Correspondence Medical ethics in Israel

I am soon to become a medical resident and a bioethics scholar in Israel. I thus wish to respond to an Essay recently published in The Lancet by Alan B Jotkowitz and colleagues (June 24, p 2584)1 that seeks to “explore how a multicultural, modern society steeped in monotheistic tradition has navigated through most of these conflicts to create a mostly satisfactory and pragmatic consensus on contemporary bioethical dilemmas.” If the claims made by the authors do represent a consensus, then it is a pain fully unsatisfactory one.
Source: LANCET - Category: General Medicine Authors: Tags: Correspondence Source Type: research

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ConclusionCongenital morphological disorders may occur at the lower cervical spine and cervicothoracic junction, and they can involve the vertebral body as well as the posterior arch. We reported three cases of uncommon malformations, with a unique Y- and S-shaped laminar pattern.
Source: Surgical and Radiologic Anatomy - Category: Anatomy Source Type: research
Publication date: Available online 15 November 2018Source: NeuronAuthor(s): Arnab Barik, James Hunter Thompson, Mathew Seltzer, Nima Ghitani, Alexander T. CheslerSummaryResponse to danger needs to be rapid and appropriate. In humans, nocifensive behaviors often precede conscious pain perception. Much is known about local spinal cord circuits for simple reflexive responses, but the mechanisms underlying more complex behaviors remain poorly understood. We now describe a brainstem circuit that controls escape responses to select noxious stimuli. Tracing experiments characterized a highly interconnected excitatory circuit invo...
Source: Neuron - Category: Neuroscience Source Type: research
Authors: Loriga B, Di Filippo A, Tofani L, Signorini P, Caporossi T, Barca F, De Gaudio AR, Rizzo S, Adembri C Abstract BACKGROUND: The control of postoperative pain (POP) is a key component of perioperative care. POP after vitreo-retinal surgery (VRS) has been under-investigated, and its incidence remains elusive. METHODS: In order to assess POP after VRS, the associated risk factors and efficacy of the analgesic protocol in use at our institution, we made a 1-year retrospective study on patients undergoing VRS. Patients aged>18 years, ASA status I-III undergoing VRS entered the study. POP was evaluated by ...
Source: Minerva Anestesiologica - Category: Anesthesiology Tags: Minerva Anestesiol Source Type: research
CONCLUSION: The Solomon Islands presents a unique profile of challenges to surgical practice, including the impact of dengue infection on fitness for surgery, a mobile patient population dispersed across the islands, difficult access to pathology services, and increased length of stay. Despite this, most patients had surgical outcomes equivalent to those in a developed setting. PMID: 30433793 [PubMed - in process]
Source: Rural and Remote Health - Category: Rural Health Tags: Rural Remote Health Source Type: research
Publication date: Available online 15 November 2018Source: Comparative Biochemistry and Physiology Part C: Toxicology &PharmacologyAuthor(s): Matías N. Sánchez, Juliana M. Sciani, María A. Quintana, María M. Martínez, Flávio L. Tavares, Micaela A. Gritti, Hui W. Fan, Gladys P. Teibler, María E. PeichotoAbstractMegalopygids Megalopyge lanata and Podalia orsilochus are common causative agents of accidents in agricultural workers. These accidents are provoked by dermal contact at their larval stage and are characterized by cutaneous reactions, such as burning pain, edema an...
Source: Comparative Biochemistry and Physiology Part C: Toxicology and Pharmacology - Category: Toxicology Source Type: research
Authors: Soldo I, Radisic Biljak V, Bakula B, Bakula M, Simundic AM Abstract Introduction: The evaluation of patients with suspected appendicitis strives to identify all patients with presenting symptoms while minimizing negative appendectomy rate. The aim of the study was to identify the optimal combination of clinical and laboratory parameters that should facilitate the emergency department surgeon's definite decision. Materials and methods: The study group comprised 120 patients with suspicion of acute appendicitis (AA). In 60 patients the AA diagnosis was confirmed intraoperatively and by histological analy...
Source: Biochemia Medica - Category: Biochemistry Tags: Biochem Med (Zagreb) Source Type: research
ConclusionsLong-term management of malignancy-associated bowel obstruction is possible with improvement in quality of life using a combination of TPN and a cervical esophagostomy tube. In these two cases the cervical esophagostomy tube was placed with limited adverse events, and adequate drainage of intestinal secretions long-term.
Source: International Journal of Surgery Case Reports - Category: Surgery Source Type: research
Publication date: Available online 16 November 2018Source: Sports Orthopaedics and TraumatologyAuthor(s): Christian Nührenbörger, Hartmut GaulrappZusammenfassungDer M. Osgood-Schlatter stellt eine häufige temporäre Schmerzerkrankung meist nur eines Kniegelenks sportlicher Adoleszenten dar. Ursächlich ist die starke exzentrische Beanspruchung der tibialen Apophyse. Klinisch steht Schmerz nach der Belastung im Vordergrund. Die Diagnose wird klinisch gestellt. Bildgebung ist nur zur begründeten Abklärung konkurrierender Ursachen sinnvoll. Sportmodifikation kann empfohlen werden, Sportpausen ...
Source: Sports Orthopaedics and Traumatology - Category: Sports Medicine Source Type: research
Conditions:   Fibromyalgia;   Insomnia;   Chronic Widespread Pain Interventions:   Behavioral: Cognitive Behavioral Treatment-Insomnia;   Behavioral: Sleep Hygiene Education Sponsors:   University of Missouri-Columbia;   University of Florida;   National Institute of Nursing Research (NINR) Active, not recruiting
Source: ClinicalTrials.gov - Category: Research Source Type: clinical trials
Conditions:   Hip Osteoarthritis;   Pain, Acute;   Pain, Postoperative;   Opioid Use Interventions:   Procedure: lumbar plexus block;   Procedure: suprainguinal fascia iliaca block Sponsor:   University of Chile Not yet recruiting
Source: ClinicalTrials.gov - Category: Research Source Type: clinical trials
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