RESUMO
Guidelines are presented that summarise the legal position regarding the audio/visual recording of doctors and others in hospitals. In general, there are few, if any, legal grounds for refusing a request by patients to record procedures and/or discussions with clinicians, although some staff may feel uncomfortable being recorded. Trusts and others are advised to draw up local policies and ensure staff and patients are adequately informed.
Assuntos
Anestesiologistas , Hospitais , Médicos , Gravação em Vídeo/normas , Segurança Computacional , Confidencialidade , Humanos , Política Organizacional , Relações Médico-Paciente , Privacidade , Gravação em Vídeo/legislação & jurisprudênciaRESUMO
Anaesthetists are thought to be at increased risk of suicide amongst the medical profession. The aims of the following guidelines are: increase awareness of suicide and associated vulnerabilities, risk factors and precipitants; to emphasise safe ways to respond to individuals in distress, both for them and for colleagues working alongside them; and to support individuals, departments and organisations in coping with a suicide.
Assuntos
Anestesistas/psicologia , Anestesistas/estatística & dados numéricos , Transtornos Mentais/diagnóstico , Estresse Psicológico/diagnóstico , Prevenção do Suicídio , Suicídio/psicologia , Guias como Assunto , Humanos , Transtornos Mentais/complicações , Transtornos Mentais/psicologia , Fatores de Risco , Estresse Psicológico/complicações , Estresse Psicológico/psicologia , Suicídio/estatística & dados numéricos , Reino UnidoRESUMO
Rats that have drunk a concentrated glucose solution to satiety, and will drink no more of it if access is prolonged, will return to vigorous ingestion if offered carbohydrate powder or laboratory chow. We show that this specificity of satiety is maintained even if the initial glucose load is delivered directly to the stomach, bypassing the stimuli and the responses associated with spontaneous ingestion. Therefore, the specificity of satiety for glucose does not reflect sensory- or response-specific satiety.
Assuntos
Carboidratos da Dieta , Glucose , Saciação/fisiologia , Resposta de Saciedade/fisiologia , Ração Animal , Animais , Feminino , Preferências Alimentares , Inibição Neural , Ratos , Ratos EndogâmicosRESUMO
Previous work has shown that after rats have drunk a glucose solution to "satiety," and during the time when solution intake would remain inhibited, intake can be reinstated by offering powdered glucose. This "de-satiation" phenomenon shows that solution intake comes to an end before any limit on caloric or solute intake has been reached. Here we show that a milk-based liquid diet can also reinstate ingestion in the solution-sated rat. And such a rat increases its intake further when the diet is diluted with water. Therefore, the original "satiety" for glucose solution does not reflect a refusal of fluid per se, or of water; nor does it reflect an inhibition on the lapping response.
Assuntos
Comportamento Alimentar/fisiologia , Saciação/fisiologia , Animais , Carboidratos da Dieta , Feminino , Privação de Alimentos/fisiologia , Glucose , Leite , RatosAssuntos
Fraturas Ósseas , Sacro/lesões , Criança , Feminino , Fraturas Ósseas/complicações , Fraturas Ósseas/diagnóstico por imagem , Humanos , Hipestesia/etiologia , Perna (Membro)/inervação , Parestesia/etiologia , Radiografia , Sacro/diagnóstico por imagem , Bexiga Urinária/inervação , Bexiga Urinaria Neurogênica/etiologia , Transtornos Urinários/etiologiaRESUMO
A 47-year-old woman with complete absence of the lumbar and sacral spine had complete fecal and urinary continence, as well as successful social and functional adaptation without any surgical, prosthetic or rehabilitative assistance.
