Palliative Medicine in Practice最新文献_第3页

Palliative and supportive care: progress needed in clinical care, research and education 姑息治疗和支持性治疗:临床护理、研究和教育方面需要取得进展

Palliative Medicine in Practice Pub Date : 2023-09-29 DOI: 10.5603/pmp.97571

Wojciech Leppert

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The Polish palliative care response to the war in Ukraine and the subsequent humanitarian crisis 波兰对乌克兰战争和随后的人道主义危机的姑息治疗反应

Palliative Medicine in Practice Pub Date : 2023-09-29 DOI: 10.5603/pmpi.a2023.0018

Leszek Pawłowski, Iga Pawłowska, Sofiya Shunkina, Wojciech Leppert, Natalia Krzyżaniak, Monika Lichodziejewska-Niemierko

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Acceptance of illness and satisfaction with the life of the patient after penectomy 对疾病的接受程度及对阴茎切除术后患者生活的满意度

Palliative Medicine in Practice Pub Date : 2023-09-29 DOI: 10.5603/pmpi.a2023.0020

Justyna Sraga, Katarzyna Zmarlak, Weronika Szajnowska, Ilona Kuźmicz, Ewa Kawalec-Kajstura

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Report from the 16th International Conference of the Journal “Palliative Medicine in Practice” 第十六届“姑息医学实践”国际学术会议报告

Palliative Medicine in Practice Pub Date : 2023-09-29 DOI: 10.5603/pmpi.a2023.0028

Filip Lebiedziński, Bartosz Kaniowski, Grzegorz Loroch

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Intradiscal steroid therapy in chronic discogenic pain: a systematic review of literature 椎间盘内类固醇治疗慢性椎间盘源性疼痛:文献系统回顾

Palliative Medicine in Practice Pub Date : 2023-09-29 DOI: 10.5603/pmpi.a2023.0014

Priyanka Mishra, Sonal Goyal, Robina Makker

{"title":"Intradiscal steroid therapy in chronic discogenic pain: a systematic review of literature","authors":"Priyanka Mishra, Sonal Goyal, Robina Makker","doi":"10.5603/pmpi.a2023.0014","DOIUrl":"https://doi.org/10.5603/pmpi.a2023.0014","url":null,"abstract":"Background: This article aims to conduct a systematic review of the present literature and assess the use of intra-discal steroids injection (IDSI) for patients suffering from chronic discogenic back pain irresponsive to conservative treatment. Methods: The search was conducted in PubMed, PubMed Central, Cochrane, Scopus, Embase, and Google Scholar databases between 1990 and 2021. Included were studies assessing the administration of IDSI to adults suffering from chronic discogenic back pain. Studies evaluating combination interventions were excluded. The quality of evidence was determined by the GRADE assessment. The PROSPERO registration number for the review is CRD42022307690. Results: Eight studies enrolling a total of 548 patients were finally included in the systematic review. A significant reduction in pain scores after IDSI was calculated one month after intervention [standardized mean difference (SMD) −1.32 (−2.32, −0.31), p = 0.01, I2 = 89%]. This effect was not sustained at three- six- and twelve-month assessments. The analysis revealed no therapeutic benefit of intra-discal steroids for disability and activity limitation at one month, [SMD −0.76 (−1.88, 0.36), p = 0.18, I2 = 92%], three-, six- or twelve-months intervals. Overall, the quality of effect estimates was found to be moderate. Conclusions: The authors believe that Intradiscal steroid therapy can only be used as a bridge therapy for short-term pain relief while the patient with chronic discogenic pain awaits another intervention or surgery.","PeriodicalId":19965,"journal":{"name":"Palliative Medicine in Practice","volume":"96 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135199237","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Student exams during the COVID-19 pandemic COVID-19大流行期间的学生考试

Palliative Medicine in Practice Pub Date : 2023-09-29 DOI: 10.5603/pmp.96471

Zbigniew Żylicz

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Decision aid program affect regret in patients with prostate cancer treatment: a systematic review of randomized controlled trials 决策辅助程序影响前列腺癌治疗患者后悔:随机对照试验的系统回顾

Palliative Medicine in Practice Pub Date : 2023-09-04 DOI: 10.5603/pmp.96856

Muhammad Luthfi Adnan, Widyo Nugroho Utomo, Miranti Dewi Pramaningtyas

{"title":"Decision aid program affect regret in patients with prostate cancer treatment: a systematic review of randomized controlled trials","authors":"Muhammad Luthfi Adnan, Widyo Nugroho Utomo, Miranti Dewi Pramaningtyas","doi":"10.5603/pmp.96856","DOIUrl":"https://doi.org/10.5603/pmp.96856","url":null,"abstract":"Introduction: Long-term treatment and associated side effects can affect a patient's quality of life, one of which is the patient's regret during the treatment program of prostate cancer. The Decision Aid (DA) program can help patients with chronic diseases to face disease treatment, but the effect on the treatment of prostate cancer patients has not been evaluated further. This study aims to assess the effect of a decision aid program on treatment regret in prostate cancer patients. Methods: This systematic review was conducted in accordance with the Preferred Reporting Items for Systematic Review and Meta-analyses (PRISMA) guidelines with the search engines PubMed and Google Scholar from January–March 2023. The inclusion criteria used were randomized controlled-trial studies with full text in English, published for the last ten years, the decision regret during or after treatment program was reported and the type of regret measurement was described. Results: Based on a literature search, 5 studies met the inclusion criteria. The relationship between decision aid and regret was not significantly lower, but has significant effect for long-term (12 months) and in minority ethnic. Studies on a wider and heterogeneous population are needed to assess the effect of decision aids on the perspective of patients with prostate cancer programs. Conclusions: Decision aid may affect the level of regret of prostate cancer patients in the treatment program.","PeriodicalId":19965,"journal":{"name":"Palliative Medicine in Practice","volume":"94 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135491242","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Why is the approach to discontinuing life-sustaining treatment different in the UK and Poland? Based on the case of RS 为什么英国和波兰停止维持生命治疗的方法不同?以RS为例

Palliative Medicine in Practice Pub Date : 2023-08-31 DOI: 10.5603/pmp.96886

Marcin Paweł Ferdynus

{"title":"Why is the approach to discontinuing life-sustaining treatment different in the UK and Poland? Based on the case of RS","authors":"Marcin Paweł Ferdynus","doi":"10.5603/pmp.96886","DOIUrl":"https://doi.org/10.5603/pmp.96886","url":null,"abstract":"The discontinuation of life-sustaining therapy has been the subject of dispute for many years. Despite the guidelines, which were created to facilitate the resolution of disputes between the doctor (hospital) and the patient (family, surrogate), new cases of seriously ill patients continue to emerge and stir up controversy. One such case was the RS case. A Polish citizen living in the UK suffered severe brain damage as a result of cardiac arrest. The hospital applied to the court to withdraw ventilation, hydration, and nutrition for RS. The judge ultimately ruled that it was in RS’s best interest to withdraw ventilation and nutrition, but he left the decision on hydration to RS’s wife and the hospital. The court’s ruling has stirred up controversy among the Polish public. Some Polish doctors assessed the UK court’s decision as “legal murder” and “euthanasia”. I believe that it is worth examining the RS case for at least two reasons. Firstly, it provides a better understanding of the difference in approaches to therapy cessation in the UK and Poland. Secondly, many Poles live in the UK, and therefore similar disputes may arise in the future. In this paper, I point out several differences between the British and Polish approaches to discontinuing life-sustaining therapy. These differences are focused on the definitions of medical futility and persistent therapy, best interest and dignity, and quality of life and sanctity of life.","PeriodicalId":19965,"journal":{"name":"Palliative Medicine in Practice","volume":"13 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136035600","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

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Home extubation in a terminally ill older patient visiting emergency department 急诊科终末期老年病人的家庭拔管

Palliative Medicine in Practice Pub Date : 2023-08-18 DOI: 10.5603/pmp.96125

Pasitpon Vatcharavongvan

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Diagnosis and treatment of hallucinations in elderly palliative care patients with Parkinson’s disease 老年帕金森病姑息治疗患者幻觉的诊断与治疗

Palliative Medicine in Practice Pub Date : 2023-08-08 DOI: 10.5603/pmpi.a2023.0029

Karolina Ochyra, Zbigniew Żylicz

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