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WHAT IS KNOWN ON THE SUBJECT?: Dual diagnosis is a term used to describe persons who have a co-occurring mental health and substance misuse disorders. It is the cause of significant economic burden to health care, justice and educational systems. It is well reported that to date dual diagnosis is under-diagnosed and poorly treated within the confines of mental health services WHAT THE PAPER ADDS TO EXISTING KNOWLEDGE?: It demonstrates that the need for service reform where all services are equipped with the necessary tools required to adequately support a person with dual diagnosis.

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[Sensitivity to disinfectants of Candid albicans strains isolated from the hospital environment].

Rocz Panstw Zakl Hig

November 1998

Zakład Zwalczania Skazeń Biologicznych Państwowy Zakład Higieny, Warszawa.

In recent years an increase of the incidence of Candida infections caused mainly by C. albicans strains especially in high risk inpatients with neoplasms, decreased immunity, burns and after treatment with multiple antibiotics has been observed. Candida organisms are particularly dangerous for newborns being responsible for about 30% of septicaemia cases in newborns in intensive care units.

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Electronic databases and privacy protection: issues for a free society.

Top Health Inf Manage

August 1993

College of Allied Health Professions, Temple University, Philadelphia, PA.

More efficiently managed programs of health insurance claims processing and remittance with reduced costs and paperwork burdens hold out the potential for increased benefits to subscribers and health insurers alike. The computer/telecommunications systems and databases by which these efficiencies may be realized also hold great promise for improved services in other arenas. Early and candid recognition of the equally great potential for danger and abuse in those systems and the technology can guide the development and implementation of appropriate and necessary safeguards to individual privacy and to a democratic society in concert with system design.

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The Pittsburgh protocol relies heavily on traditional moral distinctions, particularly the principle of double effect, to justify "managing" the dying process of a prospective organ donor in order to yield viable organs for transplantation. These traditional moral distinctions can be useful, particularly in casuistic or case-specific moral analysis, but their invocation here is unpersuasive, and potentially dangerous. The protocol relies on elaborate apologetics to avoid a candid confrontation with the moral challenge it poses--society's willingness to bring about the death of one patient (in isolation and with potential discomfort) in order to benefit another patient.

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