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Weakness acquired in the cardiac intensive care unit: still the elephant in the room?
Eur Heart J Acute Cardiovasc Care
December 2024
Department of medical intensive care, University Hospital Leuven, cellular and molecular medicine, KU Leuven.
A case study of Muslims' perspectives of expanded terminal sedation:addressing the elephant in the room.
BMC Med Ethics
November 2024
School of Nursing, Zarqa University, Zarqa, Jordan.
Background: Recently, the concept of expanded terminal sedation emerged to describe using sedation at the end of life in cases beyond the usual use. Using this sedation could be a stressful ethical encounter for healthcare providers.
Case: In this paper, we describe a case of a Muslim palliative care nurse who cared for a patient with cancer who requested expanded terminal sedation.
Challenges in Diagnosis of COVID-19 Pneumonia under Ocrelizumab and De-Risking Strategies in Multiple Sclerosis-The Elephant Is (Still) in the Room.
Microorganisms
September 2024
Department of Neurosciences, Psychology, Drug Research and Child Health (NEUROFARBA), University of Florence, 50139 Florence, Italy.
Severe SARS-CoV-2 infections may still be observed in people bearing risk factors, such as the use of anti-CD20 monoclonal antibodies (mAbs), which are adopted in several autoimmune disorders including multiple sclerosis (MS). COVID-19 diagnosis is routinely based on nasopharyngeal swab testing, but suboptimal sensitivity for SARS-CoV-2 detection compared to bronchoalveolar lavage (BAL) may lead to misdiagnosis in some cases. Such diagnostic issues were described in a few MS patients receiving anti-CD20 mAbs, including middle-aged people and lacking information on subsequent MS therapeutic management, a debated topic as no evidence-based guidance on de-risking strategies is currently available.
View Article and Find Full Text PDFTackling the elephant in the room - Large-scale salmon farming and the potential for far-field ecosystem effects.
Mar Pollut Bull
December 2024
Institute of Marine Research, PO Box 1870 Nordnes, N-5817 Bergen, Norway.
Significant expansion in salmon production globally has been partially enabled through the establishment of large-capacity sea-farms in high-energy environments that collectively produce substantial quantities of organic waste with potential to cause regional scale environmental degradation. We analyse results from comprehensive spatial and temporal surveys of water column particulates and seabed environmental indicators for responses to farm production, and residual effects. Results confirmed that while the particles can and do reach a relatively wide area, benthic effects do not necessarily follow suit.
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