Autonomy in Maternal Accounts of Birth after Cesarean

2012 ◽  
Vol 16 (1) ◽  
pp. 62-70 ◽  
Author(s):  
Elizabeth Soliday ◽  
Keyword(s):  
Decision Making ◽  
Clinical Practice ◽  
Scientific Knowledge ◽  
Practice Patterns ◽  
Obstetric Care ◽  
Ethical Guidelines ◽  
Current State ◽  
Short And Long Term ◽  
Maternal Autonomy

Following decades of maltreatment of women in obstetric care, professional respect for maternal autonomy in obstetric decision making and care have become codified in global and national professional ethical guidelines. Yet, using the example of birth after cesarean, identifiable threats to maternal autonomy in obstetrics continue. This paper focuses on how current scientific knowledge and obstetric practice patterns factor into restricted maternal autonomy as evidenced in three representative maternal accounts obtained prior and subsequent to birth after cesarean. Short- and long-term remedies to improve the current state of restricted maternal autonomy in clinical practice surrounding decision making on birth after cesarean are provided.

scholarly journals Effect on Glycemic Control by Short- and Long-Term Use of Continuous Glucose Monitoring in Clinical Practice

2011 ◽  
Vol 5 (6) ◽  
pp. 1472-1479 ◽  
Author(s):  
Jenny Anderson ◽  
Stig Attvall ◽  
Lennart Sternemalm ◽  
Aldina Pivodic ◽  
Martin Fahlén ◽  
...  
Keyword(s):  
Clinical Practice ◽  
Glycemic Control ◽  
Continuous Glucose Monitoring ◽  
Glucose Monitoring ◽  
Short And Long Term

Patient (pt) characteristics and treatment patterns in the radium (Ra)-223 REASSURE observational study.

2017 ◽  
Vol 35 (15_suppl) ◽  
pp. 5042-5042 ◽  
Author(s):  
Celestia S. Higano ◽  
Shawn H. Zimberg ◽  
Sabina Dizdarevic ◽  
Lauren Christine Harshman ◽  
John Logue ◽  
...  
Keyword(s):  
Clinical Practice ◽  
Observational Study ◽  
Interim Analysis ◽  
Routine Clinical Practice ◽  
Castration Resistant Prostate Cancer ◽  
Castration Resistant ◽  
Observation Methods ◽  
Short And Long Term ◽  
Grade 3

5042 Background: Ra-223, a targeted alpha therapy, prolonged survival with good safety in metastatic castration-resistant prostate cancer (mCRPC) in the phase 3 ALSYMPCA trial. REASSURE will evaluate Ra-223 short- and long-term safety in routine clinical practice settings. This is the first planned interim analysis (median 7 mo observation). Methods: This global, prospective, single-arm, observational study enrolled pts with mCRPC with bone metastases (mets) for whom Ra-223 therapy was planned. Follow-up will continue up to 7 years after last Ra-223 dose. Results: 1106 pts (437 N. America, 665 Europe, 4 not recorded) enrolled from 2 Sep 2014 to 22 Sep 2016. Baseline data are available from 583 pts receiving 1st- (1L), 2nd- (2L), or ≥3rd-line (≥3L) Ra-223 for mCRPC(Table). The majority of pts (n=369, 63%) completed 5–6 doses (1L, 70%; 2L, 64%; ≥3L, 49%); median 6 doses (1L,6; 2L, 6; ≥3L, 4). Treatment-emergent drug-related AEs occurred in 215 pts (37%). Post-treatment grade 3/4 thrombocytopenia occurred in 14 pts (2.4%) and anemia in 45 (7.7%). Conclusions: In routine clinical practice, Ra-223 was associated with no short-term safety concerns and appeared to be used in pts with less advanced mCRPC than in ALSYMPCA. The majority of pts on 1L/2L Ra-223 therapy received 5–6 doses. Ra-223 was often used with abiraterone or enzalutamide, but not chemotherapy. The next interim analysis in 2019 will report long-term safety and outcomes on all pts. Clinical trial information: NCT02141438. [Table: see text]

Evidence-Based Interventions for the Treatment of Eating Disorders

2007 ◽  
Vol 1 (4) ◽  
pp. 371-378 ◽  
Author(s):  
Zella E. Moore ◽  
Raquel Ciampa ◽  
Jaime Wilsnack ◽  
Elizabeth Wright
Keyword(s):  
Eating Disorders ◽  
Prevalence Rates ◽  
Psychological Treatments ◽  
Eating Disordered ◽  
Treatment Practices ◽  
Current State ◽  
Eating Disorder Treatment ◽  
Short And Long Term ◽  
Disorder Treatment

Eating disorders are serious clinical issues that can have severe physical and psychological ramifications. Although prevalence rates of anorexia nervosa and bulimia nervosa are low in the general population, it has been reported that prevalence rates are higher among individuals involved in the athletic milieu. Unfortunately, based on the demands of the sport environment, these individuals may be significantly less likely to seek treatment for these disorders, thus may experience dangerous short- and long-term consequences. Yet, even when such athletes do seek help, they often receive psychological treatments that have not been demonstrated to be efficacious among methodologically sound research studies. This article clarifies the current state of eating disorder treatment efficacy so that practitioners working with eating disordered athletic clientele can adopt more ethical and effective treatment practices.

scholarly journals Restoration of Guyton´s diagram for regulation of the circulation as a basis for quantitative physiological model development

2010 ◽  
pp. 897-908
Author(s):  
J Kofránek ◽  
J Rusz
Keyword(s):  
Model Development ◽  
Physiological Model ◽  
Systemic Circulation ◽  
Source Model ◽  
Physiological Regulation ◽  
Current State ◽  
Fluid Regulation ◽  
Short And Long Term ◽  
Circulatory Dynamics

We present the current state of complex circulatory dynamics model development based on Guyton’s famous diagram. The aim is to provide an open-source model that will allow the simulation of a number of pathological conditions on a virtual patient including cardiac, respiratory, and kidney failure. The model will also simulate the therapeutic influence of various drugs, infusions of electrolytes, blood transfusion, etc. As a current result of implementation, we describe a core model of human physiology targeting the systemic circulation, arterial pressure and body fluid regulation, including short- and long-term regulations. The model can be used for educational purposes and general reflection on physiological regulation in pathogenesis of various diseases.

scholarly journals Rural Poverty and Land Degradation: A Review of the Current State of Knowledge

1998 ◽  
Vol 37 (4II) ◽  
pp. 1053-1070 ◽  
Author(s):  
Sohail Jehangir Malik ◽  
Hina Nazli
Keyword(s):  
World Bank ◽  
Land Degradation ◽  
Rural Poverty ◽  
The Past ◽  
Current State ◽  
The World Bank ◽  
Resource Degradation ◽  
The World ◽  
Short And Long Term

By highlighting the lack of rigorous evidence and calling for a greater understanding of the interaction of the two processes, a recent study [Nelson et al. (1997)] has called into question the strong perception that poverty is both a consequence as well as a cause of resource degradation.1 This perception which is widely held is strongly evident in the writings of the multilateral development agencies such as the World Bank (1990) and IFAD (1992) and exists despite extensive reviews which indicate that the short- and long-term implications of land degradation are not very clear [see Scherr and Yadav (1995)]. Similarly, while knowledge about poverty is expanding rapidly, thanks in large parts to the massive international focus and resources brought to bear on its understanding in the past ten.........................

scholarly journals Development dilemmas of water transport of Mazovia

2020 ◽  
Vol 2020 (33) ◽  
pp. 39-54
Author(s):  
Tadeusz Wójcicki
Keyword(s):  
Decision Making ◽  
Water Transport ◽  
Inland Waterways ◽  
Current State ◽  
International Importance ◽  
One Step ◽  
Polish Government ◽  
The Right ◽  
State 1

The Polish government conducts program works on the development of the E40 waterway along the Vistula and the Bug in accordance with the European Agreement on the main inland waterways of international importance (AGN). In light of the current investment practice, there is still a long way to go for the implementation of the E40 waterway in Mazovia, while the current findings of these programs and related study plans are at many points controversial. In this situation, this article aims to identify the weaknesses of these findings, indicate other ways to solve the already embarrassing decision-making situations (dilemmas), analyze and evaluate basic decision-making alternatives, and choose optimal solutions for Mazovia. The author has identified the following basic decision dilemmas: (0) Does a waterway network in Mazovia exist or not? (1) Whether to build this network or not? (2) Whether to reject the AGN Agreement or not? (3) Whether to build a network in full or limited spatial extent? (4) Whether to build following AGN or lower waterwaytechnical classes? (5) Whether to build against ecologists or in harmony with them? As a result of detailed analyzes and assessments, the author chose to solve these dilemmas, assuming (0) the lack of the waterway network in its current state, (1) undertaking the investment program for the construction of this network as satisfying the potential undisclosed demand in the field of water transport, (2) not rejecting the AGN Agreement as consistent with the long-term EU transport policy, (3) building the waterway network in the full spatial scope, (4) constructing a complete network in one step, i.e. at least Vb (2,80 m) class, as well as (5) creatingthis waterway network in agreement with ecologists. When adopting such design assumptions, a positive plan is outlined, which would involve, first of all, resigning from the existing plans to build the Vistula, Narew and Bug cascades as leading to the obtaining the waterways of undervalued classes IV and Va and to the right protests of ecologists, and secondly replacing the cascade with the construction of side shipping canalsof Vb (2,80 m) class or higher located within the broad valleys of the Vistula and the Narew but outside the most valuable natural areas of these valleys. In relation to the Bug waterway, the author prefers the course of the canal beyond the river valley through Wilga and Garwolin.

Consumer centric antecedents to personal financial planning

2019 ◽  
Vol 36 (6) ◽  
pp. 858-868 ◽  
Author(s):  
Francisco Guzman ◽  
Audhesh Paswan ◽  
Niranjan Tripathy
Keyword(s):  
Decision Making ◽  
Consumer Behavior ◽  
Financial Planning ◽  
Research Attention ◽  
Content Type ◽  
Self And Other ◽  
Short And Long Term ◽  
Personal Financial Planning ◽  
Other Orientation

Purpose Personal finance influences everything we buy and is a key driver of all economies. It has attracted significant research attention, mostly grounded in rational economics. However, it has not received adequate research attention in the consumer behavior literature. This study aims to address this gap by looking at some of the consumer-centric antecedents of short- and long-term personal financial planning, i.e. self-other orientation, cognitive style and time orientation. Design/methodology/approach A self-administered survey was used to collect data from full time employees. Hypotheses were tested using multiple regression analyses. Findings Both short- and long-term financial planning are positively associated with non-impulsive and analytical decision-making styles; whereas self and other orientation are only associated with short-term financial planning. Intuitive decision-making is not associated to either short- or long-term financial planning. Research limitations/implications While analytical and long-term orientation are still important for personal finance, in the short run, consumers are also driven by self and other orientation. Practical implications The results are relevant for both products and services that have long-term and short-term financial implications for consumers. Originality/value This study explores financial planning decision-making from a consumer behavior perspective, and addresses a gap in consumer behavior literature.

RELEVANT COST CONCEPT: A Glaring Dichotomy-Accountant’s Perspective

2012 ◽  
Vol 02 (03) ◽  
pp. 25-33
Author(s):  
Omah Ishmael ◽  
Osamor I .P
Keyword(s):  
Decision Making ◽  
Specific Problem ◽  
Behavior Pattern ◽  
International Market ◽  
Management Decision ◽  
Planning Decisions ◽  
Cost Behavior ◽  
Short And Long Term ◽  
Relevant Cost

Purpose: This paper examines the concept of relevant cost, its relevance in decision making analysis, its decision advantage in both short and long-term planning decisions and how it influences the decision maker’s choice of preference/priorities. The study is based on primary information (data) tailored to allow individual respondents comprehend the concept of “relevant cost”. Forty (40) closely related questionnaires were prepared and administered in some business retail traders in “ALABA INTERNATIONAL MARKET”. A review of related literature was also applied to have a general over-view of the concept of relevant cost ideology. It was revealed that relevant cost or costs are costs appropriate to a specific management decision. They are estimated future costs, that are different under alternative courses of action for a specific problem. It consist of both fixed and variable costs. Relevance in decision making is independent of cost behavior pattern. It influences the decision maker’s choice of preference and priority. If a decision is to be taken to either add a product or drop a product, salary of a supervisor or managing director is irrelevant. It is a differential (or incremental) cash flow that forms a component of relevant cost.

Sign in / Sign up

Export Citation Format

Share Document