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Case report: A rare but fatal complication of hysteroscopy-air embolism during treatment for missed abortion.
Front Med (Lausanne)
December 2024
Department of Obstetrics and Gynecology, Affiliated Hospital of Southwest Jiaotong University, The Third People's Hospital of Chengdu, Chengdu, China.
Hysteroscopic procedures complicated by air embolism (AE) are exceptionally rare occurrences in clinical practice, and there have been no previously reported cases of AE associated with hysteroscopic dilation and curettage. While the overall incidence of this complication is low, the consequences can be devastating. During early pregnancy, the unique physiological changes, such as elevated hormonal levels and increased uterine blood supply, significantly heighten the risk of AE development.
View Article and Find Full Text PDFPreparing for stormy weather: building VA health system resilience for dialysis emergency preparedness in the era of climate change.
Curr Opin Nephrol Hypertens
December 2024
Kidney Medicine Section, VA Connecticut Healthcare System, West Haven.
Purpose Of Review: Climate change has been implicated as the driver for the increasing number, intensity, duration, and consequences of catastrophic weather events. As a result of extreme weather events, climate change has also been implicated as an important mediator of adverse kidney health outcomes, not only increasing the risk for the development of acute and chronic kidney diseases, but also disrupting the delivery of critical kidney health services. In particular, the delivery of dialysis services during major emergencies remains an ongoing and increasing problem, with a recognized need for improved emergency preparedness and disaster management (EP-DM) strategies to mitigate the increased risk of morbidity and mortality associated with missed dialysis treatment.
View Article and Find Full Text PDFThe discrepancy between objective and subjective assessments of catastrophic health expenditure: evidence from China.
Health Policy Plan
December 2024
School of Political Science and Public Administration, Wuhan University.
The pro-rich nature of catastrophic health expenditure (CHE) indicators has garnered criticism, inspiring the exploration of the subjective approach as a complementary method. However, no studies have examined the discrepancy between subjective and objective approaches. Employing data from the Chinese Social Survey (CSS) 2013-2021 waves, we analysed the discrepancy between objective and subjective CHE and its associated socioeconomic factors using logit regression modelling.
View Article and Find Full Text PDFThe Importance of Multidisciplinary Treatment Planning: Revision Treatment for Maxillary and Mandibular Arches Following Catastrophic Failure of Initial Implant Reconstruction.
Compend Contin Educ Dent
September 2024
Medical Writer and Practice Coach, Vero Beach, Florida.
The high success rate of current dental implant protocols makes studies of catastrophic failures a rarity; however, this article presents a case study in which faulty medical intervention was the direct cause of traumatic implant failure. The patient, who had been treated with implants that successfully osseointegrated, ultimately experienced a life-threatening medical incident due to an ill-fitting definitive prosthesis. This case report includes a detailed narrative of how this patient, who began his dental journey with compromised and missing teeth, became edentulous and then, following an arduous recovery, was restored to full function with a meticulously planned revision treatment.
View Article and Find Full Text PDFCatastrophic Health Expenditures for In-State and Out-of-State Abortion Care.
JAMA Netw Open
November 2024
Advancing New Standards in Reproductive Health, University of California San Francisco, Oakland.
Importance: Most US individuals who access abortion care pay out of pocket due to insurance coverage restrictions on abortion. More research is needed on the financial and psychological burdens of abortion seeking, particularly for those traveling across state lines for care.
Objectives: To estimate the proportion of patients seeking abortion who incur abortion-related catastrophic health expenditures (CHEs), assess whether CHE differs between those seeking care in state vs out of state, and examine the association of CHE with mental health symptoms.
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