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PubMedDate not supplied

Unmanaged care: the need to regulate new reproductive technologies in the United States.

In the aftermath of allegations of the misuse of human eggs in the United States, questions are being raised about whether profitable reproductive services should continue to function in a free market under the aegis of physicians or should be regulated. Other countries in which reproductive technologies are employed to a significant degree have developed regulations governing their use, many as a result of recommendations made by inter-disciplinary commissions that solicited public input. Policy makers in the United States have been reluctant to regulate reproductive technologies, however, because their use is politically controversial, they want to whittle down government, some do not consider infertility an illness, and some believe regulation would interfere with the right to reproduce. Yet the unfettered use of reproductive technologies can create such harms as lack of informed consent, providing procedures not medically indicated for financial gain, practice by unqualified personnel, injury to patients and donors, failure to screen donated gametes, and inadequate medical record keeping. Americans place special value on the welfare of children and those who bring them into the world. Such values can outweigh individual procreative liberty when new reproductive technologies are at issue. Although the optimal course would be to establish a regulatory body to govern reproductive technologies, this is not politically feasible now. The newly established National Bioethics Advisory Commission provides a forum in which issues surrounding reproductive technologies should be addressed at this time in the United States.

Advisory Committees↗
PubMed2000

[Characteristics of the perception and imagination of emotions in patients with focal brain pathology].

Voluntary components of the emotion perception were shown to be related to the left hemisphere temporal area in patients with focal lesions of postero-frontal and temporal areas of both hemispheres, whereas the involuntary components required involvement of the right hemisphere temporal area. The voluntary components of the emotion reproduction are associated with involvement of the left hemisphere postero-frontal area, whereas involuntary components of perception are related to work of the right hemisphere postero-frontal area. The data obtained suggest that the voluntary (conscious) recognition and reproduction of emotions are mainly related to the sensory and motor speech centres of the left hemisphere, whereas involuntary those involve symmetrical areas of the opposite hemisphere.

Adolescent↗
PubMed2001

Implications for evaluating the impact of family planning programs with a reproductive health orientation.

In 1994, Jain and Bruce proposed an index--HARI, an acronym for Helping Individuals Achieve their Reproductive Intentions--to measure success or failure of family planning programs with a reproductive health orientation. HARI applies the principle of individual rights and well-being to the assessment of these programs. The index measures two components: the achievement of an individual's reproductive intentions and the avoidance of severe reproductive health problems associated with an individual's efforts to achieve her stated reproductive intentions. A family planning program can be deemed successful if an individual is able to avoid having an unintended pregnancy (or is able to have a wanted child) within the stipulated period and if she experiences no severe reproductive health problems in the process. If these conditions are not met, the program could be deemed a failure. The HARI index has not yet been applied in field conditions. This report illustrates the procedure for estimating HARI by using data from a panel survey conducted in Peru. It discusses the usefulness and limitations of the index in assessing the success or failure of a family planning program with a reproductive health orientation.

Evaluation Studies as Topic↗
PubMed1984

Having a life versus being alive.

In an attempt to provide some clarification in the abortion issue it has recently been proposed that since 'brain death' is used to define the end of life, 'brain life' would be a logical demarcation for life's beginning. This paper argues in support of this position, not on empirical grounds, but because of what it reflects of what is valuable about the term 'life'. It is pointed out that 'life' is an ambiguous concept as it is used in English, obscuring the differences between being alive and having a life, a crucial distinction for bioethical questions. The implications of this distinction for the moral debate about abortion are discussed.

Abortion, Legal↗
PubMedDate not supplied

[Conflicts and ethical guidance in the relationship between health and work].

In recent decades, the main morals that affect the relationships between human work, the economy and health, have often obtained clear and authorized definitions. However, scientific breakthroughs, market forces, civil and penal laws and the ethical codes of the health profession, do not provide updated answers to the ethical problems that arise in many aspects of modern work. This article develops several types of conflict between interests and values. The conflict between the right to live, health and the safety of the workers, and the right of companies to "maximise" production. The conflicts that affect information: the rights of the workers to be aware of risks and hazards, the rights of the companies to industrial and commercial secrecy, the right and duties of professional experts. The conflicts between production and external environment, between workers and the population. The conflicts between workers themselves, and finally, the conflicts between work, reproductive health and reproduction of life.

Civil Rights↗
PubMed2004

The onion skin sign: a specific sonographic marker of appendiceal mucocele.

OBJECTIVE: To evaluate the association of the onion skin sign as a sonographic marker for appendiceal mucocele. METHODS: The sonographic onion skin sign was considered specific for the preoperative diagnosis of appendiceal mucocele. Therefore, detection of this sign in a mass located in the right lower abdomen, unrelated to the female reproductive organs, indicated surgical intervention with a presumptive diagnosis of appendiceal mucocele. From 1998 through 2001, female patients who were found to have atypical cysts containing this sign underwent surgery. The cases were closely followed, and intraoperative findings and final histologic diagnoses were recorded. RESULTS: Appendiceal mucocele was the final diagnosis in all 7 patients in whom the onion skin sign was observed. One additional patient had an appendiceal mucocele with a sonographic picture of a clear tubular cystic structure. CONCLUSIONS: A sonographically layered cystic mass in the right lower quadrant of the abdomen in the presence of a normal ovary strongly suggests the diagnosis of appendiceal mucocele. Recognition of the sonographic onion skin sign in a cystic mass in the right lower quadrant may facilitate the accurate preoperative diagnosis of appendiceal mucocele.

Adult↗
PubMed1999

Millennium hopes. Fighting taboos.

The author's first wish is for International Planned Parenthood Federation (IPPF) to be tenacious in its continuous, unstinting support of family planning in its original sense. Secondly, the author would like to see wider recognition of the urgency with which IPPF must move into the sexual and reproductive health arena, including fighting for the rights of women, men and young people in the many areas of the world still suffering from societal taboos. Thirdly, the author wants IPPF to be visionary in recognizing that young people, women and men need supportive social and economic environments to help them plan and space the children that they would like to have. Current educational and economic requirements and circumstances have become very child unfriendly, as the low birth-rate countries illustrate. Finally, the author hopes to see a much better understanding of intergenerational communication and support as IPPF steps up its efforts to support society in its sexual and reproductive needs.

Family Planning Services↗
PubMed2005

Behavioural asymmetry is involved in regulation of autonomic processes: Left side presentation of food improves reproduction and lactation in cows.

It is known that the right and left brain hemispheres differ in their ability to regulate autonomic processes in the organism. Direct unilateral stimulation of the brain provokes side-dependent endocrine, immune and other visceral reactions. Since brain hemispheres are mainly involved in the regulation of muscles and sensory organs on the contra lateral side of the body the activation of behavioural asymmetry stimulates the contra lateral half of the brain. The important theoretical and practical question of whether autonomic processes can be regulated via the behavioural asymmetry route remains unexplored. In this study, we report that the chronic presentation of an emotionally important stimulus-food-from the left side, improves reproductive performance in animals in a broad range of feeding conditions. The unilateral presentation of food can also influence lactation, but in this case the side-dependent effects are different under varying feeding conditions. This finding opens a simple practical approach to influence basic somatic functions in the organism.

Analysis of Variance↗
PubMedDate not supplied

Occupational reproductive health risks.

The potentially harmful effects on women of certain workplace exposures are widely appreciated, and steps to control these have included legislative efforts such as right-to-know laws of well as corporate policies mandating selective restriction of fertile women, which are illegal under federal civil rights laws. This chapter reviews the various occupational health risks reproductive women face in the workplace but also considers the effects of other genetic, medical, social, infectious, and environmental factors which may be of even greater concern than most occupational factors.

Female↗
PubMedDate not supplied

Right dorsal colitis.

Moderate to severe ulcerative colitis of the right dorsal colon was diagnosed by necropsy or by exploratory celiotomy and biopsy in 13 horses with a primary clinical complaint of either colic, diarrhea, or weight loss. Clinical signs varied from acute fulminating diarrhea (possibly with fever), colic, dehydration, endotoxic shock and death, to a chronic condition manifested by mild intermittent colic up to several months in duration, and weight loss with or without mild diarrhea. In a large percentage of the horses, those affected had been hypovolemic and received nonsteroidal anti-inflammatory drugs (NSAID) or had received inappropriately high doses of phenylbutazone before the onset of illness. Experimental treatment of two horses with high doses of a phenylbutazone oral paste preparation (6 gm once daily for 5 days) and limitation of their water intake to approximately one half of maintenance requirement (for 5 days) resulted in reproduction of ulcerative colitis involving only the right dorsal colon, which was apparent at necropsy examination 11 and 15 days after initiation of drug use. It was concluded that localized ulcerative lesions in the right dorsal colon may be a previously unreported manifestation of toxicity due to the administration of NSAID.

Animals↗