Despite the availability of screening, benefits of early detection are not realized by Native Hawaiian (NH) women who as a group have the highest breast cancer incidence and mortality rates of all major ethnic groups in Hawai`i. According to the American Cancer Society, the incidence and mortality rates for NH women are 162.4 and 31 per 100,000, respectively, in comparison to women of all races...

BACKGROUND Disadvantage, originating in one's residential context or in one's past life course, has been shown to impact on health in adulthood. There is however little research on the accumulated health impact of both neighbourhood and individual conditions over the life course. This study aims to examine whether the accumulation of contextual and individual disadvantages from adolescence to m...

the european court lifted the italian ban on pre-implantation diagnostics (pgd). as such the court accepted pgd as a generally accepted means for medically assisted procreation, which may have consequences for other member states prohibiting pgd.

introduction: some snails play an important role in the transmission of helminthes, mainly trematodes of medical and veterinary importance. there seems to be no information on the freshwater snails of gahar lake in lorestan province of iran. the present study aimed to identify medically important snails of this lake. methods: samples were collected from ten localities around gahar lake in april...

A 56-year-old woman with seronegative polyarthritis presented with a four-year history of lower back pain and right-sided sciatica. On examination she had reduced power and impaired sensation in her right leg. Magnetic resonance imaging (MRI) of the spine revealed anterior degenerative slip of L4 on L5 with moderate overall reduction in canal calibre and osteophyte encroachment in the right lat...

The differentiation of vasovagal syncope and epileptic seizure is sometimes problematic, since vasovagal syncope may mimic epileptic seizures in many ways. The present report describes a patient who had been diagnosed and treated as having epilepsy with medically-refractory sei-zures for 16 years. Often, unlike epileptic seizures, tonic-clonic convulsions and postictal confusion are uncommon fe...

Patient requests for "inappropriate" medical treatment (violations of the standard of care) based on religious beliefs should have special standing. Nevertheless, not all such requests should be honored, because some are morally disturbing. The trouble lies in deciding which ones count. This paper proposes criteria that would qualify a religious belief as medically valid to help physicians deci...

Background Pharmacological control of rapid ventricular response to atrial fibrillation may be difficult in some patients. Alternative treatments, including curative surgery or atrioventricular (AV) node ablation with pacemaker implantation, have significant potential morbidity. In view of evidence that dual AV nodal physiology may exist in a significant percentage of the population, even in th...

The population of medically fragile children in need of special care has tripled in the past 30 years as strides in technology and health care have enabled doctors to save young lives that would otherwise be lost. Some 10 to 15 percent of the nation’s children now require special care for chronic illnesses, physical disabilities, and developmental disorders. The complex needs of these children ...