Introduction:Due to globalization and changes in the health care delivery system, there has been a gradual change in the attitude of the medical community as well as the lay public toward greater acceptance of euthanasia as an option for terminally ill and dying patients. Physicians in developing countries come across situations where such issues are raised with increasing frequency. As euthanasia has gained world-wide prominence, the objectives of our study therefore were to explore the attitude of physicians and chronically ill patients toward euthanasia and related issues. Concomitantly, we wanted to ascertain the frequency of requests for assistance in active euthanasia.Materials and Methods:Questionnaire based survey among consenting patients and physicians.Results:The majority of our physicians and patients did not support active euthanasia or physician-assisted suicide (EAS), no matter what the circumstances may be P < 0.001. Both opposed to its legalization P < 0.001. Just 15% of physicians reported that they were asked by patients for assistance in dying. Both physicians 29.2% and patients 61.5% were in favor of withdrawing or withholding life-sustaining treatment to a patient with no chances of survival. Among patients no significant differences were observed for age, marital status, or underlying health status.Conclusions:A significant percentage of surveyed respondents were against EAS or its legalization. Patient views were primarily determined by religious beliefs rather than the disease severity. More debates on the matter are crucial in the ever-evolving world of clinical medicine.
INTRODUCTION: Thyroid antibodies are closely related to autoimmune thyroid disorders. To date, there are no data on the prevalence of these antibodies among the Malaysian population. This study aimed to determine the prevalence of thyroid antibodies; and the factors associated with thyroid antibodies in the Malaysian adult population. MATERIALS AND METHODS: A cross-sectional study was performed in 5 preassigned regions in Peninsular Malaysia. Participants’ sociodemographic profile and medical history were recorded. Physical examinations were done looking for abnormalities of the thyroid gland and signs of thyroid dysfunctions. Fifteen mils of blood were withdrawn and analysed for thyroid function, anti-thyroperoxidase (anti-TPO) and anti-thyroglobulin (anti-TG) antibodies at a central laboratory. RESULTS: Among the total of 2190 respondents, the overall prevalence of positive anti-TPO and anti-TG antibodies were 12.2% and 12.1%, respectively; mainly found in urban and coastal areas. Only 7% to 9% of those with positive anti-TPO or antiTG antibodies had either hypo- or hyperthyroidism. The predictors for positive anti-TPO antibody were female [adjusted OR 1.7 (95%CI: 1.2–2.4); p=0.001], Indian [adjusted OR 1.9 (95%CI: 1.1–3.1); p=0.020], and having a goitre [adjusted OR 1.8 (95%CI: 1.2–2.8), p=0.004]. The predictors of positive anti-TG antibody was female [adjusted OR 2.3 (95%CI: 1.6–3.3); p<0.001], and having a goitre [adjusted OR 2.0 (95%CI: 1.3–3.4), p=0.001]. Those living in rural areas had 38% lower risk of having positive anti-TG. CONCLUSIONS: The prevalence of positive anti-TPO and anti-TG antibodies were 12.2% and 12.1%, respectively; were higher among the urban and coastal populations. Those living in rural areas had lower risks of anti-TG antibody.
<span>Robustness of a battery management system (BMS) is a crucial issue especially in critical application such as medical or military. Failure of BMS will lead to more serious safety issues such as overheating, overcharging, over discharging, cell unbalance or even fire and explosion. BMS consists of plenty sensitive electronic components and connected directly to battery cell terminal. Consequently, BMS exposed to high voltage potential across the BMS terminal if a faulty cell occurs in a pack of Li-ion battery. Thus, many protection techniques have been proposed since last three decades to protect the BMS from fault such as open cell voltage fault, faulty cell, internal short circuit etc. This paper presents a review of a BMS focuses on the protection technique proposed by previous researcher. The comparison has been carried out based on circuit topology and fault detection technique</span>
Intraproboscis sanghae Amin, Heckmann, Sist, Basso, 2021 (Acanthocephala: Gigantorhynchidae) was described from 4 females of 7 specimens obtained from a black-bellied pangolin, Phataginus tetradactyla Linn. (Manidae) in the Central African Republic. No males were available at the time. We, however, came upon two specimens of the same species, a male and a female, collected from a white-bellied pangolin, Phataginus tricuspis Rafinesque in central Africa which makes this finding a new host record for I. sanghae. The female specimen was whole and its measurements fell within the range of measurements of females in the original description. The male specimen, designated as the allotype, was incomplete; missing the posterior extremity, but provided good comparative measurements of structures of females. All measured male structures were smaller than those of the females. The generic diagnosis of Intraproboscis is emended to include the allotype male. Basically, the description of I. sanghae is now more complete, except for the absence of the posterior portion of the male specimen.
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