The Impact of Cannabis Access Laws on Opioid Prescribing
In: U of Alabama Legal Studies Research Paper No. 3320778
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In: U of Alabama Legal Studies Research Paper No. 3320778
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Working paper
In: Stanford Law Review, Forthcoming
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Working paper
In: U of Alabama Legal Studies Research Paper No. 3266629
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Working paper
In: Australian journal of social issues: AJSI, Band 15, Heft 2, S. 123-134
ISSN: 1839-4655
A survey of the accommodation needs of eighty‐three handicapped people in the Sydney area is described. Results suggest that present accommodation is more a function of opportunity and finance than of preferred choice, and that there is a demand among disabled people of all ages for more independent housing.
More than 600 years after the statement by Leonardo Da Vinci (around 1500)"We know more about the movement of celestial bodies than about the soil underfoot"the United Nations proclaimed in December 2013 the year 2015 as the International Year of Soils. This enables and stimulates us to document the worldwide importance of our soils and to convince people of all ages, politicians and NGO's of the complex importance of land use and soil management boundaries in order to sustain our soils and to protect them from irreversible losses and degradation. Soil is the basis of life on earth and an interface between different environmental systems and plays a key role in the environmental biogeochemical cycles. It is widely recognized that soils perform several basic functions in maintaining the production of agro-ecosystems, improving the quality of water and air, supporting human settlements and ensuring the quality of life for living beings . ; Más de 600 años después de la declaración de Leonardo Da Vinci (alrededor del 1500) "Sabemos más sobre el movimiento de los cuerpos celestes que sobre el suelo bajo nuestros pies", las Naciones Unidas proclamaron en diciembre de 2013, al año 2015 como el Año Internacional del Suelo. Esto nos permite y estimula para documentar la importancia mundial de nuestros suelos, para convencer a la gente de todas las edades, los políticos y las ONG de la compleja importancia del uso de la tierra y los límites del manejo de suelos a fin de mantener nuestros suelos, para protegerlos de pérdidas irreversibles y de la degradación. El suelo es la base de la vida en la tierra y una interfaz entre los distintos sistemas ambientales, que juega un papel fundamental en los ciclos biogeoquímicos ambientales. Es ampliamente reconocido que los suelos desempeñan varias funciones básicas en el mantenimiento de la producción de agro-ecosistemas, mejorando la calidad del agua y del aire, sosteniendo asentamientos humanos y siendo una garantía de calidad de vida para los seres vivos .
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In: Medical care research and review, Band 56, Heft 3, S. 340-362
ISSN: 1552-6801
This study uses hospital discharge data for 1992-1994 to assess differences between HMO and insured non-HMO patients in California and Florida with regard to the quality of the hospitals used for coronary artery bypass graft (CABG) surgery. The authors found that commercially insured HMO patients in California used higher quality hospitals than commercially insured non-HMO patients, controlling for patient distance to the hospital. In contrast, commercially insured HMO and non-HMO patients in Florida were similarly distributed across hospitals of different quality levels, whereas Medicare HMO patients in Florida used lower quality hospitals than patients in the standard Medicare program. The authors conclude that the association between HMO coverage and hospital quality may differ across geographic areas and patient populations, possibly related to the maturity and structure of managed care markets.
In: https://ora.ox.ac.uk/objects/uuid:ddfc8149-ed9d-44cb-af1f-98586aae0f9d
How does the market affect and redefine healthcare? The marketisation of Western healthcare systems has now proceeded well into its fourth decade. But the nature and meaning of the phenomenon has become increasingly opaque amidst changing discourses, policies and institutional structures. Moreover, ethics has become focussed on dealing with individual, clinical decisions and neglectful of the political economy which shapes healthcare. This interdisciplinary volume approaches marketisation by exploring the debates underlying the contemporary situation and by introducing reconstructive and reparative discourses. The first part explores contrary interpretations of 'marketisation' on a systemic level, with a view to organisational-ethical formation and the role of healthcare ethics. The second part presents the marketisation of healthcare at the level of policy-making, discusses the ethical ramifications of specific marketisation measures and considers the possibility of reconciling market forces with a covenantal understanding of healthcare. The final part examines healthcare workers' and ethicists' personal moral standing in a marketised healthcare system, with a view to preserving and enriching virtue, empathy and compassion.
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OBJECTIVES: Advances in genetic technologies provide opportunities for patient care and ethical challenges. Clinical care of patients with rare Mendelian disorders is often at the forefront of those developments. Whereas in classical polygenic inflammatory bowel disease the predictive value of genetic variants is very low, predictive prenatal genetic diagnosis can inform families at high risk of severe genetic disorders. Patients with IL10 signalling defects due to pathogenic variants in IL10RA, Il10RB and IL10 develop severe infantile onset inflammatory bowel disease that is completely penetrant and has a high morbidity and substantial mortality despite treatment. METHODS: We performed a survey among tertiary specialist paediatric centers of 10 countries on the utilisation of predictive prenatal genetic diagnosis in IL-10 signalling defects. We retrospectively report prenatal genetics in a series of 8 families. RESULTS: International variation in legislation, guidelines, expert opinion, as well as cultural and religious background of families and clinicians results in variable utilization of preimplantation and prenatal genetic testing for IL-10 signalling defects. Eleven referrals for prenatal diagnosis for IL-10 signalling defects were identified across four countries. We report on 8 families who underwent prenatal preimplantation monogenic testing after in vitro fertilization (n = 2) and/or by amniocentesis/chorion villus sampling (n = 6). A genetic diagnosis was established in one foetus and excluded in 7 foetuses (all IL10RA variants). CONCLUSIONS: Prenatal genetic testing for IL10R-defects is feasible, yet the legal and ethical considerations are complex and controversial. In some countries, predictive genetics for IL-10-related signalling defects is entering clinical practice.
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In: Health Management, Policy and Innovation, Vol. 1 (2012)
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Background: The COVID-19 pandemic has disrupted routine hospital services globally. This study estimated the total number of adult elective operations that would be cancelled worldwide during the 12 weeks of peak disruption due to COVID-19. Methods: A global expert response study was conducted to elicit projections for the proportion of elective surgery that would be cancelled or postponed during the 12 weeks of peak disruption. A Bayesian β-regression model was used to estimate 12-week cancellation rates for 190 countries. Elective surgical case-mix data, stratified by specialty and indication (surgery for cancer versus benign disease), were determined. This case mix was applied to country-level surgical volumes. The 12-week cancellation rates were then applied to these figures to calculate the total number of cancelled operations. Results: The best estimate was that 28 404 603 operations would be cancelled or postponed during the peak 12 weeks of disruption due to COVID-19 (2 367 050 operations per week). Most would be operations for benign disease (90·2 per cent, 25 638 922 of 28 404 603). The overall 12-week cancellation rate would be 72·3 per cent. Globally, 81·7 per cent of operations for benign conditions (25 638 922 of 31 378 062), 37·7 per cent of cancer operations (2 324 070 of 6 162 311) and 25·4 per cent of elective caesarean sections (441 611 of 1 735 483) would be cancelled or postponed. If countries increased their normal surgical volume by 20 per cent after the pandemic, it would take a median of 45 weeks to clear the backlog of operations resulting from COVID-19 disruption. Conclusion: A very large number of operations will be cancelled or postponed owing to disruption caused by COVID-19. Governments should mitigate against this major burden on patients by developing recovery plans and implementing strategies to restore surgical activity safely.
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