Functional immune monitoring of BK Virus and donor‐specific T‐cell effector immune responses to guide treatment decision‐making after kidney transplantation; an illustrative case report and literature review

2020 ◽  
Author(s):  
Marta Lepore ◽  
Elena Crespo ◽  
Edoardo Melilli ◽  
Josep M. Cruzado ◽  
Alba Torija ◽  
...  
Keyword(s):  
Decision Making ◽  
Kidney Transplantation ◽  
Immune Responses ◽  
Treatment Decision ◽  
Immune Monitoring ◽  
Bk Virus ◽  
Illustrative Case ◽  
Treatment Decision Making ◽  
Guide Treatment Decision ◽  
Cell Effector

scholarly journals Right Sided Bochdalek Hernia with Ureteric Involvement – A Case Report and Review of Management Options

2020 ◽  
pp. 1-6
Author(s):  
Shruthi Ashwin Sridhar ◽  
Shruthi Ashwin Sridhar ◽  
Husam Ebied
Keyword(s):  
Decision Making ◽  
Renal Function ◽  
Case Report ◽  
Treatment Decision ◽  
Bochdalek Hernia ◽  
Management Options ◽  
Treatment Decision Making ◽  
Abdominal Symptoms ◽  
Guide Treatment Decision ◽  
Detailed Case Report

Ureteric herniation through a diaphragmatic defect in adults (Bochdalek hernia – BH) is rare, with less than 15 cases reported in the literature. Most patients present with non-specific abdominal symptoms with or without worsening of renal function, and therefore, the clinical picture can be masked [1]. Management of ureteric involvement ranges from conservative to reconstructive surgery. We report a case of an elderly (>80-year-old) patient who presented acutely with symptoms mimicking an acute abdomen and on imaging was found to have a BH associated with herniation of right ureter causing hydro-ureter. We managed the patient conservatively, and she improved symptomatically, which was evident from her follow-ups. We provide a detailed case report of this situation as well as discuss the literature on the topic to guide treatment decision-making.

scholarly journals Ethical issues in geriatric cranial neurosurgery

2020 ◽  
Vol 49 (4) ◽  
pp. E3
Author(s):  
Laureen D. Hachem ◽  
Mark Bernstein
Keyword(s):  
Decision Making ◽  
Ethical Issues ◽  
Surgical Care ◽  
Treatment Decision ◽  
The Elderly ◽  
Demographic Shift ◽  
Older Population ◽  
Treatment Decision Making ◽  
Disease States ◽  
Guide Treatment Decision

The global demographic shift to an older population has led to the emergence of the new field of geriatric neurosurgery. Beyond the complexities of disease states and multimorbidity, advanced age brings with it intricate ethical issues pertaining to both the practice and provision of medical and surgical care. In this paper, the authors describe the central ethical themes seen across the spectrum of common neurosurgical conditions in the elderly and highlight the use of foundational ethical principles to help guide treatment decision-making.

Patients’ practices for taking the initiative in decision-making in outpatient psychiatric consultations

2017 ◽  
Vol 13 (2) ◽  
pp. 169-184 ◽  
Author(s):  
Shuya Kushida ◽  
Takeshi Hiramoto ◽  
Yuriko Yamakawa
Keyword(s):  
Decision Making ◽  
Conversation Analysis ◽  
Treatment Decision ◽  
Close Inspection ◽  
Important Resource ◽  
Treatment Decision Making ◽  
The Way

In spite of increasing advocacy for patients’ participation in psychiatric decision-making, there has been little research on how patients actually participate in decision-making in psychiatric consultations. This study explores how patients take the initiative in decision-making over treatment in outpatient psychiatric consultations in Japan. Using the methodology of conversation analysis, we analyze 85 video-recorded ongoing consultations and find that patients select between two practices for taking the initiative in decision-making: making explicit requests for a treatment and displaying interest in a treatment without explicitly requesting it. A close inspection of transcribed interaction reveals that patients make explicit requests under the circumstances where they believe the candidate treatment is appropriate for their condition, whereas they merely display interest in a treatment when they are not certain about its appropriateness. By fitting practices to take the initiative in decision-making with the way they describe their current condition, patients are optimally managing their desire for particular treatments and the validity of their initiative actions. In conclusion, we argue that the orderly use of the two practices is one important resource for patients’ participation in treatment decision-making.

Enhancing Involvement in Treatment Decision Making by Women with Breast Cancer

2007 ◽  
Author(s):  
Mary A. O'Brien ◽  
Timothy Whelan ◽  
Amiram Gafni ◽  
Cathy Charles ◽  
Peter Ellis
Keyword(s):  
Breast Cancer ◽  
Decision Making ◽  
Treatment Decision ◽  
Treatment Decision Making
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