Slow-growing pulmonary nodules, particularly those that appear subpleural, can represent a challenge for diagnosis as well as for clinical management. We present a case of a current smoker with a very slowly growing, indeterminate 8-mm peripheral nodule that was suggestive of an adenocarcinoma-spectrum lesion. Intraoperatively, bone spurs coming off the ribs posteriorly were noted and suspected to be the source of the computed tomography findings.
View Article and Find Full Text PDFAust N Z J Obstet Gynaecol
December 2024
Background: Although consent has long been accepted as necessary in maternity care, the concept of informed consent for planned vaginal birth has polarised maternity politics. The publication of the NSW Consent Manual outlines new standards of informed consent, signalling the need for examination of current maternity consent practices.
Aims: To examine informed consent and disclosure of material risks in birth in a prospective qualitative study of midwives and obstetricians.
Background: The endocannabinoid system, which regulates fear- and anxiety-related behaviors, is dysregulated in adults with posttraumatic stress disorder (PTSD), as indicated by higher circulating anandamide (AEA) concentrations. The C385A (rs324420) polymorphism in the fatty acid amide hydrolase (FAAH) gene, which catabolizes AEA, is linked to higher AEA concentrations and greater PTSD symptoms in adults. Given that adolescence is a critical period during which trauma and psychiatric disorders emerge, understanding this relationship in youth is essential.
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