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Decreasing Inmate Populations to Mitigate Effects of COVID-19 in State Prisons 减少囚犯人数以减轻州监狱中COVID-19的影响
IF 0.4 4区 医学 Q3 LAW Pub Date : 2021-05-21 DOI: 10.1080/01947648.2021.1914477
Seung Joon Hwang, M. Kim, W. Havins
With the spread of COVID-19 comes reports of rising outbreaks in prisons throughout the United States. On a national level, the Federal Bureau of Prisons (BOP) has modified operation guidel...
随着COVID-19的传播,有报道称美国各地监狱的疫情不断上升。在国家层面上,联邦监狱局(BOP)已经修改了操作指南…
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引用次数: 1
Assessing the Relationship between Infection Citations and COVID-19 Infections in Nursing Homes 评估疗养院感染引文与COVID-19感染之间的关系
IF 0.4 4区 医学 Q3 LAW Pub Date : 2021-05-21 DOI: 10.1080/01947648.2021.1914478
Meghan Mahalawat, Nur Fatimah Mirza, C. Vanier, W. Havins
In the US, 40% of fatalities from COVID-19 have occurred in nursing homes Identifying warning signs of nursing homes with a higher chance of having COVID-19 cases and deaths can help target interventions to lower the overall spread and mortality associated with the disease The purpose of this study was to determine whether staff shortages, staff infections, or previous citations would affect the likelihood of cases of COVID-19 and associated deaths in nursing homes Data was obtained from the Center for Medicare and Medicaid Services' Nursing Home Compare Dataset and the COVID-19 Nursing Home Dataset for six western states for 03/01/2019 through 02/29/2020 States were heterogeneous and were analyzed independently of each other The relationship between staff-confirmed COVID-19 cases and resident cases was tested using a Fisher's exact test A logistic regression was used to model how prior citations and staff shortages affected the likelihood of cases and deaths, relative to the number of occupied beds per facility
在美国,40%的COVID-19死亡病例发生在养老院,识别出COVID-19病例和死亡几率较高的养老院的警告信号,有助于有针对性地采取干预措施,降低与该疾病相关的总体传播和死亡率。数据来自2019年3月1日至2020年2月29日西部六个州的医疗保险和医疗补助服务中心的养老院比较数据集和COVID-19养老院数据集。这些州是异质的,彼此独立分析。工作人员确诊的COVID-19病例和居民病例之间的关系使用Fisher精确检验a逻辑进行检验使用回归模型来模拟先前的引证和工作人员短缺如何影响病例和死亡的可能性,相对于每个设施占用的床位数量
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引用次数: 1
Should Healthcare Workers Treat COVID-19 Patients Despite the Inadequate Personal Protective Equipment? 医护人员是否应该在个人防护装备不足的情况下治疗COVID-19患者?
IF 0.4 4区 医学 Q3 LAW Pub Date : 2021-05-21 DOI: 10.1080/01947648.2021.1914485
J. Parra, Heerod Malekghassemi, Joseph P. Hardy, W. Havins
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引用次数: 0
COVID-19 and Firearms: Public Health Considerations 2019冠状病毒病与枪支:公共卫生考虑
IF 0.4 4区 医学 Q3 LAW Pub Date : 2021-05-21 DOI: 10.1080/01947648.2021.1914491
Emily Silver
COVID-19 and Firearms: Public Health Considerations Emily M. Silver, MA; esilver3@uchicago.edu Department of Psychology Integrative Neuroscience Program, The University of Chicago, IL The global SARS-CoV-2 (otherwise known as COVID-19) pandemic has wreaked havoc across the world, infected over 100 million people and resulted in the deaths of approximately 2 million people to date (1). The need for people to remain physically separated from one another to reduce the spread of disease has resulted in many public health, corporate, and government policy changes. One particularly troubling phenomenon has been the increase in the rates of deaths by firearm violence in the US in 2020 (2). The evolving literature has documented increases across a number of inter-related issues including mental health conditions (3), suicide rates (4), violence (5), and firearm purchases (6). It is of paramount importance to recognize these trends and discuss the implications regarding short-term and long-term effects as well as how they may affect the delivery of health services. Pandemic-related Increases: Firearms Firearms have been purchased at historic rates during the pandemic (Mannix et al). Firearm sales in March 2020 increased by 85% from the previous year (7), resulting in an estimated 2.1 million excess firearm sales (6). The recent surge in firearm purchases is likely linked at least in part to the pandemic, which has induced heightened states of uncertainty and anxiety. The pandemic is associated with increased worry about violence, both for oneself and others, as well as increased firearm acquisition and changes in practices related to storage of firearms, including unlocked storage (8,9). Intent to purchase a firearm in the next twelve months is associated with more severe anxiety specific to COVID-19 (10). Therefore, not only are sales of firearms increasing, but people may be buying them in reaction to fears resulting from the pandemic. Pandemic-related Increases: Mental Health Conditions Measures intended to limit the spread of the virus, such as city-wide lockdowns and social distancing policies, have also induced pervasive psychological distress (11). Social isolation and loneliness, known risk factors for depression 2021 American College of Legal Medicine JOURNAL OF LEGAL MEDICINE 2021, VOL. 41, NO. S1, 42–46 https://doi.org/10.1080/01947648.2021.1914491 and feelings of hopelessness, likely contribute to the prevalence of anxiety and depression (12). An analysis of depressive symptomology in the US found a 3fold increase during the COVID-19 pandemic as compared to before (13). The pandemic has also been associated with disruptions in sleep (11,14), substance abuse (11,15), and posttraumatic stress (16,17). Frontline health workers are at particular risk for an increase in anxiety and depression (18). Pandemic-related Increases: Suicide Increases in prevalence of psychopathology and mental health crises during the pandemic has brought on concerns abou
尽管人们普遍认为,精神健康诊断、咨询,甚至是针对精神健康状况的药物治疗,都使个人丧失了行医资格
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引用次数: 0
Euthanasia Should Be Legalized in Nevada 安乐死应该在内华达州合法化
IF 0.4 4区 医学 Q3 LAW Pub Date : 2021-05-21 DOI: 10.1080/01947648.2021.1914484
Ellie Ok, Kristine Rosas, W. Havins
Euthanasia Should Be Legalized in Nevada Ellie Ok, MS, OMSII; eok@student.touro.edu Kristine Rosas, OMSII; krosas@student.touro.edu Weldon Havins, MD, JD, LLM, FCLM, Emeritus Professor Touro University Nevada College of Osteopathic Medicine Current palliative care option for terminally ill patients disregards the autonomy of patients in some cases. These patients may request euthanasia with the intent to make an autonomous decision and gain back some control that they have lost to the disease. As physicians, we should strive to understand the rationale behind the patient’s request of euthanasia to alleviate suffering and provide the most suitable care that preserves the patients’ dignity and autonomy. The purpose of our research is to propose the legalization of euthanasia in Nevada for terminal patients. To examine the legality and morality of euthanasia, we applied the four biomedical ethics principles (autonomy, justice, beneficence, and maleficence) to the use of this practice. The number of cases of euthanasia and Physician-Assisted Suicides (PAS) in Netherlands and Canada were analyzed. Reports of PAS cases in Canada were obtained from Regional Euthanasia Review Committees and Interim Reports. Individual statutes and numerous studies were reviewed to compare the qualifications and requirements of euthanasia and PAS in different countries. This study found that in countries where both euthanasia and PAS are legal, euthanasia occurs at a higher rate than PAS. In Netherlands, the incidence of euthanasia from 2002 and 2010 to 2018 was 1672, 2910, 5277, 5856, 6303, and 5898 whereas PAS was 184, 182, 208, 216, 250, and 212. In Canada, the occurrence of euthanasia from 2016 to 2018 was 503, 1960, and 2613 compared to four, one, and one PAS cases. Although euthanasia is illegal in the United States, patients showed higher support for euthanasia over PAS, finding euthanasia to be more acceptable (67%) than assisted suicide (33%). We carefully compared and studied the qualifications of euthanasia in other countries to propose our guidelines for Nevada. We acknowledge that there should be strict limitations and documentation of cases to limit its abuse. Further studies are needed to examine the validity of child euthanasia or other vulnerable populations. More 2021 American College of Legal Medicine JOURNAL OF LEGAL MEDICINE 2021, VOL. 41, NO. S1, 32–33 https://doi.org/10.1080/01947648.2021.1914484 training and education of medical professionals in palliative care is indicated. This research highlights and challenges the need for change in our current palliative care options to include euthanasia. References upon request 33
安乐死应在内华达州合法化Ellie Ok, MS, OMSII;eok@student.touro.edu克里斯汀·罗萨斯,OMSII;krosas@student.touro.edu Weldon hains, MD, JD, LLM, FCLM,内华达大学骨科医学院名誉教授,目前晚期患者的姑息治疗选择在某些情况下忽视了患者的自主权。这些病人请求安乐死的目的可能是为了做出自主的决定,并重新获得一些因疾病而失去的控制权。作为医生,我们应该努力理解病人要求安乐死背后的理由,以减轻痛苦,并提供最合适的护理,维护病人的尊严和自主权。我们的研究目的是提出在内华达州对晚期病人实施安乐死的合法化。为了检验安乐死的合法性和道德性,我们将四项生物医学伦理原则(自主、正义、有益和恶意)应用于这种做法的使用。分析了荷兰和加拿大安乐死和医生协助自杀(PAS)的病例数。加拿大PAS病例的报告来自区域安乐死审查委员会和中期报告。个别法规和大量的研究进行了审查,以比较安乐死和PAS在不同国家的资格和要求。这项研究发现,在安乐死和PAS都合法的国家,安乐死的发生率高于PAS。在荷兰,2002年和2010年至2018年的安乐死发生率分别为1672、2910、5277、5856、6303和5898,而PAS的发生率分别为184、182、208、216、250和212。在加拿大,2016年至2018年的安乐死案例分别为503例、1960例和2613例,而PAS案例分别为4例、1例和1例。尽管安乐死在美国是非法的,但患者对安乐死的支持度高于PAS,认为安乐死比协助自杀(33%)更容易接受(67%)。我们仔细比较和研究了其他国家的安乐死条件,并为内华达州提出了我们的指导方针。我们承认应该有严格的限制和案件记录,以限制其滥用。需要进一步的研究来检验儿童安乐死或其他弱势群体的有效性。更多2021美国法律医学学院法学杂志2021年第41卷第1期S1, 32-33 https://doi.org/10.1080/01947648.2021.1914484指出对医疗专业人员进行姑息治疗方面的培训和教育。这项研究强调并挑战了改变我们目前的姑息治疗选择的必要性,包括安乐死。参考资料33
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引用次数: 0
Banning Condoms as Evidence against Sex Workers in Illegal Prostitution 禁止使用避孕套作为性工作者非法卖淫的证据
IF 0.4 4区 医学 Q3 LAW Pub Date : 2021-05-21 DOI: 10.1080/01947648.2021.1914480
Summer Mostafa, Anjali Renukunta, W. Havins
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引用次数: 0
Screen for Lysosomal Storage Diseases, Save More Nevada Babies 筛查溶酶体贮积性疾病,拯救更多内华达州婴儿
IF 0.4 4区 医学 Q3 LAW Pub Date : 2021-05-21 DOI: 10.1080/01947648.2021.1914482
Kim Thu Nguyen, N. Nguyen, W. Havins
Screen for Lysosomal Storage Diseases, Save More Nevada Babies Kim Thu Nguyen, OMS-II, knguyen38@student.touro.edu, Nguyen Nguyen, OMS-II, nnguyen20@student.touro.edu Weldon Havins, MD, JD, LLM, FCLM, Professor Emeritus Touro University Nevada College of Osteopathic Medicine, Henderson, NV. Introduction In the US, the Recommended Uniform Screening Panel (RUSP) currently endorses 29 disorders for which newborns should be screened, given evidence of the benefits of early detection. With increasing knowledge of disease progression, new and improved treatment options, and development of efficient screening tests, the screening of newborns for lysosomal storage disorders (LSD) has been quickly gaining momentum in the last decade. In 2019, Nevada passed Senate Bill 291, mandating the screening of all conditions in the RUSP, including Pompe disease and mucopolysaccharidosis I (MPS I). Currently, improved screening technology can measure enzymatic activities for several LSDs in a single analysis, allowing for the conservation of labor, equipment, samples, and reagents. The aim of this study is to evaluate the feasibility and cost-effectiveness of adding Fabry and Gaucher disease to Nevada’s newborn screening panel once screening for Pompe disease and MPS I has been established. Methods We performed a systematic review of literature to identify evidence on the natural history of Fabry and GD, as well as availability and effectiveness of treatment options and screening tests. We also compiled a list of costs associated with common clinical manifestations of Fabry and GD that commonly occur prior to diagnosis without an early detection program. We then compared these costs to the estimated costs of screening. Results We have estimated that the cost of adding on the screening of these two LSDs, once screening for Pompe and MPS I is established, will cost approximately $89,205 per year. The estimated costs of management of Fabry and GD in the absence of early detection and treatment are shown below: 2021 American College of Legal Medicine JOURNAL OF LEGAL MEDICINE 2021, VOL. 41, NO. S1, 29–30 https://doi.org/10.1080/01947648.2021.1914482
筛查溶酶体淤积性疾病,拯救更多内华达州婴儿Kim Thu Nguyen, OMS-II, knguyen38@student.touro.edu, Nguyen Nguyen, OMS-II, nnguyen20@student.touro.edu Weldon Havins, MD, JD, LLM, FCLM,内华达州亨德森Touro大学内华达骨科医学院名誉教授。介绍在美国,推荐统一筛查小组(RUSP)目前认可29种疾病,新生儿应该进行筛查,因为早期发现的证据是有益的。随着对疾病进展的认识不断增加,新的和改进的治疗方案,以及有效筛查试验的发展,在过去十年中,对新生儿进行溶酶体贮积症(LSD)筛查的势头迅速增强。2019年,内华达州通过了参议院第291号法案,要求对RUSP中的所有条件进行筛选,包括庞贝病和粘多糖病I (MPS I)。目前,改进的筛选技术可以在一次分析中测量几种lsd的酶活性,从而节省了劳动力、设备、样品和试剂。本研究的目的是评估在Pompe病和MPS I筛查建立后,将Fabry和Gaucher病加入内华达州新生儿筛查组的可行性和成本效益。方法我们进行了系统的文献综述,以确定法布里和GD的自然史证据,以及治疗方案和筛选试验的可用性和有效性。我们还编制了一份与Fabry和GD常见临床表现相关的费用清单,这些临床表现通常发生在诊断之前,没有早期检测程序。然后,我们将这些成本与筛查的估计成本进行了比较。我们估计,一旦建立了Pompe和MPS I的筛查,增加这两种lsd的筛查成本每年约为89,205美元。在没有早期发现和治疗的情况下,法布里和GD管理的估计费用如下所示:2021年美国法律医学学院法律医学杂志2021年,第41卷,NO。S1, 29-30 https://doi.org/10.1080/01947648.2021.1914482
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引用次数: 0
The “Strawman” in the Process of Review and Evaluation of Complaints Regarding Controlled Substance Prescriptions 管制药品处方投诉审查与评价过程中的“稻草人”
IF 0.4 4区 医学 Q3 LAW Pub Date : 2021-05-21 DOI: 10.1080/01947648.2021.1914472
R. Briggs, D. Hilton, Joseph P. Hardy, W. Havins
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引用次数: 0
The Impact of COVID-19 Isolation on Domestic Violence Calls in Southern Nevada COVID-19隔离对内华达州南部家庭暴力电话的影响
IF 0.4 4区 医学 Q3 LAW Pub Date : 2021-05-21 DOI: 10.1080/01947648.2021.1914474
Kenneth G. Denning, Omair Javaid, Joseph P. Hardy
COVID-19 has caused an unprecedented crisis globally In response, concern about the impact of stay-at-home orders on domestic violence have led to a consensus expecting a substantial increase in domestic violence The purpose of this study is to compare the amount of domestic violence calls made to southern Nevada police departments during April and May of the COVID-19 pandemic to the amount of calls received in the same months of the two previous years The data compares documented calls to three separate police departments--Las Vegas Metropolitan, North Las Vegas and Henderson--in Clark County in both April and May in 2018, 2019 and 2020 The calls collected in this study are based on specific call codes used by police departments to document calls relating to domestic violence, including domestic battery and family disturbance The results will be beneficial to better understanding the effects of crises on domestic violence and can inform policy regarding the response of law enforcement, healthcare professionals and others
新冠肺炎疫情在全球引发了前所未有的危机。对居家令对家庭暴力影响的担忧导致人们普遍认为家庭暴力会大幅增加。本研究的目的是比较2019冠状病毒疫情期间4月和5月内华达州南部警察局接到的家庭暴力电话数量与前两年同期接到的电话数量。在2018年4月和5月,2019年和2020年,在克拉克县的北拉斯维加斯和亨德森,本研究中收集的电话是基于警察部门使用的特定呼叫代码来记录与家庭暴力有关的电话,包括家庭暴力和家庭骚乱。研究结果将有助于更好地了解危机对家庭暴力的影响,并可以为执法、医疗专业人员和其他人的反应提供政策信息
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引用次数: 0
Enact a Safe Firearm Storage Law to Reduce Suicides and Unintentional Deaths in Nevada 制定一项安全枪支储存法,以减少内华达州的自杀和意外死亡
IF 0.4 4区 医学 Q3 LAW Pub Date : 2021-05-21 DOI: 10.1080/01947648.2021.1914468
Varchita Alishetti, Siri Magadi, W. Havins
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引用次数: 0
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Journal of Legal Medicine
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