Publications by authors named "L Kathryn Durham"
There is disagreement among physicians and medical ethicists on the precise goals of Hospice and Palliative Medicine (HPM). Some think that HPM's goals should differ from those of other branches of medicine and aim primarily at lessening pain, discomfort, and confusion, while others think that HPM's practices should aim, like all other branches of medicine, at promoting health. I take the latter position: using the ars moriendi to set a standard for what it means to die well, I argue that if HPM's practices were to aim at mitigating suffering with little regard to promoting health, some patients would die worse deaths than if HPM's practices were to aim at health.
View Article and Find Full Text PDFBackground: Population-based cancer genetic family history (FH) screening to identify families at high risk for BRCA-associated cancers has been endorsed by national public health policies. This report aimed to describe the utilization of FH screening services from 2013 to 2022 according to rurality and socioeconomic deprivation among Latinas in Georgia.
Methods: Women who attended a medical appointment at participating Georgia Public Health Clinics were invited to complete FH screening.
The obligate intracellular pathogen, , establishes an intracellular niche within a host membrane-derived vacuole called the chlamydial inclusion. From within this inclusion, orchestrates numerous host-pathogen interactions, in part, by utilizing a family of type III secreted effectors, termed inclusion membrane proteins (Incs). Incs are embedded within the inclusion membrane, and some function to recruit host proteins to the inclusion.
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- Successful cases of antenatal respiratory failure or cardiogenic shock treated with extracorporeal life support (ECLS) show high survival rates for both mothers and fetuses.
- A study from February 2015 to April 2023 examined seven cases of antepartum ECLS, mainly due to respiratory failure, with all mothers and neonates surviving delivery at around 29 weeks gestation.
- After a follow-up of about 1.4 years, while all neonates survived, some showed speech/language delays, indicating the need for ongoing neurodevelopmental assessments.
Background: The 2018 UNOS allocation policy change deprioritized geographic boundaries to organ distribution, and the effects of this change have been widespread. The aim of this investigation was to analyze changes in donor transplant center distance for organ travel and corresponding outcomes before and after the allocation policy change.
Methods: The UNOS database was utilized to identify all adult patients waitlisted for heart transplants from 2016 to 2021.