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101. Patient Modesty: Volume 89

Patient Modesty: Volume 89 Bioethics Discussion Blog: Patient Modesty: Volume 89 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 (...) for the patient but rather to be able to get away with it. PT At , said... Following my analogy of the photograph, PT et al, don't you think the analogy holds that fragments in the pool represent now medical care providers who have become separated from the sturdy and beautiful ethical and humanistic structures of their prior professional education (whatever service it was) and now find themselves within the medical system pool,unstructured and now open to the moldy, fungal formations and behavior of others

2018 Bioethics Discussion Blog

102. Patient Modesty: Volume 86

Patient Modesty: Volume 86 Bioethics Discussion Blog: Patient Modesty: Volume 86 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 (...) as a punishment which may be disturbing or act as "triggers" for those with trauma. What is particularly interesting is that the majority of nude punishments of German sympathizers occurred in France, a country know for its liberal attitude toward nudity and sexuality (as seen in their art, fashion, and nude beaches). -- Banterings At , said... To followup on a reference to my blog thread on "pimping" in medical education: http://bioethicsdiscussion.blogspot.com/2015/12/pimping-not-about-sex-about

2018 Bioethics Discussion Blog

103. Patient Modesty: Volume 88

Patient Modesty: Volume 88 Bioethics Discussion Blog: Patient Modesty: Volume 88 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 (...) RESPONDERS TO LOOK UP THE DATE AND TIME OF THE POSTING TO DEFINE WHICH ANONYMOUS SAID WHAT. Thanks. ..Maurice FEEDBACK,FEEDBACK,FEEDBACK! WRITE YOUR FEEDBACK ABOUT THIS BLOG, WHAT IS GOOD, POOR AND CONSTRUCTIVE SUGGESTIONS FOR IMPROVEMENT TO THIS Friday, June 01, 2018 Patient Modesty: Volume 88 So.. based on what has been written in all the previous Volumes of this thread, it appears that a consensus is that the medical system just going "down the drain". And if so..whose fault? Who should we blame

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2018 Bioethics Discussion Blog

104. Patient Modesty: Volume 83

diagnosis and care. As I mentioned previously, coming up in the next month or so, we will be teaching them physical examination beyond the behavior of taking a patient's vital signs. They start with the abdominal exam, which after they are observed practicing on each other will be practicing further with real patients (with patient's specific permission at the time). Therefore, as an introduction topic to discuss with them before taking on practicing on each other or real patients, I will plan to offer (...) , or chaperones present for those exams or other intimate exposure procedures. If all they have experienced is a private exam with a same gender provider they may not have appreciation for when others are there observing, especially opposite gender others. At , said... Dr. Bernstein said: By the way, if I didn't mention this before, I have had my genitals exposed to professional folks of both genders and never observed unprofessional behavior. Most of my intimate care opposite gender interactions have been

2018 Bioethics Discussion Blog

105. Patient Modesty: Volume 84

" no longer instilled trust, because ONE LIE IS ENOUGH TO QUESTION ALL TRUTHS . Furthermore, lest we forget we are doomed to repeat. The ONLY person to ever apologize for conducting pelvic exams on anesthetized without specific consent was Peter Ubel. -- Banterings At , said... I wanted to let you all know that a woman, Peggy50854 has joined a discussion about . She has labeled men who value their modesty as cry babies. I did not like her attitude and responded. Some other men responded. As a woman, I (...) Patient Modesty: Volume 84 Bioethics Discussion Blog: Patient Modesty: Volume 84 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

2018 Bioethics Discussion Blog

106. Patient Modesty: Volume 90

Patient Modesty: Volume 90 Bioethics Discussion Blog: Patient Modesty: Volume 90 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 (...) bodily visual inspection during medical or surgical procedures. Of course, other unprofessional acts by the "professionals" have also been described but unnecessary and patient unwanted inspection, looking or "peeking" is a common behavior presented. However, the graphic should also represent the eye movements and "attention" by patient's themselves, looking out, keeping their eyes open to professional misbehavior coming from any direction. I think this graphic should emphasize the need

2018 Bioethics Discussion Blog

107. Patient Dignity (Formerly: Patient Modesty): Volume 92

TO THE EXTENT THAT NONE OF YOU CAN TRULY APPRECIATE. PT At , said... Dr. Bernstein, I looked at Volume 12. There were more women participating back then and that was an excellent discussion about the pelvic exams in exchange for birth control. I hope that isn't still as mandatory as it was then. The discussion was as well a bit more focused on patients simply being modest and/or uncomfortable with opposite gender intimate care without going into staff misbehavior or unprofessional behavior as being (...) /0900/p6.html I applaud this young physician for encouraging a discussion. However the use of chaperones is more problematic than physicians realize. At my old institution we never had any training program for “chaperones”. I doubt many, if any medical centers, have well defined chaperone training programs that teach appropriate behavior, appropriate exams, gender issues, how to report inappropriate activity (and the time frame for reporting), documenting chaperone attendance/observation, etc

2018 Bioethics Discussion Blog

108. Patient Modesty: Volume 91

Patient Modesty: Volume 91 Bioethics Discussion Blog: Patient Modesty: Volume 91 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 (...) behavior towards their patients. ..Maurice. Graphic: Google Images. AS OF OCTOBER 11 2018, NO FURTHER COMMENTS WILL BE ACCEPTED ON THIS VOLUME. YOU MAY CONTINUE THE DISCUSSION ON THE BLOG THREAD NOW TITLED: posted by Maurice Bernstein, M.D. @ 178 Comments: At , said... So let me start. I think we should all scan back quickly at the Volumes and then scan quickly at the Comments over the years this blog thread has been published. I have and it is most helpful to gain a better understanding of the arguing

2018 Bioethics Discussion Blog

109. Patient Modesty: Volume 87

but fair guards who followed prison rules. Second, there were "good guys" who did little favors for the prisoners and never punished them. And finally, about a third of the guards were hostile, arbitrary, and inventive in their forms of prisoner humiliation. These guards appeared to thoroughly enjoy the power they wielded, yet none of our preliminary personality tests were able to predict this behavior. The only link between personality and prison behavior was a finding that prisoners with a high (...) Patient Modesty: Volume 87 Bioethics Discussion Blog: Patient Modesty: Volume 87 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

2018 Bioethics Discussion Blog

110. Genetics of Skin Cancer (PDQ®): Health Professional Version

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 decisions about genetic testing for inherited cancer risk and risk-management strategies. for pathogenic variants in CDKN2A is generally high. Perceived benefits among individuals with a strong family history of melanoma include information about the risk of melanoma for themselves (...) and their children and increased motivation for sun-protective behavior. A number of studies have examined in individuals with a family history of melanoma. Overall, these studies indicate inconsistent adoption 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

2016 PDQ - NCI's Comprehensive Cancer Database

111. Genetics of Colorectal Cancer (PDQ®): Health Professional Version

. Patients' communication with their family members about an inherited risk of CRC is complex; gender, age, and the degree of relatedness are some elements that affect disclosure 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 (...) include ( POLE , POLD1 ), , ( , ), ( PTEN ), and ( STK11 ). Many of these syndromes are also associated with extracolonic cancers and other manifestations. , which 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

2016 PDQ - NCI's Comprehensive Cancer Database

112. Genetics of Breast and Ovarian Cancer (PDQ®): Health Professional Version

genetic education and counseling. about an inherited risk of breast and gynecologic cancer is complex; gender, age, and the degree of relatedness are some elements that affect disclosure 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 the primary cancer prevention setting to suggest that it reduces the risk of breast cancer among healthy female carriers of BRCA2 pathogenic variants. The use of has been associated 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

2016 PDQ - NCI's Comprehensive Cancer Database

113. Early assessment and diagnosis of lung cancer

ultrasound (EBUS) is important for diagnosis and tumour staging. These services require expertise and are generally available in specialist centres and part of specialist lung cancer teams, often referred to as multidisciplinary teams (MDTs). Many guidelines and recommendations endorse referral to the MDTs. Access to lung cancer MDTs, where there is access to equipment, expertise and improved outcomes due to operator volume, appears to be the most promising model to facilitate early assessment (...) cancers. 46 Culturally and linguistically diverse groups The ‘healthy immigrant effect’ often results in lower incidence of cancer in migrant groups. Yet in lung cancer there appears to be a reverse trend. From 2003 to 2007, the highest age- standardised incidence rates of lung cancer in men were for those born in North-Western Europe (69 per 100,000) and the United Kingdom and Ireland (67 per 100,000). These rates were significantly higher than that for Australian-born men (58 per 100,000). Men born

2012 Sax Institute Evidence Check

114. Genetics of Prostate Cancer (PDQ®): Health Professional Version

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 (...) screening tests such as the digital rectal exam and serum prostate-specific antigen (PSA) levels in men genetically predisposed to developing prostate cancer. Initial reports of targeted PSA has yielded a higher proportion of aggressive disease. On the basis of the available data, most professional societies and organizations recommend that high-risk men engage in shared decision-making with their health care providers and develop individualized plans for prostate cancer screening based on their risk

2016 PDQ - NCI's Comprehensive Cancer Database

115. The views of young people in the UK about obesity, body size, shape and weight

are distinguished only when study authors’ accounts make this possible. The views of young people in the UK about obesity, body size, shape and weight 1 Executive summary Background There are high levels of concern about body size in young people in the UK: young people can experience physical and psychosocial problems when young as a result of having a large body size, and young people’s attitudes to and beliefs about their bodies, which can include high levels of body dissatisfaction, have also raised concern (...) in the UK aged 12 to 18 using qualitative methods. Views were defined as attitudes, opinions, beliefs, feelings, understandings or experiences. Reports also needed to describe basic aspects of a study’s methods. Executive summary 2 Data extraction of the included studies was carried out using a framework, specifically designed for this review, to record information from each study (e.g. details of the study population and methods of sampling, recruitment, consent, data collection and analysis

2013 EPPI Centre

116. Genetics of Endocrine and Neuroendocrine Neoplasias (PDQ®): Health Professional Version

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 (...) and improved overall survival,[ - ] they also have higher rates of postoperative complications and long-term morbidity.[ ] Therefore, the risks and benefits should be carefully considered, and surgical decisions should be made on a case-by-case basis. With regard to open or laparoscopic approaches, pancreatic laparoscopic surgery appears to be safe and associated with a shorter length of stay and fewer complications in selected patients.[ ] Individuals with MEN1 who are diagnosed with NETs often have

2016 PDQ - NCI's Comprehensive Cancer Database

117. Cancer Genetics Risk Assessment and Counseling (PDQ®): Health Professional Version

the provision of health insurance and employment discrimination on the basis of genetics information; however, it does not apply to members of the military or to long-term care insurance. 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 effort is being made within the genetics community to shift terminology used to describe genetic variation. The shift (...) 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 of satisfaction, and minimal negative psychosocial outcomes.[ - ] References Hampel H, Bennett RL, Buchanan A, et al.: A practice

2016 PDQ - NCI's Comprehensive Cancer Database

118. Models of community care for the elderly involving collaboration between specialized geriatric services and primary care practitioners

of the model tends to be on the SGS itself, and collaboration with PCP is an adjunct, and accordingly, its processes, barriers/facilitators, etc. are under-evaluated and reported. Some models however did appear to meet this collaborative goal, and hopefully will be considered useful. - An exception to this are a few excellent models, two of which (PRISMA, SIPA) involved extensive PCP collaboration and were Canadian-based. Page 1 of 51 1. Summary table of relevant services/models Author (Year) Location (...) COGNITIVE POPULATION Crotty et al.(2004) RefID624 Australia (Adelaide) Eloniemi-Sulkava et Finland (Helsinki al.(2009)RefID98 and Uusimaa) Elderly patients with medication problems and difficult behaviors (pain-and dementia-related) in high-level residential aged care facilities. Elderly couples with dementia. particular attention to the management of chronic illnesses. Several follow-up visits are arranged, also with a focus on chronic-disease management. Social workers also provide case management

2011 OHRI Knowledge to Action

119. Interventions to Improve Minority Health Care and Racial and Ethnic Disparities

of community health workers provided limited gains. Culturally tailored education approaches to lifestyle change interventions appear promising. Several small trials suggest intensive nurse-led multicomponent care management interventions may reduce hospitalization in minority patients with heart failure. HIV/AIDS Interventions We identified four good quality comparative and single-race systematic reviews (meta-analyses) that examined the effectiveness of behavioral interventions for HIV and sexually (...) A study suggests a telemedicine/care coordination intervention may reduce disparities in black Veterans with diabetes; this finding warrants further research. 3 Interventions to Improve Minority Health Care and Reduce Racial and Ethnic Disparities Evidence-based Synthesis Program Arthritis and Pain Management Interventions Our search identified one fair quality systematic review examining the ef fects of behavioral interventions for arthritis in minority and white populations. We also identified one

2011 Veterans Affairs Evidence-based Synthesis Program Reports

120. Rural vs. Urban Ambulatory Health Care Review

distance, patient attitudes, and race disparities. FUTURE RESEARCH There are many gaps in the existing research. Several important clinical conditions have not been addressed, and few studies have enrolled veterans. A key issue for future research is the 3 Rural vs. Urban Ambulatory Health Care: A Systematic Review Evidence-based Synthesis Program choice of definitions for rural and urban areas. Researchers should provide a rationale for why a particular definition was chosen and consider using more (...) urban veterans. 4,5 Although more recent assessments have shown that rural veterans appear to have comparable or even better mental health quality of life than urban veterans, the lower physical health quality of life in rural veterans has persisted over time. 6,7 While differences in health care use between rural and urban veterans have been documented, 8 it is unclear to what extent such differences in service use contribute to the observed differences in health outcomes. Some of the rural-urban

2011 Veterans Affairs Evidence-based Synthesis Program Reports

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