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https://www.readbyqxmd.com/read/29931382/-legal-relevance-of-guidelines-contextualization-exemplified-by-international-recommendations-for-treatment-of-inguinal-hernia-in-adults
#1
REVIEW
D Weyhe, V N Uslar, C Mählmeyer, H Oehlers
BACKGROUND: Guidelines aim to standardize treatment concepts based on evidence from the literature and may thus be viewed as collegial support; however, there is a lack of clarity about the legal relevance and legal validity of international guidelines compared to the Association of the Scientific Medical Societies in Germany (AWMF) recommendations. MATERIAL AND METHODS: A literature search was conducted on German AWMF guidelines and on international guidelines for inguinal hernia in adults...
June 21, 2018: Der Chirurg; Zeitschrift Für Alle Gebiete der Operativen Medizen
https://www.readbyqxmd.com/read/29927474/a-case-of-a-ruptured-eyeball-caused-by-high-pressure-water-jets
#2
Shou Oosuka, Takaki Sato, Kensuke Tajiri, Daisaku Kimura, Akiko Takai, Ryohsuke Kohmoto, Masanori Fukumoto, Takatoshi Kobayashi, Teruyo Kida, Tsunehiko Ikeda
To report the case of a ruptured eyeball caused by high-pressure water jets. In this study, the right eye of a 49-year-old male was injured by high-pressure water jets while he was engaged in demolition work. Upon examination, remarkable hyphema and vitreous hemorrhage were observed in the injured eye. After treating the patient's right eye with vitrectomy, in addition to lens subluxation and iridodialysis, retinal detachment was observed at the nasal inferior. The edge of the retinal break was found to be incarcerated into the nasal sclera rupture wounds...
June 1, 2018: Ophthalmic Surgery, Lasers & Imaging Retina
https://www.readbyqxmd.com/read/29925608/respectful-care-of-human-dignity-how-is-it-perceived-by-patients-and-nurses
#3
Rahime Aydın Er, Aysel İncedere, Selda Öztürk
OBJECTIVE: Dignified care protects the patient's rights and provides appropriate ethical care while improving the quality of nursing care. In this context, the opinions of nurses and patients who receive nursing care about dignified care are important. The aim of this study was to explore the opinions and experiences of Turkish patients and nurses about respectful care of human dignity. METHODS: This descriptive cross-sectional study was conducted in Turkey. Participants were inpatients at cardiology, neurology and neurosurgery clinics and nurses working in these clinics...
June 20, 2018: Journal of Medical Ethics
https://www.readbyqxmd.com/read/29922067/elevated-levels-of-vitamin-b12-in-chronic-stable-heart-failure-a-marker-for-subclinical-liver-damage-and-impaired-prognosis
#4
Onur Argan, Dilek Ural, Kurtuluş Karauzum, Serdar Bozyel, Mujdat Aktas, Irem Yilmaz Karauzum, Güliz Kozdag, Aysen Agacdiken Agir
Background: Elevated vitamin B12 is a sign for liver damage, but its significance in chronic stable heart failure (HF) is less known. The present study investigated the clinical correlates and prognostic significance of vitamin B12 levels in stable systolic HF. Methods: A total of 129 consecutive patients with HF and 50 control subjects were enrolled. Data regarding demographics, clinical signs, therapeutic and conventional echocardiographic measurements were recorded for all patients...
2018: Therapeutics and Clinical Risk Management
https://www.readbyqxmd.com/read/29921643/response-to-the-fsrh-guideline-on-conscientious-objection-disrespects-patient-rights-and-endangers-their-health
#5
Jane Hatfield, Asha Kasliwal
No abstract text is available yet for this article.
April 2018: BMJ sexual & reproductive health
https://www.readbyqxmd.com/read/29921641/the-fsrh-guideline-on-conscientious-objection-disrespects-patient-rights-and-endangers-their-health
#6
Joyce H Arthur, Christian Fiala
No abstract text is available yet for this article.
April 2018: BMJ sexual & reproductive health
https://www.readbyqxmd.com/read/29916826/response-to-psychiatric-diagnoses-and-informed-consent
#7
David Brendel
A patient's rights to informed consent and self-determination in psychiatric treatment are well enshrined, but the same rights have not yet been meaningfully extended to patients with regard to psychiatric diagnosis. Andrew Clark's essay entitled "Psychiatric Diagnoses and Informed Consent" in The Journal of Clinical Ethics empowers both psychiatrists and patients to rethink who "owns" the process of clinical assessment and of bestowing diagnostic labels that may have far-reaching consequences...
2018: Journal of Clinical Ethics
https://www.readbyqxmd.com/read/29914132/taking-one-s-own-life-in-hospital-patients-and-health-care-professionals-vis-%C3%A3-vis-the-tension-between-assisted-suicide-and-suicide-prevention-in-switzerland
#8
Stella Reiter-Theil, Charlotte Wetterauer, Irena Anna Frei
In Switzerland, the practice of lay right-to-die societies (RTDS) organizing assisted suicide (AS) is tolerated by the state. Patient counseling and accompaniment into the dying process is overtaken by RTDS lay members, while the role of physicians may be restricted to prescribing the mortal dose after a more or less rigorous exploration of the patient’s decisional capacity. However, Swiss health care facilities and professionals are committed to providing suicide prevention. Despite the liberal attitude in society, the legitimacy of organized AS is ethically questioned...
June 15, 2018: International Journal of Environmental Research and Public Health
https://www.readbyqxmd.com/read/29913923/national-guidelines-for-evaluating-pain-patients-legal-right-to-prioritised-health-care-at-multidisciplinary-pain-clinics-in-norway-implemented-2009
#9
Karen Walseth Hara, Petter Borchgrevink
Background All nations are posed with the challenge of deciding how to allocate limited health care resources. A Patients' Rights Law from 1999 gives patients in Norway with a serious health condition, for which there is efficacious and cost-effective treatment, a legal right to receive health care from the National Health Care system. Methods Recently national guidelines have been produced for implementing these legal rights within 32 fields of specialist health care. One of these fields deals with serious chronic pain conditions...
December 29, 2017: Scandinavian Journal of Pain
https://www.readbyqxmd.com/read/29903608/management-of-pediatric-patients-with-dsd-and-ambiguous-genitalia-balancing-the-child-s-moral-claims-to-self-determination-with-parental-values-and-preferences
#10
David A Diamond, Jonathan Swartz, Amy Tishelman, Judith Johnson, Yee-Ming Chan
INTRODUCTION: A central ethical dilemma in management of the patient with a disorder of sex development (DSD) is the potential conflict between respect for the fundamental right of the child for physical and emotional integrity and self-determination, and the right of parents to serve as surrogate decision-makers and act in their child's best interest. METHODS: Over the past 2 years we have encountered three complex DSD cases on the spectrum of mixed gonadal dysgenesis to ovotesticular DSD in which gender assignment and therefore optimal surgical management was uncertain...
June 1, 2018: Journal of Pediatric Urology
https://www.readbyqxmd.com/read/29889293/comparison-of-single-step-transepithelial-photorefractive-keratectomy-with-or-without-mitomycin-c-in-mild-to-moderate-myopia
#11
Soheil Adib-Moghaddam, Saeed Soleyman-Jahi, Ghazale Tefagh, Salar Tofighi, Michael A Grentzelos, George D Kymionis
PURPOSE: To compare efficacy and safety of single-step transepithelial photorefractive keratectomy (PRK) with or without mitomycin C (MMC) in patients with mild to moderate myopia. METHODS: Patients with mild to moderate myopia (≤ -5.50 diopters [D]) underwent single-step transepithelial PRK using the Amaris laser (SCHWIND eye-tech-solutions GmbH, Kleinostheim, Germany). Total ablation depth (epithelium and stroma) was 160 μm or less. The right eye of each patient was treated with 0...
June 1, 2018: Journal of Refractive Surgery
https://www.readbyqxmd.com/read/29886210/the-debatable-choice-of-iliac-inflow-source-for-redo-femoropopliteal-and-infrapopliteal-bypass
#12
Roberto Gabrielli, Franco Ciocca, Angelica Dante, Aldo Musilli, Maurizio Maiorano, Marco Ventura
BACKGROUND: Redo area region operation is associated with a significant morbidity such as neurovascular injury, infection and lymphorrhea. The traditional management of occluded femoro-popliteal grafts often includes redissection of a scarred groin to obtain adequate inflow via the common femoral artery. These procedures are more technically demanding and require more expertise and judgment than the primary operation. We describe a case of using the ipsilateral iliac branch prosthesis of aorto-bifemoral as inflow for iliac-peroneal bypass, avoiding the previous groin incisions, to minimize the local complications related to a redo groin dissection and to decrease the operative time required to obtain an adequate inflow source...
June 7, 2018: Annals of Vascular Surgery
https://www.readbyqxmd.com/read/29866226/solitary-cecal-diverticulitis-mimicking-cecal-carcinoma
#13
Ali Ezer, Alper Parlakgumus
Cecal diverticulum is a rare clinical condition which may present as acute abdomen through diverticulitis and perforation of diverticulitis. Surgical treatment of cecal diverticulitis has been controversial, with studies recommending options ranging from conservative management with antibiotics alone to aggressive resection. Two cases, one of which was pre- diagnosed with cecal tumor perforation and the other with cecal tumor leading to intestinal obstruction, were urgently operated. To both patients, right hemicolectomy was applied...
June 2018: Journal of the College of Physicians and Surgeons—Pakistan: JCPSP
https://www.readbyqxmd.com/read/29808935/echocardiographic-assessment-of-ventricular-contraction-and-synchrony-in-children-with-isolated-complete-atrioventricular-block-and-epicardial-pacing-implications-of-interventricular-mechanical-delay
#14
Taiyu Hayashi, Hiroshi Ono, Yukihiro Kaneko
AIMS: To assess the correlations between interventricular mechanical delay (IVMD) and cardiac function in children with isolated complete atrioventricular block and epicardial pacing. METHODS AND RESULTS: We enrolled 13 children (six boys) with an epicardial dual-chamber pacemaker due to isolated complete or advanced atrioventricular block. The patients were 9.8 (range, 6.8-15.3) years old, and none had symptomatic heart failure at the follow-up visit. Ventricular pacing sites, which remained the same for 7...
May 29, 2018: Echocardiography
https://www.readbyqxmd.com/read/29804875/-advance-directives-in-hospital-practice-a-matter-of-concern-for-every-healthcare-professional-and-consumer
#15
T de Courson, C Sfeir, G de Guillebon, H Sanson, A Yannoutsos, P Priollet
INTRODUCTION: In France, Leonetti and Claeys-Leonetti laws relating to patients' rights and end-of-life practice have introduced the advance healthcare directives (ADs). Although family doctor's role is important in initiating discussions regarding AD, hospital healthcare professionals should also be concerned by the health care planning laws. METHODS: A descriptive, quantitative and qualitative study was conducted in Paris Saint-Joseph hospital to evaluate the knowledge of nursing personnel regarding ADs...
May 24, 2018: La Revue de Médecine Interne
https://www.readbyqxmd.com/read/29782409/case-reports-and-consent-for-publishing-in-rheumatology-journals-a-latin-american-perspective
#16
Carlos Pineda, Hugo Sandoval
Case reports have a long-standing tradition in the current rheumatology literature. We aimed to present the main points of view regarding the importance, meaning, and barriers of consent for publishing under the comprehensive protection of patients' rights within this genre. We encourage Latin American editors and authors of rheumatology journals to adopt the best ethical practices in the field, avoiding security and legal liabilities from a regional perspective.
June 2018: Journal of Clinical Rheumatology: Practical Reports on Rheumatic & Musculoskeletal Diseases
https://www.readbyqxmd.com/read/29780917/advanced-pigment-dispersion-glaucoma-secondary-to-phakic-intraocular-collamer-lens-implant
#17
Clara Ye, Cajal K Patel, Anna C Momont, Yao Liu
Purpose: We report a case of pigment dispersion glaucoma secondary to uncomplicated phakic intraocular collamer lens (ICL) (Visian ICL™, Staar Inc., Monrovia, CA) implant that resulted in advanced visual field loss. Observations: A 50-year-old man presented for routine follow-up status post bilateral phakic intraocular collamer lens (ICL) placement 8 years earlier. He was incidentally found to have a decline in visual acuity from an anterior subcapsular cataract and elevated intraocular pressure (IOP) in the left eye...
June 2018: American Journal of Ophthalmology Case Reports
https://www.readbyqxmd.com/read/29777007/development-of-64-cu-nota-trastuzumab-for-her2-targeting-radiopharmaceutical-with-improved-pharmacokinetics-for-human-study
#18
Sang-Keun Woo, Su Jin Jang, Min-Jung Seo, Ju Hui Park, Byoung Soo Kim, Eun Jung Kim, Yong Jin Lee, Tae Sup Lee, Gwang Il An, In Ho Song, Youngho Seo, Kwang Il Kim, Joo Hyun Kang
Purpose The purpose of this study was to develop 64 Cu-labeled trastuzumab with improved pharmacokinetics for human epidermal growth factor receptor 2. Methods Trastuzumab was conjugated with SCN-Bn-NOTA and radiolabeled with 64 Cu. Serum stability and immunoreactivity of 64 Cu-NOTA-trastuzumab were tested. Small animal PET imaging and biodistribution study were performed in HER2-positive breast cancer xenograft model (BT-474). Internal dosimetry of experimental animals was performed using the image-based approach with the Monte Carlo N-Particle Code...
May 18, 2018: Journal of Nuclear Medicine: Official Publication, Society of Nuclear Medicine
https://www.readbyqxmd.com/read/29774171/the-effect-of-satellite-laboratory-installation-on-chemotherapy-waiting-time-in-an-oncology-treatment-unit
#19
Abdullah Bany Hamdan, Abdullah Aldakhil, Mushabbab Asiri, Jesusa Tamani, Sherwynn Javison, Sheena Peethambaran, Isamme AlFayyad, Richard Erlandez, Huda AlKarim, Musa AlHarbi
Background Timely treatment is a patient's right. Increasing the efficiency of laboratory testing could potentially improve hospital operations, provide quicker access to health services, and have a positive impact on patient experience. Installation of a satellite laboratory may shorten laboratory turnaround time (TAT) and chemotherapy waiting time. Method The laboratory TAT and chemotherapy waiting time were analyzed and compared before and three years after the establishment of the satellite laboratory. Result The mean laboratory TAT decreased from one hour and 30 minutes at baseline in 2012 to 43, 43, and 37 minutes in 2013, 2014, and 2015, respectively; a reduction rate of 59%...
March 16, 2018: Curēus
https://www.readbyqxmd.com/read/29770704/estimating-efficiency-of-directive-2011-24-eu-cross-border-healthcare-in-member-states
#20
Mustapha D Ibrahim, Mevhibe B Hocaoglu, Berna Numan, Sahand Daneshvar
AIM: Directive 2011/24/EU on patients' rights in cross-border healthcare facilitates EU citizens' access to and reimbursement for healthcare provided or prescribed in a member state other than the member state of affiliation. MATERIALS & METHODS: The efficiency of cross-border healthcare policy is evaluated using data envelopment analysis of relevant items in Eurobarometer Survey on Safety and Quality of Care and Patients' Rights in the EU. RESULTS: Our study shows policy inefficiency in 52% of the 25 EU member states included in the analysis...
May 17, 2018: Journal of Comparative Effectiveness Research
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