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Emergency Medicine Treatment and Labor Act

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281. Cancer Genetics Risk Assessment and Counseling (PDQ®): Health Professional Version

Cancer Genetics Risk Assessment and Counseling (PDQ®): Health Professional Version Cancer Genetics Risk Assessment and Counseling (PDQ®) - PDQ Cancer Information Summaries - NCBI Bookshelf Warning: The NCBI web site requires JavaScript to function. Search database Search term Search NCBI Bookshelf. A service of the National Library of Medicine, National Institutes of Health. PDQ Cancer Information Summaries [Internet]. Bethesda (MD): National Cancer Institute (US); 2002-. PDQ Cancer Information (...) , benefits, and limitations of genetic testing. References Riley BD, Culver JO, Skrzynia C, et al.: Essential elements of genetic cancer risk assessment, counseling, and testing: updated recommendations of the National Society of Genetic Counselors. J Genet Couns 21 (2): 151-61, 2012. [ ] Weitzel JN, Blazer KR, MacDonald DJ, et al.: Genetics, genomics, and cancer risk assessment: State of the Art and Future Directions in the Era of Personalized Medicine. CA Cancer J Clin 61 (5): 327-59, 2011 Sep-Oct

2016 PDQ - NCI's Comprehensive Cancer Database

282. The rise of in-work poverty

reforms 16 Changing nature of poverty in Scotland: key points 16 Section 2: The changing nature of work in Scotland 17 Globalisation and the growth of precarious employment 17 Rates of part-time working in Scotland and Glasgow city 18 Rates of underemployment in Scotland 19 Part-time work and gender 21 Low paid, low ‘psychosocial quality’ work 22 The emergence of ‘low pay/no pay’ poverty churning 22 The changing nature of work in Scotland: key points 23 Section 3: The changing nature of poverty (...) to question the prevailing notions of the long-term unemployed and of work avoidance. Emerging qualitative evidence suggests that the contemporary experience of unemployment is characterised by ‘churning’, which involves moving in and out of low-paid, short-term jobs, and on and off welfare benefits. National and local analyses of official statistics presented in this paper tend to support the existence of churning. However, the nature and extent of the issue is difficult to capture empirically from

2013 Glasgow Centre for Population Health

283. A Critical Review of the Literature Regarding Homelessness among Veterans

sleeping accommodation for human beings. 16 The current definition of homelessness under the McKinney-Vento Act does not include those living in transitional housing not exclusively for the mentally ill, those who are in imminent threat of losing their housing, those fleeing a situation of domestic violence or other life- threatening condition, as well as unaccompanied youth and certain types of homeless families with children. Recent amendments to McKinney-Vento through the Homeless Emergency (...) eterans? The recently released report Veteran Homelessness: A Supplemental Report to the 2009 Annual Homeless Assessment Report to Congress (2009 Veteran AHAR) estimates that on a single night in January 2009 there were 75,609 homeless Veterans and that an estimated 136,334 Veterans spent at least one night in an emergency shelter or transitional housing program between October 1, 2008 and September 30, 2009. With nearly 23 million Veterans in the U.S. population in 2009, the prevalence of Veterans

2011 Veterans Affairs Evidence-based Synthesis Program Reports

284. Family Practice Notebook Updates 2018

, ) Febrile patients are management as and immunocompromised Treat vaso-occlusive crisis aggressively and rapidly and evaluate for other causes if pain pattern is not typical for patient and are medical emergencies (ortho, ob) Symptomatic management includes , PT, , support devices, epidural s Exclude , labor, , (endo, dm, peds) accounts for 1 in 3 diabetes diagnoses in children in the U.S. may present with ketoacidosis as well as positive glutamic acid decarboxylase or islet antigen-2 Screen diabetes (...) , a known carcinogen (sports, er, water) Avoid using antiquated terms (e.g. near , wet , dry ) Immediately get patient to land, lay supine, and initate CPR, starting with ventilations (do not perform heimlich to "clear the lungs") Manage with rewarming, and do not cease attempts until warmed to >34-35 C (ortho, procedure, hip) Consider in isolated (psych, cd, ) Consider Emergency department initiated (single dose) with follow-up scheduled within days in those seeking treatment Patient should

2019 FP Notebook

285. Patient Modesty: Volume 82

Patient Modesty: Volume 82 Bioethics Discussion Blog: Patient Modesty: Volume 82 What have you been reading, hearing or TV viewing that has provoked some feelings of comfort or concern about what is happening in the world of medicine, medical care, treatment or science? Ethics is all about doing the right thing. Are you aware of any issues in medicine or biologic science which are being done right, could be improved or in fact represent totally unethical behavior? Write about them here.. and I (...) impression both male & females are hired to be scribes. At my old medical center, in the emergency department we hired scribes to assist the ED physicians but there was no requirement they only be female. This was the only location where we allowed scribes. Nationwide I don’t know if there is a trend toward one sex or another for scribes, I don’t think there is. Medical assistants in private practices and clinics is more sinister matter. MAs assisting as a chaperone, for example, always mean

2017 Bioethics Discussion Blog

286. Here’s why women doctors need time together

treatment. In medicine, we frown upon special treatment. The social and professional assumption is that we all train the same way, work the same way, and get treated the same way. We all have the ability and opportunity to reach our goals; it’s up to us how hard we pull on those bootstraps. Frankly, sometimes this pushback is exhausting. In fact, there is abundant evidence to show that opportunities for women are severely curtailed based on multiple factors. The way women doctors talk, give orders (...) Here’s why women doctors need time together Here's why women doctors need time together Here’s why women doctors need time together | | October 20, 2017 444 Shares The 2nd Annual Women in Anesthesiology Conference is taking place in October. Developing this organization has been a labor of, if not love, then honoring. We are honoring a value system that works to gives women the respect, autonomy, and power they deserve. There is an amazing power in gathering, shared experiences and decreasing

2017 KevinMD blog

287. Nurse-Family Partnership Impact Evaluation in South Carolina

public-private partnership based on accountability for outcomes. Condition or disease Intervention/treatment Phase Preterm Birth Injuries Maternal Behavior Behavioral: Nurse-Family Partnership Not Applicable Detailed Description: This study is an individual-level randomized controlled trial, with randomization post-consent. The study will enroll pregnant women who are income-eligible for Medicaid, less than 28 weeks pregnant, and have not had a previous live birth. All eligible applicants who provide (...) written consent will be randomly assigned either to a treatment group that is offered access to NFP or to a control group that is not. Two-thirds of those recruited will be randomized to the treatment group and one-third to the control group. Control group members will have access to the standard of care and whatever other programs and services are available in the community. The investigators will assess the effect of NFP on a range of short- and long-run maternal and child outcomes using

2017 Clinical Trials

288. Patient Modesty: Volume 78

Patient Modesty: Volume 78 Bioethics Discussion Blog: Patient Modesty: Volume 78 What have you been reading, hearing or TV viewing that has provoked some feelings of comfort or concern about what is happening in the world of medicine, medical care, treatment or science? Ethics is all about doing the right thing. Are you aware of any issues in medicine or biologic science which are being done right, could be improved or in fact represent totally unethical behavior? Write about them here.. and I (...) steps to minimize these feelings for each patient? I mean, it is right there in their training - patients are uncomfortable and embarrassed by such care/treatment. So much for the patient experience… - AB At , said... I think the reference below from the New England Journal of Medicine which I put up on my new thread is most appropriate also for the discussion going on here on this Patient Modesty thread. What do you think? ..Maurice. N Engl J Med. 1982 Mar 18;306(11):639-45. The nature of suffering

2017 Bioethics Discussion Blog

289. Individual physician penalties resulting from violation of EMTALA: A review of Office of the Inspector General patient dumping settlements, 2002-2015. (PubMed)

Individual physician penalties resulting from violation of EMTALA: A review of Office of the Inspector General patient dumping settlements, 2002-2015. The objective was to describe characteristics of civil monetary penalty settlements levied by the Office of the Inspector General (OIG) against individual physicians related to violation of the Emergency Medical Treatment and Labor Act (EMTALA).Descriptions of all civil monetary penalty settlements between 2002 and 2015 were obtained from the OIG (...) the study period for a clear violation of the EMTALA statute. Physicians should be diligent to ensure appropriate patient care and that facilities are compliant with the EMTALA statute, but should be aware that settlements against individual physicians are a rare consequence of EMTALA enforcement.© 2017 by the Society for Academic Emergency Medicine.

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2017 Academic Emergency Medicine

290. Patient Modesty: Volume 81

Patient Modesty: Volume 81 Bioethics Discussion Blog: Patient Modesty: Volume 81 What have you been reading, hearing or TV viewing that has provoked some feelings of comfort or concern about what is happening in the world of medicine, medical care, treatment or science? Ethics is all about doing the right thing. Are you aware of any issues in medicine or biologic science which are being done right, could be improved or in fact represent totally unethical behavior? Write about them here.. and I (...) emergency, hang up and call 911". No, really. Now you expect the patients to be as dumb as the medical assistants they hire! PT At , said... Am I correct in what I have been reading above that there is no logical nor experiential rationale for the consideration, leading off this Volume, regarding both genders working together to promote changes in the medical system with regard to the discordance (if that is the right word) between how each gender is treated? Is my hope at the top of this Volume truly

2017 Bioethics Discussion Blog

291. Patient Modesty: Volume 80

Patient Modesty: Volume 80 Bioethics Discussion Blog: Patient Modesty: Volume 80 What have you been reading, hearing or TV viewing that has provoked some feelings of comfort or concern about what is happening in the world of medicine, medical care, treatment or science? Ethics is all about doing the right thing. Are you aware of any issues in medicine or biologic science which are being done right, could be improved or in fact represent totally unethical behavior? Write about them here.. and I (...) doctors so as to avoid the female chaperone issue. I have also done so in recognition that even when a nurse is needed to assist, that being exposed to two women just feels far worse than just one as would be the case with a male doctor needing a nurse to assist. I am guessing that in most cases female doctors are just clueless about the 2nd female in the room issue. If they are aware, life is then made easier if they convince themselves that medicine is gender neutral and that it is the male patient

2017 Bioethics Discussion Blog

292. Patient Modesty: Volume 79

Patient Modesty: Volume 79 Bioethics Discussion Blog: Patient Modesty: Volume 79 What have you been reading, hearing or TV viewing that has provoked some feelings of comfort or concern about what is happening in the world of medicine, medical care, treatment or science? Ethics is all about doing the right thing. Are you aware of any issues in medicine or biologic science which are being done right, could be improved or in fact represent totally unethical behavior? Write about them here.. and I (...) Doctors" thread, and I don't relate to it at all. Perhaps the difference is that I don't expect doctor's to be all-knowing and perfect. As a child I paid dearly for a missed emergency room diagnosis and so I know the downside of medicine. We say the art of medicine rather than the science of medicine. We use the term medical practice, not medical perfect. There are often going to be multiple possible diagnoses, and the wrong one is sometimes going to be chosen. Get a second opinion if your belly

2017 Bioethics Discussion Blog

293. Implementing an Integrated RMNCH Intervention by Community Health Workers in Achham and Dolakha: National Pilot

links provided by the National Library of Medicine related topics: Arms and Interventions Go to Arm Intervention/treatment Experimental: Bundled RMNCH Intervention Stepped wedge, cluster-controlled implementation science trial of 5 bundled intervention components (1. Community Health Worker, 2, Continuous Surveillance, 3. CB-Integrated Management of Newborn and Childhood Illness, 4. Group Antenatal and Postnatal Care, and 5. Balanced Post-Partum Contraceptive Counseling) implemented across 40 (...) the current standard will promote detailed emergency planning and the sharing of context-specific advice from peers to overcome barriers to access care. This intervention draws on the strength within communities of women to change health-seeking behaviors. Other: Balanced Post-Partum Contraceptive Counseling Research on interventions to improve postpartum contraception suggest strategies that bridge the continuum of reproductive health care—antenatal care, labor and delivery, postnatal care, and infant

2017 Clinical Trials

294. Preterm Birth and Long Term Consequences on Myocardial Functions and Structure

been shown through epidemiological and experimental studies that these cardiovascular diseases are influenced by environmental factors which can act early during different periods of the development. Preterm birth is an emerging risk factor of cardiovascular diseases. Preterm birth rate varies accordingly to countries from 6 % to 14 % and accounts for 80% of low birth weight. These past thirty years have shown an improvement in the management and survival rate of these babies. The number of preterm (...) or disease Intervention/treatment Phase Preterm Birth Other: Magnetic resonance imaging (MRI) Not Applicable Detailed Description: Cardiovascular diseases (hypertension, coronary heart disease, stroke and cardiac insufficiency) are the leading cause of death worldwide. They are a major cause of concern in public health worldwide as well. Their incidence is increasing especially in emerging countries. It has been shown through epidemiological and experimental studies that these cardiovascular diseases

2017 Clinical Trials

295. Perinatal Psychiatry, Birth Trauma and Perinatal PTSD: An Interview with Dr. Rebecca Moore

Perinatal Psychiatry, Birth Trauma and Perinatal PTSD: An Interview with Dr. Rebecca Moore Perinatal Psychiatry, Birth Trauma and Perinatal PTSD: An Interview with Dr. Rebecca Moore | PLOS Blogs Network PLOS Blogs Staff Blogs Blogs by Topic Biology & Life Sciences Earth & Environmental Sciences Multi-disciplinary Sciences Medicine & Health Research Analysis & Scientific Policy Diverse perspectives on science and medicine Staff Blogs Blogs by Topic Biology & Life Sciences Earth & Environmental (...) Sciences Multi-disciplinary Sciences Medicine & Health Research Analysis & Scientific Policy Post navigation in Uncategorized Source: It is now blatantly clear that a woman’s increased vulnerability to developing PTSD is closely linked to that fact that, when compared to a man, she is much more likely to be the victim of the toxic traumas of childhood sexual abuse, rape, and intimate partner violence. More recently another type of trauma that women are uniquely vulnerable to enduring is garnering

2016 PLOS Blogs Network

296. Lonsurf (trifluridine / tipiracil) - adult patients with metastatic colorectal cancer (CRC)

: Tipiracil hydrochloride TR: Tumour response (evaluable population) TTF: Time to treatment failure UV: Ultraviolet VEGF: Vascular endothelial growth factor WBC: White blood cell XRD: X-Ray Diffraction EMA/CHMP/287846/2016 Page 7/106 1. Background information on the procedure 1.1. Submission of the dossier The applicant Taiho Pharma Europe Ltd. submitted on 27 February 2015 an application for Marketing Authorisation to the European Medicines Agency (EMA) for Lonsurf, through the centralised procedure (...) Lonsurf (trifluridine / tipiracil) - adult patients with metastatic colorectal cancer (CRC) 30 Churchill Place ? Canary Wharf ? London E14 5EU ? United Kingdom An agency of the European Union Telephone +44 (0)20 3660 6000 Facsimile +44 (0)20 3660 5520 Send a question via our website www.ema.europa.eu/contact 25 February 2016 EMA/CHMP/287846/2016 Committee for Medicinal Products for Human Use (CHMP) Assessment report Lonsurf International non-proprietary name: trifluridine / tipiracil Procedure

2016 European Medicines Agency - EPARs

297. An Update of Comprehensive Evidence-Based Guidelines for Interventional Techniques in Chronic Spinal Pain - Part 2 - Guidance and Recommendations

that cause continuous or intermittent pain for months or years, that may continue in the presence or absence of demonstrable pathology and may not be amenable to routine pain control methods with healing never occurring (8,41). 1.1 Interventional Pain Management The National Uniform Claims Committee (NUCC) defined IPM as the discipline of medicine devoted to the diagnosis and treatment of pain and related disor- ders by the application of interventional techniques in managing subacute, chronic (...) in Saskatchewan adults. Spine(Phila Pa 1976) 1998; 23:1689-1698 (51). to various measures of health care reform, regulations, and the imposition of guidelines often based on quasi evidence-based medicine and comparative effective- ness research. An abundance of criticism and argument have been advanced both for and against proposed reforms (53,63,93-134,138-160). The United States, as noted, is in the midst of this storm. Martin et al (53) esti- mated that treatment for back and neck pain problems accounted

2013 American Society of Interventional Pain Physicians

298. Technical report: ethical and policy issues in genetic testing and screening of children

finding (including diagnosis and treatment of patients diagnosed) should be economically balanced in relation to possible expenditure on medical care as a whole. 10. Case finding should be a continuing process and not a “once and for all” project. Data from ref. 22. GENETICS in mEDICINE | Volume 15 | Number 3 | March 2013236 ROSS et al | Ethical and policy issues in genetic testing and screening of children ACMG PoliCy St AteMent testing is likely to avert unneeded medical interventions, 36 but other (...) was paramount, and the general consensus was to discourage if not proscribe predic- tive genetic testing of minors for late-onset conditions. In the intervening decades, some empirical data have emerged. 68 They suggest less harm than anticipated, with considerable resiliency and ability of minors to successfully incorporate these risks GENETICS in mEDICINE | Volume 15 | Number 3 | March 2013238 ROSS et al | Ethical and policy issues in genetic testing and screening of children ACMG PoliCy St AteMent

2013 American College of Medical Genetics and Genomics

299. Management of Newly Diagnosed Type 2 Diabetes Mellitus (T2DM) in Children and Adolescents

readings above target. In such cases, treatment with meglitinide (Prandin [Novo Nordisk Pharmaceuticals] or Starlix [Novartis Pharmaceuticals]) or a short-acting insulin before meals (see below) may be beneficial. Oral agents : Once treatment goals are met, the frequency of monitoring can be decreased; however, the committee recommends some continued BG testing for all youth with T2DM, at a frequency determined within the clinical context (e.g. medication regimen, HbA1c, willingness of the patient, etc (...) youth with T2DM as well. They are the most labor intensive, providing both basal insulin plus bolus doses of short-acting insulin at meals. Basal insulin is provided through either the use of long-acting, relatively peak-free insulin (by needle) or via an insulin pump. Bolus insulin doses are given at meal-time, using one of the rapid-acting insulin analogs. The bolus dose is calculated by using a correction algorithm for the premeal BG concentration as well as a “carb ratio,” in which 1 unit

2013 American Academy of Pediatrics

300. An Update of Comprehensive Evidence-Based Guidelines for Interventional Techniques in Chronic Spinal Pain - Part 1 - Introduction and General Considerations

associated with significant economic, social, and health outcomes. Interventional pain management is an emerging specialty facing a disproportionate number of challenges compared to established medical specialties, including the inappropriate utilization of ineffective and unsafe techniques. In 2000, the American Society of Interventional Pain Physicians (ASIPP) created treatment guidelines to help practitioners. There have been 5 subsequent updates. These guidelines address the issues of systematic (...) that cause continuous or intermittent pain for months or years, that may continue in the presence or absence of demonstrable pathology and may not be amenable to routine pain control methods with healing never occurring (42,114). 1.2 Interventional Pain Management The National Uniform Claims Committee (NUCC) (115) defined interventional pain management as the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders by the applica- tion of interventional techniques

2013 American Society of Interventional Pain Physicians

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