Báo cáo khoa học: "Ethics roundtable debate: Is a physician–patient confidentiality relationship subservient to a greater good" doc

... patient may have told me because of the confidentiality of the doctor–patient relationship? What decision should I take to serve the greater good? Commentary Ethics roundtable debate: Is a physician–patient ... The doctor needs this privilege to make a diagnosis and treat the patient with compassion and competence, while allowing for patient autonomy. A major part of t...

Ngày tải lên: 12/08/2014, 22:21

... real chances of this patient leaving the hospital alive are nil, and the family is so advised. The patient’s husband insists that everything be done. He states that the patient is a ‘fighter‘ and ... limited availability mandate that we use them in a thoughtful manner. rFVIIa may prove to be a very powerful tool in the management of intracranial hemorrhage. To date, the literatu...

Ngày tải lên: 13/08/2014, 02:24

... Victoria Infirmary, Newcastle, UK 2 Chaplain, Pasadena, California, USA 3 Consultant Physician and Intensivist, PD Hinduja National Hospital, Bombay, India 4 Intensivist, Department of Critical Care ... The discussants’ primary objective is the patient’s comfort, and the burdens of arousal appear to outweigh any projected benefit [9]. Kapadia and Streat fear that even if adequate pain man...

Ngày tải lên: 12/08/2014, 19:22

... and that human relationships are maintained. A Japanese opinion Satoru Hashimoto I should like to view this scenario from my practice as a full- time intensivist in Japan. I can recall several ... patients [12]. Disagreements regarding goals of therapy affect patient care, family satisfaction and the health care team’s ability to function. I would first attempt to delineate what the...

Ngày tải lên: 12/08/2014, 20:20

... current clinical practice, angiographic and symptomatic cerebral vasospasm is recognized as the main cause of substantial disability and death in patients with subarachnoid haemor- rhage. Cerebral vasospasm ... infection. A Spanish opinion Mauricio Valencia and Antoni Torres We must address several key issues with respect to this clinical case. First, did this patient need a central v...

Ngày tải lên: 12/08/2014, 20:21

... start would have a better chance of survival. It is not clear that utilitarianism is an approach that we should use on a daily basis. Many would argue against this approach because, unlike disaster situations, ... meant by inappropriate and to develop a decision- making process that consistently and fairly balances medical and nonmedical factors, albeit a tough task, raises conc...

Ngày tải lên: 13/08/2014, 03:20

... QuikChange site-directed mutagenesis kit (Stratagene, La Jolla, CA, USA). Plasmid pET-1TK was used as template and Kleb(HtoA)fw (5¢-GCTTAGCCGCGCCGGCATTCG) and Kleb(HtoA)rv (5¢-CGAATGCCGGCGCGGCTAAGC) ... glucose- 1-phosphatase and human prostatic-acid phosphatase. The polypeptide chain is organized into an a and an a ⁄ b domain, and the active site is located in a positively charged...

Ngày tải lên: 16/02/2014, 09:20

... Proc Natl Acad Sci USA 94, 5961–5966. 11 Zhou J, Tang X & Martin GB (1997) The Pto kinase conferring resistance to tomato bacterial speck disease interacts with proteins that bind a cis-element ... that confer cold-, drought- and ABA-regulated gene expression. Plant Mol Biol 24, 701–713. 15 Prabakaran P, An J, Gromiha M, Selvaraj S, Uedaira H, Kono H & Sarai A (2001) Thermodynam...

Ngày tải lên: 18/02/2014, 13:20

... AGA TGA AAA TG-3¢; CHOP-antisense, 5¢-CCT GGT GCA GAT TCA CCA TTC-3¢; c-Jun-sense, 5¢-TGA CTG CAA AGA TGG AAA CG-3¢; c-Jun-antisense, 5¢-CCT GCT CAT CTG TCA CGT TC-3¢; DR4-sense, 5¢-AGA GAG AAG ... strategy to reactivate apoptosis in therapy-resistant high-grade astrocytomas. Experimental procedures Materials The caspase substrate acetyl-DEVD-7-amido-4-methyl- coumarin (Ac-DEVD-AMC) was ......

Ngày tải lên: 18/02/2014, 17:20

... Binding of the volatile general anesthetics halothane and isoflurane to a mammalian b-barrel protein Jonas S. Johansson 1,2,4 , Gavin A. Manderson 1 , Roberto Ramoni 5 , Stefano Grolli 5 and Roderic ... that features a large b-barrel internal cavity [1]. The b-barrel cavity has a volume of 515 ± 30 A ˚ 3 , and is lined predomin- antly by aromatic and aliphatic residues. The abilit...

Ngày tải lên: 07/03/2014, 16:20