Clinical ethics support (CES) for health care professionals and patients is increasingly seen as part of good health care. However, there is a key drawback to the way CES services are currently offered. They are often performed as isolated and one-off services whose ownership and impact are unclear. This paper describes the development of an integrative approach to CES at the Center of Expertise and Care for Gender Dysphoria (CEGD) at Amsterdam University Medical Center. We specifically aimed to integrate CES into daily work processes at the CEGD. In this paper, we describe the CES services offered there in detail and elaborate on the 16 lessons we learned from the process of developing an integrative approach to CES. These learning points can inform and inspire CES professionals, who wish to bring about greater integration of CES services into clinical practice.
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http://dx.doi.org/10.1007/s10730-019-09376-6 | DOI Listing |
Cureus
December 2024
Neurosurgery, Al-Azhar University, Giza, EGY.
Intradural disc herniation (IDDH) is a rare condition, accounting for less than 0.5% of herniated disc cases, primarily affecting the lumbar region and often presenting with severe nerve compression or cauda equina syndrome. This paper presents the case of a 60-year-old female with a history of hypertension, dyslipidemia, stroke, and hypothyroidism, who arrived with severe lower back pain, lower limb weakness, and urinary retention.
View Article and Find Full Text PDFEmergency psychology is a branch of psychology that, although it began several years ago due to dramatic events around the world, is increasingly being established in the day-to-day work of the emergency department. Due to the very specific nature of this type of intervention, it is essential that, in addition to proper training and experience, emergency psychologists have a series of competencies. In this study, we developed a questionnaire, the Crisis and Emergency Intervention Skills Scale (CEISS), ad hoc for this research, and we determined the relationship of the CEISS score with the most relevant competencies.
View Article and Find Full Text PDFMar Pollut Bull
January 2025
Center for Advanced New Materials, Engineering, and Emerging Technologies (CANMEET), University of San Agustin, 5000 Iloilo City, Philippines.
The plastic revolution's contribution to global pollution gives rise to microplastics (MPs), bearing a toll on the marine environment. Knowledge of mangrove exposure to MPs causing adverse effects has yet to be elucidated. Hence, the physiological responses of R.
View Article and Find Full Text PDFEur J Prev Cardiol
January 2025
Department of Global Public Health, Karolinska Institutet, Stockholm, Sweden.
Aim: Primary prevention of cardiovascular disease (CVD) relies on effective risk stratification to guide interventions. Current models, primarily developed using regression analysis, can lead to inaccurate estimates when applied to external populations. This study evaluates the utility of cluster analysis as an alternative method for developing CVD risk stratification models, comparing its performance with established CVD risk prediction models.
View Article and Find Full Text PDFBMC Health Serv Res
January 2025
The University of Sydney, Faculty of Medicine and Health, School of Rural Health, Orange, NSW, 2800, Australia.
Background: Low-value care refers to the provision of health services that confer little or no benefit to patients, or have the potential to incur unwarranted harms. A breadth of literature exists investigating geographical variations in rates of potential low-value interventions for musculoskeletal pain. This scoping review aimed to examine the provision of low-value care for osteoarthritis and lower back pain by degree of rurality (e.
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