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https://www.readbyqxmd.com/read/28622159/weeding-out-the-justification-for-marijuana-treatment-in-patients-with-developmental-and-behavioral-conditions
#1
Theodora Nelson, Yi Hui Liu, Kara S Bagot, Martin T Stein
Alex is a 13-year-old adolescent with high-functioning autism spectrum disorder, attention-deficit/hyperactivity disorder (ADHD)-combined type, anxiety, and depression. He has been resistant to engaging in therapy and treatment with various medications has been unsuccessful. Alex's parents are concerned about his anxiety, isolation, oppositional behaviors, academic underachievement, truancy, and substance use. A recent altercation with his stepfather led to a police intervention and a brief removal of Alex from the home...
June 15, 2017: Journal of Developmental and Behavioral Pediatrics: JDBP
https://www.readbyqxmd.com/read/28607229/recognition-and-treatment-of-law-enforcement-violence-against-detainees-and-prisoners-a-survey-among-israeli-physicians-and-medical-students
#2
Zvi Benninga, Bettina Steiner-Birmanns, Revital Arbel, Firas Abu Akar, Mushira Aboo Dia
INTRODUCTION: Physicians regularly encounter victims of violence. Although some at-risk groups are increasingly recognized as such, the risks faced by prisoners and detainees are often overlooked. The scope of violence against them is unknown and their treatment is often hampered by unique social and institutional impediments. This article reviews the need for improved recognition and protection of such patients and the associated obstacles, while presenting information on the experience, knowledge and attitudes of physicians in Israel regarding the maltreatment of prisoners and detainees...
2017: Torture: Quarterly Journal on Rehabilitation of Torture Victims and Prevention of Torture
https://www.readbyqxmd.com/read/28605305/attitudes-toward-medical-cannabis-legalization-among-serbian-medical-students
#3
Isidora Vujcic, Aleksandar Pavlovic, Eleonora Dubljanin, Jadranka Maksimovic, Aleksandra Nikolic, Sandra Sipetic-Grujicic
BACKGROUND: Currently, medical cannabis polices are experiencing rapid changes, and an increasing number of nations around the world legalize medical cannabis for certain groups of patients, including those in Serbia. OBJECTIVES: To determine medical students' attitudes toward medical cannabis legalization and to examine the factors influencing their attitudes. METHODS: Fourth-year medical students at the Faculty of Medicine, University of Belgrade, had participated in a cross-sectional study...
June 12, 2017: Substance Use & Misuse
https://www.readbyqxmd.com/read/28604931/motor-vehicle-crash-risk-among-adolescents-and-young-adults-with-attention-deficit-hyperactivity-disorder
#4
Allison E Curry, Kristina B Metzger, Melissa R Pfeiffer, Michael R Elliott, Flaura K Winston, Thomas J Power
Importance: Attention-deficit/hyperactivity disorder (ADHD) often persists into adolescence, when motor vehicle crash risk peaks. We know little about when adolescents with ADHD get licensed and, once they do, the extent to which they have increased crash risk compared with adolescents without ADHD. Objectives: To examine the association between ADHD and both driver licensing and crash involvement and whether it varies by sex, licensing age, and/or being prescribed ADHD medication at licensure...
June 12, 2017: JAMA Pediatrics
https://www.readbyqxmd.com/read/28594290/do-rapid-comprehensive-urine-drug-screens-change-clinical-management-in-children
#5
Michael R Christian, Jennifer A Lowry, D Adam Algren, Stephen L Thornton, Shuang Deng, Uttam Garg
CONTEXT: Multiple studies have concluded that urine drug screens rarely change clinical management. The rapid comprehensive urine drug screen (RCUDS) at our institution detects over 300 substances using a combination of EIA and GC/MS and typically takes 2-5 h for completion. OBJECTIVE: We sought to determine whether this RCUDS altered management in the pediatric population. METHODS: All patients >1 month and <18 years of age in which a RCUDS was completed from 1 January 2012 to 31 December 2012 were eligible for the study...
June 8, 2017: Clinical Toxicology
https://www.readbyqxmd.com/read/28592455/the-incidence-of-sudep-a-nationwide-population-based-cohort-study
#6
Olafur Sveinsson, Tomas Andersson, Sofia Carlsson, Torbjörn Tomson
OBJECTIVE: To identify all cases of sudden unexpected death in epilepsy (SUDEP) among people in Sweden during 1 year and to determine the SUDEP incidence in relation to age, sex, and psychiatric comorbidity. METHODS: We included all individuals with a hospital-based ambulatory care or hospital discharge diagnosis of epilepsy in the Swedish National Patient Registry during 1998-2005 who were alive on January 1, 2008. Deaths during 2008 were identified by linkage to the National Cause of Death Registry...
June 7, 2017: Neurology
https://www.readbyqxmd.com/read/28589537/-political-co-authorships-in-medical-science-journals
#7
Jaspreet Johal, Marios Loukas, Rod J Oskouian, R Shane Tubbs
The issue of co-author relationships on medical sciences journal publications has become more pronounced as advances in technology have enabled collaboration across countries and institutions to occur much more efficiently. These relationships often have underlying political motivations and outcomes, including career advancement, attempting to increase prestige of a project, and maintaining research grants. Some authors may be listed as senior or honorary authors despite offering little or no contribution to the original research project...
June 7, 2017: Clinical Anatomy
https://www.readbyqxmd.com/read/28558808/gender-differences-in-discharge-dispositions-of-emergency-department-visits-involving-drug-misuse-and-abuse-2004-2011
#8
Jennifer I Manuel, Jane Lee
BACKGROUND: Drug use-related visits to the emergency department (ED) can undermine discharge planning and lead to recurrent use of acute services. Yet, little is known about where patients go post discharge. We explored trends in discharge dispositions of drug-involved ED visits, with a focus on gender differences. METHODS: We extracted data from the 2004-2011 Drug Abuse Warning Network, a national probability sample of drug-related visits to hospital EDs in the U...
May 30, 2017: Substance Abuse Treatment, Prevention, and Policy
https://www.readbyqxmd.com/read/28558580/assessing-an-individual-s-fitness-to-be-interviewed-in-police-custody
#9
Matthew Peel
Nurses working in police custody settings may be called on to assess a detainee's fitness to be interviewed by police, for example where the person is thought to have a mental disorder or vulnerability. This article outlines the role of the custody nurse in the fitness-to-interview assessment. This assessment is complex and multifaceted. It requires custody nurses to assess a detainee's medical, mental health, educational and social history, as well as any substance misuse. It should include a mental state examination and, where appropriate, a physical examination...
May 31, 2017: Nursing Standard
https://www.readbyqxmd.com/read/28556806/quality-of-life-in-women-with-stage-1-stress-urinary-incontinence-after-application-of-conservative-treatment-a-randomized-trial
#10
Magdalena Ptak, Agnieszka Brodowska, Sylwester Ciećwież, Iwona Rotter
Stress urinary incontinence (SUI) influences quality of life in female patients. In this study, we used ICIQ LUTS QoL (The International Consultation Incontinence Questionnaire Lower Urinary Tract Symptoms quality of life) to determine the quality of life (QoL) in various domains in patients with stage 1 SUI. The study included 140 perimenopausal women subjected to urodynamic tests at the Department of Gynaecology, Endocrinology and Gynaecologic Oncology, Pomeranian Medical University, Police (Poland) in 2013-2015...
May 30, 2017: International Journal of Environmental Research and Public Health
https://www.readbyqxmd.com/read/28552292/a-safe-haven-for-the-injured-urban-trauma-care-at-the-intersection-of-healthcare-law-enforcement-and-race
#11
Sara F Jacoby, Therese S Richmond, Daniel N Holena, Elinore J Kaufman
Patients with traumatic injuries often interact with police before and during hospitalization, particularly when their injuries are due to violence. People of color are at highest risk for violent injuries and have the poorest outcomes after injury. The purpose of this study was to describe how injured, Black patients perceived their interactions with police and what these perceptions reveal about police involvement within trauma care systems. We combined data from two qualitative studies to achieve this aim...
May 18, 2017: Social Science & Medicine
https://www.readbyqxmd.com/read/28529300/yi-kwang-su-s-love-and-history-records-of-modern-hospital-under-the-japanese-colonial-period
#12
Byoung Hoon Lee
This article aims to evaluate and analyze the description of the modern hospital as history record, which appeared in YI Kwang Su's novel Love. This novel has mentioned in detail western style clinic, Bukgando Catholic hospital, tuberculosis sanitarium as its main space. Modern hospitals are depicted in the novel has a great significance in historical aspect as well as in literary aspect. The most data on modern hospital is laws, statistics and newspaper archives. These materials are a great help to understand the history and status of the modern hospital...
December 2016: Ŭi Sahak
https://www.readbyqxmd.com/read/28520563/multiple-deaths-caused-by-a-fire-in-a-factory-identification-and-investigative-issues
#13
V Pinchi, V Bartolini, E Bertol, M Focardi, F Mari, U Ricci, S Vanin, G A Norelli
The article presents a case of multiple casualties following a textile factory fire. The incident required a full DVI team similar to large mass-disaster because of the specific operational aspects and identification difficulties. The autopsy results were consistent with death by fire and the toxicological investigations revealed carbon monoxide poisoning in four cases (HbCO% ranging between 88,05 and 95,77), two deaths by cyanide intoxication (with concentrations between 5,17 and 8,85 mcg/ml), and in one case there was a synergistic effect of the two substances (carbon monoxide and cyanide)...
December 1, 2016: Journal of Forensic Odonto-stomatology
https://www.readbyqxmd.com/read/28498576/a-critique-of-the-ultra-high-risk-and-transition-paradigm
#14
Jim van Os, Sinan Guloksuz
The transdiagnostic expression of psychotic experiences in common mental disorder (anxiety/depression/substance use disorder) is associated with a poorer prognosis, and a small minority of people may indeed develop a clinical picture that meets criteria for schizophrenia. However, it appears neither useful nor valid to observe early states of multidimensional psychopathology in young people through the "schizo"-prism, and apply misleadingly simple, unnecessary and inefficient binary concepts of "risk" and "transition"...
June 2017: World Psychiatry: Official Journal of the World Psychiatric Association (WPA)
https://www.readbyqxmd.com/read/28494674/should-nurses-receive-formal-commendations
#15
Mike Parker
On 22 March news broke that an incident had occurred at the Palace of Westminster in London. The Metropolitan Police, London Ambulance Service and the Helicopter Emergency Medical Service responded and, as details emerged, it became clear there had been a terrorist attack.
May 12, 2017: Emergency Nurse: the Journal of the RCN Accident and Emergency Nursing Association
https://www.readbyqxmd.com/read/28494249/evaluation-of-problematic-psychoactive-substances-use-in-people-placed-in-police-custody
#16
Marie Gérardin, Gabriel Guigand, Laura Wainstein, Pascale Jolliet, Caroline Victorri-Vigneau, Renaud Clément
INTRODUCTION AND AIMS: In France, the law states that any person held in custody could be examined by a doctor. The main objective of the medical examination is to give medical evidence of health compatibility with custody. This review identifies health risks such as addictive behaviour. We wanted to know which psychoactive substances are used in this particular population, and how problematic these uses are. DESIGN AND METHODS: A prospective, monocentric, open-ended study conducted via a structured questionnaire was carried out on detainees who reported having taken drugs or illegal substances...
July 2017: Journal of Forensic and Legal Medicine
https://www.readbyqxmd.com/read/28492165/-the-contribution-of-legal-medicine-in-child-protection-presentation-of-a-multidisciplinary-approach
#17
J Hiquet, E Christin, O Dubourg, J Fougas, C Baup, G Brunet, J Millington, N Grosleron, S Gromb-Monnoyeur
INTRODUCTION: Maltreatment is a complex issue and therefore, requires a multidisciplinary approach, which has been commonly used in North America since the 1980s but remains unsystematic in France. Since 1999, the Centre d'Accueil en Urgence des Victimes d'Agression (emergency unit for victims of assault) of the Bordeaux University Hospital has brought together various medical, paramedical, and social actors on this issue. A standardized psychosocial assessment procedure has been introduced and is detailed in this paper, and was consistently conducted in all cases of suspicion of abuse on a minor...
December 2016: Archives de Pédiatrie: Organe Officiel de la Sociéte Française de Pédiatrie
https://www.readbyqxmd.com/read/28453993/sexual-violence-interventions-considerations-for-humanitarian-settings
#18
David Wells
Sexual and gender based violence may result in a range of destructive consequences to the individual, their family and the wider community. Addressing such violence and its immediate aftermath in circumstances of civil turmoil requires a timely, planned and coordinated multidisciplinary response. Such interventions need to be cognisant of, and address a range of challenges which might include economic barriers, religious and cultural divides, a dearth of respect for human rights and limited access or capacity of medical, policing and legal services...
April 14, 2017: Forensic Science International
https://www.readbyqxmd.com/read/28422296/keeping-out-and-getting-in-reframing-emergency-department-gatekeeping-as-structural-competence
#19
Mara Buchbinder
Sociologists have tended to frame medical gatekeeping as an exclusionary social practice, delineating how practitioners and clerical staff police the moral boundaries of medicine by keeping out patients who are categorised as 'bad', 'deviant', or otherwise problematic. Yet medical gatekeeping, understood more broadly, can include not only keeping patients out of particular clinical settings, but also redirecting them to alternative sources of care. In this article, I draw on qualitative analysis of audio-recorded patient-provider interactions in a United States emergency department (ED) to illustrate medical gatekeeping as a two-step process of, first, categorising certain patient complaints as unsuitable for treatment within a particular setting, and second, diverting patients to alternative sites for care...
April 19, 2017: Sociology of Health & Illness
https://www.readbyqxmd.com/read/28418341/the-knowledge-level-and-opinions-of-physicians-about-the-medical-and-legal-procedures-related-to-physical-child-abuse
#20
Sema Demirçin, Akın Tütüncüler, Fatmagül Aslan, Sevtap Velipaşaoğlu Güney, Mehmet Atılgan, Hakan Gülkesen
BACKGROUND: In order to diagnose child abuse, physicians need to consider the possibility of abuse in every child they encounter, have sufficient information about the topic and manage the cases according to current law. AIMS: To determine the knowledge level of physicians on child abuse and to learn their opinions about the procedures when they suspect child abuse. STUDY DESIGN: A questionnaire (cross-sectional) study. METHODS: A detailed questionnaire was applied to 390 physicians of whom 233 were general practitioners...
April 5, 2017: Balkan Medical Journal
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