Antimicrobial resistance (AMR) is widely recognised as a global health threat, which projected to account for more deaths than cancer by 2050. The Government of India has formulated National Action Plan tackle AMR (NAP-AMR), largely modelled on the World Health Organization's Global AMR. While NAP-AMR successfully mirrors and lays out ambitious goals, we find that lack financial allocation across states, poor enforcement inadequate multisectoral co-ordination have hampered progress. A...

Antimicrobial resistance poses a major public health threat. Despite Indian retail sector antibiotic consumption per capita increasing by approximately 22% between 2008 and 2016, empirical studies that examine policy or behavioural interventions addressing misuse in primary healthcare are scarce. Our study aimed to assess perceptions of gaps practice with respect outpatient India.We conducted 23 semi-structured, in-depth interviews variety key informants diverse backgrounds academia,...

A fundamental purpose of forensic medical, or medicolegal, analysis is to provide legal factfinders with an opinion regarding the causal relationship between alleged unlawful negligent action and a medically observed adverse outcome, which needed establish liability. At present, there are no universally established standards for medicolegal analysis, although several different approaches causation exist, varying strengths weaknesses degrees practical utility. These can be categorized as...

Causal inference lies at the heart of many legal questions. Yet in context complicated disease litigation, particular, causal inquiry is beset with difficulties due to gaps scientific knowledge concerning precise biological processes underlying such diseases. Civil courts across globe, faced increased litigation on matters, struggle adhere their judicial fact-finding and decision-making role face uncertainty. An important difficulty drawing evidentially sound inferences binary format...

The purpose of the study was to assess incidence and severity hospital reported injuries related law enforcement Use Force (UoF) in US over time, by race.Data from National Emergency Department Sample Healthcare Cost Utilization Project Electronic Injury Surveillance System (NEISS-AIP) Consumer Product Safety Commission were queried identify UoF injuries. Regression analysis, t-tests, chi-square tests used analysis.Between 2006-15, there 529,259 emergency department admissions for injury...

Abstract Background In the Netherlands, health care is regulated by Health and Youth Care Inspectorate. Forty-six indicators are used to prioritize supervision of psychiatric hospitals. The objective this study define a smaller set weighted which reflects consensus among inspectors about aspects most important for risk assessment. Methods 46 indicators, complemented with missing information, was reduced six means interviews, group discussions ranking inspectors. These were as attributes in...

Investigating causation is a primary goal in forensic/legal medicine, aiming to establish the connection between an unlawful/negligent act and adverse outcome. In malpractice litigation involving healthcare-associated infection due failure of prevention control practices, medicolegal causal analysis needs quantify individual probabilities meet evidentiary requirements court. this paper, we present investigation most probable cause bacterial endocarditis patient who underwent invasive...

A crucial role in the external postmortem examination system of Netherlands is that attending physicians, who are either general practitioners or physicians hospitals. They perform 85% all examinations and must immediately report to forensic unnatural deaths they not convinced be natural. These need therefore properly qualified competent, by acting consistently having knowledge appropriate laws surrounding examination. The aim this study analyse competence hospital settings. This research...

Clinical effort against secondhand smoke exposure (CEASE) is an evidence-based intervention that prepares child healthcare clinicians and staff with the knowledge, skills, resources needed to ask family members about tobacco use, provide brief counseling medication assistance, refer free cessation services.This study sought identify factors influenced implementation of CEASE in five pediatric practices states participated a cluster randomized clinical trial intervention.Guided by questions...

An increasing number of parents use both e-cigarettes and cigarettes (dual users). Previous studies have shown that dual users may higher rates contemplating smoking cessation than who only smoke cigarettes. This study was aimed to assess the delivery tobacco treatment (prescription for nicotine replacement therapy referral quitline) among report being vs. cigarette-only smokers. A secondary analysis parent survey data collected between April October 2017 at 10 pediatric primary care...