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https://www.readbyqxmd.com/read/25199335/-successful-use-of-juzen-taiho-to-a-kampo-medicine-for-the-treatment-of-perioperative-anemia-and-hypoalbuminemia
#1
Tomohiro Tanaka, Nobuyasu Komasawa, Maiko Kataiwa, Tsutomu Hashimoto, Mutsumi Ohue, Toshiaki Minami
An 88-year-old woman suffering from femoral neck fracture was transported to the emergency room of a hospital. The patient and her family refused transfusion, despite anemia, stating their affiliation with Jehova's Witnesses. Surgery was performed under general anesthesia, and the following day, anemia (hemoglobin, 7.5 g x dl(-1)) and hypoalbuminemia (albumin, 2.7 g x dl(-1)) were observed, in addition to anorexia and general fatigue. The patient underwent nutritional treatment with a kampo medicine (Juzen-taiho-to), which was administered as a medication due to difficulties with swallowing the powdered form...
August 2014: Masui. the Japanese Journal of Anesthesiology
https://www.readbyqxmd.com/read/23869829/-gynaecological-surgery-of-jehovah%C3%A2-s-witnesses
#2
M Kudela, R Pilka, L Hansmanová
OBJECTIVE: To present experience with surgical treatment of various gynaecological diseases in patients belonging to the Church of Jehova´s Witness. DESIGNE: Retrospective study. SETTING: Department of Obstetrics and Gynaecology, Palacky University Olomouc, Institute of Health Care Studies, Faculty of Humanity Studies, Thomas Bata University, Zlín. METHODS AND RESULTS: The study included 24 patients belonging to the Church of Jehova´s Witness who reject blood tranfusion...
June 2013: Ceská Gynekologie
https://www.readbyqxmd.com/read/23320639/-moral-autonomy-and-conscientious-objection-in-the-surgical-management-of-jehova-s-witnesses
#3
Rafael Ojeda Rivero
According to current Spanish law, patients are guaranteed the right to make decisions on the medical treatment they receive. However, this exercise of autonomy in health care causes ethical conflicts which are hard to resolve. Health workers' duty to assist patients and the concept of personal rights may lead health professionals to prescribe actions which are contrary to the patient's wishes. For example, in the case of Jehovah's Witnesses, the conscience of health professionals may prevent them from accepting the restrictions on treatments demanded by the patient's religious principles...
September 2012: Cuadernos de Bioética: Revista Oficial de la Asociación Española de Bioética y Ética Médica
https://www.readbyqxmd.com/read/22486150/bloodless-off-pump-coronary-artery-bypass-grafting-treatment-of-choice-for-jehova-s-witness-patients
#4
Emir Mujanovic, Jacob Bergsland, Mirza Jahic, Samed Djedovic, Adnan Behrem, Sanja Stanimirovic-Mujanovic, Emir Kabil
Jehovah's witnesses (JW) belong to a religious group refusing to accept blood transfusion Surgical treatment remains a challenge in this subset of patients. From 1945, JW introduced a ban on accepting blood transfusions, even in life-threatening situations while autologous blood must also be refused if it is predeposited-thus excluding preoperative autodonation. However, autologous blood is acceptable if it is not separated from the patients' circulation at any time. The invasive nature of coronary artery bypass grafting (CABG), the associated decrease of body temperature and the use of cardiopulmonary bypass (CPB) are major reasons for increased blood loss and high incidence for blood transfusions during and after this procedures...
2012: Medicinski Arhiv
https://www.readbyqxmd.com/read/21090844/-bioethical-analysis-in-pregnancy-s-jehova-witnesess-and-transfusion-refusal
#5
María de la Luz Casas-Martínez
UNLABELLED: In Mexico, Jehovah's witnesses present letters to their doctors that exonerate them in case of a patient's decease if hemotherapy was not applied. Although those letters have no legal validity in Mexico, this topic is a hot spot for debate, especially when dealing with competent adults. Bibliography exists, both pro and against this posture, but, an empty gap is observed in the case of pregnancy. With pregnancy, we doctors, find ourselves, both in the medical and ethical area, upon two patients: mother and son...
September 2010: Cuadernos de Bioética: Revista Oficial de la Asociación Española de Bioética y Ética Médica
https://www.readbyqxmd.com/read/21088815/-jehova-s-witnesses-and-severe-injury-with-impending-hemorrhaging-how-complex-is-the-treatment
#6
C Zeckey, N Vanin, G Neitzke, P Mommsen, S Bachmann, M Frink, M Wilhelmi, C Krettek, F Hildebrand
Hemorrhage is frequently seen during the early phases of polytrauma management and intensive care treatment of the severely injured. Traumatic coagulopathy as well as the sometimes overlooked hyperfibrinolysis may lead to further complications. Therefore, transfusion of blood products and coagulation factors is often crucial. Jehova's Witnesses reject transfusions of blood and blood products due to religious convictions. In this case report a therapeutic approach of a multiple trauma patient suffering from traumatic brain injury, blunt chest trauma and liver laceration is described, who has been treated without blood products...
June 2011: Der Chirurg; Zeitschrift Für Alle Gebiete der Operativen Medizen
https://www.readbyqxmd.com/read/20444389/-impossibility-of-artificial-ventilation-in-a-prone-position-in-a-patient-with-deformity-of-the-spine-case-history
#7
I Cundrle, O Vlach, H Ondrásková
The authors present the case of a 15-year-old female patient (Jehova's Witness) who was operated at the age of two on account of a Wilms' tumour of the kidney and irradiated with subsequent postirra-diation scoliosis. In 1990-1993 she was six times subjected to anaesthesia for distraction with a Harrington rod and repeated redistractions. All anaesthesias were of the general type, with artificial pulmonary ventilation in the prone position and without complications. Anaesthesiological methods and procedures were used which made it possible to avoid administration of blood or blood derivatives...
1994: Acta Chirurgiae Orthopaedicae et Traumatologiae Cechoslovaca
https://www.readbyqxmd.com/read/20151526/-treating-severe-acute-anemia-due-to-vaginal-bleeding-in-the-jehovah-s-witness-a-report-of-2-cases
#8
E Gredilla, A Pérez-Ferrer, E Canser, E Alonso, B Martínez Serrano, F Gilsanz
For reasons of religious belief, Jehova's Witnesses do not accept blood transfusions or the infusion of blood products. In situations in which severe, life-threatening anemia develops, patient refusal to receive a transfusion can create serious ethical and legal problems. The principle of patient autonomy, which implies the freedom to accept or reject treatment, comes into conflict with the physician's obligation to safeguard the patient's life using all means possible. We report 2 cases of severe anemia in Jehova's Witnesses...
December 2009: Revista Española de Anestesiología y Reanimación
https://www.readbyqxmd.com/read/20069777/-death-after-refusing-treatment-causality-assessment-using-the-example-of-a-jehovah-s-witness
#9
Kristina Gebhardt, Christine Bartsch
A 39-year-old man and Jehova's Witness suffered a complex pelvic fracture in an accident at work. He died 17 days later from fulminant pulmonary embolism. For religious reasons he had refused blood transfusions which would have been necessary for an early surgical stabilization of the pelvic fracture. Alternatively, the clinicians initiated a therapy with recombinant human erythropoetin (EPO) to increase haemoglobin and postponed the surgical stabilization of the pelvic fracture to a later date. Shortly before the planned operation, the patient suddenly died...
November 2009: Archiv Für Kriminologie
https://www.readbyqxmd.com/read/18581732/-from-dyspnea-to-jehova-s-witnesses
#10
Margrit Bachl
No abstract text is available yet for this article.
2008: Krankenpflege. Soins Infirmiers
https://www.readbyqxmd.com/read/18317881/successful-autologous-peripheral-blood-stem-cell-transplantation-in-a-jehovah-s-witness-with-multiple-myeloma-review-of-literature-and-recommendations-for-high-dose-chemotherapy-without-support-of-allogeneic-blood-products
#11
REVIEW
S Schmitt, V Mailaender, G Egerer, A Leo, S Becker, P Reinhardt, M Wiesneth, H Schrezenmeier, A D Ho, H Goldschmidt, T M Moehler
We present a case report of a successful high-dose melphalan therapy and autologous stem cell transplantation without the use of allogeneic blood product support in a 70-year-old patient suffering from multiple myeloma. Based on the experience in this case and thorough evaluation of the literature, we consider pre-transplant Hb level of 11-12 g/dl, platelet count higher than 70/nl, good WHO performance status of two and lower and informed consent as important eligibility criteria. During cytopenia recommended supportive measures include growth factor support with erythropoietin and G-CSF, p...
April 2008: International Journal of Hematology
https://www.readbyqxmd.com/read/16025996/-bilateral-hypogastric-artery-ligation-for-control-of-pelvic-hemorrhage-reduction-of-blood-flow-and-preservation-of-reproductive-potential-experience-with-117-cases
#12
Zoltán Papp, Erno Tóth-Pál, Csaba Papp, István Sziller, Mihály Silhavy, Márta Gávai, Petronella Hupuczi
MATERIAL AND METHOD: The topography of the hypogastric (internal iliac) artery, its pelvic collateral anastomoses, the procedure and physiological consequences of hypogastric artery ligation are described. Indications and clinical findings in 117 cases of bilateral hypogastric artery ligation for uncontrollable pelvic bleeding are presented. RESULTS: In all 37 obstetric cases, hemorrhage was effectively controlled. There was no need for reoperation, and in 13 cases even the uterus could be preserved, with 4 women having delivered mature infants up until now...
June 12, 2005: Orvosi Hetilap
https://www.readbyqxmd.com/read/15621495/simultaneous-coronary-artery-bypass-grafting-and-carotid-endarterectomy-in-an-awake-jehova-s-witness-patient-without-endotracheal-intubation
#13
Gino Gerosa, Franco Grego, Gianclaudio Falasco, Francesca di Marco
Complex surgical procedures are associated with a major risk of peri-operative bleeding. Jehova's witnesses (JW) necessitate a tailored strategy warranting the optimal surgical management, in observance to their religion principles. In this report, we present a JW female patient, who underwent combined coronary artery bypass grafting and carotid endarterectomy, with neither endotracheal intubation nor general anaesthesia. Patient had previously undergone bilateral endarterectomy and required a reoperation on the left side...
January 2005: European Journal of Cardio-thoracic Surgery
https://www.readbyqxmd.com/read/14685419/-to-what-extent-do-parents-have-the-right-to-decide-for-their-children
#14
D J Kipper
OBJECTIVE: To review the hierarchy of bioethical principles when there are conflicting interests between the medical team and the child's parents in decision making in pediatrics. Our hypothesis is that when the parentś decisions can be questioned, they loose the right to decide for their children. METHODS: The case of a 9-year-old girl from a Jehova's Witness family is presented. She was a candidate for renal transplantation but her parents were against blood transfusion in case it was required...
March 1997: Jornal de Pediatria
https://www.readbyqxmd.com/read/12197294/-objectives-of-a-bloodless-surgery-program-a-comparative-study-major-surgery-vs-minor-medium-surgery-in-51-jehova-s-witnesses-patients
#15
COMPARATIVE STUDY
D Proposito, R Gramolini, V Corazza, B Mancini, S Gallina, L Montemurro, S Veltri, M Carboni
AIM: The purpose of this retrospective review of the charts of 51 Jehovah's Witness patients, who underwent surgery without blood transfusions, was to compare two study groups (major surgery vs minor-medium surgery). METHODS: We compared the following variables: age, sex, length of stay, type of surgical operation, use of intraoperative red cell salvaging devices, hemodilution, number of drainages and their stay, postoperative blood loss, complications, need of reoperation and mortality rate...
March 2002: Annali Italiani di Chirurgia
https://www.readbyqxmd.com/read/11534101/-anomalous-connection-of-inferior-vena-cava-to-left-atrium-infrequent-entity-that-can-be-a-diagnosis-and-surgical-challenge
#16
A Archundia García, E Gómez Alvarez, C Ixcamparij Rosales, M Blanco Canto, M A Hernández Ruiz
This is the diagnostic experiences as well as the surgical mode of treatment used in a 31 years old women suffering diversion of the inferior vena cava into the left atrium associated with atrial septal defect. The patient had been previously studied and operated thrice under conventional circumstances at different institutions in order to solve the septal defect. The hemodynamic solution had not been reached due to a missing pathological definition. The cineangiogram through the saphenous vein specified the left atrium form the inferior vena cava...
September 2000: Archivos del Instituto de Cardiología de México
https://www.readbyqxmd.com/read/10832379/-open-heart-surgery-in-jehovah-s-witnesses
#17
A Péterffy, G Horváth, C Tamás, F Bodnár, M Szokol, M Vaszily
The religious community Jehovah's Witnesses was founded in 1870. They hold that blood transfusion is against God's law. Surgical treatment of a Jehova witness is a great challenge for every surgeon, especially for cardiac surgeons because blood transfusion is frequently needed during such operations. Authors have been trying to reduce the utilization of preserved blood for ten years. This study is about the experience with Jehovah's Witnesses who have undergone open heart surgery in Debrecen. Twenty-four patients underwent open heart surgery from 1989 till May 1999...
April 30, 2000: Orvosi Hetilap
https://www.readbyqxmd.com/read/10731998/-the-problem-of-blood-transfusion-in-jehova-s-witnesses-children-with-oncological-disease
#18
A Kałmuk, D Sońta-Jakimczyk, A Janik-Moszant, H Bubała, I Olejnik
We present 2 cases of Jehovah's Witnesses' children suffering from oncological diseases (non-Hodgkin Lymphoma and Acute Lymphoblastic Leukaemia). During their treatment we used erythropoietin and no blood products were transfused.
1998: Wiadomości Lekarskie: Organ Polskiego Towarzystwa Lekarskiego
https://www.readbyqxmd.com/read/10618916/-acute-leukemia-in-jehovah-s-witnesses
#19
J Bueno, J Zuazu, T Villalba, A Julià
Two cases of young patients, Jehova Witnesses (JW), diagnosed as having acute lymphoblastic leukaemia are presented. In one case a complete remission (CR) was obtained, lasting until now, 20 months after diagnosis; the other one died 11 months after diagnosis without achieving a CR. Three important questions can be raised in JW: 1) the absolute respect to patients' wishes; 2) to treat or not to treat; and 3) the pertinent therapy. The answer is yes to 1) and 2), and a slight myelotoxic therapy for the last one...
October 1999: Sangre
https://www.readbyqxmd.com/read/10491718/-ethical-dilemmas-in-gastroenterology-practice-in-latin-american-countries-the-aige-survey
#20
A C Jmelnitzky, H Cohen, E Fossman, L Ovando, J E Costa Gil
A survey sponsored by the Interamerican Association of Gastroenterology (AIGE) related to decision making in conflictive ethical situations in the setting of gastroenterological practice was designed (AJ-JCG). Seven problem-cases with 3 to 5 pre-established and not-excluding answers each, demographic and occupational data were included, by public invitation during 1996-97 AIGE educational activities in La Plata (Argentina), Montevideo (Uruguay) and Santo Domingo (Dominican Republic). Data were inserted in a computerised data base, and chi square, Fischer and Maentel-Henzel tests were used for statistical studies...
1999: Acta Gastroenterologica Latinoamericana
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