Verbal and physical violence towards hospital- and community-based physicians in the Negev: an observational study

BACKGROUND: Over recent years there has been an increasing prevalence of verbal and physical violence in Israel, including in the work place. Physicians are exposed to violence in hospitals and in the community. The objective was to characterize acts of verbal and physical violence towards hospital- and community-based physicians. METHODS: A convenience sample of physicians working in the hospital and community completed an anonymous questionnaire about their experience with violence. Data collection took place between November 2001 and July 2002. One hundred seventy seven physicians participated in the study, 95 from the hospital and 82 from community clinics. The community sample included general physicians, pediatricians, specialists and residents. RESULTS: Ninety-nine physicians (56%) reported at least one act of verbal violence and 16 physicians (9%) reported exposure to at least one act of physical violence during the previous year. Fifty-one hospital physicians (53.7%) were exposed to verbal violence and 9 (9.5%) to physical violence. Forty-eight community physicians (58.5%) were exposed to verbal violence and 7 (8.5%) to physical violence. Seventeen community physicians (36.2%) compared to eleven hospital physicians (17.2%) said that the violence had a negative impact on their family and on their quality of life (p < 0.05). The most common causes of violence were long waiting time (46.2%), dissatisfaction with treatment (15.4%), and disagreement with the physician (10.3%). CONCLUSION: Verbal and/or physical violence against physicians is common in both the hospital and in community clinics. The impatience that accompanies waiting times may have a cultural element. Shortening waiting times and providing more information to patients and families could reduce the rate of violence, but a cultural change may also be required

Acute presentation of a heterotopic pregnancy following spontaneous conception: a case report

Spontaneous heterotopic pregnancy is a rare clinical condition in which intrauterine and extra uterine pregnancies occur at the same time. It can be a life threatening condition and can be easily missed with the diagnosis being overlooked. We present the case of a 40 year old patient who was treated for a heterotopic pregnancy. She had a transvaginal ultrasound because of a previous ectopic pregnancy and an intrauterine gestational sac was seen with false reassurances. The patient presented acutely with a ruptured tubal pregnancy and this was managed laparoscopically. The ectopic pregnancy was not suspected at her initial presentation. A high index of suspicion is needed in women with risk factors for an ectopic pregnancy and in low risk women who have free fluid with or without an adnexal mass with an intrauterine gestation

Network-Free Inference of Knockout Effects in Yeast

Perturbation experiments, in which a certain gene is knocked out and the expression levels of other genes are observed, constitute a fundamental step in uncovering the intricate wiring diagrams in the living cell and elucidating the causal roles of genes in signaling and regulation. Here we present a novel framework for analyzing large cohorts of gene knockout experiments and their genome-wide effects on expression levels. We devise clustering-like algorithms that identify groups of genes that behave similarly with respect to the knockout data, and utilize them to predict knockout effects and to annotate physical interactions between proteins as inhibiting or activating. Differing from previous approaches, our prediction approach does not depend on physical network information; the latter is used only for the annotation task. Consequently, it is both more efficient and of wider applicability than previous methods. We evaluate our approach using a large scale collection of gene knockout experiments in yeast, comparing it to the state-of-the-art SPINE algorithm. In cross validation tests, our algorithm exhibits superior prediction accuracy, while at the same time increasing the coverage by over 25-fold. Significant coverage gains are obtained also in the annotation of the physical network

Sustainable Fashion—Rationale and Policies

Sustainable fashion refers to efforts to minimize the fashion industry’s adverse environmental and social impacts. This entry describes the industry’s entire production chain: from polyester production, cotton growth and wasteful fashion consumption patterns to landfilling, where so many clothes end up. The entry characterizes the drivers behind the industry’s poor record regarding sustainability and employee exploitation, as well as new policies around the world designed to improve the industry’s performance These include the Australian Modern Slavery law, the French law prohibiting the destruction of textile surpluses and the New York Fashion Sustainability and Social Accountability Act

Sustainable Fashion&mdash;Rationale and Policies

Sustainable fashion refers to efforts to minimize the fashion industry&rsquo;s adverse environmental and social impacts. This entry describes the industry&rsquo;s entire production chain: from polyester production, cotton growth and wasteful fashion consumption patterns to landfilling, where so many clothes end up. The entry characterizes the drivers behind the industry&rsquo;s poor record regarding sustainability and employee exploitation, as well as new policies around the world designed to improve the industry&rsquo;s performance These include the Australian Modern Slavery law, the French law prohibiting the destruction of textile surpluses and the New York Fashion Sustainability and Social Accountability Act

Regulation for Promoting Sustainable, Fair and Circular Fashion

Over the past few decades, the production and consumption of clothing has increased exponentially, leading to a dramatic increase in the negative environmental consequences produced by the fashion industry. Given the rising pace of global warming and the rising concern about the fashion industry’s contribution to the climate crisis and its exploitative social dimensions, decision makers, politicians and government officials have begun to promote sustainable fashion through public policy. This article reviews the main barriers facing a circular economy in general and the fashion industry in particular. It considers nascent regulations emerging throughout the world in the field of sustainable fashion, applying circular economic principles to the fashion industry. Four categories of policy proposals are evaluated: Command and Control Interventions, Educational Initiatives, Incentives and Certification, grading them according to criteria of effectiveness, sustainability, feasibility, equity and compliance. The ranking process was based on an elicitation of expert judgement among a panel with expertise in the areas of sustainable fashion from the business sector, academia and civil society. Findings suggest that while some policy options appear to meet all criteria successfully, when selecting an optimal strategy for promoting sustainable fashion, there are frequently trade-offs between different alternatives