22 research outputs found
Cutaneous T-cell lymphoma with CNS involvement: a case series and review of the literature
Cutaneous T-cell lymphoma (CTCL) is a rare hematologic malignancy that traditionally presents with cutaneous lesions, though metastases are not uncommon in progressive disease. We describe four cases of CTCL with central nervous system (CNS) involvement, detailing the history, pathological characteristics, treatment response, and progression. Median time from initial diagnosis to CNS metastasis was ∼5.4 years (range 3.4–15.5 years) and survival after metastasis was ∼160 days (range 19 days–4.4 years). No patients achieved long-term (>5 years) survival, though some displayed varying degrees of remission following CNS-directed therapy. We conclude that clinicians must be attentive to the development of CNS metastases in patients with CTCL. The growing body of literature on such cases will inform evolving therapeutic guidelines on this rare CTCL complication
Integrating remote sensing and image processing to test for disturbance effects in a post-hurricane mangrove ecosystem
The impact of invasive plant management on the foraging ecology of the Warbler Finch (Certhidea olivacea) and the Small Tree Finch (Camarhynchus parvulus) on Galápagos
History, status of monitoring land birds in Europe and America and countermeasures of China
Deep Brain Stimulation, Self and Relational Autonomy
Questions about the nature of self and self-consciousness are closely aligned with questions about the nature of autonomy. These concepts have deep roots in traditional philosophical discussions that concern metaphysics, epistemology and ethics. They also have direct relevance to practical considerations about informed consent in medical contexts. In this paper, with reference to understanding specific side effects of deep brain stimulation (DBS) treatment in cases of, for example, Parkinson’s Disease, Obsessive Compulsive Disorder, and Major Depressive Disorder, I’ll argue that it is best to frame discussions of informed consent in terms of relational autonomy and a pattern theory of self