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COUNTERPOINT: Is It Ethically Permissible to Use Frailty Scoring to Determine the Allocation of Medical Resources Under Conditions of Scarcity in the Medical ICU? No.
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August 2024
Division of Neurosurgery, Department of Surgery, University of Toronto, Toronto, ON, Canada.
Advance care planning is a process that encourages people to identify their values, to reflect upon the meanings and consequences of serious illness, to define goals and preferences for future medical treatment and care, and to discuss these goals with family and health-care providers. Advance care planning is especially important for those who are chronically ill, as patients and their families face a variety of complex healthcare decisions. Participating in advance care planning has been associated with improved outcomes; yet, despite over 25 years of public awareness campaigns, research, and interventions developed to increase participation, advance care planning completion rates for people with chronic illnesses are no different than those in the general public (approximately 25%).
View Article and Find Full Text PDFCOUNTERPOINT: Should US Centers Transplant Solid Organs Into International Recipients? No.
Chest
August 2017
Pulmonary, Allergy & Critical Care Division, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA. Electronic address:
Objective: Antidepressants are at best 50–55% effective. Non-compliance and the antidepressant discontinuation syndrome (ADS) are causally related yet poorly appreciated. While ADS is associated with most antidepressants, agomelatine seems to be devoid of such risk.
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