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https://www.readbyqxmd.com/read/29667168/cognitive-decline-and-older-driver-crash-risk
#1
Laura A Fraade-Blanar, Beth E Ebel, Eric B Larson, Jeanne M Sears, Hilaire J Thompson, Kwun Chuen G Chan, Paul K Crane
OBJECTIVES: To examine automobile crash risk associated with cognition in older drivers without dementia. DESIGN: Retrospective secondary analysis of longitudinal cohort study. SETTING: Our study used data from the Adult Changes in Thought (ACT) Study merged with Washington State crash reports and licensure records. Data were available from 2002 to 2015. PARTICIPANTS: Group Health enrollees from Washington State aged 65 and older with active driver's licenses (N=2,615)...
April 17, 2018: Journal of the American Geriatrics Society
https://www.readbyqxmd.com/read/29666997/forensic-answers-to-the-14th-of-july-2016-terrorist-attack-in-nice
#2
Gérald Quatrehomme, Steve Toupenay, Tania Delabarde, Bernard Padovani, Véronique Alunni
The terrorist attack of July 14, 2016 in Nice (France) was a devastating event. A man voluntarily drove a truck into a crowd gathered for the fireworks display on the seaside "Promenade des Anglais," plowing pedestrians down over more than 2 km before being shot dead. At the time of this report, a total of 86 casualties and more than 1200 formal complaints for physical and psychological injuries have been recorded. The aim of this work is to describe the forensic management of this event and its immediate aftermath...
April 17, 2018: International Journal of Legal Medicine
https://www.readbyqxmd.com/read/29663344/circumstances-of-sudep-a-nationwide-population-based-case-series
#3
Olafur Sveinsson, Tomas Andersson, Sofia Carlsson, Torbjörn Tomson
OBJECTIVE: Given the increasing attention being paid to potential strategies for sudden unexpected death in epilepsy (SUDEP) prevention, we analyzed the circumstances of SUDEP and its incidence in relation to time of year, week, and day. METHODS: Prospective case-series based on persons with an all International Classification of Diseases (ICD-10) code for epilepsy in the Swedish Patient Registry 1998-2005, who were alive on June 30, 2006 (n = 60 952). Linkage to the National Cause-of-Death Registry identified all deaths from July 2006 through December 2011, with epilepsy mentioned on death certificate, together with deaths during 2008 (n = 3166)...
April 17, 2018: Epilepsia
https://www.readbyqxmd.com/read/29651301/caregiver-experiences-of-public-services-following-child-trauma-exposure-a-qualitative-study
#4
Victoria Williamson, Sarah L Halligan, Bronwyne Coetzee, Ian Butler, Mark Tomlinson, Sarah Skeen, Jackie Stewart
Background: Many children in low and middle income countries (LMIC) are exposed to trauma. Contact with public services are a potential influence on parent-child reactions and coping post-trauma. Little is known about how caregivers perceive these interactions. Methods: The aim of this study was to explore caregivers' experiences of accessing and interacting with public services post-trauma and perceptions of needed improvements to public services in a LMIC context...
2018: International Journal of Mental Health Systems
https://www.readbyqxmd.com/read/29627712/accurate-identification-of-opioid-overdose-deaths-using-coronial-data
#5
Amanda Roxburgh, Jennifer L Pilgrim, Wayne D Hall, Lucinda Burns, Louisa Degenhardt
INTRODUCTION: Defining drug-related mortality is complex as these deaths can include a wide range of diseases and circumstances. This paper outlines a method to identify deaths that are directly due to fatal opioid toxicity (i.e. overdose), utilising coronial data. MATERIALS AND METHODS: The National Coronial Information System (NCIS), an online coronial database containing information on all deaths that are reported to a coroner in Australia, is used to develop methods to more accurately identify opioid overdose deaths...
March 26, 2018: Forensic Science International
https://www.readbyqxmd.com/read/29621696/forensic-medical-aspects-of-femicide-in-jordan
#6
Hafsa O Ghanem Salameh, Rakiz J Salameh, Mohannad Shwaiki, Hasan Abder-Rahman
This study aims to highlight three types of femicide in Jordan - so-called 'honour killings', fatal intimate partner violence (IPV), and domestic violence committed by male family members other than the husband (DV) - and to compare them with the killing of women in non-gender related situations such as during a robbery. The autopsy reports of 100 adult female homicide victims dealt with at Jordan University Hospital in Amman during a 10-year period from 2006 to 2015 were reviewed. Based on information contained in the police reports they were assigned to one of four categories...
March 28, 2018: Journal of Forensic and Legal Medicine
https://www.readbyqxmd.com/read/29615164/profile-of-asphyxial-deaths-in-faisalabad-a-10-year-study
#7
Mobin Inam Pal, Altaf Pervez Qasim, Mohammad Naeem, Humera Arshad, Ahmad Saeed
OBJECTIVE: To determine the frequency of violent asphyxial deaths in Faisalabad over a span of a decade; and assessing the age and gender vulnerability. STUDY DESIGN: Descriptive cross-sectional study. PLACE AND DURATION OF STUDY: Department of Forensic Medicine and Toxicology, Punjab Medical College, Faisalabad, from January 2007 to December 2016. METHODOLOGY: Cases identified as violent asphyxial deaths according to police inquests and findings of the medico-legal examiners were computed...
April 2018: Journal of the College of Physicians and Surgeons—Pakistan: JCPSP
https://www.readbyqxmd.com/read/29608086/say-their-names
#8
Sandhira Wijayaratne
Many of us pursue medical careers for the direct impact we have on patients' lives. Complicating those ideals is a mosaic of extraclinical factors-economic, social, cultural, political, historical-that more immediately affect patient health than medical care, especially for countless communities of color. As a medical student witnessing the excessive rates of black lives lost to police brutality, I am reminded of the limits of medicine. (PsycINFO Database Record
March 2018: Families, Systems & Health: the Journal of Collaborative Family Healthcare
https://www.readbyqxmd.com/read/29602942/public-health-and-social-supervision-issues-within-public-administration-of-ukrainian-territories-in-the-late-8th-early-9th-centuries
#9
Anatolii M Hrynzovskyi, Irina A Holovanova, Sergei T Omelchuk, Olena V Kuzminska, Anastasia A Hrynzovska, Olena O Karlova, Vitalii Ye Kondratiuk
OBJECTIVE: Introduction: The public health system modernization history is based upon the progress in state country administration and administration of healthcare within the sectorwide approach. The WHO European Bureau pays much attention to the National Health Service systems development while implementing their basic policies. The Ukrainian state health service management was founded basing on the regulatory field of the Russian Empire, using the European healthcare promotion experience...
2018: Wiadomości Lekarskie: Organ Polskiego Towarzystwa Lekarskiego
https://www.readbyqxmd.com/read/29594407/-fatal-flecainide-intoxication-in-a-17-year-old-girl
#10
M Dokter, G Talarico, S Armbrust, E Below, B Bockholdt
A 17-year-old girl was found vomiting and somnolent at home and was taken to a hospital. The girl initially presented with ventricular tachycardia with broad QRS complexes which was very difficult to control. During the course a subsequent cardiogenic shock developed and despite exhaustion of all therapeutic options the fatal outcome could not be averted. The medicolegal autopsy revealed no evidence of any form of violence but the signs of medical treatment. Furthermore, no pathology of internal organs was detected...
March 28, 2018: Der Anaesthesist
https://www.readbyqxmd.com/read/29584483/injury-analysis-of-patients-according-to-impact-patterns-involved-in-pedestrian-traffic-crashes
#11
Hee Young Lee, Hyun Youk, Jeong Ii Lee, Chan Young Kang, Joon Seok Kong, Sil Sung, In Hye Kang, Jung Hun Lee, Oh Hyun Kim, Woo Jin Jung, Kang Hyun Lee, Young Han Youn, Jong Chan Park
OBJECTIVES: In cases of car-to-person pedestrian traffic crashes (PTCs), the principal issue is determining at what point the car collided with the pedestrian. Accordingly, the objective of the present study was to use the medical records of patients injured in PTCs to investigate the characteristics of crash types and the areas and injury severity and to determine whether there are differences in injuries due to the angle, motion, and position at the point of impact. METHODS: The present study examined 231 PTC patients admitted to the emergency room (ER) between January and December 2014...
February 28, 2018: Traffic Injury Prevention
https://www.readbyqxmd.com/read/29579250/reduction-in-cigarettes-per-day-prospectively-predicts-making-a-quit-attempt-a-fine-grained-secondary-analysis-of-a-natural-history-study
#12
Elias M Klemperer, John R Hughes, Shelly Naud
Introduction: Reducing cigarettes per day (CPD) aided by medication increases quit attempts (QA) among smokers not trying to quit. If this is due to reducing CPD per se, then a greater reduction should predict making a QA. Methods: In this secondary analysis, 132 smokers completed nightly calls to report CPD, intention to quit tomorrow, and QAs over 12 weeks. We provided no treatment. We identified episodes of reduction and tested whether a) percent reduction in CPD, b) absolute CPD reduced, c) duration of reduction, or d) CPD on the final day, predicted a QA immediately after a reduction episode...
March 22, 2018: Nicotine & Tobacco Research: Official Journal of the Society for Research on Nicotine and Tobacco
https://www.readbyqxmd.com/read/29574461/police-recorded-crime-and-disparities-in-obesity-and-blood-pressure-status-in-chicago
#13
Elizabeth L Tung, Kristen E Wroblewski, Kelly Boyd, Jennifer A Makelarski, Monica E Peek, Stacy Tessler Lindau
BACKGROUND: The purpose of this study was to examine associations between several types of police-recorded crime (violent, nonviolent, and homicide) and cardiometabolic health (obesity and elevated blood pressure [BP]), and to determine if associations were modified by age and sex. METHODS AND RESULTS: We analyzed cross-sectional data (N=14 799 patients) from 3 primary care clinics at an academic medical center in Chicago, IL. Patient-level health data were obtained from the electronic health record (June 1, 2014-May 31, 2015), including body mass index and BP, and linked to the City of Chicago Police Data Portal...
March 24, 2018: Journal of the American Heart Association
https://www.readbyqxmd.com/read/29569383/inter-disciplinary-cooperation-in-a-physician-staffed-emergency-medical-system
#14
B O Reid, M Rehn, O Uleberg, L E N Pleym, A J Krüger
BACKGROUND: On-scene management of pre-hospital emergencies is often inter-disciplinary, involving ground-emergency medical services (EMS), police- and fire services, and in Norway general practitioners on-call. This can also be supplemented by physician-staffed EMS (P-EMS), utilizing helicopters or rapid response vehicles. We hypothesized that P-EMS cooperates extensively with other emergency services, and therefore the primary aim of this study was to investigate the fraction of inter-disciplinary cooperation between P-EMS and other emergency services...
March 22, 2018: Acta Anaesthesiologica Scandinavica
https://www.readbyqxmd.com/read/29567216/regulatory-analysis-on-the-medical-use-of-ephedrine-related-products-in-taiwan
#15
REVIEW
Wan-Nan Yu, Li-Hsuan Wang, Hui-Wen Cheng
To prevent ephedrine-related products from being misused to produce amphetamine and/or its analogs, there's a need for more effective and achievable regulatory mechanisms for the health, police, investigational, prosecution and judiciary authorities in Taiwan. This review was conducted to evaluate the international and Taiwan's regulatory policies and management of medical ephedrine-related products through the corresponding information collected from international and Taiwan government agency authorities. The combat of illegal drugs should involve both supply and demand sides to be successful...
April 2018: Journal of Food and Drug Analysis
https://www.readbyqxmd.com/read/29566602/a-comparison-of-intimate-partner-violence-strangulation-between-same-sex-and-different-sex-couples
#16
Jill T Messing, Kristie A Thomas, Allison L Ward-Lasher, Nathan Q Brewer
Strangulation is a common and dangerous form of intimate partner violence (IPV). Nonfatal strangulation is a risk factor for homicide; can lead to severe, long-term physical and mental health sequelae; and can be an effective strategy of coercion and control. To date, research has not examined strangulation within same-sex couples. The objective of this cross-sectional, observational research is to identify whether and to what extent the detection of strangulation and coercive control differs between same-sex and different-sex couples in police reports of IPV...
March 1, 2018: Journal of Interpersonal Violence
https://www.readbyqxmd.com/read/29563300/child-maltreatment-surveillance-improvement-opportunities-a-wake-county-north-carolina-pilot-project
#17
Meghan E Shanahan, Mike D Fliss, Scott K Proescholdbell
BACKGROUND As child maltreatment often occurs in private, child welfare numbers underestimate its true prevalence. Child maltreatment surveillance systems have been used to ascertain more accurate counts of children who experience maltreatment. This manuscript describes the results from a pilot child maltreatment surveillance system in Wake County, North Carolina. METHODS We linked 2010 and 2011 data from 3 sources (Child Protective Services, Raleigh Police Department, and Office of the Chief Medical Examiner) to obtain rates of definite and possible child maltreatment...
March 2018: North Carolina Medical Journal
https://www.readbyqxmd.com/read/29553080/china-s-achievements-and-challenges-in-improving-health-insurance-coverage
#18
Cuirong Zhao, Chao Wang, Chengwu Shen, Qian Wang
China has undertaken waves of healthcare reforms to keep pace with its rapid economic growth. By 2011, universal health insurance coverage was successfully achieved through the creation of a basic social medical insurance system. Growing economic power, extensive government subsidies, and strategies for program implementation are critical to that achievement. However, the breadth and depth of coverage varies considerably across insurance schemes and localities. The disjointed insurance scheme led to inequality in coverage, accessibility, and affordability of medical services, lopsided allocation of health resources, and increasing medical expenditures, and these remain crucial challenges for healthcare insurance coverage...
2018: Drug Discoveries & Therapeutics
https://www.readbyqxmd.com/read/29521551/effect-of-dial-out-prefix-change-on-9-1-1-calls-at-a-large-state-university
#19
Jane H Brice, Matthew A Psioda, Renee Johnson, Amy Oakley, Julianne M Cyr, Christopher S Cowden, Richard Uribe
BACKGROUND: Accessing the emergency medical services system via 9-1-1 operators is an effective way for patients to seek urgent health care; however, technological advances and telecommunication practices inundate the 9-1-1 and emergency services infrastructure with unintentional calls that delay response efforts to legitimate medical emergencies. OBJECTIVE: To determine whether the change in university-wide dial-out prefix from "9" to "7" reduced unnecessary calls to a 9-1-1 call center...
March 9, 2018: Prehospital Emergency Care
https://www.readbyqxmd.com/read/29518256/homicide-in-a-horse-barn
#20
Samuel P Prahlow, Joseph A Prahlow
As forensic scientists and physicians, forensic pathologists are duty-bound to perform their examinations with integrity and professionalism. The practice of medicine requires knowledge regarding the history and presentation of the patient. In forensic pathology, the history includes scene and other investigative information, and the decedent's medical and social history. Such information is important for the correct certification of the cause and manner of death. Herein, the authors present a case originally thought by police and death investigators to represent a sexual-assault-related homicide, as an elderly female's body was found partially nude, and apparently beaten, on the muddy floor of her horse barn...
March 8, 2018: Journal of Forensic Sciences
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