[Comment on development of guidelines by the Federal Medical Committee on physician terminal care responsibility and medical futility on 24 April 1997].
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Aged↗
Biomedical subjects
J C Student
Publications and source records attributed to J C Student.
[The hospice movement--a different relationship with the dying].
It appears that in our century it is not considered fashionable to die. Indeed medicine itself has become increasingly less concerned with the dying. This abandonment in dealing with the subject of dying, death and grief is being counteracted by the Hospice movement with a new concept. This encompasses the care of both the dying and their relations and near ones in a comprehensive approach.
Attitude to Death↗
[Understanding instead of judging].
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Child↗
Effect of diazepam on the gamma motor system indicated by the responses of the muscle spindle of the triceps surae muscle of the decerebrate cat to the muscle stretch.
The experiments were performed on 37 intercollicularly decerebrate cats. The triceps surae muscle was subjected to trapezoidal stretches of 10 mm/s or 2 mm/s over a length of 14 mm. The reflex arc was left partially or fully intact. The effect of diazepam given intravenously on the discharge frequencies of group Ia afferent fibres from muscle spindles in the belly of the triceps surae muscle was studied. Diazepam depressed both the dynamic and the static gamma motor responses. When gamma motor fibres were selectively blocked by procaine a parallel shift of the tension-extension curve was observed. From comparison of the effect of procaine and diazepam on the phasic and static responses of the muscle spindle it was concluded that directly after the injection of diazepam the gamma motor activity was completely abolished at a dose as low as 0.1 mg/kg whereas the alpha motor system was only partly depressed even at higher doses. Differences in the effect of diazepam on the dynamic and static gamma system respectively, could not be found.
Action Potentials↗