Amyotrophic Lateral Sclerosis (ALS) is a terminal neurodegenerative disease with only few minimally effective treatment options. This study treats patient Spinal ALS Bone Marrow Derived Mesenchymal Stem Cell Extracellular Vesicles (BM-MSCEVs) to slow or stop the progress of disease. After 2 months and 4 treatments, demonstrated improvement in functional scores most physical exam findings. BM-MS...

OBJECTIVES Treatment decisions in ethically complex situations are known to depend on a physician's personal characteristics and medical experience. We sought to study variability in decisions to withdraw or withhold specific life-supporting treatments in terminal care and to evaluate the association between decisions and such background factors. DESIGN Readiness to withdraw or withhold treat...

Carcinoid tumor is the most common neuroendocrine tumor affecting the gastrointestinal tract. The coexistence of multifocal carcinoid lesions is a well-established phenomenon. Although intubation of the terminal ileum is not routinely attempted during colonoscopy, it can occasionally reveal the presence of some incidental findings. We present a patient with known rectal carcinoid, who was found...

BACKGROUND Family physicians in Taiwan have expressed low willingness to provide palliative home care. OBJECTIVE To explore the medical needs of terminal cancer patients in home care and thus clarify the role and tasks of family physicians in providing palliative home care. METHODS Seventy-seven terminal cancer patients discharged from a palliative care unit from July 2003 to July 2004 who ...

CONTEXT When a patient receives a cancer diagnosis, existential issues become more compelling. Throughout the illness trajectory, patients with cancer are cared for in oncology wards, by home care teams or in hospices. Nurses working with these patients are sometimes aware of the patients' existential needs but do not feel confident when discussing these issues. OBJECTIVES To determine the ef...