Examining how goals of care communication are conducted between doctors and patients with severe acute illness in hospital settings: A realist systematic review.

BackgroundPatient involvement in goals of care decision-making has shown to enhance satisfaction, affective-cognitive outcomes, allocative efficiency, and reduce unwarranted clinical variation.However, the involvement of patients in goals of care planning within hospitals remains limited, particularly where mismatches in shared understanding betwee

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Simultaneous Opponensplasty and Free Gracilis Muscle Flap for Thenar Reconstruction after Arteriovenous Malformation Resection

We report the case of a thenar eminence arteriovenous malformation presenting with continuous growth and pain that was treated with surgical excision after embolization.Extracapsular COLLAGEN BEAUTY LIQUID resection compromised thenar muscles which function was reconstructed with extensor indicis proprius transfer for opposition and abduction, and

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Epidural Spinal Stimulation Enables Global Sensorimotor and Autonomic Function Recovery After Complete Paralysis: 1st Study From India

While the loss of sensorimotor and autonomic function often occurs due to multiple trauma and pathologies, spinal cord injury is one of the few traumatic pathologies that severely affects multiple organ systems both upstream and downstream of the injury.Current standard of care therapies primarily maintains health and avoids secondary complications

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