scholarly journals Psychedelic medicines for existential distress associated with life-threatening illnesses

2022 ◽  
Vol 9 (1) ◽  
pp. 33
Author(s):  
Houman Farzin
Keyword(s):  
Palliative Care ◽  
Altered State ◽  
Psychoactive Substances ◽  
Current State ◽  
Existential Distress ◽  
Life Threatening ◽  
History Of ◽  
Altered State Of Consciousness ◽  
State Of Affairs ◽  
The Right

This presentation will review the history of scientific research into the use of psychedelic medicines for the treatment of existential distress due to life-threatening illnesses, it will then outline the current state of affairs in North America, and conclude with exploring the implications it will have on the future of palliative care. Despite the significant advances in the field of palliative care with regards to symptom management, and pain control in particular, we have yet to devise an effective treatment strategy for individuals facing the existential distress associated with the inevitable reality of facing death. Psychedelic-assisted therapy, which involves the use of various psychoactive substances in the right set and setting to experience an altered state of consciousness, could serve as a powerful tool to alleviate the anxiety that many face after receiving a life-threatening diagnosis.  

scholarly journals Palliative Care as a Form of Relief for the Dying: A South African Perspective

Obiter ◽  
2020 ◽  
Vol 41 (2) ◽  
pp. 348-370
Author(s):  
Marc Welgemoed ◽  
Henry Lerm
Keyword(s):  
South Africa ◽  
Palliative Care ◽  
South African ◽  
Community Resources ◽  
Current State ◽  
Life Threatening Illness ◽  
Relief Of Suffering ◽  
Life Threatening ◽  
African Perspective ◽  
State Of Affairs

This article has a critical look at the current state of affairs in palliative care in South Africa. While euthanasia remains unlawful in South Africa, there is only one alternative – namely, palliative care – to mitigate pain and symptoms, make life tolerable, and ease the emotional stress of dying for patients and their families. Palliative care, unlike euthanasia, has always been regarded as a sound medical practice, ethically, morally and legally. The practice the world over includes family, friends and community. However, no system or legislation has been put in place in South Africa to serve as a guideline for end-of-life practices. The focus of this article is to try to establish guidelines through a multidisciplinary approach that includes the family and makes use of community resources to improve the quality of life of patients and families facing the problems associated with life-threatening illness, through the prevention and relief of suffering.

Integrative Approach in Law Understanding: the History of the Origin of Ideas and the Current State

2020 ◽  
Vol 2 (1) ◽  
pp. 115-130
Author(s):  
R. R. Palekha ◽  
Keyword(s):  
Central Place ◽  
Scientific Basis ◽  
Integrative Approach ◽  
Current State ◽  
History Of ◽  
Legal Thinking ◽  
Reliable Knowledge ◽  
The Right ◽  
Fat Formulation

Introduction. Right understanding is the most live, interesting and, at the same time, the uncertain and changeable area of researches which takes the central place as in the general theory of the right, and gains the increasing value in industry jurisprudence that is connected with its considerable teoretiko-methodological and applied potential which is shown in spheres of lawmaking and law-enforcement activity. Thus, right understanding represents research tools of the subject of knowledge which allow to study all range legal and, the based on them, state phenomena for the purpose of obtaining reliable knowledge of state and legal reality. In this regard integrative approach in right understanding which has rich history of the formation and development is of special interest, allows to perceive the right as integrally complete phenomenon, as much as possible retrieves its regulatory abilities and, provides achievement of criteria of scientific research: comprehensiveness, objectivity, historicism. Materials and Methods. In article an attempt of the analysis of integrative approach in right understanding from a position of history of origin of his ideas and assessment of the current state is made. A result of studying of scientific literature, generalization and comparison of the different points of view fat formulation of author’s determination of category “right understanding” and submission of the evidence-based integrative theory of right understanding which as much as possible conforms to requirements of time and has essential regulatory and guarding potential. Results. In article the category right understanding is comprehensively considered, different integrative theories of right understanding from a position of their origin and development are submitted, the value of modern integrative approach in right understanding is shown, perspectives of its further development are evaluated. Discussion and Conclusion. The author comes to the conclusion about the theoretical and methodological consistency and inevitability of the integrative approach in law understanding, which acts as a scientifically grounded type of legal thinking capable of comprehending the law on a truly scientific basis.

scholarly journals Exclusive Phlebosclerosis of Submucosal Veins Leading to Ischemic Necrosis and Perforation of the Large Bowel: First European Case

2018 ◽  
Vol 12 (1) ◽  
pp. 137-142 ◽  
Author(s):  
Sebastian Klein ◽  
Denise Buchner ◽  
De-hua Chang ◽  
Reinhard Büttner ◽  
Uta Drebber ◽  
...  
Keyword(s):  
Wall Thickening ◽  
Caucasian Woman ◽  
Ischemic Necrosis ◽  
Colonic Wall ◽  
Asian Patients ◽  
Life Threatening ◽  
History Of ◽  
Mesenteric Vessels ◽  
The Right ◽  
European Woman

Phlebosclerotic colitis (PC) is a rare, potentially life-threatening disease of unclear pathogenesis almost exclusively reported in Asian patients of both genders. A fibrous degeneration of venous walls leads to threadlike calcifications along mesenteric vessels and colonic wall thickening, detectable by CT. This causes disturbed blood drainage and hemorrhagic infarction of the right-sided colonic wall. This is a report of PC in a Caucasian woman in Europe without Asian background and no history of herbal medications, a suspected cause in Asian patients. CT revealed no calcification of the mesenteric vein or its tributaries. Instead, submucosal veins of the left-sided colonic wall were calcified, leading to subsequent transmural necrosis. Clinically, the patient developed a paralytic ileus and sigmoidal perforation during a 2-week hospitalization due to a bleeding cerebral vascular aneurysm. This case of a European woman with PC is unique in its course as well as its radiologic, clinical, and pathologic presentation.

Introduction

2021 ◽  
pp. 1-12
Author(s):  
Stephen Rodgers
Keyword(s):  
Twentieth Century ◽  
Music Analysis ◽  
Current State ◽  
History Of ◽  
Guiding Principles ◽  
State Of Affairs

This chapter provides an overview of the book as a whole. It opens with a brief history of Hensel studies—starting with the rediscovery of Hensel in the 1980s, leading through the growth of Hensel scholarship toward the end of the twentieth century, and ending with the current state of affairs—and argues that we need to understand Hensel’s music better. It then outlines some of the book’s guiding principles—including a belief in power of music analysis to access and communicate the wonders of Hensel’s songs and a commitment to exploring Hensel’s songs within its many diverse contexts—and explains the book’s overall organization around these contexts.

History and epidemiology

2021 ◽  
pp. 3-16
Author(s):  
Lorna Fraser ◽  
Stephen Connor ◽  
Joan Marston
Keyword(s):  
Palliative Care ◽  
Child Mortality ◽  
Marked Reduction ◽  
Epidemiological Data ◽  
National Data ◽  
Middle Income ◽  
Life Threatening ◽  
History Of ◽  
Low And Middle Income

There has been a marked reduction in child mortality in the last few decades but there were still 6.6 million deaths in children aged 0–14 years worldwide in 2016. The vast majority of those deaths (5.6 million) occurred in children aged under 5 years and 98% of these deaths occurred in the low- and middle-income (LMCI) countries. After a brief history of the development of children’s palliative care (CPC) and key definitions, this chapter summarizes the epidemiological data on mortality and prevalence of life-limiting (LLC) and life-threatening conditions (LTC). This chapter also highlights the gaps in these data and concludes with advice on how to use local, regional, and national data to plan services.

scholarly journals Broken metallic tracheostomy tube migrating into the tracheobronchial tree

2016 ◽  
Vol 6 (1) ◽  
Author(s):  
Nilam U. Sathe ◽  
Ratna Priya ◽  
Sheetal Shelke ◽  
Kartik Krishnan
Keyword(s):  
Foreign Body ◽  
Tracheostomy Tube ◽  
Main Bronchus ◽  
Tracheobronchial Tree ◽  
Life Saving ◽  
Wear And Tear ◽  
Life Threatening ◽  
History Of ◽  
The Right ◽  
Periodic Replacement

Foreign body aspiration can be a life-threatening emergency. Broken tracheostomy tube in tracheobronchial tree is one of the rarest types of foreign body reported. Here we report two cases of fracture of metallic tracheostomy tube, leading to foreign body in tracheobronchial tree. A 14-year-old girl presented to our Emergency Department with history of respiratory distress and violent bouts of cough since 2 days. Chest X-ray showed that the broken part of the tube was lodged in the right main bronchus. The presence of Parkinson’s disease in the patient and restricted neck flexion offered a challenge both for the anaesthetist and the surgeon. We were successful in removing the broken tube in 13 small pieces. Check bronchoscopy was clear and the procedure went uneventful. We would like to conclude that broken tracheostomy tube presenting as foreign body bronchus is infrequent but it is a preventable complication of tarcheostomy. The patient must be kept on regular follow up to check for signs of wear and tear. Timely and periodic replacement of tracehostomy tube should also be done, otherwise such life-saving surgery can become lifethreatening.

scholarly journals pre-eighteenth-century traditions of revivalism: damascus in the thirteenth century

2005 ◽  
Vol 68 (2) ◽  
pp. 195-214 ◽  
Author(s):  
konrad hirschler
Keyword(s):  
Nineteenth Century ◽  
Eighteenth Century ◽  
Social History ◽  
Thirteenth Century ◽  
History Of Ideas ◽  
Contemporary Society ◽  
Current State ◽  
History Of ◽  
State Of Affairs ◽  
Large Sections

this article examines whether it is possible to trace eighteenth- and nineteenth-century revivalist thought to earlier ‘medieval’ examples. the discussion is centred on the issue of ijtiha¯d/taqli¯d, which featured prominently in revivalist thought. taking the example of scholars in thirteenth-century damascus, it firstly compares the respective readings of ijtiha¯d/taqli¯d, by focusing on one individual, abu¯ sha¯ma (d. 1267). it secondly asks whether a scholar like abu¯ sha¯ma, who had adopted a reading similar to later revivalists, also took a critical and oppositional stand against large sections of his contemporary society, i.e. a revivalist posture. it is this article's main contention that the example of abu¯ sha¯ma shows the need to study in more detail possible revivalist traditions prior to the ‘grand’ movements. the combination of the history of ideas and social history might allow a deeper understanding of how and in what contexts calls for reform and opposition to the current state of affairs were expressed.

scholarly journals Nepalese psychiatrists' struggle for evolution

2007 ◽  
Vol 31 (9) ◽  
pp. 348-350 ◽  
Author(s):  
Arun Jha
Keyword(s):  
Mental Health ◽  
Rural Areas ◽  
Psychiatric Services ◽  
Historical Background ◽  
Current State ◽  
Professional Body ◽  
History Of ◽  
State Of Affairs ◽  
Political Turmoil ◽  
Health Programme

Nepal has a short and slowly developing history of psychiatry. Recent political turmoil has crippled Nepalese healthcare in rural areas. Although the final quarter of the 20th century saw some development of psychiatric services in Nepal, the majority of Nepalese people remain deprived of such services even today. There is no national health programme or Mental Health Act. Psychiatric services are hospital based and most are centralised in the capital. Nepalese psychiatrists need urgent help, but they have been unable to form a strong professional body. This report presents the historical background, current state of affairs and suggestions for modernising mental health services in Nepal.

The State of the Law on Euthanasia in Kenya

2020 ◽  
Vol 8 (1) ◽  
pp. 1-14
Author(s):  
Moni Wekesa ◽  
Martin Awori
Keyword(s):  
Empirical Studies ◽  
Case Law ◽  
The State ◽  
Right To Die ◽  
Criminal Offence ◽  
Dual Effect ◽  
Current State ◽  
The Law ◽  
State Of Affairs ◽  
The Right

The general position of the law on euthanasia worldwide is that all states recognise their duty to preserve life. Courts in various jurisdictions have refused to interpret the 'right to life' or the 'right to dignity' to also include the 'right to die'. Instead, they have held that the state has a duty to protect life. Three categories can however be noted. At one extreme are those countries that have totally criminalised any appearance of euthanasia. In the middle are countries that prohibit what appears to be active euthanasia while at the same time tolerating 'dual-effect' treatment and withdrawal of artificial feeding. At the other extreme are countries that allow euthanasia. Even in this last category of countries, there are stringent guidelines embedded in the law to prevent a situation of 'free for all'. Anecdotal evidence, some empirical studies and case law seem to suggest that euthanasia goes on in many countries irrespective of the law. Euthanasia is a criminal offence in Kenya. However, there have been no empirical studies to ascertain whether euthanasia goes on in spite of the law. This article surveys the current state of the practice of euthanasia globally and narrows down to elaborate on the state of affairs in Kenya.

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