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https://www.readbyqxmd.com/read/28723309/moral-distress-as-experienced-by-hospital-social-workers-in-south-korea-and-australia
#1
Patricia Fronek, Lynne Briggs, Myung Hun Kim, Hye Bin Han, Quinn Val, Sungmin Kim, Donna McAuliffe
This exploratory, qualitative research explored the ethical problems faced by hospital social workers in South Korea and Australia, and what and who influenced their decision making using a focus group design. Although dilemmas of boundaries, confidentiality, self-determination, and other complex scenarios found in practice were identified, moral distress, a consequence of the unresolvable conflicts, dominated participants' narratives. This was particularly the case for the Korean social workers in this sample...
July 19, 2017: Social Work in Health Care
https://www.readbyqxmd.com/read/28722807/-the-difference-being-a-woman-made-untold-lives-in-personal-and-intellectual-context
#2
Alexandra Rutherford, Katharine Milar
To mark the 30th anniversary of the publication of Scarborough and Furumoto's classic work Untold Lives, and to honor the intellectual legacy of Elizabeth Scarborough (1935-2015), we introduce this special issue devoted to the histories of women, gender, and feminism in psychology. We provide a short biographical sketch of Elizabeth, highlighting her own marriage-career dilemma, then contextualize the publication of Untold Lives within the historiography on women in psychology at that time. We conclude by discussing intersectionality as an analytic framework for the history of psychology as a way to extend and enrich this historiography...
July 2017: Journal of the History of the Behavioral Sciences
https://www.readbyqxmd.com/read/28722004/oral-gingival-metastasis-a-diagnostic-dilemma
#3
Nalini Aswath, Chandrakanth Balakrishnan, Vidyarani Shyamsundar, Sarumathi Thirrugnanamurthy
Oral cavity is a rare target for metastasis with an incidence of 1% among all oral cancers. In 24% of such cases, oral metastasis is the first indication of an undiagnosed primary. Metastatic oral malignancies have been reported in the mandible, tongue, and gingiva. Although gingival metastasis has been reported from lung, prostate, rectal carcinoma in men and carcinoma of breast, adrenal glands, and genitalia in females, gingival metastasis from carcinoma of the penis has not been reported. Herein, a case of metastatic gingival carcinoma that developed after extraction of teeth from primary carcinoma of the penis is presented...
May 2017: Indian Journal of Dental Research: Official Publication of Indian Society for Dental Research
https://www.readbyqxmd.com/read/28721576/experiences-of-formal-and-informal-caregivers-of-older-persons-in-singapore
#4
Kalyani K Mehta, Thang Leng Leng
The well-being of informal caregivers in the familial context is increasingly recognized as a critical area of concern affecting the care of older family members. This paper focuses on the dynamics of family caregiving for older members from the work-life perspective, contextualised in the highly developed and rapidly ageing society that is Singapore. Drawing from qualitative research on 30 adult family caregivers and 15 live-in foreign domestic workers (FDWs), the main themes identified from the qualitative interviews were: 1) Stresses and dilemmas faced by family caregivers; 2) Filial responsibility in the caring for one's parents; 3) Coping with work and caregiving - FDWs in family caregiving; 4) Coping with extra help - hiring of FDWs and challenges...
July 18, 2017: Journal of Cross-cultural Gerontology
https://www.readbyqxmd.com/read/28721002/mobile-schwannomas-of-lumbar-spine-a-diagnostic-dilemma
#5
Ajay Kothari, Navdeep Singh, Rashid Anjum
Mobile Schwannoma is a very rare entity and is reported sparsely in literature, with most of them occurring in lumbar spine region. We present a case of seventy-year-old male patient who had pain in lower back radiating to ipsilateral thigh. A diagnosis of migratory tumour was made based on findings of plain and contrast MRI preoperatively. We did a two level laminectomy and tumour excision. In this report, we intend to discuss various likely causes of tumour migration and various diagnostic methods to tackle this surgical dilemma, we have also attempted to review the sparse literature available till date on migratory lumber schwannoma...
April 2017: Journal of Clinical Orthopaedics and Trauma
https://www.readbyqxmd.com/read/28720363/burden-of-urolithiasis-trends-in-prevalence-treatments-and-costs
#6
REVIEW
Omer A Raheem, Yash S Khandwala, Roger L Sur, Khurshid R Ghani, John D Denstedt
CONTEXT: The recent evolution of management options for urolithiasis has presented a unique dilemma for the modern urologist. A comprehensive understanding of epidemiological trends along with current provider preferences in treating urinary stones would be beneficial. OBJECTIVE: To review trends in the prevalence, treatments, and costs of urolithiasis worldwide. EVIDENCE ACQUISITION: A literature review was performed using the MEDLINE database, the Cochrane Library Central search facility, Web of Science, and Google Scholar between 1986 and 2016...
February 2017: European Urology Focus
https://www.readbyqxmd.com/read/28719256/therapeutic-dilemma-of-refractory-erythema-nodosum-leprosum
#7
Jianyu Zhu, Degang Yang, Chao Shi, Zhichun Jing
AbstractErythema nodosum leprosum (ENL), also known as type II leprosy reaction, is a severe immune-mediated complication of multibacillary leprosy. For ENL, corticosteroids and thalidomide are the mainstays of treatment. Other immunosuppressants, such as clofazimine, cyclosporine, and azathioprine have also been used. Although most patients with ENL respond well to conventional treatments, a small number are refractory to these therapies and have severe morbidity or mortality. We report the case of a 24-year-old man with refractory ENL treated with high-dose corticosteroids for 15 months...
June 2017: American Journal of Tropical Medicine and Hygiene
https://www.readbyqxmd.com/read/28718408/a-common-clinical-dilemma-management-of-persistent-hrhpv-infection
#8
Yifan Meng, Ding Ma, Peng Wu
Persistent infection with high-risk human papillomavirus (hrHPV) is a key step in the development of cervical cancer. However, making clinical decisions about how to deal with these cases has become a challenge for obstetrics and gynecology (Ob/Gyn) practitioners. Here, we review the latest research findings and propose possible solutions for the management of persistent hrHPV infections.
May 2017: Trends in Cancer
https://www.readbyqxmd.com/read/28718313/massive-embryonal-rhabdomyosarcoma-of-the-hand-in-an-infant-with-metastasis-at-birth-management-dilemma
#9
Jayakrishnan K Narayana Kurup, Vinay C Kamble, Ashwath M Acharya, Anil K Bhat
BACKGROUND: Rhabdomyosarcomas are malignant tumors arising from striated muscle but can be often confused with primitive neuroectodermal tumors and Ewing sarcoma. They are often classified based on age of presentation and histological features. Three major types of rhabdomyosarcomas are embryonal, alveolar, and pleomorphic with characteristic presentations. METHOD: Here, we present a case of embryonal rhabdomyosarcoma in the hand of a 5-month-old child with lymphatic metastasis, the age, site, and metastasis being unusual feature for this type of rhabdomyosarcoma...
January 1, 2017: Hand: Official Journal of the American Association for Hand Surgery
https://www.readbyqxmd.com/read/28717718/gallbladder-adenomyomatosis-mimicking-carcinoma-a-diagnostic-dilemma
#10
Abhishek Mahajan, Smiti Sripathi
No abstract text is available yet for this article.
October 2016: Journal of Global Oncology
https://www.readbyqxmd.com/read/28717123/fungal-infestation-boosts-fruit-aroma-and-fruit-removal-by-mammals-and-birds
#11
Josep E Peris, Ana Rodríguez, Leandro Peña, José María Fedriani
For four decades, an influential hypothesis has posited that competition for food resources between microbes and vertebrates selects for microbes to alter these resources in ways that make them unpalatable to vertebrates. We chose an understudied cross kingdom interaction to experimentally evaluate the effect of fruit infection by fungi on both vertebrate (mammals and birds) fruit preferences and on ecologically relevant fruit traits (volatile compounds, toughness, etc). Our well-replicated field experiments revealed that, in contrast to previous studies, frugivorous mammals and birds consistently preferred infested over intact fruits...
July 17, 2017: Scientific Reports
https://www.readbyqxmd.com/read/28713442/overdiagnosis-an-unrecognised-and-growing-worldwide-problem-in-healthcare
#12
EDITORIAL
John Brodersen
Overdiagnosis is the diagnosis of deviations, abnormalities, risk factors, and pathologies that in themselves would never cause symptoms (this applies only to risk factors and pathology), would never lead to morbidity, and would never be the cause of death. Therefore, treating an overdiagnosed condition (deviation, abnormality, risk factor, pathology) cannot, by definition, improve the patient's prognosis, and can therefore only be harmful. Overdiagnosis is an extremely harmful and big problem all over the world, and the problem is increasing...
September 2017: Zdravstveno Varstvo
https://www.readbyqxmd.com/read/28713150/a-jehovah-s-witness-adolescent-in-the-labor-and-delivery-unit-should-patient-and-parental-refusals-of-blood-transfusions-for-adolescents-be-honored
#13
Johan Christiaan Bester, Martin Smith, Cynthia Griggins
A 15-year-old was admitted to the labor and delivery unit for induction of a 41-week-gestation pregnancy. Her parents, members of Jehovah's Witnesses, and the patient, who had been studying the religion but had not yet been baptized, were adamant that no blood transfusions would be accepted even if a life-threatening hemorrhage were to occur. In our analysis, we examine the underlying ethical conflict and issues raised by this case. We considered two important ethical questions in analyzing the dilemma: first, whether adolescents are capable of providing autonomous and authentic refusals for lifesaving interventions; and second, whether parents can refuse such interventions for their adolescent children based on their religious beliefs...
2017: Narrative Inquiry in Bioethics
https://www.readbyqxmd.com/read/28713147/to-enroll-or-not-to-enroll-a-researcher-struggles-with-the-decision-to-involve-study-participants-in-a-clinical-trial-that-could-save-their-lives
#14
Roberto Abadie
Hundreds of thousands of clinical trials are conducted annually around the world, working to further scientific knowledge and expand medical treatment. At the same time, clinical trials also present novel challenges to researchers who have access to large pools of research participants and are routinely approached by pharmaceutical companies seeking to recruit subjects for clinical trials. This case study discusses the ethical dilemmas faced by a community health investigator who received an invitation to enroll people who inject drugs (PWID) into a clinical trial of a drug that promised a new treatment option for Hepatitis C...
2017: Narrative Inquiry in Bioethics
https://www.readbyqxmd.com/read/28712887/prostatic-ductal-adenocarcinoma-a-rare-entity-with-radiological-dilemma-demanding-endoscopic-biopsy
#15
S S Yadav, Pushpendra Baghel, Vinay Tomar, Neeraj Agarwal, Devendra Dhakad
This is a rare case of prostatic ductal adenocarcinoma( PDA). A 75 year old gentleman presented with complaints of lower urinary tract symptoms(LUTS), constipation and occasional heamaturia. The clinical and radiological differentiation from other retroperitoneal soft cystic lesion was difficult and FNAC from papillary solid components of cyst was required to reach diagnosis. TRUS guided biopsy was performed in view of raised serum PSA (> 100ng/ml), But, the cyst got ruptured without yielding any tissue for biopsy...
July 13, 2017: Urology
https://www.readbyqxmd.com/read/28712081/survey-on-awareness-and-attitudes-of-secondary-school-students-regarding-plastic-pollution-implications-for-environmental-education-and-public-health-in-sharjah-city-uae
#16
Mohammad Bakri Alaa Hammami, Eman Qasem Mohammed, Anas Mohammad Hashem, Mina Amer Al-Khafaji, Fatima Alqahtani, Shaikha Alzaabi, Nihar Dash
Since the industrial revolution in the 1800s, plastic pollution is becoming a global reality. This study aims to assess knowledge and attitude about plastic pollution among secondary school students in Sharjah city, United Arab Emirates. A cross-sectional study was conducted among 400 students in 6 different secondary schools in Sharjah city. Self-administered questionnaires were distributed through probability stratified random sampling method between February and April 2016. Majority of the population understands how harmful plastic wastes are to the environment (85...
July 15, 2017: Environmental Science and Pollution Research International
https://www.readbyqxmd.com/read/28712066/effect-of-ph-and-ionic-strength-on-the-binding-strength-of-anti-pf4-polyanion-antibodies
#17
Thi-Huong Nguyen, Andreas Greinacher
Antibodies against the chemokine platelet factor 4 (PF4) in complex with heparin cause the prothrombotic adverse drug reaction heparin-induced thrombocytopenia (HIT). The current dilemma for laboratory diagnosis of HIT is that only about 50% of these antibodies are pathogenic, but the widely available enzyme immunosorbent assays (EIA), used for diagnosis in the clinical laboratory cannot differentiate between non-pathogenic- and pathogenic (platelet activating) antibodies. It would be highly desirable to improve diagnosis for HIT...
July 15, 2017: European Biophysics Journal: EBJ
https://www.readbyqxmd.com/read/28711849/fertilizer-efficiency-in-wheat-is-reduced-by-ozone-pollution
#18
Malin C Broberg, Johan Uddling, Gina Mills, Håkan Pleijel
Inefficient use of fertilizers by crops increases the risk of nutrient leaching from agro-ecosystems, resulting in economic loss and environmental contamination. We investigated how ground-level ozone affects the efficiency by which wheat used applied nitrogen (N) fertilizer to produce grain protein (NEP, N efficiency with respect to protein yield) and grain yield (NEY, N efficiency with respect to grain yield) across a large number of open-top chamber field experiments. Our results show significant negative ozone effects on NEP and NEY, both for a larger data set obtained from data mining (21 experiments, 70 treatments), and a subset of data for which stomatal ozone flux estimates were available (7 experiments, 22 treatments)...
July 13, 2017: Science of the Total Environment
https://www.readbyqxmd.com/read/28711535/infection-or-glioma-the-false-dilemma-of-primary-cns-histiocytic-sarcoma
#19
William Clifton, Oluwaseun Akinduro, Sebastian Lopez-Chiriboga, Dale Alan Whitaker, Ronald Reimer
Primary CNS histiocytic sarcoma (HS) is an extremely rare lymphoproliferative disorder which affects the central nervous system and behaves aggressively. There have been only twenty-seven reported cases of primary CNS HS. The paucity of literature on this entity has made diagnosis and treatment difficult both for the surgeon and pathologist. This is a case of primary CNS HS in a middle-aged female who presented with a supposed cerebellar abscess from an outside institution. The intraoperative frozen pathology was initially interpreted as a high grade glioma, however the final pathology was demonstrated to be histiocytic sarcoma...
July 12, 2017: World Neurosurgery
https://www.readbyqxmd.com/read/28711077/acute-kidney-injury-in-pregnancy
#20
Belinda Jim, Vesna D Garovic
Pregnancy-related acute kidney injury (AKI) has declined in incidence in the last three decades, although it remains an important cause of maternal and fetal morbidity and mortality. Pregnancy-related causes of AKI such as preeclampsia, acute fatty liver of pregnancy, HELLP (Hemolysis, Elevated Liver function tests, Low Platelets) syndrome, and the thrombotic microangiopathies (thrombotic thrombocytopenic purpura, atypical hemolytic-uremic syndrome [HUS]) exhibit overlapping features and often present as diagnostic dilemmas...
July 2017: Seminars in Nephrology
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