Professional liability insurance in Obstetrics and Gynecology ...

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Professional liability insurance in Obstetrics and Gynecology: estimate of the level of knowledge about malpractice insurance policies and definition of an informative tool for the management of the professional activity
Source: BMC Research Notes

Background
In recent years, due to the increasingly hostile environment in the medical malpractice field and related lawsuits in Italy, physicians began informing themselves regarding their comprehensive medical malpractice coverage.

Methods
In order to estimate the level of knowledge of medical professionals on liability insurance coverage for healthcare malpractice, a sample of 60 hospital health professionals of the obstetrics and gynaecology area of Messina (Sicily, Italy) were recluted. A survey was administered to evaluate their knowledge as to the meaning of professional liability insurance coverage but above all on the most frequent policy forms (?loss occurrence?, ?claims made? and ?I-II risk?). Professionals were classified according to age and professional title and descriptive statistics were calculated for all the professional groups and answers.

Results
Most of the surveyed professionals were unaware or had very bad knowledge of the professional liability insurance coverage negotiated by the general manager, so most of the personnel believed it useful to subscribe individual ?private? policies. Several subjects declared they were aware of the possibility of obtaining an extended coverage for gross negligence and substantially all the surveyed had never seen the loss occurrence and claims made form of the policy. Moreover, the sample was practically unaware of the related issues about insurance coverage for damages related to breaches on informed consent. The results revealed the relative lack of knowledge?among the operators in the field of obstetrics and gynaecology?of the effective coverage provided by the policies signed by the hospital managers for damages in medical malpractice. The authors thus proposed a useful information tool to help professionals working in obstetrics and gynaecology regarding aspects of insurance coverage provided on the basis of Italian civil law.

Conclusion
Italy must introduce a compulsory insurance system which could absorb, through a mechanism of ?distribution of risk?, the malpractice litigation and its costs. This will provide compensation in accidental cases where it wouldn?t be possible to demonstrate carelessness, imprudence and/or lack of skill.

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Source: http://fulltextreports.com/2011/12/18/professional-liability-insurance-in-obstetrics-and-gynecology-estimate-of-the-level-of-knowledge-about-malpractice-insurance-policies-and-definition-of-an-informative-tool-for-the-management-of-the-p/

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'God Particle' Found? Search for the Higgs Boson Narrows (Time.com)

Physics has a well-deserved reputation for being horrendously complicated, but sometimes it's the simplest questions that lead to truly profound insights. When Einstein asked himself, "What would happen if you could ride on a beam of light?" for example, the answer led him to the Special Theory of Relativity.

For the past few decades, particle physicists have been wrestling with another deceptively simple question: Why does anything have mass? You might wonder "why not?" But according to modern physics, you can't get away that easily. The existence of mass ? the property of matter that gives gravity something to pull on ? needs explaining. (Photos: The Large Hadron Particle Collider)

Now, say two independent teams of scientists who revealed their results at a symposium in Switzerland Tuesday morning, there are experimental signs of an elusive particle formally known as the Higgs boson ? and informally known as the "God particle." If the Higgs is really there, the existence of mass has finally been explained, and a Scottish physicist named Peter Higgs is a lock for the Nobel prize.

It's a big "if," though, and nobody is making an actual claim. Indeed, said Fabiola Gianotti, a member of one of the teams said at the symposium. "We cannot conclude anything at this stage." (Top 10 Scientific Breakthroughs)

But that hardly means there's nothing to say. The gathering took place in a packed auditorium at the CERN laboratory outside Geneva ? the home of the mammoth Large Hadron Collider. The LHC, which is the world's most powerful particle accelerator, works by taking subatomic protons, sending them racing in opposite directions through a 17-mile oval-shaped tunnel, then letting them smash together head-on at nearly the speed of light. The impact is powerful enough to vaporize the particles into tiny fireballs of pure energy, recreating conditions in the first moments after the Big Bang. Then, just as in the early universe, the energy re-condenses into particles. Among them may be the elusive Higgs.

That's what physicists have been hoping for, anyway, since long before the LHC was even built. It was way back in the 1960's that Peter Higgs, of the University of Edinburgh, proposed what came to be known as the "Higgs mechanism" (others came up with similar ideas, but his is the name that stuck). The way it works is ... no, let's not go there. Suffice it to say that there's a sort of energy field that pervades the universe, and that when particles like protons, neutrons, quarks and the rest interact with the Higgs field, they're rewarded with mass. The Higgs boson helps broker the transaction. (Photos: Seeking Beauty in Scientific Research)

When the Higgs condenses out of particle collisions, it immediately decays into other particles, so physicists can't see it directly; they can only reconstruct its existence from the debris, like a CSI unit reconstructing what a bomb must have looked like from the fragments. And since each mini-Big Bang creates so many particles that decay into so many other particles, the reconstruction is incredibly difficult. The good news is that the new hints of a Higgs in all of that particle debris come from not one, but two entirely different detectors at the LHC ? the ATLAS (for "A Toroidal LHC ApparatuS") and the CMS (for Compact Muon Solenoid). The two operate in different ways, as a sort of mutual cross-check.

Both detectors have seen evidence of the Higgs ? which is big news and the reason for both the symposium and all of the speculation that attended its announcement. But the less good news is that in statistical terms, that evidence weighs in at what is known as the three-sigma confidence level. No need to go here in too much detail either, except to say you'd need to get to the five-sigma stage to claim an actual discovery. "It's too early to draw a definite conclusion," said Gianotti. "We need four times as much data." (See "Higgs Boson May Have Been Found! (But Probably Not.)")

Getting that data requires many thousands of fireballs, and the LHC accelerator will need another year or more to crank all of them out and allow Gianotti and her colleagues to announce that they've indeed discovered the Higgs boson. Or not. "The number of sub-three-sigma discoveries that have turned out to be wrong," says Princeton astrophysicist Michael Strauss, "is reasonably large."

You'd think that if the hunt for the Higgs comes to nothing it would be a big disappointment for physicists. But it's not necessarily so. Finding the Higgs would add a key missing brick to the edifice of the so-called Standard Model of particle physics, which would be important ? but also just a bit dull. (See "Why the Large Hadron Collider Matters: The Search for the 'God Particle'")

"The great irony," Harvard theorist Lisa Randall told the New York Times a day or two ago, "is that not finding a Higgs boson would be spectacular from the point of view of particle physics, pointing to something more interesting than the simple Higgs model." For physicists, it turns out, "be careful what you wish," especially if you're wishing for a Higgs, may truer than it seems.

(See "Higgs Boson: The Ghost in the Machine")

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Congress leaders hope deal near on gov't shutdown (AP)

WASHINGTON ? Senate and House leaders are expressing optimism that a bipartisan deal may be near that can avert a government shutdown.

House Speaker John Boehner told reporters Thursday there is no need to close the government.

Earlier, Senate Majority Leader Harry Reid said he and the chamber's top Republican, Minority Leader Mitch McConnell, have held talks to resolve remaining disputes over extending the Social Security payroll tax, renewing jobless benefits and heading off a shutdown.

Boehner applauded Reid's remarks and said "everybody needs to step back and take a deep breath" ? and strike a deal.

Source: http://us.rd.yahoo.com/dailynews/rss/economy/*http%3A//news.yahoo.com/s/ap/20111215/ap_on_go_co/us_congress_rdp

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