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http://dx.doi.org/10.1016/j.amsu.2020.09.039 | DOI Listing |
J Bacteriol
October 2023
Department of Chemical Engineering and Biotechnology, University of Cambridge, Cambridge, United Kingdom.
A new study by M. J. Flores, K.
View Article and Find Full Text PDFInt Rev Psychiatry
August 2022
Planetary and Global Health Program, St. Luke's Medical Center College of Medicine-William H. Quasha Memorial, Quezon City, Philippines.
A growing body of research shows the inimical impact of climate change on people's mental health. However, attention to mental health providers at the frontlines is rather sparse, especially in climate-vulnerable countries. This commentary aims to present the perspectives and experiences of mental health providers within the context of climate change in the Philippines.
View Article and Find Full Text PDFWorld J Cardiol
December 2021
Department of Internal Medicine, Methodist Dallas Medical Center, Dallas, TX 75203, United States.
The beneficial cardiorenal outcomes of sodium-glucose cotransporter 2 inhibitors (SGLT2i) in patients with type 2 diabetes mellitus (T2DM) have been substantiated by multiple clinical trials, resulting in increased interest in the multifarious pathways by which their mechanisms act. The principal effect of SGLT2i (-flozin drugs) can be appreciated in their ability to block the SGLT2 protein within the kidneys, inhibiting glucose reabsorption, and causing an associated osmotic diuresis. This ameliorates plasma glucose elevations and the negative cardiorenal sequelae associated with the latter.
View Article and Find Full Text PDFAnn Med Surg (Lond)
December 2020
King's College London, Great Maze Pond, London, SE1 1UL, UK.
Obstet Gynecol
May 2006
Department of Obstetrics-Gynecology, Washington University, St. Louis, Missouri 63110, USA.
Over the past several months, numerous instances have been reported in the United States media of pharmacists refusing to fill prescriptions written for emergency postcoital contraceptives. These pharmacists have asserted a "professional right of conscience" not to participate in what they interpret as an immoral act. In this commentary, we examine this assertion and conclude that it is not justifiable, for the following reasons: 1) postcoital contraception does not interfere with an implanted pregnancy and, therefore, does not cause an abortion; 2) because pharmacists do not control the therapeutic decision to prescribe medication but only exercise supervisory control over its dispensation, they do not possess the "professional right" to refuse to fill a legitimate prescription; 3) even if one were to grant pharmacists the "professional right" not to dispense prescriptions based on their own personal values and opinions, pharmacists "at the counter" lack the fundamental prerequisites necessary for making clinically sound ethical decisions, that is, they do not have access to the patient's complete medical background or the patient's own ethical preferences, have not discussed relevant quality-of-life issues with the patient, and do not understand the context in which the patient's clinical problem is occurring.
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