13 ethical decision making the care of the patient with esrd pdf

... chapter The Decision- Making Process • Define decision and decision- making process • Describe the eight steps in the decision- making process The Manager as Decision Maker • Discuss the assumptions of ... Discuss the twelve decision- making biases managers may exhibit • Describe how manager can deal with the negative effects of decision errors and biases • Explain the managerial decision- making ... chapter The Manager as Decision Maker (cont’d) • Contrast the three decision- making conditions • Explain maximax, maximin, and minimax decision choice approaches • Describe the four decision making...

Ngày tải lên: 12/07/2014, 14:39

... to the loss of the overlying retina If the edge of the dialysis remains close to the RPE, then the tear may not be discovered unless scleral depression is performed As the vitreous contracts, the ... asymptomatic (i.e., the person often is unaware of the loss of an area of peripheral vision) The sudden onset of numerous floaters and the occurrence of flashes of light are hallmarks of a potential retinal ... greater the possible loss of vision after reattachment of the retina The prognosis is very poor when the detachment involves the macula The longer the macula is detached, the poorer the resultant...

Ngày tải lên: 22/03/2014, 09:20

... Furthermore, we evaluated the factors associated with receipt of each of the services and tests of interest, including the specialty of the physician providing the service, to understand whether ... areas of the manuscript preparation TA contributed to the statistical analysis and review of the manuscript All others contributed to the design of the study, and the writing and review of the ... in the hierarchy of PsA, RA, and then OA The amount of overlap between PsA and RA was low; 0.8% of RA patients had a concomitant diagnosis of PsA Outcomes of interest The primary outcomes of...

Ngày tải lên: 12/08/2014, 14:22

Ngày tải lên: 20/12/2013, 20:15

... impact on the size of the health care workforce enforce policies on ethical and the ability of health care professionals to work Whilst recruitment of migrant one might assume that health care workers ... reviews of progress toward the Declaration of the Elimination of All Forms of Discrimination against Women, Commitment on HIV/AIDS (‘UNGASS Declaration’) offer the Convention on the Rights of the ... and sex on official documents • Health care in prisons should be under the responsibility of the health care system, not the prison system, with a view to promoting continuity of care as prisoners...

Ngày tải lên: 05/03/2014, 16:20

... Evaluations and Intentions, 135 Using the Ethical Decision Making Framework to Improve Ethical Decisions 136 The Role of Leadership in a Corporate Culture 137 Chapter Objectives, 91 • Chapter ... must also learn how to “fit in” the ethical culture of their organization and be responsible for their own decisions while upholding the ethical standards of the organization In this edition ... effort to improve the organization’s e ethical performance Although personal values a are important in ethical decision making, they a are just one of the components that guide the d decisions, actions,...

Ngày tải lên: 23/03/2014, 08:20

... well as of Vλ1C–Jλ3 rearrangements in both the peripheral blood and parotid gland of this patient with SS One feature of the present patient was that the κ/λ ratio of B cells in the patient s ... detected in the salivary glands of patients with SS [3,6], but it is not known whether the microenvironment of these cell clusters is sufficient for the induction of a germinal center response Of note, ... for the development of lymphoma Histological studies suggest that inflamed ductal epithelial cells represent the focus of the inflammatory response in the salivary glands of patients with SS There...

Ngày tải lên: 09/08/2014, 03:24

... Therapy Vol 11 No Kappen et al in colonic tissue of a BD patient, IFN-γ, TNF-α, and IL-17A appear to be key cytokines, even in a treated patient Competing interests The authors declare that they ... Schmidt CA, Macintyre EA, van Dongen JJ, Langerak AW: Different chromosomal breakpoints impact the level of LMO2 expression in T-ALL Blood 2007, 110:388-392 Yazici H, Fresko I, Yurdakul S: Behçet’s ... Baeten D: Distinct synovial immunopathology in Behçet disease and psoriatic arthritis Arthritis Res Ther 2009, 11:R17 Dik WA, Nadel B, Przybylski GK, Asnafi V, Grabarczyk P, Navarro JM, Verhaaf B,...

Ngày tải lên: 09/08/2014, 14:22

... or the barrier effects of perfluorodecaline may cause the loss of cell density and morphological changes For these reasons, we decided to remove the perfluorodecaline without any delay In the ... Giant retinal tear with shallow detached retina involving the macula in the right eye (c) Reattachment of retina after vitrectomy sis, but could not obtain these results as the patient refused (4) ... Journal of Medical Case Reports 2008, 2 :13 http://www.jmedicalcasereports.com/content/2/1 /13 Figure Colour images of the retina before and after operation Colour images of the retina before...

Ngày tải lên: 11/08/2014, 10:23

... examination of the specimens BYJ assisted in the manipulation of the specimen and critically revised the manuscript JK contributed to the operation of our patient and to the critical review of the manuscript ... plate on the bronchial wall The bronchial cartilage is primarily responsible for maintaining the stability of the airways Metaplastic ossification happens as part of the aging process of the thyroid ... infiltration of inflammatory cells within the cavity wall The bronchial epithelium is severely desquamated with some intact remaining regions (right rectangle) (B) An enlarged photograph of right...

Ngày tải lên: 11/08/2014, 12:20

... performed after the weekend on the third day after admission (Figure 2) Discussion CT scanning of the brain is invariably performed in the evaluation of patients presenting with clinical signs of cerebrovascular ... accident The Royal College of Radiologists guidelines now suggest that such scans should be performed within the initial 24 hours of presentation The CT scanning of such patients is performed without ... and the low density area may not be apparent Some early signs of acute MCA infarction are loss of definition of the grey/white interface in the lateral margins of the insula, leading to loss of...

Ngày tải lên: 11/08/2014, 23:21

... can look at the NativeError property of the first error in the Errors collection to get the actual OleDb error number If the error is not 3621, then the exception is trapped with the next Catch ... occurs, the Show method of the MessageBox class is called, passing the Message property of the Exception object called saveException Next, the subroutine is exited If no errors occur, then life ... it's time to deal with adding exception handling to the btnDelete Click event, as seen next The Try statement is used to wrap the code that performs deletion of the data The code then uses a Catch...

Ngày tải lên: 28/10/2013, 19:15

... that is making the wrong decision 15% of the time and guessing the rest of the time In academic terms, if we bump these rates up to ±25% F-factor gives a High Distinction for guessing 75% of the ... information conveyed by the prediction about the class in the case of Informedness, and the information conveyed to the predictor by the class state in the case of Markedness To the extent that Prevalence ... mean that the pair of numbers provides further information about the nature of the relationship between the two classifications or raters, whilst the ability to take the geometric mean (of macroaveraged)...

Ngày tải lên: 22/02/2014, 02:20

... Nearly half the population of the world’s 49 least developed countries is under the age of 18.2 In that sense, these countries are the richest in children But they are the poorest in terms of child ... Prevalence in the country with the highest level of child marriage in the region 60% Furthermore, the improvement has been restricted to wealthier women In the course of about 20 years, the median ... examined associations between the likelihood of children being unvaccinated and 21 different characteristics of the children, their mothers or caregivers, and their households The analysis found that...

Ngày tải lên: 06/03/2014, 01:22

... with losing attitudes pick the wrong trades regardless of how much they know about the markets In any case, the result is the same—they lose On the other hand, traders with winning attitudes who ... fraught with difficulties The best traders stay in the flow because they don't try to get anything from the market; they simply make themselves available so they can take advantage of whatever the ... pain-free state of mind However, in the process of trying to maintain a pain-free state of mind, you also take yourself out of the opportunity flow and enter the realm of the "could have," the "should...

Ngày tải lên: 21/06/2014, 23:20

... differential diagnosis (Table 52-4) For instance, the finding of scaling papules (present in patients with psoriasis or atopic dermatitis) places the patient in a different diagnostic category than ... skin lesions If the examiner focuses on linear erosions overlying an area of erythema and scaling, he or she may incorrectly assume that the erosion is the primary lesion and the redness and ... raised above the surface of the surrounding skin and hence palpable (e.g., a closed comedone, or whitehead, in acne) Nodule: A larger (0.5–5.0 cm), firm lesion raised above the surface of the surrounding...

Ngày tải lên: 06/07/2014, 20:20

... Erosion: Loss of epidermis without an associated loss of dermis Ulcer: Loss of epidermis and at least a portion of the underlying dermis Excoriation: Linear, angular ... Atrophy: An acquired loss of substance In the skin, this may appear as a depression with intact epidermis (i.e., loss of dermal or subcutaneous tissue) or as sites of shiny, delicate, wrinkled ... configuration of skin lesions formed from coalescing rings or incomplete rings Pruritus: A sensation that elicits the desire to scratch Pruritus is often the predominant symptom of inflammatory...

Ngày tải lên: 06/07/2014, 20:20

... assess the distribution of the eruption accurately The patient should first be viewed from a distance of about 1.5–2 m (4–6 ft) so that the general character of the skin and the distribution of lesions ... eruption than is a patient with a similar rash limited to the sun-exposed portions of the face Once the distribution of the lesions has been established, the nature of the primary lesion must be ... basic features of a skin lesion must be noted and considered during a physical examination: the distribution of the eruption, the types of primary and secondary lesions, the shape of individual...

Ngày tải lên: 06/07/2014, 20:20

... The distribution of some common dermatologic diseases and lesions Figure 52-7 Psoriasis This papulosquamous skin disease is characterized by small and large erythematous papules and plaques with...

Ngày tải lên: 06/07/2014, 20:20

... contrast, lesions with a generalized arrangement are common and suggest a systemic etiology Figure 52-9 Erythema multiforme This eruption is characterized by multiple erythematous plaques with a target ... reaction to drugs (e.g., sulfonylamides) or infections (e.g., HSV) (Courtesy of the Yale Resident's Slide Collection; with permission.) Figure 52-10 ...

Ngày tải lên: 06/07/2014, 20:20