Assuntos
Influenza Humana/microbiologia , Influenza Humana/virologia , Pneumonia/microbiologia , Pneumonia/virologia , Adulto , Toxinas Bacterianas/metabolismo , Coinfecção/diagnóstico , Coinfecção/microbiologia , Coinfecção/virologia , Farmacorresistência Bacteriana , Exotoxinas/metabolismo , Feminino , Humanos , Vírus da Influenza B/isolamento & purificação , Influenza Humana/diagnóstico , Leucocidinas/metabolismo , Período Periparto , Pneumonia/diagnóstico , Pneumonia/metabolismo , Gravidez , Infecções Estafilocócicas/diagnóstico , Infecções Estafilocócicas/microbiologia , Infecções Estafilocócicas/virologia , Staphylococcus aureus/isolamento & purificação , Staphylococcus aureus/metabolismoRESUMO
OBJECTIVE: To study legal cases against IVF facilities pertaining to preimplantation genetic diagnosis (PGD) misdiagnosis. DESIGN: Systematic case law review. SETTING: University medical center using US legal databases. PATIENT(S): The IVF recipients using PGD services. INTERVENTION(S): Lawsuits pertaining to PGD against IVF facilities. MAIN OUTCOME MEASURE(S): Lawsuits, court rulings, damage awards, and settlements pertaining to PGD after the birth of a child with a genetic defect. RESULT(S): Causes of action pertaining to PGD arise from negligence in performing the procedure as well as failure to properly inform patients of key information, such as inherent errors associated with the PGD process, a facility's minimal experience in performing PGD, and the option of obtaining PGD. Courts have sympathized with the financial burden involved in caring for children with disabilities. Monetary damage awards are based on the costs of caring for children with debilitating defects, including lifetime medical and custodial care. CONCLUSION(S): Facilities offering PGD services expose themselves to a new realm of liability in which damage awards can easily exceed the limits of a facility's insurance policy. Competent laboratory personnel and proper informed consent--with particular care to inform patients of the inherent inaccuracies of PGD--are crucial in helping deter liability.
Assuntos
Erros de Diagnóstico/legislação & jurisprudência , Fertilização in vitro/legislação & jurisprudência , Doenças Genéticas Inatas/diagnóstico , Testes Genéticos/legislação & jurisprudência , Seguro de Responsabilidade Civil/legislação & jurisprudência , Responsabilidade Legal , Imperícia/legislação & jurisprudência , Diagnóstico Pré-Implantação/métodos , Compensação e Reparação/legislação & jurisprudência , Erros de Diagnóstico/economia , Feminino , Fertilização in vitro/efeitos adversos , Fertilização in vitro/economia , Doenças Genéticas Inatas/economia , Doenças Genéticas Inatas/etiologia , Doenças Genéticas Inatas/genética , Doenças Genéticas Inatas/terapia , Testes Genéticos/economia , Custos de Cuidados de Saúde/legislação & jurisprudência , Humanos , Consentimento Livre e Esclarecido/legislação & jurisprudência , Seguro de Responsabilidade Civil/economia , Responsabilidade Legal/economia , Imperícia/economia , Valor Preditivo dos Testes , Gravidez , Diagnóstico Pré-Implantação/economia , Direito de não NascerRESUMO
Axonal projections from the olfactory epithelium to the olfactory bulb are organized into glomeruli according to the expressed odorant receptor. Using gene-targeted mice, we show that glomerular maturation proceeds along different time courses for two similar receptors and requires sensory input during distinct sensitive periods. During early development, some glomeruli are innervated by axons of neurons that do not express the same receptor. These heterogeneous glomeruli normally disappear with age, but they persist in adults deprived of sensory input by unilateral and permanent naris closure. Persistence may be due, in part, to prolonged survival of olfactory sensory neurons.