From 32 Ounces to Zero: A Medical Geographic Study of Dispensing a Cultivated Batch of “plum” Cannabis Flowers to Medical Marijuana Patients in Washington State.

From 32 ounces to zero: a medical geographic study of dispensing a cultivated batch of “plum” cannabis flowers to medical marijuana patients in Washington State.

J Psychoactive Drugs. 2013 Apr-Jun; 45(2): 141-55
Aggarwal SK, Carter GT, Zumbrunnen C, Morrill R, Sullivan M, Mayer JD

The medicinal use of cannabis is a growing phenomenon in the U.S. predicated on the success of overcoming specific spatial challenges and establishing particular human-environment relationships. This article takes a medical geographic “snapshot” of an urban site in Washington State where qualifying chronically ill and debilitated patients are delivered locally produced botanical cannabis for medical use. Using interview, survey, and observation, this medical geographic research project collected information on the social space of the particular delivery site and tracked the production cost, reach, and health value of a 32-ounce batch of strain-specific medical cannabis named “Plum” dispensed over a four-day period. A convenience sample of 37 qualifying patients delivered this batch of cannabis botanical medicine was recruited and prospectively studied with survey instruments. Results provide insight into patients’ self-rated health, human-plant relationships, and travel-to-clinic distances. An overall systematic geographic understanding of the medical cannabis delivery system gives a grounded understanding of the lengths that patients and care providers go, despite multiple hurdles, to receive and deliver treatment with botanical cannabis that relieves diverse symptoms and improves health-related quality-of-life. HubMed – rehab

Clostridium difficile infection outbreak in a male rehabilitation ward, Hong Kong Special Administrative Region (China), 2011.

Western Pac Surveill Response J. 2012 Oct; 3(4): 59-60
Lam TS, Yuk MT, Tsang NC, Wong MH, Chuang SK

HubMed – rehab

Evolving pandemic diabetic nephropathy.

Rambam Maimonides Med J. 2010 Jul; 1(1): e0005
Friedman EA

The expanding impact of chronic kidney disease (CKD) due to pandemic diabetes mellitus is recounted emphasizing its epidemiology that has induced global socioeconomic stress on health care systems in industrialized nations now attempting to proffer optimal therapy for end stage renal disease (ESRD). Strategies to delay and perhaps prevent progression of diabetic nephropathy from minimal proteinuria through nephrotic range proteinuria and azotemia to ESRD appear to have decreased the rate of persons with diabetes who develop ESRD. For those with ESRD attributed to diabetes, kidney transplantation affords better survival and rehabilitation than either hemodialysis or peritoneal dialysis. It is likely that advances in genetics and molecular biology will suggest early interventions that will preempt diabetic complications including renal failure. HubMed – rehab

Occupational therapists and patients’ rights: their level of Clinical knowledge.

J Med Ethics Hist Med. 2013; 6: 3
Dehghan L, Dalvand H, Haghgoo HA, Hosseini SA, Karimlou M

Addressing patients’ rights issues brings occupational therapists ethical and political responsibilities that involve patients’ privileges and new facilitating factors which influence their needs. The goal of this study was to determine the level of occupational therapists’ knowledge about patients’ rights. The present research was a cross-sectional study which involved 125 occupational therapists chosen by a convenience sampling strategy in Tehran during the year of 2012. A four-part questionnaire was used for data collection, and the degree of the subjects’ self-assessment of their knowledge was measured based on the obtained numbers of correct answers in the third part. The validity and reliability of this questionnaire were assessed prior to its being distributed among participants. The results demonstrated no significant association between the level of occupational therapists’ knowledge about patients’ rights and their existing experiences within their areas of occupational therapy (P>0.05). Based on the result, 53.6% of the respondents had high level of knowledge about patients’ rights. Facilitating factors which influence the attainment of patients’ rights were classified into three groups: organizations, therapists and clients. The results of the present research demonstrated that the level of occupational therapists’ knowledge about patients’ rights were high. Furthermore, this study showed that for optimal result, there is a need to provide milieu for observing the patients’ rights in clinical occupational therapy services. HubMed – rehab

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