scholarly journals Role of Radiotherapy in Carcinosarcoma Larynx – A Rare Case Scenario

2019 ◽  
Vol 02 (08) ◽  
Author(s):  
Dr Harish Kumar K
Keyword(s):  
2017 ◽  
Vol 26 (4) ◽  
pp. 1000-1008 ◽  
Author(s):  
Dong-Lan Ling ◽  
Hong-Jing Yu ◽  
Hui-Ling Guo

Background: Truth-telling toward terminally ill patients is a challenging ethical issue in healthcare practice. However, there are no existing ethical guidelines or frameworks provided for Chinese nurses in relation to decision-making on truth-telling of terminal illness and the role of nurses thus is not explicit when encountering this issue. Objectives: The intention of this paper is to provide ethical guidelines or strategies with regards to decision-making on truth-telling of terminal illness for Chinese nurses. Methods: This paper initially present a case scenario and then critically discuss the ethical issue in association with ethical principles and philosophical theories. Instead of focusing on attitudes toward truth disclosure, it aims to provide strategies regarding this issue for nurses. It highlights and discusses some of the relevant ethical assumptions around the perceived role of nurses in healthcare settings by focusing on nursing ethical virtues, nursing codes of ethics, and philosophical perspectives. And Confucian culture is discussed to explicate that deontology does not consider family-oriented care in China. Conclusion: Treating each family individually to explore the family’s beliefs and values on this issue is essential in healthcare practice and nurses should tailor their own approach to individual needs regarding truth-telling in different situations. Moreover, the Chinese Code of Ethics should be modified to be more specific and applicable. Finally, a narrative ethics approach should be applied and teamwork between nurses, physicians and families should be established to support cancer patients and to ensure their autonomy and hope. Ethical considerations: This paper was approved by the Ethics Committee of The Second Affiliated Hospital of Guangzhou Medical University. The authors have obtained consent to use the case study and it has been anonymised to preserve the patient's confidentiality.


2015 ◽  
Vol 53 (3) ◽  
pp. 477-486 ◽  
Author(s):  
Elke Zuern

South Africa is at a crossroads. The state has not adequately addressed dire human development needs, often failing to provide the services it constitutionally guarantees. As a result, citizens are expressing their frustrations in a variety of ways, at times including violence. These serious challenges are most readily apparent in poverty, inequality and unemployment statistics, but also in electricity provision, billing and affordability as well as a recent spate of racially motivated attacks which highlight the tension both among South Africans and between South Africans and darker skinned foreigners. The country has, however, been on the brink before and avoided the worst-case scenario of full-scale civil war and state collapse. Far too often South Africa's past successes have been attributed to the role of one man, Nelson Mandela. While Mandela was indeed an extraordinary human being who rightly deserved the international awards and accolades as well as the deep admiration of so many, South Africa's triumphs as a society and a state are the product of both cooperative and conflicting contributions by a wide range of actors. A central question at the present juncture is how well equipped domestic actors and institutions are to address the crisis. The following pages seek to provide some insights and through the perspectives of three authors to consider causes and possible responses.


2007 ◽  
Vol 18 (2) ◽  
pp. 225-247 ◽  
Author(s):  
Andrew Clifford

This article examines the part that healthcare interpreters play in cross-cultural medical ethics, and it argues that there are instances when the interpreter needs to assume an interventionist role. However, the interpreter cannot take on this role without developing expertise in the tendencies that distinguish general communication from culture to culture, in the ethical principles that govern medical communication in different communities, and in the development of professional relationships in healthcare. The article describes each of these three variables with reference to a case scenario, and it outlines a number of interventionist strategies that could be potentially open to the interpreter. It concludes with a note about the importance of the three variables for community interpreter training. Keywords: community interpreting, informed consent, role of the interpreter, healthcare.


2021 ◽  
Vol 36 (3) ◽  
pp. 312
Author(s):  
Tejonath Gadepalli ◽  
ZakirAli Abubacker ◽  
Pratyusha Bikkina ◽  
MadhuVijay Pasupula
Keyword(s):  
Ct Scan ◽  
Pet Ct ◽  

2021 ◽  
pp. 000313482110415
Author(s):  
James Alford Flippin ◽  
Evelyn Truong ◽  
Sami Kishawi ◽  
Annie Allan ◽  
Vanessa P. Ho

We present a rare case of traumatic self-enucleation of the bilateral globes resulting in traumatic subarachnoid and intraventricular hemorrhages. This case highlights the critical importance of multidisciplinary trauma care, starting with recognition of the potential for less obvious injuries such as contralateral optic nerve injury in unilateral enucleation, intracranial hemorrhage, and cerebrovascular injuries. We highlight the role of a thorough trauma assessment and workup, especially in the context of highly distracting injuries in patients who may also have severe mental illness. The trauma and acute care surgeon, who also serves as the critical care specialist, should be well prepared to facilitate care between multiple subspecialists including neurosurgeons, interventional radiologists, vascular surgeons, and psychiatrists, with a high index of suspicion for occult trauma in seemingly isolated injuries.


2014 ◽  
Vol 10 (4) ◽  
pp. 91-94
Author(s):  
A Bhatnagar ◽  
M Deshpande

Servelle Martorelle Syndrome is a congenital vascular malformation associated with soft tissue hypertrophy and bony hypoplasia. This rarely involves whole of an extremity, with involvement of part of limbs reported in literature. We present a case of a twelve year boy who presented to the Department of Plastic Surgery SGPGIMS in April 2011 ,with history of circumferential soft tissue hypertrophy involving whole of left upper limb, scapular region and axilla since birth. The entire left upper limb length was lesser than the right upper limb. Hence this is a very rare case of Servelle Martorelle Syndrome having extensive limb involvement at a very young age. Highlighted is the role of conservative treatment and close follow-up to understand the natural history of the diseases, with prompt treatment of complications. DOI: http://dx.doi.org/10.3126/kumj.v10i4.11011 Kathmandu Univ Med J 2012;10(4):91-94


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