Physician's Role

Publication Title: 
The Cochrane Database of Systematic Reviews

BACKGROUND: Induction of general anaesthesia can be distressing for children. Non-pharmacological methods for reducing anxiety and improving co-operation may avoid the adverse effects of preoperative sedation. OBJECTIVES: To assess the effects of non-pharmacological interventions in assisting induction of anaesthesia in children by reducing their anxiety, distress or increasing their co-operation. SEARCH STRATEGY: We searched CENTRAL (The Cochrane Library 2009, Issue 1).

Author(s): 
Yip, Peggy
Middleton, Philippa
Cyna, Allan M.
Carlyle, Alison V.
Publication Title: 
The Cochrane Database of Systematic Reviews

BACKGROUND: Induction of general anaesthesia can be distressing for children. Non-pharmacological methods for reducing anxiety and improving co-operation may avoid the adverse effects of preoperative sedation. OBJECTIVES: To assess the effects of non-pharmacological interventions in assisting induction of anaesthesia in children by reducing their anxiety, distress or increasing their co-operation. SEARCH STRATEGY: We searched CENTRAL (The Cochrane Library 2009, Issue 1).

Author(s): 
Yip, Peggy
Middleton, Philippa
Cyna, Allan M.
Carlyle, Alison V.
Publication Title: 
The Cochrane Database of Systematic Reviews

BACKGROUND: Induction of general anaesthesia can be distressing for children. Non-pharmacological methods for reducing anxiety and improving co-operation may avoid the adverse effects of preoperative sedation. OBJECTIVES: To assess the effects of non-pharmacological interventions in assisting induction of anaesthesia in children by reducing their anxiety, distress or increasing their co-operation.

Author(s): 
Manyande, Anne
Cyna, Allan M.
Yip, Peggy
Chooi, Cheryl
Middleton, Philippa
Publication Title: 
Postgraduate Medicine

Per capita caloric intake in the United States has not increased significantly in the past 75 years, but energy expenditure has decreased. As a result, average body weight and prevalence of obesity have increased. Paralleling this increase in body weight has been an increase in longevity. Minor obesity, therefore, is not related to increased mortality unless the patient has an underlying disease such as diabetes mellitus, hypertension, or hyperlipemia. Patients with these disorders or with a body weight in excess of 20% of the ideal will benefit most from aggressive therapy for obesity.

Author(s): 
Piziak, V. K.
Publication Title: 
Obstetrics and Gynecology

Obesity is a major problem in American women, and there is great concern with regard to weight control among both the obese and the nonobese. Vast sums of money are spent in the area of weight reduction, often with little or no benefit. Although obesity affects longevity adversely, weight loss has not been clearly associated with a decrease in mortality risk. Reduction in weight, however, can decrease risk factors for certain diseases and improve the quality of life. Current methods of weight control include diet, exercise, surgery, and medication.

Author(s): 
O'Brien, W. F.
Publication Title: 
Geriatrics

The growth in popularity of so-called "anti-aging" medicine challenges physicians to examine their attitudes about aging. Does one define aging as a predisposition to pathology or as part of the life cycle? Is longevity without the chronic diseases associated with aging a realistic goal? Anti-aging modalities being prescribed by some practitioners include hormone replacement therapies, vitamin and mineral supplements, diet, and exercise.

Author(s): 
Butler, R. N.
Fossel, M.
Pan, C. X.
Rothman, D.
Rothman, S. M.
Publication Title: 
Presse MÈdicale (Paris, France: 1983)

Calorie restriction increases longevity in rodents, delays the onset of certain diseases and has positive effects on ageing. Studies are ongoing in non-human primates. Eight persons following such a diet for 2 years reacted as anticipated (loss of body weight and fat, decrease in glycaemia and body temperature, etc.). Calorie restriction perhaps teaches us more on the means of resisting malnutrition than on ageing in normal dietary conditions. Calorie restriction is a tool for research, but it should not be recommended by practitioners, notably in elderly patients.

Author(s): 
Le Bourg, Eric
Publication Title: 
Psychiatria Danubina

INTRODUCTION: Today, psychological processes and brain is no longer looked at as something less scientific in comparison with physical processes, so mental diseases will become equal as physical diseases very soon. Until recently, brain functioning could be observed only in patients with cerebral lesions, after surgery, and on animals, but it is possible today to observe it directly with modern imaging techniques.

Author(s): 
Gregurek, Rudolf
Publication Title: 
University of Pittsburgh Law Review. University of Pittsburgh. School of Law

Oregon's Death with Dignity Act was first passed by a ballot initiative in 1994, but numerous judicial challenges delayed implementation of the Act. In November of 1997, following the United States Supreme Court decisions in Vacco v. Quill and Washington v. Glucksberg, which left the states' power to regulate physician-assisted suicide undisturbed, the Oregon voters upheld their law. Oregon remains the only state in the nation to authorize physician-assisted suicide.

Author(s): 
O'Brien, C. N.
Madek, G. A.
Ferrera, G. R.
Publication Title: 
Business Ethics Quarterly: The Journal of the Society for Business Ethics

In this paper we highlight the emergence of organizational ethics issues in health care as an important outcome of the changing structure of health care delivery. We emphasize three core themes related to business ethics and health care ethics: integrity, responsibility, and choice. These themes are brought together in a discussion of the process of Mission Discernment as it has been developed and implemented within an integrated health care system.

Author(s): 
Gallagher, John A.
Goodstein, Jerry

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