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Dignity respect

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https://www.readbyqxmd.com/read/28211805/diagnostic-accuracy-and-interobserver-variability-of-dynamic-vascular-pattern-dvp-in-primary-liver-malignancies-a-simple-semiquantitative-tool-for-the-analysis-of-contrast-enhancement-patterns
#1
B Schellhaas, M J Waldner, R S GÖrtz, F Vitali, Ch Kielisch, L Pfeifer, D Strobel, R Janka, M F Neurath, D Wildner
BACKGROUND: Contrast-enhanced ultrasound (CEUS) is a valuable tool in the diagnostic approach of focal liver lesions, but occasionally subjective and observer-dependent. Semiquantitative evaluation of dynamic CEUS (DCEUS) with standardised software programmes such as Dynamic Vascular Pattern (DVP) could help to improve diagnostic accuracy and objectivity in liver tumour assessment. OBJECTIVES: The present study aimed at evaluation of diagnostic accuracy of DVP in a clinical setting...
February 17, 2017: Clinical Hemorheology and Microcirculation
https://www.readbyqxmd.com/read/28210521/the-right-to-die-in-chronic-disorders-of-consciousness-can-we-avoid-the-slippery-slope-argument
#2
REVIEW
Rocco Salvatore Calabrò, Antonino Naro, Rosaria De Luca, Margherita Russo, Lory Caccamo, Alfredo Manuli, Alessia Bramanti, Placido Bramanti
Managing individuals with chronic disorders of consciousness raises ethical questions about the appropriateness of maintaining life-sustaining treatments and end-of-life decisions for those who are unable to make decisions for themselves. For many years, the positions fostering the "sanctity" of human life (i.e., life is inviolable in any case) have led to maintaining life-sustaining treatments (including artificial nutrition and hydration) in patients with disorders of consciousness, allowing them to live for as long as possible...
November 2016: Innovations in Clinical Neuroscience
https://www.readbyqxmd.com/read/28196454/quality-of-life-and-ethics
#3
Laís Fumincelli, Alessandra Mazzo, José Carlos Amado Martins, Isabel Amélia Costa Mendes
BACKGROUND: In health, ethics is an essential aspect of practice and care and guarantees a better quality of life for patients and their caregivers. OBJECTIVE: To outline a conceptual analysis of quality of life and ethics, identifying attributes, contexts and magnitudes for health. METHOD: A qualitative design about quality of life and ethics in health, considering the evolutionary approach in order to analyse the concept. To collect the data, a search was done using the keywords ethic*, quality of life and health...
January 1, 2017: Nursing Ethics
https://www.readbyqxmd.com/read/28192554/using-patient-centered-care-after-a-prenatal-diagnosis-of-trisomy-18-or-trisomy-13-a-review
#4
Shelly Haug, Mitchell Goldstein, Denise Cummins, Elba Fayard, T Allen Merritt
Importance: Patient-centered care (PCC) has been advocated by the Institute of Medicine to improve health care in the United States. Four concepts of PCC align with clinical ethics principles and are associated with enhanced patient/parent satisfaction. These concepts are dignity and respect, information sharing, participation, and collaboration. The objective of this article is to use the PCC approach as a framework for an extensive literature review evaluating the current status of counseling regarding prenatal diagnosis of trisomy 18 (T18) or trisomy 13 (T13) and to advocate PCC in the care of these infants...
February 13, 2017: JAMA Pediatrics
https://www.readbyqxmd.com/read/28190696/ethical-issues-in-research
#5
REVIEW
Raul Artal, Sheldon Rubenfeld
Biomedical research is currently guided by ethical standards that have evolved over many centuries. Historical and political events, social and legal considerations, and continuous medical and technological advances have led to the prevailing research ethics and practice. Currently, patients and research subjects have complete autonomy while under medical care or when volunteering as research subjects. Enrolling volunteers in human subjects research includes a detailed and meaningful informed consent process that follows the cardinal principles of ethics: autonomy, beneficence, nonmaleficence, and justice...
January 23, 2017: Best Practice & Research. Clinical Obstetrics & Gynaecology
https://www.readbyqxmd.com/read/28182266/words-matter-restoring-respect-and-dignity-when-referring-to-individuals-with-cancer
#6
Lee M Ellis, Charles D Blanke, Elise C Kohn
No abstract text is available yet for this article.
February 9, 2017: Cancer
https://www.readbyqxmd.com/read/28166861/effect-of-dignity-therapy-on-end-of-life-psychological-distress-in-terminally-ill-portuguese-patients-a-randomized-controlled-trial
#7
Miguel Julião, Fátima Oliveira, Baltazar Nunes, António Vaz Carneiro, António Barbosa
OBJECTIVE: Dignity therapy (DT) is a brief form of psychotherapy developed for patients living with a life-limiting illness that has demonstrated efficacy in treating several dimensions of end-of-life psychological distress. Our aim was to determine the influence of DT on demoralization syndrome (DS), the desire for death (DfD), and a sense of dignity (SoD) in terminally ill inpatients experiencing a high level of distress in a palliative care unit. METHOD: A nonblinded phase II randomized controlled trial was conducted with 80 patients who were randomly assigned to one of two groups: the intervention group (DT + standard palliative care [SPC]) or the control group (SPC alone)...
February 7, 2017: Palliative & Supportive Care
https://www.readbyqxmd.com/read/28134412/-guide-document-for-assistance-the-end-of-the-life
#8
Gian Piero Sancipriano
There are not any laws in Italy that rule the path of the end of life. Therefore, the doctor has to take as a reference the Supreme Judgment of the Court of Cassation 16/10/2007 n 21748. The author is proposing a different, realistic and convenient form that could be used by the patient and both his tutor and doctor to walk through the path that brings to the end of life. This document shows respect for the sanctity of life and safeguards willingness and dignity of the patient. Its purpose is to register the treatment for symptoms that leads to death, basing the relationship between a patient and his doctor on trust and confidence...
November 2016: Giornale Italiano di Nefrologia: Organo Ufficiale Della Società Italiana di Nefrologia
https://www.readbyqxmd.com/read/28134410/-does-clinical-methodology-yet-exist
#9
Mario Timio, Anteo Di Napoli, Francesca Timio, Giuseppe Quintaliani
Up to 1968, clinical methodology was considered a central step in construction of Medical procedure. Later, after specialization or high specialization introduction, it totally disappeared. The results is the absence of any epistemological knowledge in the construction of diagnosis, based on two main theory: inductivism and hypothetico-deductivism. Both start from the point that diagnostic theory can be developed in close touch with experiment and observation. The inductive theory builds up the diagnosis on the multiple observations, while the deductive theory formulates the diagnosis from the bright idea which inspires the doctor who then has to check his theory by observation...
November 2016: Giornale Italiano di Nefrologia: Organo Ufficiale Della Società Italiana di Nefrologia
https://www.readbyqxmd.com/read/28109423/moving-beyond-the-debate-over-restricting-sugary-drinks-in-the-supplemental-nutrition-assistance-program
#10
EDITORIAL
Marlene B Schwartz
To address the dual problem of food insecurity and poor nutrition, the U.S. Department of Agriculture has recently revised the nutrition standards for nearly all of its federal food programs to align with the Dietary Guidelines for Americans. One notable exception is the Supplemental Nutrition Assistance Program (SNAP). Policy proposals to restrict SNAP benefits based on nutrition quality (e.g., excluding sugary drinks) have generated controversy and have polarized previous research and advocacy allies. This essay presents many of the issues that have emerged, which include challenges about the feasibility, justification, and effectiveness of restricting benefits; the risk of a slippery slope; concerns about participant dignity; and finally, distrust about the motives behind promoting and opposing a policy change...
February 2017: American Journal of Preventive Medicine
https://www.readbyqxmd.com/read/28100561/investigation-of-the-degree-of-organisational-influence-on-patient-experience-scores-in-acute-medical-admission-units-in-all-acute-hospitals-in-england-using-multilevel-hierarchical-regression-modelling
#11
Paul Sullivan, Derek Bell
OBJECTIVES: Previous studies found that hospital and specialty have limited influence on patient experience scores, and patient level factors are more important. This could be due to heterogeneity of experience delivery across subunits within organisations. We aimed to determine whether organisation level factors have greater impact if scores for the same subspecialty microsystem are analysed in each hospital. SETTING: Acute medical admission units in all NHS Acute Trusts in England...
January 18, 2017: BMJ Open
https://www.readbyqxmd.com/read/28095761/the-caring-encounter-in-nursing
#12
Gunilla Holopainen, Lisbet Nyström, Anne Kasén
BACKGROUND: The concept 'encounter' occurs in caring literature as a synonym for dialogue and relation describing deeper levels of interaction between patient and nurse. In nursing and caring research, the concept 'caring encounter' is often used without further reflection on the meaning of the concept. Encounters are, however, continuously taking place in the world of caring, which calls for a clarification of the concept. OBJECTIVES: This study is an analysis of the concept of caring encounter in nursing from the patients' and nurses' point of view...
January 1, 2017: Nursing Ethics
https://www.readbyqxmd.com/read/28086950/healthcare-system-responsiveness-in-jiangsu-province-china
#13
Jianqian Chao, Boyang Lu, Hua Zhang, Liguo Zhu, Hui Jin, Pei Liu
BACKGROUND: The perceived responsiveness of a healthcare system reflects its ability to satisfy reasonable expectations of the public with respect to non-medical services. Recently, there has been increasing attention paid to responsiveness in evaluating the performance of a healthcare system in a variety of service settings. However, the factors that affect the responsiveness have been inconclusive so far and measures of improved responsiveness have not always thoroughly considered the factors...
January 13, 2017: BMC Health Services Research
https://www.readbyqxmd.com/read/28075313/stories-of-dignity-within-healthcare-research-narratives-and-theories-tranv%C3%A3-g-oscar-synnes-oddgeir-and-mcsherry-wilf-stories-of-dignity-within-healthcare-research-narratives-and-theories-212pp-%C3%A2-35-m-k-publishers-9781905539970-1905539975-formula-see-text
#14
(no author information available yet)
Dignity is fundamental to us all. It is reflected in what we do every day and includes respect, attitudes and behaviour. It applies to the worth we see in ourselves and how we see and treat others. As healthcare professionals, we have our own dignity and also need to ensure we preserve the dignity of others.
January 11, 2017: Nursing Standard
https://www.readbyqxmd.com/read/28027748/intra-individual-comparison-of-caipirinha-vibe-technique-with-conventional-vibe-sequences-in-contrast-enhanced-mri-of-focal-liver-lesions
#15
M H Albrecht, B Bodelle, A Varga-Szemes, P Dewes, A M Bucher, B D Ball, C N De Cecco, U J Schoepf, X Zhu, S Zangos, T Gruber-Rouh, J L Wichmann, T Lehnert, T J Vogl
PURPOSE: To evaluate the impact of controlled aliasing in parallel imaging results in higher acceleration (CAIPIRINHA) volume interpolated breath-hold examination (VIBE) magnetic resonance imaging (MRI) technique on image quality, reader confidence, and inter-observer agreement for the assessment of focal liver lesions in comparison with the standard VIBE approach. MATERIAL AND METHODS: In this IRB-approved intra-individual comparison study, abdominal arterial and portal-venous contrast-enhanced MRI studies were retrospectively analyzed in 38 patients with malignant liver lesions...
January 2017: European Journal of Radiology
https://www.readbyqxmd.com/read/28003386/a-proposed-model-for-assessing-defendant-competence-to-self-represent
#16
Mitzi M S White, Thomas G Gutheil
The increasing number of criminal defendants who are choosing to self-represent poses special challenges for legal systems with regard to the types of limits that should be placed on a defendant's basic human right to defend himself without the assistance of counsel. While courts strive to respect the dignity and autonomy of the defendant that are encompassed in this right, they also want to ensure that justice is delivered and the dignity of the courtroom is maintained. The Supreme Court of the United States, in its opinion in Indiana v...
December 2016: Journal of the American Academy of Psychiatry and the Law
https://www.readbyqxmd.com/read/27990738/beneficial-coercion-in-psychiatric-care-insights-from-african-ethico-cultural-system
#17
Cornelius Olukunle Ewuoso
There is a 'catch 22' situation about applying coercion in psychiatric care. Autonomous choices undeniably are rights of patients. However, emphasizing rights for a mentally-ill patient could jeopardize the chances of the patient receiving care or endanger the public. Conversely, the beneficial effects of coercion are difficult to predict. Thus, applying coercion in psychiatric care requires delicate balancing of individual-rights, individual well-being and public safety, which has not been achieved by current frameworks...
December 19, 2016: Developing World Bioethics
https://www.readbyqxmd.com/read/27974966/human-dignity-of-patients-with-cardiovascular-disease-admitted-to-hospitals-of-kerman-iran-in-2015
#18
Roghayeh Mehdipour-Rabori, Abbas Abbaszadeh, Fariba Borhani
The human dignity of patients with cardiovascular disease (CVD) is an important issue, because of patients' dependence upon caregivers, and because it impacts all aspects of their quality of life (QOL). Therefore, understanding and improving the status of dignity among these patients is of great importance. This study aimed to determine the status of dignity in patients with CVD admitted to cardiac intensive care units (CICUs) in Iran. This cross-sectional descriptive study was performed in 2015 on 200 patients admitted to the CICUs of hospitals affiliated to Kerman University of Medical Sciences, Iran...
2016: Journal of Medical Ethics and History of Medicine
https://www.readbyqxmd.com/read/27955853/-palliativer-medicine-in-surgery
#19
César Gutiérrez Samperio, Raúl Ruiz Canizales, Salvador Arellano Rodríguez, Hilda Romero Zepeda, Robert T Hall, Bernardo García Camino
The concepts and background of palliative medicine, the patient-health team relationship and the right of the patients to receive palliative care, its application in surgery, the criterion defining the terminally ill, proportionate and disproportionate measures, where it is applied and what this consists of, drugs and procedures used, who should administrate them and for how long, the requirements for advanc directives and avoidance of therapeutic obstinacy, were reviewed. It describes and reflects their ethical and legal bases...
December 9, 2016: Cirugia y Cirujanos
https://www.readbyqxmd.com/read/27915259/-standing-outside-the-junkie-door-service-users-experiences-of-using-community-pharmacies-to-access-treatment-for-opioid-dependency
#20
Andrew Radley, Karen Melville, Phyllis Easton, Brian Williams, John F Dillon
AIM: To explore experiences of service users attending a community pharmacy to receive opiate replacement therapy (ORT). METHOD: Qualitative study involving seven focus groups undertaken within care centres and prison educational centre in Tayside, Scotland using 41 participants. Thematic analysis undertaken of experiences of different groups of service users and carers. RESULTS: Participants described the social context surrounding attendance at community pharmacies...
December 2, 2016: Journal of Public Health
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