Idiopathic Pulmonary Fibrosis and Emphysema: Between Scylla and Charybdis

Between Scylla and Charybdis.

The ethical dilemmas of treating fulminant (or subfulminant) hepatic failure with liver replacement have been apparent since the earliest trials of this procedure. Acute hepatic failure was the indication for orthotopic liver transplantation in only I of our first 237 recipients I and accounted for only 8 of the next 300.2 Our reluctance to proceed with more cases was that unlike candidates who...

Idiopathic pulmonary fibrosis with emphysema: evidence of synergy among emphysema and idiopathic pulmonary fibrosis in smokers.

BACKGROUND Emphysema and fibrosis, typically the idiopathic pulmonary fibrosis (IPF) form of usual interstitial pneumonia (UIP), can co-exist as combined pulmonary fibrosis emphysema (CPFE). It is unknown whether there is a pathobiologic basis for CPFE beyond the coexistence of fibrosis and emphysema. The aim of this study was to ascertain radiologic differences in severity of fibrosis and emph...

Psychiatric paternalism between Scylla and Charybdis

As much as strong medical paternalism should never be exercised, some weak paternalism towards patients is, on the contrary, part of physicians' and society's moral obligation. So far, this is a widely consented position in medical ethics. What then are the defining and the justifying conditions for legitimate weak paternalism in psychiatry? In this presentation it is argued in favor of three n...

Delphi: Somewhere between Scylla and Charybdis?

N-acetylcysteine somewhere between Scylla and Charybdis.

hiele et al. (1) report a study dealing with the impact of -acetylcysteine (NAC) administered simultaneously on preventng iodinated contrast agent-induced nephropathy and reperfusion njury in patients with ST-segment elevation myocardial infarction reated by percutaneous coronary intervention (PCI). The study ncluded 126 patients compared with a placebo-treated group. heir results as well as co...