No Consensus on Ella

2016 ◽  
Vol 41 (2) ◽  
pp. 2-4
Author(s):  
John F. Brehany ◽  
Keyword(s):  
United States ◽  
Scientific Evidence ◽  
The United States ◽  
Review Article ◽  
Ulipristal Acetate ◽  
Health Association ◽  
Emergency Contraceptive ◽  
Pro Life

When the FDA labeled ulipristal acetate (UPA; Ella is the product sold in the United States by HRA Pharma) an “emergency contraceptive,” Catholic and pro-life leaders criticized the decision, identified Ella as an abortifacient, and agreed it should not be used by Catholic institutions and providers.1 Ron Hamel, senior ethicist for the Catholic Health Association, shared this conclusion. In 2014, however, Hamel ended a review article by stating, “If, however, the consensus is correct, then there would seem to be sufficient moral certitude at this time to make use of UPA in Catholic hospitals.” Below I question whether a relevant consensus exists and argue that the scientific evidence militates against, rather than in favor of, use of UPA/Ella by Catholic providers.

scholarly journals Pharmacy Access to the Emergency Contraceptive Ulipristal Acetate in Major Cities Throughout the United States

2017 ◽  
Vol 30 (2) ◽  
pp. 283 ◽  
Author(s):  
Maryssa Shigesato ◽  
Jennifer Elia ◽  
Mary Tschann ◽  
Holly Bullock ◽  
Jennifer Salcedo
Keyword(s):  
United States ◽  
The United States ◽  
Ulipristal Acetate ◽  
Emergency Contraceptive

Corporal Punishment

PEDIATRICS ◽  
1995 ◽  
Vol 96 (4) ◽  
pp. 792-793
Author(s):  
Den A. Trumbull ◽  
DuBose Ravenel ◽  
David Larson
Keyword(s):  
United States ◽  
Primary Care ◽  
Social Policy ◽  
Violence Prevention ◽  
Corporal Punishment ◽  
Primary Care Physicians ◽  
Scientific Evidence ◽  
The United States

The supplement to Pediatrics entitled "The Role of the Pediatrician in Violence Prevention" is timely, given the increasingly serious violence problem in the United States.1 Many of the supplement's recommendations are well-conceived and developed. However, the recommendation to "work toward the ultimate goal of ending corporal punishment in homes" (page 580)2 is unwarranted and counterproductive. Before one advises against a practice approved by 88% of American parents3 and supported by 67% of primary care physicians,4 there should be sufficient scientific evidence to support the proposed change in social policy.

scholarly journals Nursing care in the anesthetic procedure: an integrative review

2016 ◽  
Vol 50 (1) ◽  
pp. 154-162 ◽  
Author(s):  
Cassiane de Santana Lemos ◽  
Aparecida de Cassia Giani Peniche
Keyword(s):  
United States ◽  
Health System ◽  
Patient Care ◽  
Nursing Care ◽  
Scientific Evidence ◽  
The United States ◽  
Nurse Anesthetists ◽  
Integrative Review ◽  
Nursing Professional

Abstract OBJECTIVE To search for the scientific evidence available on nursing professional actions during the anesthetic procedure. METHOD An integrative review of articles in Portuguese, English and Spanish, indexed in MEDLINE/PubMed, CINAHL, LILACS, National Cochrane, SciELO databases and the VHL portal. RESULTS Seven studies were analyzed, showing nurse anesthetists' work in countries such as the United States and parts of Europe, with the formulation of a plan for anesthesia and patient care regarding the verification of materials and intraoperative controls. The barriers to their performance involved working in conjunction with or supervised by anesthesiologists, the lack of government guidelines and policies for the legal exercise of the profession, and the conflict between nursing and the health system for maintenance of the performance in places with legislation and defined protocols for the specialty. Conclusion Despite the methodological weaknesses found, the studies indicated a wide diversity of nursing work. Furthermore, in countries absent of the specialty, like Brazil, the need to develop guidelines for care during the anesthetic procedure was observed.

scholarly journals Pharmacy access to Ulipristal acetate in major cities throughout the United States

Contraception ◽  
2018 ◽  
Vol 97 (3) ◽  
pp. 264-269 ◽  
Author(s):  
Maryssa Shigesato ◽  
Jennifer Elia ◽  
Mary Tschann ◽  
Holly Bullock ◽  
Eric Hurwitz ◽  
...  
Keyword(s):  
United States ◽  
The United States ◽  
Ulipristal Acetate

United States Supreme Court Rules on Expert Testimony

PEDIATRICS ◽  
1995 ◽  
Vol 95 (6) ◽  
pp. 934-936 ◽  
Author(s):  
Gary N. McAbee
Keyword(s):  
United States ◽  
Supreme Court ◽  
Expert Testimony ◽  
Scientific Evidence ◽  
United States Supreme Court ◽  
The United States ◽  
Federal Courts ◽  
State Courts ◽  
Expert Witnesses ◽  
Us Supreme Court

Many medical and legal commentators have expressed concern about the validity of scientific evidence that is proffered by expert witnesses at depositions and in courts of law.1,2 The sparse research that is available on the testimony of medical expert witnesses suggests that it is frequently flawed and erroneous.3 On June 28, 1993, the United States (US) Supreme Court ruled on the proper standard for admissibility of scientific evidence in the courtroom.4 Although the ruling establishes guidelines that are binding only in federal courts, it is expected that many state courts will follow the Court's ruling. This commentary reviews the Court's guidelines for admissibility of expert testimony, and expresses concern about their applicability in future cases involving scientific testimony.

Unhealthy Politics

2020 ◽  
Author(s):  
Eric M. Patashnik ◽  
Alan S. Gerber ◽  
Conor M. Dowling
Keyword(s):  
United States ◽  
Health Care ◽  
Scientific Evidence ◽  
The United States ◽  
Evidence Base ◽  
Medical Industry ◽  
Evidence Based ◽  
Evidence Based Practices ◽  
Delivery Of Medical Care ◽  
Based Medicine

The U.S. medical system is touted as the most advanced in the world, yet many common treatments are not based on sound science. This book sheds new light on why the government's response to this troubling situation has been so inadequate, and why efforts to improve the evidence base of U.S. medicine continue to cause so much political controversy. The book paints a portrait of a medical industry with vast influence over which procedures and treatments get adopted, and a public burdened by the rising costs of health care yet fearful of going against “doctor's orders.” It offers vital insights into the limits of science, expertise, and professionalism in American politics. The book explains why evidence-based medicine is important. First, the delivery of unproven care can expose patients to serious risks. Second, the slow integration of evidence can lead to suboptimal outcomes for patients who receive treatments that work less well for their conditions than alternatives. Third, the failure to implement evidence-based practices encourages wasteful spending, causing the health care system to underperform relative to its level of investment. This book assesses whether the delivery of medical care in the United States is evidence based. It argues that by systematically ignoring scientific evidence (or the lack thereof), the United States is substantially out of balance.

1922–1923

2020 ◽  
pp. 136-154
Author(s):  
Barbara Barksdale Clowse
Keyword(s):  
United States ◽  
Child Health ◽  
Medical Information ◽  
The United States ◽  
American Child ◽  
Health Association

Directing Sheppard-Towner programs in Arkansas plunged Bradley into a political imbroglio and forced her resignation. She authored a set of booklets describing healthcare issues of a fictional couple. Praise for this method of disseminating accurate medical information came from all over the United States and Canada. In 1923 she delivered four lectures to the new American Child Health Association.

Introduction

2019 ◽  
pp. 3-4
Author(s):  
David L. Brody
Keyword(s):  
United States ◽  
Brain Injuries ◽  
Scientific Evidence ◽  
The United States ◽  
Medical Providers ◽  
Post Concussion Syndrome ◽  
The People ◽  
The World ◽  
Taking Care

This manual is for everyone who treats people with concussion. There are more than 3 million brain injuries each year in the United States and millions more around the world. Most of these injuries are concussions. After concussion, 30% or maybe even more can have prolonged symptoms and deficits. Much of this manual is written for the people who take care of the 30%. There is not one specific “post-concussion syndrome.” Instead, there are many post-concussive paths, and this manual is written to help those who are tasked with figuring this out, one patient at a time. This manual is about pragmatic approaches to taking care of patients in the absence of true scientific evidence. This manual is written to be used “on the fly,” right now, without a lot of prior studying or memorization. This manual is meant to supplement, not replace, the knowledge and judgment of medical providers caring for concussion patients.

Enhancing Student Productivity Using a Creativity Tutorial

2011 ◽  
pp. 915-923
Author(s):  
Monty McNair ◽  
Caroline Howard ◽  
Paul Watkins ◽  
Indira Guzman
Keyword(s):  
United States ◽  
Twentieth Century ◽  
Human Capital ◽  
21St Century ◽  
The United States ◽  
Harvard Business Review ◽  
Review Article ◽  
Central Axis ◽  
Creative Talent ◽  
Society Today

Survival in the 21st century marketplace often depends on the creativity of organizational employees (Beckett, 1992; Hermann, 1993; Johnson, 1992; Kanter, 1982). Many historians attribute the emergence of the United States (US) as a twentieth century superpower to the creativity of its population (Florida, 2005; Ehrlich, 2007). They warn that the United States may be losing its dominance due to declines in the ability to attract and sustain human capital including the creative talent critical for innovation (Florida, 2004; Florida, 2005; Ehrlich, 2007). In his Harvard Business Review article, America’s Looming Creativity Crisis, Richard Florida of Carnegie Mellon describes the importance of creativity to the wealth of a society: “Today, the terms of competition revolve around a central axis: a nation’s ability to mobilize, attract and retain human creative talent.“ In other words, nations and their citizens depend on the creativity of their residents to ensure their economic prosperity.

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