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  1 / 209236 MEDLINE  
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[PMID]:29500301
[Au] Autor:Alderwick H; Shortell SM; Briggs ADM; Fisher ES
[Ad] Endereço:Center for Health and Community, University of California, San Francisco, CA, USA Hugh.Alderwick@ucsf.edu.
[Ti] Título:Can accountable care organisations really improve the English NHS? Lessons from the United States.
[So] Source:BMJ;360:k921, 2018 03 02.
[Is] ISSN:1756-1833
[Cp] País de publicação:England
[La] Idioma:eng
[Mh] Termos MeSH primário: Organizações de Assistência Responsáveis
Política de Saúde
Medicina Estatal/tendências
[Mh] Termos MeSH secundário: Custos de Cuidados de Saúde
Seres Humanos
Qualidade da Assistência à Saúde
Reino Unido
Estados Unidos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1803
[Cu] Atualização por classe:180309
[Lr] Data última revisão:
180309
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:180304
[St] Status:MEDLINE
[do] DOI:10.1136/bmj.k921


  2 / 209236 MEDLINE  
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[PMID]:29462143
[Au] Autor:Bucholc M; O'Kane M; Ashe S; Wong-Lin K
[Ad] Endereço:Intelligent Systems Research Centre, University of Ulster, Magee Campus, Londonderry, Northern Ireland, United Kingdom.
[Ti] Título:Prescriptive variability of drugs by general practitioners.
[So] Source:PLoS One;13(2):e0189599, 2018.
[Is] ISSN:1932-6203
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Prescription drug spending is growing faster than any other sector of healthcare. However, very little is known about patterns of prescribing and cost of prescribing between general practices. In this study, we examined variation in prescription rates and prescription costs through time for 55 GP surgeries in Northern Ireland Western Health and Social Care Trust. Temporal changes in variability of prescribing rates and costs were assessed using the Mann-Kendall test. Outlier practices contributing to between practice variation in prescribing rates were identified with the interquartile range outlier detection method. The relationship between rates and cost of prescribing was explored with Spearman's statistics. The differences in variability and mean number of prescribing rates associated with the practice setting and socioeconomic deprivation were tested using t-test and F-test respectively. The largest between-practice difference in prescribing rates was observed for Apr-Jun 2015, with the number of prescriptions ranging from 3.34 to 8.36 per patient. We showed that practices with outlier prescribing rates greatly contributed to between-practice variability. The largest difference in prescribing costs was reported for Apr-Jun 2014, with the prescription cost per patient ranging from £26.4 to £64.5. In addition, the temporal changes in variability of prescribing rates and costs were shown to undergo an upward trend. We demonstrated that practice setting and socio-economic deprivation accounted for some of the between-practice variation in prescribing. Rural practices had higher between practice variability than urban practices at all time points. Practices situated in more deprived areas had higher prescribing rates but lower variability than those located in less deprived areas. Further analysis is recommended to assess if variation in prescribing can be explained by demographic characteristics of patient population and practice features. Identification of other factors contributing to prescribing variability can help us better address potential inappropriateness of prescribing.
[Mh] Termos MeSH primário: Prescrições de Medicamentos
Clínicos Gerais
[Mh] Termos MeSH secundário: Medicina Estatal
Reino Unido
[Pt] Tipo de publicação:JOURNAL ARTICLE; RESEARCH SUPPORT, NON-U.S. GOV'T
[Em] Mês de entrada:1803
[Cu] Atualização por classe:180309
[Lr] Data última revisão:
180309
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:180221
[St] Status:MEDLINE
[do] DOI:10.1371/journal.pone.0189599


  3 / 209236 MEDLINE  
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[PMID]:29437652
[Au] Autor:Davis J
[Ad] Endereço:Whittington Hospital, London, UK.
[Ti] Título:Most UK doctors support assisted dying, a new poll shows: the BMA's opposition does not represent members.
[So] Source:BMJ;360:k301, 2018 02 07.
[Is] ISSN:1756-1833
[Cp] País de publicação:England
[La] Idioma:eng
[Mh] Termos MeSH primário: Médicos/psicologia
Sociedades Médicas
Suicídio Assistido
[Mh] Termos MeSH secundário: Dissidências e Disputas
Seres Humanos
Inquéritos e Questionários
Reino Unido
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1803
[Cu] Atualização por classe:180309
[Lr] Data última revisão:
180309
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:180214
[St] Status:MEDLINE
[do] DOI:10.1136/bmj.k301


  4 / 209236 MEDLINE  
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[PMID]:29432435
[Au] Autor:Azbel-Jackson L; Heffernan C; Gunn G; Brownlie J
[Ad] Endereço:Livestock Development Group, School of Agriculture, Policy and Development, University of Reading, Reading, United Kingdom.
[Ti] Título:Exploring the role of voluntary disease schemes on UK farmer bio-security behaviours: Findings from the Norfolk-Suffolk Bovine Viral Diarrhoea control scheme.
[So] Source:PLoS One;13(2):e0179877, 2018.
[Is] ISSN:1932-6203
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:The article describes the influence of a disease control scheme (the Norfolk-Suffolk Bovine Viral Diarrhoea Disease (BVD) Eradication scheme) on farmers' bio-security attitudes and behaviours. In 2010, a survey of 100 cattle farmers (53 scheme members vs. 47 out of scheme farmers) was undertaken among cattle farmers residing in Norfolk and Suffolk counties in the UK. A cross-sectional independent measures design was employed. The main analytical tool was content analysis. The following variables at the farmer-level were explored: the specific BVD control measures adopted, livestock disease priorities, motivation for scheme membership, wider knowledge acquisition, biosecurity behaviours employed and training course attendance. The findings suggest that participation in the BVD scheme improved farmers' perception of the scheme benefits and participation in training courses. However, no association was found between the taking part in the BVD scheme and livestock disease priorities or motivation for scheme participation, or knowledge about BVD bio-security measures employed. Equally importantly, scheme membership did appear to influence the importance accorded specific bio-security measures. Yet such ranking did not appear to reflect the actual behaviours undertaken. As such, disease control efforts alone while necessary, are insufficient. Rather, to enhance farmer bio-security behaviours significant effort must be made to address underlying attitudes to the specific disease threat involved.
[Mh] Termos MeSH primário: Doença das Mucosas por Vírus da Diarreia Viral Bovina/prevenção & controle
Medidas de Segurança
[Mh] Termos MeSH secundário: Idoso
Animais
Bovinos
Estudos Transversais
Seres Humanos
Meia-Idade
Reino Unido
[Pt] Tipo de publicação:JOURNAL ARTICLE; RESEARCH SUPPORT, NON-U.S. GOV'T
[Em] Mês de entrada:1803
[Cu] Atualização por classe:180309
[Lr] Data última revisão:
180309
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:180213
[St] Status:MEDLINE
[do] DOI:10.1371/journal.pone.0179877


  5 / 209236 MEDLINE  
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[PMID]:29408910
[Au] Autor:Whitaker L; Brown SL; Young B; Fereday R; Coyne SM; Qualter P
[Ad] Endereço:Department of Psychological Sciences, University of Liverpool, Liverpool, United Kingdom.
[Ti] Título:Pervasive, hard-wired and male: Qualitative study of how UK adolescents view alcohol-related aggression.
[So] Source:PLoS One;13(2):e0191269, 2018.
[Is] ISSN:1932-6203
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Laboratory studies of alcohol-inexperienced adolescents show that aggression can be primed by alcohol-related stimuli, suggesting that alcohol-related aggression is partly socially learned. Script theory proposes that alcohol-related aggression 'scripts' for social behaviors are culturally-available and learned by individuals. The purpose of the study was to understand the content and origins of alcohol-related aggression scripts learned by adolescents. This qualitative focus group study of 40 adolescents (ages 14-16 years) examined alcohol-related aggression scripts. Participants believed aggression and severe injury to be pervasive when young people drink. Viewed through a biological lens, participants described aggression as an 'instinctive' and 'hard-wired' male trait facilitated by intoxication. As such, alcohol-related aggression was not seen as intended or personally controllable and participants did not see it in moral terms. Females were largely viewed as either bystanders of inter-male aggression or potential victims of male sexual aggression. Participants attributed their views on the frequency and nature of alcohol-related aggression to current affairs and reality television, which they felt portrayed a reality of which they had little experience. The origins of the explicitly biological frameworks that participants used seemed to lie in pre-existing beliefs about the nature of gender differences. Perceptions of the pervasiveness of male alcohol-related aggression, and the consequent failure to view alcohol-related aggression in moral terms, could dispose some young people to alcohol-related aggression. Interventions could target (1) the beliefs that alcohol-related aggression is pervasive and uncontrollable in males, and (2) participants' dysfunctional views of masculinity that underpin those beliefs.
[Mh] Termos MeSH primário: Comportamento do Adolescente
Agressão
Consumo de Bebidas Alcoólicas
[Mh] Termos MeSH secundário: Adolescente
Seres Humanos
Masculino
Reino Unido
[Pt] Tipo de publicação:JOURNAL ARTICLE; RESEARCH SUPPORT, NON-U.S. GOV'T
[Em] Mês de entrada:1803
[Cu] Atualização por classe:180309
[Lr] Data última revisão:
180309
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:180207
[St] Status:MEDLINE
[do] DOI:10.1371/journal.pone.0191269


  6 / 209236 MEDLINE  
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[PMID]:29194680
[Au] Autor:Jenkins S; Ives J; Avery S; Draper H
[Ti] Título:Who gets the gametes? An argument for a points system for fertility patients.
[So] Source:Bioethics;32(1):16-26, 2018 01.
[Is] ISSN:1467-8519
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:This paper argues that the convention of allocating donated gametes on a 'first come, first served' basis should be replaced with an allocation system that takes into account more morally relevant criteria than waiting time. This conclusion was developed using an empirical bioethics methodology, which involved a study of the views of 18 staff members from seven U.K. fertility clinics, and 20 academics, policy-makers, representatives of patient groups, and other relevant professionals, on the allocation of donated sperm and eggs. Against these views, we consider some nuanced ways of including criteria in a points allocation system. We argue that such a system is more ethically robust than 'first come, first served', but we acknowledge that our results suggest that a points system will meet with resistance from those working in the field. We conclude that criteria such as a patient's age, potentially damaging substance use, and parental status should be used to allocate points and determine which patients receive treatment and in what order. These and other factors should be applied according to how they bear on considerations like child welfare, patient welfare, and the effectiveness of the proposed treatment.
[Mh] Termos MeSH primário: Temas Bioéticos
Doação Dirigida de Tecido/ética
Células Germinativas
Acesso aos Serviços de Saúde/ética
Infertilidade
Reprodução/ética
[Mh] Termos MeSH secundário: Adulto
Atitude do Pessoal de Saúde
Bioética
Dissidências e Disputas
Feminino
Fertilidade
Seres Humanos
Masculino
Pais
Discriminação Social
Participação dos Interessados
Reino Unido
[Pt] Tipo de publicação:JOURNAL ARTICLE; RESEARCH SUPPORT, NON-U.S. GOV'T
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180309
[Lr] Data última revisão:
180309
[Sb] Subgrupo de revista:E; IM
[Da] Data de entrada para processamento:171202
[St] Status:MEDLINE
[do] DOI:10.1111/bioe.12411


  7 / 209236 MEDLINE  
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[PMID]:28841527
[Au] Autor:Crocker DR; Lawrence AJ
[Ad] Endereço:Brook House, Dam Lane, Leavening, North Yorkshire, YO17 9SJ, UK. Electronic address: joe_crocker@btinternet.com.
[Ti] Título:Estimating the potential effects of pesticide seed treatments on the reproductive success of arable birds.
[So] Source:Ecotoxicol Environ Saf;147:124-131, 2018 Jan.
[Is] ISSN:1090-2414
[Cp] País de publicação:Netherlands
[La] Idioma:eng
[Ab] Resumo:In temperate zones, seeds of spring-sown crops may be an attractive food source for breeding farmland birds. We modelled the effects of pesticide seed treatments on the reproductive success of 4 UK arable bird species (Rook, Linnet, Skylark, Yellowhammer) exposed to treated seeds of 3 spring-sown crops (beans, barley and linseed). We ran three types of model, 1) a "broods-at-risk" model looking at the temporal overlap between nesting and seed-sowing dates, and estimating the proportion of those nests that suffered toxicity-exposure ratios < 5; 2) a "seasonal success" Markov chain model estimating the number of chicks successfully raised in the course of a breeding season.; and 3) the potential effects of pesticides on population growth rates. Based on physiology, Rooks, should be less at risk from treated seeds than smaller species because bigger birds eat less as a proportion of their bodyweights. However, in nearly all our scenarios, Rooks were more vulnerable, followed by Skylark and Linnet, with Yellowhammer being least affected. A principal cause is that Rooks are more likely to be breeding at a time when treated seeds are being sown. Furthermore, whereas the other species may make several breeding attempts and early failures from pesticide exposure may be compensated by later successes, Rooks breed only once in a season. The results are also supported by historical evidence of Rook population declines following pesticide seed treatments.
[Mh] Termos MeSH primário: Produtos Agrícolas/crescimento & desenvolvimento
Poluentes Ambientais/toxicidade
Modelos Teóricos
Passeriformes/fisiologia
Praguicidas/toxicidade
Reprodução/efeitos dos fármacos
Sementes/crescimento & desenvolvimento
[Mh] Termos MeSH secundário: Animais
Ingestão de Alimentos
Monitoramento Ambiental
Poluentes Ambientais/farmacologia
Cadeias de Markov
Praguicidas/farmacologia
Reino Unido
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Nm] Nome de substância:
0 (Environmental Pollutants); 0 (Pesticides)
[Em] Mês de entrada:1803
[Cu] Atualização por classe:180309
[Lr] Data última revisão:
180309
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170826
[St] Status:MEDLINE


  8 / 209236 MEDLINE  
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[PMID]:29269552
[Au] Autor:UK Veterinary Public Health Teachers
[Ti] Título:Collaborating on One Health and veterinary public health education.
[So] Source:Vet Rec;181(25):691-692, 2017 12 23.
[Is] ISSN:2042-7670
[Cp] País de publicação:England
[La] Idioma:eng
[Mh] Termos MeSH primário: Comportamento Cooperativo
Educação em Veterinária/organização & administração
Saúde Única
Saúde Pública/educação
[Mh] Termos MeSH secundário: Seres Humanos
Faculdades de Medicina Veterinária/organização & administração
Sociedades/organização & administração
Reino Unido
Medicina Veterinária/organização & administração
[Pt] Tipo de publicação:LETTER
[Em] Mês de entrada:1803
[Cu] Atualização por classe:180308
[Lr] Data última revisão:
180308
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171223
[St] Status:MEDLINE
[do] DOI:10.1136/vr.j5868


  9 / 209236 MEDLINE  
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[PMID]:29269550
[Au] Autor:Maddocks G
[Ad] Endereço:Meadowbrook Equine Clinic, Luton Hoo Estate, Hertfordshire LU1 3TQ.
[Ti] Título:The data behind veterinary workforce reccomendations.
[So] Source:Vet Rec;181(25):690-691, 2017 12 23.
[Is] ISSN:2042-7670
[Cp] País de publicação:England
[La] Idioma:eng
[Mh] Termos MeSH primário: Política
Salários e Benefícios
Medicina Veterinária/economia
[Mh] Termos MeSH secundário: Seres Humanos
Sociedades
Reino Unido
Medicina Veterinária/organização & administração
[Pt] Tipo de publicação:LETTER
[Em] Mês de entrada:1803
[Cu] Atualização por classe:180308
[Lr] Data última revisão:
180308
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171223
[St] Status:MEDLINE
[do] DOI:10.1136/vr.j5867


  10 / 209236 MEDLINE  
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[PMID]:29269546
[Au] Autor:Strang C; Newton R
[Ti] Título:Control and disease clearance after neurological EHV-1 in the UK.
[So] Source:Vet Rec;181(25):678-679, 2017 12 23.
[Is] ISSN:2042-7670
[Cp] País de publicação:England
[La] Idioma:eng
[Mh] Termos MeSH primário: Surtos de Doenças/veterinária
Infecções por Herpesviridae/veterinária
Herpesvirus Equídeo 1/isolamento & purificação
Doenças dos Cavalos/prevenção & controle
Vigilância de Evento Sentinela/veterinária
[Mh] Termos MeSH secundário: Animais
Surtos de Doenças/prevenção & controle
Infecções por Herpesviridae/epidemiologia
Infecções por Herpesviridae/prevenção & controle
Doenças dos Cavalos/epidemiologia
Cavalos
Masculino
Medição de Risco
Reino Unido/epidemiologia
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1803
[Cu] Atualização por classe:180308
[Lr] Data última revisão:
180308
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171223
[St] Status:MEDLINE
[do] DOI:10.1136/vr.j5906



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