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https://www.readbyqxmd.com/read/29066603/reminiscing-about-jan-evangelista-purkinje-a-pioneer-of-modern-experimental-physiology
#1
Icilio Cavero, Jean-Michel Guillon, Henry H Holzgrefe
This article reminisces about the life and key scientific achievements of Jan Evangelista Purkinje (1787-1869), a versatile 19th century Czech pioneer of modern experimental physiology. In 1804, after completing senior high school, Purkinje joined the Piarist monk order, but, after a 3-yr novitiate, he gave up the religious calling "to deal more freely with science." In 1818, he earned a Medical Doctor degree from Prague University by defending a dissertation on intraocular phenomena observed in oneself. In 1823, Purkinje became a Physiology and Pathology professor at the Prussian Medical University in Breslau, where he innovated the traditional teaching methods of physiology...
December 1, 2017: Advances in Physiology Education
https://www.readbyqxmd.com/read/29049513/contraceptive-coverage-and-the-balance-between-conscience-and-access
#2
Ronit Y Stahl, Holly Fernandez Lynch
No abstract text is available yet for this article.
October 19, 2017: JAMA: the Journal of the American Medical Association
https://www.readbyqxmd.com/read/29027769/moral-exemptions-and-accommodations-for-coverage-of-certain-preventive-services-under-the-affordable-care-act-interim-final-rules-with-request-for-comments
#3
(no author information available yet)
The United States has a long history of providing conscience protections in the regulation of health care for entities and individuals with objections based on religious beliefs or moral convictions. These interim final rules expand exemptions to protect moral convictions for certain entities and individuals whose health plans are subject to a mandate of contraceptive coverage through guidance issued pursuant to the Patient Protection and Affordable Care Act. These rules do not alter the discretion of the Health Resources and Services Administration, a component of the United States Department of Health and Human Services, to maintain the guidelines requiring contraceptive coverage where no regulatorily recognized objection exists...
October 13, 2017: Federal Register
https://www.readbyqxmd.com/read/29027768/religious-exemptions-and-accommodations-for-coverage-of-certain-preventive-services-under-the-affordable-care-act-interim-final-rules-with-request-for-comments
#4
(no author information available yet)
The United States has a long history of providing conscience protections in the regulation of health care for entities and individuals with objections based on religious beliefs and moral convictions. These interim final rules expand exemptions to protect religious beliefs for certain entities and individuals whose health plans are subject to a mandate of contraceptive coverage through guidance issued pursuant to the Patient Protection and Affordable Care Act. These rules do not alter the discretion of the Health Resources and Services Administration (HRSA), a component of the United States Department of Health and Human Services (HHS), to maintain the guidelines requiring contraceptive coverage where no regulatorily recognized objection exists...
October 13, 2017: Federal Register
https://www.readbyqxmd.com/read/29026836/anti-n-methyl-d-aspartate-receptor-encephalitis-that-aggravates-after-acinetobacter-baumannii-pneumonia-a-case-report
#5
Cheng C Wang, Da J Li, Yi Q Xia, Kai Liu
We report an atypical case of anti-N-methyl-D-aspartate receptor encephalitis (ANMDARE). A 27-year-old man diagnosed with ANMDARE received immunotherapy and had a good recovery. However, within one month, he developed severe status epilepticus and decreased level of conscience with new hyperpyrexia and dyspnea, and was admitted to the emergency intensive care unit. Acinetobacter baumanii were found in the sputum culture; and anti-NMDAR antibodies were positive (titer: 1/80) in the cerebrospinal fluid. Repeated immunotherapy was administered with antibacterial agents, and the patient recovered except for mild psychiatric sequelae...
September 16, 2017: World Journal of Clinical Cases
https://www.readbyqxmd.com/read/29022172/the-president-s-physician-an-african-play-emmanuel-babatunde-omobowale-2004-all-saints-publishers-ibadan-978-978-37727-3-1-77-pp
#6
Joseph Ajagunmolu Mayaki
This review examines issues relating to biomedical ethics and literature in the African drama The President's Physician by Emmanuel Babatunde Omobowale. The play investigates the psychological dilemma of Doctor Bituki Warunga, a personal physician to General Kalunga Ntibantunganyah who brutally and inhumanely rules Wavaria, a fictional African country. The doctor is faced with deciding to uphold the ethics of his profession versus terminating the tyrant's life to set the nation free. The play aims to help budding medical doctors rightly inculcate the principles of medical ethics-autonomy, beneficence, competence, and power-by providing a fictional platform to investigate difficult issues that can arise in clinical practice...
October 11, 2017: Journal of Bioethical Inquiry
https://www.readbyqxmd.com/read/28967726/how-to-define-the-therapeutic-limits
#7
Alberto Cester, Monica Maselli, Francesco Bolzetta
With the advance of technological progress and the increase in life expectancy, it is nowadays mandatory to define what is the therapeutic limit. Every day each physician must take therapeutic decisions on the basis of his scientific knowledge, but also of his own conscience and sense of limits. They can not avoid to consider the global risk of death, disability and morbidity in more advanced age, especially in the field of cardiology and cardiac surgery. In these subjects, both fit that frail, is necessary not only an evaluation for adequate risk assessment, but also a multidimensional assessment performed with advanced tools...
July 18, 2017: Monaldi Archives for Chest Disease, Archivio Monaldi Per le Malattie del Torace
https://www.readbyqxmd.com/read/28929896/une-analyse-%C3%A3-thique-appropri%C3%A3-e-s-impose
#8
Don Flaming
Les leaders en santé gèrent de nombreux types de risques. Le risque éthique associé aux multiples projets et activités, réalisés régulièrement hors du secteur de la recherche, est probablement négligé (p. ex., évaluation de programmes, amélioration de la qualité et innovation en santé). La mise en application de l'éthique clinique, personnelle, professionnelle et organisationnelle peut contribuer à atténuer les risques, mais ensemble ou séparément, ces divers types d'éthique ne suffisent pas...
January 2017: Healthcare Management Forum
https://www.readbyqxmd.com/read/28894839/disparities-in-health-in-the-united-states-an-overview-of-the-social-determinants-of-health-for-otolaryngologists
#9
REVIEW
Regan W Bergmark, Ahmad R Sedaghat
OBJECTIVES: Social determinants of health include social and demographic factors such as poverty, education status, race and ethnicity, gender, insurance status, and other factors that influence (1) development of illness, (2) ability to obtain and utilize healthcare, and (3) health and healthcare outcomes. In otolaryngology, as in other subspecialty surgical fields, we are constantly confronted by patients' social and demographic circumstances including poverty, language barriers, and lack of health insurance and yet there is limited research on how these factors impact health equity in our field, or how attention to these patient characteristics may improve health equity...
August 2017: Laryngoscope Investigative Otolaryngology
https://www.readbyqxmd.com/read/28853351/lead-by-walking-in-our-shoes
#10
Gordon Lees
I call on all directors of nursing and NHS leaders to search their consciences and challenge the government on their handling of the NHS.
August 30, 2017: Nursing Standard
https://www.readbyqxmd.com/read/28851774/does-time-together-increase-quality-of-interaction-and-decrease-stress-a-study-protocol-of-a-multisite-nursing-intervention-in-psychiatric-inpatient-care-using-a-mixed-method-approach
#11
Jenny Molin, Britt-Marie Lindgren, Ulla Hällgren Graneheim, Anders Ringnér
INTRODUCTION: Despite the long-known significance of the nurse-patient relationship, research in psychiatric inpatient care still reports unfulfilled expectations of, and difficulties in, interactions and relationships between patients and staff. Interventions that create structures to allow quality interactions between patients and staff are needed to solve these problems. The aim of this project is to test effects of the nursing intervention Time Together and to evaluate the intervention process...
August 28, 2017: BMJ Open
https://www.readbyqxmd.com/read/28840628/survey-shows-that-swedish-healthcare-professionals-have-a-positive-attitude-towards-surrogacy-but-the-health-of-the-child-is-a-concern
#12
G Armuand, C Lampic, A Skoog-Svanberg, K Wånggren, G Sydsjö
AIM: In February 2016, Sweden upheld its ban on surrogacy following a Government enquiry. This survey investigated attitudes towards surrogacy among primary health professionals working with children and their experiences of working with families following surrogacy abroad. METHODS: From April to November 2016, nurses, physicians and psychologist working in primary child health care in four counties in Sweden were invited to participate in a cross-sectional online survey about surrogacy...
August 25, 2017: Acta Paediatrica
https://www.readbyqxmd.com/read/28799165/meanings-of-troubled-conscience-and-how-to-deal-with-it-expressions-of-persian-speaking-enrolled-nurses-in-sweden
#13
Monir Mazaheri, Eva Ericson-Lidman, Öhlén Joakim, Astrid Norberg
INTRODUCTION: A feature of the healthcare system in Sweden, particularly in the care of older people, is its cultural diversity in terms of having considerable numbers of both caregivers and care recipients with an immigrant background. Considering the influence of culture in ethical decision-making processes, the idea of conscience and the adverse effects of a troubled conscience, it is important to study the concepts of conscience and troubled conscience in culturally diverse populations...
August 10, 2017: Scandinavian Journal of Caring Sciences
https://www.readbyqxmd.com/read/28777344/erratum-caroline-good-et-al-a-cultural-conscience-for-conservation-animals-2017-7-52
#14
Caroline Good, Dawn Burnham, David W Macdonald
No abstract text is available yet for this article.
August 4, 2017: Animals: An Open Access Journal From MDPI
https://www.readbyqxmd.com/read/28776163/characteristics-of-meningitis-following-transsphenoidal-endoscopic-surgery-a-case-series-and-a-systematic-literature-review
#15
Pasquale Pagliano, Chiara Caggiano, Tiziana Ascione, Domenico Solari, Giusy Di Flumeri, Luigi Maria Cavallo, Fabio Tortora, Paolo Cappabianca
BACKGROUND: Meningitis occurs in 0.8-1.5% of patients undergoing neurosurgery. The aim of the study was to evaluate the characteristics of meningitis after endoscopic endonasal transsphenoidal surgery (EETS) comparing the findings retrieved to those highlighted by literature search. MATERIALS AND METHODS: Patients treated by EETS during an 18-year period in the Department of Neurosurgery of 'Federico II' University of Naples were evaluated and included in the study if they fulfilled criteria for meningitis...
August 3, 2017: Infection
https://www.readbyqxmd.com/read/28770565/conscience-and-moral-obligations-of-physicians
#16
EDITORIAL
David Isaacs
No abstract text is available yet for this article.
August 2017: Journal of Paediatrics and Child Health
https://www.readbyqxmd.com/read/28756398/freedom-of-conscience-in-europe-an-analysis-of-three-cases-of-midwives-with-conscientious-objection-to-abortion
#17
Valerie Fleming, Beate Ramsayer, Teja Škodič Zakšek
While abortion has been legal in most developed countries for many years, the topic remains controversial. A major area of controversy concerns women's rights vis-a-vis the rights of health professionals to opt out of providing the service on conscience grounds. Although scholars from various disciplines have addressed this issue in the literature, there is a lack of empirical research on the topic. This paper provides a documentary analysis of three examples of conscientious objection on religious grounds to performing abortion-related care by midwives in different Member States of the European Union, two of which have resulted in legal action...
July 29, 2017: Journal of Medical Ethics
https://www.readbyqxmd.com/read/28726725/a-cultural-conscience-for-conservation
#18
Caroline Good, Dawn Burnham, David W Macdonald
On 2 July 2015, the killing of a lion nicknamed "Cecil" prompted the largest global reaction in the history of wildlife conservation. In response to this, it is propitious to consider the ways in which this moment can be developed into a financial movement to transform the conservation of species such as the lion that hold cultural significance and sentiment but whose numbers in the wild are dwindling dangerously. This provocative piece explores how a species royalty could be used effectively by drawing revenue from the heavy symbolic use of charismatic animals in affluent economies...
July 20, 2017: Animals: An Open Access Journal From MDPI
https://www.readbyqxmd.com/read/28714452/predict-moral-distress-using-workplace-stress-stress-of-conscience-mediated-by-coping-using-roy-adaptation-model-a-path-analysis
#19
Muder Alkrisat
BACKGROUND: Moral distress can be predisposed when nurses are exposed to ambiguous moral situations. PURPOSE: Is to test a conceptual model based on Roy adaptation model (RAM) to examine the relationship among workplace stress, conscience stress, and moral distress mediated by coping. DESIGN: A correlational, cross sectional. RESULTS: Data were collected from 199 licensed nurses. The findings indicated that workplace stress was related negatively to coping processes (β = -...
December 1, 2016: Journal of Nursing Measurement
https://www.readbyqxmd.com/read/28643812/-conscience-clause-in-end-of-life-care
#20
Ludovica De Panfilis, Daniela Cattaneo, Luisanna Cola, Maddalena Gasparini, Corinna Porteri, Daniela Tarquini, Alessandro Tiezzi, Simone Veronese, Silvia Zullo, Eugenio Pucci
The article proposes a critical reflection on issues that appeal to the conscience clause as part of end of life care can produce and what can guarantee freedom of conscience, self-determination of those involved and respect for the dignity of the sick person. After a philosophical and normative analysis, the article is organized on the basis of two important documents for discussion: a position paper of Società Italiana di Anestesia Analgesia Rianimazione e Terapia Intensiva (SIAARTI) signed by several scientific societies "Grandi insufficienze d'organo end stage: cure intensive o cure palliative?" and the Design of Law currently being debated "Norme in materia di consenso informato e di disposizioni anticipate di trattamento"...
May 2017: Recenti Progressi in Medicina
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