Renewing the convenant with patients & society.
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Biomedical subjects
Publications and source records attributed to J Bernardin.
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Since health care is an integral component of the Church's mission, the whole Church should be involved in health care ministry. In the past, Catholic facilities flourished while operating basically on their own, but now competition and limited resources threaten their commitment to mission and service. To ensure that Catholic health facilities survive this crisis, the Church must tap its creative potential and pool its human resources. Collaboration among all members of the Church, rather than competition, is essential. Many facilities have already united into new systems and formed joint ventures. Religious, laity, and bishops play important roles in this collaboration. Sponsoring religious institutes provide long-term direction for Catholic institutions and ensure their mission effectiveness. Each institute has its own charism, but these charisms share common elements that provide the basis for institutes' working together. Laypersons must continue to assume positions of leadership in administration and governance, and lay-religious collaboration is necessary to integrate the business and mission aspects of health care. Bishops must foster apostolic works, exercise moral leadership by facilitating the provision of high-quality health care, and provide information on community needs. The report of the CHA Task Force on Health Care of the Poor offers a realistic plan of action that includes greater cooperation among health care providers, Church agencies, and government. Creative solutions are feasible. In the Archdiocese of Chicago, for example, Catholic facilities have formed joint ventures and have worked with parishes to serve the poor. The task is enormous, but we have the collective strength to see Catholic health care through this time of change.
Those in health care practice and research must depend on humanism for guidance in making difficult judgments and decisions that involve the individual patient's dignity and value. But what kind of humanism will inform those choices? Pragmatic humanism tends to view dignity in terms of human functioning: One is human because he or she acts, produces, thinks, achieves. The comatose, the insane, the hopelessly senile, fetuses and the newborn may be accorded human dignity as well, but only because society grants it to them. Thus such dignity can be manipulated or diminished in the name of overall human progress or the common welfare. By contrast, personalist humanism holds that human dignity is rooted in "being human" rather than in "doing human things." An individual has full human value simply by being a living person. This humanism suggests that health care providers must use their capabilities even for nonproductive patients. This may be difficult in the face of today's cost-benefit analyses. But if the individual's basic value is not defended, human dignity will vary in direct ratio to a person's social usefulness. And that would be obscene.
Reconciliation is one way of caring. Our society fosters alienation among the elderly, and the result is that we are all losers as we miss the unique contributions that the aged can make. To bring about the reconciliation that God desires, health care institutions must join together in calling for public policies that protect the elderly's human rights; ensure that care systems and structures help to integrate the aged as a vital part of the community; and work to change attitudes (among both the young and the old) about old age's role, meaning, and purpose. Most important, those who care for the elderly must rely on God to strengthen them to make in their own lives whatever changes reconciliation requires.
Per-operative blood flow measurement is studied as hemodynamic control in complement of arteriography (anatomic control). Early (1 month) and late (2 years) results are so reviewed in 217 popliteal or distal revascularisation. The authors attach more importance to the late value of peripheral arterial resistance with appears in relationship with early prognostic and post-operative failure. The authors recommend a vascodilative test to define maximum flow and real value of peripheral arterial resistance. The study of intra-arterial vasodilator response appreciates better the value of distal run-off receptivity and was found to correlate well with clinical results. The present study demonstrates prognostic significance of per-operative flow data.
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Explore the source record for details and available documents.
Explore the source record for details and available documents.
Explore the source record for details and available documents.