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Categories of sedation and the points of the moral debate:\nWhat sedation is and to what extent it is acceptabele\n
This paper first aims to clarify what sedation is and then introduces the points of moral debate concerning sedation. First, I show that sedation can be broadly defined as follows: Namely, sedation is the actual reduction in consciousness caused by drugs that physicians Administer in order to relieve distress stemming from serious symptoms or existential distress. Next, I explain how sedation differs from general anesthesia,analgesia,and euthanasia, respectively. Then I will introduce the categories of sedation. Sedation can be divided into several types along four axes:continuous or intermittent,deep or light,proportionate or direct,and double or single effect. However, I also explain that some people deny that proportionate sedation and/or double-effect sedation should be called sedation in the first place. These people should object to the broad definition of sedation I introduced above. Finally, with these distinctions in mind, I will review the ethical issues. I will explain the points of moral debate concerning sedation by dividing them into those related to the balance between the positive and negative effects of the procedure and those related to the physicians' intention.journal articl
The Review of Sapporo Medical University Faculty Development (FD) activities since 2009
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転移性骨腫瘍症例の自宅退院に関わる阻害因子の調査
本研究の目的は,当院における転移性骨腫瘍症例の自宅退院に関わる阻害因子の調査を行い,自宅退院率の向上について検討することである.結果,歩行能力の有無が阻害因子に関わっていることが明らかとなった.リハビリテーションの早期介入による歩行能力の維持向上を図ること,歩行機能獲得維持が困難な場合を想定した早期の介護保険申請や社会資源利用の検討,在宅環境調整に向けて多職種連携および情報共有を行い,患者および家族を支援することが重要である.journal articl
Characterization of prehospital time delay in primary percutaneous coronary intervention for acute myocardial infarction: analysis of geographical infrastructure-dependent and -independent components.
札幌医科大学博士(医学)doctoral thesi
Reduced sociability in a prenatal immune activation model: Modulation by a chronic blonanserin treatment through the amygdala-hippocampal axis
札幌医科大学博士(医学)doctoral thesi
Human papillomavirus testing and cytology using physician-collected uterine cervical samples vs. self-collected vaginal samples and urine samples
札幌医科大学博士(医学)doctoral thesi