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181. Patient Modesty: Volume 73

skip the questions / part of an exam. So no mention of body language or anything the patient might display if they really don't want to answer / consent but feel obligated to, or just as a sign of general embarrassment / discomfort? Jason K. Jason, no whipping. And yes, the students are taught to be aware of unspoken but behavioral rejection and yes, if the patient rejects despite further explanation, that activity is not performed but the students are to explain the absence in their writelups (...) Patient Modesty: Volume 73 Bioethics Discussion Blog: Patient Modesty: Volume 73 What have you been reading, hearing or TV viewing that has provoked some feelings of comfort or concern about what is happening in the world of medicine, medical care, treatment or science? Ethics is all about doing the right thing. Are you aware of any issues in medicine or biologic science which are being done right, could be improved or in fact represent totally unethical behavior? Write about them here.. and I

2015 Bioethics Discussion Blog

182. Freezing of Gait: Clinical, Cognitive, and Imaging Features

. FOG greatly interferes with activities of daily living, causes social isolation and poor quality of life. FOG is one of the least understood features of PD. It possibly may develop independent of the other motor features of the disease, and be caused by specific pathological changes in the brain. Previous studies on FOG have shown conflicting information and have not lead to clear understanding of the pathophysiology. One key reason for this is that there appears to be multiple subtypes which have (...) displays in the order in which they were presented. The task includes six trials with possible scores ranging from 0 to 27. N-back task score [ Time Frame: Baseline ] The n-back paradigm is a widely used measure to assess spatial working memory. The 1-back requires maintaining and updating 1 location at a time. The examinee is shown a series of 2.4 cm white squares that appear in 15 different locations on a black computer screen. Each square is presented for 1000 ms. All of the locations

2015 Clinical Trials

183. Patient Modesty: Volume 70

in for a sore throat, I do not expect a genital or rectal exam (this incident actually happened and AAP mentions this scenario on their website. The doctor claimed he was being "thorough." Let me clarify my point I made after Maurice deleted those posts. Where the posts may have appeared legitimate to Maurice initially, many of us not trained immediately as professionals immediately recognized these as pornographic. Maurice, by the nature of his dedication to this subject DID eventually recognize them (...) Patient Modesty: Volume 70 Bioethics Discussion Blog: Patient Modesty: Volume 70 What have you been reading, hearing or TV viewing that has provoked some feelings of comfort or concern about what is happening in the world of medicine, medical care, treatment or science? Ethics is all about doing the right thing. Are you aware of any issues in medicine or biologic science which are being done right, could be improved or in fact represent totally unethical behavior? Write about them here.. and I

2015 Bioethics Discussion Blog

184. Patient Modesty: Volume 71

Patient Modesty: Volume 71 Bioethics Discussion Blog: Patient Modesty: Volume 71 What have you been reading, hearing or TV viewing that has provoked some feelings of comfort or concern about what is happening in the world of medicine, medical care, treatment or science? Ethics is all about doing the right thing. Are you aware of any issues in medicine or biologic science which are being done right, could be improved or in fact represent totally unethical behavior? Write about them here.. and I (...) viewing, experiencing what is felt to be immodest behavior by others? In other words, does patient physical modesty concerns actually involve an individual's general philosophy regarding attention to modesty of self but, in addition, also of others? This distinction, I think, is important. ..Maurice. Graphic: "Bathing Suits" from Google Images NOTICE: AS OF TODAY FEBRUARY 25, 2015 "PATIENT MODESTY: VOLUME 71 WILL BE CLOSED FOR FURTHER COMMENTS. YOU CAN CONTINUE POSTING COMMENTS ON . posted by Maurice

2015 Bioethics Discussion Blog

185. Patient Modesty: Volume 72

is titled: Very interesting because this topic was discussed here. The attitude of many here is unsettling, implying the OP has mental issues or is even being childish. (I will note that some believe that this helps give providers the patient's perspective.) One in making fun of her also makes fun of child sexual assault: Quote from Kuriin "You've complained about eating food in what appears to not be actual lectures and now this? lol. Can you point on the teddy bear where the bad teacher touched you (...) Patient Modesty: Volume 72 Bioethics Discussion Blog: Patient Modesty: Volume 72 What have you been reading, hearing or TV viewing that has provoked some feelings of comfort or concern about what is happening in the world of medicine, medical care, treatment or science? Ethics is all about doing the right thing. Are you aware of any issues in medicine or biologic science which are being done right, could be improved or in fact represent totally unethical behavior? Write about them here.. and I

2015 Bioethics Discussion Blog

186. Patient Modesty: Volume 66

that for a pelvic exam. So how are we to believe providers are sincerely concerned. Are providers like southerncookin outliers in that they truely care? don At , said... To be open to my visitors, in the Comment below by the anesthesiologist writing to Medscape, the identification of Misty's interest was written earlier by me to that physician's forum. Here is what the anesthesiologist just wrote: It appears that Misty is the moderator of a website that focuses on patient modesty and gender issues and provides (...) Patient Modesty: Volume 66 Bioethics Discussion Blog: Patient Modesty: Volume 66 What have you been reading, hearing or TV viewing that has provoked some feelings of comfort or concern about what is happening in the world of medicine, medical care, treatment or science? Ethics is all about doing the right thing. Are you aware of any issues in medicine or biologic science which are being done right, could be improved or in fact represent totally unethical behavior? Write about them here.. and I

2014 Bioethics Discussion Blog

187. Patient Modesty: Volume 65

Patient Modesty: Volume 65 Bioethics Discussion Blog: Patient Modesty: Volume 65 What have you been reading, hearing or TV viewing that has provoked some feelings of comfort or concern about what is happening in the world of medicine, medical care, treatment or science? Ethics is all about doing the right thing. Are you aware of any issues in medicine or biologic science which are being done right, could be improved or in fact represent totally unethical behavior? Write about them here.. and I (...) ? Imagine you go in for a routine exam with your female doctor because you don't want a male doctor. A male chaperone or student is brought in to the room to observe. You either ask for him to leave or because you were blind sided by it you say nothing and go through it. Only to be angry about it later. During your exam the doctor finds something and recommends a vaginal ultrasound. You ask for a female but there is only male sonographers that work there. You can say no or swallow your pride and do

2014 Bioethics Discussion Blog

188. Patient Modesty: Volume 64

about the value of the human chaperone's presence in the exam room is as a witness presumably to protect. The question become which party is the chaperone protecting, the physician or the patient. If the chaperone is selected by the patient (possibly a family member) then the chaperone's presence would appear to make any unprofessional behavior by the physician unlikely though the physician might feel that the chaperone might be biased toward the patient's later claims. In addition, if a family (...) parties (patient and physician) to be treated justly if there is a conflict of what happened in the exam room when only the two parties were present. It would appear to both, that a human chaperone attending the exam might be biased to one or the other if the patient expressed a complaint of unprofessional behavior. A video is the most obvious method to provide information to substantiate or negate a patient's claim. I am sure there is a way to prevent the camera from "turning off" except when

2014 Bioethics Discussion Blog

189. Patient Modesty: Volume 69

sexual battery and the link I found says otherwise. Part of the problem rests solely on the medical community for not disclosing intimate details of what to expect from an exam. I do not and I would not accuse someone of inappropriate behavior if it didn't exist The article in the NY Times that talks about the breast cancer patient recuperating had to endure a room full of students looking at her naked body when her doctor stripped her in front of everyone for no medical reason. These things happen (...) not refer to the exams in the patients' hospital records." "(B) For many years while she was performing Ear, Nose and Throat surgeries at the Gila Regional Medical Center, Respondent wrote messages and created artistic images on the bodies of many of her patients while they were under anesthesia without obtaining the patients' prior written informed consent." It was alleged that this behavior took place for many years and was the subject of many long running jokes in the hospital. It was well known

2014 Bioethics Discussion Blog

190. Patient Modesty: Volume 68

, as evidenced by the billboards. Talking to the doctor does little when it’s a 3rd party that performs the exam / procedure such as a surgical team, or the random lab tech doing an ultra sound (Ask Don about that one) . When it is brought up it’s usually dismissed with a “my way or the highway” attitude. Just look at Artigers posts... said he only had a female assistant, and he doesn’t work alone if a knife is involved. And that’s assuming the doctor isn’t just lying to us, and when we’re laying (...) . This temporary reduction of modesty during the examination or treatment is necessary to accomplish the self-benefit for the patient's own benefit and thus is situationally directed. The doctors, I think, assume that in this therapeutic situation, if the healthcare provider sticks to careful only professional behavior, all patients will accept this "letting down" of their prior modesty. Obviously, from reading this thread over the years, it appears that this physician belief about their patients is wrong

2014 Bioethics Discussion Blog

191. Patient Modesty: Volume 67

? How many of us on this blog have taken this stance AFTER a negative experience in a healthcare setting? What were your attitudes about healthcare before your negative experience. All these questions as mentioned in my book, are issues that one must ask themselves. As I've mentioned before, I saw all medical personnel for who they were regarding medical ability without any thought to provider gender for all intimate exams, exploratory gynecological surgery. After my experience, I vowed never (...) Patient Modesty: Volume 67 Bioethics Discussion Blog: Patient Modesty: Volume 67 What have you been reading, hearing or TV viewing that has provoked some feelings of comfort or concern about what is happening in the world of medicine, medical care, treatment or science? Ethics is all about doing the right thing. Are you aware of any issues in medicine or biologic science which are being done right, could be improved or in fact represent totally unethical behavior? Write about them here.. and I

2014 Bioethics Discussion Blog

192. Genetics of Medullary Thyroid Cancer

resection of the tumor. The timing of the operation correlates with the presentation of the tumor. Thyroid cancers associated with FNMTC are also , commonly with a total thyroidectomy. Patients who undergo a total thyroidectomy must receive lifelong thyroid hormone replacement therapy. Introduction [ Note: Many of the medical and scientific terms used in this summary are found in the . When a linked term is clicked, the definition will appear in a separate window. ] [ Note: Many of the genes described (...) in this summary are found in the Online Mendelian Inheritance in Man (OMIM) database. When OMIM appears after a gene name or the name of a condition, click on OMIM for a link to more information. ] [ Note: A concerted effort is being made within the genetics community to shift terminology used to describe genetic variation. The shift is to use the term “variant” rather than the term “mutation” to describe a difference that exists between the person or group being studied and the reference sequence. Variants

2012 PDQ - NCI's Comprehensive Cancer Database

193. Genetics of Prostate Cancer

susceptibility showed that factors found to positively influence men’s hypothetical interest in genetic testing included the advice of their primary care physician, a combination of the emotional distress and concern about prostate cancer treatment effects, and having children. Several small studies have examined the behavioral correlates of prostate cancer screening at average and increased prostate cancer risk based on family history; in general, results appear contradictory regarding whether men (...) with a family history are more likely to be screened than those not at risk and whether the screening is appropriate for their risk status. Research is ongoing to better understand and address psychosocial and behavioral issues in high-risk families. Introduction [ Note: Many of the medical and scientific terms used in this summary are found in the . When a linked term is clicked, the definition will appear in a separate window. ] [ Note: Many of the genes and conditions described in this summary are found

2012 PDQ - NCI's Comprehensive Cancer Database

194. Genetics of Skin Cancer

and maintenance of these behaviors. Intervention studies have targeted knowledge about melanoma, sun protection, and screening behaviors in family members of melanoma patients, with mixed results. Research is ongoing to better understand and address psychosocial and behavioral issues in high-risk families. Introduction [ Note: Many of the medical and scientific terms used in this summary are found in the . When a linked term is clicked, the definition will appear in a separate window. ] [ Note: A concerted (...) population found therapeutic use of to be efficacious, particularly in the treatment of extensive lesions. In addition to its role as a therapeutic and potential chemopreventive agent, is also being studied for potential palliative effects for keratocystic odontogenic tumors in patients with BCNS. Psychosocial and Behavioral Issues Most of the psychosocial literature about hereditary skin cancers has focused on patients with familial melanoma. In individuals at risk of familial melanoma, influence

2012 PDQ - NCI's Comprehensive Cancer Database

195. Genetics of Colorectal Cancer

of this information. Research is ongoing to better understand and address psychosocial and behavioral issues in high-risk families. Introduction [ Note: Many of the medical and scientific terms used in this summary are found in the . When a linked term is clicked, the definition will appear in a separate window. ] [ Note: Many of the genes described in this summary are found in the Online Mendelian Inheritance in Man (OMIM) database. When OMIM appears after a gene name or the name of a condition, click on OMIM (...) is characterized by the appearance of hyperplastic polyps, appears to have a familial component, but the genetic basis remains unknown. The natural history of some of these syndromes is still being described. Many other families exhibit aggregation of CRC and/or adenomas, but with no apparent association with an identifiable hereditary syndrome, and are known collectively as . In addition, most individuals with CRC diagnosed before age 50 years and without a family history of cancer do not have a pathogenic

2012 PDQ - NCI's Comprehensive Cancer Database

196. Genetics of Breast and Ovarian Cancer

of this information. Research is ongoing to better understand and address psychosocial and behavioral issues in high-risk families. Introduction General Information [ Note: Many of the medical and scientific terms used in this summary are found in the . When a linked term is clicked, the definition will appear in a separate window. ] [ Note: A concerted effort is being made within the genetics community to shift terminology used to describe genetic variation. The shift is to use the term “variant” rather than (...) with a protective effect on the risk of developing ovarian cancer, including in carriers of BRCA1 and BRCA2 pathogenic variants, with no association of increased risk of breast cancer when using formulations developed after 1975. Psychosocial and Behavioral Issues influence decisions about genetic testing for inherited cancer risk and risk-management strategies. varies widely across studies. Psychological factors that have been associated with testing uptake include cancer-specific distress and perceived risk

2012 PDQ - NCI's Comprehensive Cancer Database

197. Cancer Genetics Risk Assessment and Counseling

: Many of the medical and scientific terms used in this summary are found in the . When a linked term is clicked, the definition will appear in a separate window. ] [ Note: A concerted effort is being made within the genetics community to shift terminology used to describe genetic variation. The shift is to use the term “variant” rather than the term “mutation” to describe a difference that exists between the person or group being studied and the reference sequence. Variants can then be further (...) imputing missing data. Secondary outcomes related to cancer distress, depression, uncertainty, satisfaction with genetic testing, and behavioral intentions for risk management strategies were not statistically significant between groups.[ ] Video-assisted genetic counseling Studies have also examined the use of online genetic counseling using remote videoconferencing (telegenetics) as an alternative to in-person genetic counseling and demonstrated increases in patient knowledge, high levels

2012 PDQ - NCI's Comprehensive Cancer Database

198. Psychosocial and Environmental Pregnancy Risks (Treatment)

cell numbers are few, such as during the blastocyst or preimplantation stage, very early abortion or implantation failure results. These effects typically demonstrate both a dose-response curve and a threshold below which no effects are observed. As with other teratogens, the embryonic stage, defined as 10 weeks from the last menstrual period, is crucial because windows exist for the appearance of effects. The actual fetal dose is critical, and a simple application of a maternal calculated dose (...) for pulsed Doppler, color flow, first trimester ultrasonography with a long transvesical path (>5 cm), second or third trimester exams when bone is in the focal zone, when scanning tissue with minimal perfusion (ie, embryonic), or in patients who are febrile. Operators can minimize risk by limiting dwell time, limiting exposure to critical structures, and following equipment-generated exposure information. Current equipment approved for use typically includes monitoring for application-specific intensity

2014 eMedicine.com

199. Psychosocial and Environmental Pregnancy Risks (Overview)

cell numbers are few, such as during the blastocyst or preimplantation stage, very early abortion or implantation failure results. These effects typically demonstrate both a dose-response curve and a threshold below which no effects are observed. As with other teratogens, the embryonic stage, defined as 10 weeks from the last menstrual period, is crucial because windows exist for the appearance of effects. The actual fetal dose is critical, and a simple application of a maternal calculated dose (...) for pulsed Doppler, color flow, first trimester ultrasonography with a long transvesical path (>5 cm), second or third trimester exams when bone is in the focal zone, when scanning tissue with minimal perfusion (ie, embryonic), or in patients who are febrile. Operators can minimize risk by limiting dwell time, limiting exposure to critical structures, and following equipment-generated exposure information. Current equipment approved for use typically includes monitoring for application-specific intensity

2014 eMedicine.com

200. Psychosocial and Environmental Pregnancy Risks (Follow-up)

cell numbers are few, such as during the blastocyst or preimplantation stage, very early abortion or implantation failure results. These effects typically demonstrate both a dose-response curve and a threshold below which no effects are observed. As with other teratogens, the embryonic stage, defined as 10 weeks from the last menstrual period, is crucial because windows exist for the appearance of effects. The actual fetal dose is critical, and a simple application of a maternal calculated dose (...) for pulsed Doppler, color flow, first trimester ultrasonography with a long transvesical path (>5 cm), second or third trimester exams when bone is in the focal zone, when scanning tissue with minimal perfusion (ie, embryonic), or in patients who are febrile. Operators can minimize risk by limiting dwell time, limiting exposure to critical structures, and following equipment-generated exposure information. Current equipment approved for use typically includes monitoring for application-specific intensity

2014 eMedicine.com

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