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1.
Chinese Medical Ethics ; (6): 47-54, 2024.
Article in Chinese | WPRIM | ID: wpr-1012847

ABSTRACT

The co-development of the technology pointing to the "external nature" and the technology pointing to the "physical nature" promotes the co-evolution of the man and the machine. The emerging body enhancement technique is derived from the "defective existence" of the man, and it changes the "body nature" from the inside of the man. The emerging body enhancement techniques are rapidly spread out driven by the multiple forces. The emerging body enhancement techniques has led to the weakening of the natural body identity and the strengthening of the symbolic body identity, the class solidification and the rise of "cyberpunk", the mixing of the natural person and the technical person. To consciously guide the development and application of emerging human enhancement surgery used human care theory. The physical care is an important reference to judge the good and the evil of the emerging body enhancement technique. The management about the body ethics is the optimal choice about the management of the emerging body enhancement technique. The physical care is the important content of the education of the emerging body enhancement technique.

2.
Rev. méd. Minas Gerais ; 21(2 supl.3): 9-27, abri.-jun.2011. tab, ilus
Article in Portuguese | LILACS | ID: lil-786235

ABSTRACT

A decisão de se recomendar exames, medidas cardioprotetoras ou terapêuticas para um paciente que irá ser submetido a uma cirurgia não cardíaca, em última análise, se torna um ato de equilíbrio entre as probabilidades estimadas de eficácia versus risco. Exemplo disso é a redução do número de exames pedidos no pré-operatório após a implementação das recomendações do American Callege af Cardiology (ACC) FaundatianlAmerican Heart Assaciatian (AHA). Nos pacientes candidatos à cirurgia de aorta, 88% eram submetidos a teste de estresse com imagem nuclear, 24% a cateterismo cardíaco e 24% à revascularização do miocárdio (CRVM) no pré-operatório. Com a implementação das recomendações, estes números caíram para 47, 11 e 2%, respectiva- mente. Os custos gerais da avaliação pré-operatória reduziram-se de U$ 1.087 para U$ 171. Ao mesmo tempo, o desfecho perioperatório foi melhor. O índice de morte/infarto do miocárdio caiu de 11 para 4%1. O objetivo deste artigo de atualização é discutir as principais recomendações da AHA/ACC e destacar a importância de sua aplicação no dia-a-dia do anestesiologista...


The decisian to recommend exams, heart-protective or therapeutic measures for a patient who will be submitted to a non-cardiac surgery, in the final analysis, becomes an act af balance between estimated probabilities af effectiveness versus risk. An example is the reduced number ot exams required in the preoperative period after implementing the recommendatians af the American Callege af Cardialagy (ACC) Foundation/American Heart Associatian (AHA). In patients candidates for aortic surgeries, 88% were submitted to nuclear image stress test, 24% to cardiac catheterism and 24% were submitted to myocardial revascularizatian (MR) in the preoperative period. By implementing the recommendations, these numbers dropped to 47%, 11% and 2% respectively. General costs of preoperative evaluatians reduced from U$I087 to U$171. At the same time, the perioperative outcame was better. The death/myocardial infarction rate dropped from 11% to 4%1. The purpase af this updating paper is to discuss the main recommendations af AHAIACC and to highlight the importance of their implementation the day-by-day af the anesthesiologist...


Subject(s)
Humans , Physical Examination , Surgical Procedures, Operative/methods , Electrocardiography , Exercise Test , Diagnostic Techniques, Cardiovascular
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