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Nasopharyngeal tuberculosis suspected of malignancy: A case report.
Medicine (Baltimore)
January 2025
Department of Otorhinolaryngology, Head and Neck Surgery, School of Medicine, Kyungpook National University, Kyungpook National University Chilgok Hospital, Daegu, South Korea.
Rationale: Nasopharyngeal tuberculosis (TB), a rare form of tuberculosis outside the lungs, can affect any organ or tissue in the body. It is difficult to diagnose because of nonspecific symptoms, often leading to delayed confirmation after the initial patient visit. Clinical manifestations such as cervical lymphadenopathy and irregular mucosal surfaces can be challenging to distinguish from nasopharyngeal cancer or malignant lymphoma.
View Article and Find Full Text PDFBone Health ECHO (Extension for Community Healthcare Outcomes) is a virtual community of practice, where healthcare professionals have met via videoconferencing weekly since 2015. This model of learning is focused on short didactics and the presentation of real but de-identified patient cases followed by highly interactive discussions. These are often clinical situations with diagnostic and therapeutic dilemmas that are not readily addressed by randomized placebo-controlled clinical trials and clinical practice guidelines.
View Article and Find Full Text PDFMoral dilemmas often involve a conflict between action-options that maximize outcomes for the greater good (utilitarianism) and inaction-options that conform to moral norms (deontology). Previous research suggests that, compared to individuals, groups show stronger support for outcome-maximizing actions that violate moral norms. The current study used a computational modeling approach to investigate whether this difference is driven by (1) stronger sensitivity to consequences, (2) weaker sensitivity to moral norms, or (3) weaker action aversion in moral-dilemma judgments made by groups.
View Article and Find Full Text PDFInteroceptive Brain Processing Influences Moral Decision Making.
Hum Brain Mapp
December 2024
Graduate School of Information Science and Technology, Osaka University, Osaka, Japan.
Not harming others is widely regarded as a fundamental tenet of human morality. Harm aversion based on the consequences of an action is called utilitarianism while focusing on the action itself is associated with deontology. This study investigated how interoceptive processing affects the neural processing of utilitarian and deontological moral decision-making.
View Article and Find Full Text PDFDignity restored: the power of treatment first.
CNS Spectr
December 2024
Department of Psychiatry, Mass General Hospital and Brigham and Women's Hospital, Boston, MA, USA.
The perspective article explores systemic issues in psychiatric care, particularly the barriers to timely treatment and the ethical dilemmas involved in involuntary interventions. It further examines the impact of anosognosia-lack of disease insight-on treatment, noting the difficulties in managing care for those unaware of their illness, and scrutinizes training materials from international organizations that might mislabel necessary psychiatric practices as human rights violations, thereby complicating the care landscape. The discussion extends to the legal and societal implications of psychiatric interventions, using Massachusetts' Rogers Guardianship as a case study to highlight the consequences of legalistic approaches to mental health treatment.
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