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Primum non nocere

Susan M Ott
No abstract text is available yet for this article.
September 26, 2016: Menopause: the Journal of the North American Menopause Society
Boris Gershman, Stephen A Boorjian
No abstract text is available yet for this article.
September 7, 2016: European Urology
Alun Yewlett, Jeff Kitson, Andrew Redfern, Chris Smith
Fibrodysplasia progressiva ossificans (FPO) is an extremely rare condition characterized by abnormal heterotopic bone formation. The condition is eponymously known as 'stoneman' disease because patients can become effectively entombed within abnormal heterotopic bone. We present the first known case of a diaphyseal humeral fracture managed conservatively in an adult patient with this condition. This patient already had a pre-existing bony bar from a fusion mass involving the thoracic spine, scapula and ribs to her proximal humerus splinting the arm in a position of adduction with the palm of her hand facing towards her groin...
January 2016: Shoulder & Elbow
Maha Hussain, Mario Eisenberger
No abstract text is available yet for this article.
August 25, 2016: JAMA Oncology
P Bracken, J Giller, D Summerfield
The Movement for Global Mental Health (MGMH) argues that there is a moral imperative that psychiatric treatments should be made available to all communities across the world. But psychiatric theories, categories and interventions emerged in the Western world are based on a set of assumptions about the nature of the self and society, nature and the supernatural, health and healing that are not universally accepted. In this paper we argue that there is a stronger moral case for caution with regard to the export of psychiatric thinking...
August 15, 2016: Epidemiology and Psychiatric Sciences
Bridgette D Semple
No abstract text is available yet for this article.
October 2016: European Journal of Neuroscience
Patrick D Tyler, Marc R Larochelle, John N Mafi
No abstract text is available yet for this article.
September 1, 2016: JAMA Internal Medicine
R C Bonadonna, C Borghi, A Consoli, M Volpe
AIMS: Diabetes treatments aim at preventing undesirable metabolic effects of hyperglycemia and at preventing/reducing tissue damage, including cardiovascular (CV) events. For approval, novel diabetes drugs undergo early systematic investigation to assess CV safety. This review provides an updated analysis of the results of recent studies examining novel diabetes medications and CV outcomes. DATA SYNTHESIS: The new regulatory guidelines enforce adjudication of all CV events when testing novel diabetes drugs...
September 2016: Nutrition, Metabolism, and Cardiovascular Diseases: NMCD
Salman Zarka
Modern medicine deals with the combined quality of the profession and the medical service. The first rule of medicine is Primum non nocere" (first, do no harm). However, the essence of this unique profession cannot be confined by this basic message phrased by negation, but should be based on the principle of doing one's best to save the patient's life and to cure him. In this academic and dynamic profession, the physician keeps asking himself frequently whether the provided treatment is the best one possible...
April 2016: Harefuah
G Gill, B Jose
No abstract text is available yet for this article.
August 2016: QJM: Monthly Journal of the Association of Physicians
Ramai Santhirapala, Ramani Moonesinghe
Surgical ambition is rising, with the Royal College of Surgeons reporting an increase in the number of procedures by a million over the past decade (Royal College of Surgeons. Surgery and the NHS in Numbers. Available from Underpinning, this is a rapidly growing population, especially those in the over 85 age group, coupled with rising perioperative expertise; options for surgery are now present where conditions were once managed conservatively. Matching the right patient to the right procedure has never been so pertinent (Bader, Am Soc Anesthesiol 78(6), 2014)...
2016: Perioperative Medicine
Jukes P Namm
No abstract text is available yet for this article.
July 2016: American Journal of Bioethics: AJOB
Steven Hodak, R Michael Tuttle, Guy Maytal, Yuri E Nikiforov, Gregory Randolph
No abstract text is available yet for this article.
July 2016: Thyroid: Official Journal of the American Thyroid Association
H W Bauer, W G Bessler
The aim of all medical treatment is "primum nihil nocere" ("First, do no harm").Restoring the integrity of intestinal microbiota and optimising the immune response in recurrent infections, especially in the urinary tract, are treatment alternatives which are closer to this target than the usual focus on antibiotic prevention of recurrence.In the future, antibiotics will continue to be recommended for the prevention of urinary tract infections on a case-by-case basis. However, the problems of an excessive use of antibiotics, e...
May 2016: Aktuelle Urologie
Ida K Fox
Hand and upper extremity function is instrumental to basic activities of daily living and level of independence in cervical spinal cord injury (SCI). Nerve transfer surgery is a novel and alternate approach for restoring function in SCI. This article discusses the biologic basis of nerve transfers in SCI, patient evaluation, management, and surgical approaches. Although the application of this technique is not new; recent case reports and case series in the literature have increased interest in this field. The challenges are to improve function, achieve maximal gains in function, avoid complications, and to primum non nocere...
May 2016: Hand Clinics
Sara Planès, Céline Villier, Michel Mallaret
While the placebo effect has been studied for a long time, much less is known about its negative counterpart, named the nocebo effect. However, it may be of particular importance because of its impact on the treatment outcomes and public health. We conducted a review on the nocebo effect using PubMed and other databases up to July 2014. The nocebo effect refers by definition to the induction or the worsening of symptoms induced by sham or active therapies. Examples are numerous and concerns both clinical trials and daily practice...
April 2016: Pharmacology Research & Perspectives
Gautam N Allahbadia
Surgical ovarian wedge resection was the first established treatment for women with anovulatory polycystic ovary syndrome (PCOS) but was largely abandoned both due to the risk of postsurgical adhesions and the introduction of medical ovulation induction. Laparoscopic ovarian drilling (LOD) is an alternative method to induce ovulation in PCOS patients with clomiphene citrate resistance instead of gonadotropins. Surgical therapy with LOD may avoid or reduce the need for gonadotropins or may facilitate their use...
April 2016: Journal of Obstetrics and Gynaecology of India
Arnold H Seto, Morton J Kern
Simulator training provides practice for trainees without exposing patients to potentially higher-risk operators early in their training. This study suggests that simulator training shortens the learning curve for femoral access and reduces complications. Commercial availability of inexpensive, realistic simulators would aid medical education and reduce the risk posed to patients.
February 15, 2016: Catheterization and Cardiovascular Interventions
Todd R Jenkins
No abstract text is available yet for this article.
February 2016: American Journal of Obstetrics and Gynecology
Robert C Tasker, Richard M Sharpe
No abstract text is available yet for this article.
April 2016: Intensive Care Medicine
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