\n\nDesign: selleck chemical The study

design was based on phenomenology and the philosophy of Hans George Gadamer.\n\nMethod: This study used researcher journaling and two audio-taped in-depth interviews with each of the 12 nurse participants.\n\nFindings: Five key fused horizons or joint understandings emerged that resonated for all participants. They were the following:\n\nRNs give prisoner-patients perfunctory care;\n\nPrisoner-patient care is reactive;\n\nCaring for prisoner-patients is emotionally draining;\n\nKnowing or imagining a prisoner-patient’s crime creates practice dilemmas; and\n\nExpressions of care straddle ideal and real caring perspectives.\n\nConclusion: In the caring literature, caring is altruistically presented as an ideal that (ought to) guide RN interactions with patients. However the study findings call into question the assumptions that are made about what it means to care and how RNs enact their caring role, particularly in vexatious situations.”
“Gene discovery using massively parallel sequencing has focused on phenotypes diagnosed postnatally such as well-characterized syndromes or intellectual disability, but is rarely reported for fetal disorders. We used family-based

whole-exome sequencing in order to identify causal variants for a recurrent pattern of an undescribed lethal 3-MA nmr fetal congenital anomaly syndrome. The clinical signs included intrauterine growth restriction (IUGR), severe microcephaly, renal cystic dysplasia/agenesis and complex brain and

genitourinary malformations. The phenotype was compatible with a ciliopathy, but not diagnostic of any known condition. We hypothesized biallelic disruption of a gene leading to a defect related to the primary cilium. We identified novel autosomal recessive truncating mutations in KIF14 that segregated with the phenotype. Mice with autosomal recessive mutations in the same gene have recently been shown to have a strikingly similar phenotype. Genotype-phenotype correlations indicate that the function of KIF14 in cell division and cytokinesis can be linked to a role in primary cilia, supported by previous cellular and model organism studies of proteins that interact with KIF14. We describe the first human phenotype, a novel lethal ciliary disorder, associated with biallelic inactivating mutations in KIF14. KIF14 may also be considered a candidate gene for allelic viable ciliary and/or microcephaly phenotypes.”
“Background: Catheter ablation has emerged as a widely used treatment modality for atrial fibrillation (AF). P-wave abnormalities have been described in the patients with AF, and catheter ablation may potentially further impact P-wave parameters due to ablation of atrial tissue.

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