scholarly journals What is the Responsibility of Australian Medical Professionals Whose Patients Travel Abroad for Assisted Reproduction?

2019 ◽  
Vol 27 (3) ◽  
pp. 365-389
Author(s):  
Jenni Millbank
Keyword(s):  
Legal Regulation ◽  
Egg Donation ◽  
Medical Professionals ◽  
Patient Reports ◽  
Information Giving ◽  
Wide Range ◽  
Ethical Guidance ◽  
Before And After ◽  
Travel Abroad ◽  
Key Aspects

Abstract Australian medical professionals whose patients undertake assisted reproductive treatment abroad face a conflict: to try to provide optimal and on-going care for their patient at the same time as ensuring compliance with Australian legal, ethical, and professional rules which proscribe as unsafe or unethical key aspects of such treatment. A major suggestion from literature on medical travel is that risks to the patient can be mitigated through the involvement of the local professional. However, the force of legal regulation and ethical guidance in Australia strenuously directs clinicians away from involvement in overseas reproductive treatment. This article reports on 37 interviews with Australians travelling abroad for surrogacy, egg donation, and embryo donation, reflecting on patients’ experiences with Australian medical professionals both before and after they travelled. Patient reports demonstrate a fragmented and bewildering medical landscape in Australia, in which the ability to access domestic care and expertise varied markedly depending upon the kind of treatment patients were seeking abroad, and the mode of practice of the Australian doctor. Doctors practicing within licensed IVF clinics were notably more constrained than those outside such a setting. Patients seeking egg donation were offered information and received a wide range of diagnostic and preparatory treatments, while those seeking surrogacy were shunned, chided and offered limited (and sometimes covert) assistance. While recent changes to national ethical guidance improve clarity on information giving, the ethical and legal propriety of Australian medical professionals providing diagnostic or preparatory treatment for cross border reproduction remains uncertain.

Typologization of security regulation

2020 ◽  
pp. 20-27
Author(s):  
Denis Tikhomirov
Keyword(s):  
Social Relations ◽  
Scientific Literature ◽  
Legal Regulation ◽  
Procedural Understanding ◽  
Limited Ability ◽  
Methodological Basis ◽  
Wide Range ◽  
The Subject ◽  
Definition Of ◽  
Legal Understanding

The purpose of the article is to typologize terminological definitions of security, to find out the general, to identify the originality of their interpretations depending on the subject of legal regulation. The methodological basis of the study is the methods that made it possible to obtain valid conclusions, in particular, the method of comparison, through which it became possible to correlate different interpretations of the term "security"; method of hermeneutics, which allowed to elaborate texts of normative legal acts of Ukraine, method of typologization, which made it possible to create typologization groups of variants of understanding of the term "security". Scientific novelty. The article analyzes the understanding of the term "security" in various regulatory acts in force in Ukraine. Typological groups were understood to understand the term "security". Conclusions. The analysis of the legal material makes it possible to confirm that the issues of security are within the scope of both legislative regulation and various specialized by-laws. However, today there is no single conception on how to interpret security terminology. This is due both to the wide range of social relations that are the subject of legal regulation and to the relativity of the notion of security itself and the lack of coherence of views on its definition in legal acts and in the scientific literature. The multiplicity of definitions is explained by combinations of material and procedural understanding, static - dynamic, and conditioned by the peculiarities of a particular branch of legal regulation, limited ability to use methods of one or another branch, the inter-branch nature of some variations of security, etc. Separation, common and different in the definition of "security" can be used to further standardize, in fact, the regulatory legal understanding of security to more effectively implement the legal regulation of the security direction.

Safety assessment of biological raw materials in the system of medicines quality assurance

2020 ◽  
pp. 63-72
Author(s):  
Yu. Olefir ◽  
E. Sakanyan ◽  
I. Osipova ◽  
V. Dobrynin ◽  
M. Smirnova ◽  
...  
Keyword(s):  
Raw Materials ◽  
State Level ◽  
The State ◽  
Spongiform Encephalopathy ◽  
Safety Standards ◽  
Wide Range ◽  
The Russian Federation ◽  
Key Aspects ◽  
First Time ◽  
Medicines Quality

The entry of a wide range of biotechnological products into the pharmaceutical market calls for rein-forcement of the quality, efficacy and safety standards at the state level. The following general monographs have been elaborated for the first time to be included into the State Pharmacopoeia of the Russian Federation, XIV edition: "Viral safety" and "Reduction of the risk of transmitting animal spongiform encephalopathy via medicinal products". These general monographs were elaborated taking into account the requirements of foreign pharmacopoeias and the WHO recommendations. The present paper summarises the key aspects of the monographs.

Soames' & Southam's Oral Pathology

2018 ◽  
Author(s):  
Max Robinson ◽  
Keith Hunter ◽  
Michael Pemberton ◽  
Philip Sloan
Keyword(s):  
Skin Diseases ◽  
Oral Pathology ◽  
Pathological Features ◽  
Oral Diseases ◽  
Oral Medicine ◽  
Cross Sectional ◽  
Facial Region ◽  
Wide Range ◽  
Cross Sectional Imaging ◽  
Key Aspects

A sound understanding of clinical oral pathology is essential if a dental clinician is to navigate successfully through clinical guidelines, make timely referrals to specialists, and provide good care for patients. This new edition of Soames' & Southam's Oral Pathology provides a clear and friendly guide for students, practitioners, and the whole dental team. Thoroughly updated for today's clinical practice, this textbook covers 'must-know' oral pathology and integrates key aspects of oral medicine. It begins by explaining the principles of clinical assessment, the synthesis of a differential diagnosis, and the selection of further investigations including laboratory tests. Ten chapters bring this theory to life by looking at the clinical and pathological features of a wide range of common oral diseases including oral cancer, salivary gland disorders, and diseases of the jaws. Two new chapters address skin diseases affecting the oro-facial region and neck lumps. A final chapter highlights the importance of clinical oral pathology in the context of systemic human disease. New radiology content includes examples of cross-sectional imaging. Photomicrographs have been replaced with carefully selected images to illustrate key pathological features. Each chapter includes key points boxes and tables to aid learning. Written by experts in both oral pathology and oral medicine, this new edition is a must-have for dentistry students, and those working in the field, providing current and trustworthy information.

Perioperative Skin Conditioning for Patients With Skin of Color

2021 ◽  
pp. 074880682198989
Author(s):  
Alix Ferdinand ◽  
Suzan Obagi
Keyword(s):  
Treatment Regimen ◽  
Skin Care ◽  
Practical Approach ◽  
Postoperative Phase ◽  
Upward Trend ◽  
Wide Range ◽  
Before And After

The interest in cosmetic procedures for patients with skin of color is on an upward trend. Globally, dyschromia and hyperpigmentation remain the most common disorders for which patients seek treatment. The goals of a perioperative skin conditioning program include allowing a broad range of patients to be treated regardless of skin phototypes, maximizing results, and reducing risk of complications such as post-inflammatory hyperpigmentation and managing post-inflammatory hyperpigmentation if it occurs. The purpose of this article is to highlight common pigmentation concerns among patients with skin of color, the topical agents used to combat these concerns, and a practical approach to creating an effective yet straightforward topical skin care regimen that can be used across a wide range of patient skin phototypes. Before and after photos of patients with a variety of pigmentation concerns are presented along with a description of the treatment regimen used to improve their conditions and to get their skin to a safer state prior to performing any office-based procedures. By understanding the main concerns of patients with skin of color, one can use a simple and effective skincare regimen to allow these patients to be more safely treated. An effective skincare regimen both prepares the skin prior to procedures and postoperatively to help minimize dyschromias in the postoperative phase.

scholarly journals Changes in Cellular Regulatory Factors before and after Decompression of Odontogenic Keratocysts

2020 ◽  
Vol 10 (1) ◽  
pp. 30
Author(s):  
Slmaro Park ◽  
Han-Sung Jung ◽  
Young-Soo Jung ◽  
Woong Nam ◽  
Jung Yul Cha ◽  
...  
Keyword(s):  
Recurrence Rate ◽  
Biological Behavior ◽  
Nuclear Antigen ◽  
Epithelial Cyst ◽  
Ki 67 ◽  
Proliferation Markers ◽  
Odontogenic Keratocysts ◽  
Wide Range ◽  
Before And After ◽  
Cyst Lining

Decompression followed by enucleation, which is one of the treatments used for odontogenic keratocysts (OKCs), is frequently used in OKC lesions of large sizes. This method offers the advantage of minimizing the possibility of sensory impairment without creating a wide-range bone defect; moreover, the recurrence rate can be significantly lower than following simple enucleation. This study aimed to assess the changes in histology and expression of proliferation markers in OKCs before and after decompression treatment. A total of 38 OKC tissue samples from 19 patients who had undergone decompression therapy were examined morphologically and immunohistochemically to observe changes in proliferative activity before and after decompression. The markers used for immunohistochemistry (IHC) staining were Bcl-2, epidermal growth factor receptor (EGFR), Ki-67, P53, PCNA, and SMO. The immunohistochemistry positivity of the 6 markers was scored by using software ImageJ, version 1.49, by quantifying the intensity and internal density of IHC-stained epithelium. The values of Bcl-2, Ki-67, P53, proliferating cell nuclear antigen (PCNA), and SMO in OKCs before and after decompression showed no significant change. No correlation between clinical shrinkage and morphologic changes or expression of proliferation and growth markers could be found. There was no statistical evidence that decompression treatment reduces potentially aggressive behavior of OKC within the epithelial cyst lining itself. This might indicate that decompression does not change the biological behavior of the epithelial cyst lining or the recurrence rate.

Legal aspects of the brand protection in Ukraine and world

2020 ◽  
pp. 133-143
Author(s):  
Ivanna Babetska
Keyword(s):  
Public Relations ◽  
Practical Importance ◽  
Legal Protection ◽  
Legal Regulation ◽  
Legal Aspects ◽  
Scientific Article ◽  
Protection Mechanism ◽  
Brand Protection ◽  
Wide Range ◽  
International Regulations

Purpose. The purpose of the scientific article is to establish the ratio of the meanings of the concepts "trademark", "brand" and "well-known" trademark and then to characterize their common and distinctive features. Indicate the gaps in current legislation and the need to refine certain rules in this aspect to determine the aspects of protection and protection of the brand. Methodology. The methodology includes a comprehensive analysis and generalization of the available scientific and theoretical material and the formulation of appropriate conclusions and recommendations. During the research, the following methods of scientific knowledge were used: terminological, dialectical, logical-semantic, logical-normative, system-structural. Results: in the course of the conducted study, the main and optional components of the brand are determined, which make it possible to determine the features of its legal protection. It has been proved that despite a fairly wide range of domestic and international regulations, there are certain shortcomings of the brand protection mechanism. Originality. The study found that a trademark differs from a brand in that a trademark is a designation that is only the basis of the brand, as for the trademark are not essential such properties of the designation as a certain level of information among consumers and quality as a basis. gaining a reputation; the concept of "brand" is an evaluative, conditional concept, and therefore its consolidation at the regulatory level is impractical. It is sufficient to establish the factors on the basis of which the trademark can be considered "well known". A "well-known" trademark is a designation that is familiar to a wide range of consumers through its use to designate certain goods. Practical importance. The results of the study can be used in law-making activities for the purpose of legal regulation of public relations in the sphere of legal protection of the brand.

The functions and positions of political parties in consociational democracies: theoretical and empirical contexts

2020 ◽  
pp. 28-33
Author(s):  
O. Morhuniuk
Keyword(s):  
Political Parties ◽  
The Netherlands ◽  
Party System ◽  
Party Competition ◽  
European Countries ◽  
The Past ◽  
Democratic Regimes ◽  
Wide Range ◽  
Key Aspects ◽  
Further Development

An article is devoted to the analysis of the functions and formats of political parties in consociational democracies. In particular, it is defined that parties that represent the interests of certain subcultures in society and that reach a consensus among themselves at the level of political agreements are called segmental. At the same time, parties that encapsulate different subgroups of the society that cooperate inside the party within main features of the consociational theory (grand coalition, mutual veto, proportionality in representations, and independence of segments or society subcultures) are called consociational. The theory of consociationalism has received a wide range of theoretical additions and criticism from political scientists over the past fifty years. And while political parties should have been, by definition, one of the key aspects of research within such democratic regimes (parties are part of large coalitions and agents of representation of certain subcultures), there is very scarce number of literature that focuses on this aspect. Therefore, the presented article provides a description of the functions of political parties that could be observed as inside their subcultures as well as in interaction with other segmental parties. Based on the experience of two European countries in the period of “classical” consociationalism (Belgium and the Netherlands), we explain the functions of the parties we have defined in such societies with examples of relevant consociational practices in them. Simultaneously with the analysis of segmental parties, the article also offers the characteristics of consociational parties. The emergence of such parties has its own institutional and historical features. The way of further development of the party system and the level of preservation of consociational practices makes it possible to understand the nature of changes in the societies. Similarly, the analysis of the forms of party competition and interaction between segmental parties makes it possible to outline the forms of those consociational changes that are taking place in the research countries.

Space Modeling of Problem Solving Strategies of “Prisoner's Dilemma”

2021 ◽  
pp. 99-116
Author(s):  
D.J. Balanev ◽  
Keyword(s):  
Neural Networks ◽  
Social Identity ◽  
Identity Formation ◽  
Social Factors ◽  
Prisoner's Dilemma ◽  
Prisoner’S Dilemma ◽  
Real People ◽  
Space Modeling ◽  
Wide Range ◽  
Before And After

An iterated version of the game "Prisoner's Dilemma" is used as a model of cooperation largely due to the wide range of strategies that the subjects can use. The problem of the effec-tiveness of strategies for solving the Iterated Prisoner's Dilemma (IPD) is most often considered from the point of view of information models, where strategies do not take into account the relationship that arise when real people play. Some of these strategies are obvious, others depend upon social context. In our paper, we use one of the promising directions in the development of studying IPD strategies – the use of artificial neural networks. We use neural networks as a modeling tool and as a part of game environment. The main goal of our work is to build an information model that predicts the behavior of an individual person as well as group of people in the situation of solving of social dilemma. It takes into account social relationship, including those caused by experimental influence, gender differences, and individual differences in the strategy for solving cognitive tasks. The model demonstrates the transition of individual actions into socially determined behavior. Evaluation of the effect of socialization associated with the procedure of the game provides additional information about the effectiveness and characteristics of the experimental impact.The paper defines the minimum unit of analysis of the IPD player's strategy in a group, the identity with which can be considered as a variable. It discusses the influence of the experi-mentally formed group identity on the change of preferred strategies in social dilemmas. We use the possibilities of neural networks as means of categorizing the results of the prisoner's iterative dilemma in terms of the strategy applied by the player, as well as social factors. We define the patterns of changes in the IPD player's strategy before and after socialization are determined. The paper discusses the questions of real player's inclination to use IPD solution strategies in their pure form or to use the same strategy before and after experimental inter-ventions related to social identity formation. It is shown that experimentally induced socialization can be considered as a mechanism for increasing the degree of certainty in the choice of strategies when solving IPD task. It is found out that the models based on neural networks turn out to be more efficient after experi-mentally evoked social identity in a group of 6 people; and the models based on neural net-works are least effective in the case of predicting a subject's belonging to a gender group. When solving IPD problems by real people, it turns out to be possible to talk about generalized strategies that take into account not only the evolutionary properties of «pure» strategies, but also reflect various social factors.

Model Child Care Health Policies

2013 ◽  
Author(s):  
Keyword(s):  
Child Care ◽  
Early Education ◽  
Health And Safety ◽  
Large Family ◽  
Health Policies ◽  
After School ◽  
Wide Range ◽  
Before And After ◽  
Care Health ◽  
Child Care Facilities

Significantly revised and updated, the new Model Child Care Health Policies, 5th Edition is a must-have tool to foster adoption and implemenation of best practices for health and safety in group care settings for young children. These settings include early care and education as well as before and after school child care programs. These model policies are intended to ease the burden of writing site-specific health and safety policies from scratch. They cover a wide range of aspects of operation of early education and child care programs. Child care programs of any type can use Model Child Care Health Policies by selecting relevant issues for their operation and modifying the wording to make selected policies appropriate to the specific settings. These settings include early education and child care centers, small and large family child care homes, part day-programs for ill children, facilities that serve children with special needs, school-age child care facilities, and drop-in facilities. The model policies can be adapted for public, private, Head Start, and tuition-funded facilities. All of the most commonly covered health and safety topics the National Association of Child Care Resource and Referral Agencies found in state regulations are included in this guide.

Peak calf blood flow estimates are higher with Dohn than with Whitney plethysmograph

1996 ◽  
Vol 81 (3) ◽  
pp. 1418-1422 ◽  
Author(s):  
D. N. Proctor ◽  
J. R. Halliwill ◽  
P. H. Shen ◽  
N. E. Vlahakis ◽  
M. J. Joyner
Keyword(s):  
Blood Flow ◽  
Reactive Hyperemia ◽  
Arterial Occlusion ◽  
Venous Occlusion ◽  
Calf Blood Flow ◽  
Absolute Flow ◽  
Wide Range ◽  
Before And After ◽  
The Mean ◽  
Highly Correlated

Estimates of calf blood flow with venous occlusion plethysmography vary widely between studies, perhaps due to the use of different plethysmographs. Consequently, we compared calf blood flow estimates at rest and during reactive hyperemia in eight healthy subjects (four men and four women) with two commonly used plethysmographs: the mercury-in-silastic (Whitney) strain gauge and Dohn air-filled cuff. To minimize technical variability, flow estimates were compared with a Whitney gauge and a Dohn cuff on opposite calves before and after 10 min of bilateral femoral arterial occlusion. To account for any differences between limbs, a second trial was conducted in which the plethysmographs were switched. Resting flows did not differ between the plethysmographs (P = 0.096), but a trend toward lower values with the Whitney was apparent. Peak flows averaged 37% lower with the Whitney (27.8 +/- 2.8 ml.dl-1.min-1) than with the Dohn plethysmograph (44.4 +/- 2.8 ml.dl-1.min-1; P < 0.05). Peak flow expressed as a multiple above baseline was also lower with the Whitney (10-fold) than with the Dohn plethysmograph (14.5-fold; P = 0.02). Across all flows at rest and during reactive hyperemia, estimates were highly correlated between the plethysmographs in all subjects (r2 = 0.96-0.99). However, the mean slope for the Whitney-Dohn relationship was only 60 +/- 2%, indicating that over a wide range of flows the Whitney gauge estimate was 40% lower than that for the Dohn cuff. These results demonstrate that the same qualitative results can be obtained with either plethysmograph but that absolute flow values will generally be lower with Whitney gauges.

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