Joseph Maraachli
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Joseph Maraachli
The Joseph Maraachli case refers to an international controversy over the life of Joseph Maraachli, commonly known as Baby Joseph, a Canadian infant who was diagnosed with a rare progressive and incurable neurological disorder called Leigh's disease. After Canadian doctors refused to perform a tracheotomy, calling the procedure invasive and futile, Joseph's parents fought to have him transferred to the United States, arguing that while Joseph's disease was terminal, a tracheotomy would extend his life and allow him to die at home. After several months and efforts by American anti-abortion groups, Joseph was transferred to a Catholic hospital in St. Louis, Missouri, where the procedure was performed. The successfully-obtained procedure extended Joseph's life for several months. Joseph died on Tuesday, September 27, 2011, at his home. History Background Joseph Maraachli was born on January 22, 2010. His parents, Moe Maraachli and Sana Nader, immigrated to Canada from Leban ...
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Windsor, Ontario
Windsor is a city in southwestern Ontario, Canada, on the south bank of the Detroit River directly across from Detroit, Michigan, United States. Geographically located within but administratively independent of Essex County, it is the southernmost city in Canada and marks the southwestern end of the Quebec City–Windsor Corridor. The city's population was 229,660 at the 2021 census, making it the third-most populated city in Southwestern Ontario, after London and Kitchener. The Detroit–Windsor urban area is North America's most populous trans-border conurbation, and the Ambassador Bridge border crossing is the busiest commercial crossing on the Canada–United States border. Windsor is a major contributor to Canada's automotive industry and is culturally diverse. Known as the "Automotive Capital of Canada", Windsor's industrial and manufacturing heritage is responsible for how the city has developed through the years. History Early settlement At the time when the fir ...
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Canada–United States Border
The border between Canada and the United States is the longest international border in the world. The terrestrial boundary (including boundaries in the Great Lakes, Atlantic, and Pacific coasts) is long. The land border has two sections: Canada's border with the contiguous United States to its south, and with the U.S. state of Alaska to its west. The bi-national International Boundary Commission deals with matters relating to marking and maintaining the boundary, and the International Joint Commission deals with issues concerning boundary waters. The agencies currently responsible for facilitating legal passage through the international boundary are the Canada Border Services Agency (CBSA) and U.S. Customs and Border Protection (CBP). History 18th century The Treaty of Paris of 1783 ended the American Revolutionary War between Great Britain and the United States. In the second article of the Treaty, the parties agreed on all boundaries of the United States, including, but ...
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Palliative Care
Palliative care (derived from the Latin root , or 'to cloak') is an interdisciplinary medical caregiving approach aimed at optimizing quality of life and mitigating suffering among people with serious, complex, and often terminal illnesses. Within the published literature, many definitions of palliative care exist. The World Health Organization (WHO) describes palliative care as "an approach that improves the quality of life of patients and their families facing the problems associated with life-threatening illness, through the prevention and relief of suffering by means of early identification and impeccable assessment and treatment of pain and other problems, physical, psychosocial, and spiritual." In the past, palliative care was a disease specific approach, but today the WHO takes a more broad approach, that the principles of palliative care should be applied as early as possible to any chronic and ultimately fatal illness. Palliative care is appropriate for individuals with ...
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Do Not Resuscitate
A do-not-resuscitate order (DNR), also known as Do Not Attempt Resuscitation (DNAR), Do Not Attempt Cardiopulmonary Resuscitation (DNACPR), no code or allow natural death, is a medical order, written or oral depending on country, indicating that a person should not receive cardiopulmonary resuscitation (CPR) if that person's heart stops beating. Sometimes these decisions and the relevant documents also encompass decisions around other critical or life-prolonging medical interventions. The legal status and processes surrounding DNR orders vary from country to country. Most commonly, the order is placed by a physician based on a combination of medical judgement and patient involvement. Basis for choice Interviews with 26 DNR patients and 16 full code patients in Toronto in 2006-9 suggest that the decision to choose do-not-resuscitate status was based on personal factors including health and lifestyle; relational factors (to family or to society as a whole); and philosophical f ...
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Endotracheal Tube
A tracheal tube is a catheter that is inserted into the trachea for the primary purpose of establishing and maintaining a patent airway and to ensure the adequate exchange of oxygen and carbon dioxide. Many different types of tracheal tubes are available, suited for different specific applications: * An endotracheal tube is a specific type of tracheal tube that is nearly always inserted through the mouth (orotracheal) or nose (nasotracheal). * A tracheostomy tube is another type of tracheal tube; this curved metal or plastic tube may be inserted into a tracheostomy stoma (following a tracheotomy) to maintain a patent lumen. * A tracheal button is a rigid plastic cannula about 1 inch in length that can be placed into the tracheostomy after removal of a tracheostomy tube to maintain patency of the lumen. History Portex Medical (England and France) produced the first cuff-less plastic 'Ivory' endotracheal tubes. Ivan Magill later added a cuff (these were glued on by hand to mak ...
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Tracheal Tube
A tracheal tube is a catheter that is inserted into the trachea for the primary purpose of establishing and maintaining a patent airway and to ensure the adequate exchange of oxygen and carbon dioxide. Many different types of tracheal tubes are available, suited for different specific applications: * An endotracheal tube is a specific type of tracheal tube that is nearly always inserted through the mouth (orotracheal) or nose (nasotracheal). * A tracheostomy tube is another type of tracheal tube; this curved metal or plastic tube may be inserted into a tracheostomy stoma (following a tracheotomy) to maintain a patent lumen. * A tracheal button is a rigid plastic cannula about 1 inch in length that can be placed into the tracheostomy after removal of a tracheostomy tube to maintain patency of the lumen. History Portex Medical (England and France) produced the first cuff-less plastic 'Ivory' endotracheal tubes. Ivan Magill later added a cuff (these were glued on by hand to mak ...
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Pneumonia
Pneumonia is an inflammatory condition of the lung primarily affecting the small air sacs known as alveoli. Symptoms typically include some combination of productive or dry cough, chest pain, fever, and difficulty breathing. The severity of the condition is variable. Pneumonia is usually caused by infection with viruses or bacteria, and less commonly by other microorganisms. Identifying the responsible pathogen can be difficult. Diagnosis is often based on symptoms and physical examination. Chest X-rays, blood tests, and culture of the sputum may help confirm the diagnosis. The disease may be classified by where it was acquired, such as community- or hospital-acquired or healthcare-associated pneumonia. Risk factors for pneumonia include cystic fibrosis, chronic obstructive pulmonary disease (COPD), sickle cell disease, asthma, diabetes, heart failure, a history of smoking, a poor ability to cough (such as following a stroke), and a weak immune system. Vaccines to ...
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Infection
An infection is the invasion of tissues by pathogens, their multiplication, and the reaction of host tissues to the infectious agent and the toxins they produce. An infectious disease, also known as a transmissible disease or communicable disease, is an illness resulting from an infection. Infections can be caused by a wide range of pathogens, most prominently bacteria and viruses. Hosts can fight infections using their immune system. Mammalian hosts react to infections with an innate response, often involving inflammation, followed by an adaptive response. Specific medications used to treat infections include antibiotics, antivirals, antifungals, antiprotozoals, and antihelminthics. Infectious diseases resulted in 9.2 million deaths in 2013 (about 17% of all deaths). The branch of medicine that focuses on infections is referred to as infectious disease. Types Infections are caused by infectious agents (pathogens) including: * Bacteria (e.g. ''Mycobacterium tuberculosis'', ...
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Persistent Vegetative State
A persistent vegetative state (PVS) or post-coma unresponsiveness (PCU) is a disorder of consciousness in which patients with severe brain damage are in a state of partial arousal rather than true awareness. After four weeks in a vegetative state (VS), the patient is classified as being in a persistent vegetative state. This diagnosis is classified as a permanent vegetative state some months (three in the US and six in the UK) after a non-traumatic brain injury or one year after a traumatic injury. The term unresponsive wakefulness syndrome may be alternatively used, as "vegetative state" has some negative connotations among the public. Definition There are several definitions that vary by technical versus layman's usage. There are different legal implications in different countries. Medical definition Per the British Royal College of Physicians of London, a persistent vegetative state is "a wakeful unconscious state that lasts longer than a few weeks is referred to as a per ...
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London, Ontario
London (pronounced ) is a city in southwestern Ontario, Canada, along the Quebec City–Windsor Corridor. The city had a population of 422,324 according to the 2021 Canadian census. London is at the confluence of the Thames River, approximately from both Toronto and Detroit; and about from Buffalo, New York. The city of London is politically separate from Middlesex County, though it remains the county seat. London and the Thames were named in 1793 by John Graves Simcoe, who proposed the site for the capital city of Upper Canada. The first European settlement was between 1801 and 1804 by Peter Hagerman. The village was founded in 1826 and incorporated in 1855. Since then, London has grown to be the largest southwestern Ontario municipality and Canada's 11th largest metropolitan area, having annexed many of the smaller communities that surround it. London is a regional centre of healthcare and education, being home to the University of Western Ontario (which brands it ...
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London Health Sciences Centre
London Health Sciences Centre is a hospital network in London, Ontario and is collectively one of Canada's largest acute-care teaching hospitals. It was formed in 1995 as a result of the merger of University Hospital and Victoria Hospital. In affiliation with the Schulich School of Medicine & Dentistry at the University of Western Ontario, it trains more than 1,800 medical and care professionals annually. It operates two hospital facilities, University Hospital and Victoria Hospital which includes the Children's Hospital at London Health Sciences Centre. History Donald Alexander Macdonald, Lieutenant-Governor of Ontario, officially opened the London General Hospital in 1875. Its legacy as a teaching hospital dates from 1882, when the Faculty of Medicine of the University of Western Ontario was opened at St. James Street. In 1887, there were 60 students, too many for the original site, and a new building was constructed at Waterloo and York Streets. The biggest of changes came ...
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Ingersoll, Ontario
Ingersoll is a town in Oxford County on the Thames River in southwestern Ontario, Canada. The nearest cities are Woodstock to the east and London to the west. Ingersoll is situated north of and along Highway 401. Oxford County Road 119 (formerly Ontario Highway 19) runs north diagonally through the town. A Canadian National rail line bisects the town east to west through its centre. Passenger service from the Ingersoll train station is provided to other stops in Southwestern Ontario by Via Rail. To the south is a CPR line, with spurs into local industries, which provides freight service to points in the region. The local high school is Ingersoll District Collegiate Institute. The Ingersoll area was first settled in the 1790s by families from New England, became famous for homemade cheese production before the War of 1812, and its surrounding County of Oxford was home to the first cheese factories in Canada, starting in 1864. In 1866, through collaboration by the town's business ...
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