitte Bruun Nielsen, Peter Humaidan
Gestational surrogacy, in which an infertile couple contracts with a woman to carry a foetus that the intended parents will raise, increases worldwide, and offers a route to parenthood for individuals and couples who otherwise have limited options. However, the situation in Denmark at present is that surrogacy with the help of healthcare professionals is illegal, and international adoption is no longer available. This review gives an overview of the legal situation of surrogacy in Denmark, the impact of the legislation, and medical issues to be aware of as healthcare professionals in the future...
March 25, 2024: Ugeskrift for Laeger
https://read.qxmd.com/read/38533807/artificial-intelligence-and-machine-learning-in-axial-spondyloarthritis
#6
JOURNAL ARTICLE
Lisa C Adams, Keno K Bressem, Denis Poddubnyy
PURPOSE OF REVIEW: To evaluate the current applications and prospects of artificial intelligence and machine learning in diagnosing and managing axial spondyloarthritis (axSpA), focusing on their role in medical imaging, predictive modelling, and patient monitoring. RECENT FINDINGS: Artificial intelligence, particularly deep learning, is showing promise in diagnosing axSpA assisting with X-ray, computed tomography (CT) and MRI analyses, with some models matching or outperforming radiologists in detecting sacroiliitis and markers...
March 28, 2024: Current Opinion in Rheumatology
https://read.qxmd.com/read/38532499/state-licenses-for-medical-marijuana-dispensaries-neighborhood-level-determinants-of-applicant-quality-in-missouri
#7
JOURNAL ARTICLE
David M Yaskewich
BACKGROUND: When state governments impose quotas on commercial marijuana licenses, regulatory commissions use an application process to assess the feasibility of prospective businesses. Decisions on license applications are often met with formal appeals and legal challenges from rejected applicants. Although prior research has examined substate disparities in the availability of marijuana dispensaries, less attention has been given to the quality of license applications. The present study analyzed the relationship between neighborhood-level characteristics and the quality of prospective dispensary businesses...
March 26, 2024: Journal of cannabis research
https://read.qxmd.com/read/38532234/stigma-risks-and-benefits-of-medicinal-cannabis-use-among-australians-with-cancer
#8
JOURNAL ARTICLE
Julia N Morris, Jessica Loyer, Jason Blunt
PURPOSE: People with cancer who use medicinal cannabis do so despite risks associated with limited clinical evidence, legalities, and stigma. This study investigated how Australians with cancer rationalise their medicinal cannabis use despite its risks. METHODS: Ten adults (5 males and 5 females; mean age of 53.3) who used cannabis medicinally for their cancer were interviewed in 2021-2022 about how they used and accessed the substance, attitudes and beliefs underpinning their use, and conversations with others about medicinal cannabis...
March 27, 2024: Supportive Care in Cancer
https://read.qxmd.com/read/38532148/determining-the-manner-of-death-in-victims-in-drug-induced-psychosis-a-case-of-an-atypical-head-stab-wound
#9
JOURNAL ARTICLE
Petr Handlos, Ondřej Klabal, Vladimír Vojtek, Klára Handlosová, Tomáš Krejčí, Matěj Uvíra
This case report presents a rare case of an atypical head stab wound suffered by a drug addict and inflicted with a screwdriver during drug-induced psychosis. It describes the diagnostic and treatment procedures in the hospital and the findings of the subsequent autopsy. It also analyzes the review of the interpretation of the CT scans made upon admission and the subsequent treatment by an independent medical review panel, which revealed signs of medical mismanagement. Therefore, it also discusses the legal consequences that the case may have involved for the attending physicians in addition to the consequences for the suspected perpetrator...
March 27, 2024: Forensic Science, Medicine, and Pathology
https://read.qxmd.com/read/38530467/balneotherapy-using-thermal-mineral-water-baths-and-dermatological-diseases-a-systematic-review
#10
REVIEW
Carmela Protano, Matteo Vitali, Andrea De Giorgi, Daniela Marotta, Serena Crucianelli, Mario Fontana
Balneotherapy includes practices and methods using medically and legally recognized mineral-medicinal waters, muds and natural gases from natural springs for therapeutic purposes. One of the most widely used method in balneotherapy is bathing with thermal mineral water. In the course of the years, scientific community has produced an increasing number of evidences that this practice is an effective method for treating signs and symptoms of several pathologies such as rheumatic, cardiovascular and dermatological diseases...
March 26, 2024: International Journal of Biometeorology
https://read.qxmd.com/read/38525882/artificial-intelligence-to-advance-acute-and-intensive-care-medicine
#11
JOURNAL ARTICLE
Laurens A Biesheuvel, Dave A Dongelmans, Paul W G Elbers
PURPOSE OF REVIEW: This review explores recent key advancements in artificial intelligence for acute and intensive care medicine. As artificial intelligence rapidly evolves, this review aims to elucidate its current applications, future possibilities, and the vital challenges that are associated with its integration into emergency medical dispatch, triage, medical consultation and ICUs. RECENT FINDINGS: The integration of artificial intelligence in emergency medical dispatch (EMD) facilitates swift and accurate assessment...
March 14, 2024: Current Opinion in Critical Care
https://read.qxmd.com/read/38525617/artificial-intelligence-ai-or-augmented-intelligence-how-big-data-and-ai-are-transforming-healthcare-challenges-and-opportunities
#12
JOURNAL ARTICLE
K Moodley
The sanctity of the doctor-patient relationship is deeply embedded in tradition - the Hippocratic oath, medical ethics, professional codes of conduct, and legislation - all of which are being disrupted by big data and 'artificial' intelligence (AI). The transition from paper-based records to electronic health records, wearables, mobile health applications and mobile phone data has created new opportunities to scale up data collection. Databases of unimaginable magnitude can be harnessed to develop algorithms for AI and to refine machine learning...
December 31, 2023: South African Medical Journal
https://read.qxmd.com/read/38525573/south-african-healthcare-reforms-towards-universal-healthcare-where-to-next
#13
JOURNAL ARTICLE
G Solanki, T Wilkinson, N G Myburgh, J E Cornell, V Brijlal
The National Assembly approval of the National Health Insurance (NHI) Bill represents an important milestone, but there are many uncertainties concerning its implementation and timeline. The challenges faced by the South African healthcare system are huge, and we cannot afford to wait for NHI to address them all. It is critical that the process of strengthening the health system to advance universal healthcare (UHC) begins now, and there are several viable initiatives that can be implemented without delay. This article examines potential scenarios after the Bill is passed and ways in which UHC could be advanced...
March 18, 2024: South African Medical Journal
https://read.qxmd.com/read/38524853/provision-of-special-diets-to-children-in-public-nurseries-and-kindergartens-in-krak%C3%A3-w-poland
#14
JOURNAL ARTICLE
Beata Piórecka, Agnieszka Kozioł-Kozakowska, Przemysław Holko, Iwona Kowalska-Bobko, Paweł Kawalec
BACKGROUND: A specialized diet could be due to an allergy or other medical needs and also religious or cultural reasons. This study aimed to assess the availability and provision of special diets in kindergartens and nurseries financed by the Municipality of Kraków. METHODS: This observational cross-sectional study was based on a diagnostic survey carried out using the Computer-Assisted Web Interview method and addressed to the managers of nurseries ( n  = 21) and kindergartens ( n  = 71) and, separately, to the parents of children attending these facilities ( n  = 1,096)...
2024: Frontiers in Nutrition
https://read.qxmd.com/read/38524803/acute-bowel-obstruction-due-to-transmural-migration-of-gossypiboma-a-case-report
#15
Ghulam Yahia Baset, Farukh Seyar, Zaker Hussain Hussain Pour, Qurban Ali Karimi
gossypiboma is used to describe a retained surgical swab in the body after an operation. It remains an unwanted complication of surgical practice that increase morbidity and mortality of the patient and profound medico legal problems. Intra-abdominal gossypiboma can migrate in to the ileum, stomach, colon or bladder without any apparent opening in the wall of these luminal organs. Vigilant sponge counting during procedures and thorough exploration prior to closure of the abdomen, are essential practices to avoid such occurrences...
2024: International Medical Case Reports Journal
https://read.qxmd.com/read/38524758/assessment-of-nursing-practice-environment-and-its-influencing-factors-a-cross-sectional-study-at-shandong-province-jinan
#16
JOURNAL ARTICLE
Ailin Zhao, Li Zhang, Xiaomei Shi
OBJECTIVE: To investigate the current nursing practice environment in Jinan, Shandong Province, and to identify the factors influencing the practice environment. METHODS: This study is a cross-sectional study for nurses. From October to December 2022, using the clustering and stratified sampling methods, 2426 nurses from internal Medicine, Surgery, Obstetrics and Gynecology, Outpatient Department and Intensive Care Department of the Provincial Hospital of Shandong Medical University were selected and then investigated and analyzed using the revised Nurse Practice Environment Assessment Scale...
2024: Risk Management and Healthcare Policy
https://read.qxmd.com/read/38524358/best-practice-guidelines-for-evaluating-patients-in-custody-in-the-emergency-department
#17
JOURNAL ARTICLE
Samantha Chao, William Weber, Kenneth V Iserson, Rebecca Goett, Eileen F Baker, Sarayna S McGuire, Paul Bissmeyer, Arthur R Derse, Nishi Kumar, Jay M Brenner
Patients in custody due to arrest or incarceration are a vulnerable population that present a unique ethical and logistical challenge for emergency physicians (EPs). People incarcerated in the United States have a constitutional right to health care. When caring for these patients, EPs must balance their ethical obligations to the patient with security and safety concerns. They should refer to their institutional policy for guidance and their local, state, and federal laws, when applicable. Hospital legal counsel and risk management also can be helpful resources...
April 2024: Journal of the American College of Emergency Physicians open
https://read.qxmd.com/read/38524188/prolonged-detection-of-urine-norfentanyl-in-individuals-enrolled-in-a-medication-for-opioid-use-disorder-in-pregnancy-and-postpartum-program-a-case-series
#18
JOURNAL ARTICLE
Miranda K Kiefer, Jamie Cowen, Katherine A Hinely, Kara M Rood
BACKGROUND: Although urine drug testing can have vast legal and social ramifications, its interpretation during pregnancy and after birth remains not well understood. Fentanyl metabolism is altered by an individual's genetics, history of opioid use, and liver function. However, little is known about the clearance of fentanyl or its primary metabolite, norfentanyl, in the peripartum period. OBJECTIVE: We sought to identify and describe cases of delayed urine norfentanyl clearance in the pregnancy and postpartum period within our institution...
May 2024: AJOG global reports
https://read.qxmd.com/read/38524046/impact-of-an-educational-measure-on-the-quality-of-medical-certificate-of-cause-of-death-at-a-tertiary-care-teaching-hospital-a-pre-post-interventional-study
#19
JOURNAL ARTICLE
Aashish Chaudhary, Gaurav Singh, Abhishek Hooda, Jyoti Garg, Divya Saharan, Surendra Kumar, Karnika Agrawal, Nazir A Pandit
Background A death certificate is an important document that serves as a tool for gathering epidemiological data and as an essential legal document. Although it is a mandatory document to be given for all deaths, the quality of its filling is often an ignored aspect and errors are frequently encountered. This documentation process can be mastered with minimal educational efforts. This study aimed to determine the utility of an educational measure in improving the accuracy of death certificate documentation...
February 2024: Curēus
https://read.qxmd.com/read/38523028/disclosure-of-sexual-abuse-by-adolescents-treated-in-a-psychiatry-department
#20
JOURNAL ARTICLE
Emilie Carretier, Marine Jourdan, Sophie Duchesne, Julien Flouriot, Jonathan Lachal, Marie-Rose Moro
OBJECTIVES: The aim of the study is to describe the population of adolescents who have disclosed sexual abuse to a health professional during their care in a psychiatric department. We also want to discuss the circumstances that enable adolescents to make this disclosure. METHODS: This single-center retrospective observational study is based on the mandatory reports (n=139) sent by a Paris adolescent psychiatry department between 2005 and 2021 after patients disclosed previous sexual abuse...
March 23, 2024: L'Encéphale
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