... contravene existing guide-lines – in particular, the Declaration of Helsinki (World Medical Association,1996) and the international ethical guidelines for biomedical research involv-ing human subjects ... Unsurprisingly, uptake in these countries is high (as well as in Sweden and the US). In the UK it is much lower but rising (de Cock and71HIV in pregnancy 4HIV in pregnancy: ethical issues in screening ... isgenuine shared decision-making. Patients should control the amount andtiming of information. I submit that in the case of anonymized testing, and in the case of ‘routine’ voluntary named testing,...
... practising clinician’s slant on disability, in the context of ethical issues in withdrawing life-sustaining treatment. He writes, ‘Life-sustaining treatmentimplies that treatment is being given in ... donor insemination are outlined.Elina Hemminki (Chapter 12), a Finnish epidemiologist and health tech-nology assessment expert, approaches antenatal screening from an evidence-based medicine ... assigning priorities when diVerent ethical values or inter-ests arein conXict. Its approach to prioritizing should be capable of takinginto account all relevant ethical considerations, and it should...
... portacaval shunting, thereby decreasing first passmetabolism; decrease in quantities and affinity of plasmaproteins, thereby increasing free-drug levels; increase in volume of distribution in patients ... in valproate doseNone Risk of liver injury in conjunction with lipid-lowering agents; risk of bleeding complications in conjunction with antiplatelet agents, warfarin, niacinCarbamazepine ... studied primarily in patients withseizure disorders. Carbamazepine-induced increase in total cholesterol is primarily due to an increase in HDL[34]. This occurs during the initial weeks of therapy,...
... performed dural incisions in a stellate fashion. In this step, it is important that entrance points of major vessels are close to the midpoint between the angles of the dural opening. Th e most ... repeated in parallel rows of incisions so that each incision in one row wa s adjacent to an intact dural bridge in the rows on either side. The same course was then performed, but in a direction ... 7(6):385-390 â Ivyspring International Publisher. All rights reserved Review Technical Considerationsin Decompressive Craniectomy in the Treatment of Traumatic Brain Injury X. Huang, L....
... to Win)IntegrativeNegotiations(Achieve Mutual Gain)ãExaggerating demandsã Pretend not to be in a hurryã Ask for more than you expectã Hiding the bottom lineãMisrepresenting informationãBluffingãInfluencing ... NegotiationImportanceofcontextLocusofcontrolãInternallocusofcontrolseeyourselfasacausalagentofwhathappenstoyouãExternallocusofcontrolviewoutsidefactorsasthepredominantcauseofnegativeoutcomesinyourlifeãThosewithinternallocusofcontrolarelesslikelytomakeexcusesfortheiractionsiffoundtobeengagedinquestionabletacticsRighttodefendorprotectselffromunethicalopponents EthicsBehaving in moral waysMost societies have guidelines for behaviorWhat one society views as unethical may be considered acceptable in another societyEthics is evolving rather than a set of standards that must never changeDevelop code of ethics ... AvoidBluffingFalsificationMisrepresentationDeceptionSelective disclosure Responding to Unethical NegotiatorsBealerttothepossibilityofunethicalbehaviorandpreparedtoeffectivelyrespondStrategiesãDirectlyconfrontthenegotiatorãIndirectlyconfrontthenegotiatorãRespondwithhumorãSilenceandappropriatenonưverbals(e.g.skepticism,raisedeyebrows)ãDeclarativestatements(e.g.comeonnow,getreal!)...
... disorders including Creutzfeldt-Jakob disease in humans, scrapie in sheep, chronic wasting disease in cervids, and bovine spongiform encephalopathy in cattle. The only known component of the infectious ... appeared to be conserved in the PMCA product by exhibiting indistinguishable clinical signs and vacuo-lation pattern. In addition, the pathogenecity of in vi-tro generated PrPSc appeared ... PrPSc since the original PrPSc seeds were diluted beyond the minimum infectious level. Although infectious, the in vitro generated PrPSc product exhibited longer incubation periods in ani-mals...
... cloning, andcalls for fully informing the public and stimulating debate.15 7Ethical issues in embryo interventions and cloning ConclusionCloning is only one example, among the many discussed in ... which15 3Ethical issues in embryo interventions and cloning 9 Ethical issues in embryo interventionsand cloningFrancáoise ShenWeldCentre for Medical Ethics, UCL Medical School, London, UKIntroductionAlthough ... pertinent.Indeed if dignity has to be deWned in any essential manner, as it must be ifenshrined in international declarations, it is the unique quality of all humanbeings, also recognized in...
... withholding or withdrawing life-sustaining treatmentsfrom handicapped neonates revolve around good discussion within theclinical team and with the parents. All should have equal involvement in thediscussion, ... be repeated andsevere problems and invasive therapy, parents may feel that treatment33 9Ethical issues in withdrawing life-sustaining treatment and Withholding Treatment. London: St Mary’s NHS ... Death in the intensive care nursery: physicianpractice of withdrawing and withholding life support. Pediatrics 99: 64–70.Whitelaw, A. (1986). Death as an option in neonatal intensive care. Lancet...
... (DiVerent feminist standpoints are supported by feminist standpointtheory, which I have described and defended in Mahowald, 1995a.)Within the context of that imperative, targeting some fetuses ... the administration of infertility drugs, if ultrasoundmonitoring indicated maturation of multiple follicle cells (Manier, 1998:p. 1). At that point, clinicians might have declined to administer ... support of care for those who are disabled. From thatsame standpoint, FTPP is hardly defensible in twin gestations unless fetuseshave no moral standing or their standing is subordinated to the...
... building rings. For example, a 5 km serving area with four main routes would require about 20 km of fiber cable. A ring serving the same area would require more than 31 km of cable. A full ring ... troubleshooting.Still, like elsewhere in the world, service providers in Europe are facing the task of building next-generation networks to increase available bandwidth by getting active equipment ... nodes.There are still a few other issues to consider in planning an FTTN architecture through existing underground ducts. For instance, planners should not focus on trying to squeeze more things into...
... some or the entire mold is finished. Itcould require experimenting with cycle times, even changing some steeldimensions, or the cooling provisions in all or in certain areas of the mold.Often, ... never unhappy to pay the premium, because they too gainedby being in production sooner and/or gaining higher productivity.6.2 Patents and Ethical Considerations While patents and ethics may not ... everyone in this chain should be aware of the risks and problems ofignoring potential patents or unethical behavior. The following highlightssome of the basics that anybody considering a new...
... serving in combat,2 they are serving in forward positions in greater numbers. Additionally, as of 2008, there were approximately 38,000 U.S. citizens serving as contractor personnel in Iraq3 ... status. As stated earlier, clinicians in the private sector do not routinely screen for military service. Training must be provided to primary care physicians including OB/GYNs, to help them identify ... example, during this workshop, Magellan Health Systems presented information about its CME programs promoting evidence-based practices guidelines for diagnosing and treating PTSD. These training programs...
... NPYfeeding systems are dysfunctional in anorectictumor-bearing rats. NPY injected intrahypo-thalamically stimulated feeding less potently in rats bearing methylcholanthrene-inducedsarcoma than in ... al.Leptin-regulated endocannabinoids are involved in maintaining food intake. Nature2001;410:822-825.125. Tanaka Y, Eda H, Fujimoto K, et al.Anticachectic activity of 5′-deoxy-5-fluorouri-dine in ... corticotropin-releasing factor (CRF), apotent anorexigenic signal.76,77Convergent information suggests that CRFmay be involved in triggering changes in gastrointestinal motility observed during...
... coal miners in terms of the “frame” of tons of coal mined, the health of miners appears to be improving. That is, coal-mine deaths, per ton of coal mined, have been decreasing since 1950 in the ... miners in terms of the “frame” of numbers of coal miners, the health of miners appears to be diminishing. That is, coal mine deaths, per thousand coal-mine employees in the US, have been increasing ... among influences on the choice of research question, influences on the funding of some research projects (and not others), influences on the outcome of research (i.e., findings), and influences...