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Selective termination: a life-saving procedure for complicated monochorionic gestations.
J Perinat Med
December 2024
Fetal Care and Surgery Center (FCSC), Division of Fetal Medicine and Surgery, Boston Children's Hospital, Harvard Medical School, Boston, MA, USA.
Monochorionic twin pregnancies are a subset of twin pregnancies that face potential complications related to a shared circulation between the fetuses. These complications are related to anastomotic placental vessels connecting the cardiovascular systems of the two fetuses, which can result in significant sequela if one twin experiences intrauterine death. The sudden cardiovascular collapse in this scenario leads to a massive blood shift away from the healthy co-twin, significantly jeopardizing its life and long-term neurodevelopmental outcome.
View Article and Find Full Text PDFCommunity-dwelling older people's experiences of advance care planning with health care professionals: a qualitative systematic review.
JBI Evid Synth
January 2025
The Chiba University Centre for Evidence Based Practice: A JBI Centre of Excellence, Chiba University, Chiba, Chiba Prefecture, Japan.
Article Synopsis
- This review examines how older individuals living at home interact with healthcare professionals regarding advance care planning and aims to enhance end-of-life care discussions.
- It highlights the need for healthcare providers to initiate these important conversations more effectively, as community-dwelling older adults often miss out on these opportunities compared to those in institutional settings.
- The review includes 5 qualitative studies published between 2017 and 2022, all demonstrating a reasonably high quality according to established appraisal metrics.
Public Comments on social media Regarding Self-management of Foreign Body Airway Obstruction; a Letter to Editor.
Arch Acad Emerg Med
September 2024
Department of General Surgery, Anesthesiology, Resuscitation and Emergency Medicine, Medical Institute, V.I. Vernadsky Crimean Federal University, Simferopol, Russian Federation.
Foreign body airway obstruction (FBAO) frequently occurs unwitnessed. In the absence of external assistance and the ability to rapidly reach help, immediate self-management of FBAO could be the only way to avoid impending death from asphyxia. In this letter, relevant evidence of real-life self-management of severe FBAO from public comments posted on social media were gathered and reported.
View Article and Find Full Text PDFExploring the influence of the impending death discharge tradition on home death rate in Taiwan.
J Chin Med Assoc
August 2024
Institute of Public Health & Department of Public Health, School of Medicine, National Yang Ming Chiao Tung University, Taipei, Taiwan, ROC.
Background: As modern societies witness a shift from home deaths to hospital deaths, the compromise practice of impending death discharge (IDD) in response to Chinese traditions and changing times deserves further exploration.
Methods: Using the Longitudinal Generation Tracking Database 2005, a validated cohort of two million randomly sampled National Health Insurance (NHI) beneficiaries, we conducted a retrospective analysis on the places of death for 123 832 individuals from 2008 to 2017.
Results: Approximately 47.
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