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The 2013 Guidelines for Decisions on Life-Sustaining Treatment and Care Near the End of Life were written with the nation's changing health care landscape and "the real world of clinical practice" in mind, says Nancy Berlinger, PhD, a research scholar at The Hastings Center in Garrison, NY. Berlinger is lead author of the new edition of the Guidelines and the director of the research project supporting the new edition.
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Recent trends demonstrate a widening use of drugs that can facilitate cognitive capability, both in patient and general-use populations, says James Giordano, PhD, chief of the Neuroethics Studies Program at Edmund D. Pellegrino Center for Clinical Bioethics at Georgetown University Medical Center in Washington, DC.
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Obesity presents many ethical challenges for transplant practice, according to a review article that describes an approach for applying available data on the importance of body composition to the kidney transplant population.
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Aborted hepatectomies and potentially life-threatening near-miss events during which a donor's life may be in danger but after which there are no long-term sequelae are rarely reported, according to a survey of 71 transplant programs that performed donor hepatectomy 11,553 times.
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Some countries, such as Australia, Spain, Norway, Italy, and Canada, allow next of kin to override the consent of registered organ donor candidates if they personally do not concur with the donation desire of their relative, but this form of surrogate decision-making represents a double standard in terms of the principle of substituted judgment.
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Two years ago, when Hospital Peer Review did its salary survey, we were in the midst of the deepest recession that this country had known since the Great Depression.
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No one likes to think that their care differs based on some external element of the patient the way they look or talk, their perceived class. But study after study shows that we arent as blind to difference as wed like to think.
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Many in healthcare will tell you outright that drug diversion isnt a big problem in their organization, says Commander John Burke of the Warren County Drug Task Force in Lebanon, OH. That is people putting their heads in the sand, he says.
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On Jan. 1, 2014, The Joint Commission will start holding accredited hospitals responsible for two more core measure sets.
