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https://www.readbyqxmd.com/read/28086950/healthcare-system-responsiveness-in-jiangsu-province-china
#1
Jianqian Chao, Boyang Lu, Hua Zhang, Liguo Zhu, Hui Jin, Pei Liu
BACKGROUND: The perceived responsiveness of a healthcare system reflects its ability to satisfy reasonable expectations of the public with respect to non-medical services. Recently, there has been increasing attention paid to responsiveness in evaluating the performance of a healthcare system in a variety of service settings. However, the factors that affect the responsiveness have been inconclusive so far and measures of improved responsiveness have not always thoroughly considered the factors...
January 13, 2017: BMC Health Services Research
https://www.readbyqxmd.com/read/28075313/stories-of-dignity-within-healthcare-research-narratives-and-theories-tranv%C3%A3-g-oscar-synnes-oddgeir-and-mcsherry-wilf-stories-of-dignity-within-healthcare-research-narratives-and-theories-212pp-%C3%A2-35-m-k-publishers-9781905539970-1905539975-formula-see-text
#2
(no author information available yet)
Dignity is fundamental to us all. It is reflected in what we do every day and includes respect, attitudes and behaviour. It applies to the worth we see in ourselves and how we see and treat others. As healthcare professionals, we have our own dignity and also need to ensure we preserve the dignity of others.
January 11, 2017: Nursing Standard
https://www.readbyqxmd.com/read/28074434/lessons-learned-from-the-world-s-first-successful-penis-allotransplantation
#3
REVIEW
Andre van der Merwe, Amir Zarrabi, Alexander Zühlke, Nicola Barsdorf, Rafique Moosa
We performed a successful penis allotransplantation on 11 December 2014. Sharing the lessons learned might help more patients in need to be treated this way. We divided the project into manageable segments that was each overseen by an expert. The ethical review and conduct paved the way for a publically acceptable and successful project. Screening for a psychological stable recipient is important. The most difficult part of the project was finding a donor penis. This was successfully negotiated with the family of a brain dead donor by creating a neo-phallus for the donor, thereby maintaining the dignity of the donor...
February 2017: Journal of Materials Science. Materials in Medicine
https://www.readbyqxmd.com/read/28062942/what-money-cannot-buy-and-what-money-ought-not-buy-dignity-motives-and-markets-in-human-organ-procurement-debates
#4
Ryan Gillespie
Given the current organ shortage, a prevalent alternative to the altruism-based policy is a market-based solution: pay people for their organs. Receiving much popular and scholarly attention, a salient normative argument against neoliberal pressures is the preservation of human dignity. This article examines how advocates of both the altruistic status quo and market challengers reason and weigh the central normative concept of dignity, meant as inherent worth and/or rank. Key rhetorical strategies, including motivations and broader social visions, of the two positions are analyzed and evaluated, and the separation of morally normative understandings of dignity from market encroachment is defended...
January 6, 2017: Journal of Medical Humanities
https://www.readbyqxmd.com/read/28060984/-saints-in-medicine-during-the-great-wars-of-the-twentieth-century
#5
María Agustina Martini, Bárbara C Finn, Julio E Bruetman, Pablo Young
In the political and social context of World War periods and unstoppable technological advances, health professionals in the early twentieth century tried to orientate the practice of medicine towards a modern anthropological concept close to the biomedical perspective, which defends the dignity of a person. Threatened by the risks represented by collectivism and the meanness of the prevailing repressive governments, a personal struggle for the defense of life aroused, which was socially expressed by the advent of bioethics, psychoanalytic theories and the concept that environment has an important role in people’s health and welfare...
September 2016: Revista Médica de Chile
https://www.readbyqxmd.com/read/28058213/face-transplantation-anesthetic-challenges
#6
REVIEW
Aparna Dalal
Face transplantation is a complex vascular composite allotransplantation (VCA) surgery. It involves multiple types of tissue, such as bone, muscles, blood vessels, nerves to be transferred from the donor to the recipient as one unit. VCAs were added to the definition of organs covered by the Organ Procurement and Transplantation Network Final Rule and National Organ Transplant Act. Prior to harvest of the face from the donor, a tracheostomy is usually performed. The osteotomies and dissection of the midface bony skeleton may involve severe hemorrhagic blood loss often requiring transfusion of blood products...
December 24, 2016: World Journal of Transplantation
https://www.readbyqxmd.com/read/28043078/a-qualitative-study-investigating-training-requirements-of-nurses-working-with-people-with-dementia-in-nursing-homes
#7
Analisa Smythe, Catharine Jenkins, Magdalena Galant-Miecznikowska, Peter Bentham, Jan Oyebode
BACKGROUND: The care home workforce (over half a million people in the UK) has a pivotal role in the quality of care provided to the residents. Much care in this setting is inadequate, lacks a person-centred focus and neglects the dignity of residents. A combination of factors leads to burnout in nurses working in nursing homes, contributing to poor quality care. Recent reports have indicated that cultures of care need to be addressed through training, improved workforce support and supervision and that improving the quality of care for people with dementia can be achieved by the development of leadership in nursing and clarifying professional values...
December 22, 2016: Nurse Education Today
https://www.readbyqxmd.com/read/28041869/-palliative-care-after-neonatal-intensive-care-contributions-of-leonetti-law-and-remaining-challenges
#8
P Kuhn, L Dillenseger, N Cojean, B Escande, C Zores, D Astruc
The 2005 enactment of the "Patients' rights and end-of-life care" act, known as the Leonetti law, has been accompanied by practical changes in the processes of withdrawal and withholding of active life-sustaining treatments. This law has also promoted the implementation of palliative care in perinatal medicine to avoid unreasonable therapeutic interventions and to preserve the dying patient's quality of life and human dignity. Recently, a new law has been voted by the French National Assembly and new reflections on the ethical aspects of the end of life in neonatal medicine should resume again within the French Society of Neonatology in the working group on ethical issues in neonatology...
December 29, 2016: Archives de Pédiatrie: Organe Officiel de la Sociéte Française de Pédiatrie
https://www.readbyqxmd.com/read/28030856/criteria-for-determining-malignancy-in-pancreatic-intraductal-papillary-mucinous-neoplasm-based-on-computed-tomography
#9
Peter Mönnings, Orlin Belyaev, Waldemar Uhl, Arnd Giese, Andrea Tannapfel, Odo Köster, Juris J Meier
INTRODUCTION: Determining the dignity of intraductal papillary mucinous neoplasms (IPMNs) by imaging procedures is challenging. Various CT-based criteria were evaluated. PATIENTS AND METHODS: Preoperative CT scans from 47 patients with IPMN were analyzed. Predefined criteria of malignancy were compared between patients with benign (bIPMN; n = 28) and malignant (mIPMN; n = 19) tumors, and a summation score was determined. RESULTS: Preoperative carbohydrate-antigen 19-9 levels were higher in patients with mIPMN (p = 0...
December 29, 2016: Digestion
https://www.readbyqxmd.com/read/28029436/psychiatric-psychological-forensic-report-writing
#10
Gerald Young
Approaches to forensic report writing in psychiatry, psychology, and related mental health disciplines have moved from an organization, content, and stylistic framework to considering ethical and other codes, evidentiary standards, and practice considerations. The first part of the article surveys different approaches to forensic report writing, including that of forensic mental health assessment and psychiatric ethics. The second part deals especially with psychological ethical approaches. The American Psychological Association's Ethical Principles and Code of Conduct (2002) provide one set of principles on which to base forensic report writing...
October 28, 2016: International Journal of Law and Psychiatry
https://www.readbyqxmd.com/read/28027748/intra-individual-comparison-of-caipirinha-vibe-technique-with-conventional-vibe-sequences-in-contrast-enhanced-mri-of-focal-liver-lesions
#11
M H Albrecht, B Bodelle, A Varga-Szemes, P Dewes, A M Bucher, B D Ball, C N De Cecco, U J Schoepf, X Zhu, S Zangos, T Gruber-Rouh, J L Wichmann, T Lehnert, T J Vogl
PURPOSE: To evaluate the impact of controlled aliasing in parallel imaging results in higher acceleration (CAIPIRINHA) volume interpolated breath-hold examination (VIBE) magnetic resonance imaging (MRI) technique on image quality, reader confidence, and inter-observer agreement for the assessment of focal liver lesions in comparison with the standard VIBE approach. MATERIAL AND METHODS: In this IRB-approved intra-individual comparison study, abdominal arterial and portal-venous contrast-enhanced MRI studies were retrospectively analyzed in 38 patients with malignant liver lesions...
January 2017: European Journal of Radiology
https://www.readbyqxmd.com/read/28027459/dignity-and-autonomy-in-the-care-for-patients-with-dementia-differences-among-formal-caretakers-of-varied-cultural-backgrounds-and-their-meaning
#12
Miriam Ethel Bentwich, Nomy Dickman, Amitai Oberman
BACKGROUND: A key message in the World Health Organization report on dementia (2012) emphasizes this disease as a top priority in public health and the need to improve professional attitudes to patients with dementia, while acknowledging that the workforce in dementia care is becoming increasingly diverse culturally. AIMS: To trace whether there are substantial gaps between formal caretakers from different cultural groups (Israeli born Jews [Sabras], Israeli Arabs [Arabs] and migrants from Russia [Russians]) regarding their stances on the human dignity and autonomy of patients with dementia, as well as understand the meaning of these gaps...
December 8, 2016: Archives of Gerontology and Geriatrics
https://www.readbyqxmd.com/read/28004462/care-givers-reflections-on-an-ethics-education-immersive-simulation-care-experience-a-series-of-epiphanous-events
#13
Ann Gallagher, Matthew Peacock, Magdalena Zasada, Trees Coucke, Anna Cox, Nele Janssens
There has been little previous scholarship regarding the aims, options and impact of ethics education on residential care-givers. This manuscript details findings from a pragmatic cluster trial evaluating the impact of three different approaches to ethics education. The focus of the article is on one of the interventions, an immersive simulation experience. The simulation experience required residential care-givers to assume the profile of elderly care-recipients for a 24-hr period. The care-givers were student nurses...
December 21, 2016: Nursing Inquiry
https://www.readbyqxmd.com/read/28004169/comparison-of-inversion-flipping-rates-among-different-port-designs-a-single-center-experience
#14
Vahid Etezadi, Scott O Trerotola
PURPOSE: To compare incidence of port inversion among different types of implantable venous access devices. MATERIALS AND METHODS: Records of patients who underwent imaging-guided subcutaneous port placement without port fixation between July 2001 and April 2015 were reviewed with use of a quality assurance database. 1930 patients with complete follow-up (death or explant) were included in the study. Collected data included date and indication for port placement, port type, venous access site, immediate and long-term complications, indication for removal, and total number of catheter days...
December 21, 2016: Cardiovascular and Interventional Radiology
https://www.readbyqxmd.com/read/28003386/a-proposed-model-for-assessing-defendant-competence-to-self-represent
#15
Mitzi M S White, Thomas G Gutheil
The increasing number of criminal defendants who are choosing to self-represent poses special challenges for legal systems with regard to the types of limits that should be placed on a defendant's basic human right to defend himself without the assistance of counsel. While courts strive to respect the dignity and autonomy of the defendant that are encompassed in this right, they also want to ensure that justice is delivered and the dignity of the courtroom is maintained. The Supreme Court of the United States, in its opinion in Indiana v...
December 2016: Journal of the American Academy of Psychiatry and the Law
https://www.readbyqxmd.com/read/27995838/mental-hospitals-in-india-in-the-21st-century-transformation-and-relevance
#16
P Murthy, M Isaac, H Dabholkar
Mental hospitals in India, as elsewhere in the world, have played an important role in the care of persons with mental illness. Since their inception, they have both been decried for gross violations of human rights and dignity as well as lauded as places of refuge and care for persons turned away by the communities. In a country where community interventions for mental health care are still fragmentary, the mental hospital still continues to be a relevant and legitimate locus of care along with other limited resources available for the care of persons with mental illness outside of the family...
December 20, 2016: Epidemiology and Psychiatric Sciences
https://www.readbyqxmd.com/read/27990738/beneficial-coercion-in-psychiatric-care-insights-from-african-ethico-cultural-system
#17
Cornelius Olukunle Ewuoso
There is a 'catch 22' situation about applying coercion in psychiatric care. Autonomous choices undeniably are rights of patients. However, emphasizing rights for a mentally-ill patient could jeopardize the chances of the patient receiving care or endanger the public. Conversely, the beneficial effects of coercion are difficult to predict. Thus, applying coercion in psychiatric care requires delicate balancing of individual-rights, individual well-being and public safety, which has not been achieved by current frameworks...
December 19, 2016: Developing World Bioethics
https://www.readbyqxmd.com/read/27981163/cancer-cachexia-and-its-impact-on-patient-dignity-what-nurses-need-to-know
#18
EDITORIAL
Susan McClement
Noted physician, Sr. William Osler, is credited with saying, "Care more particularly for the individual patient than for the special features of the disease". Osler understood that each patient for whom we care is first and foremost a person, who also happens to be living with a particular illness. In addition to understanding the nature of the patient's illness, therefore, it is also critically important that we come to understand the patient's unique story and set of circumstances. Doing so allows us to engage with patients in a way that affirms their sense of dignity and personhood...
July 2016: Asia-Pacific Journal of Oncology Nursing
https://www.readbyqxmd.com/read/27974966/human-dignity-of-patients-with-cardiovascular-disease-admitted-to-hospitals-of-kerman-iran-in-2015
#19
Roghayeh Mehdipour-Rabori, Abbas Abbaszadeh, Fariba Borhani
The human dignity of patients with cardiovascular disease (CVD) is an important issue, because of patients' dependence upon caregivers, and because it impacts all aspects of their quality of life (QOL). Therefore, understanding and improving the status of dignity among these patients is of great importance. This study aimed to determine the status of dignity in patients with CVD admitted to cardiac intensive care units (CICUs) in Iran. This cross-sectional descriptive study was performed in 2015 on 200 patients admitted to the CICUs of hospitals affiliated to Kerman University of Medical Sciences, Iran...
2016: Journal of Medical Ethics and History of Medicine
https://www.readbyqxmd.com/read/27965878/revie-%C3%A2-the-influence-of-a-life-review-intervention-including-a-positive-patient-centered-approach-towards-enhancing-the-personal-dignity-of-patients-with-advanced-cancer-a-study-protocol-for-a-feasibility-study-using-a-mixed-method-investigation
#20
Maria Goreti Da Rocha Rodrigues, Sophie Pautex, Maya Shaha
BACKGROUND: It is generally recognized that existential concerns must be addressed to promote the dignity of patients with advanced cancer. A number of interventions have been developed in this regard, such as dignity therapy and other life review interventions (LRI). However, so far, none have focused on a positive approach or evaluated its effects on dignity and personal growth. This study aims to explore the feasibility of Revie ⊕, a life review intervention comprising a positive, patient-centered approach, and to determine potential changes of patients' sense of dignity, posttraumatic growth, and satisfaction with life...
2016: Pilot and Feasibility Studies
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