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Уникальные аспекты оказания медицинской помощи в сельских районах Америки.

Сельские районы сталкиваются со значительными диспропорциями в области здравоохранения, включая сокращение доступа к страхованию, усиление барьеров в доступе к специализированному медицинскому обслуживанию, худшие результаты медицинского обслуживания и повышение уровня смертности. Лица с множественным склерозом (МС), проживающие в сельской местности в Соединенных Штатах, а также во всем мире, сталкиваются с аналогичными препятствиями в доступе к медицинской помощи в связи с НР и страдают от более низких показателей заболеваемости. К числу препятствий на пути доступа к медицинскому обслуживанию

Совпадение в аннотации оригинала
Rural regions face significant health care disparities, including decreased access to insurance, increased access barriers to specialty care … essential to building trust. Still, it has proved difficult due to issues with compensation, taxes, malpractice fees, adverse actions against physicians, and high turnover rates. Telehealth interventions such as Project ECHO (Extension for Community Healthcare Outcomes) have improved rural outcomes in multiple diseases, including MS, but limited technology an …

Legal medicine aspects of female sterilization: our experience.

INTRODUCTION: The most frequent sterilization procedures include postpartum tubal ligation, laparoscopic tubal disruption or salpingectomy, … ence, but we think that some techniques present a greater risk of failure and expose the surgeon to malpractice litigation.

A case of death of purulent meningitis caused by transorbital intracranial penetrating injury due to long-term residual bamboo chopstick.

This article reports a case of death caused by purulent meningitis after a long-term transorbital intracranial penetrating injury induced by … eating such cases and a forensic perspective for identifying causes of deaths attributed to medical malpractices.

Detection and infectivity of SARS-CoV-2 in exhumated corpses.

Postmortem detection of severe acute respiratory syndrome coronavirus type 2 (SARS-CoV-2) after the exhumation of a corpse can become important, e.g. in the case of subsequent medical malpractice allegations. To date, data on possible detection periods [e.g. by reverse transcription polymerase chain reaction (RT-PCR)] or on the potential infectivity of the virus after an exhumation are rare. In the present study, these parameters were examined in two cases with a time span of approximately 4 months between day of death and exhumation. Using SARS-CoV-2 RT-PCR on swabs of both lungs and the orop…

Use of 1064 nm Nd:YAG Laser Biostimulation for Immediate Reversal of a Long-Standing Paresthesia of the Superior Labial Branch of the Infraorbital Nerve Following a Root Coverage Procedure: A Case Report.

INTRODUCTION: Paresthesia is a common cause of dental malpractice litigation. Symptoms range from minimal to severely affecting the quality of life. Effective treatments of post-traumatic paresthesias are scarce. This case report documents the first reported use of laser biostimulation to reverse a long-standing paresthesia of the infraorbital nerve, resulting from a root coverage procedure of the maxillary right canine. CASE PRESENTATION: A coronally repositioned flap with enamel matrix derivative was used to treat gingival recession on the buccal surface of tooth #6 of a 35-year-old Caucasi…

Sudden death due to cardiac contusion: Forensic implications in a rare pediatric case.

Blunt chest trauma (BCT) often results in blunt cardiac injuries of little clinical concern, but cases of severe heart damage with high mort … rupture. Because the boy suffered a recent BCT and was assessed at the hospital, issues of medical malpractice were raised. This case demonstrates the potential lethality of blunt chest trauma in pediatric patients and demonstrates the importance of not underestimating such events, even in the absence of clinically identified chest injuries.

Evaluating awareness regarding oral hygiene practices and exploring gender differences among patients attending for oral prophylaxis.

BACKGROUND: Oral hygiene is intimated in health of all parts of the body including oral cavity. The understanding of actual practices in kee … inimize the level of gingival inflammation and swelling. The poor resources for dental care, common malpractices and nonavailability of professional care are the main barriers in seeking optimum oral hygiene.

Descriptive Study of Occupational Accidents and their Causes among Electricity Distribution Company Workers at an Eight-year Period in Iran.

BACKGROUND: Occupational accidents are unplanned events that cause damage. The socio-economic impacts and human costs of accidents are treme … that most of the accidents occurred in summer, and 51.3% were during shift work. Worker negligence (malpractice) was the cause of 75% of deaths. Type of employment had a significant relationship with type of injuries (p < 0.05). Most injuries were electrical burns. CONCLUSION: High rate of accidents in summer may be due to the warm weather or insufficient pr …

Treatment errors resulting from use of lasers and IPL by medical laypersons: results of a nationwide survey.

BACKGROUND: The demand for hair and tattoo removal with laser and IPL technology (intense pulsed light technology) is continually increasing … skin or marked tanning, 7% no cooling, and 4.6% incorrect information. CONCLUSIONS: The causes of malpractice suggest insufficient training, inadequate diagnostic abilities, and promising unrealistic results. Direct supervision by a medical specialist, comprehensive experience in laser therapy, and compliance with quality guidelines are prerequisites for sa …

Can there be a 'cosmetic' psychopharmacology? Prozac unplugged: the search for an ontologically distinct cosmetic psychopharmacology.

'Cosmetic psychopharmacology' is a term coined by Peter Kramer in his 1993 best-seller, Listening to Prozac. It has come to refer to the use … guish between such conditions, can we even have a cosmetic psychopharmacology that is not a form of malpractice, broadly speaking? What if we unplugged Prozac from all the amplitude and hype that resulted in Listening to Prozac becoming an instant best-seller and simply asked whether or not we can clearly distinguish an appropriate cosmetic use of Prozac for …

Delay in diagnosis of breast cancer.

OBJECTIVES: To assess the consequences of physician delay in the diagnosis of breast cancer by comparing stage, treatment, and outcome of patients with and without delay, and to identify patient characteristics that may make diagnosis more difficult. SUMMARY BACKGROUND INFORMATION: Delay in diagnosis of breast cancer is the most common clinical scenario resulting in malpractice litigation. METHODS: The records of 1014 patients were reviewed and the events preceding the diagnosis were reconstructed. Accurate assessment of the physician delay in diagnosis could be made for 606 patients, 51 (8%)…

The cost of tuberculosis to patients in Sierra Leone's war zone.

OBJECTIVE: To evaluate how the extreme poverty of the patients and the poor salaries of the staff combined to increase the cost of treatment … tuberculosis programme. Many factors retarded entry, including poor communications, misinformation, malpractice by health professionals, and displacement resulting from chronic internal warfare. The war intensified all factors that predispose to tuberculosis and retarded access to treatment. Supra-programme cost, or 'corruption,' was minimal due to the povert …

Towards patient safety in anaesthesia.

The anaesthesia specialty has focused on the safety of the patient and examination of untoward outcomes. Serious injuries are now rare in me … safer than at any time in history. The American legal system, critical incident studies, studies of malpractice claims and large-scale studies of anaesthesia outcomes played a role in increasing the awareness of the need to enhance anaesthesia safety. Many efforts are believed to have contributed to improvements in the safety of anaesthesia: improved training …

Shoulder dystocia: a fetal-physician risk.

Trauma that occurs as a result of shoulder dystocia is an important cause of neonatal morbidity. If the occurrence of severe shoulder dystoc … ics or labor abnormalities, and that the occurrence of shoulder dystocia is not evidence of medical malpractice.

[Informing the patient about alternative surgical methods of delivery].

The article discusses a judgment passed by the Düsseldorf Supreme Court on 30 January 1986. An obstetrician had resorted to vacuum extractio … s directly liable independent of whether the responsible obstetrician had or had not been guilty of malpractice. In addition, the liability of the Board of Governors follows from the fact that the infant had not been examined by a paediatrician immediately after birth as would have been mandatory had delivery been conducted lege artis.(ABSTRACT TRUNCATED AT 2 …

Pastoral Authority and Spiritual Harm: Evangelii Gaudium and an Ethics of Pastoral Responsibility in Mental Health.

Pastoral care can provide meaning, consolation, and spiritual support to persons experiencing psychological distress, yet religious authorit … care. The analysis distinguishes pastorally mediated spiritual harm from spiritual abuse, pastoral malpractice, spiritual bypassing, negative religious coping, and ordinary pastoral limitation. It then reconstructs pastoral authority as pastoral responsibility through five interdependent duties: respect for dignity and agency, non-coercive accompaniment, epi …

Enhancing patient understanding in obstetrics: the role of generative AI in simplifying informed consent for labor induction with oxytocin.

Informed consent is a cornerstone of ethical medical practice, particularly in obstetrics where procedures like labor induction carry signif … t personalized consent documents, contributing to better-informed patients and potentially reducing malpractice claims.

Violence Against Iraqi Doctors: A Sample from the Baghdad City.

Physicians have recently become a target of workplace-violence, with rates four times higher than other workers studied. This study aimed to … hich is commonly settled by paying a large amount of money as is invariably the tribal custom for a malpractice-claim, instead of having recourse to more formal and well-established legal action.

Different Threshold of Malignancy for RAS-like Thyroid Tumors Causes Significant Differences in Thyroid Nodule Practice.

Histopathological diagnosis of papillary thyroid carcinomas (PTCs) is prone to significant observer variation due to different thresholds of RAS-like nuclear changes among pathologists. This gap recently widened due to a defensive attitude by Western pathologists where malpractice litigation is significant. Cases with delicate RAS-like nuclear changes are follicular adenomas when they are noninvasive, follicular carcinomas when invasive, and follicular variant PTCs when they have fully developed PTC-type nuclear features in Asian practice. The different diagnostic threshold of PTC nuclear feat…

[Clinical characteristics of 50 patients with acute intermittent porphyria].

Objective: To analyse the clinical characteristics of patients with acute intermittent porphyria (AIP) in order to improve the understanding … he clinical manifestations of acute intermittent porphyria are complex and diverse. Misdiagnoses or malpractice may be fatal. It is critical to emphasize on its early diagnosis and treatment.