[PENSION CHANGES. POSSIBILITIES AND LIMITATIONS].
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Integrating viral vectors and new strategies for gene therapy were two of the major themes of this annual conference which was attended by over 2000 delegates. The conference was aimed at research scientists of all levels and participation was encouraged from graduate and professor alike. The conference was divided up into educational sessions, providing a review of topics and FDA legislation, scientific symposia concentrating on academic and mechanistic subjects, poster discussions, meet the investigator breakfast sessions and corporate symposia. A large number of pharmaceutical companies, medical publishers and clinical research organizations were represented in the exhibition hall.
Evaluation of fitness for work (FW) is the final task of both health surveillance and risk evaluation. It's aim is to protect the physical and psychological health of workers and respect their professional skills. The Occupational Physician faces several difficulties in the evaluation of FW. Moreover, Italian legislation on this topic can be variously interpreted and this can cause conflicting evaluations. In this session, the most challenging situations in FW evaluation will be taken into consideration.
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Att Gen Hanaway's recent opinion that Wisconsin's durable power of attorney can be used to direct the health care of a disabled or incompetent patient helps to bridge gaps left by the Natural Death Act (living will law). The attorney general's opinion and the Uniform Durable Power of Attorney Act provide guidance on what constitutes a valid document creating this power. Questions remain, however, as, to how the living will and attorney-in-fact relate when a conflict arises. A survey of other states that have either court-made law or specific legislation on the topic indicates that the attorney-in-fact should yield to the wishes of the declarant as documented by the living will. In specific instances the living will must be silent by law, however, the attorney-in-fact is presumed to have the power to make the health care decision.
Two U.S. Supreme Court decisions, O'Connor v. Donaldson and Bounds v. Smith, hold important implications for health sciences librarians serving in mental health facilities. The first, O'Connor, with its many ancillary holdings, puts mental health personnel on notice that patients have certain basic rights, which courts all over the country will now be required to enforce. In Bounds the court has ruled that prison authorities must assist prison inmates in preparing and filing legal papers. The ruling will most likely benefit all mentally disabled prisoners, and future litigation may expand this category to include: (1) persons committed under the criminal code, (2) persons under involuntary commitment not related to the criminal code, and (3) persons voluntarily committed. A selective annotated bibliography, consisting of background readings in mental health and the law, basic rights, law library materials, and mental health legal services, has been compiled to help librarians establish and develop legal collections in anticipation of court decisions that will expand the conditions of Bounds to include all mentally disabled patients.