Malignant Bowel Obstruction in the Time of the COVID-19 Pandemic

2020 ◽  
Vol 86 (11) ◽  
pp. 1473-1477
Author(s):  
Eleanor A. Fallon ◽  
Thomas J. Miner
Keyword(s):  
Natural History ◽  
Bowel Obstruction ◽  
Malignant Bowel Obstruction ◽  
Anatomic Site ◽  
End Of Life Decisions ◽  
Patient Will ◽  
History Of ◽  
Excellent Care ◽  
Life Therapy ◽  
The Individual

Regardless of the anatomic site of malignant bowel obstruction leading to the need for palliative intervention, decisions must consider the natural history of the disease, the availability and success of nonsurgical treatments, the individual patient’s symptom severity, goals, preferences, quality, and expectancy of life. Therapy for symptoms must remain flexible and individualized because the specific needs of the patient will change as disease progresses. Because strangulation is uncommon, malignant bowel obstruction is usually not a surgical emergency. There is usually time to proceed with deliberate and thoughtful decisions on how best to meet the needs and expectations of the individual patient and family. Providers must be well versed in both surgical and nonsurgical therapeutic options, the natural history of disease, and be active and compassionate providers to foster meaningful ongoing dialogue focused on excellent care even after cure is no longer possible. The palliative triangle not only allows patient, family, and surgeon to effectively utilize the full continuum of care that can be delivered, but also it supports end-of-life decisions when continuity in care matters most. Due to social distancing requirements, the dynamics of communication between patient, family, and surgeon have changed. Zoom, Skype, and FaceTime have become tools in our communication armamentarium

scholarly journals Malignant Bowel Obstruction: Natural History of a Heterogeneous Patient Population Followed Prospectively Over Two Years

2011 ◽  
Vol 41 (2) ◽  
pp. 412-420 ◽  
Author(s):  
Anita Chakraborty ◽  
Debbie Selby ◽  
Kate Gardiner ◽  
Jeff Myers ◽  
Veronika Moravan ◽  
...  
Keyword(s):  
Natural History ◽  
Bowel Obstruction ◽  
Patient Population ◽  
Malignant Bowel Obstruction ◽  
History Of

scholarly journals Natural History of NAFLD

2021 ◽  
Vol 10 (6) ◽  
pp. 1161
Author(s):  
Raluca Pais ◽  
Thomas Maurel
Keyword(s):  
Liver Disease ◽  
Natural History ◽  
Disease Progression ◽  
Specific Treatment ◽  
Alcoholic Fatty Liver ◽  
Individual Level ◽  
Close Relationship ◽  
History Of ◽  
The Individual ◽  
The Impact

The epidemiology and the current burden of chronic liver disease are changing globally, with non-alcoholic fatty liver disease (NAFLD) becoming the most frequent cause of liver disease in close relationship with the global epidemics of obesity, type 2 diabetes and metabolic syndrome. The clinical phenotypes of NAFLD are very heterogeneous in relationship with multiple pathways involved in the disease progression. In the absence of a specific treatment for non-alcoholic steatohepatitis (NASH), it is important to understand the natural history of the disease, to identify and to optimize the control of factors that are involved in disease progression. In this paper we propose a critical analysis of factors that are involved in the progression of the liver damage and the occurrence of extra-hepatic complications (cardiovascular diseases, extra hepatic cancer) in patients with NAFLD. We also briefly discuss the impact of the heterogeneity of the clinical phenotype of NAFLD on the clinical practice globally and at the individual level.

Emerson's Atom and the Matter of Suffering

2009 ◽  
Vol 64 (1) ◽  
pp. 16-47
Author(s):  
Mark Noble
Keyword(s):  
Field Theory ◽  
Natural History ◽  
Classical Field Theory ◽  
Classical Field ◽  
The Other ◽  
History Of ◽  
The One ◽  
The Individual ◽  
Solid Bodies ◽  
Lines Of Force

This essay argues that Ralph Waldo Emerson's interest in the cutting-edge science of his generation helps to shape his understanding of persons as fluid expressions of power rather than solid bodies. In his 1872 "Natural History of Intellect," Emerson correlates the constitution of the individual mind with the tenets of Michael Faraday's classical field theory. For Faraday, experimenting with electromagnetism reveals that the atom is a node or point on a network, and that all matter is really the arrangement of energetic lines of force. This atomic model offers Emerson a technology for envisioning a materialized subjectivity that both unravels personal identity and grants access to impersonal power. On the one hand, adopting Faraday's field theory resonates with many of the affirmative philosophical and ethical claims central to Emerson's early essays. On the other hand, however, distributing the properties of Faraday's atoms onto the properties of the person also entails moments in which materialized subjects encounter their own partiality, limitation, and suffering. I suggest that Emerson represents these aspects of experience in terms that are deliberately discrepant from his conception of universal power. He presumes that if every experience boils down to the same lines of force, then the particular can be trivialized with respect to the general. As a consequence, Emerson must insulate his philosophical assertions from contamination by our most poignant experiences of limitation. The essay concludes by distinguishing Emersonian "Necessity" from Friedrich Nietzsche's similar conception of amor fati, which routes the affirmation of fate directly through suffering.

scholarly journals Science on a Salad Plate?

2009 ◽  
Vol 31 (1-2) ◽  
pp. 113-130
Author(s):  
Keri Cronin
Keyword(s):  
Reference Material ◽  
Natural History ◽  
New World ◽  
Nation Building ◽  
High Profile ◽  
Women's Art ◽  
History Texts ◽  
History Of ◽  
Visual Reference ◽  
The Individual

Abstract The Women’s Art Association of Canada marked the 400th anniversary of John Cabot’s “discovery” of Canada (celebrated in 1897) through the production of the “Canadian Historic Dinner Service.” The high-profile project, which resulted in a set of hand-painted porcelain dinnerware, was a celebration not only of nation-building, but also of the natural history of the country. Visual reference material provided to the women selected to create the individual pieces included photographs, natural history texts, and illustrations that W.H. Bartlett produced for Canadian Scenery earlier in the century. This article explores this visual reinterpretation of Canada’s natural history in order to raise questions about how a recontextualization of scientific material shapes narratives of nation and nature in the ‘New World’.

The Natural History of Food Allergy

PEDIATRICS ◽  
2003 ◽  
Vol 111 (Supplement_3) ◽  
pp. 1631-1637 ◽  
Author(s):  
Robert A. Wood
Keyword(s):  
Food Allergy ◽  
Natural History ◽  
Food Allergies ◽  
Specific Information ◽  
Milk Allergy ◽  
Tree Nuts ◽  
History Of ◽  
The Individual ◽  
Over Time ◽  
Specific Food

The natural history of food allergy refers to the development of food sensitivities as well as the possible loss of the same food sensitivities over time. Most food allergy is acquired in the first 1 to 2 years of life, whereas the loss of food allergy is a far more variable process, depending on both the individual child and the specific food allergy. For example, whereas most milk allergy is outgrown over time, most allergies to peanuts and tree nuts are never lost. In addition, whereas some children may lose their milk allergy in a matter of months, the process may take as long as 8 or 10 years in other children. This review provides an overview of the natural history of food allergy and provides specific information on the natural course of the most common childhood food allergies.

Can we educate a genius? Deliberations on the margins of the writings of Nietzsche

2017 ◽  
pp. 0-0
Author(s):  
Katarzyna Gurczyńska-Sady
Keyword(s):  
Natural History ◽  
Educational System ◽  
Education System ◽  
Traditional Education ◽  
Point Of View ◽  
Education Systems ◽  
History Of ◽  
The Moment ◽  
The Individual ◽  
Education Process

The article deals with the issue of systemic education. The author asks a classic question of whether traditional education systems should concentrate on students with average abilities or maybe they should foster the most talented ones. Considerations on this subject are conducted with regard to the multi-layered thought of Nietzsche, whose position is so invaluable that in a possible polemic it is situated as an exceptionally radical. Writing down the natural history of mankind, Nietzsche formulates a thesis that the moment of the creation of the first human communities, the moment of the socialisation of man, was extremely unfavourable as far as man’s strength, ability and creativity are concerned. He presents socialisation, which is part of the education process, as beneficial for the community and detrimental to the individual. This situation in the course of history remains the same, which – after the adoption of Nietzschean assumptions – gives cause to adopt a radical position of those who deem the education system unfit to foster outstanding individuals. Nietzsche’s view, in comparison with other views, is so innovative that it considers the inability as genealogically founded. Although the educational system from the point of view of the majority contributes to the emergence of new content, ideas or values, it remains inefficient for individuals of genius.

scholarly journals Management of alcohol Korsakoff syndrome

1999 ◽  
Vol 5 (4) ◽  
pp. 271-278 ◽  
Author(s):  
Iain David Smith ◽  
Audrey Hillman
Keyword(s):  
Mental Illness ◽  
Natural History ◽  
Mental Hospital ◽  
Partial Recovery ◽  
Popular Belief ◽  
Korsakoff Syndrome ◽  
Patient Will ◽  
History Of

“Contrary to popular belief, partial recovery from Korsakoff's Psychosis is the rule and 21% recover more or less completely. However the extent to which the patient will recover cannot be predicted with confidence during the acute stages of the illness. Failure to appreciate these facts about the natural history of the mental illness may result in the premature confinement of the patient to a mental hospital” (Victoret al, 1971).

Protein markers of brain damage

1998 ◽  
Vol 4 (1) ◽  
pp. 5-6
Author(s):  
E J Thompson ◽  
A JE Green
Keyword(s):  
Nervous System ◽  
Differential Diagnosis ◽  
Natural History ◽  
The Body ◽  
Brain Cells ◽  
Surrogate Markers ◽  
Protein Markers ◽  
History Of ◽  
The Individual ◽  
Reticulo Endothelial System

Brain proteins are released into body fluids in a fashion which reflects the underlying pathogenetic mechanisms for individual diseases. It is therefore important to distinguish not only different protein markers (reflecting various brain cells from which they have been released), but also their metabolism at different sites within the body (e.g. reticulo-endothelial system vs renal clearance) which will have an important bearing on whether fragments of the protein are found in urine or blood. It is clear that different patterns of protein abnormalities would be helpful in differential diagnosis of the individual diseases which afflict the nervous system. It would also be useful to monitor these proteins either as surrogate markers of the natural history of the condition or in the various therapies for each disease.

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