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End of life legislation

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https://www.readbyqxmd.com/read/29996450/brominated-flame-retardants-in-irish-waste-polymers-concentrations-legislative-compliance-and-treatment-options
#1
Daniel S Drage, Martin Sharkey, Mohamed Abou-Elwafa Abdallah, Harald Berresheim, Stuart Harrad
A comprehensive survey was performed to construct an inventory of polybrominated diphenyl ethers (PBDEs) and hexabromocyclododecane (HBCDD) associated with waste polymers in Ireland. Based on our data, ~2200 t/yr of waste generated in Ireland exceeds "Low POP Concentration Limits" (LPCLs) set by the European Commission, of 1000 mg/kg of PBDEs (BDE-209 excluded) and HBCDD - collectively referred to as POP-BFRs. Waste articles containing concentrations exceeding the LPCL values require special treatment to remove POP-BFRs before they can be recycled...
June 1, 2018: Science of the Total Environment
https://www.readbyqxmd.com/read/29978621/voluntary-assisted-dying-legislation-in-victoria-what-can-we-learn-from-the-netherlands-experience
#2
Danuta Mendelson
The Voluntary Assisted Dying Bill 2017 Vic (VAD Bill) was passed by the Legislative Assembly of the Victorian Parliament on 20 October 2017. The Bill is partly based on the Majority Report provided by the Legal and Social Issues Committee of the Victorian Legislative Council following its Inquiry into End of Life Choices (June 2016). The Majority Report recommended introduction of euthanasia and assisted suicide legislation. The Bill is modelled on the Ministerial Advisory Panel on Voluntary Assisted Dying Final Report, which drafted 66 recommendations on legalising administration and supply of substances for the purpose of causing the person's death...
November 2017: Journal of Law and Medicine
https://www.readbyqxmd.com/read/29945564/end-of-life-decisions-and-practices-for-very-preterm-infants-in-the-wallonia-brussels-federation-of-belgium
#3
Isabelle Aujoulat, Séverine Henrard, Anne Charon, Anne-Britt Johansson, Jean-Paul Langhendries, Anne Mostaert, Danièle Vermeylen, Gaston Verellen
BACKGROUND: Very preterm birth (24 to < 32 week's gestation) is a major public health issue due to its prevalence, the clinical and ethical questions it raises and the associated costs. It raises two major clinical and ethical dilemma: (i) during the perinatal period, whether or not to actively manage a baby born very prematurely and (ii) during the postnatal period, whether or not to continue a curative treatment plan initiated at birth. The Wallonia-Brussels Federation in Belgium counts 11 neonatal intensive care units...
June 26, 2018: BMC Pediatrics
https://www.readbyqxmd.com/read/29920158/barriers-to-end-of-life-care-for-lgbt-persons-in-the-absence-of-legal-marriage-or-adequate-legal-documentation
#4
Jessica Marsack, Rob Stephenson
End-of-life care has attracted increased attention in recent years due to increases in both the number and mean age of the world's population; however, the experiences of LGBT persons during end-of-life care remain understudied. Given the health disparities and barriers to care experienced throughout the life course of LGBT persons, the frequent involvement of legal spouses in end-of-life care, and the recency of marriage equality, it can be surmised that LGBT persons might experience significantly different barriers to their desired end-of-life care compared to their heterosexual and cisgender counterparts...
June 19, 2018: LGBT Health
https://www.readbyqxmd.com/read/29895229/advance-care-planning-for-frail-older-people-in-china-a-discussion-paper
#5
Ren-Li Deng, Jia-Zhong Duan, Jiang-Hui Zhang, Jia-Rui Miao, Liu-Liu Chen, Diana T F Lee
As the aging population, including frail older people, continues to grow in Mainland China, quality of life and end-of-life care for frail older people has attracted much attention. Advance care planning is an effective way to improve end-of-life care for people with advanced diseases, and it is widely used in developed countries; however, it is a new concept in Mainland China. The effects of advance care planning and its acceptability in Mainland China are uncertain because of its culture-sensitive characteristics...
January 1, 2018: Nursing Ethics
https://www.readbyqxmd.com/read/29885459/an-examination-of-state-level-personality-variation-and-physician-aid-in-dying-legislation
#6
James Gerhart, Elaine Chen, Sean O'Mahony, John Burns, Michael Hoerger
CONTEXT: Physician aid in dying is a controversial topic in the United States, and legislation exists in some states. Personality traits are associated with preferences for end of life care, and also tend to cluster systematically across states and other geographic regions. Such clustering of personality traits could relate to legislation including physician aid in dying. OBJECTIVE: To determine whether average levels of personality traits in each U.S. state differ between states with and without physician aid in dying legislation...
June 6, 2018: Journal of Pain and Symptom Management
https://www.readbyqxmd.com/read/29845907/quality-of-living-and-dying-pediatric-palliative-care-and-end-of-life-decisions-in-the-netherlands
#7
Marije Brouwer, Els Maeckelberghe, Willemien DE Weerd, Eduard Verhagen
In 2002, The Netherlands continued its leadership in developing rules and jurisdiction regarding euthanasia and end-of-life decisions by implementing the Euthanasia Act, which allows euthanasia for patients 12 years of age and older. Subsequently, in 2005, the regulation on active ending of life for newborns was issued. However, more and more physicians and parents have stated that the age gap between these two regulations-children between 1 and 12 years old-is undesirable. These children should have the same right to end their suffering as adults and newborn infants...
July 2018: Cambridge Quarterly of Healthcare Ethics: CQ: the International Journal of Healthcare Ethics Committees
https://www.readbyqxmd.com/read/29808277/ventricular-assist-device-therapy-and-heart-transplantation-benefits-drawbacks-and-outlook
#8
S Buchholz, S P W Guenther, S Michel, R Schramm, C Hagl
End-stage heart failure is associated with significant morbidity and mortality. Heart transplantation has the potential to offer a return to daily activities for critically ill patients and is the gold standard therapy. However, heart transplantations are decreasing yearly with a historic low in Germany in 2017. By striking contrast, both waiting list numbers and waiting time have increased owing to a lack of acceptable donor organs. Ventricular assist devices (VAD) represent a reasonable therapeutic alternative for patients on heart transplantation waiting lists...
May 28, 2018: Herz
https://www.readbyqxmd.com/read/29807158/overview-of-systematic-reviews-of-advance-care-planning-summary-of-evidence-and-global-lessons
#9
REVIEW
Geronimo Jimenez, Woan Shin Tan, Amrit K Virk, Chan Kee Low, Josip Car, Andy Hau Yan Ho
BACKGROUND: Advance care planning (ACP) involves important decision-making about future medical needs. The high volume and disparate nature of ACP research make it difficult to grasp the evidence and derive clear policy lessons for policymakers and clinicians. AIM: To synthesise ACP research evidence, and identify relevant contextual elements, program features, implementation principles and impacted outcomes to inform policy and practice. DESIGN: An overview of systematic reviews using the Cochrane Handbook of Systematic Reviews of Interventions was performed...
May 25, 2018: Journal of Pain and Symptom Management
https://www.readbyqxmd.com/read/29778681/portable-x-ray-fluorescence-for-the-detection-of-pop-bfrs-in-waste-plastics
#10
Martin Sharkey, Mohamed Abou-Elwafa Abdallah, Daniel S Drage, Stuart Harrad, Harald Berresheim
The purpose of this study was to establish the efficacy of portable X-ray fluorescence (XRF) instrumentation as a screening tool for a variety of end of life plastics which may contain excess amounts of brominated flame retardants (BFRs), in compliance with European Union (EU) and United Nations Environment Programme (UNEP) legislative limits (low POP concentration limits - LPCLs). 555 samples of waste plastics were collected from eight waste and recycling sites in Ireland, including waste electrical and electronic equipment (WEEE), textiles, polyurethane foams (PUFs), and expanded polystyrene foams...
October 15, 2018: Science of the Total Environment
https://www.readbyqxmd.com/read/29771249/-new-italian-law-about-end-of-life-self-determination-and-shared-care-pathway
#11
Rosagemma Ciliberti, Matteo Gulino, Ilaria Gorini
The Italian Parliament has recently approved the Law n. 219/2017 concerning "Rules on informed consent and advance directives". The manuscript points out the main key points of the new law, in order to clarify the role of the advance directives and to provide clear operational guidelines for healthcare personnel. Taking into consideration the Italian deontological and juridical context, along with the main jurisprudential judgements, the law has been analysed. The Authors discussed the new rules and the bioethical issues also in relation to the provisions stated by the Convention on Human Rights and Biomedicine (Convention of Oviedo)...
May 2018: Recenti Progressi in Medicina
https://www.readbyqxmd.com/read/29764178/compassionate-communities-in-canada-it-is-everyone-s-responsibility
#12
Bonnie Tompkins
Prof. Allan Kellehear first developed a contemporary public health approach to palliative and end-of-life care. Countries around the world have since adopted the theory of practice that mobilizes palliative care as a public health issue-particularly the Compassionate Communities (CC) model. In the wake of Canada's Medical Assistance in Dying (MAiD) legislation and its growing senior population, quality palliative care has enjoyed a renewed focus. Pallium Canada is helping communities across the country understand and adopt the CC model, through education, knowledge mobilization, project facilitation, and leadership...
April 2018: Annals of Palliative Medicine
https://www.readbyqxmd.com/read/29757917/nurse-practitioners-completion-of-physician-orders-for-scope-of-treatment-forms-in-west-virginia-a-secondary-analysis-of-12-months-of-data-from-the-state-registry
#13
Lori Anne Constantine, Toni Dichiacchio, Evan C Falkenstine, Alvin H Moss
BACKGROUND AND PURPOSE: Advanced care planning documents, such as the Physician Orders for Life-Sustaining Treatment (POLST), require authorized medical provider signatures; only recently have nurse practitioners (NPs) been authorized to sign these forms. Recent legislation in West Virginia (WV) granting NPs signatory authority on POLST forms and the creation of a statewide registry provides an opportunity to examine the completion rates. The aim of this study was to investigate how recent legislation allowing NPs signatory authority for POLST forms has affected POLST completion...
January 2018: Journal of the American Association of Nurse Practitioners
https://www.readbyqxmd.com/read/29714640/cannabis-in-end-of-life-care-examining-attitudes-and-practices-of-palliative-care-providers
#14
Rachel Luba, Mitch Earleywine, Stacey Farmer, Melissa Slavin
Medical cannabis research has become quite extensive, with indications ranging from glaucoma to chemotherapy-induced nausea. Despite increased interest in cannabis' potential medical uses, research barriers, cannabis legislation, stigma, and lack of dissemination of data contribute to low adoption for some medical populations. Of interest, cannabis use appears low in palliative care settings, with few guidelines available to palliative care providers. The present study sought to examine the attitudes, beliefs, and practices of palliative care providers regarding the use of cannabis for terminally ill patients...
May 1, 2018: Journal of Psychoactive Drugs
https://www.readbyqxmd.com/read/29673342/medical-end-of-life-practices-in-swiss-cultural-regions-a-death-certificate-study
#15
Samia A Hurst, Ueli Zellweger, Georg Bosshard, Matthias Bopp
BACKGROUND: End-of-life decisions remain controversial. Switzerland, with three main languages shared with surrounding countries and legal suicide assistance, allows exploration of the effects of cultural differences on end-of-life practices within the same legal framework. METHODS: We conducted a death certificate study on a nationwide continuous random sample of Swiss residents. Using an internationally standardized tool, we sent 4998, 2965, and 1000 anonymous questionnaires to certifying physicians in the German-, French-, and Italian-speaking regions...
April 20, 2018: BMC Medicine
https://www.readbyqxmd.com/read/29629982/end-of-life-care-in-icus-in-east-asia-a-comparison-among-china-korea-and-japan
#16
So Young Park, Jason Phua, Masaji Nishimura, Yiyun Deng, Yan Kang, Keiichi Tada, Younsuck Koh
OBJECTIVES: To compare physicians' perceptions and practice of end-of-life care in the ICU in three East Asian countries cultures similarly rooted in Confucianism. DESIGN: A structured and scenario-based survey of physicians who managed ICU patients from May 2012 to December 2012. SETTING: ICUs in China, Korea, and Japan. SUBJECTS: Specialists who are either intensivists or nonintensivist primary attending physicians in charge of patients (195 in China, 186 in Korea, 224 in Japan)...
April 6, 2018: Critical Care Medicine
https://www.readbyqxmd.com/read/29591838/getting-comfortable-with-comfort-feeding-an-exploration-of-legal-and-ethical-aspects-of-the-australian-speech-language-pathologist-s-role-in-palliative-dysphagia-care
#17
Katherine Kelly, Steven Cumming, Belinda Kenny, Jennifer Smith-Merry, Hans Bogaardt
PURPOSE: With an ageing population, speech-language pathologists (SLPs) can expect to encounter legal and ethical challenges associated with palliative and end-of-life care more frequently. An awareness of the medico-legal and ethical framework for palliative dysphagia management will better equip SLPs to work effectively in this area. METHOD: This narrative review examines a range of legislation, legal, ethical and SLP literature that is currently available to orient SLPs to legal and ethical palliative dysphagia management in the Australian context...
June 2018: International Journal of Speech-language Pathology
https://www.readbyqxmd.com/read/29576244/exploring-the-training-and-scope-of-practice-of-gps-in-england-germany-and-spain
#18
Ketevan Glonti, Verena Struckmann, Alvaro Alconada, Luisa M Pettigrew, Virginia Hernandez-Santiago, Sergio Minue, Isabelle Risso-Gill, Martin McKee, Helena Legido-Quigley
OBJECTIVE: To explore general practitioner (GP) training, continuing professional development, scope of practice, ethical issues and challenges in the working environment in three European countries. METHOD: Qualitative study of 35 GPs from England, Germany and Spain working in urban primary care practices. Participants were recruited using convenience and snowball sampling techniques. Semi-structured interviews were recorded, transcribed and analysed by four independent researchers adopting a thematic approach...
March 22, 2018: Gaceta Sanitaria
https://www.readbyqxmd.com/read/29558003/physician-assisted-dying-thoughts-drawn-from-albert-camus-writing
#19
Claudia Bozzaro
Physician-assisted dying (assisted suicide and euthanasia) is currently an intensely discussed topic in several countries. Despite differences in legislation and application, countries with end-of-life laws have similar eligibility criteria for assistance in dying: individuals must be in a hopeless situation and experience unbearable suffering. Hopelessness, as a basic aspect of the human condition, is a central topic in Albert Camus' philosophical work The Myth of Sisyphus, which addresses the question of suicide...
March 20, 2018: Theoretical Medicine and Bioethics
https://www.readbyqxmd.com/read/29544707/opioid-use-in-gynecologic-oncology-in-the-age-of-the-opioid-epidemic-part-ii-balancing-safety-accessibility
#20
REVIEW
Amin A Ramzan, Stacy Fischer, Mary K Buss, Renata R Urban, Bruce Patsner, Linda R Duska, Christine M Fisher, Carolyn Lefkowits
As the only oncologists that provide both medical and surgical care, gynecologic oncologists encounter an exceptionally broad range of indications for prescribing opioids in clinical situations ranging from management of acute post-operative pain to chronic cancer-related pain to end-of-life care. While opioids are essential to the practice of gynecologic oncology, they can also have significant side effects and can be misused. Due to the explosive growth of opioid prescriptions and opioid-related overdoses and deaths during the first decade of the 21st century, there has been a recent concerted public health effort to prevent and treat opioid misuse through both legislation and education [1]...
May 2018: Gynecologic Oncology
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