"It's Like Doctor Jekyll and Mister Hyde": The Construction of Moral Identity by Israeli Men Who Pay Women for Sex.

This study examined how Israeli men who pay women for sex (MPWS) construct and sustain a moral identity within the social context that often portrays them as deviants, perpetrators, and abusers, thereby challenging their ability to maintain a respectful and dignified image. Twenty-three Israeli MPWS participated in in-depth semi-structured interviews, which were then analyzed using constructivist grounded theory method. Using the theoretical framework moral reflexivity, we conceptualize three central dynamics of constructing and sustaining a moral identity in the context of paying for sex: Maintaining an intact moral self by resisting the moral conflict; presenting a reflexive agonizing moral self; and constructing a moral self through identity fragmentation.

Development of a PROM to measure patient-centredness in chronic care consultations in primary care.

Introduction: Validated patient-reported outcome measures (PROMs) are crucial for assessing patients' experiences in the healthcare system. Both clinically and theoretically, patient-centered consultations are essential in patient-care, and are often suggested as the optimal strategy in caring for patients with multimorbidity.

Aim: To either identify or develop and validate a patient-reported outcome measure (PROM) to assess patient-centredness in consultations for patients with multimorbidity in general practice.

An anatomical investigation of alkaptonuria: Novel insights into ochronosis of cartilage and bone.

Ochronotic pigmentation of connective tissue is the central pathological process in the rare metabolic disease alkaptonuria (AKU). Tissue pigmentation in AKU occurs due to unmetabolised homogentisic acid (HGA) in the circulation, caused by an enzyme deficiency in the liver. Ochronotic pigmentation, derived from HGA, has previously been reported and described in large joints obtained from arthroplasty surgeries, which typically have advanced disease.

Economic, cultural, and social inequalities in potentially inappropriate medication: A nationwide survey- and register-based study in Denmark.

Background: Potentially inappropriate medication (PIM) is associated with negative health outcomes and can serve as an indicator of treatment quality. Previous studies have identified social inequality in treatment but often relied on narrow understandings of social position or failed to account for mediation by differential disease risk among social groups. Understanding how social position influences PIM exposure is crucial for improving the targeting of treatment quality and addressing health disparities.

General practice-related variation in oral anticoagulant treatment of atrial fibrillation: a nationwide cohort study.

Background: Guideline-adherent oral anticoagulant treatment (OAC) in atrial fibrillation (AF) remains a challenge. In Denmark, most patients with AF are treated in general practice. Nevertheless, determinants of OAC prescription in primary care are poorly understood.