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Hybrid model: a promising type of public procurement in the healthcare sector of the European Union.
Hybrid model: a promising type of public procurement in the healthcare sector of the European Union.
Fuente:Frontiers in Public Health
Extracto:
According to this perspective, a
combination of centralized and decentralized purchases of medical supplies
represents a promising hybrid model of healthcare procurement organization by
bringing the benefits of two methods together.
Claves:European Union, centralization, health system, hybrid model, medical supplies, public procurement
institución:(a) Postgraduate Master's Programme: Health and Social Care Services Management, Faculty of Health Sciences, School of Medicine, Aristotle University of Thessaloniki, Thessaloniki, Greece. (b) Laboratory of Forensic Medicine & Toxicology (Division: Medical Law and Ethics), Faculty of Health Sciences, School of Medicine, Aristotle University of Thessaloniki, Thessaloniki, Greece.
Conflicto:The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.
Factors associated with satisfaction with social roles and activities among people with systemic sclerosis: a Scleroderma Patient-centered Intervention Network (SPIN) cohort cross-sectional study.
Factors associated with satisfaction with social roles and activities among people with systemic sclerosis: a Scleroderma Patient-centered Intervention Network (SPIN) cohort cross-sectional study.
Fuente:Rmd Open
Extracto:
Mean satisfaction with social roles
and activities is slightly lower in SSc than the general population and
associated with multiple sociodemographic and disease factors.
institución:(a) Lady Davis Institute for Medical Research, Montreal, Québec, Canada. (b) Department of Psychiatry, McGill University, Montreal, Québec, Canada.
Conflicto:Los autores declaran no tener conflictos de interés con la investigación
"Tie your camel first, then rely on God": reconceptualizing Javanese Islamic values to support palliative care at home.
"Tie your camel first, then rely on God": reconceptualizing Javanese Islamic values to support palliative care at home.
Fuente:Bmc Palliative Care
Extracto:
Our study identified three Islamic-Javanese values
that can be incorporated to strategies aiming at enhancing palliative care
practices, resulting in care focused on improving quality of life rather than
futile attempts at a cure.
Claves:Ethics, Ethnography, Indonesia, Islamic values, Javanese, Palliative care
institución:(a) Department of Ethics, Law, and Humanities, Amsterdam University Medical Center, University of Amsterdam, Meibergdreef 9, Amsterdam, The Netherlands. r.bagaswicaksono@amsterdamumc.nl. (b) Department of Bioethics and Humanities, Faculty of Medicine, Universitas Jenderal Soedirman, Purwokerto, Indonesia. r.bagaswicaksono@amsterdamumc.nl.
Conflicto:Los autores declaran no tener conflictos de interés con la investigación
Extracto:
Ultimately, the
decision to stop the active learning process depends on careful consideration of
the trade-off between the costs of additional record labeling against the
potential errors of the current model for the specific dataset and context.
Autor/es:Boetje, Josien (a) van de Schoot, Rens (b)
institución:(a) Research Group Digital Ethics, Knowledge Center Learning and Innovation (LENI), Archimedes Institute, HU University of Applied Sciences Utrecht, Utrecht, the Netherlands. josien.boetje@hu.nl. (b) Department of Methodology and Statistics, Faculty of Social and Behavioral Sciences, Utrecht University, Utrecht, The Netherlands.
Conflicto:Los autores declaran no tener conflictos de interés con la investigación
Generation Pep - study protocol for an intersectoral community-wide physical activity and healthy eating habits initiative for children and young people in Sweden.
Generation Pep - study protocol for an intersectoral community-wide physical activity and healthy eating habits initiative for children and young people in Sweden.
Fuente:Frontiers in Public Health
Extracto:
DISCUSSION: The findings of the two studies will
increase understanding of the prerequisites for implementing the Pep initiative
in Swedish municipalities, which will provide valuable input into how
implementation of the Pep initiative can best be facilitated in the different
municipality settings.
Claves:children, community-wide, eating habits, implementation, intersectoral, physical activity, public health, young people
Cita:Front Public Health 2024; 12 : 1299099.
Autor/es:Leijon, Matti (a) Algotson, Albin (b)
institución:(a) Generation Pep, Stockholm, Sweden. (b) Department of Health, Medicine and Caring Sciences, Linköping University, Linköping, Sweden.
Conflicto:The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.
Perceptions and attitudes of midwives on respectful maternity care during childbirth: a qualitative study in three district hospitals of Kigali City of Rwanda.
Perceptions and attitudes of midwives on respectful maternity care during childbirth: a qualitative study in three district hospitals of Kigali City of Rwanda.
Fuente:The Pan African Medical Journal
Tipo de trabajo:Revisión
Extracto:
midwives understand the seven rights of women and have a positive
attitude towards providing RMC. However, abusive practices still exist while
providing RMC with considerable challenges, including overload and lack of labour
monitoring materials. The adjustment of the ratio of midwives to clients and the
availability of essential materials in labour monitoring is recommended to
improve the quality of healthcare received by women during childbirth.
Claves:Perceptions, Rwanda, attitudes, childbirth, midwives, respectful maternity care
Cita:Pan Afr Med J 2023; 46 : 110.
Autor/es:Uwamahoro, Valentine (a) Semasaka, Jean Paul Sengoma (b)
institución:(a) University of Rwanda, College of Medicine and Health Sciences, School of Public Health, Kigali, Rwanda. (b) Department of Clinical Sciences, Obstetrics and Gynecology, Umeå University, Faculty of Medicine, Umeå, Sweden.
Conflicto:Los autores declaran no tener conflictos de interés con la investigación
Independent clinic-based evaluation of point-of-care testing for the screening of Chlamydia trachomatis, Neisseria gonorrhoea and Trichomonas vaginalis in women-at-risk in Australia, Guatemala, Morocco, and South Africa.
Independent clinic-based evaluation of point-of-care testing for the screening of Chlamydia trachomatis, Neisseria gonorrhoea and Trichomonas vaginalis in women-at-risk in Australia, Guatemala, Morocco, and South Africa.
Fuente:Bmc Infectious Diseases
Tipo de trabajo:Revisión
Extracto:
This multi-country
evaluation is the first of its kind world-wide. Positive likelihood ratios, as
well as specificity estimates, indicate the GeneXpert POC test results for CT, NG
and TV were clinically acceptable for ruling in the presence of disease.
However, negative likelihood ratios and variable sensitivity estimates from this
study were poorer than expected for ruling out these infections, particularly
for TV. TRIAL REGISTRATION: Ethics approval to conduct the ProSPeRo study was
granted by the WHO Ethics Review Committee, as well as local ethics committees
from all participating countries.
institución:(a) International Centre for Point-of-Care Testing, Flinders University, Bedford Park, South Australia, Australia. Mark.Shephard@flinders.edu.au. (b) International Centre for Point-of-Care Testing, Flinders University, Bedford Park, South Australia, Australia.
Conflicto:Los autores declaran no tener conflictos de interés con la investigación
Extracto:
The ethical concerns arising with the early detection of risk
factors are often interrelated and complex. Comprehensive ethical analyses are
needed that are better embedded in normative frameworks and also assess and weigh
the expected benefits of early risk factor detection. Such research is necessary
for developing and implementing responsible and fair preventive health policies.
Autor/es:Jansen, Sammie N G (a) Kamphorst, Bart A (b)
institución:(a) Centre for Sustainability, Environment and Health, National Institute for Public Health and the Environment, RIVM, P.O. Box 1, Bilthoven, 3720 BA, The Netherlands. sammie.jansen@wur.nl. (b) Department of Social Sciences, Wageningen University & Research, Hollandseweg 1, Wageningen, 6706 KN, The Netherlands. sammie.jansen@wur.nl.
Conflicto:Los autores declaran no tener conflictos de interés con la investigación
Diagnostic accuracy of serological rk-39 test for visceral Leishmaniasis
Diagnostic accuracy of serological rk-39 test for visceral Leishmaniasis
Fuente:Plos Neglected Tropical Diseases
Tipo de trabajo:Revisión sistemática
Extracto:
Rk-39 is
found to have highly accurate measures in the diagnosis of visceral
leishmaniasis. Both sensitivity and specificity were found to be highly accurate
in the diagnosis of leishmaniasis, with a pooled sensitivity of 0.91 (0.88-0.93)
and a pooled specificity of 0.89 (0.85-0.91). ETHICAL CONSIDERATION: As we will
use secondary data for the systematic review and meta-analysis, ethical concerns
are not necessary.
institución:(a) Department of Human Physiology, School of Medicine, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia. (b) Department of Epidemiology and biostatistics, Institute of public Health, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia.
Conflicto:All the authors declare there is no any competing of interest.
Effectiveness of an online intervention for parents/guardians of children aged 4-7 years who are concerned about their child's emotional and behavioural development
Effectiveness of an online intervention for parents/guardians of children aged 4-7 years who are concerned about their child's emotional and behavioural development
institución:(a) Rehabilitation Sciences Institute, University of Toronto, Toronto, Ontario, Canada renatob.santos@utoronto.ca. (b) Rehabilitation Sciences Institute, University of Toronto, Toronto, Ontario, Canada.
Conflicto:Los autores declaran no tener conflictos de interés con la investigación
European policies for public health in border regions: no European mindset as yet.
European policies for public health in border regions: no European mindset as yet.
Fuente:Bmc Public Health
Extracto:
Though the EU has carefully developed a transnational perspective on health care,
the EU has not developed any authority with respect to transnational public
health. Though public health and health promotion in border regions have been
confronted with specific challenges, neither specific Member States nor the EU
have a transnational collaborative perspective that does justice to the
characteristics of border regions. When it comes to public health in border
regions, there is no European mindset as yet.
Claves:Border regions, Cross-border, European Union, European knowledge structure, Health promotion, Narrative policy analysis, Prevention, Public health
Cita:BMC Public Health 2024 Mar 8; 24 (1) : 746.
Autor/es:van der Zanden, Brigitte A M (a) Hoebe, Christian J P A (b)
institución:(a) Foundation euPrevent, Het Overloon 2, Heerlen, 6411TE, The Netherlands. vanderzanden@euprevent.eu. (b) Department of Social Medicine, Care and Public Health Research Institute (CAPHRI), Faculty of Health, Medicine and Life Sciences, Maastricht University, P.O. box 616, Maastricht, 6200 MD, The Netherlands. vanderzanden@euprevent.eu.
Conflicto:Los autores declaran no tener conflictos de interés con la investigación
An ex vivo animal model to study the effect of transverse mechanical loading on skeletal muscle.
An ex vivo animal model to study the effect of transverse mechanical loading on skeletal muscle.
Fuente:Communications Biology
Extracto:
Our comparably simple experimental setup can be adapted to
different loading conditions and tissues to assess the cell response to
mechanical loading in future studies.
Cita:Commun Biol 2024 Mar 9; 7 (1) : 302.
Autor/es:Sargent, Marisa (a) Wark, Alastair W (b)
institución:(a) Department of Biomedical Engineering, University of Strathclyde, Glasgow, United Kingdom. (b) Department of Pure and Applied Chemistry, Technology and Innovation Centre, University of Strathclyde, Glasgow, United Kingdom.
Conflicto:Los autores declaran no tener conflictos de interés con la investigación
Anomaly detection in IoT-based healthcare: machine learning for enhanced security.
Anomaly detection in IoT-based healthcare: machine learning for enhanced security.
Fuente:Scientific Reports
Extracto:
This improvement was
complimented by a reduction in computational response time which is essential for
real-time attack detection and response.
Autor/es:Khan, Maryam Mahsal (a) Alkhathami, Mohammed (b)
institución:(a) Department of Computer Science, CECOS University of IT and Emerging Sciences, Peshawar, 25000, Pakistan. (b) Information Systems Department, College of Computer and Information Sciences, Imam Mohammad Ibn Saud Islamic University (IMSIU), Riyadh, 11432, Saudi Arabia. maalkhathami@imamu.edu.sa.
Conflicto:Los autores declaran no tener conflictos de interés con la investigación
Protocol for the development of a tool (INSPECT-SR) to identify problematic randomised controlled trials in systematic reviews of health interventions.
Protocol for the development of a tool (INSPECT-SR) to identify problematic randomised controlled trials in systematic reviews of health interventions.
Fuente:Bmj Open
Tipo de trabajo:Revisión sistemática
Extracto:
The final tool will be made freely
available.
Claves:Randomized Controlled Trial, STATISTICS & RESEARCH METHODS, Systematic Review
Cita:BMJ Open 2024 Mar 11; 14 (3) : e084164.
Autor/es:Wilkinson, Jack (a) Heal, Calvin (b)
institución:(a) Centre for Biostatistics, Manchester Academic Health Science Centre, The University of Manchester, Manchester, UK jack.wilkinson@manchester.ac.uk. (b) Centre for Biostatistics, Manchester Academic Health Science Centre, The University of Manchester, Manchester, UK.
Conflicto:Competing interests: JW, CH, GAA, LB and JJK declare funding from NIHR (NIHR203568) in relation to this work. JW additionally declares stats or methodological editor roles for BJOG, Fertility and Sterility, Reproduction and Fertility, Journal of Hypertension and for Cochrane Gynaecology and Fertility. CH declares a statistical editor role for Cochrane Colorectal. LB additionally declares a role as academic meta-research...
editor for PLoS Biology, and that The University of Colorado receives remuneration for service as senior research integrity editor, Cochrane. JJK additionally declares a statistical editor role for The BMJ. WL, LS and RW declare funding from Australian National Health and Medical Research Council Investigator Grants (GNT2016729, GNT2009432, GNT2009767). LS additionally declares roles as editorial board member for Cochrane Evidence Synthesis Methods and statistical editor for Cochrane Neonatal Group. RW additionally declares roles as deputy editor for Human Reproduction and editorial board member for BJOG and Cochrane Gynaecology and Fertility. WL additionally declares roles of associate editor for Human Reproduction Open and methodological editor for Fertility and Sterility and Fertility and Sterility Reviews. EF, SG and TLasserson declare employment by Cochrane. EF additionally declares a role as editorial board member for Cochrane Synthesis and Methods. TLasserson additionally declares authorship of a chapter in the Cochrane Handbook for Systematic Reviews of Interventions and that he is a developer of standards for Cochrane Intervention Reviews (MECIR). SG additionally declares an academic editor role for PLOS Global Public Health. ES declares that she was a member of the Cochrane scientific misconduct policy advisory group, and roles as sign-off editor and proposal editor of The Cochrane Library. ZA declares he is a member of the Cochrane Library Editorial Board, was co-ordinating editor for Cochrane Pregnancy and Childbirth Group 2002–2023 and is PI on a grant from Children Investment Foundation Fund to University of Liverpool to investigate research integrity of clinical trials related to nutritional supplements in pregnancy. TLi is supported by grant UG1 EY020522 from the National Eye Institute, National Institutes of Health. TLi also declares roles as editor-in-chief for Trials, statistical editor for Annals of Internal Medicine, review editor for JAMA Ophthalmology and editorial board member for Journal of Clinical Epidemiology. MC declares that he is Co-ordinating editor for the Cochrane Methodology Review Group, Editor in Chief of Journal of Evidence-Based Medicine, and Co-ordinating Editor of the James Lind Library. AA declares that The Health Services Research Unit, University of Aberdeen, is funded by the Health and Social Care Directorates of the Scottish Government. All other authors declare no competing interests. DT declares an RCT topic editor role for Research Methods in Medicine and Health Sciences. MvW declares roles as co-ordinating editor for Cochrane Gynaecology and Fertility and Sexually Transmitted Infections, methodology editor for Human Reproduction Update and editorial editor for Fertility and Sterility. NEO declares roles as co-ordinating editor for Cochrane Pain, Palliative and Supportive Care (PaPaS) Group, 2020–2023, as member of Cochrane Central Editorial Board and as editorial board member for Journal of Pain. JC declares an editor role for Anaesthesia. AL declares a role as editorial board member for BMC Medical Ethics. GAA declares a role as statistical editor for the European Journal of Vascular and Endovascular Surgery. NJLB declares roles as editorial board member for International Review of Social Psychology/Revue Internationale de Psychologie Sociale, statistical advisory board member for Mental Health Science and advisory board member for Meta-Psychology. BWM declares roles as editor for Cochrane Gynaecology and Fertility and Sexually Transmitted Infections and for Fertility and Sterility. SL declares roles as associate editor for Human Reproduction, methodological editor for Fertility and Sterility and editor for Cochrane Gynaecology and Fertility. EL is head of research and clinical editor for The BMJ.
Opioid use and subsequent delirium risk in patients with advanced cancer in palliative care: a multicenter registry study.
Opioid use and subsequent delirium risk in patients with advanced cancer in palliative care: a multicenter registry study.
Fuente:Scientific Reports
Tipo de trabajo:Estudio de cohortes
Extracto:
These findings highlight the importance of opioid
prescription in these patients with advanced cancer, balancing effective doses
for pain management and adverse dose-inducing delirium.
Claves:Cancer, Delirium, Opioid, Palliative care
Cita:Sci Rep 2024 Mar 12; 14 (1) : 6004.
Autor/es:Yoo, Shin Hye (a) Kang, Jiseung (b)
institución:(a) Center for Palliative Care and Clinical Ethics, Seoul National University Hospital, Seoul, South Korea. (b) Department of Anesthesia, Critical Care and Pain Medicine, Massachusetts General Hospital, Boston, MA, USA.
Conflicto:Los autores declaran no tener conflictos de interés con la investigación
Perspectives on the eligibility criteria for euthanasia for mental suffering caused by psychiatric disorder under the Belgian Euthanasia Law: A qualitative interview study among mental healthcare workers.
Perspectives on the eligibility criteria for euthanasia for mental suffering caused by psychiatric disorder under the Belgian Euthanasia Law: A qualitative interview study among mental healthcare workers.
Fuente:International Journal of Law and Psychiatry
Tipo de trabajo:Consenso
Extracto:
Many mental healthcare workers do not well
understand or misinterpret the legal criteria for euthanasia involving APC.
Criteria are sometimes defined so narrowly that euthanasia requests by APC are
generally deemed ineligible or, alternatively, are stretched to allow for
inclusion of cases that go beyond what the Law intended. Our study indicates the
need for an authoritative professional code of conduct offering clear advice for
Belgian euthanasia practice in the context of psychiatry. It is also recommended
that future trainings are standardized, supported by the most important
professional associations in the field, and freely available to all who are
confronted with euthanasia requests from APC or who offer support to APC who
consider euthanasia.
Cita:Int J Law Psychiatry 2024 Mar-Apr; 93 : 101961.
Autor/es:Verhofstadt, M (a) Van Assche, K (b)
institución:(a) End-of-Life Care Research Group, Ghent University & Vrije Universiteit Brussel (VUB), Ghent, Brussels, Belgium. Electronic address: monica.verhofstadt@vub.be. (b) Research Group Personal Rights and Property Rights, Antwerp University, Antwerp, Belgium; Antwerp Health Law and Ethics Chair, Antwerp University, Antwerp, Belgium. Electronic address: Kristof.VanAssche@uantwerpen.be.
Conflicto:Declaration of competing interest All authors declare no support from any organization for the submitted work; only MV has received research grants from the Research Foundation Flanders (FWO) (see below); no other relationships or activities that could appear to have influenced the submitted work were declared.
Vigilance in infectious disease emergencies: Expanding the concept.
Vigilance in infectious disease emergencies: Expanding the concept.
Fuente:Social Science & Medicine (1982)
Extracto:
This extension of vigilance at the
micro-level sees some of the same unintended consequences as Weir and
Mykhalovskiy describe at the global level, particularly in how burdens are
inequitably distributed and experienced.
Autor/es:Williams, Jane (a) Mayes, Christopher (b)
institución:(a) Australian Centre for Health Engagement, Evidence and Values (ACHEEV), School of Health and Society, University of Wollongong, Australia; Sydney Health Ethics, School of Public Health, University of Sydney, Australia. Electronic address: williamsj@uow.edu.au. (b) School of Humanities and Social Science, Deakin University, Australia.
Cross-cultural adaptation of the Scale of Perception of Respect for and Maintenance of the Dignity of the Inpatient (CuPDPH) to Brazilian Portuguese and its psychometric properties-A multicenter cross-sectional study.
Cross-cultural adaptation of the Scale of Perception of Respect for and Maintenance of the Dignity of the Inpatient (CuPDPH) to Brazilian Portuguese and its psychometric properties-A multicenter cross-sectional study.
Fuente:Clinics (sao Paulo, Brazil)
Extracto:
The
Portuguese version of the Scale of Perception of Respect for and Maintenance of
the Dignity of the Inpatient (CuPDPH), a 19-item, six-component version is a
reliable instrument to measure the perception of internal medicine, surgical, and
psychiatric patients on the maintenance of their dignity in Rio de Janeiro,
Brazil. This knowledge could be used in advancing research on patients'
perception of dignity, as well as professional ethical competencies,
staff-patient relationship skills, and leadership development in medical and
other healthcare professional education.
Autor/es:Pereira Dutra, Pablo Eduardo (a) Quagliato, Laiana Azevedo (b)
institución:(a) Laboratory of Panic and Respiration (LABPR), Institute of Psychiatry (IPUB), Federal University of Rio de Janeiro (UFRJ), RJ, Brazil. Electronic address: pablo.medicina@ufrj.br. (b) Laboratory of Panic and Respiration (LABPR), Institute of Psychiatry (IPUB), Federal University of Rio de Janeiro (UFRJ), RJ, Brazil.
Conflicto:Los autores declaran no tener conflictos de interés con la investigación
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