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الموت مجرد حلم : البحث عن العبر والأمل قبل الموت
جاء الكتاب تحت عنوان (الموت مجرد حلم : البحث عن العبر والأمل قبل الموت) وهو من تأليف كريستوفر كير وكارين ماردوروسيان وهو أول كتاب يتناول أحلام ورؤى ما قبل الموت والتي تحقق الطمأنينة والسلام للمحتضرين مع اقتراب الموت. إذ يطرح مؤلفا الكتاب كريستوفر كير وكارين ماردوروسيان بشكل واضح طريقة بديلة واتجاها مختلفا للتعامل مع المرضى في نهاية حياتهم، بحيث يكون للمريض النصيب الأوفر من التركيز، مع توفير سبل الاهتمام به نفسيا ووجدانيا وذلك عبر استكشاف الجوانب غير المادية للاحتضار، فالأحلام التي يراها المحتضر تساعده على إعادة التواصل مع من يحبهم وفقدهم ويرتاح إليهم، مثل أم حنون رحلت منذ زمن أو أب مكافح أو ولد عزيز ظل ينتحب عليه طويلا. إنها قصص من واقع حياة هؤلاء الذين ما يزالون يصرون على لحظات الحب التي أحسوا بها، سوف تتعرفون عليهم في هذا الكتاب، حين يقتربون في الأحلام من أحبائهم الذين فقدوهم ويعودوا لاحتضانهم. يساعد هذا الكتاب المرضى الذين يقتربون من الموت، فضلا عن عائلاتهم والمهتمين بهم. ويخاطب أولئك الذين، عاجلا أم آجلا، \"يعبرون عتبة الأبدية\"، بمعنى آخر، كل شخص منا. إنه كتاب عن الحياة ومن أجل الحياة قبل أن يكون عن الاحتضار والموت. يسرد الكتاب قصص أولئك الأشخاص الاستثنائيين الذين كانوا على استعداد لمشاركة أحلامهم، وأفكارهم ومشاعرهم وهم يقتربون من انتقالهم الأخير.
Book
Outpatient versus inpatient superficial parotidectomy: clinical and pathological characteristics
Background
Superficial parotidectomy has a potential to be performed as an outpatient procedure. The objective of the study is to evaluate the safety and selection profile of outpatient superficial parotidectomy compared to inpatient parotidectomy.
Methods
A retrospective review of individuals who underwent superficial parotidectomy between 2006 and 2016 at a tertiary care center was conducted. Primary outcomes included surgical complications, including transient/permanent facial nerve palsy, wound infection, hematoma, seroma, and fistula formation, as well as medical complications in the postoperative period. Secondary outcome measures included unplanned emergency room visits and readmissions within 30 days of operation due to postoperative complications.
Results
There were 238 patients included (124 in outpatient and 114 in inpatient group). There was no significant difference between the groups in terms of gender, co-morbidities, tumor pathology or tumor size. There was a trend towards longer distance to the hospital from home address (111 Km in inpatient vs. 27 in outpatient, mean difference 83 km [95% CI,- 1 to 162 km],
p
= 0.053). The overall complication rates were comparable between the groups (24.2% in outpatient group vs. 21.1% in inpatient,
p
= 0.56). There was no difference in the rate of return to the emergency department (3.5% vs 5.6%,
p
= 0.433) or readmission within 30 days (0.9% vs 0.8%,
p
= 0.952).
Conclusion
Superficial parotidectomy can be performed safely as an outpatient procedure without elevated risk of complications.
Graphical abstract
Journal Article
Management of Percutaneous Coronary Intervention Complications
Opinion statement
With the recent increase in complex coronary interventions including percutaneous coronary intervention (PCI) for chronic total occlusions and complex higher risk (and indicated) patients, the spectrum of potential periprocedural complications and their prompt management has become even more relevant. Vascular access-related problems remain the most prevalent of all PCI complications and with randomized controlled trial data from over 20,000 patients supporting the superiority of radial over femoral access in reducing bleeding and vascular complications, a default radial strategy should be promoted. The European Society of Cardiology guidelines have acknowledged this by giving a class 1 (level of evidence: A) recommendation for a radial approach for PCI. The US society guidelines, however, have thus far lagged behind. Each individual patient undergoing a PCI should be risk-stratified objectively using available risk prediction models based on patient comorbidities and anatomical and procedural complexities. Customized informed consent should therefore be provided to all patients and should include the potential risks from radiation injury. Here, we review the current data related to common periprocedural complications related to PCI.
Journal Article
PACS-1 and Adaptor Protein-1 Mediate ACTH Trafficking to the Regulated Secretory Pathway
The regulated secretory pathway is a specialized form of protein secretion found in endocrine and neuroendocrine cell types. Pro-opiomelanocortin (POMC) is a pro-hormone that utilizes this pathway to be trafficked to dense core secretory granules (DCSGs). Within this organelle, POMC is processed to multiple bioactive hormones that play key roles in cellular physiology. However, the complete set of cellular membrane trafficking proteins that mediate the correct sorting of POMC to DCSGs remain unknown. Here, we report the roles of the phosphofurin acidic cluster sorting protein – 1 (PACS-1) and the clathrin adaptor protein 1 (AP-1) in the targeting of POMC to DCSGs. Upon knockdown of PACS-1 and AP-1, POMC is readily secreted into the extracellular milieu and fails to be targeted to DCSGs.
Paper
Merchant of hate
The poisonous rants of this lunatic and other similar hate- mongers are just playing into the hands of those other racists, the BNP, and encouraging terrorist acts that Abu Hamza is too cowardly to carry out himself while leaching off the society he says...
Newspaper Article
YOUR VIEWS ON THE COUNTDOWN TO WAR: Where is the proof Mr Blair?
If 'regime change' is sought, how do the US/UK forces expect to find and capture Saddam Hussein without a fight, assuming he doesn't flee to a neutral country? What are the US and UK's future plans for Iraq after Saddam Hussein?
Newspaper Article
TALKING POINT: No evidence he's a threat ; A selection of your views on the Iraq crisis
Common sense is lacking here. Tony Blair's so called 'dossier of evidence' is nothing of the kind, but is a catalogue of dubious allegations against the Iraqi regime.
Newspaper Article
Talking Point: Obsessed with privatisation
TRANSPORT Secretary Stephen Byers and other spin merchants should resign from office now.
Newspaper Article
Letter: Survey? What survey?
In March, the council sent me a letter saying surveyors would inspect 9,000 homes, including mine, but I never saw any.
Newspaper Article
LONDON...
Last year I returned from London to pour disdain on a weak, treacly stage adaptation of a movie musical, \"Chitty Chitty Bang Bang,\" and it wouldn't have surprised me if \"Mary Poppins\" had been a similar one-trick rip-off. (Let's hope they've re-written it for this spring's Broadway opening.) But \"Poppins\" turns out to be a different matter entirely, a family musical of humor, melody, charm and even a certain dry wit. It's all very melodramatic, for which [Andrew Lloyd Webber]'s score is an atmospheric accompaniment. What's more surprising and fun is Fosco's comic side plot. In his sprightly songs \"A Gift for Living Well\" and \"You Can Get Away with Anything,\" the lyrics by David Zippel, who elsewhere succumbs to the banality endemic to Lloyd Webber shows, rise to the wit we expect of the lyricist of \"City of Angels.\" The expository \"I Hope You'll Like It Here,\" sung by the passive uncle, is equally deft. PHOTO (3); Alessandro Pinna: [Maria Friedman] as [Marian] and [Michael Ball] as Count Fosco star in \"The Woman in White,\" Andrew Lloyd Webber's latest West End musical. Michael Le Poer Trench \"Mary Poppins\" stars [Laura Michelle Kelly] as the governess who teaches lessons that go down with a spoonful of sugar without being sugary sweet. Paul Nicholls and Stephen Moore unravel family secrets in \"Festen,\"at the Lyric Theatre, London.
Newspaper Article