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Medical Ethics as Taught and as Practiced: Principlism, Narrative Ethics, and the Case of Living Donor Liver Transplantation
J Med Philos. 2022 Feb 8;47(1):95-116. doi: 10.1093/jmp/jhab039.ABSTRACTThe dominant model for bioethical inquiry taught in medical schools is that of principlism. The heritage of this methodology can be traced to the Enlightenment project of generating a universalizable justification for normative morality arising from within the individual, rational agent. This project has been criticized by Alasdair MacIntyre who suggests that its failure has resulted in a fragmented and incoherent contemporary ethical framework characterized by fundamental intractability in moral debate. This incoherence implicates principlist concepti...
Source: The Journal of Medicine and Philosophy - February 9, 2022 Category: Medical Ethics Authors: Daniel C O'Brien Source Type: research
UCLA medical students witness spiritual side of care
The patient’s eyes lift and brighten when Chaplain Andrew Couch walks into her room at Ronald Reagan UCLA Medical Center. Her smile is small and tight, but a smile nonetheless. The woman has been in the hospital for nearly two months, waiting for a liver transplant.
“How are you feeling today?” Chaplain Couch asks.
“Today is a difficult day,” her husband quickly responds. He has rarely left his wife’s side since she was hospitalized. “We are strong and trying to keep positive,” he says.
“Why is it a tough day?” Chaplain Couch asks, looking to engage directly with the patient. It’s clear he has develop...
Source: UCLA Newsroom: Health Sciences - August 4, 2016 Category: Universities & Medical Training Source Type: news
Skin Cancer-Sun Knowledge and Sun Protection Behaviors of Liver Transplant Recipients in Turkey
AbstractThe aim of this study was to compare liver transplant recipients (LTRs) with the general population regarding their knowledge of skin cancer, sun health, sun protection behaviors, and affecting factors. This cross-sectional study was conducted in Turkey between March 2016 and September 2016 with 104 LTRs and 100 participants from the general population group (GPG). The mean age of the LTRs was 53.2 ± 11.8 and that of the GPG was 42.7 ± 14.5. The LTRs’ skin cancer and sun knowledge were significantly lower than in the GPG, but there was no difference between the two groups in terms of their sun protection b...
Source: Journal of Cancer Education - September 8, 2017 Category: Cancer & Oncology Source Type: research
Readability of Patient Education Websites of Liver Transplant Centers - a Barrier to the Waitlist?
After the Plain Writing Act of 2010, the Centers for Disease Control and Prevention developed the Clear Communication Index (CCI) to assess readability of patient communication materials. Patient education during the transplant process is known to increase compliance which predicts better patient outcomes; however, the readability of liver transplant educational materials is unknown at the national level.
Source: Journal of the American College of Surgeons - October 1, 2017 Category: Surgery Authors: Yanik J. Bababekov, Bonnie Cao, Faith C. Njoku, Ya-Ching Hung, Joel T. Adler, James J. Pomposelli, David C. Chang, Heidi Yeh Tags: Scientific poster presentation Source Type: research
Medical Conditions Among Survivors of Adolescent and Young Adult Non-Hodgkin Lymphoma (NHL), Acute Lymphoblastic Leukemia (ALL) and Acute Myeloid Leukemia (AML)
Conclusion: This study found that sociodemographic factors were associated with the risk of developing medical conditions in AYA NHL, ALL and AML survivors. As expected, the risk of medical conditions varied by cancer type and treatment, with those undergoing SCT having a higher risk of medical conditions regardless of cancer type. NHL and ALL survivors who were uninsured or publicly insured were at a consistently higher risk of developing medical conditions, as were Hispanic ALL survivors and Black AML survivors. Our findings highlight the higher burden of medical conditions in subgroups of cancer survivors that may relat...
Source: Blood - November 21, 2018 Category: Hematology Authors: Keegan, T. H. M., Muffly, L. S., Li, Q., Alvarez, E., Brunson, A. M., Malogolowkin, M., Wun, T. Tags: 904. Outcomes Research-Malignant Conditions: Real World Outcomes Source Type: research
CT-scan Based Liver and Spleen Volume Measurement as a Prognostic Indicator for Patients with Cirrhosis
CONCLUSIONS: Baseline liver and spleen volume and its ratio are significantly altered in patients with cirrhosis. Spleen volume is also associated with the presence of esophageal varices.PMID:33947583 | DOI:10.1016/j.amjms.2020.10.031
Source: The American Journal of the Medical Sciences - May 5, 2021 Category: General Medicine Authors: Milan Patel Mark Tann Suthat Liangpunsakul Source Type: research
Impact on Waitlist Outcomes from Changes in the Medical Eligibility of Candidates for Simultaneous Liver-Kidney Transplantation Following Implementation of the 2017 Organ Procurement and Transplantation Network/United Network for Organ Sharing Policy in the United States
CONCLUSIONS Although the number of registrations for SLK increased, the number of SLK transplants decreased, and the number of liver transplants increased. LTA in this patient cohort was associated with worse post-transplantation outcomes.PMID:35177580 | DOI:10.12659/AOT.934850
Source: Annals of Transplantation - February 18, 2022 Category: Transplant Surgery Authors: Shingo Shimada Toshihiro Kitajima Yukiko Suzuki Yasutaka Kuno Tayseer Shamaa Tommy Ivanics Kelly Collins Michael Rizzari Atsushi Yoshida Marwan Abouljoud Dilip Moonka Shunji Nagai Source Type: research
Spontaneous peritoneal drainage following paracentesis in a hospitalized patient with resolution of type 1 hepatorenal syndrome
Am J Med Sci. 2022 Jul 3:S0002-9629(22)00291-9. doi: 10.1016/j.amjms.2022.06.016. Online ahead of print.ABSTRACTThe hepatorenal syndrome develops in a small percentage of patients with advanced liver disease. The pathogenesis involves intravascular volume contraction secondary to pooling of blood in the splanchnic vessels, stimulation of the sympathetic nervous system and the renin-angiotensin-aldosterone pathway, and increased intra-abdominal pressure secondary to the formation of large volumes of ascitic fluid. The treatment options are limited, and liver transplant is the only definitive form of management. Here we sugg...
Source: The American Journal of the Medical Sciences - July 6, 2022 Category: General Medicine Authors: Sanjana Rao Christopher J Peterson Marawan Elmassry Busara Songtanin Juthipong Benjanuwattra Kenneth Nugent Source Type: research
