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Medical Virtue

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https://www.readbyqxmd.com/read/29861757/evaluation-of-ethical-attitude-approaches-in-midwives-and-their-relationship-with-their-demographic-features
#1
Narges Afhami, Nafisehsadat Nekuei, Parvin Bahadoran, HamidReza Taleghani-Esfahani
Background: Ethical approach is one of the paramount aspects of life. The position of this approach in medical occupations has always been noticed. This study was carried out to analyze the types of ethical approaches in midwives and their relationship with their demographic features. Materials and Methods: The current descriptive-correlation and cross-sectional study was conducted from October to December 2014 using quota random sampling technique. The participants consisted of 189 midwives employed in Isfahan, Iran...
May 2018: Iranian Journal of Nursing and Midwifery Research
https://www.readbyqxmd.com/read/29805063/cultivating-physician-character-in-diagnostic-radiology-through-virtuous-caring-and-collaborative-professionalism
#2
Keith D Herr, Tarek N Hanna, Nicole Restauri
In the contemporary environment of patient- and value-centered care, it is no longer sufficient to limit the definition of an "excellent radiologist" to someone who is skilled at image interpretation. Since diagnostic radiologists are physicians, they are held to a certain character standard expected of a physician, whose primary objective is to serve the best interest of patients. An "excellent radiologist," then, is better defined as one who is both skilled at interpreting medical imaging and embodies the attributes of physician character...
May 25, 2018: Academic Radiology
https://www.readbyqxmd.com/read/29778089/implications-for-faculty-development-for-emerging-clinical-teachers-at-distributed-sites-a-qualitative-interpretivist-study
#3
Julia Blitz, Marietjie De Villiers, Susan Van Schalkwyk
INTRODUCTION: Medical faculties have the responsibility to graduate competent health professionals and a consequent obligation to assure the quality and effectiveness of their students' clinical teaching. Many institutions are responding to rural workforce needs by extending clinical training from the traditional academic teaching hospital to include rural and remote sites distributed away from the central training institution. It is incumbent upon medical schools to consider how this might impact on the faculty development of these clinicians as teachers...
May 2018: Rural and Remote Health
https://www.readbyqxmd.com/read/29759716/atrial-fibrillation-in-athletes-a-lesson-in-the-virtue-of-moderation
#4
REVIEW
N A Mark Estes, Christopher Madias
Although the cardiovascular benefits of moderate exercise are well established, there is growing epidemiological support for the notion that high-intensity endurance athletics increases the risk of atrial fibrillation (AF). There are many gaps in evidence related to epidemiology and mechanisms of AF in endurance athletes. The proposed pathophysiological mechanisms include alterations of autonomic tone, electrical remodeling, anatomical remodeling, fibrosis, and inflammation. Clinical management of the athlete with AF often includes a period of decreased frequency, intensity, and duration of exercise with assessment for improvement in AF recurrence...
September 2017: JACC. Clinical Electrophysiology
https://www.readbyqxmd.com/read/29733501/a-versatile-mussel-inspired-dynamic-biointerface-from-specific-cell-behavior-modulation-to-selective-cell-isolation
#5
Lei Liu, Xiaohua Tian, Yue Ma, Yuqing Duan, Xin Zhao, Guoqing Pan
We report here a novel dynamic biointerface based on mussel-inspired chemistry and reversible covalent chemistry. We first biomimetically designed peptides with catechol-containing sequence and cell-binding sequence at each end. The biomimetic, mussel-inspired peptides were then reversibly bound on a phenylboronic acid (PBA)-containing polymer-grafted substrate through sugar-responsive catechol-boronate covalent interactions. The resultant biointerface is thus capable of dynamic presentation of the bioactivity (i...
May 7, 2018: Angewandte Chemie
https://www.readbyqxmd.com/read/29724006/heart-rate-estimated-from-body-movements-at-six-degrees-of-freedom-by-convolutional-neural-networks
#6
Hyunwoo Lee, Mincheol Whang
Cardiac activity has been monitored continuously in daily life by virtue of advanced medical instruments with microelectromechanical system (MEMS) technology. Seismocardiography (SCG) has been considered to be free from the burden of measurement for cardiac activity, but it has been limited in its application in daily life. The most important issues regarding SCG are to overcome the limitations of motion artifacts due to the sensitivity of motion sensor. Although novel adaptive filters for noise cancellation have been developed, they depend on the researcher’s subjective decision...
May 1, 2018: Sensors
https://www.readbyqxmd.com/read/29720489/ensuring-respect-for-persons-in-compass-a-cluster-randomised-pragmatic-clinical-trial
#7
Joseph E Andrews, J Brian Moore, Richard B Weinberg, Mysha Sissine, Sabina Gesell, Jacquie Halladay, Wayne Rosamond, Cheryl Bushnell, Sara Jones, Paula Means, Nancy M P King, Diana Omoyeni, Pamela W Duncan
Cluster randomised clinical trials present unique challenges in meeting ethical obligations to those who are treated at a randomised site. Obtaining informed consent for research within the context of clinical care is one such challenge. In order to solve this problem it is important that an informed consent process be effective and efficient, and that it does not impede the research or the healthcare. The innovative approach to informed consent employed in the COMPASS study demonstrates the feasibility of upholding ethical standards without imposing undue burden on clinical workflows, staff members or patients who may participate in the research by virtue of their presence in a cluster randomised facility...
May 2, 2018: Journal of Medical Ethics
https://www.readbyqxmd.com/read/29709533/patience-is-a-virtue-expectant-management-of-chylothorax-after-thoracoabdominal-aortic-aneurysm-repair-usually-works
#8
EDITORIAL
Jeffrey E Keenan, Nicholas D Andersen
In their series of 11 postoperative chylothorax events after open thoracoabdominal aortic aneurysm repair, Wu and colleagues demonstrate this rare (incidence <1%) but potentially serious complication can usually be treated nonoperatively. In cases of high-output chylothorax or chylothorax refractory to medical management, surgical thoracic duct ligation may be required.
April 27, 2018: Seminars in Thoracic and Cardiovascular Surgery
https://www.readbyqxmd.com/read/29700846/rethinking-medical-oaths-using-the-physician-charter-and-ethical-virtues
#9
Alexander M Greiner, Lauris C Kaldjian
OBJECTIVE: Medical oaths express ethical values that are essential to the trust within the patient-physician relationship and medicine's commitment to society. However, the contents of oaths vary between medical schools and therefore raise questions about which ethical values should be included in a medical oath. More than a decade has passed since this variability was last analysed in North America, and since that time the Physician Charter on Medical Professionalism has gained considerable attention, raising the possibility that the Charter may be influencing medical oaths and making them more consistent...
April 27, 2018: Medical Education
https://www.readbyqxmd.com/read/29682610/the-empirical-effect-of-gaussian-noise-in-undersampled-mri-reconstruction
#10
Patrick Virtue, Michael Lustig
In Fourier-based medical imaging, sampling below the Nyquist rate results in an underdetermined system, in which a linear reconstruction will exhibit artifacts. Another consequence is lower signal-to-noise ratio (SNR) because of fewer acquired measurements. Even if one could obtain information to perfectly disambiguate the underdetermined system, the reconstructed image could still have lower image quality than a corresponding fully sampled acquisition because of reduced measurement time. The coupled effects of low SNR and underdetermined system during reconstruction makes it difficult to isolate the impact of low SNR on image quality...
December 2017: Tomography: a Journal for Imaging Research
https://www.readbyqxmd.com/read/29622085/l-inermis-loaded-nanofibrous-scaffolds-for-wound-dressing-applications
#11
Saeid Vakilian, Mohammad Norouzi, Mahsa Soufi-Zomorrod, Iman Shabani, Simzar Hosseinzadeh, Masoud Soleimani
Since ancient times, some herbal medicines have been extensively used for burn and wound treatments, showing preference to the common synthetic medications by virtue of having less side effects and faster healing rate. In this study, hybrid nanofibrous scaffolds of poly-l-lactic-acid (PLLA) and gelatin incorporated L. inermis were fabricated via electrospinning technique. Morphology and characteristics of the scaffolds were studied by scanning electron microscopy (SEM) and Fourier transform infrared (FTIR), respectively...
April 2018: Tissue & Cell
https://www.readbyqxmd.com/read/29584542/toward-decentralized-agrigenomic-surveillance-a-polymerase-chain-reaction-restriction-fragment-length-polymorphism-approach-for-adaptable-and-rapid-detection-of-user-defined-fungal-pathogens-in-potato-crops
#12
Manousos E Kambouris, Yiannis Manoussopoulos, Stavroula Kritikou, Aphroditi Milioni, Spyridon Mantzoukas, Aristea Velegraki
Agrigenomics is one of the emerging focus areas for omics sciences. Yet, agrigenomics differs from medical omics applications such as pharmacogenomics and precision medicine, by virtue of vastly distributed geography of applications at the intersection of agriculture, nutrition, and genomics research streams. Crucially, agrigenomics can address diagnostics and safety surveillance needs in remote and rural farming communities or decentralized food, crop, and environmental monitoring programs for prompt, selective, and differential identification of pathogens...
April 2018: Omics: a Journal of Integrative Biology
https://www.readbyqxmd.com/read/29540881/harmful-consequences-of-specific-substances-on-the-oral-health
#13
Sameer Shaikh, Mohammad Aljanakh, Ibrahim Khalil Al Ibrahim, Mohammad Sohail Memon
Numerous substances may have an adverse influence on the oral region by virtue of their potentially harmful effects. Dental practitioners are often the first to see these effects in the head and neck region. Knowledge of the damaging consequences of agents such as alcohol, tobacco, areca nut, medications, alcohol-containing mouthwashes, dental devices and materials can assist the practitioners in clinical decision-making and accurate diagnosis of associated lesions. More importantly, timely diagnosis and prompt reporting of such harmful effects improve the quality of care...
March 2018: JPMA. the Journal of the Pakistan Medical Association
https://www.readbyqxmd.com/read/29392472/single-dose-local-administration-of-parathyroid-hormone-1-34-pth-with-%C3%AE-tricalcium-phosphate-collagen-%C3%AE-tcp-col-enhances-bone-defect-healing-in-ovariectomized-rats
#14
Zhou-Shan Tao, Wan-Shu Zhou, Xin-Jing Wu, Lin Wang, Min Yang, Jia-Bing Xie, Zhu-Jun Xu, Guo-Zheng Ding
Parathyroid hormone (1-34, PTH) combined β-tricalcium phosphate (β-TCP) achieves stable bone regeneration without cell transplantation in previous studies. Recently, with the development of tissue engineering slow release technology, PTH used locally to promote bone defect healing become possible. This study by virtue of collagen with a combination of drugs and has a slow release properties, and investigated bone regeneration by β-TCP/collagen (β-TCP/COL) with the single local administration of PTH. After the creation of a rodent critical-sized femoral metaphyseal bone defect, β-TCP/COL was prepared by mixing sieved granules of β-TCP and atelocollagen for medical use, then β-TCP/COL with dripped PTH solution (1...
February 1, 2018: Journal of Bone and Mineral Metabolism
https://www.readbyqxmd.com/read/29376973/-the-modular-strategy-for-the-informational-support-of-medical-activities-based-at-the-spa-and-health-resort-facilities-under-conditions-of-infrastructure-deficit
#15
V V Yezhov, D L Goldberg, P E Grigorev, V I Mizin, A V Olenchuk, I V Vasilieva
The Crimean peninsula, by virtue of its unique geographical conditions, has a variety of natural resources providing a basis for the maintenance of the health resort activities in the region. However, most local health centers suffer from the chronic and difficultly avoidable in the short term problems with logistical support, including the shortage of computers and the lack of modern network infrastructure. This circumstance limits the deployment capabilities of high-grade medical information systems for the automation of all components of the activity of health resorts and the significant improvement of the performance of other aspects of their work, such as efficient patient routing, workflow optimization, limiting the opportunities for the realization of certain corruption schemes by the staff...
December 5, 2017: Voprosy Kurortologii, Fizioterapii, i Lechebnoĭ Fizicheskoĭ Kultury
https://www.readbyqxmd.com/read/29358464/mortality-reduction-in-empa-reg-outcome-trial-beyond-the-antidiabetes-effect
#16
Samy Suissa
Two recent large-scale cardiovascular outcome trials, a now common tool in assessing the safety of pharmacological treatments for type 2 diabetes, reported significant reductions in all-cause mortality. In EMPA-REG OUTCOME [BI 10773 (Empagliflozin) Cardiovascular Outcome Event Trial in Type 2 Diabetes Mellitus Patients], patients who received the SGLT2 inhibitor empagliflozin had a notable reduction of 9.2 deaths per 1,000 per year, while LEADER (Liraglutide Effect and Action in Diabetes: Evaluation of Cardiovascular Outcome Results-A Long Term Evaluation) found that the patients receiving the GLP-1 receptor agonist liraglutide had a reduction of 3...
February 2018: Diabetes Care
https://www.readbyqxmd.com/read/29351403/project-on-the-good-physician-further-evidence-for-the-validity-of-a-moral-intuitionist-model-of-virtuous-caring
#17
G Michael Leffel, Ross A Oakes Mueller, Sandra A Ham, Kyle E Karches, Farr A Curlin, John D Yoon
THEORY: In the Project on the Good Physician, the authors propose a moral intuitionist model of virtuous caring that places the virtues of Mindfulness, Empathic Compassion, and Generosity at the heart of medical character education. HYPOTHESES: Hypothesis 1a: The virtues of Mindfulness, Empathic Compassion, and Generosity will be positively associated with one another (convergent validity). Hypothesis 1b: The virtues of Mindfulness and Empathic Compassion will explain variance in the action-related virtue of Generosity beyond that predicted by Big Five personality traits alone (discriminant validity)...
January 19, 2018: Teaching and Learning in Medicine
https://www.readbyqxmd.com/read/29346354/compassion-from-a-palliative-care-perspective
#18
Antonio Fernando, Conor Rea, Phillipa J Malpas
BACKGROUND: Compassion is a core virtue in medicine and lies at the heart of good medical care. It connects us to each other and reflects our need for relationships with others. AIM: Our aim is to explore how palliative care patients perceive, understand and experience compassion from health professionals, and to inform clinical practice. METHODS: Seven hospice managers in the North Island of New Zealand were contacted and invited to join the study...
January 19, 2018: New Zealand Medical Journal
https://www.readbyqxmd.com/read/29282423/establishment-of-medical-education-upon-internalization-of-virtue-ethics-bridging-the-gap-between-theory-and-practice
#19
Mansoureh Madani, Bagher Larijani, Ensieh Madani, Nazafarin Ghasemzadeh
During medical training, students obtain enough skills and knowledge. However, medical ethics accomplishes its goals when, together with training medical courses, it guides students behavior towards morality so that ethics-oriented medical practice is internalized. Medical ethics is a branch of applied ethics which tries to introduce ethics into physicians' practice and ethical decisions; thus, it necessitates the behavior to be ethical. Therefore, when students are being trained, they need to be supplied with those guidelines which turn ethical instructions into practice to the extent possible...
2017: Journal of Medical Ethics and History of Medicine
https://www.readbyqxmd.com/read/29242573/extremely-premature-birth-informed-written-consent-and-the-greek-ideal-of-sophrosyne
#20
Joseph W Kaempf, Kevin Dirksen
Most extremely premature infants die in the intensive care unit or suffer significant neurologic impairment. Many therapies result in unhealthy consequences, and the emotional and financial turmoil for families warrant reappraisal of our motives. Shared decision-making and informed consent in preference-sensitive conditions imply the family: (a) understands the medical problem, (b) grasps the risks and benefits of each therapy, (c) has the opportunity to ask questions and reflect upon options, (d) knows their values and preferences are understood, and (e) accepts or declines therapies without judgment or penalty...
December 15, 2017: Journal of Perinatology: Official Journal of the California Perinatal Association
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