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https://www.readbyqxmd.com/read/29662959/quarter-century-management-of-chronic-ureteropelvic-junction-obstruction-in-a-solitary-kidney-with-a-ureteral-stent
#1
Garen Abedi, Roshan M Patel, Cyrus Lin, Ralph V Clayman
Background: The ureteral stent provides a conduit for urinary drainage from the kidney to the bladder and is integral to contemporary urologic practice. A ureteral stent is often utilized in acute conditions to prevent or overcome obstruction; however, in nonsurgical patients, because of disease or preference, a ureteral stent may be used as a last resort for long-term management of a stricture in lieu of a nephrostomy tube. This case highlights a patient whose chronic ureteral obstruction has been managed with an indwelling ureteral stent for 25 years; remarkably, stent exchanges are currently required only every 2 years...
2018: Journal of Endourology Case Reports
https://www.readbyqxmd.com/read/29656704/phenomenon-of-moral-distress-through-the-aspect-of-interpretive-interactionism
#2
Hsun-Kuei Ko, Chi-Chun Chin, Min-Tao Hsu, Shu-Li Lee
BACKGROUND: Most previous studies on moral distress focused on the factors that cause moral distress, paying inadequate attention to the moral conflict of nurses' values, the physician-nurse power hierarchy, and the influence of the culture. RESEARCH OBJECTIVE: To analyze the main causes for moral distress with interpretive interactionism. RESEARCH DESIGN: A qualitative study was adopted. PARTICIPANTS: Through purposeful sampling, 32 nurses from 12 different departments were chosen as the samples...
January 1, 2018: Nursing Ethics
https://www.readbyqxmd.com/read/29644340/the-lateralizing-asymmetry-of-adrenal-adenomas
#3
Meng Hao, Diana Lopez, Miguel Angel Luque-Fernandez, Kathryn Cote, Jessica Newfield, Molly Connors, Anand Vaidya
Context: It is presumed that the incidence of adrenal adenomas is symmetric between the left and right adrenal gland; however, anecdotal observations suggest a potential lateralizing asymmetry. Objective: To investigate the symmetry in detection of adrenal adenomas and relevance to patient care. Design: Cross-sectional and longitudinal studies. Population and Setting: One thousand three hundred seventy-six patients with abdominal computed tomography or magnetic resonance imaging demonstrating benign-appearing adrenal adenomas...
April 1, 2018: Journal of the Endocrine Society
https://www.readbyqxmd.com/read/29627025/cerebrovascular-imaging-of-cerebral-ischemia-in-acute-type-a-aortic-dissection
#4
Soichiro Matsubara, Masatoshi Koga, Tomoyuki Ohara, Yasuyuki Iguchi, Kenji Minatoya, Yoshio Tahara, Tetsuya Fukuda, Yuichi Miyazaki, Katsufumi Kajimoto, Yuki Sakamoto, Naoki Makita, Naoki Tokuda, Kazuyuki Nagatsuka, Yukio Ando, Kazunori Toyoda
BACKGROUND AND PURPOSE: Stanford type A aortic dissection (AAD) sometimes causes acute ischemic stroke (AIS) or transient ischemic attack (TIA). There is little understanding of cerebrovascular imaging of AIS or TIA in patients with AAD. METHODS: Consecutive AIS/TIA patients with AAD who were admitted within 4.5 h of onset were reviewed. We compared findings of MRI/MRA between these and consecutive AIS/TIA patients without AAD within 4.5 h of onset. RESULTS: Seventeen AAD and 249 non-AAD patients were identified...
May 15, 2018: Journal of the Neurological Sciences
https://www.readbyqxmd.com/read/29626625/informed-consent-to-research-trials-on-alzheimer-s-disease-how-to-foster-research-without-infringing-upon-the-patient-s-right-to-self-determination
#5
EDITORIAL
Gianluca Montanari Vergallo, Giusy Ylenia Cisale, Natale Mario di Luca, Enrico Marinelli, Simona Zaami
No abstract text is available yet for this article.
April 4, 2018: Pharmacological Research: the Official Journal of the Italian Pharmacological Society
https://www.readbyqxmd.com/read/29609788/-smart-health-care-relationship-and-ethics
#6
Maya Gutierrez, Carla Matta, Léontine Miret, Christophe Couvreur, Sylvie Carrié
A health application is aimed at patients undergoing treatment at home, with chemotherapy or targeted therapy, administered orally. Medical safety, the collaborative approach, data protection and the respect of patients' rights form part of the ethical charter of this innovative project.
April 2018: Revue de L'infirmière
https://www.readbyqxmd.com/read/29607335/using-newly-deceased-patients-in-teaching-clinical-skills-its-ethical-and-educational-challenges
#7
Mahboobeh Saber, Seyed Ali Enjoo, Ali Mahboudi, Seyed Ziaadin Tabei
Introduction: The newly deceased patients have long been used in medical schools to teach clinical skills without any challenges as it helps to train skilled doctors. Nowadays, the use of moulages and simulators are common in teaching clinical skills since these tools provide the opportunity for frequent practice without any pain and injury. There are specific procedures which still require the use of cadavers. However, the increased significance of patient rights has generally challenged the practicality of using the deceased bodies for this purpose...
April 2018: Journal of Advances in Medical Education & Professionalism
https://www.readbyqxmd.com/read/29605112/ionising-radiation-risk-disclosure-when-should-radiographers-assume-a-duty-to-inform
#8
C W E Younger, C Douglas, H Warren-Forward
INTRODUCTION: Autonomy is a fundamental patient right for ethical practice, and informed consent is the mechanism by which health care professionals ensure this right has been respected. The ethical notion of informed consent has evolved alongside legal developments. Under Australian law, a provider who fails to disclose risk may be found to be in breach of a duty of disclosure, potentially facing legal consequences if the patient experiences harm that is attributable to an undisclosed risk...
May 2018: Radiography
https://www.readbyqxmd.com/read/29587518/prospective-controlled-trial-for-the-treatment-of-acne-keloidalis-nuchae-with-a-long-pulsed-neodymium-doped-yttrium-aluminum-garnet-laser
#9
Denise K Woo, German Treyger, Marsha Henderson, Richard H Huggins, Diane Jackson-Richards, Iltefat Hamzavi
BACKGROUND: Acne keloidalis nuchae (AKN) is a chronic scarring folliculitis with limited interventions of both high efficacy and low morbidity. OBJECTIVE: To assess the efficacy of the long-pulsed 1064-nm neodymium-doped yttrium-aluminum-garnet (Nd:YAG) laser and topical steroids as a treatment for AKN compared to topical steroids alone. METHODS: We conducted a single-blinded, randomised, within-patient right-left controlled trial (n = 13)...
March 2018: Journal of Cutaneous Medicine and Surgery
https://www.readbyqxmd.com/read/29561675/monitoring-the-mental-health-act-a-need-to-protect-patients-rights
#10
John Tingle
John Tingle discusses the latest Care Quality Commission annual report on how health services in England are applying the Mental Health Act 1983, which reveals with some worrying findings.
March 22, 2018: British Journal of Nursing: BJN
https://www.readbyqxmd.com/read/29561116/-the-sick-child-and-medical-secrecy-in-africa-from-the-influence-of-tradition-to-respect-for-legal-norms
#11
Philip Thierno Mbaye
With the evolution of new technologies, ensuring the protection of the patient's rights becomes more and more difficult. The new methods of diagnosis and treatment of the disease although powerful, have finally get throught the patient deep inside his intimacy, requiring a real legal framework in order to preserve medical confidentiality. The apprehension that is made of it depends on the social and cultural realities of the geographical framework in which one can situate oneself. While it is true that in Western societies the legal consecration and the application of medical secrecy has been the subject of numerous jurisprudence, this is not the case in African societies where the notion of secrecy is perceived otherwise...
May 22, 2017: Journal International de Bioéthique et D'éthique des Sciences
https://www.readbyqxmd.com/read/29558850/respecting-the-privacy-of-hospitalized-patients-an-integrative-review
#12
Tayebeh Hasan Tehrani, Sadat Seyed Bagher Maddah, Masoud Fallahi-Khoshknab, Abbas Ebadi, Farahnaz Mohammadi Shahboulaghi, Mark Gillespie
BACKGROUND: Privacy is a complicated and obscure concept, which has special meanings in the healthcare environment; therefore, it is essential for healthcare providers to fully understand this concept. However, there is no universally accepted definition for this concept in the texts, and it has been interpreted differently, based on its application. AIM: To analyze and provide a clear and scientific definition for respect of privacy of hospitalized patients and identify the common aspects of this concept...
January 1, 2018: Nursing Ethics
https://www.readbyqxmd.com/read/29550313/noninvasive-assessment-of-hemodynamic-status-in-heartware-left-ventricular-assist-device-patients-validation-of-an-echocardiographic-approach
#13
Simone Frea, Paolo Centofanti, Stefano Pidello, Francesca Giordana, Virginia Bovolo, Andrea Baronetto, Beatrice Franco, Marco Matteo Cingolani, Matteo Attisani, Mara Morello, Serena Bergerone, Mauro Rinaldi, Fiorenzo Gaita
OBJECTIVES: The aim of this prospective study was to validate an echocardiographic protocol derived from 5 HeartWare left ventricular assist device (HVAD) patients for the noninvasive evaluation of right atrial pressure (RAP) and left atrial pressure (LAP) in HVAD patients. BACKGROUND: Echocardiography is an invaluable tool to optimize medical treatment and pump settings and also for troubleshooting residual heart failure. Little is known about the echocardiographic evaluation of hemodynamic status in HVAD patients...
March 9, 2018: JACC. Cardiovascular Imaging
https://www.readbyqxmd.com/read/29549901/outcomes-of-major-laparoscopic-liver-resection-for-hepatocellular-carcinoma
#14
Hanisah Guro, Jai Young Cho, Ho-Seong Han, Yoo-Seok Yoon, YoungRok Choi, Sungho Kim, Kilhwan Kim, In Gun Hyun
BACKGROUND: To compare the surgical outcomes of major laparoscopic liver resection (LLR) and open liver resection (OLR) for hepatocellular carcinoma (HCC). METHODS: We retrospectively reviewed the medical records of 177 patients who underwent major liver resection for HCC between January 2004 and June 2015. We divided the 177 patients into two groups according to the type of procedure: major LLR (LLR group; n = 67) and major OLR (OLR group; n = 110). RESULTS: Procedures in the LLR group were right hepatectomy (30 patients), right posterior sectionectomy (28), left hepatectomy (11), right anterior sectionectomy (6), extended right hepatectomy (6), and central bisectionectomy (2)...
March 2018: Surgical Oncology
https://www.readbyqxmd.com/read/29533131/the-hospice-patient-s-right-to-oral-care-making-time-for-the-mouth
#15
Kristi Soileau, Nanette Elster
The hospice philosophy embraces palliative care for the terminally ill, for whom quality of life is the central focus of comfort care management. Often, caregivers hesitate or simply do not elect to extend oral care for patients nearing the end of life, due to difficulties encountered in patient compliance, a sense of futility in doing so, staff time constraints in prioritizing care, underfunding, or a lack of education as to how and why such care should be delivered to the hospice patient. This article aims to show physiological and psychosocial reasons why the hospice patient has a need for properly and regularly implemented oral care and why dental professionals have an ethical responsibility to address the current void that exists in hospice-centered oral care...
January 1, 2018: Journal of Palliative Care
https://www.readbyqxmd.com/read/29526123/-the-situation-of-pediatric-patients-rights-in-the-transylvanian-healthcare
#16
Csanád Albert-Lőrincz
This study summarizes the results of the author's PhD thesis presenting the research process and the most important findings regarding the situation of Transylvanian healthcare. Our data are based on the knowledge and compliance of pediatric patients' rights as they are seen by healthcare specialists, parents and children. A number of 751 persons were involved in the research: 200 healthcare specialists, 200 parents, 200 children aged from 7 to 17 years who have been experiencing health services at least three times over the past year and a control group of 151 children who did not have this kind of experience...
March 2018: Orvosi Hetilap
https://www.readbyqxmd.com/read/29525473/utility-of-lung-radiodensity-ratios-in-diagnosis-of-radiolucent-foreign-body-aspiration-in-children-a-practical-approach
#17
Emine Caliskan, Shamil Aliyev, Hatice Arioz Habibi, Zuhal Bayramoglu, Ravza Yilmaz, Ibrahim Adaletli
OBJECTIVE: To evaluate the utility of radiodensity ratio between lungs on chest X-ray for the diagnosis of radiolucent foreign body aspiration (FBA) in children. METHODS: X-rays of 33 patients with confirmed diagnosis of FBA by bronchoscopy were compared to 66 control patients. We divided the study group into three subgroups: symmetric (13-patients), right-oblique (RO;12-patients) and left-oblique (LO;8-patients). RESULTS: When we compared FBA-symmetric-subgroup to symmetric-control-group, FBA-RO-subgroup to RO-control-group and FBA-LO-subgroup to LO-control-group, radiodensity ratios were significantly higher in the FBA subgroups...
March 4, 2018: Clinical Imaging
https://www.readbyqxmd.com/read/29514635/patient-data-and-patient-rights-swiss-healthcare-stakeholders-ethical-awareness-regarding-large-patient-data-sets-a-qualitative-study
#18
Corine Mouton Dorey, Holger Baumann, Nikola Biller-Andorno
BACKGROUND: There is a growing interest in aggregating more biomedical and patient data into large health data sets for research and public benefits. However, collecting and processing patient data raises new ethical issues regarding patient's rights, social justice and trust in public institutions. The aim of this empirical study is to gain an in-depth understanding of the awareness of possible ethical risks and corresponding obligations among those who are involved in projects using patient data, i...
March 7, 2018: BMC Medical Ethics
https://www.readbyqxmd.com/read/29509211/rights-and-duties-of-patients-suffering-from-human-immunodeficiency-virus-hiv-in-tunisia
#19
Mohamed Amine Mesrati, Nidhal Haj Salem, Marwa Boussaid, Yosra Mahjoub, Ali Chadly, Abir Aissaoui
The spread of the disease of HIV has been decreased since the promotion and protection of human rights. In Tunisian law, patient infected by HIV, as every citizen, enjoys of all his rights without any discrimination, including the right to life and dignity, the right to care access, the free choice of doctor, the right to be informed and consent before any health care and specially the right to medical confidentiality. The Code of patients rights and the law no° 2007-12 of 12 February 2007 supplementing the law no° 92-71 of 27 July 1992 related to transmitted diseases ensure the protection and the respect of these rights...
May 2017: La Tunisie Médicale
https://www.readbyqxmd.com/read/29493632/-patients-rights
#20
Giorgio Bert, Enrico Morello, Silvana Quadrino
Forty years have passed since the publication of the "Patients' Rights Charter" (included in a separate section at the end of the work: "Patients' rights: a critical guide to understanding and usage of civil hospital facilities"), but it still remains remarkably topical. We here provide an analysis of the original Charter (1975) taking into consideration the changes that have occurred in sensitivity to gender, cultural as well as socioeconomic differences, the right to body privacy and to continuity of care, the key role of general practitioners, the reciprocal relations in the information and decision-making processes with shared diagnostic and therapeutic pathways and active patient participation, which mandates that adequate education in communication and care strategies be provided to all caregivers...
February 2018: Recenti Progressi in Medicina
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