Church Amendments, 42 U.S.C. § 300a-7

No individual shall be required to perform or assist in the performance of any part of a health service program or research activity funded in whole or in part under a program administered by the Secretary of Health and Human Services if his performance or assistance in the performance of such part of such program or activity would be contrary to his religious beliefs or moral convictions

Maine Did Not Comply With Federal and State Requirements for Critical Incidents Involving Medicaid Beneficiaries With Developmental Disabilities

https://digitalmaine.com/hhs_feddocs/1000/thumbnail.jp

SAMHSA\u27s Concept of Trauma and Guidance for a Trauma-Informed Approach

Trauma is a widespread, harmful and costly public health problem. It occurs as a result of violence, abuse, neglect, loss, disaster, war and other emotionally harmful experiences. Trauma has no boundaries with regard to age, gender, socioeconomic status, race, ethnicity, geography or sexual orientation. It is an almost universal experience of people with mental and substance use disorders. The need to address trauma is increasingly viewed as an important component of effective behavioral health service delivery. Additionally, it has become evident that addressing trauma requires a multi-pronged, multi-agency public health approach inclusive of public education and awareness, prevention and early identification, and effective trauma-specific assessment and treatment. In order to maximize the impact of these efforts, they need to be provided in an organizational or community context that is trauma-informed, that is, based on the knowledge and understanding of trauma and its far-reaching implications

Ensuring That Department of Health and Human Services Funds Do Not Support Coercive or Discriminatory Policies or Practices in Violation of Federal Law

SUMMARY: The Department of Health and Human Services (HHS) is issuing a final rule to ensure that Department funds do not support morally coercive or discriminatory practices or policies in violation of federal law, pursuant to the Church Amendments (42 U.S.C. 300a– 7), Public Health Service (PHS) Act § 245 (42 U.S.C. 238n), and the Weldon Amendment (Consolidated Appropriations Act, 2008, Public Law 110–161, Div. G, § 508(d), 121 Stat. 1844, 2209). This final rule defines certain key terms. In order to ensure that recipients of Department funds know about their legal obligations under these federal health care conscience protection laws, the Department is requiring written certification by certain recipients that they will comply with all three statutes, as applicable. Finally, this final rule assigns responsibility for complaint handling and investigation among the Department’s Office for Civil Rights and Department program offices

Draft Genome Sequences of Six Enterohepatic Helicobacter Species Isolated from Humans and One from Rhesus Macaques

Draft genome sequences of seven enterohepatic Helicobacter species, H. bilis, H. canadensis, H. canis, H. cinaedi, H. winghamensis, H. pullorum, and H. macacae, are presented. These isolates were obtained from clinical patients and a nonhuman primate. Due to potential zoonotic risks, we characterized antibiotic resistance markers and Helicobacter virulence factors.National Institutes of Health (U.S.) (Department of Health and Human Services, under grant U54HG003067)National Human Genome Research Institute (U.S.)National Institutes of Health (U.S.) (Department of Health and Human Services, under grant R01CA067529)National Institutes of Health (U.S.) (Department of Health and Human Services, under grant R01OD011141)National Institutes of Health (U.S.) (Department of Health and Human Services, under grant P01CA26731)National Institutes of Health (U.S.) (Department of Health and Human Services, under grant P30ES002109

Physicians', nurses' and community health workers' knowledge about physical activity in Brazil: A cross-sectional study

AbstractObjectivesTo measure knowledge of current recommendations of physical activity and consequences of physical inactivity among healthcare providers throughout Brazil.MethodsA phone survey of 1600 randomly selected primary healthcare units in Brazil was conducted between January and July 2011. At each unit, a physician, nurse or community healthcare worker (n=798) responded to a 40-minute survey, eliciting information about demographics, knowledge, and health behaviors pertaining to physical activity.ResultsAmong nurses and community healthcare workers, >95% reported needing more information on physical activity guidelines. Among physicians this proportion was 80%. Nearly 40% of the professionals incorrectly believed 90-min of moderate-intensity physical activity per week is the recommended amount for health benefits; nearly 30% believed that 90-min of vigorous-intensity activity per week is needed for the same purpose. More than 75% of all groups reported that type II diabetes, hypertension, depression, and coronary heart disease might result from physical inactivity, but on average only 60% from each group are aware of osteoporosis as a possible consequence of physical inactivity.ConclusionsTraining health professionals in how to convey all relevant information about physical activity to their patients is critical for health promotion within the primary care system in Brazil

J Perinatol

ObjectiveTo examine the association between neonatal jaundice and autism spectrum disorder (ASD) and non-ASD developmental disorder (DD).Study designWe analyzed data from the Study to Explore Early Development, a US multisite, case-control study conducted from 2007 to 2011. Developmental assessment classified children aged 2\u20135 years into: ASD (n= 636), DD (n= 777), or controls (POP; n= 926). Neonatal jaundice (n= 1054) was identified from medical records and maternal interviews. We examined associations between neonatal jaundice and ASD and DD using regression models to obtain adjusted odds ratios (aOR).ResultsOur results showed interaction between gestational age and neonatal jaundice. Neonatal jaundice was associated with ASD at 35\u201337 weeks (aOR = 1.83, 95%CI 1.05, 3.19), but not 6538 weeks gestation (aOR = 0.97, 95%CI 0.76, 1.24). Similar results were observed with DD.ConclusionsFurther exploration of timing and severity of neonatal jaundice and ASD/DD is warranted.20192021-02-01T00:00:00ZU10 DD000180/DD/NCBDD CDC HHS/United StatesT32 HD052468/HD/NICHD NIH HHS/United StatesT32HD052468/U.S. Department of Health & Human ServicesNIHEunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD)/U10DD000750/U.S. Department of Health & Human ServicesCenters for Disease Control and Prevention (CDC)/U10 DD000181/DD/NCBDD CDC HHS/United StatesU10DD000180/U.S. Department of Health & Human ServicesU10 DD000184/DD/NCBDD CDC HHS/United StatesU01 DD000750/DD/NCBDD CDC HHS/United StatesU10 DD000182/DD/NCBDD CDC HHS/United StatesU10DD000183/U.S. Department of Health & Human ServicesU10 DD000183/DD/NCBDD CDC HHS/United StatesU10DD000184/U.S. Department of Health & Human ServicesU10DD000498/U.S. Department of Health & Human ServicesU01 DD000498/DD/NCBDD CDC HHS/United StatesU10DD000181/U.S. Department of Health & Human ServicesCC999999/ImCDC/Intramural CDC HHS/United States31388117PMC7031756723

Evaluation of the Capitainer-B microfluidic device as a new hematocrit-independent alternative for dried blood spot collection

The hematocrit-bias still remains one of the most discussed issues when it comes to dried blood spot (DBS) analysis. Therefore, many attempts to cope with this issue have been made, among which the development of novel sampling tools such as the Capitainer-B (further referred to as MF (microfluidic)-DBS) devices. These are designed to allow a straightforward absorption of a fixed volume (13.5 mu L) of blood by a preperforated paper disc, which can be analyzed afterward. The aim of this study was to evaluate the potential of these devices to nullify the hematocrit-based area bias and to investigate whether the amount of blood applied has an influence on the device performance. An LC-MS/MS method for the quantification of caffeine and paraxanthine in MF-DBS was fully validated, meeting all preset acceptance criteria. In a next step, using a set of 133 authentic, venous patient samples with a hematocrit range of 18.8-55.0, concentrations of both compounds in MF-DBS were compared to those in corresponding partial-punch pipetted DBS (PI-DBS) and liquid blood samples. When compared to blood as a reference, the concentrations obtained in MF-DBS were not affected by a bias in function of the evaluated hematocrit, in contrast to those obtained from partial-punch PI-DBS. Furthermore, analysis of samples resulting from spiking different volumes of whole blood at different hematocrit levels, revealed that the amount of blood applied at the device inlet has no influence on the performance of the devices. Therefore, it can be concluded from this study, being the first in which the impact of the hematocrit and the applied volume is evaluated by analyzing authentic, venous patient samples, that MF-DBS devices effectively assist in eliminating the hematocrit-based area bias, independently from the applied blood volume

Naturally Better? A Review of the Natural‐is‐Better Bias

People are frequently exposed to products and services that are labeled natural (e.g., Nature Made Vitamins or GoJo Natural Orange Hand Cleaner). The frequency with which this label is used suggests that it delivers an advantage in marketing and sales. Our review examines the preference for and perception of naturalness and reveals that people have a bias for items described as natural in many domains including foods, medicine, beauty products, cigarettes, and lighting. These preferences abound even when the natural item is identical or not objectively better than the non‐natural or synthetic item. We believe this bias may be driven by a natural‐is‐better default belief as well as the belief that natural items are safer than non‐natural items. Although a bias for natural items is apparent, this literature is in its infancy, and we suggest three areas that will help build and refine the empirical research base and theory: the measurement of behavior, the examination of individual differences, and the development of methods for reducing the bias. A better understanding of the naturalness bias relevant to these areas will lead to a more comprehensive understanding of the area, including factors that may cause and reduce it