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Medical Virtue

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https://www.readbyqxmd.com/read/28543658/the-virtues-of-national-ethics-committees
#1
Jonathan Montgomery
The United Kingdom has many bodies that play their part in carrying out the work of national ethics committees, but its nearest equivalent of a U.S. presidential bioethics commission is the Nuffield Council on Bioethics, established in 1991. The Council is charged with examining ethical questions raised by developments in biological and medical research, publishing reports, and making representations to appropriate bodies in order to respond to or anticipate public concern. It is a nongovernment organization with no defined or guaranteed channels of influence...
May 2017: Hastings Center Report
https://www.readbyqxmd.com/read/28502222/understanding-pain-physiology-and-its-application-to-person-with-intellectual-disability
#2
Owen Doody, Maria E Bailey
The issue of pain warrants attention as, by virtue of having an intellectual disability, a person may have associated medical or physical conditions and associated factors increasing their risk of pain disorders. People with intellectual disability experiencing pain need to be provided with the best possible care. The focus of this article is on the exploration of pain: physiology and types; manifestations and responses in the context of intellectual disability in order to promote effective, knowledgeable assessment and management of pain for this client group...
January 1, 2017: Journal of Intellectual Disabilities: JOID
https://www.readbyqxmd.com/read/28448205/practicing-maternal-virtues-prematurely-the-phenomenology-of-maternal-identity-in-medically-high-risk-pregnancy
#3
Laura Curran, Judith McCoyd, Shari Munch, Bonnie Wilkenfeld
In this study, we examine the phenomenology of maternal identity development among U.S. women hospitalized with medically high-risk pregnancies (MHRP). We conducted 16 in-depth interviews with women and found that they drew on culturally normative notions of maternal nurture, worry, and sacrifice to construct maternal identity in the context of MHRP. Based on our findings, we suggest that MHRP shape women's sense of connection to and distinctive cognitive representations of their fetus. We conclude that hospitalization simultaneously promotes and challenges women's early maternal identifications...
April 27, 2017: Health Care for Women International
https://www.readbyqxmd.com/read/28430569/courage-and-compassion-virtues-in-caring-for-so-called-difficult-patients
#4
Michael Hawking, Farr A Curlin, John D Yoon
What, if anything, can medical ethics offer to assist in the care of the "difficult" patient? We begin with a discussion of virtue theory and its application to medical ethics. We conceptualize the "difficult" patient as an example of a "moral stress test" that especially challenges the physician's character, requiring the good physician to display the virtues of courage and compassion. We then consider two clinical vignettes to flesh out how these virtues might come into play in the care of "difficult" patients, and we conclude with a brief proposal for how medical educators might cultivate these essential character traits in physicians-in-training...
April 1, 2017: AMA Journal of Ethics
https://www.readbyqxmd.com/read/28425740/-healthier-than-thou-practicing-what-you-preach-backfires-by-increasing-anticipated-devaluation-correction-to-howe-and-monin-2017
#5
(no author information available yet)
Reports an error in "Healthier Than Thou? "Practicing What You Preach" Backfires by Increasing Anticipated Devaluation" by Lauren C. Howe and Benoît Monin (Journal of Personality and Social Psychology, Advanced Online Publication, Feb 27, 2017, np). In the article, the beginning phrase of the second paragraph of the Internal Meta-Analysis of Studies 3 Through 5 section is incorrect. It should instead begin as follows: Across the three studies. The Monin et al. (2014) reference in both the References list and in text is included in error...
May 2017: Journal of Personality and Social Psychology
https://www.readbyqxmd.com/read/28414143/the-use-of-hemoglobin-vesicles-for-delivering-medicinal-gas-for-the-treatment-of-intractable-disorders
#6
REVIEW
Kazuaki Taguchi, Keishi Yamasaki, Hiromi Sakai, Toru Maruyama, Masaki Otagiri
Bioactive gaseous molecules, such as oxygen (O2) and carbon monoxide (CO), are essential elements for most living organisms to maintain their homeostasis and biological activities. An accumulating body of evidence suggests that such molecules can be used in clinics as a medical gas in the treatment of various intractable disorders. Recent developments in hemoglobin-encapsulated liposomes, namely, Hemoglobin-vesicles (HbV), possess great potential for retaining O2 and CO, and could lead to strategies for the development of novel pharmacological agents as medical gas donors...
April 13, 2017: Journal of Pharmaceutical Sciences
https://www.readbyqxmd.com/read/28386310/the-utility-of-ovotransferrin-and-ovotransferrin-derived-peptides-as-possible-candidates-in-the-clinical-treatment-of-cardiovascular-diseases
#7
REVIEW
Shuang Chen, Hongmei Jiang, Hanhui Peng, Xiaosong Wu, Jun Fang
Several of the most prevalent etiological factors which contribute towards global death rates are associated with cardiovascular diseases (CVDs), which include a range of conditions such as angina, rheumatic heart disease, and venous thrombosis. Extensive research has been conducted into the role played by oxidative stress and inflammation in the functional transformations associated with the progression of CVDs, while the research findings from these investigations have been both fruitful and informative. In view of the adverse secondary effects that result from the clinical administration of many synthetic medications, research which explored the treatment of severe and long-lasting conditions, including CVDs, has primarily centered on the potential benefits displayed by natural agents, one of which is food protein-based bioactive peptides...
2017: Oxidative Medicine and Cellular Longevity
https://www.readbyqxmd.com/read/28361455/development-of-albumin-coupled-cholesterol-stabilized-lipid-nanoemulsion-of-methotrexate-and-tnf-%C3%AE-inhibitor-for-improved-in-vivo-efficacy-against-rheumatoid-arthritis
#8
Xiao-Yan Li, Hui Li, Yan Zhang, Shan Gao, Chun-Ping Dong, Gui-Fu Wu
Methotrexate (MTX; an anti-folate) and etanercept (ET; a TNF-α inhibitor) are used against arthritis; however, limitations like short biological half-life, low cutaneous absorption, and acidic instability limit their clinical relevance. Therefore, the aim of the investigation was to develop albumin coupled lipid nanoemulsion of MTX and ET for improved efficacy by virtue of their controlled release and specificity at the arthritic site. This emulsion was prepared by high-speed homogenization and stabilized using cholesterol...
March 30, 2017: AAPS PharmSciTech
https://www.readbyqxmd.com/read/28303366/ancillary-care-obligations-in-light-of-an-african-bioethic-from-entrustment-to-communion
#9
Thaddeus Metz
Henry Richardson recently published the first book ever devoted to ancillary care obligations, which roughly concern what medical researchers are morally required to provide to participants beyond what safety requires. In it, Richardson notes that he is presenting the 'only fully elaborated view out there' on this topic, which he calls the 'partial-entrustment model'. In this article, I provide a new theory of ancillary care obligations, one that is grounded on ideals of communion salient in the African philosophical tradition and that is intended to rival and surpass Richardson's model, which is a function of Western considerations of autonomy...
March 16, 2017: Theoretical Medicine and Bioethics
https://www.readbyqxmd.com/read/28274325/consent-for-the-diagnosis-of-preclinical-dementia-states-a-review
#10
REVIEW
Julian C Hughes, Thomas A Ingram, Aron Jarvis, Elise Denton, Zoe Lampshire, Cathy Wernham
It is now possible to detect the pathology of Alzheimer's disease (AD) many years before symptoms and signs otherwise become manifest. Biomarkers of disease include evidence of amyloid and tau in the cerebrospinal fluid and neuroimaging which (for instance) allows amyloid in the brain to be visualized. There is, thus, a preclinical state in which it is possible to identify Alzheimer's pathology long before there is clinical evidence of disease. Much research focuses on this preclinical state because it seems likely that treatments will be more effective before the disease is established...
April 2017: Maturitas
https://www.readbyqxmd.com/read/28247484/the-involvement-of-coordinative-interactions-in-the-binding-of-dihydrolipoamide-dehydrogenase-to-titanium-dioxide-localization-of-a-putative-binding-site
#11
Avraham Dayan, Gilad Babin, Assaf Ganoth, Nivin Samir Kayouf, Neta Nitoker Eliaz, Srijana Mukkala, Yossi Tsfadia, Gideon Fleminger
Titanium (Ti) and its alloys are widely used in orthodontic and orthopedic implants by virtue to their high biocompatibility, mechanical strength, and high resistance to corrosion. Biointegration of the implants with the tissue requires strong interactions, which involve biological molecules, proteins in particular, with metal oxide surfaces. An exocellular high-affinity titanium dioxide (TiO2 )-binding protein (TiBP), purified from Rhodococcus ruber, has been previously studied in our lab. This protein was shown to be homologous with the orthologous cytoplasmic rhodococcal dihydrolipoamide dehydrogenase (rhDLDH)...
February 28, 2017: Journal of Molecular Recognition: JMR
https://www.readbyqxmd.com/read/28235999/concise-review-of-the-management-of-iatrogenic-emesis-using-cannabinoids-emphasis-on-nabilone-for-chemotherapy-induced-nausea-and-vomiting
#12
REVIEW
Joseph V Pergolizzi, Robert Taylor, Jo Ann LeQuang, Gianpietro Zampogna, Robert B Raffa
Chemotherapy-induced nausea and vomiting (CINV) is a prevalent, distressing, and burdensome side effect of cancer chemotherapy. It is estimated to affect the majority of patients receiving certain anti-cancer drug regimens and can be treatment-limiting, even for life-saving medications. Despite seemingly numerous options, such as antimuscarinic anticholinergics, antihistamines, 5-HT3 receptor antagonists, dopamine receptor antagonists, and neurokinin-1 receptor antagonists, preventative therapies are often inadequately effective, particularly for "delayed CINV"-leaving an important unmet clinical need...
March 2017: Cancer Chemotherapy and Pharmacology
https://www.readbyqxmd.com/read/28219432/personalized-heterogeneous-deformable-model-for-fast-volumetric-registration
#13
Weixin Si, Xiangyun Liao, Qiong Wang, Pheng Ann Heng
BACKGROUND: Biomechanical deformable volumetric registration can help improve safety of surgical interventions by ensuring the operations are extremely precise. However, this technique has been limited by the accuracy and the computational efficiency of patient-specific modeling. METHODS: This study presents a tissue-tissue coupling strategy based on penalty method to model the heterogeneous behavior of deformable body, and estimate the personalized tissue-tissue coupling parameters in a data-driven way...
February 20, 2017: Biomedical Engineering Online
https://www.readbyqxmd.com/read/28166588/the-strong-but-incomplete-relationship-between-medical-virtue-and-healing-relieving-of-suffering
#14
James Aluri
No abstract text is available yet for this article.
January 2017: Family Medicine
https://www.readbyqxmd.com/read/28152891/with-quality-and-safety-for-all-risking-optimal-care-with-vip-patients
#15
(no author information available yet)
142 Background: The person deemed a VIP is generally considered differentiated from the average person by virtue of fame, notoriety (positive or negative), or success through talent, tenacity or simple luck. Because society often views VIPs as special, this can generate strong feelings ranging from excitement and awe to resentment in those who encounter a VIP. VIPs and/or their entourage may request or demand special attention. The unique factors associated with caring for a VIP can jeopardize patient safety and optimal care of the VIP patient...
March 2016: Journal of Clinical Oncology: Official Journal of the American Society of Clinical Oncology
https://www.readbyqxmd.com/read/28149323/the-european-network-on-psychosomatic-medicine-enpm-history-and-future-directions
#16
REVIEW
Hans-Christian Deter, Kristina Orth-Gomér, Bohdan Wasilewski, Ramiro Verissimo
BACKGROUND: Within national and international societies of psychosomatic medicine the idea has emerged of bringing together and coordinating psychosomatic, behavioural, psychological and medical actions with common interests throughout Europe as a way to increase their scientific and political influence. METHODS: It was felt that there was a strong need and opportunity of a common and unifying forum for scientific exchange. RESULTS: It was considered desirable to exchange scientific thoughts and experiences in an open minded and boundless way, among individuals and societies, between disciplines and across borders...
2017: BioPsychoSocial Medicine
https://www.readbyqxmd.com/read/28112611/irrational-exuberance-cardiopulmonary-resuscitation-as-fetish
#17
Philip M Rosoff, Lawrence J Schneiderman
The Institute of Medicine and the American Heart Association have issued a "call to action" to expand the performance of cardiopulmonary resuscitation (CPR) in response to out-of-hospital cardiac arrest. Widespread advertising campaigns have been created to encourage more members of the lay public to undergo training in the technique of closed-chest compression-only CPR, based upon extolling the virtues of rapid initiation of resuscitation, untempered by information about the often distressing outcomes, and hailing the "improved" results when nonprofessional bystanders are involved...
February 2017: American Journal of Bioethics: AJOB
https://www.readbyqxmd.com/read/28108913/religion-and-public-health-moral-tradition-as-both-problem-and-solution
#18
Michael Rozier
Despite strong religious influence in the development of medicine and medical ethics, religion has been relatively absent in the rise of preventive medicine and population health. Episodic, clinical medicine has a powerful hold on the religious imagination in health care. Nevertheless, Hebrew Scripture, elements of rabbinical teaching, and modern concepts of social justice all can be used to inspire action in health care that goes beyond clinical medicine. The Christian tradition can call upon the corporal works of mercy, virtue ethics, and Catholic social teaching, as well as the modern history Catholic sisters in the U...
June 2017: Journal of Religion and Health
https://www.readbyqxmd.com/read/28092711/-the-future-of-ecology-wisdom-as-the-speculative-centre-of-environmental-ethics
#19
Luca Valera
This article argues that it is necessary to go back to Potter's proposal to rediscover a concept of bioethics wider than medical ethics, and strongly connected to environmental ethics. The two disciplines share, among others, the following dimensions: the consciousness of the sin as a consequence of recent technological developments; the need for a salvation; the need for a science of survival; wisdom as a possible solution. Referring to the latter, the work of Van Rennselaer Potter (father of bioethics) and Arne Næss (father of deep ecology, and in a broader sense, of environmental ethics) are particularly linked: it seems that wisdom should be the virtue providing answers about our way of dwelling the world...
September 2016: Cuadernos de Bioética: Revista Oficial de la Asociación Española de Bioética y Ética Médica
https://www.readbyqxmd.com/read/28031605/role-play-as-an-educational-tool-in-medication-communication-skills-students-perspectives
#20
S H Lavanya, L Kalpana, R M Veena, V D Bharath Kumar
OBJECTIVES: Medication communication skills are vital aspects of patient care that may influence treatment outcomes. However, traditional pharmacology curriculum deals with imparting factual information, with little emphasis on patient communication. The current study aims to explore students' perceptions of role-play as an educational tool in acquiring communication skills and to ascertain the need of role-play for their future clinical practice. MATERIALS AND METHODS: This questionnaire-based study was done in 2(nd) professional MBBS students...
October 2016: Indian Journal of Pharmacology
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