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Intraoperative thrombus formation in the artificial tube graft in a fenestrated extracardiac Fontan procedure-to trust our eyes or instincts?
Indian J Thorac Cardiovasc Surg
January 2025
Division of Cardiothoracic and Vascular Anaesthesiology, Sree Chitra Tirunal Institute for Medical Sciences and Technology, Thiruvananthapuram, Kerala India.
Unlabelled: Appearance of a thrombus in the graft intraoperatively during Fontan surgery is not reported and warrants careful evaluation. Our patient was an 18-year-old lady who underwent fenestrated extracardiac Fontan surgery. Intraoperatively, transesophageal echocardiography revealed an echogenic structure inside the conduit.
View Article and Find Full Text PDFBodily integrity and autonomy of the youngest children and consent to their healthcare.
Clin Ethics
December 2024
Social Research Institute, University College London, London, UK.
Children's autonomy includes, as far as possible, self-determination, bodily integrity and the right to influence outcomes. Limits to bodily integrity, which involves no touching without the child's consent or tacit agreement, are discussed. The clinical, legal and ethics literature tends to agree that children may give valid consent to major recommended treatment from around 12 years but may not refuse it until they are legal adults.
View Article and Find Full Text PDFEthical considerations related to virtual visiting for families and critically ill patients in intensive care: a qualitative descriptive study.
BMC Med Ethics
November 2024
Florence Nightingale Faculty of Nursing, Midwifery and Palliative Care, King's College London, London, UK.
Background: During the COVID-19 pandemic, virtual visiting technologies were rapidly integrated into the care offered by intensive care units (ICUs) in the UK and across the globe. Today, these technologies offer a necessary adjunct to in-person visits for those with ICU access limited by geography, work/caregiving commitments, or frailty. However, few empirical studies explore the ethical issues associated with virtual visiting.
View Article and Find Full Text PDFExploring vaccine hesitancy in digital public discourse: From tribal polarization to socio-economic disparities.
PLoS One
November 2024
Department of Sociology, Ibn Haldun University, Istanbul, Turkey.
This study analyzed online public discourse on Twitter (later rebranded as X) during the COVID-19 pandemic to understand key factors associated with vaccine hesitancy by employing deep-learning techniques. Text classification analysis reveals a significant association between attitudes toward vaccination and the unique socio-economic characteristics of US states, such as education, race, income or voting behavior. However, our results indicate that attributing vaccine hesitancy solely to a single social factor is not appropriate.
View Article and Find Full Text PDFAssessing the psychometric properties of Connor-Davidson Resilience Scale 25 (CD-RISC 25) in pharmacy students and academics in the Eastern Mediterranean Region.
Explor Res Clin Soc Pharm
December 2024
School of Pharmacy, University College London, London, UK.
Article Synopsis
- - The Connor-Davidson Resilience Scale (CD-RISC) assesses psychological resilience through 25 self-reported items across five key resilience-related constructs, with higher scores indicating greater resilience.
- - This study aimed to evaluate the factor structure, validity, and reliability of the CD-RISC-25 specifically among pharmacy students and academics in the Eastern Mediterranean Region.
- - Results revealed a five-factor structure that explains 51.5% of the total model variance, showing strong alignment with previous research but indicating different item loadings and reliable internal consistency.
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