Search

Background: Antimicrobial stewardship (AMS) provides a means of tackling antimicrobial resistance (AMR). Unfortunately, in Nigeria, like in some other low-and-middle-income countries (LMICs), AMS practice has been lacklustre due to poor institutional support amongst other factors. Efforts were made to address this situation by engaging with the management of National Hospital Abuja, Nigeria, using antibiotic prescription information obtained through repeated point prevalence survey. Methodology: Two rounds of antibiotic PPS were conducted in 2015 and 2017 using the Global Point Prevalence Survey (G-PPS) format. Data were collected from all inpatients receiving antibiotics on the selected day of study, including patient characteristics, antimicrobial prescription details, laboratory results and information on a set of quality indicators. The data were uploaded to an online G-PPS application hosted at the University of Antwerp in Belgium for validation, analysis and reporting. Results: The PPS data showed that hospital-wide antibiotic use prevalence increased from 58% in 2015 to 61% in 2017. Surgical prophylaxis beyond 24 hours also increased from 88-90% in 2015 to 100% in 2017, and only minority of therapies were supported by laboratory input for diagnosis and monitoring; 22% in 2015 and 5% in 2017. Conclusion: These results were used for evidence-based engagement with the management to formally support AMS activities in the hospital. Positive outcomes were the formal reconstitution and inauguration of AMS committee in 2018 as well as the issuance of a formal policy statement by the hospital in 2020. The ease and free availability of Global PPS methodology makes it ideal in driving antimicrobial stewardship programme (ASP) in LMICs like Nigeria. [ABSTRACT FROM AUTHOR]

Vogelstein cautions medical organizations against jumping into the fray of controversial issues, yet proffers the 2012 American Academy of Pediatrics' Task Force policy position on infant male circumcision as 'an appropriate use of position-statements.' Only a scratch below the surface of this policy statement uncovers the Task Force's failure to consider Vogelstein's many caveats. The Task Force supported the cultural practice by putting undeserved emphasis on questionable scientific data, while ignoring or underplaying the importance of valid contrary scientific data. Without any effort to quantitatively assess the risk/benefit balance, the Task Force concluded the benefits of circumcision outweighed the risks, while acknowledging that the incidence of risks was unknown. This Task Force differed from other Academy policy-forming panels by ignoring the Academy's standard quality measures and by not appointing members with extensive research experience, extensive publications, or recognized expertise directly related to this topic. Despite nearly 100 publications available at the time addressing the substantial ethical issues associated with infant male circumcision, the Task Force chose to ignore the ethical controversy. They merely stated, with minimal justification, the opinion of one of the Task Force members that the practice of infant male circumcision is morally permissible. The release of the report has fostered an explosion of academic discussion on the ethics of infant male circumcision with a number of national medical organizations now decrying the practice as a human rights violation. [ABSTRACT FROM AUTHOR]

This EFOMP Policy Statement is an amalgamation and an update of the EFOMP Policy Statements No. 2, 4 and 7. It presents guidelines for the roles, responsibilities and status of the medical physicist together with recommended minimum staffing levels. These recommendations take into account the ever-increasing demands for competence, patient safety, specialisation and cost effectiveness of modern healthcare services, the requirements of the European Union Council Directive 2013/59/Euratom laying down the basic safety standards for protection against the dangers arising from exposure to ionising radiation, the European Commission’s Radiation Protection Report No. 174: “Guidelines on medical physics expert”, as well as the relevant publications of the International Atomic Energy Agency. The provided recommendations on minimum staffing levels are in very good agreement with those provided by both the European Commission and the International Atomic Energy Agency. [ABSTRACT FROM AUTHOR]

This EFOMP Policy Statement is an update of Policy Statement No. 6 first published in 1994. The present version takes into account the European Union Parliament and Council Directive 2013/55/EU that amends Directive 2005/36/EU on the recognition of professional qualifications and the European Union Council Directive 2013/59/EURATOM laying down the basic safety standards for protection against the dangers arising from exposure to ionising radiation. The European Commission Radiation Protection Report No. 174, Guidelines on Medical Physics Expert and the EFOMP Policy Statement No. 12.1, Recommendations on Medical Physics Education and Training in Europe 2014, are also taken into consideration. The EFOMP National Member Organisations are encouraged to update their Medical Physics registration schemes where these exist or to develop registration schemes taking into account the present version of this EFOMP Policy Statement (Policy Statement No. 6.1“Recommended Guidelines on National Registration Schemes for Medical Physicists”). [ABSTRACT FROM AUTHOR]

Abstract: This EFOMP Policy Statement outlines the way in which a Safety and Quality Management System can be developed for Medical Physics Departments. The Policy Statement can help Medical Physicists to eliminate or at least minimize accidents or incidences due to improper use or application of medical technology on one hand and on the other to guarantee a safe, effective and efficient usage of new highly complicated and sophisticated technologies and procedures. [Copyright &y& Elsevier]

The debate about the installation of a tramway in Paris stretched out over a decade. Two rival projects were put forward, each one focusing on a different aspect of the problem: town-planning on the one hand, transport on the other. The present article looks at the decision-making process, and the accompanying techno-political controversies. This form of analysis makes it possible to understand the different actors' viewpoints, and to make sense of their “policy statements”. Our primary concern is to show how the decision-making process in question depended on the different protagonists' ability to provide convincing arguments, transforming the tramway issue into a problem solving exercise. [ABSTRACT FROM AUTHOR]

On 18 September 2004, The Wildlife Society (TWS) published an official policy statement on economic growth and wildlife conservation. We believe this policy statement did not adequately address the issues. Thus, TWS missed an opportunity to lead the natural resource profession in refuting the fallacious rhetoric that "there is no conflict between economic growth and wildlife conservation" through the adoption of a strong policy statement on economic growth. Although we commend TWS Council for adopting a policy statement on economic growth, we believe the final wording contains several weaknesses. Here, we take a closer look at the statement and further evaluate how it might be strengthened in the future. [ABSTRACT FROM AUTHOR]

The study investigates the effectiveness of an approach used in the UK, designed to help small enterprises set up and operate a simple health and safety management system. The approach is based on the introduction of a health and safety policy and risk assessment with the development of appropriate subsequent control measures. The effectiveness of the approach was assessed by follow up visits to 24 enterprises that had previously received help. The assessment consisted of interview, inspection of premises, document examination and assessment of training and maintenance standards. It was found that the approach was effective in almost all the cases in helping enterprise managers to produce adequate policy statements and risk assessments and to introduce an effective health and safety management system. However, many of the necessary arrangements had been in place prior to the intervention. It is suggested that the intervention may have been effective in bringing these diverse arrangements together and in augmenting them in order to produce a coherent management system. There is evidence that it has also developed the necessary knowledge and confidence in the enterprise manager to maintain and develop the system. The results are discussed in relation to similar European initiatives. [Copyright &y& Elsevier]

The index 2014 ISASS Policy Statement - Minimally Invasive Sacroiliac Joint Fusion was generated out of necessity to provide an ICD9-based background and emphasize tools to ensure correct diagnosis. A timely ICD10-based 2016 Update provides a granular threshold selection with improved level of evidence and a more robust, relevant database.