88,569 results match your criteria Palliative Medicine[Journal]
Am J Clin Nutr 2018 Dec;108(6):1196-1208
Clinical Surgery, University of Edinburgh, Royal Infirmary of Edinburgh, Edinburgh, United Kingdom.
Background: There is great overlap between the presentation of cachexia, sarcopenia, and malnutrition. Distinguishing between these conditions would allow for better targeted treatment for patients.
Objectives: The aim was to systematically review validated screening tools for cachexia, sarcopenia, and malnutrition in adults and, if a combined tool is absent, make suggestions for the generation of a novel screening tool. Read More
Anticancer Drugs 2019 Jan;30(1):110-115
Department of Oncology, Cambridge University Hospitals NHS Foundation Trust, Addenbrooke's Hospital, Cambridge Biomedical Campus, Cambridge, UK.
Trabectedin is used routinely in the palliative management of patients with advanced soft tissue sarcoma. It is not generally considered to be cardiotoxic, and there is no specific caution for its use in patients with a history of cardiac disease or risk factors. Here, we report six cases from a single academic centre where life-threatening cardiotoxicity occurred acutely during treatment with trabectedin. Read More
J Palliat Med 2018 Dec 11. Epub 2018 Dec 11.
2 International Observatory on End of Life Care, Lancaster University , Lancaster, United Kingdom .
Background: For children with life-shortening illness, achieving a "good death" can be a tacit goal. There is little understanding of how different stakeholders perceive what a "good death" might be.
Objective: To review empirical literature to construct an understanding of a "good death" for children with life-shortening conditions. Read More
Clinics (Sao Paulo) 2018 Dec 10;73(suppl 1):e543s. Epub 2018 Dec 10.
Instituto do Cancer do Estado de Sao Paulo (ICESP), Hospital das Clinicas HCFMUSP, Faculdade de Medicina, Universidade de Sao Paulo, Sao Paulo, SP, BR.
Objectives: Surgery remains the cornerstone treatment modality for gastric cancer, the fifth most common type of tumor in Brazil. The aim of this study was to analyze the surgical treatment outcomes of patients with gastric cancer who were referred to a high-volume university hospital.
Methods: We reviewed all consecutive patients who underwent any surgical procedure due to gastric cancer from a prospectively collected database. Read More
Rev Bras Enferm 2018 ;71(suppl 6):2635-2642
Universidade Federal Fluminense, Aurora de Afonso Costa Nursing School. Niterói, Rio de Janeiro, Brazil.
Objective: To understand the spiritual needs of the patients' family caregiver under Oncology palliative care.
Method: A descriptive, qualitative study with 20 family caregivers of patients hospitalized in an Oncology palliative unit. The data were collected through a phenomenological interview, and analyzed by the method of Amadeo Giorgi supported in the Merleau-Ponty's Phenomenology of Perception. Read More
Acta Biomed 2018 Dec 7;89(7-S):78-88. Epub 2018 Dec 7.
Università di Parma.
Background: The 38/2010 law has widened the supply of palliative care for patients with chronic and degenerative illness. Dementia is a chronic and debilitating illness and it requires specific, complex and constant assistance, involving the health professionals' community and family, and should also benefit from palliative care. But what do the caregivers of these patients think about it?
Aim: To explore the point of view of caregivers accompanying dementia patients regarding palliative care and the accompaniment of the medical team. Read More
Qual Health Res 2018 Dec 12:1049732318816298. Epub 2018 Dec 12.
1 Universidad de Navarra, ICS, Grupo ATLANTES, Pamplona, Spain.
Literature suggests that it is possible to live well with advanced cancer but little is known about the process. In this article, we present a secondary analysis of experiences of living with advanced cancer ( n = 22) that refines the theory of "Living Well with Chronic Illness" for a different context and population. The refined theory explains the experience of living well with advanced cancer illuminating a five-phase iterative process: struggling, accepting, living with advanced cancer, sharing the illness experience, and reconstructing life. Read More
J Palliat Care 2018 Dec 12:825859718810718. Epub 2018 Dec 12.
1 Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA.
Background:: As the spiritual family for many African Americans, the church presents an opportunity to improve communication about palliative care and hospice (PCH). However, sustainable change in church-based, practices related to PCH requires a compreshensive, multilevel approach.
Objectives:: Our primary goal was to encourage churches to embrace palliative care and hospice as acceptable alternatives for end-of-life care by creating venues to improve communications about PCH. Read More
Adv Exp Med Biol 2018 ;995:65-95
Thoracic Oncology Program, University of Maryland Greenebaum Comprehensive Cancer Center, Baltimore, MD, USA.
The management of Non-Small Cell Lung Cancer (NSCLC) has changed dramatically in the last 10 years with an increase in the understanding of the biology and with the development of new and multiple treatments. Chemotherapy being the first systemic treatment used in the setting of advanced disease, proving benefit for patients over palliative care. With the identification of oncogenic drivers, innovative targeted therapies were developed and tested, leading to important changes in the management of certain patients and giving to some of them the possibility to be treated in first line with oral inhibitors. Read More
Case Rep Oncol Med 2018 14;2018:9140593. Epub 2018 Nov 14.
Faculty of Medicine, University of Aleppo, Aleppo, Syria.
In this report, we describe a case of a gastric cancer in young age group with delayed diagnosis and poor prognosis. We report a rare case of a 16-year-old teenager with an advanced moderately differentiated gastric adenocarcinoma without any relevant history. He presented mainly with dysphagia, postprandial vomiting, and eventually hematemesis. Read More
J Pain Res 2018 23;11:2991-2995. Epub 2018 Nov 23.
Department of Public Health and Community Medicine, Tufts University School of Medicine, Boston, MA, USA.
The repurposing of old drugs for new indications is becoming more accepted as a cost-efficient solution for complicated health problems. However, older drugs are often forgotten when they are not repositioned. This analysis makes a case for re-exploration of dermorphin for intrathecal use in postoperative pain and in a palliative context, with the goal of re-establishing this compound. Read More
Clin Interv Aging 2018 21;13:2389-2395. Epub 2018 Nov 21.
Laboratory of Neuropsychobiology, Department of Psychiatry, Poznan University of Medical Sciences, Poznan, Poland.
Introduction: No comprehensive needs assessment is performed routinely in Poland.
Purpose: The goal of the study was to investigate the patterns of needs in older individuals living in long-term care institutions (LTCIs) using the Camberwell Assessment of Need for the Elderly (CANE) questionnaire, based on a previously published study protocol.
Participants And Methods: The study included 306 LTCI residents (age: ≥75 years) with the a Mini-Mental State Examination (MMSE) score of at least 10 points. Read More
Indian J Surg Oncol 2018 Dec 19;9(4):640-643. Epub 2018 May 19.
Department of Surgical Oncology, Vikram Hospital, Bangalore, India.
This is a case report of a 61-year-old male patient, presented with fifth recurrence of retroperitoneal liposarcoma and operated for six times. Literature review on retroperitoneal liposarcoma biology, recurrence pattern, role of surgery in primary tumor, and recurrent tumor, adjuvant therapy, role of multivisceral resection, and palliative surgery. Read More
Indian J Surg Oncol 2018 Dec 20;9(4):552-557. Epub 2018 Jul 20.
22nd Department of Surgery, Attikon Hospital, University of Athens Medical School, 1 Rimini Str, 124 10 Chaidari, Greece.
Pelvic exenteration (PE) is one of the most drastic operations in surgical oncology, associated with severe morbidity and mortality. The objective of our study was to review our experience of PE in terms of surgical characteristics, complications, and overall survival. All patients who had PE surgery between January 1999 and December 2015 were identified. Read More
Indian J Surg Oncol 2018 Dec 31;9(4):530-537. Epub 2018 Jul 31.
1Department of General Surgery, King George's Medical University, Lucknow, UP India.
Gallbladder cancer (CaGB) in the subcontinent belongs to low socioeconomic status, and at the time of diagnosis, a large number is unresectable or inoperable so the palliative treatment remains the only option. In the present study, attempt was made to see the effect and safety profile of single-agent oral capecitabine in inoperable CaGB in presence of low levels of jaundice post-single-catheter transhepatic external biliary drainage. In = 35 of inoperable jaundiced CaGB, post-biliary drainage capecitabine in low dose was started when their total bilirubin levels fell to 10 mg% or below. Read More
Indian J Surg Oncol 2018 Dec 2;9(4):488-494. Epub 2018 Aug 2.
1Department of Gastrointestinal Surgery and Colorectal Surgical Oncology, Tata Memorial Hospital, Dr Ernest Borges Marg, Parel, Mumbai, Maharashtra 400012 India.
The multimodal treatment for advanced rectal adenocarcinoma mandates accurate preoperative staging with contrast-enhanced computed tomography (CECT) of the thorax, abdomen, and pelvis, and magnetic resonance imaging (MRI) of the pelvis. Unlike gastric cancer, the role of staging laparoscopy (SL) in advanced colorectal cancer has not been evaluated. This study aims to evaluate the clinical value of SL in treatment decision-making for advanced rectal cancer (RC) with near or complete obstructing tumors. Read More
BMC Med Inform Decis Mak 2018 Dec 12;18(Suppl 4):122. Epub 2018 Dec 12.
Center for Biomedical Informatics Research, Stanford University, Stanford, CA, USA.
Background: Access to palliative care is a key quality metric which most healthcare organizations strive to improve. The primary challenges to increasing palliative care access are a combination of physicians over-estimating patient prognoses, and a shortage of palliative staff in general. This, in combination with treatment inertia can result in a mismatch between patient wishes, and their actual care towards the end of life. Read More
Palliat Med 2018 Dec 12:269216318817692. Epub 2018 Dec 12.
1 Division of Population Medicine, School of Medicine, Cardiff University, Cardiff, UK.
Background:: Patients receiving palliative care are often at increased risk of unsafe care with the out-of-hours setting presenting particular challenges. The identification of improved ways of delivering palliative care outside working hours is a priority area for policymakers.
Aim:: To explore the nature and causes of unsafe care delivered to patients receiving palliative care from primary-care services outside normal working hours. Read More
Palliat Med 2018 Dec 12:269216318818022. Epub 2018 Dec 12.
1 Paediatric Palliative Care Centre and German Paediatric Pain Centre, Children's and Adolescents' Hospital, Datteln, Germany.
Background:: About one quarter of children affected with cancer die. For children and their families, the end-of-life period is highly distressing.
Aim:: This study focused on how end-of-life care in pediatric cancer patients changed over a period of 10 years and if changes in pediatric palliative care structures were associated with quality of care. Read More
J Cardiol Cases 2014 Feb 13;9(2):75-79. Epub 2013 Dec 13.
Department of Cardiovascular Medicine, Hiroshima University Graduate School of Biomedical and Health Sciences, Japan.
A 64-year-old woman with recurrent mitral valve stenosis was hospitalized 30 years after open commissurotomy. Severe right cerebral embolism occurred at age 58, with left hemiparesis. She was debilitated with cardiac cachexia. Read More
Oncol Res Treat 2018 Dec 12;42(1-2). Epub 2018 Dec 12.
Introduction: Breast cancer is responsible for more than 50% of cutaneous metastases. One of the treatment options is electrochemotherapy (ECT). It is an effective method of local tumor ablation through the application of electroporation. Read More
Oncol Res Treat 2018 Dec 12;42(1-2). Epub 2018 Dec 12.
Patients with hematologic malignancies (HM) nowadays rarely receive palliative or hospice care, and studies on potential effects of integrated palliative care are rare. This narrative review provides a comprehensive overview on their current end-of-life care, first data on integrated specialist palliative care (SPC) and potential barriers. Symptom burden and distress in patients with HM seem to be comparable to other cancer patients, but their performance status and specific symptoms are even worse. Read More
J Oncol Pract 2018 Dec;14(12):e834-e843
Johns Hopkins Bloomberg School of Public Health; Johns Hopkins School of Medicine, Baltimore, MD; University of Cincinnati College of Medicine, Cincinnati, OH; Duke Cancer Institute and Duke Fuqua School of Business, Duke University, Durham, NC; Veterans Affairs Greater Los Angeles Health System, University of California, Los Angeles, Los Angeles; Stanford School of Medicine, Stanford, CA; Temmy Latner Centre for Palliative Care, Sinai Health System; University of Toronto; and Institute for Health Policy, Management, and Evaluation, University of Toronto, Toronto, Ontario, Canada.
Purpose:: To evaluate the reliability, content validity, and variation among sites of a survey to assess facilitators and barriers to quality measurement and improvement in palliative care programs.
Methods:: We surveyed a sample of diverse US and Canadian palliative care programs and conducted postcompletion discussion groups. The survey included constructs addressing educational support and training, communication, teamwork, leadership, and prioritization for quality measurement and improvement. Read More
J Oncol Pract 2018 Dec;14(12):e758-e769
Sarah Cannon Cancer Institutes at HCA Midwest Health, Overland Park, KS; University of Florida College of Medicine; Malcom Randall Veterans Affairs Medical Center, Gainesville; Florida Cancer Specialists, Deland, FL; University of Texas Southwestern Medical Center, Dallas, TX; and Cleveland Clinic Akron General, Akron, OH.
Purpose:: Meaningful connections are an important aspect of career satisfaction. The Hematology Oncology Women Physician Group (HOWPG) is a private Facebook (FB) group of 936 women who practice within the hematology/oncology (H/O) field. We hypothesized that HOWPG adds value to education, emotional wellness, and practice of oncology for its membership. Read More
J Oncol Pract 2018 Dec;14(12):e775-e785
Memorial Sloan Kettering Cancer Center, New York, NY.
Background:: Prior work to integrate early palliative care in oncology has focused on patients with advanced cancer and primarily on palliative care consultation. We developed this outpatient clinic initiative for newly diagnosed patients at any stage, emphasizing primary (nonspecialist) palliative care by oncology teams, with enhanced access to palliative care specialists.
Methods:: We piloted the project in two medical oncology specialty clinics (for patients with myelodysplastic syndrome and GI cancer, respectively) to establish feasibility. Read More
J Oncol Pract 2018 Dec;14(12):e794-e800
Southlake Regional Health Centre, Newmarket; and University of Toronto, Toronto, Ontario, Canada.
Purpose:: Peer review of a proposed treatment plan is increasingly recognized as an important quality activity in radiation medicine. Although peer review has been emphasized in the curative setting, applying peer review for treatment plans that have palliative intent is receiving increased attention. This study reports peer review outcomes for a regional cancer center that applied routine interprofessional peer review as a standard practice for palliative radiotherapy. Read More
J Oncol Pract 2018 Dec;14(12):e786-e793
Icahn School of Medicine at Mount Sinai, New York, NY; and The Everett Clinic, Providence Regional Medical Center, Everett, WA.
Purpose:: The Quality Oncology Practice Initiative (QOPI) is a quality measurement and improvement program designed to assess practice performance for various consensus-based and evidence-based measures. In this study, we evaluated differences in QOPI metrics met among patients with advanced solid cancer receiving routine oncologic care alone (routine care) compared with patients receiving integrated oncology and specialty-level palliative care (supportive care).
Methods:: We conducted a retrospective chart review of 100 randomly selected patients treated between June 2013 and June 2015 from our supportive care group and matched these patients to 100 routine care group patients on the basis of tumor type and initial oncology visit date. Read More
J Am Geriatr Soc 2018 Dec 10. Epub 2018 Dec 10.
Department of Health Policy, Vanderbilt University School of Medicine, Nashville, Tennessee.
Background/objectives: Relatively little is known regarding predictors of advance care planning (ACP) in former nurses. We aimed to evaluate potential predictors of ACP documentation and discussion.
Design: Cross-sectional study, 2012-2014. Read More
Acta Paediatr 2018 Dec 8. Epub 2018 Dec 8.
Director of Paediatric Pain and Palliative Care Service, Department of Women's and Children's Health, University Hospital, Padua, Italy.
Pain is a major cause of admissions to pediatric emergency departments, but is often inappropriately managed (1). The findings of the Pain Practice in Italian Pediatric Emergency Departments on the appropriate use of paracetamol and ibuprofen have previously been reported (1,2). This multicentre, retrospective study evaluated the prescription of opioids given to patients up to the age of 14 with acute non-procedural pain by 18 Italian emergency departments between October 2014 and January 2015. Read More
J Am Geriatr Soc 2018 Dec 7. Epub 2018 Dec 7.
Cardiovascular Division, Department of Internal Medicine, Washington University, St. Louis, Missouri.
Objectives: To identify the top priority areas for research to optimize pharmacotherapy in older adults with cardiovascular disease (CVD).
Design: Consensus meeting.
Setting: Multidisciplinary workshop supported by the National Institute on Aging, the American College of Cardiology, and the American Geriatrics Society, February 6-7, 2017. Read More
Acta Paediatr 2018 Dec 11. Epub 2018 Dec 11.
Department of Paediatric Gastroenterology, Nephrology and Metabolic Diseases, Charité - Universitätsmedizin Berlin, Germany.
Aim: Children and adolescents with end stage renal disease face a high morbidity and mortality. Palliative care provides a multidisciplinary approach to reduce disease burden and improve quality of life. This study evaluated concepts and current structures of palliative care from the perspective of a multidisciplinary paediatric nephrology team including physicians, nurses and psychosocial health professionals. Read More
Eur Rev Med Pharmacol Sci 2018 Nov;22(22):8030-8033
Tumor Center, CFS, Fibromyalgia and Oxygen Ozone Therapy Unit, Mede Clinic, Sacile (PN), Italy.
Objective: Fatigue may be cause by all cancer treatments, maybe because the tissue damage or the build-up of dead cells derived products.
Patients And Methods: At the Mede Clinic in Sacile, Pordenone, Italy, from February 2016 to May 2018 we studied 50 patients with cancer and fatigue (15 with breast cancer, 12 with lung cancer, 11 with colon cancer, 5 with renal cancer, 3 with prostate cancer, 2 with melanoma and 2 hepatocellular carcinoma). Patients were treated with Auto Hemotransfusion (GAE) according to the SIOOT (Scientific Society of Oxygen Ozone Therapy) protocols, two times a week for one month and then twice monthly as maintenance therapy. Read More
Support Care Cancer 2018 Dec 8. Epub 2018 Dec 8.
Department of Supportive Care, Princess Margaret Cancer Centre, University Health Network, 610 University Ave., 16-712, Toronto, Ontario, M5G 2M9, Canada.
Purpose: Acute leukemia (AL) is associated with substantial morbidity and mortality. We assessed the prevalence and correlates of pain in patients with newly diagnosed or relapsed AL.
Methods: Patients with newly diagnosed or relapsed AL admitted to a comprehensive cancer center completed the Memorial Symptom Assessment Scale (MSAS), which assesses prevalence, severity, and distress associated with pain and other symptoms. Read More
Eur J Orthop Surg Traumatol 2018 Dec 7. Epub 2018 Dec 7.
Department of Orthopaedic Surgery and Sports Traumatology, Grenoble South University Hospital, 38130, Echirolles, France.
Introduction: Damage to the common peroneal nerve is the most frequent nerve injury in lower limb traumas. Our objective was to assess the motor and sensory recovery levels and the functional outcomes after remedial surgery for common peroneal nerve trauma, through either neurolysis, direct suture or nerve graft.
Methods: This is a transversal, observational study of a monocentric cohort of 20 patients who underwent surgery between January 2004 and June 2016, which included 16 men and 4 women whose median age was 35 ± 11 years. Read More
Fam Pract 2018 Dec 10. Epub 2018 Dec 10.
Department of Primary and Community Care, Radboud University Medical Centre, Nijmegen, The Netherlands.
Background: Advance care planning (ACP) is a crucial element of palliative care. It improves the quality of end-of-life care and reduces aggressive and needless life-prolonging medical interventions. However, little is known about its application in daily practice. Read More
Rev Med Chil 2018 Jul;146(7):876-884
Servicio de Farmacia, Hospital La Ligua, La Ligua, Chile.
Background: In 2013 the Chilean regulatory sanitary agency issued a warning concerning dose adjustment and use restriction to avoid severe adverse effects of metoclopramide such tardive dyskinesia.
Aim: To study dyskinesia type adverse effects in a population using metoclopramide.
Material And Methods: A cross sectional observational study was conducted among patients pertaining to palliative care and diabetes mellitus programs and consuming 10 mg/day or more of metoclopramide. Read More
J Hosp Med 2018 Nov 28. Epub 2018 Nov 28.
Department of Medicine, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, Pennsylvania, USA.
Nurs Open 2019 Jan 8;6(1):175-188. Epub 2018 Oct 8.
Department of Health Care Science/Palliative Research Centre Ersta Sköndal Bräcke University College Stockholm Sweden.
Aims And Objectives: The aim of this study was to test the theoretical conceptualization of the co-creative process in home care nursing encounters over time.
Method And Design: This was a multiple case study with a deductive analysis of qualitative data over time, using interviews and observations collected from three cases.
Results: The co-creative process was complex and contained main, sub- and micro-processes. Read More
Biomed Res Int 2018 8;2018:1258706. Epub 2018 Nov 8.
Department of Orthopaedic Surgery, Nihon University School of Medicine, 30-1 Oyaguchi Kami-cho, Itabashi-ku, Tokyo 173-8610, Japan.
Purpose: Minimally invasive spine stabilization (MISt) using percutaneous pedicle screws plays a significant role in palliative surgery for metastatic spinal tumors. However, few studies have investigated surgical outcomes based on the epidural spinal cord compression scale (ESCCS). The purpose of this study was to examine outcomes of metastatic spinal tumors as evaluated by ESCCS in patients treated by MISt. Read More
Cureus 2018 Oct 3;10(10):e3405. Epub 2018 Oct 3.
Radiation Oncology, Northwell Health, Sleepy Hollow, USA.
Breast augmentation is the most common cosmetic surgery in the United States. Squamous cell carcinoma (SCC) of the breast raises suspicion of possibly metastatic origin. Here, we report an unusual case of implant-associated SCC of the breast post silicone gel breast implant. Read More
J Glob Oncol 2018 Dec(4):1-9
Chika R. Nwachukwu, Lynn Million, Shruti Sheth, Hope Qamoos, and Ami S. Bhatt, Stanford University School of Medicine; Michele Barry, Center for Innovation in Global Health, Stanford University, Stanford; Omobola Mudasiru, University of California Berkley, Berkeley, CA; Joseph O. Onah, Anita Okemini, and Mojisola Rhodes, Clinton Health Access Initiative, Nigeria Country Office; Adekunbiola A. Banjo and Muhameed Habeebu, Lagos University Teaching Hospital, Lagos; Anita Okemini, ONE Campaign, Nigeria Country Office, Abuja; and Tajudeen A. Olasinde, Amadu Bello University Teaching Hospital, Zaira, Nigeria.
Purpose: Despite recognition of both the growing cancer burden in low- and middle-income countries and the disproportionately high mortality rates in these settings, delivery of high-quality cancer care remains a challenge. The disparities in cancer care outcomes for many geographic regions result from barriers that are likely complex and understudied. This study describes the development and use of a streamlined needs assessment questionnaire (NAQ) to understand the barriers to providing quality cancer care, identifies areas for improvement, and formulates recommendations for implementation. Read More
J Healthc Leadersh 2018 15;10:67-85. Epub 2018 Nov 15.
Oncology Services Group, Queensland Children's Hospital, Brisbane, QLD, Australia,
Purpose: Challenges experienced by staff in the Oncology Services Group at Queensland Children's Hospital led to issues with staff retention, well-being, and stress on team culture. Therefore, a customized program was developed through a needs analysis to improve the well-being and resilience of oncology staff, enabling them to cope with stressors and critical incidents inherent in their everyday work and to flourish. The program included education, on-site counselors, mindfulness sessions, debriefing, well-being resources, and improved engagement, support, and communication. Read More
J Healthc Leadersh 2018 15;10:55-65. Epub 2018 Nov 15.
Nursing Learning and Workforce Development, Queensland Children's Hospital, South Brisbane, QLD, Australia.
Purpose: Around 170 multidisciplinary staff of the Oncology Services Group at Queensland Children's Hospital, Brisbane, care for children with oncology, hematology, and palliative care needs from throughout Queensland and northern New South Wales. A series of challenges impacted staff resilience and retention, and strategies were needed to improve staff well-being and enable them to flourish despite the inherent work stressors.
Methods: A needs analysis was conducted using themes from Discovery Interviews with 51 staff, surveys related to "The Work Stressors Scale - Pediatric Oncology" and "The Work Rewards Scale - Pediatric Oncology" completed by 59 staff, and an organizational staff survey responded to by 51 staff. Read More
Ann Indian Acad Neurol 2018 Oct-Dec;21(4):239-241
Department of Palliative Medicine, Karunashraya, Bengaluru, Karnataka, India.
The recent supreme court of India judgment on autonomy makes it necessary for all practicing neurologists to appraise themselves of the changing legal framework for End-of-Life decision-making in India. A pathway has been prescribed for advance care planning and medical futility decision-making. This is an evolving landscape and in a diverse country may vary substantially by geography. Read More
Indian J Anaesth 2018 Nov;62(11):924-925
Department of Onco-Anaesthesiology and Palliative Medicine, Dr. BRAIRCH, All India Institute of Medical Sciences, New Delhi, India.
Gac Med Mex 2018 ;154(6):732-736
Universidad Nacional Autónoma de México, Facultad de Veterinaria y Zootecnia. Ciudad de México, México.
There are decisions at the end of life that currently are relevant as humanistic values. Respect for human life and dignity are part of human rights. The National Academy of Medicine of Mexico declares its posture about end-of-life decisions that include treatment refusal, limitation of the therapeutic effort, advance directives and palliative sedation, among others, with the purpose to favor a peaceful death. Read More
Khirurgiia (Mosk) 2018 (10):44-50
South Ural State Medical University of Healthcare Ministry of the Russian Federation, Chelyabinsk, Russia.
Aim: To determine optimal terms of biliary decompression and bile reinfusion into gastrointestinal tract in patients with malignant obstructive jaundice.
Material And Methods: 179 medical records of patients with obstructive jaundice were analyzed to identify risk factors of postoperative complications. Prospective research included bile examination in 34 patients with malignant obstructive jaundice. Read More
Neuro Endocrinol Lett 2018 Oct 12;39(4):281-287. Epub 2018 Oct 12.
Department of Medical Physics, Na Homolce Hospital, Prague, Czech Republic.
Objective: Local recurrence of glioblastoma is observed in most patients after standard oncologic treatment (surgery, chemotherapy and radiotherapy). Stereotactic radiosurgery with the Leksell Gamma Knife (SRS with LGK) was used to treat recurrent tumors in selected cases, and retrospective analysis of treatment outcome was performed.
Methods: Altogether 126 patients were treated for glioblastoma at our center from 1992-2014. Read More
J Christ Nurs 2019 Jan/Mar;36(1):59
Briana Rotter, DNP, FNP-C, CNE is an assistant professor at the University of Portland in Portland, Oregon. Briana is a nurse practitioner at Housecall Providers in Portland, providing home-based primary and palliative care services.