scholarly journals Not to declare dead someone still alive: Case reports

2015 ◽  
Vol 143 (9-10) ◽  
pp. 623-625
Author(s):  
Sladjana Andjelic ◽  
Slobodan Savic
Keyword(s):  
Criminal Law ◽  
Medical Practice ◽  
Case Reports ◽  
Medical Professionals ◽  
Apparent Death ◽  
Public Responsibility ◽  
Rule Out

Introduction. Diagnosing death represents an activity that carries a great deal of public responsibility for medical professionals and is continually exposed to the control of citizens and media. Although this is a taboo subject in medical circles, unfortunately in medical practice there are situations when the physician issues a death diagnosis form without even examining the person or for an already buried person. Such physician?s action is impermissible and it leads to the possibility of professional and criminal law punishment. Case Outline. By giving examples from practice, we wish to point out the need for exceptional caution when confirming and diagnosing death in order to diagnose the true, i.e. rule out apparent death and consequently avoid the mistake of declaring dead someone still alive. Conclusion. When confirming and declaring death, exceptional caution of the physician is necessary so as not to declare dead someone still alive!

scholarly journals Ocular dirofilariasis in practical ophthalmology

The Eye ◽  
2020 ◽  
Vol 22 (3(131)) ◽  
pp. 23-25
Author(s):  
T. A. Sharova
Keyword(s):  
Immune Response ◽  
Surgical Intervention ◽  
Clinical Course ◽  
Case Reports ◽  
Research Data ◽  
Medical Professionals ◽  
Parasitic Diseases ◽  
Host Parasite

Parasitic diseases of the eye are a widespread and poorly studied problem. This article is intended to systematize the possible mechanisms of infection and to determine the features of the clinical course and treatment of an ocular dirofilariasis. For this purpose, case reports and research data from medical professionals from Europe and Asia are presented. Conclusions were drawn regarding the dependence of the clinical course on the host  – parasite interaction and immune response and that the only applicable method of treatment in all the cases considered was surgical intervention.

scholarly journals Dealing with COVID-19 in Medical Practice: Yet an Uncertain Situation

2021 ◽  
Vol 18 (4) ◽  
pp. 1-3
Author(s):  
Prabin Shrestha
Keyword(s):  
Medical Practice ◽  
Medical Professionals ◽  
The World

COVID-19 pandemic is still uncertain and is going to last longer. The world has learnt a lot to fight against it. However, the world has to learn to live and deal with it in the days ahead. Medical practice has to be innovated and modified to protect medical professionals as well as patients.

scholarly journals From Central Africa to Egypt: A Surgeon’s Journey

2019 ◽  
Vol 6 (2) ◽  
pp. 50-54
Author(s):  
David Carl Thompson
Keyword(s):  
Medical Practice ◽  
Central Africa ◽  
International Experience ◽  
Medical Professionals ◽  
Successful Transition

When medical professionals step out of one culture into another to serve in mission, the transition is far more complex and difficult than even those with wide international experience may realize, especially if it involves a change between widely divergent cultures, the need to learn a new language or work through a translator, and understanding a completely new worldview. Understanding how these issues affect medical practice requires a mixture of humility, curiousity, and perseverance, and can bring about successful transition and widen doors to successful ministry.

Abrupt treatments of hysteria during World War I, 1914–18

2018 ◽  
Vol 29 (2) ◽  
pp. 187-198 ◽  
Author(s):  
AD (Sandy) Macleod
Keyword(s):  
World War I ◽  
Publication Bias ◽  
Medical Practice ◽  
Case Reports ◽  
World War ◽  
Modern Medical Practice

Case reports of the abrupt recovery of hysterical disorders during World War I (1914–18), though undoubtedly subject to publication bias, raise both aetiological and treatment issues regarding pseudo-neurological conversion symptoms. Published clinical anecdotes report circumstantial, psychotherapeutic, hypnotic, persuasive (and coercive) methods seemingly inducing recovery, and also responses to fright and alterations of consciousness. The ethics of modern medical practice would not allow many of these techniques, which were reported to be effective, even in the chronic cases.

PS01.018: PERSISTENT DYSPHAGIA AFTER FUNDOPLICATION WITH MESH PLASTY –MISSED OR MISTAKEN –A CASE REPORT

2018 ◽  
Vol 31 (Supplement_1) ◽  
pp. 55-55
Author(s):  
Servarayan Chandramohan ◽  
Visvarath Varadharajan ◽  
Madeshwaran Chinnathambi ◽  
Kanagavel Manickavasagam ◽  
Abishai Jebaraj ◽  
...  
Keyword(s):  
Skin Biopsy ◽  
Mesh Repair ◽  
Conflicts Of Interest ◽  
Case Reports ◽  
Systemic Disease ◽  
Transhiatal Esophagectomy ◽  
High Resolution Manometry ◽  
Failed Fundoplication ◽  
Rule Out

Abstract Background Scleroderma esophagus is a rare entity. Only few case reports of esophagectomy were done and reported for this condition. We are presenting this rare case of failed fundoplication and mesh repair with a diagnosis of GERD and hiatus hernia, which was found later on due to Scleroderma with Esophageal involvement. Methods 58 year old female admitted with dysphagia following laproscopic fundoplication with mesh repair of crura with a diagnosis of GERD and hiatus hernia.She presented with persistent vomiting and loss of weight.On evaluation, her Upper GI scopy revealed dilated esophagus with sluggish peristalisis. Since the patient had tightness of skin over the distal extremities, face and fish mouth appearance with thinning of nail, Skin biopsy was taken. The skin biopsy was reported to be scleroderma.The esophageal manometry demonstrated failed esophageal peristalisis with high normal LES pressure due to tight fundal wrap.The patient was treated with mesh remova, Transhiatal esophagectomy with gastric pull-up and cervical Anastomosis.Post operatively the patient was treated with hydrocholoroquine and predinisolone. Results The patient is free of dysphagia and is on regular follow up. Conclusion In case of failure, detailed evaluation including High resolution manometry (MII HRM) has to be done before doing laparoscopic fundoplication for GERD has to rule out uncommon and rare disorders of esophagus. Detailed clinical examination in GERD patients has to be done to rule out systemic disease like scleroderma.In case of failed fundoplication for GERD, patients have to investigated for the failure.So patients with incapacitating esophageal neuromotor disease, a more radical approach in the form of esophagectomy may be safer and more reliable than attempting another procedure and risk another failure. Disclosure All authors have declared no conflicts of interest.

Dapsone-Induced Methemoglobinemia

1998 ◽  
Vol 32 (5) ◽  
pp. 549-553 ◽  
Author(s):  
Kristina E Ward ◽  
Michelle W McCarthy
Keyword(s):  
Case Reports ◽  
Pneumocystis Carinii ◽  
Unknown Etiology ◽  
Case Summary ◽  
Aerosolized Pentamidine ◽  
Immunosuppressed Patients ◽  
Cadaveric Kidney ◽  
Unclear Etiology ◽  
Therapeutic Doses ◽  
Rule Out

OBJECTIVE: To report a case of methemoglobinemia in a patient receiving dapsone for prophylaxis of Pneumocystis carinii pneumonia (PCP). CASE SUMMARY: A 69-year-old white woman was hospitalized to rule out sepsis. Two years prior to this admission, the patient received an orthotopic liver transplant after which she required hemodialysis three times weekly. Because of intolerance to trimethoprim/ sulfamethoxazole and aerosolized pentamidine, she was prescribed dapsone therapy on hospital day 13, that was continued for 11 days. On hospital day 45 the patient received a cadaveric kidney transplant, and dialysis treatments were scheduled only as needed. One week after the transplant, dapsone therapy was resumed. Nine days into this course of dapsone, the patient developed dyspnea and oxygen desaturation of unknown etiology. The patient was evaluated for and diagnosed with methemoglobinemia. She received two doses of intravenous methylene blue and one dose of oral activated charcoal due to fluctuating methemoglobin concentrations. DISCUSSION: The elimination of dapsone is not completely understood. Several case reports of dapsone-induced methemoglobinemia are present in the literature. Most have occurred in patients who have accidentally or deliberately overdosed. Cases of methemoglobinemia in patients receiving therapeutic doses of dapsone are discussed. CONCLUSIONS: The growing numbers of immunosuppressed patients due to transplantation or HIV may result in increased dapsone use for the prevention of PCP. Clinicians should be aware of the adverse effects associated with dapsone therapy, and patients with dyspnea and hypoxemia of unclear etiology should be evaluated for methemoglobinemia.

scholarly journals KONSEP PERLINDUNGAN HUKUM BAGI TENAGA MEDIS DALAM PENANGANAN COVID 19

2021 ◽  
Vol 9 (1) ◽  
pp. 52
Author(s):  
Dyah Tri Handini
Keyword(s):  
At Risk ◽  
Immune System ◽  
Criminal Law ◽  
Medical Practice ◽  
Public Awareness ◽  
Legal Protection ◽  
Medical Personnel ◽  
Employment Law ◽  
Ministry Of Health ◽  
The Republic

<p><em>This article aims to understand the concept of legal protection for medical personnel in handling COVID-19. The increase in the incidence of covid 19 has an impact on the workload experienced by medical personnel, causing a decrease in the immune system of medical personnel. Most people who think that covid 19 is just a conspiracy have an impact on reducing public awareness in preventing covid 19. People who lack awareness of the importance of the covid 19 protocol will result in medical personnel being more at risk of being exposed to and experiencing covid 19. The results of this article show that there has been legal protection for medical personnel in handling COVID-19, both criminal law protection and employment law. The conclusion of this article is that the aspect of legal protection for medical personnel is contained in the codeki, Law R1 NO 29 of 2004 concerning Medical Practice, especially Article 48 concerning Medical Secrets, Regulations of the Minister of Health of the Republic of Indonesia number 269 and 290 and the Ministry of Health of the Republic of Indonesia</em><em>.</em></p><p><strong>Keywords<em>:</em></strong><em> Legal Protection, Medical Personnel, Covid-19.</em></p><p> </p><p>Artikel ini bertujuan untuk megetahui konsep perlindungan hukum bagi tenaga medis dalam penanganan covdi 19. Peningkatan kejadian covid 19 berdampak pada beban kerja yang dialami oleh tenaga medis sehingga meyebabkan penurunan sistem imun pada tenaga medis. Kebanyakan masyarakat yang menganggap bahwa covid 19 hanyalah sebuah konspirasi berdampak pada berkurangnya kesadaran masyarakat dalam pencegahan covid 19. Masyarakat yang kurang kesadaran akan pentingnya protokol covid 19 akan mengakibatkan tenaga medis lebih berisiko terpapar dan mengalami covid 19. Hasil artikel ini menunjukkan bahwa telah adanya perlidungan hukum bagi tenaga medis dalam penanganan covid 19, baik perlindungan hukum pidana maupun hukum ketenagakerjaan.  Kesimpulan artikel ini bahwa aspek perlindungan hukum bagi tenaga medis tertuang pada kodeki, UU R1 NO 29 Tahun 2004 tentang Praktek Kedokteran, khususnya pasal 48 tentang Rahasia Kedokteran, Peraturan Menteri Kesehatan Republik Indonesia nomor 269 dan 290 serta Kemenkes RI.</p><strong>Kata Kunci:</strong> Perlindungan Hukum, Tenaga Medis, Covid-19

scholarly journals Risk, uncertainty and medical practice: changes in the medical professions following disaster

2020 ◽  
Vol 16 (2) ◽  
pp. 285-303
Author(s):  
Sudeepa Abeysinghe ◽  
Claire Leppold ◽  
Akihiko Ozaki ◽  
Mariko Morita
Keyword(s):  
Medical Practice ◽  
Radiation Risk ◽  
Medical Professionals ◽  
Structured Interviews ◽  
Medical Work ◽  
Medical Expertise ◽  
Professional Boundaries ◽  
And Shifts ◽  
The Impact ◽  
The Way

Risk and uncertainty can destabilise and reconstruct the relationships between medicine, policy and publics. Through semi-structured interviews with medical staff following the Fukushima 3.11 Disaster, this paper demonstrates the way in which disruption (caused by disaster), coupled with uncertainty (in this case, around radiation risk) can serve to transform medical practices. After Fukushima, a deficit in publicly-trusted approaches to disaster management meant that the role and status of key medical professionals was transformed. This reorganisation of medical work included the development of new forms of expertise, the stretching of expertise beyond previously well-defined professional boundaries, and shifts in the way in which medical professionals understand and interact with publics. These changes signified the rise of new relationships between the medical workers and their community, as well as adjustments in what were regarded as the boundaries of medical work. Given both the ubiquitous threat of disasters and calls for increased engagement between the medicine and the public, this case study provides insight into the forms which such engagements can take, especially when bound by conditions of uncertainty. The paper draws upon the theoretical literature around the impact of uncertainty on policy, and combines this with medical sociological literature on the nature of medical expertise. The paper examines the shifting of medical expertise towards mode 2 forms, and evidences the impact of a democratised science of risk on the roles and functions of medical practice.

scholarly journals ETHICS OF DECISION MAKING IN MEDICINE IN THE ERA OF TECHNICAL REVOLUTION

Bioethics ◽  
2021 ◽  
Vol 28 (2) ◽  
pp. 10-16
Author(s):  
Natalya N. Sedova ◽  
◽  
Tatyana I. Guba ◽  
Keyword(s):  
Decision Making ◽  
Significant Role ◽  
Medical Practice ◽  
Human Enhancement ◽  
Medical Professionals ◽  
Technological Revolution ◽  
Scientific Context ◽  
Enhancement Technologies ◽  
Technical Revolution

Which way do world outlooks, scientific findings and empiric evaluations correlate with each other in decision making in medicine? The answer to this question is given in the scientific context. There is a theory of decision making which is in demand by medical professionals, though not enough yet [1, 2]. So, what is the theory of decision making and to what extent its advancement may be applied to medicine with growing contradictions of technological revolution and human bioevolution? The choice of tactics in a patient’s management does not depend exclusively on clinical decisions. A doctor’s moral stand plays a significant role in decision making in medicine. This article deals with some factors that have effect on this stand. The role of ethical expert examination is substantiated. It is particularly important due to implementation of «human enhancement» technologies in medical practice. Decision making is always associated with a choice of options. Moral considerations are a key point that must influence this choice under uncertain predictions concerning application of new biotechnologies.

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