Addressing Clinical Misconduct: Resigning and Whistleblowing in Clinical Ethics Consultation.

Clinical ethics consultants occasionally encounter unethical and/or unprofessional behavior as part of their normal job functions. In this article, we explore whether resigning (i.e.

Clinical Ethics Needs Assessment: Adapting Clinical Ethics to a Population Health Program.

The clinical encounter between providers and patients is insufficient: most factors influencing health outcomes occur outside the clinic. Community Health Needs Assessments address this insufficiency via collaboration between hospitals and the communities they serve to address systemic sociological-economic variables impacting health outcomes. Considering this, why are Health Care Ethics Consultation (HCEC) services limited to the clinical setting? We can cultivate better ethics outcomes by addressing systemic sociological-economic factors that cause recurring ethics issues in the hospital.

Cerebral lateralization and its relationship to phylogeny and aggression in anabantoid fishes.

We examined the relationship between aggression and cerebral lateralization, as expressed by eye-use preference in a mirror-response paradigm, in six species of anabantoid fishes in the teleost family Belontiidae. Our objective was to test the hypothesis that frequency-dependent selection should decrease lateralization at the population level in more aggressive species. The mean laterality index did not differ significantly among the six species, nor did any of the species differ from zero, which suggests that populations of these fishes are neither left- nor right-eye biased.

[The main approaches to reducing cardiovascular morbidity and mortality in Russia].

Analysis of medical statistical data and of the socioeconomic situation in the country brought the authors to a conclusion that at present the principal factors responsible for cardiovascular diseases, specifically, coronary disease and cerebrovascular disorders, are environmental factors, such as chronic stress, alcoholism and hard drinking, violation of social and hygienic norms of labor, and a number of factors related to medicine: no prophylactic check-ups and unavailability of effective drugs. "Internal risk factors" should not be disregarded as well: hypercholesterolemia, arterial hypertension, etc. Based on their results, the authors propose measures aimed at limitation of overall stress exposures, alcoholism and hard drinking control, sociohygienic labor protection, re-creation of a system of effective prophylactic check-ups, and making present-day effective drugs available for the population.

[An evaluation of the hemodynamic efficacy of an extra-intracranial microanastomosis in unilateral occlusion of the internal carotid artery].

The physicians of the A. N. Bakulev Institute for Cardiovascular Surgery examined 64 patients with unilateral atherosclerotic occlusion of the internal carotid artery (ICA).