End stage juvenile nephronophthisis on MRI—reply to Simms and Sayer

Sector retinitis pigmentosa in juvenile nephronophthisis.

In a patient with juvenile nephronophthisis, sector retinitis pigmentosa was found as an extrarenal manifestation, establishing a hitherto undescribed variety of retinal degeneration occurring in this disorder. The retinal function in this case was identical with that in the classic type of sector retinitis pigmentosa, namely, subnormal ERG amplitudes but normal cone and rod implicit times. The...

legal aspects of end of life and end stage disease

Abstract:  Aims: End of Life (EOL) care providers potentially face by variety of legal and professional dilemma. This study is designed to review and analyze these challenges and approaches to solve them. Materials & Methods:   In this narrative review study, legal aspects of end-of-life care in subjects such as medical assisted dying, decision-making capacity and withdrawal of life-sustaining...

Familial juvenile nephronophthisis, Jeune's syndrome, and associated disorders.

Fourteen patients with familial juvenile nephronophthisis are described, eight of whom displayed one or more additional disorders. One boy with short limbed dwarfism and an abnormal chest was considered to have Jeune's syndrome; review of the published reports supports the view that nephronophthisis is the principal cause of renal failure in this disorder. Another patient with renal failure and...

Juvenile nephronophthisis. Part 2. A histologic and microangiographic study.

Dignity in Medicine: Emphasis on Dignity of End Stage Patients

Medicine is the most scientific way of humanity, and the most humanistic science. Its Professional communications are important due to its sensitivity and responsibility. One the most emphasized relation is patient’s dignity. Evidence has shown that the correct relationship rarely will establish between physician and end stage patient and this communication is always associated with many shortc...