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https://www.readbyqxmd.com/read/29902958/life-threatening-pancreatitis-in-jehovah-s-witness-patients-with-severe-anemia-treated-without-transfusions-and-by-interventional-radiology-techniques
#1
Patrick Kishi, Eric vanSonnenberg, Misa Stroker
Blood transfusions in anemic patients frequently are used for critically ill patients as a life-saving therapeutic maneuver. Jehovah's Witness (JW) patients typically refuse blood transfusions due to religious beliefs. Numerous clinical reports, in a wide spectrum of medical specialties, have shown no greater morbidity or mortality in JW patients or others who refused transfusions compared to those patients who accept transfusions. We report our experience with two JW patients who presented with severe anemia and life-threatening pancreatitis...
January 1, 2018: Journal of Intensive Care Medicine
https://www.readbyqxmd.com/read/29895551/management-of-placenta-percreta-in-a-jehovah-s-witness-patient
#2
Adriana J Wong, Matthew Schlumbrecht, Marilyn Huang
Placenta percreta is increasing in incidence and is associated with the risk of life-threatening haemorrhage. Patients who do not accept blood products present a unique challenge to obstetrician-gynaecologists. In this case report, we present the case of a 42-year-old pregnant Jehovah's Witness with a complete placenta previa and confirmed percreta at 26 weeks' gestation. Due to her religious beliefs against the use of blood products, she was managed with a stepwise surgical approach which involved caesarean delivery with internal iliac (hypogastric) artery ligation, weekly methotrexate and delayed hysterectomy 6 weeks later...
June 11, 2018: BMJ Case Reports
https://www.readbyqxmd.com/read/29849222/52-year-old-jehovah-s-witness-female-with-weakness
#3
Lindsay A Weiner, George Willis, Zachary D W Dezman, Laura J Bontempo
No abstract text is available yet for this article.
May 2018: Clinical practice and cases in emergency medicine
https://www.readbyqxmd.com/read/29807476/posttonsillectomy-hemorrhage-in-a-pediatric-jehovah-s-witness-and-the-decision-to-transfuse
#4
Andrew J Redmann, Melissa Schopper, Judith Ragsdale, Michael J Rutter, Catherine K Hart, Charles M Myer
No abstract text is available yet for this article.
May 1, 2018: Otolaryngology—Head and Neck Surgery
https://www.readbyqxmd.com/read/29795417/bloodless-tandem-autologous-transplant-in-jehovah-s-witness-patients
#5
Rafiullah Khan, Sarah L Mott, Allyson Schultz, Y S Jethava, Guido Tricot
Tandem autologous transplants are generally the preferred therapy for newly diagnosed intermediate- and high-risk myeloma patients. More Jehovah's Witnesses (JW) are receiving single autologous peripheral blood stem cell transplants (PBSCTs). However, tandem autologous transplants have not been reported in JW patients. We performed a retrospective study of 54 patients, including four JW patients who received tandem autologous transplants between August 2000 and January 2017 and the last 50 consecutive tandem autologous transplants performed between August 2014 and August 2016...
May 24, 2018: Bone Marrow Transplantation
https://www.readbyqxmd.com/read/29666843/blood-transfusion-in-children-the-refusal-of-jehovah-s-witness-parents
#6
Adelaide Conti, Emanuele Capasso, Claudia Casella, Piergiorgio Fedeli, Francesco Antonio Salzano, Fabio Policino, Lucia Terracciano, Paola Delbon
In Italy, both parents have parental responsibility; as a general principle they have the power to give or withhold consent to medical procedures on their children, including consent for blood transfusion; however these rights are not absolute and exist only to promote the welfare of children. Methods: The Authors discuss ethical and legal framework for Jehovah's Witness parents' refusal of blood transfusion in Italy. They searched national judgments concerning Jehovah's Witness parents' refusal of blood transfusion - and related comments - in national legal databases and national legal journals, and literature on medical literature databases...
2018: Open Medicine (Warsaw, Poland)
https://www.readbyqxmd.com/read/29652685/blood-patch-in-a-jehovah-s-witness-case-report-of-a-novel-arterial-to-epidural-closed-circuit-technique
#7
Kevin R Olsen, Ashley L Screws, Stephen O Vose
Jehovah's Witness patients have unique perioperative challenges involving blood products. We describe the use of a novel method to maintain a closed circuit between a Jehovah's Witness patient's arterial blood and the epidural space while performing a blood patch for postdural puncture headache. Previously described methods have utilized venous catheters to maintain a closed circuit between the body and the epidural space. This is the first report we are aware of that utilizes a closed-circuit arterial blood supply to create an epidural blood patch in a Jehovah's Witness patient...
April 15, 2018: A&A practice
https://www.readbyqxmd.com/read/29625899/safety-and-feasibility-of-elective-liver-resection-in-adult-jehovah-s-witnesses-the-henri-mondor-hospital-experience
#8
Chetana Lim, Chady Salloum, Francesco Esposito, Alexandros Giakoustidis, Toufic Moussallem, Michael Osseis, Eylon Lahat, Marc Lanteri-Minet, Daniel Azoulay
BACKGROUND: Elective liver resection (LR) in Jehovah's Witness (JW) patients, for whom transfusion is not an option, involves complex ethical and medical issues and surgical difficulties. METHODS: Consecutive data from a LR program for liver tumors in JWs performed between 2014 and 2017 were retrospectively reviewed. A systematic review of the literature with a pooled analysis was performed. RESULTS: Ten patients were included (median age = 61 years)...
April 3, 2018: HPB: the Official Journal of the International Hepato Pancreato Biliary Association
https://www.readbyqxmd.com/read/29616523/short-term-outcome-of-cardiac-surgery-under-cardiopulmonary-bypass-in-patients-who-refuse-transfusion-a-controlled-study
#9
Antonio Reyes Garcia, Gema Vega González, Ricardo Andino Ruiz
BACKGROUND: Although bloodless cardiac surgery has been successfully performed for many years, studies with controls permitting transfusion are few and their results inconclusive. This study compares the outcome of cardiac surgery on Jehovah's Witnesses (JW) refusing transfusion, with that of controls permitting transfusion if required. METHODS: Data from 172 operations in 162 JW were compared with 172 matched controls. Risk factors, preoperative, operative, 48 hour postoperative variables, outcome data and transfusions were recorded...
April 3, 2018: Journal of Cardiovascular Surgery
https://www.readbyqxmd.com/read/29614514/successful-resuscitation-following-massive-obstetric-hemorrhage-in-a-patient-of-the-jehovah-s-witness-faith-a-case-report-erratum
#10
(no author information available yet)
No abstract text is available yet for this article.
April 1, 2018: A&A practice
https://www.readbyqxmd.com/read/29592539/pharmacotherapy-in-acutely-anemic-jehovah-s-witnesses-an-evidence-based-review
#11
Sean M McConachie, Zinah Almadrahi, Krista A Wahby, Sheila M Wilhelm
OBJECTIVE: To determine the pharmacological treatment methods available to anemic Jehovah's Witnesses (JW). DATA SOURCES: MEDLINE and PubMed were searched from inception through February 2018 using the search terms Jehovah's Witnesses, treatment, erythropoietin, hemoglobin-based oxygen carrier, Sanguinate, Hemopure, bleeding, and anemia. STUDY SELECTION AND DATA EXTRACTION: All clinical trials, cohort studies, case-control studies, and observational trials involving pharmacotherapy in anemic JW patients were evaluated...
March 1, 2018: Annals of Pharmacotherapy
https://www.readbyqxmd.com/read/29563681/jehovah-s-witness-and-consent-for-blood-transfusion-in-a-child-the-indian-scenario
#12
K G Gopakumar, T Priyakumari, Manjusha Nair, P Kusumakumary
In India, the clinical guidelines and laws governing consent for blood transfusion in a minor are meager and vague. In an elective situation, whether the parents can make a decision for the child on his/her behalf or whether the doctor has the right to make the decision in the best interests of the child is not clear. We present the case scenario of a child belonging to Jehovah's Witness denomination diagnosed with Burkitt lymphoma. His parents were in a dilemma whether to opt for blood transfusion or not. In the absence of laws and guidelines in this context, and considering the complications that he developed during the treatment period, it was very challenging for us to manage the situation both medically and medico-legally...
January 2018: Asian Journal of Transfusion Science
https://www.readbyqxmd.com/read/29518583/total-laparoscopic-hysterectomy-and-bilateral-salpingo-oophorectomy-for-a-6095-g-myomatous-uterus-in-a-patient-of-the-jehovah-s-witness-faith
#13
Matthew T Siedhoff, Michelle Louie, Meenal Misal, Janelle K Moulder
STUDY OBJECTIVE: To demonstrate techniques for addressing the unique challenges for a minimally invasive approach to hysterectomy presented by a massive myomatous uterus. DESIGN: Technical video of an operation demonstrating the methods used to perform hysterectomy in this setting, highlighting such aspects as port placement (Fig. 1), uterine manipulation (Fig. 2), exposure, and vascular control (Figs. 3 and 4) (Canadian Task Force classification III). SETTING: Academic tertiary care hospital...
March 5, 2018: Journal of Minimally Invasive Gynecology
https://www.readbyqxmd.com/read/29507028/stroke-thrombolysis-complicated-by-st-elevation-myocardial-infarction-stemi
#14
Mark Flower, James Harvey, Jonathan Hunter
An 84-year-old male Jehovah's Witness presented to the emergency department 1 hour after onset of left facial droop and left upper limb weakness. Thrombolytic stroke treatment was commenced as per local thrombolytic protocol with intravenous recombinant tissue plasminogen activator (rtPA) at 2 hours and 25 min following onset of symptoms. Almost immediately after rtPA infusion the patient reported chest pain and had ECG changes consistent with a diagnosis of anterior ST elevation myocardial infarction...
March 5, 2018: BMJ Case Reports
https://www.readbyqxmd.com/read/29498590/use-of-a-novel-drainage-flow-servo-controlled-cpb-for-mitral-valve-replacement-in-a-jehovah-s-witness
#15
Yoshinari Niimi, Seiichiro Murata, Yumi Mitou, Yusuke Ohno
We developed a novel open cardiopulmonary bypass (CPB) system, a drainage flow servo-controlled CPB system (DS-CPB), in which rotational speed of the main roller pump is servo-controlled to generate the same amount of flow as the systemic venous drainage. It was designed to safely decrease the priming volume while maintaining a constant reservoir level, even during fluctuations of the drainage flow. We report a successful use of a novel DS-CPB system in an elderly Jehovah's Witness patient with dehydration who underwent mitral valve replacement...
March 1, 2018: Perfusion
https://www.readbyqxmd.com/read/29392737/management-of-injured-patients-who-were-jehovah-s-witnesses-where-blood-transfusion-may-not-be-an-option-a-retrospective-review
#16
A Olaussen, J Bade-Boon, M C Fitzgerald, B Mitra
INTRODUCTION: Management of major haemorrhage as a result of trauma is particularly challenging when blood is not an option (BNAO). Evidence on therapeutic strategies in this situation is limited. The aim of this study was to evaluate the management and outcomes of patients who identified themselves as Jehovah's Witnesses (who usually refuse blood products) with traumatic haemorrhage at an Australian major trauma centre. METHODS: A retrospective review of patients from The Alfred Trauma Registry was conducted, including patients who were Jehovah's Witnesses presenting between January 2010 and January 2017...
April 2018: Vox Sanguinis
https://www.readbyqxmd.com/read/29369377/relational-autonomy-care-and-jehovah-s-witnesses-in-germany
#17
Małgorzata Rajtar
Drawing from an ethics of care, relational approaches to autonomy have recently emerged in bioethics. Unlike individual autonomy with its emphasis on patients' rights, choice, and self-determination which has been the hallmark of bioethics consistent with the ideology of individualism in neoliberal democracies in Western countries, relational autonomy highlights the relatedness, interdependency, and social embeddedness of patients. By examining the mediating role that male Hospital Liaison Committee members in Germany play in facilitating care that supports Jehovah's Witnesses' refusal of blood transfusions, this article moves beyond 'dyadic relations' and contexts of caregiving...
March 2018: Bioethics
https://www.readbyqxmd.com/read/29349406/thrombolytic-therapy-for-critical-limb-ischemia-in-a-jehovah-s-witness-with-severe-anemia
#18
Jeremy D Kauffman, T Joseph Watson, Joseph J Campbell
A patient's refusal to receive blood products can pose both clinical and ethical challenges to the surgeon. In this report, we review the case of a Jehovah's Witness presenting with critical lower limb ischemia and severe anemia for whom the decision of whether to perform thrombolytic therapy was complicated by his refusal to accept blood products. The case demonstrates that thrombolytic therapy can produce favorable results in severely anemic patients even when transfusion is not an option. We conclude that offering thrombolytic therapy in this context is a reasonable therapeutic option from both a clinical and ethical perspective...
September 2017: Journal of Vascular Surgery Cases and Innovative Techniques
https://www.readbyqxmd.com/read/29324943/knowledge-beliefs-and-attitudes-of-older-women-in-hiv-aids-prevention
#19
Milena Silva Costa, Maria Adelaide Silva Paredes Moreira, Antonia Oliveira Silva, Eliane de Sousa Leite, Luipa Michele Silva, Jéssica Barbosa Sampaio
OBJECTIVE: To analyze the knowledge, religious beliefs and the adoption of preventive measures against HIV/AIDS of non-Catholic elderly women. METHOD: A qualitative study, carried out in religious institutions of a municipality in the state of Ceará, Northeast Brazil, with 78 elderly women. Of these, 64 were evangelicals, seven spiritualists and seven Jehovah's Witnesses. A semi-structured interview script was used followed by thematic content analysis of participants' responses...
January 2018: Revista Brasileira de Enfermagem
https://www.readbyqxmd.com/read/29320978/two-vessel-branched-stent-graft-for-severely-angulated-aortic-arch-aneurysm-in-a-jehovah-s-witness
#20
Chung S Lim, A Dhutia, Celia Riga, A Dharmadasa, Richard G J Gibbs, Mohamad S Hamady
Aneurysmal disease involving the origins of supra aortic vessels often requires complex open and/or endovascular repair that is not only associated with significant risk of mortality and morbidity but also often with perioperative blood loss requiring transfusion. We report a successful repair of a large thoracic aortic aneurysm (TAA) involving the aortic arch with a custom-made Bolton Relay 2-vessel branched thoracic aortic endograft in a 42-year-old Jehovah's Witness who would otherwise be very unlikely to survive an open repair...
February 2018: Vascular and Endovascular Surgery
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