Pub Date : 2016-10-04DOI: 10.4172/2155-9627.1000286
T. Spears
Increasingly in the modern research world there are questions raised about actions taken by academics who do now have full control of their choice of action. In the laboratory setting, graduate students, postdoctoral fellows and even junior professors are often compelled to follow courses of action that are determined by their supervisors or senior members of their departments. So the question of moral determinism derives from the more fundamental question of what actions are voluntary, and to what degree — a question that has informed the thought of philosophers as far back as Aquinas and Duns Scotus. What follows is a personal reflection on currents in this line of inquiry.
{"title":"The Voluntary Nature of Ethical-Moral Behavior in the 21st Century (Or In Any Other): A Personal Perspective","authors":"T. Spears","doi":"10.4172/2155-9627.1000286","DOIUrl":"https://doi.org/10.4172/2155-9627.1000286","url":null,"abstract":"Increasingly in the modern research world there are questions raised about actions taken by academics who do now have full control of their choice of action. In the laboratory setting, graduate students, postdoctoral fellows and even junior professors are often compelled to follow courses of action that are determined by their supervisors or senior members of their departments. So the question of moral determinism derives from the more fundamental question of what actions are voluntary, and to what degree — a question that has informed the thought of philosophers as far back as Aquinas and Duns Scotus. What follows is a personal reflection on currents in this line of inquiry.","PeriodicalId":93288,"journal":{"name":"General medicine and clinical practice","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2016-10-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.4172/2155-9627.1000286","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70309170","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Introduction: Pyomyositis is a rare condition in temperate climates with approximately 15 cases reported annually in the United States. Predisposing factors include immunodeficiency, trauma, intravenous drug use, and bacteremia. We report a case not yet seen in the literature due to in- volvement of the lateral leg compartment, no history of predisposing factors, and clinical presen- tation with elevated compartment pressures. Case Report: We present a case of a 45 year old male who presented with worsening lower left leg pain for one week. The area felt firm and was exquisitely tender to palpation. Initial laborato- ry studies showed normal white blood cell counts and a slightly elevated erythrocyte sedimenta- tion rate. Compartment pressures were elevated and imaging revealed evidence of pyomyositis in the lateral compartment. Fasciotomy was avoided with prompt broad-spectrum antibiotics. At follow-up, the patient’s symptoms were resolved and no further treatment was needed. Conclusion: While pyomyositis is rare in nontropical countries, patients presenting with elevat- ed compartment pressures and no history of trauma or surgery should warrant further investiga- tion of the etiology with pyomyositis being included in the differential diagnosis.
{"title":"Compartment Syndrome of the Lateral Leg Secondary to Pyomyositis : A Case Report","authors":"Huthayfa A. Kahf","doi":"10.31579/2639-4162/032","DOIUrl":"https://doi.org/10.31579/2639-4162/032","url":null,"abstract":"Introduction: Pyomyositis is a rare condition in temperate climates with approximately 15 cases reported annually in the United States. Predisposing factors include immunodeficiency, trauma, intravenous drug use, and bacteremia. We report a case not yet seen in the literature due to in- volvement of the lateral leg compartment, no history of predisposing factors, and clinical presen- tation with elevated compartment pressures. Case Report: We present a case of a 45 year old male who presented with worsening lower left leg pain for one week. The area felt firm and was exquisitely tender to palpation. Initial laborato- ry studies showed normal white blood cell counts and a slightly elevated erythrocyte sedimenta- tion rate. Compartment pressures were elevated and imaging revealed evidence of pyomyositis in the lateral compartment. Fasciotomy was avoided with prompt broad-spectrum antibiotics. At follow-up, the patient’s symptoms were resolved and no further treatment was needed. Conclusion: While pyomyositis is rare in nontropical countries, patients presenting with elevat- ed compartment pressures and no history of trauma or surgery should warrant further investiga- tion of the etiology with pyomyositis being included in the differential diagnosis.","PeriodicalId":93288,"journal":{"name":"General medicine and clinical practice","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70017684","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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