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Primum non nocere

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https://www.readbyqxmd.com/read/28914683/primum-non-nocere-and-the-5-rights
#1
Gabriele Popp, Dick Clarke, Stephen Rothstein
Overutilization of hyperbaric oxygen therapy (HBOT) is commonplace and primarily associated with outpatient wound care. While the number of hospitals providing HBOT is at an all-time high, the number of those willing to treat patients in immediate need is at an all-time low. Huge areas of the country, including major population areas, are now completely devoid of 24/7 HBOT availability and inpatient access. Purchasers of healthcare, including the Centers for Medicare and Medicaid Services, have become increasingly concerned to the point that several strategies have been introduced to constructively deal with this issue...
October 2017: Advances in Skin & Wound Care
https://www.readbyqxmd.com/read/28858021/primum-non-nocere
#2
Martin G Mayer
No abstract text is available yet for this article.
September 2017: JAAPA: Official Journal of the American Academy of Physician Assistants
https://www.readbyqxmd.com/read/28837269/primum-non-nocere
#3
EDITORIAL
Miguel A Sanchez, Ana M Burga, Britt Marie Ljung
No abstract text is available yet for this article.
August 24, 2017: Cancer
https://www.readbyqxmd.com/read/28814354/primum-adiuvare-%C3%A2-primum-non-nocere-%C3%A2-and-the-practice-of-allergy
#4
COMMENT
Joseph A Bellanti, Russell A Settipane
No abstract text is available yet for this article.
September 1, 2017: Allergy and Asthma Proceedings:
https://www.readbyqxmd.com/read/28801267/primum-non-nocere-the-effects-of-sodium-hypochlorite-on-dentin-as-used-in-endodontics
#5
Li-Sha Gu, Xue-Qing Huang, Brandon Griffin, Brian R Bergeron, David H Pashley, Li-Na Niu, Franklin R Tay
The medical literature is replete with the maxim 'primum non nocere', cautioning health care providers to avoid doing any harm to human subjects in their delivery of medical care. Sodium hypochlorite (NaOCl) is a well-established irrigant for root canal treatment because of its antimicrobial and organic tissue remnant dissolution capability. However, little is known about the deleterious effect of this strong oxidizing agent on the integrity of human mineralized dentin. Iatrogenically-induced loss of dentin integrity may precipitate post-treatment root fracture and has potential medico-legal complications...
August 8, 2017: Acta Biomaterialia
https://www.readbyqxmd.com/read/28798023/primum-non-nocere-the-paramount-importance-of-esophageal-protection
#6
EDITORIAL
Jayanthi N Koneru, Karoly Kaszala, Kenneth A Ellenbogen
No abstract text is available yet for this article.
August 2017: Circulation. Arrhythmia and Electrophysiology
https://www.readbyqxmd.com/read/28746976/glucose-targeted-therapy-for-subjects-with-type-2-diabetes-mellitus-primum-non-nocere
#7
EDITORIAL
Davide Maggi, Caterina Bordone, Lucia Briatore, Valeria Cheli, Luigi Fontana, Chiara Mazzucchelli, Fabrizio Montecucco, Gianfranco Adami, Renzo Cordera
Type 2 Diabetes (T2DM) is a complex disease that is not limited to hyperglycemia. Anti-diabetic treatments aimed at preventing late onset complications and avoiding both hypo- and hyperglycemic events. Unfortunately, recently discovered anti-diabetic drugs only modestly impacted on disease clinical outcome. This article is protected by copyright. All rights reserved.
July 26, 2017: European Journal of Clinical Investigation
https://www.readbyqxmd.com/read/28744073/gadolinium-based-contrast-agents-in-current-practice-risks-of-accumulation-and-toxicity-in-patients-with-normal-renal-function
#8
Anju Ranga, Yatish Agarwal, Kanika J Garg
Despite being decked as the most prized compounds in the nugget box of contrast agents for clinical radiologists, and carrying an indisputable tag of safety of the US Food and Drug Administration for close to three decades, all may not be seemingly well with the family of gadolinium compounds. If the first signs of violations of primum non nocere in relation to gadolinium-based contrast agents (GBCAs) appeared in the millennium year with the first published report of skin fibrosis in patients with compromised renal function, the causal relationship between the development of nephrogenic systemic fibrosis (NSF) and GBCAs, first proposed by two European groups in 2006, further precluded their use in renocompromised patients...
April 2017: Indian Journal of Radiology & Imaging
https://www.readbyqxmd.com/read/28597526/primum-non-nocere-the-dangers-of-deferring-heart-failure-therapy
#9
EDITORIAL
Michael Böhm, Ulrich Laufs, Felix Mahfoud, Stephan H Schirmer, Ingrid Kindermann
No abstract text is available yet for this article.
June 8, 2017: European Journal of Heart Failure
https://www.readbyqxmd.com/read/28591507/-regarding-surface-ablation-as-an-ethically-superior-option-when-compared-to-lasik-primum-non-nocere
#10
Kepa Balparda
Refractive surgery is an extremely safe surgical intervention, with excellent profiles of clinical improvement and satisfaction. The ethical responsibility of the refractive surgeon is to look for diminishing the patients' exposure to unnecessary risks. Therefore, surface ablation would be a preferable option over LASIK as the former has a better safety profile than the latter, without compromising final visual acuity. Ethically, surface ablation should be considered as the first choice in those patients undergoing Excimer laser refractive surgery...
July 2017: Revista Médica del Instituto Mexicano del Seguro Social
https://www.readbyqxmd.com/read/28566061/primum-non-nocere-rethinking-our-policies-on-out-of-home-care-in-australia
#11
Peter D Jones
No abstract text is available yet for this article.
June 5, 2017: Medical Journal of Australia
https://www.readbyqxmd.com/read/28537834/when-respecting-autonomy-is-harmful-a-clinically-useful-approach-to-the-nocebo-effect
#12
John T Fortunato, Jason Adam Wasserman, Daniel Londyn Menkes
Nocebo effects occur when an adverse effect on the patient arises from the patient's own negative expectations. In accordance with informed consent, providers often disclose information that results in unintended adverse outcomes for the patient. While this may adhere to the principle of autonomy, it violates the doctrine of "primum non nocere," given that side-effect disclosure may cause those side effects. In this article we build off previous work, particularly by Wells and Kaptchuk ( 2012 ) and by Cohen ( 2013 ), to suggest ethical guidelines that permit nondisclosure in the case when a nocebo effect is likely to occur on of the basis of nonmaleficence...
June 2017: American Journal of Bioethics: AJOB
https://www.readbyqxmd.com/read/28459152/risks-of-stimulant-use-for-attention-deficit-hyperactivity-disorder-on-the-developing-brain-primum-non-nocere
#13
H Patrick Stern, Jonathan Lipman, Susan L Andersen, John B Bossaer, Jim Thigpen
No abstract text is available yet for this article.
April 1, 2017: Clinical Pediatrics
https://www.readbyqxmd.com/read/28294519/the-management-of-the-cardiac-patient-in-labour-primum-non-nocere
#14
R D'Souza, M Sermer, C Silversides
No abstract text is available yet for this article.
March 10, 2017: BJOG: An International Journal of Obstetrics and Gynaecology
https://www.readbyqxmd.com/read/28279268/should-we-screen-for-pulmonary-embolism-in-severe-copd-exacerbations-not-just%C3%A2-yet-primum-non-nocere
#15
EDITORIAL
Seung Won Ra, Don D Sin
No abstract text is available yet for this article.
March 2017: Chest
https://www.readbyqxmd.com/read/28275957/erratum-to-auxiliendo-primum-non-nocere-a-preliminary-view-of-the-devote-trial-comparing-cardiovascular-safety-of-insulin-degludec-versus-insulin-glargine-in-type-2-diabetes
#16
Sanjay Kalra
No abstract text is available yet for this article.
April 2017: Diabetes Therapy: Research, Treatment and Education of Diabetes and related Disorders
https://www.readbyqxmd.com/read/28229272/prophylactic-implantable-cardioverter-defibrillator-in-heart-failure-the-growing-evidence-for-all-or-primum-non-nocere-for-some
#17
REVIEW
Khang-Li Looi, Nigel Lever, Anthony Tang, Sharad Agarwal
Heart failure (HF) is a common health problem and has reached epidemic in many western countries. Despite the current era of HF treatment, the risk of sudden cardiac death (SCD) in HF remains significant. Implantable cardioverter defibrillator (ICD) support has been shown to reduce the risk of SCD in patients with HF and impaired left ventricular function. Prophylactic ICD implantation in HF patients seems a logical step to reduce mortality through a reduction in SCD. However, ICD implantation is an invasive procedure, and both short- and long-term complications can occur...
February 23, 2017: Heart Failure Reviews
https://www.readbyqxmd.com/read/28197833/auxiliendo-primum-non-nocere-a-preliminary-view-of-the-devote-trial-comparing-cardiovascular-safety-of-insulin-degludec-versus-insulin-glargine-in-type-2-diabetes
#18
Sanjay Kalra
A demonstration of cardiovascular safety is mandatory for all newly developed glucose-lowering agents, including insulin analogues. The vascular benefit of insulin is evident from the Diabetes Control and Complication Trial (DCCT) and United Kingdom Prospective Diabetes Study (UKPDS), and the cardiovascular safety of insulin glargine has been demonstrated in individuals with newly diagnosed diabetes or prediabetes in the ORIGIN trial (Outcome Reduction with an Initial Glargine Intervention). The top-line results of DEVOTE (Trial Comparing Cardiovascular Safety of Insulin Degludec vs...
April 2017: Diabetes Therapy: Research, Treatment and Education of Diabetes and related Disorders
https://www.readbyqxmd.com/read/28194188/primum-non-nocere-first-do-no-harm-and-then-feed-peanut
#19
Kyla Jade Hildebrand, Elissa Michele Abrams, Timothy K Vander Leek, Julia Elizabeth Mainwaring Upton, Douglas P Mack, Linda Kirste, Christine McCusker, Sandeep Kapur
The Addendum Guidelines for the Prevention of Peanut Allergy in the United States-Report of the NIAID-Sponsored Expert Panel were developed to build on previous food allergy guidelines after several key studies demonstrated the benefit of early introduction of allergenic foods. These landmark studies including the Learning Early about Peanut (LEAP), LEAP-On and Enquiring about Tolerance trials created a paradigm shift in food allergy prevention. The "take home" messages of this guideline include that peanut should be introduced early in the first year of life, and for the majority of infants, peanut can be introduced at home...
2017: Allergy, Asthma, and Clinical Immunology
https://www.readbyqxmd.com/read/28188998/midwives-experiences-of-working-in-an-obstetric-high-dependency-unit-a-qualitative-study
#20
Isabelle J Eadie, Nicolette F Sheridan
OBJECTIVES: to understand the challenges experienced by midwives providing obstetric high dependency care and identify the training they perceive is needed for work in an obstetric high dependency unit. DESIGN: sixteen midwives who worked in the obstetric high dependency unit participated in one of three focus groups. Focus groups lasted 60-90minutes and were conducted in the workplace and facilitated by author (IE). Data were digitally recorded, transcribed and analysed manually by author (IE), specifically using a 'codebook' model to generate codes, categories and themes...
April 2017: Midwifery
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