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https://www.readbyqxmd.com/read/29440799/is-every-life-worth-saving-does-religion-and-religious-beliefs-influence-paramedic-s-end-of-life-decision-making-a-prospective-questionnaire-based-investigation
#1
Alexander Leibold, Christoph L Lassen, Nicole Lindenberg, Bernhard M Graf, Christoph Hr Wiese
Background: Paramedics, arriving on emergency cases first, have to make end-of-life decisions almost on a daily basis. Faith shapes attitudes toward the meaning and worth of life itself and therefore influences decision-making. Objective: The objective of this study was to detect whether or not religious and spiritual beliefs influence paramedics in their workday life concerning end-of-life decisions, and whether it is legally possible for them to act according to their conscience...
January 2018: Indian Journal of Palliative Care
https://www.readbyqxmd.com/read/29432038/work-requirements-and-conscience-protections
#2
Timothy Stoltzfus Jost
The Trump administration broke from its predecessors by authorizing Medicaid work requirements. It also proposed to dramatically broaden rights to refuse to provide treatments for religious and moral reasons.
February 12, 2018: Health Affairs
https://www.readbyqxmd.com/read/29419639/the-development-of-defense-mechanisms-during-the-latency-period
#3
Phebe Cramer
The developmental period of latency, during middle childhood, has not been previously studied for possible change in the use of defense mechanisms. Using a validated narrative method to assess defenses, the present research examines change in children's defense use during this period. As predicted from theory, there was a significant increase in the use of the defense of Identification. This finding is consistent with theory that posits a shift at this time from defense against anxiety that is based on lack of impulse control to defense that is based on anxiety due to violation of conscience...
February 6, 2018: Journal of Nervous and Mental Disease
https://www.readbyqxmd.com/read/29406763/-surrogacy-in-maternity-a-depersonalising-human-relationship-phenomenology
#4
Antonio Casciano
Ethical and bioethical problems, which are typical of the practice of surrogate motherhood, refer to its protagonists: the couple that orders it, due to its demand to satisfy the desire of paternity and maternity and the promptness of having a female body to fulfill its aspirations; the expectant mother, and the physical and psychic repercussions coming from the role performed in the surrogacy contract, as well as the risks of manipulation and exploitation, related to her position; the baby and his right to grow counting on the certainty of his parental relationships and on the preservation of his emotional balance...
January 2018: Cuadernos de Bioética: Revista Oficial de la Asociación Española de Bioética y Ética Médica
https://www.readbyqxmd.com/read/29374872/-force-feeding-or-life-saving-dealing-with-hunger-strikes-in-israel
#5
Gil Siegal, Shimon Glick, Irit Offer-Stark, Avraham Steinberg
Force feeding of fasting hunger-striking prisoners is the subject of considerable controversy in Israel and elsewhere, posing a direct conflict between two basic ethical values: that of human life and respect for autonomy. The Israel Medical Association, as well as the World Medical Association, has taken the position that force feeding of such prisoners is an act of torture and is therefore unethical. However this paper presents an opposing view, which recently became the law in Israel, that, whereas the rights of prisoners to decree a hunger strike as a form of protest should be respected, if the prolongation of the strike reaches a stage of clear and present danger to the life and health of a prisoner, the saving of the prisoner's life must take precedence over considerations of autonomy...
January 2018: Harefuah
https://www.readbyqxmd.com/read/29350709/pricks-of-conscience-a-needle-phobic-patient-s-experience-of-compassionate-nursing-care-%C3%A2
#6
Charles Roussel
An oncology nurse's warmth, humor, and compassionate care have helped even the odds in my wife's decade-long battle with incurable cancer. Needle phobia and a complex chemotherapy regimen have made for a challenging course of treatment. However, working closely with us, my wife's care team has given us back the control that can so easily ebb with remission and relapse. 
.
February 1, 2018: Clinical Journal of Oncology Nursing
https://www.readbyqxmd.com/read/29338915/the-significance-of-avoiding-household-food-waste-a-means-end-chain-approach
#7
Beate Richter, Wolfgang Bokelmann
Many humans suffer from hunger, while edible food is discarded. This study aims at showing the importance of avoiding food waste in households and its causes by applying the means-end-chain analysis. Additional the means-end-chain approach should be examined in how far the method is suitable to get insights towards this topic. Consumer backgrounds in terms of feelings and attitudes regarding food waste should be shown, with the particular question why food waste personally is important. The data collection occurred utilizing the hard laddering method within a quantitative online survey...
January 12, 2018: Waste Management
https://www.readbyqxmd.com/read/29302593/anticipating-the-role-of-the-intensive-care-unit-in-healthcare-and-life-trajectories
#8
REVIEW
Grégoire Moutel
Many people think that the intensive care unit is reserved for patients with extreme and life-threatening disease, and as such, it remains hypothetical in the collective conscience, and not something that can be predicted or anticipated. Yet, intensive care can be required in a number of situations, and raises many questions depending on whether the illness is chronic, or of sudden onset. It is essential, in this context, to ask whether, and how potential patients are informed, and prepared for the eventuality of intensive care unit (ICU) care...
December 2017: Annals of Translational Medicine
https://www.readbyqxmd.com/read/29066603/reminiscing-about-jan-evangelista-purkinje-a-pioneer-of-modern-experimental-physiology
#9
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
#10
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
#11
(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
#12
(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
#13
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
#14
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
#15
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
#16
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
#17
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
#18
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
#19
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
#20
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
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