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Facilitators and Barriers of Implementing Expanded Sexually Transmitted Infection Screening in California Family Planning Clinics.
Sex Transm Dis
January 2025
Planned Parenthood, Northern California, Sacramento.
Background: Reportable sexually transmitted infections (STIs) have increased in California, with dramatic rises in prenatal and congenital syphilis. In response, in 2018 Planned Parenthood Northern California implemented 2 opt-out screening protocols: (1) HIV, chlamydia, gonorrhea, and syphilis co-screening for pregnant patients at pregnancy diagnosis and (2) linking HIV and syphilis screening for all patients.
Methods: Using qualitative analyses, we explored implementation barriers and facilitators that can be addressed by clinical leadership and staff to expand uptake of enhanced screening protocols.
The provision of abortion in Australia: service delivery as a bioethical concern.
Monash Bioeth Rev
December 2024
School of Medicine and Psychology, Australian National University, Canberra, Australia.
Despite significant progress in the legalization and decriminalization of abortion in Australia over the past decade or more recent research and government reports have made it clear that problems with the provision of services remain. This essay examines such issues and sets forth the view that such issues can and should be seen as (bio)ethical concerns. Whilst conscientious objection-the right to opt-out of provision on the basis of clear ethical reservations-is a legally and morally permissible stance that healthcare professionals can adopt, this does not mean those working in healthcare can simply elect not to be providers absent a clear ethical rationale.
View Article and Find Full Text PDFInteractive Media-Based Approach for an Exception From Informed Consent Trial Involving Patients With Trauma.
JAMA Surg
September 2024
Center for Injury Science, University of Alabama at Birmingham, Birmingham.
Importance: Exception From Informed Consent (EFIC) research requires community consultation (CC) and public disclosure (PD). Traditional methods of conducting CC and PD are slow, expensive, and labor intensive.
Objective: To describe the feasibility and reach of a novel interactive, media-based approach to CC and PD and to identify the similarities and differences between trial sites in website views, survey responses, online community forum attendance, and opt-out requests.
The practice of Daylight Saving Time in Canada: Its suitability with respect to sleep and circadian rhythms.
Can J Public Health
April 2024
Canadian Sleep Research Consortium.
Daylight Saving Time (DST) is the practice of setting the clocks one hour forward from Standard Time (ST) in the spring and back again to ST in the fall. This commentary discusses the impact of bi-annual time changes on sleep and circadian rhythms and suggests avenues to minimize negative outcomes on the well-being of Canadian citizens. Ideally, ST should be close to solar time, meaning that daylight is equally distributed before and after noon time, i.
View Article and Find Full Text PDFIn women aged 45 to 75 y, opt-out vs. opt-in breast cancer screening outreach did not increase mammography rates.
Ann Intern Med
February 2024
NYU Langone School of Medicine, New York, New York, USA (M.T.).
Marcotte LM, Deeds S, Wheat C, et al. JAMA Intern Med. 2023;183:1187-1194.
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