An Authentic Learning Experience for Medical Students on Conducting a Family Meeting.

Background: Medical schools often lack training for serious illness conversations with patients and caregivers. We developed a curriculum in our elective Transitioning to Residency medical student course, focused on end-of-life discussions. This paper provides an overview of the curriculum and outcomes from an advanced preparation assignment and student evaluations.

A Review of Clinical Signs and Symptoms of Imminent End-of-Life in Individuals With Advanced Illness.

World population is not only aging but suffering from serious chronic illnesses, requiring an increasing need for end-of-life care. However, studies show that many healthcare providers involved in the care of dying patients sometimes express challenges in knowing when to stop non-beneficial investigations and futile treatments that tend to prolong undue suffering for the dying person. To evaluate the clinical signs and symptoms that show end-of-life is imminent in individuals with advanced illness.

Ethics, law, and politics in palaeontological research: The case of Myanmar amber.

Fossil material in amber from Myanmar can provide important insights into mid-Cretaceous forest ecosystems. However, Myanmar amber has been receiving increased international attention due to reported links between amber mining and the ongoing humanitarian crisis in northern Myanmar, as well as the legal issues associated with its exportation. Here, we conduct a bibliometric analysis of Myanmar amber publications (1990-2021) and demonstrate how research interest in Myanmar amber is explicitly linked to major political, legal, and economic changes.

In-Hospital Utilization and Outcomes of Palliative Care Consultation in Patients With Advanced Heart Failure Complicated by Cardiogenic Shock Requiring Mechanical Circulatory Support.

Prior studies have shown that the early inclusion of palliative care (PC) specialist is associated with better end-of-life experiences. The National Inpatient Sample Database was queried from 2012 to 2017 for relevant of ICD)-9 and -10 procedural and diagnostic codes to identify patients above 18 years with advanced heart failure (HF) admitted with cardiogenic shock (CS) requiring mechanical circulatory support (MCS). Baseline characteristics, utilization trends and invasive procedures and complications were compared among patients evaluated by PC and those who were not.

Genetic identification of medicinally used Salacia species by nrDNA ITS sequences and a PCR-RFLP assay for authentication of Salacia-related health foods.

Ethnopharmacological Relevance: The roots and stems of several Salacia species have been used as traditional medicines, especially in Ayurvedic medical system for the treatment of diabetes, rheumatism, gonorrhea, amenorrhea, skin diseases, etc. Due to reported evidence supporting Salacia's beneficial effects in early-stage diabetes and other lifestyle-related diseases, Salacia-based dietary supplements and health foods have been gaining popularity in Japan and other countries in recent years. However, due to the morphological similarities between Salacia plants, particularly in the medicinally used parts (roots and stems), the authentication of the botanical identities of Salacia-derived products is challenging.

Association of ZFHX3 gene variation with atrial fibrillation, cerebral infarction, and lung thromboembolism: An autopsy study.

Aim: We aimed to study a single nucleotide polymorphism (SNP), rs2106261, in the transcription factor gene, ZFHX3, in atrial fibrillation (AF) and other related phenotypes by phenome scanning in a Japanese population.

Method: We retrieved consecutive autopsy data (n=2433, mean age=80 years) from the Japanese SNP database for geriatric diseases (JG-SNP). Clinical data, including an AF diagnosis, were collected from medical charts.

Rapid identification of elastic modulus of the interface tissue on dental implants surfaces using reduced-basis method and a neural network.

This paper proposes a rapid inverse analysis approach based on the reduced-basis method (RBM) and neural network (NN) to identify the "unknown" elastic modulus (Young's modulus) of the interfacial tissue between a dental implant and the surrounding bones. In the present RBM-NN approach, a RBM model is first built to compute displacement responses of dental implant-bone structures subjected to a harmonic loading for a set of "assumed" Young's moduli. The RBM model is then used to train a NN model that is used for actual inverse analysis in real-time.

Developing a national tiger action plan for The Union of Myanmar.

A century ago, tigers were considered pests in Myanmar. Hunters claimed thousands, yet populations persisted. In the past century, because of habitat loss and prey depletion, coupled with the recent demand for traditional medicines, tiger populations have been reduced to a few hundred individuals.

Case and discussion of Lyme disease.

Lyme disease is a multisystem disease with prominent neurological involvement, primarily affecting the nervous system, skin, joints, and heart. We report the case of a patent with Lyme Disease and discuss the background as treatment of this condition.

Amiodarone-induced thyrotoxicosis presenting as hypokalemic periodic paralysis.

Thyroid disorder is a well-recognized side effect of amiodarone therapy. Thyrotoxicosis is less common than hypothyroidism. Hypokalemic periodic paralysis is one manifestation of thyrotoxicosis, and is more often seen in Oriental and Latin American men than in other demographic groups.