Abstract
The prognosis in children with acute encephalopathy who were achieved rehabilitation in our rehabilitation center was presented. Main sequelae was motor disturbance 25%, mental deterioration 90%, higher cortical dysfunction 80% and epilepsy 70%. The patients were divided into 5 groups according to th...
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PMID: 21400853
PDF is available here.
Abstract
This paper is a report of a further analysis of data from an ethnographic study of the nature of communication between children and health professionals in a child hospital setting.
There is a paucity of research on the nature of communication between health professio...
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PMID: 21091913
PDF is available here.
Abstract
Abroad, but also in The Netherlands, there are many misunderstandings concerning end of life decisions and euthanasia. In general, euthanasia does not play any role in the intensive care units, simply because it does not fulfill the conditions to carry it out. However, there is still confusion, merel...
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PMID: 21194801
PDF is available here.
Abstract
New guidance on consent for England and Wales suggests that children aged over 11 should be asked to consent to the NHS child dental survey examinations. If they are "Gillick competent" then they can provide consent. Whether they are "Gillick competent" is a matter of clinical judgment of the examini...
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PMID: 21473353
PDF is available here.
Abstract
Incapacity to make decisions about medical treatment is associated with neuropsychological impairment in a variety of illnesses. Although cognitive deficits occur often in people with major depressive illness, little research has studied its association with decisional capacity. The present investiga...
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PMID: 21126772
PDF is available here.
Abstract
Medical practice occurs within a legal and regulatory context. This article covers several of the legal issues that frequently arise in the general medical setting. While this article provides an overview of approaches to informed consent, boundary issues, and malpractice claims, it is critical for...
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PMID: 20951280
PDF is available here.
Abstract
If there is no indication for tooth removal purely based on dental criteria, but the patient requests for removal due to fear of dental treatment, or because of a mental disorder such as posttraumatic stress disorder, a somatoform pain disorder or a disorder of body image perception, then the questi...
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PMID: 21158189
PDF is available here.
Abstract
We suggest that there is a need for a broader discussion about the recommendations for CDS, with a special focus on the needs of patients with progressive neurodegenerative disorders....
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PMID: 21135785
PDF is available here.
Abstract
This article examines whether neurocognitive deficits or age prevents people with borderline personality disorder from being considered responsible and competent.
A review of the literature was undertaken relating to borderline personality disorder (BPD), personal responsibility and competency.
Neit...
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PMID: 20863185
PDF is available here.
Abstract
Referring a patient to a neuropsychologist for evaluation provides a level of rigorous assessment of brain function that often cannot be obtained in other ways. The neuropsychologist integrates information from the patient's medical history, laboratory tests, and imaging studies; an in-depth intervi...
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PMID: 20822085
PDF is available here.
Abstract
Insulin pen devices are currently being used by approximately half of insulin users worldwide. ClikSTAR® (sanofi-aventis) is a novel reusable insulin pen for injecting either long-acting insulin glargine or short-acting insulin glulisine. The objective of this study was to demonstra...
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PMID: 20920444
PDF is available here.
Abstract
The Mental Capacity Act 2005, which came into force in 2007, sought to provide a statutory framework to facilitate empowerment and provide protection to individuals who lack capacity. District nurses must be aware of the legislation regarding mental capacity (Nursing and Midwifery Council, 2008) and...
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PMID: 20852529
PDF is available here.
Abstract
In Balkan countries, as in all Europe, forensic psychiatry as a subspecialty between psychiatry and legal medicine, an interface between mental health and the law, is focused on assessment and treatment of people with mental disorder who show antisocial or violent behavior. Thus, the authors thought...
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PMID: 20683182
PDF is available here.
Abstract
Internationally, nurses and physicians are increasingly expected to undertake roles in communication and patient advocacy, including in Japan, where the reigning principle underlying medical ethics is in transition from paternalism to respect for patient autonomy. The study reports the results of a...
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PMID: 20727082
PDF is available here.
Abstract
This study examined the neural pathophysiology of the theory of mind network by eliciting self-referential processing during an idea of reference evocating situation in patients with schizophrenia.
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PMID: 20712827
PDF is available here.
Abstract
The objectives of this review are to introduce and explore the following representative ethical problems generated by modern renal replacement therapy: (1) reviewing the historical origin of medical ethics with specific reference to nephrology; (2) recognizing the complex stresses surrounding assign...
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PMID: 20671740
PDF is available here.
Abstract
Existing longitudinal research on the interplay between externalizing problems, internalizing problems, and academic and social competence has documented "cascading" effects from early aggressive/disruptive behavior through impairments in competence, leading to symptoms of depression and anxiety. Th...
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PMID: 20576178
PDF is available here.
Abstract
Aging often includes chronic disability and/or acute periods of illness. When seriously ill, people may be less able to participate in decision making. Decision making capacity, the ability to give informed consent or informed refusal, may not be accurately assessed or may not be assessed at all. Nu...
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PMID: 20608582
PDF is available here.
Abstract
The law recognises the right of a competent adult to refuse medical treatment even if this will lead to death. Guardianship and other legislation also facilitates the making of decisions to withhold or withdraw life-sustaining treatment in certain circumstances. Despite this apparent endorsement tha...
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PMID: 20552946
PDF is available here.
Abstract
This paper is the start of a series on general medicine and surgery for dental practitioners. It follows on from a previous series, published in the British Dental Journal in 2003. The proportion of older people in the UK population has been on the increase for several years. Dental practitioners wh...
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PMID: 20418828
PDF is available here.
Abstract
Psychiatric advance directives (PADs) are legal documents that allow individuals to express their wishes for future psychiatric care and to authorize a legally appointed proxy to make decisions on their behalf during incapacitating crises. PADs are viewed as an alternative to the coercive interventi...
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PMID: 20408357
PDF is available here.
Abstract
Between 2000 and 2006, many elderly Americans needed decision making near the end of life at a time when most lacked the capacity to make decisions. Patients who had prepared advance directives received care that was strongly associated with their preferences. These findings support the continued us...
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PMID: 20357283
PDF is available here.
Abstract
We examined perceptions of voluntariness, and levels of knowingness and legal competence among 200 newly enrolled clients of MHCs at two courts. Although most clients claimed to have chosen to enroll, at the same time, most claimed not to have been told the court was voluntary or told of the require...
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PMID: 19116721
PDF is available here.
Abstract
This study examined maltreated and non-maltreated children's (N = 183) emerging understanding of "truth" and "lie," terms about which they are quizzed to qualify as competent to testify. Four- to six-year-old children were asked to accept or reject true and false (T/F) statements, label T/F statemen...
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PMID: 19263199
PDF is available here.
Abstract
Guided by theories of cultural participation, the authors examined mother-child, father-child, and triadic interactive behaviors in 141 Israeli and Palestinian couples and their firstborn child at 5 and 33 months as antecedents of children's social competence. Four parent-child measures (parent sens...
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PMID: 20210505
PDF is available here.
Abstract
Request for Treatment (RFT) is a request-based model for consent that facilitates patient-centred care. It has a number of advantages including unrivalled documentary evidence of consent in the patient's own handwriting and vocabulary, demonstration of capacity, ease of implementation, and a sound l...
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PMID: 20353637
PDF is available here.
Abstract
How do children know the sentence "the glass is empty and not empty" is inconsistent? One possibility is that they are sensitive to the formal structure of the sentences and know that a proposition and its negation cannot be jointly true. Alternatively, they could represent the 2 state of affairs re...
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PMID: 20192531
PDF is available here.
Abstract
The case of Hannah Jones hit the national news in the U.K. with headlines proclaiming that a young girl had been allowed to make an end of life decision. The case raises the question of whether someone of Hannah's age should be allowed to make decisions about end of life treatment. However, as this...
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PMID: 20373659
PDF is available here.
Abstract
In most cases of patients' requesting extractions, the ethical principle of nonmaleficence will play a decisive role in the dentist's decision making. In cases in which the request appears influenced by a specific mental condition such as a phobia of dental treatment, extraction rarely is justifiabl...
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PMID: 20123879
PDF is available here.
Abstract
The strange behavior of emperor Gaius has been the subject of debate for many historians. Some charge him with madness and attribute it to his illness in A.D. 37, whereas others believe it occurred later, or else had nothing to do with his sickness.We have no real evidence to reconstruct his mental...
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PMID: 20213971
PDF is available here.
Abstract
This article explores the potential benefits of, or problems associated with, the insertion of a feeding tube to commence enteral nutrition. Some of the issues that may arise when a patient is no longer able to meet their nutritional needs orally are discussed.
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PMID: 20533668
PDF is available here.
Abstract
Informed consent is a prerequisite for the ethical and legal validity of the emergency intervention in emergency medicine, since it protects the fiduciary relationship between the physician and patient; the principle of honesty that grounds this relationship; the principle of autonomy that necessita...
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PMID: 20209388
PDF is available here.
Abstract
INTRODUCTION: In modern medicine professional relationship between the clinician and the patient is patient-centered. Patients become actively involved in the treatment decision making process and are encouraged to express their health-related preferences. Some patients may, however,...
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PMID: 21400984
PDF is available here.
Abstract
This study examines the pedagogical training process of medical professors at a Brazilian university, the meanings attributed to it, and the positive and negative aspects identified in it. This is a descriptive-exploratory study, using a qualitative approach with a questionnaire utilizing open-ended...
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PMID: 20428704
PDF is available here.
Abstract
Were identified specific and meaningful for computer work physiological functions in children of 5-6 years: a functional motility of nervous processes, the function of the motor analyzer (accuracy of hand kinesthesia), the functional state of the eye accommodative system, mental capacity, volume and...
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PMID: 20432693
PDF is available here.