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Extract In publishing the abortion opinions(not facts) of David Reardon and associates,1 you have damaged the credibility and reputation of your journal.
Extract . . . Regardless of one’s opinions about the abortion issue, educating patients about the benefits and risks of an intervention is integral to good medicine. Thus, physicians should be willing to inform their patients of the risks associated with abortion. Aside from the usual risks associated with a surgical procedure, these include increased risks of psychiatric illness, 1 future preterm birth2 and breast cancer.3,4 I commend CMAJ for refusing to allow politics to trump the scientific progress of women’s health care.
Extract . . . the most relevant comparison was not performed. Reardon and associates compared women who delivered babies with women who had abortions. . . it might be more appropriate to ask about the differences between women who undergo abortion and those who want to have an abortion but choose not to because of external pressures or guilt. In such a study, it might be found that abortion was in fact a relatively healthy psychological event.
Extract I would like to point out that other prominent medical journals have published research reports on harmful effects associated with abortion. . . . It would appear that the study by Reardon and associates published recently in CMAJ is not the first to present empirical evidence that abortion is a severe risk factor for substantial emotional and physical trauma.
Abstract Between 1939 and 1945, 180,000 psychiatric patients were killed in Nazi Germany. This paper opens with a brief discussion of the reasons for addressing this issue today; it is followed by the details of the so-called euthanasia program that entailed killing of patients by gas in special hospitals in the years 1939-1941, and in psychiatric hospitals in the years 1942-1945. In this latter period, patients were killed with lethal injections and through the introduction of a starvation diet. The fate of the Jewish patients and forced laborers, as well as the experiments conducted on the patients, are mentioned. Finally, some thoughts are presented to answer the question of why this could have happened. To me, the giving up of individual responsibility in an authoritarian system leads to the loss of the individual conscience and soul, including those of a psychiatrist.
Cranach MV. The Killing of Psychiatric Patients in Nazi-Germany between 1939-1945. Israeli J Psych & Related Sciences. 2003;40(1):8-18
A presentation by the same title with a similar abstract was presented at a meeting of the Israel Psychiatric Association, Jerusalem, 6th of December 2001.
Extract James Kopp has been found guilty of murdering New York state obstetrician Dr. Barnett Slepian, but police are still trying to close other cases involving Canadian physicians who were shot. Kopp remains a suspect in the non- fatal shootings of physicians who provided abortions in Winnipeg, Vancouver and Ancaster, Ont. He has been charged in the last case — Dr. Hugh Short was shot in the right arm as he sat in his home Nov. 10, 1995 (CMAJ 1998;159[9]:1153-5) — but there is in- sufficient evidence linking him to the Winnipeg or Vancouver cases.
Abstract Television images of torture chambers in Iraq and reports of the escalating use of torture in Zimbabwe remind us that this form of state-sponsored abuse continues unabated in many parts of the world. . . It is timely, therefore, to consider the reasons for the inadequate attention given to the topic by health professionals.
Extract Findings. The essence of the nurse supervisors’ decision-making style is deliberations and priorities. The nurse supervisors’ willingness, preparedness, knowledge and awareness constitute and form their way of creating a relationship. The nurse supervisors’ ethical approach focused on patient situations and ethical principles. The core components of nursing supervision interventions, as demonstrated in supervision sessions, are: guilt, reconciliation, integrity, responsibility, conscience and challenge. The nurse supervisors’ interventions involved sharing knowledge and values with the supervisees and recognizing them as nurses and human beings.
Conclusion. Nurse supervisors frequently reflected upon the ethical principle of autonomy and the concept and substance of integrity. The nurse supervisors used an ethical approach that focused on caring situations in order to enhance the provision of patient care. They acted as role models, shared nursing knowledge and ethical codes, and focused on patient related situations. This type of decision-making can strengthen the supervisees’ professional identity. The clinical nurse supervisors in the study were experienced and used evaluation decisions as their form of clinical decision-making activity. The findings underline the need for further research and greater knowledge in order to improve the understanding of the ethical approach to supervision.
Abstract The legal approach to abortion is evolving from criminal prohibition towards accommodation as a life-preserving and health-preserving option, particularly in light of data on maternal mortality and morbidity. Modern momentum for liberalization comes from international adoption of the concept of reproductive health, and wider recognition that the resort to safe and dignified healthcare is a major human right. Respect for women’s reproductive self-determination legitimizes abortion as a choice when family planning services have failed, been inaccessible, or been denied by rape. Recognition of women’s rights of equal citizenship with men requires that their choices for self-determination be legally respected, not criminalized.
Extract The number of prescriptions issued for mifepristone (RU-486), the “abortion pill” introduced in the US 2 years ago, is increasing more rapidly than expected, the Planned Parenthood Federation of America (PPFA) says. . . The PPFA says the success of the new method is important because “the lack of abortion providers is an acute problem in the United States.”.