When a patient loses decisional capacity, the responsibility to make treatment decisions often falls on a family member who becomes the surrogate decision-maker. This case study provides an example of a situation where the medical team and the surrogate decision-maker initially disagreed on the best course of action for the patient. The ethicist was called…
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Category: Family medicine
Medico-legal autopsies after sunset: Ethical issues by S Yadukul
From the British era, regular medico-legal autopsies have never been done in India after sunset, except for those specially permitted by the law enforcement agencies. The Ministry of Health and Family Welfare, Government of India, issued a notification on November 15, 2021, regarding the “Conduct of post-mortem in hospitals after sunset”. This has given rise…
Reliability and validity of the Turkish version of the elder abuse suspicion index in community-dwelling older adults by Eray Serdar Yurdakul
BACKGROUND: Elder abuse is among the most important ethical issue during the management of older population. The elder abuse suspicion index (EASI) was developed for evaluating abuse in older adults. We aimed to assess the reliability and validity of the Turkish version EASI-Türkiye (TR) among older adults.
Post-marital residence patterns and the timing of reproduction: evidence from a matrilineal society by Juan Du
Humans exhibit a broad range of post-marital residence patterns and there is growing recognition that post-marital residence predicts women’s reproductive success; however, the nature of the relationship is probably dependent on whether co-resident kin are cooperators or competitors. Here, we explore this relationship in a Tibetan population, where couples practice a mixture of post-marital residence…
Evaluation of SNPs from human IGFBP6 associated with gene expression: an in-silico study by Shubham Ramdas Wanarase
In the bloodstream and in local tissues, most IGF molecules are associated with the one of the members of the IGF-binding protein (IGFBP) family, which are divided into six distinct types. IGF-binding proteins have been demonstrated to either decrease or increase the growth-promoting effects of IGFs on cell culture, by extending their half-life. They alter…
Chronic pain in family practice: research and insights by Sarah Fraser
No abstract
Challenges with new treatments for Alzheimer disease: Accelerated approval of aducanumab in the United States raises questions by David Hogan
No abstract
Bronchodilators or inhaled corticosteroids for postinfectious cough by Samantha S Moe
No abstract
Chronic noncancer pain management: Integration of a nurse-led program in primary care by Metasebia Assefa
CONCLUSION: A nurse-led chronic pain program, initiated without extra funding, was successfully integrated into a primary care setting. Among the participating patients in the pilot project, outcomes related to pain intensity, pain interference with daily living, and opioid use were encouraging. This program could serve as a model for improving chronic noncancer pain management in…
Merging clinical practice guidelines for chronic pain with insights from noninvasive neuroimaging: Next steps by Maureen Allen
No abstract
Integrating patient voices into the extraction of social determinants of health from clinical notes: ethical considerations and recommendations by Andrea L Hartzler
Identifying patients’ social needs is a first critical step to address social determinants of health (SDoH)-the conditions in which people live, learn, work, and play that affect health. Addressing SDoH can improve health outcomes, population health, and health equity. Emerging SDoH reporting requirements call for health systems to implement efficient ways to identify and act…
Bird Louse Flies Ornithomya spp. (Diptera: Hippoboscidae) as Potential Vectors of Mammalian Babesia and Other Pathogens by Eva Čisovská Bazsalovicsová
Background: Birds and mammals share various ectoparasites, which are responsible for the transmission of a wide range of pathogens. The louse flies (family Hippoboscidae) are ectoparasitic dipterans feeding strictly on the blood of mammals and birds. Both sexes of the louse flies are obligatory hematophagous and are known to act as the vectors of infectious…
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