Unified training grade. Purchasers cannot put the cart before the horse.
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Consultants↗
Biomedical subjects
J Wight
Publications and source records attributed to J Wight.
On discontinuing dialysis.
Ethical issues relating to the withdrawal of dialysis are discussed, comparing dialysis with other life-support systems, particularly artificial ventilation. It is argued that there is no ethical difference between discontinuing treatment in each case. One practical difference between the two is that patients with chronic renal failure are less likely to have reduced autonomy, and so can engage in discussions with their doctors regarding the situations in which their life-supporting treatment might be discontinued. It is argued that doctors caring for patients on dialysis have an ethical duty to discuss with these patients the circumstances in which they may wish to discontinue dialysis.
Cause of Death↗
Rationing of health care in medicine.
A conference on 'Rationing of health care in medicine' was organised by the Royal College of Physicians and the Institute of Health Services Management on 11 November 1992. In his opening remarks the President, Professor Leslie Turnberg, declared it an opportune time to be hosting a conference on such a topical subject. Rationing of health services exists; the challenge is to find how to do it rationally.
Health Care Rationing↗
Junior doctors on the warpath.
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Medical Staff, Hospital↗
Fatal theophylline poisoning with rhabdomyolysis.
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Adolescent↗
Comparison of three methods of respiratory care following upper abdominal surgery.
Incentive spirometry, as a method for preventing postoperative atelectasis, was compared with intermittent positive-pressure breathing (IPPB) and resistance breathing in 126 patients undergoing upper-abdominal surgery, most of whom had cholecystectomy. There was no statistically significant difference in the incidence of atelectasis among the three groups, who were matched for age, sex, smoking history, previous respiratory disease, and duration of surgery. There was a significantly higher incidence of atelectasis in patients over the age of 50 years (P = 0.004) than in younger subjects, where the incidence was not different among the three groups. Incentive spirometric therapy, as used in this study, offered no advantage over the other methods of treatment.
Abdomen↗
The measurement of feruloylquinic acids and caffeoylquinic acids in coffee beans. Development of the technique and its preliminary application to green coffee beans.
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Caffeic Acids↗