Articles Tagged With:
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Pediatric Pneumonia, Diagnostic Uncertainty, and Communication
Community-acquired pneumonia is a common cause of hospitalization among children in resourced countries and is the leading cause of childhood death in lower-income countries. However, the diagnosis of pneumonia is fraught with uncertainty, and management practices vary widely. Clinician behaviors and attributes that engender trust in the face of diagnostic uncertainty have been documented.
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Diagnostic Uncertainty in Community-Acquired Pneumonia
A national retrospective cohort study from the Veterans Administration found a high rate of diagnostic discordance for patients admitted and discharged for community-acquired pneumonia (CAP). Improvement in the diagnosis of CAP is needed.
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Mucormycosis Remains Highly Lethal
Mucormycosis continues to be associated with a high mortality rate. Polymerase chain reaction may speed diagnosis and allow earlier initiation of therapy. There appears to be no evidence supporting the use of combination as opposed to single agent (liposomal amphotericin B) therapy.
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Outbreak of Marburg Virus Disease in Rwanda
A rising number of cases of Marburg virus disease, which is caused by one of the most virulent human pathogens, have been reported in Rwanda. Marburg virus infections in humans are rare but can present with a rapidly progressive febrile illness that can lead to multi-organ failure and shock with case-fatality rates of up to 80% to 90%.
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Ethical Approaches Can Protect Patients from Financial Harm
When patients cannot afford medications, clinicians face a challenging ethical dilemma.
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Clinicians Reach Out to Both Chaplains and Ethicists
Ethicists can take the opportunity to partner with chaplains when meeting with families or caregivers to listen, explore, and support.
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Ethics of Informed Consent for Randomized Comparative Effectiveness Studies
Randomized comparative effectiveness studies often compare treatments within the standard of care to determine which is better for patients. When research and clinical care are combined in this way, healthcare providers can be confused about what is required in terms of obtaining consent for enrollment in the research study.
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Implementation Research Raises Unique Ethical Questions
Implementation research improves the adoption of evidence-based interventions in actual clinical practice. Lack of guidance from existing ethics frameworks makes it difficult for implementation science researchers to anticipate what will be ethically problematic.
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Ethical Concerns with Crowdfunding for Organ Transplantation
Even if insurance covers some or most of the cost of an organ transplant, recipients (and to a lesser extent, donors) can face a significant financial burden. Financial expenses surrounding organ transplantation are motivating some recipients to raise money through medical crowdfunding.
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Ethical Debate over Research on Enhancement of Brain Function
Technology is advancing rapidly for enhancement of brain function in healthy people, but remains ethically controversial.