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Beyond anxiety: Autonomy and harm reduction approaches to DIY Hormone Replacement Therapy.
Indian J Med Ethics
January 2025
Assistant Professor of Practice, Centre for Writing & Pedagogy, Krea University; Working Editor, Indian Journal of Medical Ethics, INDIA.
A researcher in a Hyderabad-based science institution, Roshni (name changed to preserve anonymity) started identifying as a transgender woman in 2018, and wanted to start her medical transition - the process by which transgender people seek to affirm and express their gender using medical interventions.
View Article and Find Full Text PDFImpact of Order Restrictions on Hemoglobin A1c Requests at Primary Health Care Centers in Riyadh, Saudi Arabia.
Risk Manag Healthc Policy
January 2025
Department of Family Medicine, King Abdulaziz Medical City, Ministry of National Guard Health Affairs, Riyadh, Saudi Arabia.
Purpose: The aim of the study was to assess the effect of policy intervention on the physician ordering of HbA1c for the patients seen at the primary health care center in Riyadh, Saudi Arabia.
Methods: The study included patients over the age of 18 for whom HbA1c tests were ordered before and after the policy restrictions were implemented at the three main Primary Health Care Centers under the Ministry of National Guard Health Affairs (MNGHA) in Riyadh, between October 2020 and August 2023. Several data management steps and restrictions were carried out to identify the patients seen before and after the intervention and controlled for the confounders.
The relationship of productivity-based wages to human rights and occupational justice - an exploratory study.
J Intellect Dev Disabil
September 2024
Occupational Therapy Program, School of Rehabilitation Therapy, Queen's University, Kingston, Canada.
Background: Productivity-based wage systems are intended to enhance the labour market participation of people with disabilities. Limited scholarship exists regarding the impact of such policies in practice. This qualitative study explored stakeholder perspectives on the Australian Supported Wage System (SWS), including perceptions of fairness and equity.
View Article and Find Full Text PDFMilitary influences on the evolution of clinical trials throughout history.
Clin Trials
January 2025
Department of Urology, University of Rochester Medical Center, Rochester, NY, USA.
Clinical trials of drugs, procedures, and other therapies play a crucial role in advancing medical science by evaluating the safety, efficacy, and optimal use of medical interventions. The design and implementation of these trials have evolved significantly over time, reflecting advancements in medicine, ethics, and methodology. Early historical examples, such as King Nebuchadnezzar II's and his captives' dietary experiment and Ambroise Paré's treatment of gunshot wounds, laid some foundational principles of trial design.
View Article and Find Full Text PDFEquality and diversity in research: building an inclusive future.
BMC Res Notes
January 2025
Department of General Surgery, The Royal Marsden Hospital, London, UK.
Research progress and innovation are hindered by barriers, inequalities, and exclusions within academia. Embracing equality, diversity, and inclusion (EDI) is not only an ethical imperative but also essential for advancing knowledge and addressing global challenges. EDI principles ensure that researchers from all backgrounds have equitable opportunities to contribute to and benefit from research.
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