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1

Manchikanti, Laxmaiah. "Physician Payment 2008 for Interventionalists: Current State of Health Care Policy." September 2007 5;10, no. 9;5 (2007): 607–26. http://dx.doi.org/10.36076/ppj.2007/10/607.

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Physicians in the United States have been affected by significant changes in the pattern(s) of medical practice evolving over the last several decades. These changes include new measures to 1) curb increasing costs, 2) increase access to patient care, 3) improve quality of healthcare, and 4) pay for prescription drugs. Escalating healthcare costs have focused concerns about the financial solvency of Medicare and this in turn has fostered a renewed interest in the economic basis of interventional pain management practices. The provision and systemization of healthcare in North America and sever
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Swords, Chloe, Reshma Ghedia, Hannah Blanchford, et al. "Socioeconomic and ethnic disparities associated with access to cochlear implantation for severe-to-profound hearing loss: A multicentre observational study of UK adults." PLOS Medicine 21, no. 4 (2024): e1004296. http://dx.doi.org/10.1371/journal.pmed.1004296.

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Background Patients with severe-to-profound hearing loss may benefit from management with cochlear implants. These patients need a referral to a cochlear implant team for further assessment and possible surgery. The referral pathway may result in varied access to hearing healthcare. This study aimed to explore referral patterns and whether there were any socioeconomic or ethnic associations with the likelihood of referral. The primary outcome was to determine factors influencing referral for implant assessment. The secondary outcome was to identify factors impacting whether healthcare professi
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CRAWFORD, M. J., U. NUR, K. McKENZIE, and P. TYRER. "Suicidal ideation and suicide attempts among ethnic minority groups in England: results of a national household survey." Psychological Medicine 35, no. 9 (2005): 1369–77. http://dx.doi.org/10.1017/s0033291705005556.

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Background. Socio-cultural factors impact on the extent of suicidal ideation and attempted suicide but the relative importance of these factors among people from different ethnic groups in Britain has not been explored. We examined the prevalence of suicidal ideation, the incidence of attempted suicide, and the extent of service utilization following attempted suicide among representative samples of White, Irish, Black Caribbean, Bangladeshi, Indian and Pakistani individuals living in England.Method. We conducted a secondary analysis of data from the EMPIRIC study, a cross-sectional survey of
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Pierce, Elyse. "The Danger of Cultural Erasure in Inter-Ethnic, Inter-Religious, Trans-National Rescue During Genocide: A Comparison of the Shoah and the Bosnian Civil War." Volume 4 4, no. 1 (2022): 16–28. http://dx.doi.org/10.33929/sherm.2022.vol4.no1.02.

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International genocide intervention strategies that involve the extended evacuation and/or displacement of refugees often save the physical lives of would-be victims at the expense of psychological and social trauma and cultural erasure. Through a comparison of the international rescue efforts of the Kindertransport program in Great Britain prior to and during the Second World War and the refugee caravans organized by La Benevolencija in Sarajevo during the Bosnian Civil War, the benefits and dangers of inter-ethnic, inter-religious rescue in times of mass violence are examined, along with how
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Wheeler, V. W., and K. W. Radcliffe. "HIV Infection in the Caribbean." International Journal of STD & AIDS 5, no. 2 (1994): 79–89. http://dx.doi.org/10.1177/095646249400500201.

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The Caribbean is a multi-ethnic region with many different cultural differences. The majority of the population is of African descent, but there are also other ethnic groups present such as Indians, Chinese, Syrians and Europeans. The Caribbean region is influenced by countries such as the USA, Great Britain, France and Holland. The countries of the Caribbean have a serious problem with HIV infection and AIDS. The epidemiology of HIV infection in this region, is different from most other parts of the world in that the mode of spread does not easily fit into any of the three WHO patterns. This
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Andreev, D. A., and A. A. Zavyalov. "Organizing the national prostate cancer audit in the UK (review of foreign literature)." Cancer Urology 17, no. 3 (2021): 154–64. http://dx.doi.org/10.17650/1726-9776-2021-17-3-154-164.

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Background. The growing number of patients with prostate cancer (PCa) imposes additional requirements on the quality control system in healthcare, including ensuring the widespread availability of innovative algorithms for early diagnosis and treatment. One illustrative example of quality management initiatives is national PCa audit in the UK. Objective. Highlighting the approaches to quality assessments within audit of PCa care in the UK.Materials and methods. The relevant scientific data have been retrieved from Google and PubMed. The search horizon covered the last 10 years. The queries inc
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Bernis, Cristina, and Carlos Varea. "Pregnancy outcome and delivery in Spanish and migrant women: an ecological approach." Anthropological Review 76, no. 2 (2013): 129–50. http://dx.doi.org/10.2478/anre-2013-0006.

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Abstract For most of our history as a species, maternal constraint was the main environmental factor affecting biological status at birth. However, the great increase in medical intervention in the20th Century coincided first with an extraordinary reduction in perinatal mortality and later with an increase in preterm and low birth-weight babies. Herein, we analyze these temporary trends in neonate biology in Spain, according to early viability (1980-2010) and ethnic variability (1996-2010). The aim of this study is to evaluate the interaction between maternal and medical environmental constrai
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Kotvitska, Alla, and Oleksii Prokopenko. "Determination of social and economic accessibility of drugs for treatment of Parkinson’s disease on the basis of modern approaches." Pharmacia 67, no. 3 (2020): 173–79. http://dx.doi.org/10.3897/pharmacia.67.e46586.

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In the context of the economic crisis, the availability of medicines for the population is one of the key issues facing pharmaceutical sector of healthcare system. Due to the fact of that, the purpose of the work was to study the social and economic accessibility of medicines, since such studies in the future may provide an opportunity for effective input of medicines costs reimbursement system, which will increase their availability, especially for socially vulnerable groups of population. The data analysis of the clinical protocols of Great Britain, Kazakhstan and Ukraine was conducted, and
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Joseph, Pradeep. "Eliminating disparities and implicit bias in health care delivery by utilizing a hub-and-spoke model." Research Ideas and Outcomes 4 (May 3, 2018): e26370. http://dx.doi.org/10.3897/rio.4.e26370.

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The state of health disparities in the United States has remained relatively stable over a number of years. Although overall outcomes for all patients have improved, a difference persists in how different racial, ethnic, and gender groups have fared in our health care system. Many programs that have sought to combat this problem have been predicated on the belief that only a small number of providers in the medical community are aware of their own biases. Accordingly, it was believed that bias awareness is the direct conduit for this particular change in the health system. However, the results
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Joseph, Pradeep. "Eliminating disparities and implicit bias in health care delivery by utilizing a hub-and-spoke model." Research Ideas and Outcomes 4 (May 3, 2018): e26370. https://doi.org/10.3897/rio.4.e26370.

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The state of health disparities in the United States has remained relatively stable over a number of years. Although overall outcomes for all patients have improved, a difference persists in how different racial, ethnic, and gender groups have fared in our health care system. Many programs that have sought to combat this problem have been predicated on the belief that only a small number of providers in the medical community are aware of their own biases. Accordingly, it was believed that bias awareness is the direct conduit for this particular change in the health system. However, the results
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Douglas, Nerone K. O., Elizabeth A. Moroni, Carolyn De La Cruz, and Francesco M. Egro. "Are We Speaking the Same “Language” Regarding Underrepresented Groups in Plastic Surgery and Increasing Diversity Within Our Field?" Annals of Plastic Surgery 92, no. 4S (2024): S218—S222. http://dx.doi.org/10.1097/sap.0000000000003876.

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Background Plastic Surgery is one of the fields that lags behind the rest when it comes to surgeons from backgrounds underrepresented in medicine (URiM). Extensive research has shown that diversity in health care not only fosters inclusivity but also saves lives. The study aim is to quantify how many integrated plastic surgery residency programs have outlined criteria defining diversity goals and/or groups of people they consider to be URiM. Methods All American Council for Graduate Medical Education-accredited integrated plastic surgery program Web sites were reviewed for diversity missions/s
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KURAMSHINA, OLGA A., KSENIA V. BATRAKOVA, LIA S. TUVALEVA, et al. "CONTEMPORARY VIEW OF THE GENETIC ASPECTS OF ULCER DISEASE DEVELOPMENT." Bulletin of Contemporary Clinical Medicine 16, no. 5 (2023): 59–64. http://dx.doi.org/10.20969/vskm.2023.16(5).59-64.

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Introduction. Despite a considerable quantity of studies focused on the etiology and pathogenesis of ulcer disease, this condition continues to be one of the most relevant in the modern gastroenterology due to its prevalence, relapse rates, and the development of ulcerative-destructive complications. This article deals with the influence level of the genetic predisposition to forming gastric and duodenal ulcers, including from the standpoint of the interrelation between the candidate gene and the disease pattern, considering various ethnic groups. Aim. Based on the analysis of scientific medic
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Mishina, Irina E., Yulia V. Chistyakova, Eugenia V. Pchelintseva, et al. "Effectiveness of Medical Rehabilitation of Patients after a New Coronavirus Infection in a Day Hospital." Bulletin of Rehabilitation Medicine 21, no. 3 (2022): 9–23. http://dx.doi.org/10.38025/2078-1962-2022-21-3-9-23.

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Aim. To investigate the prevalence of clinical manifestations of post-coronavirus syndrome and evaluate the effectiveness of medical rehabilitation course in patients after new coronavirus infection (COVID-19) in a day care hospital, taking into account the severity of the disease course. Material and methods. At the first stage of the study, 203 residents of the Ivanovo region (140 women and 63 men) aged 40 to 80 years who had a new coronavirus infection, who had no more than one year since the onset of the disease, were surveyed on the basis of the Ivanovo State Medical Academy (ISMA) of the
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Zinoviev, Vasiliy P., Sergey G. Sulyak, and Juriy V. Semenov. "Labor interethnic division in Podolsk province according to the 1897 census." Rusin, no. 76 (2024): 117–31. https://doi.org/10.17223/18572685/76/7.

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The article aims at identifying the phenomenon of labor interethnic division in Podolsk province. Based on the 1897 census data, the authors prove that labor interethnic division, based on different ways of life support for ethnic groups and essential for the eastern regions of the Empire, was an insignificant phenomenon for Podolsk province. The 1897 census of Podolsk province recorded a total of 3,018,299 people, including 750,915 economically active persons and 2,267,384 of their dependants. The main occupation of the population in the province was agriculture, which ensured the expanded re
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Sayfullin, A. P., A. Ya Aleynik, A. E. Bokov, Yu A. Israelyan, and S. G. Mlyavykh. "Enhanced recovery after surgery (ERAS) in spine surgery: A systematic review." Russian journal of neurosurgery 24, no. 1 (2022): 83–100. http://dx.doi.org/10.17650/1683-3295-2021-24-1-83-100.

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Introduction. In recent years, Enhanced recovery after surgery (ERAS), or Fast-track, has been actively developed and introduced into clinical practice in many industry of surgery in Europe and the USA. However, the ERAS® Society has not yet approved a unified protocol in spinal neurosurgery, and most of the publications on the topic have appeared only in the last few years.The purpose of the study is to present a systematic review of the literature to identify the key elements of the ERAS program and the effect of their use, as well as the impact on complications in the following areas of spi
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Fedotova, Maryna, Hanna Panfilova, Liliia Hala, et al. "Evaluation of the state of pharmaceutical supply of patients with dementia with Alzheimer disease in Ukraine in accordance with international recommendations." ScienceRise: Pharmaceutical Science, no. 4 (38) (August 31, 2022): 53–61. http://dx.doi.org/10.15587/2519-4852.2022.263415.

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The aim: to assess the state of pharmaceutical provision of patients with dementia in Alzheimer's disease in Ukraine in accordance with international recommendations.
 Materials and methods. In our studies, we used data from international guidelines, clinical protocols that regulate the organization of medical and pharmaceutical care for these patients in the USA, Australia, Japan, Germany, Great Britain, Finland, India, Kazakhstan, and Ukraine. The actual state of pharmaceutical provision of these patients in Ukraine was studied using a depersonalized database of medical prescriptions, w
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Maryna, Fedotova, Panfilova Hanna, Hala Liliia, et al. "Evaluation of the state of pharmaceutical supply of patients with dementia with Alzheimer disease in Ukraine in accordance with international recommendations." ScienceRise: Pharmaceutical Science, no. 4(38) (August 31, 2022): 53–61. https://doi.org/10.15587/2519-4852.2022.263415.

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<strong>The aim:</strong>&nbsp;to assess the state of pharmaceutical provision of patients with dementia in Alzheimer&#39;s disease in Ukraine in accordance with international recommendations. <strong>Materials and methods</strong>. In our studies, we used data from international guidelines, clinical protocols that regulate the organization of medical and pharmaceutical care for these patients in the USA, Australia, Japan, Germany, Great Britain, Finland, India, Kazakhstan, and Ukraine. The actual state of pharmaceutical provision of these patients in Ukraine was studied using a depersonalized
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Letunovska, N. Ye, L. Yu Saher, and A. P. Nazarenko. "PUBLIC HEALTH SYSTEM IN INCLUSIVE REGION GROWTH." Vìsnik Sumsʹkogo deržavnogo unìversitetu 2021, no. 2 (2021): 165–71. http://dx.doi.org/10.21272/1817-9215.2021.2-20.

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The article explores the concept of inclusive development of regions, emphasizing the study of the formation and maintenance of a stable level of public health in the scientific literature. For bibliographic analysis, complex scientometric databases Scopus and Dimensions were used to analyze a set of publications formed according to specific criteria using the software tool VOSviewer. The visualization method was used to visualize the obtained results. The search in scientometric databases was carried out by the criterion of the title of the publication, the content of its annotation and keywo
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Zinoviev, Vasiliy P., Sergey G. Sulyak, and Juriy V. Semenov. "Interethnic division of labor in Volhynia according to the 1897 census*." Rusin, no. 75 (2024): 72–88. http://dx.doi.org/10.17223/18572685/75/4.

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This article aims at identifying the phenomenon of interethnic division of labor in Volhynia. Based on the 1897 census data, the authors prove that though the interethnic division of labor, based on different ways of life support for ethnic groups, was essential for the eastern regions of the empire, it was an insignificant phenomenon for Volhynia. The 1897 census recorded a total of 2,989,482 people in the province, including 703,477 economically active persons and 2,286,005 persons living at their expense. The main occupation in the province was agriculture, which ensured the expanded reprod
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Gryzodub, Oleksandr. "30 років національній системі стандартизації, метрології і контролю якості лікарських засобів в Україні: основні досягнення, проблеми і перспективи розвитку". SSP Modern Law and Practice 2, № 3 (2022): 1–21. http://dx.doi.org/10.53933/sspmlp.v2i3.67.

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Provision to every citizen, patient, and person in the system of legal relationship "doctor-patient-pharmacist" the right to life, health, and safety during the circulation of vital medicinal products of all clinical and pharmacological, nomenclature and legal, classification and legal groups, guaranteed by created in in Ukraine the system of standardization and quality control of medicines. The system of standardization and quality control of medicines includes the National System of Standardization of Medicines in Ukraine (1992); The system of state control of the quality of medicinal produc
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Pettingill, Bernard. "Why Orthopedic Surgery for Elderly Indicates that the Maryland Total Cost of Care Model should be Universally Adopted." Journal of Health Care and Research 2, no. 1 (2021): 63–69. http://dx.doi.org/10.36502/2021/hcr.6190.

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Arthritis is the disease that kills the fewest but cripples the most. With the aging of the population in the United States and the antiquated DRG reimbursement system for hospital surgical intervention, it is inevitable that the Medicare assistant will bankrupt itself prior to the proposed bankruptcy date of 2026 if changes are not made. It may change would be to insist that the system in Maryland for reimbursement to hospitals for essential joint replacement surgery of the elderly be adapted nationwide. Medicaid expenditures are driven by a variety of factors, including the demand for care,
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Leyland, Alastair H., Samiratou Ouédraogo, Julian Nam, et al. "Evaluation of Health in Pregnancy grants in Scotland: a natural experiment using routine data." Public Health Research 5, no. 6 (2017): 1–278. http://dx.doi.org/10.3310/phr05060.

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Background Pregnancy and the period around birth are critical for the development and improvement of population health as well as the health of mothers and babies, with outcomes such as birthweight influencing adult health. Objectives We evaluated the clinical effectiveness and cost-effectiveness of the Health in Pregnancy (HiP) grants in Scotland, looking for differential outcomes when the scheme was in place, as well as before its implementation and after its withdrawal. Design The HiP grants were evaluated as a natural experiment using interrupted time series analysis. We had comparison gro
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Komenaka, Ian, Trevin Reyes, Jacqueline Gilbert, et al. "Abstract PO4-09-10: A successful method for treatment of an uninsured underprivileged breast cancer population." Cancer Research 84, no. 9_Supplement (2024): PO4–09–10—PO4–09–10. http://dx.doi.org/10.1158/1538-7445.sabcs23-po4-09-10.

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Abstract Background Improvements in breast cancer treatment and care have resulted in improved outcomes and decreased mortality. These improvements, however, come with great expense. Despite efforts from health care systems, a significant proportion of the population remains uninsured. The uninsured population is often underprivileged, undereducated and more likely to come from racial/ethnic minority groups. This combination of factors results in a delay in diagnosis, presentation at later stage, and decreased access and compliance with treatment. The goal of the current study is to describe a
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Rodriguez, Cristina, Rachid Baz, Rony Abou Jawde, et al. "Impact of Socioeconomic Status and Distance from Treatment Center on Survival in Patients Receiving Remission Induction Therapy for Newly Diagnosed Acute Myelogenous Leukemia (AML)." Blood 108, no. 11 (2006): 1920. http://dx.doi.org/10.1182/blood.v108.11.1920.1920.

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Abstract Background: Socioeconomic status (SES) and distance from a treatment center are prognostic factors in chronic malignancies, such as head and neck or breast cancer, where relative disease latency enables patients with greater means to travel to receive their care. Little is known about the influence of these demographics on patient outcomes in rapidly-growing cancers, such as AML. Methods: We conducted a retrospective review of all patients receiving remission induction therapy for AML at the Cleveland Clinic between January 1997 and December 2005. Race and residential zipcodes were ob
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Latiolais, Heidi, Qianqian Liu, Joel Michalek, and Adolfo Enrique Diaz Duque. "A National Cancer Database Analysis of Demographics, Treatment Patterns and Survival Trends of Patients with Plasmablastic Lymphoma in US: Does Ethnicity Predict Enhanced Outcomes?" Blood 142, Supplement 1 (2023): 1774. http://dx.doi.org/10.1182/blood-2023-187774.

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Background: Plasmablastic lymphoma (PbL) is an exceedingly rare, aggressive non-Hodgkin lymphoma with overlapping features of myeloma and lymphoma diagnosed most commonly in immunocompromised individuals, especially in the setting of human immunodeficiency virus (HIV) and Epstein-Barr virus (EBV) infection ( Int J Lab Hematol PMID 36074710). Pathologically, it is characterized by lacking CD20 and PAX5 expression with the presence of CD38, CD138, MUM1/IRF4, Blimp1, and XBP1 expression ( Blood Lymphat Cancer PMID 31360094). There is no established standard of care ( Blood PMID 25636338). Due to
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Pless, Ivan B. "Child Health in Canada." Pediatrics 86, no. 6 (1990): 1027–32. http://dx.doi.org/10.1542/peds.86.6.1027.

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These data, coupled with the description of what is really an elegantly simple system of health services, provide a compelling argument for legislators to consider seriously some form of national health insurance for the US. This seems to be the conclusion of many Americans based on recent polls. Other arguments in support of comprehensive health insurance, at least for children, have been heard from some unusual quarters. Many of those advocating reconsideration of this issue, apart from some politicians, include economists, some branches of `organized medicine,' and even business (The Financ
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Souto Filho, Joao Tadeu Damian, Rodrigo Doyle Portugal, and Marcio Nucci. "Effect of Circadian Variation on Neutrophil Mobilization to Peripheral Blood in Benign Constitutional Neutropenia." Blood 128, no. 22 (2016): 2502. http://dx.doi.org/10.1182/blood.v128.22.2502.2502.

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Abstract Background and Objective: Benign constitutional neutropenia (BCN) or benign ethnic neutropenia (BEN) is an asymptomatic condition characterized by mild chronic neutropenia in patients with no history of recurrent infections. In most of these patients neutropenia is discovered incidentally in a complete blood count ordered for routine screening. This is particularly concerning for general practitioners because neutropenia is associated with infections and hematologic malignancies. Thus, many patients are commonly referred to a specialist for evaluation, which leads to further testing a
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Lekhan, V. M. "Retrospective analysis of the construction of the national system of hospice and palliative care in Great Britain." Inter Collegas 11, no. 1 (2024). http://dx.doi.org/10.35339/ic.11.1.lvm.

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Today, Great Britain has one of the best hospice care systems for palliative patients in the world, which leads to interest in the path of building a Hospice and Palliative Care (НPC) system in this country. The hospice care system is mainly financed by the volunteer sector, which indicates a significant development of the state-society partnership in the organization of НPC. The national НPC system consists of inpatient care, day palliative care, care in the community and emergency hospitals. 2004–2008 is considered the key moment in the formation of the country's НPC system, which will be th
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Chapman, Alexandra. "Person-centred care in Northern Ireland: learning from the experiences of adult social care users." Journal of Integrated Care ahead-of-print, ahead-of-print (2020). http://dx.doi.org/10.1108/jica-06-2020-0036.

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PurposeThe move towards a “person-centred” or “personalised” system of adult social care has been at the heart of policy debates in Great Britain. However, policy developments in Northern Ireland are more limited than in other parts of the UK, and less attention has been paid to reforming adult social care. The purpose of this paper is to examine the views and experiences of adult social care users who receive care at home, to explore if and how a person-centred approach might work for older adults in Northern Ireland.Design/methodology/approachUsing a qualitative approach, semi-structured int
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Xian, Sophia, Elizabeth Dietz, and Rachel Fabi. "Trans Experiences In Healthcare." Voices in Bioethics 11 (January 15, 2025). https://doi.org/10.52214/vib.v11i.13149.

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Photo ID 280792184 © Jj Gouin| Dreamstime.com Abstract Healthcare providers should advocate for human and civil rights. They ought to recognize injustices that unfairly disadvantage certain groups of people and work to improve broader conditions that affect health. Healthcare systems have historically undervalued and even excluded certain voices from the creation of an evidence base for care, furthering health disparities for members of these groups. This is a form of testimonial injustice. Trans people experience a particular form of testimonial injustice in healthcare settings when evidence
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Breathett, Khadijah, Sabra Lewsey, Nicholas K. Brownell, et al. "Implementation Science to Achieve Equity in Heart Failure Care: A Scientific Statement From the American Heart Association." Circulation, April 3, 2024. http://dx.doi.org/10.1161/cir.0000000000001231.

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Guideline-directed medical therapies and guideline-directed nonpharmacological therapies improve quality of life and survival in patients with heart failure (HF), but eligible patients, particularly women and individuals from underrepresented racial and ethnic groups, are often not treated with these therapies. Implementation science uses evidence-based theories and frameworks to identify strategies that facilitate uptake of evidence to improve health. In this scientific statement, we provide an overview of implementation trials in HF, assess their use of conceptual frameworks and health equit
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"INTERNATIONAL EXPERIENCE OF SOCIAL WORK IN THE HEALTHCARE SYSTEM." SOCIOПРОСТІР, no. 10 (2020). http://dx.doi.org/10.26565/2218-2470-2020-10-07.

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The reform of the medical industry, the problems of medical care that arose in Ukraine in connection with the Covid-19 pandemic and led to a deterioration in the physical, psychological and social well-being of the population, sharply raised the question of the work of the medical industry and the directions for its improvement. In many countries of the world one of the ways to improve the quality of medical services is the implementation of social work in the medical industry.The article is devoted to the analysis of foreign experience of social work in the health care system, the roots of wh
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Lakha, Alishah, Naomi Fleming, Kimberly Sonnex, et al. "Evaluating the role of primary care pharmacy technicians in antimicrobial stewardship (AMS) and acne management using TARGET resources." JAC-Antimicrobial Resistance 6, no. 1 (2023). http://dx.doi.org/10.1093/jacamr/dlae011.

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Abstract Background Inappropriate antibiotic prescribing is accelerating antimicrobial resistance (AMR) (Antibiotic resistant infections and associated deaths increase https://www.gov.uk/government/news/antibiotic-resistant-infections-and-associated-deaths-increase). Pharmacy professionals (pharmacists and pharmacy technicians) promote good antibiotic prescribing practice. The traditional role of pharmacy technicians in supporting pharmacists and patients has expanded alongside the clinical expansion of pharmacist roles. (Boughen M, Fenn T. Practice, skill mix and education: the evolving role
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Islam, Zoebia, Kristian Pollock, Anne Patterson, et al. "Thinking ahead about medical treatments in advanced illness: a qualitative study of barriers and enablers in end-of-life care planning with patients and families from ethnically diverse backgrounds." Health and Social Care Delivery Research, June 2023, 1–135. http://dx.doi.org/10.3310/jvfw4781.

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Background This study explored whether or not, and how, terminally ill patients from ethnically diverse backgrounds and their family caregivers think ahead about deterioration and dying, and explored their engagement with health-care professionals in end-of-life care planning. Objective The aim was to address the question, what are the barriers to and enablers of ethnically diverse patients, family caregivers and health-care professionals engaging in end-of-life care planning? Design This was a qualitative study comprising 18 longitudinal patient-centred case studies, interviews with 19 bereav
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Soled, Derek. "Distributive Justice as a Means of Combating Systemic Racism in Healthcare." Voices in Bioethics 7 (June 21, 2021). http://dx.doi.org/10.52214/vib.v7i.8502.

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Photo by Sharon McCutcheon on Unsplash&#x0D; ABSTRACT&#x0D; COVID-19 highlighted a disproportionate impact upon marginalized communities that needs to be addressed. Specifically, a focus on equity rather than equality would better address and prevent the disparities seen in COVID-19. A distributive justice framework can provide this great benefit but will succeed only if the medical community engages in outreach, anti-racism measures, and listens to communities in need.&#x0D; INTRODUCTION&#x0D; COVID-19 disproportionately impacted communities of color and lower socioeconomic status, sparking p
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Chidambaram, Swathikan, Michael Kawka, Javed Sultan, et al. "A O05 MUlti-center cohort Study of Oesophageal Injuries and related Clinical outcomes (MUSOIC) study." British Journal of Surgery 109, Supplement_9 (2022). http://dx.doi.org/10.1093/bjs/znac404.005.

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Abstract Background Perforation of the oesophagus (OP) represent a potentially lethal yet poorly managed clinical condition due to its rarity, variation in clinical presentation and little consensus on the optimal management of these patients. Previous studies have shown that timely and appropriate treatment of OPs is the most important determinant of patient outcomes, and a delay in initiating the correct management within 24 hours increased the mortality rate from 10% to over 60%. Historically, patients have been managed based on the personal experience and preference of the surgeon, and acc
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Sanchez Alonso, Jason. "Undue Burden the Medical School Application Process Places on Low-Income Latinos." Voices in Bioethics 9 (November 7, 2023). http://dx.doi.org/10.52214/vib.v9i.10166.

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Photo by Nathan Dumlao on Unsplash ABSTRACT The demographic of physicians in the United States has failed to include a proportionate population of Latinos in the United States. In what follows, I shall argue that the medical school admission process places an undue burden on low-income Latino applicants. Hence, the underrepresentation of Latinos in medical schools is an injustice. This injustice relates to the poor community health of the Latino community. Health disparities such as diabetes, HIV infection, and cancer mortality are higher amongst the Latino community. The current representatio
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"Family Pediatrics." Pediatrics 111, Supplement_2 (2003): 1541–71. http://dx.doi.org/10.1542/peds.111.s2.1541.

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ABSTRACT/EXECUTIVE SUMMARY Why a Task Force on the Family? The practice of pediatrics is unique among medical specialties in many ways, among which is the nearly certain presence of a parent when health care services are provided for the patient. Regardless of whether parents or other family members are physically present, their influence is pervasive. Families are the most central and enduring influence in children’s lives. Parents are also central in pediatric care. The health and well-being of children are inextricably linked to their parents’ physical, emotional and social health, social c
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Hoffman, David, Ashley Stewart, Jennifer Breznay, Kara Simpson, and Johanna Crane. "Vaccine Hesitancy Narratives." Voices in Bioethics 7 (October 18, 2021). http://dx.doi.org/10.52214/vib.v7i.8789.

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Photo by Hush Naidoo Jade Photography on Unsplash INTRODUCTION In this collection of narratives, the authors describe their own experiences with and reflections on healthcare worker vaccine hesitancy. The narratives explore each author’s engagement with different communities experiencing vaccine hesitancy, touching on reasons for hesitancy, proposed solutions, and legal aspects. Author’s names appear above their narratives. l. Johanna T. Crane Vaccine hesitancy, defined as “a delay of acceptance or refusal of vaccination despite the availability of vaccination services,”[1] is a worldwide but
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Newman, Felicity. ""You Have a Basket for the Bread, Just Put the Bloody Chicken in It"." M/C Journal 2, no. 7 (1999). http://dx.doi.org/10.5204/mcj.1793.

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We'd eat at Cahill's, Cahill's Family Restaurants I believe they were called, and quite plushy looking ... . At Cahill's we'd eat Viennese Schnitzel, with potato salad and some nice red cabbage salad, sort of pickled ... . Even more exotic was Chicken Maryland, served with a banana and a slice of pineapple in batter. It cost 7s 6d. -- Marion Halligan (11) We migrated in the sixties. Born in Cape Town, I was raised in the heart of Jewish Bondi. The flavours of my youth? Probably equal parts peri-peri, horseradish and chicken booster, not bouquet garni. My introduction to what was 'Australian' f
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Moore, Claire, Ariadne Nichol, and Holly Taylor. "Supporting Solidarity." Voices in Bioethics 9 (October 31, 2023). http://dx.doi.org/10.52214/vib.v9i.11758.

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Photo ID 72893750 © Rawpixelimages|Dreamstime.com ABSTRACT Solidarity is a concept increasingly employed in bioethics whose application merits further clarity and explanation. Given how vital cooperation and community-level care are to mitigating communicable disease transmission, we use lessons from the COVID-19 pandemic to reveal how solidarity is a useful descriptive and analytical tool for public health scholars, practitioners, and policymakers. Drawing upon an influential framework of solidarity that highlights how solidarity arises from the ground up, we reveal how structural forces can
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Wolbring, Gregor. "A Culture of Neglect: Climate Discourse and Disabled People." M/C Journal 12, no. 4 (2009). http://dx.doi.org/10.5204/mcj.173.

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Introduction The scientific validity of climate change claims, how to intervene (if at all) in environmental, economic, political and social consequences of climate change, and the adaptation and mitigation needed with any given climate change scenario, are contested areas of public, policy and academic discourses. For marginalised populations, the climate discourses around adaptation, mitigation, vulnerability and resilience are of particular importance. This paper considers the silence around disabled people in these discourses. Marci Roth of the Spinal Cord Injury Association testified befo
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Phillips, Christopher. "A Good Coalition." M/C Journal 13, no. 6 (2010). http://dx.doi.org/10.5204/mcj.316.

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In 1996, the iconoclastic economist John Kenneth Galbraith wrote a manifesto, The Good Society, that elaborated his vision for what societal excellence and goodness should amount to. Though nearly 96, Galbraith was still a rabble-rouser, and he castigated the powers that be in the United States for propping up a “democracy of the fortunate” (8). To Galbraith, those who engaged in electoral politics, win or lose on any specific issue, tended to have all the social and economic advantages, while the less well off were deliberately marginalised by ‘the system.’ He lamented that “money, voice and
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Gao, Xiang. "‘Staying in the Nationalist Bubble’." M/C Journal 24, no. 1 (2021). http://dx.doi.org/10.5204/mcj.2745.

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Introduction The highly contagious COVID-19 virus has presented particularly difficult public policy challenges. The relatively late emergence of an effective treatments and vaccines, the structural stresses on health care systems, the lockdowns and the economic dislocations, the evident structural inequalities in effected societies, as well as the difficulty of prevention have tested social and political cohesion. Moreover, the intrusive nature of many prophylactic measures have led to individual liberty and human rights concerns. As noted by the Victorian (Australia) Ombudsman Report on the
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Gill, Nicholas. "Longing for Stillness: The Forced Movement of Asylum Seekers." M/C Journal 12, no. 1 (2009). http://dx.doi.org/10.5204/mcj.123.

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IntroductionBritish initiatives to manage both the number of arrivals of asylum seekers and the experiences of those who arrive have burgeoned in recent years. The budget dedicated to asylum seeker management increased from £357 million in 1998-1999 to £1.71 billion in 2004-2005, making the Immigration and Nationality Directorate (IND) the second largest concern of the Home Office behind the Prison Service in 2005 (Back et al). The IND was replaced in April 2007 by the Border and Immigration Agency (BIA), whose expenditure exceeded £2 billion in 2007-2008 (BIA). Perhaps as a consequence the nu
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LeClerc, Tresa. "Consumption, Wellness, and the Far Right." M/C Journal 25, no. 1 (2022). http://dx.doi.org/10.5204/mcj.2870.

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Introduction Within wellness circles, there has been growing concern over an increasing focus on Alternative Right (or Alt-right) conspiracy (see Aubry; Bloom and Moskalenko). Greene, referring to a definition provided by the Anti-Defamation League, defines the Alt-right as a loose political network characterised by its rejection of mainstream conservatism, embrace of white nationalism, and use of online platforms (33). The “wellness revolution”, on the other hand, which marked a split from the health care sector in which “thought leaders” replaced medical experts as authorities on health (Pil
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Bowers, Olivia, and Mifrah Hayath. "Cultural Relativity and Acceptance of Embryonic Stem Cell Research." Voices in Bioethics 10 (May 16, 2024). http://dx.doi.org/10.52214/vib.v10i.12685.

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Photo ID 158378414 © Eduard Muzhevskyi | Dreamstime.com ABSTRACT There is a debate about the ethical implications of using human embryos in stem cell research, which can be influenced by cultural, moral, and social values. This paper argues for an adaptable framework to accommodate diverse cultural and religious perspectives. By using an adaptive ethics model, research protections can reflect various populations and foster growth in stem cell research possibilities. INTRODUCTION Stem cell research combines biology, medicine, and technology, promising to alter health care and the understanding
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Divocha, V.A., A.I. Gozhenko та V.N. Mikhalchuk. "Biological substantiation of antiproteinase therapy of influenza virus = Биологическое обоснование антипротеиназной терапии гриппа". 1 січня 2010. https://doi.org/10.5281/zenodo.7805296.

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V.A. DIVOCHA, A.I. GOZHENKO, V.N. MYKHALCHUK <strong>Biological substantiation of antiproteinase therapy of influenza virus</strong> ODESSA, 2010 CONTENT PART 1 PROTEINASE-INHIBITOR THEORY OF INFLUENZA VIRUS PATHOGENESIS INTRODUCTION ............................................... .................... SECTION 1 Influenza as a medical and social problem: history, state, current tasks .......... 1.1. Historical reference .................................. 1.2. Structure and biology of the influenza virus ............................... SECTION 2 Modern ideas about the association of the influenz
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