BACKGROUND In Japan, there is no decision-making guide regarding long-term tube feeding that specifically targets individuals making decisions on behalf of cognitively impaired older persons (substitute decision makers). The objective of this study was to describe the development and evaluation of such a decision aid. METHODS In this before-and-after study, participants comprised substitute d...

Abstract Acute malnutrition affects a sizeable number of young children around the world, with serious repercussions for mortality and morbidity. Among top priorities in addressing this problem are to anticipate which tend be susceptible where when crises high prevalence rates would likely arise. In article, we highlight potential role conflict climate conditions as risk factors acute malnutrit...

Objectives Many conflict-affected countries are faced with an acute shortage of health care providers, including skilled birth attendants. As such, during conflicts traditional birth attendants have become the first point of call for many pregnant women, assisting them during pregnancy, labour and birth, and in the postpartum period. This study seeks to explore how the role of traditional birth...

This case of platelet transfusion in palliative care illustrates a common dilemma in transfusion medicine: approval of the use of a scarce, yet potentially life-saving, resource. As in this case, these decisions often involve seriously ill patients with acute needs and evolving goals of care. The use of resources to treat the patient at hand must be balanced against maintaining adequate resourc...

UNLABELLED Sweet syndrome, also referred to as acute febrile neutrophilic dermatosis, is characterized by tender, red inflammatory nodules or papules that occur in association with infection, malignancy, connective tissue disease, or following exposure to certain drugs. Here, we present Sweet syndrome in a case with small lymphocytic lymphoma/chronic lymphocytic leukemia (SLL/CLL) which is a re...

in this cross-sectional study, psychosocial factors were assessed in patients with duodenal ulcer (du) (n=20) and healthy subjects (n=20) matched for sex, age, and education. these factors were assessed during the active phase of du and again 3 months following the completion of medical treatment. the psychosocial factors included psychological distress symptoms, stressful life events, coping s...

Turkey is the only Eurasian state nearly surrounded by a circle of acute hot and “frozen conflicts”, ranging from low-intensity violence through terrorism to full-fledged wars. The prevailing pattern of inter-communal and interethnic conflicts in the Balkans and on Cyprus has long been different from the patterns of conflict in the rest of Europe and in the Near East. This difference is closely...

BACKGROUND Depression is associated with poor adherence to medications and worse prognosis in patients with acute coronary syndrome (ACS). PURPOSE To determine whether cognitive, behavioral, and/or psychosocial vulnerabilities for depression explain the association between depression and medication adherence among ACS patients. METHODS One hundred sixty-nine ACS patients who agreed to have ...