This document discusses several key concepts in medical ethics including autonomy, consent, confidentiality, and the right to life. It defines autonomy as self-governance and the right to make informed healthcare decisions. Consent requires voluntary agreement after being fully informed, and can be implied, expressed orally or in writing. Confidentiality protects private patient information. The right to life is inherent but issues arise regarding abortion, euthanasia and capital punishment. The MTP Act permits abortion up to 12-20 weeks under certain conditions to protect women's health and circumstances.
Public Health informatics, Consumer health informatics, mHealth & PHRs (Novem...Nawanan Theera-Ampornpunt
Presented at the M.S. and Ph.D. Programs in Data Science for Health Care, Faculty of Medicine Ramathibodi Hospital, Mahidol University, Bangkok, Thailand on November 11, 2019
Confidentiality can be defined as the
ethical principle or legal right that a
physician or other health professional will
hold secret all information relating to a
patient, unless the patient gives consent
permitting disclosure.
Public Health informatics, Consumer health informatics, mHealth & PHRs (Novem...Nawanan Theera-Ampornpunt
Presented at the M.S. and Ph.D. Programs in Data Science for Health Care, Faculty of Medicine Ramathibodi Hospital, Mahidol University, Bangkok, Thailand on November 11, 2019
Confidentiality can be defined as the
ethical principle or legal right that a
physician or other health professional will
hold secret all information relating to a
patient, unless the patient gives consent
permitting disclosure.
There are many ethical aspects which derive from the application of reproduction control in women's health. Women's health can be enhanced if women are given the opportunity to make their own reproduction choices about sex, contraception, abortion and application of reproductive technologies.
In this PPT you will learn what is autonomy whether is important or not and so on.
Every one of us should mentally capably for thinking and decision making and that's why we are humans, but there are people who are not mentally complete and their which or needs depend on others and it's really sad.
consent and confidentiality are important and are the reason why you are a good doctors.
The confidentiality brings you a new customers who trust you because you keep their information secrets and this type of confidentiality is part of Hippocrates Oaths.
ABDOMINAL TRAUMA in pediatrics part one.drhasanrajab
Abdominal trauma in pediatrics refers to injuries or damage to the abdominal organs in children. It can occur due to various causes such as falls, motor vehicle accidents, sports-related injuries, and physical abuse. Children are more vulnerable to abdominal trauma due to their unique anatomical and physiological characteristics. Signs and symptoms include abdominal pain, tenderness, distension, vomiting, and signs of shock. Diagnosis involves physical examination, imaging studies, and laboratory tests. Management depends on the severity and may involve conservative treatment or surgical intervention. Prevention is crucial in reducing the incidence of abdominal trauma in children.
Adv. biopharm. APPLICATION OF PHARMACOKINETICS : TARGETED DRUG DELIVERY SYSTEMSAkankshaAshtankar
MIP 201T & MPH 202T
ADVANCED BIOPHARMACEUTICS & PHARMACOKINETICS : UNIT 5
APPLICATION OF PHARMACOKINETICS : TARGETED DRUG DELIVERY SYSTEMS By - AKANKSHA ASHTANKAR
Basavarajeeyam is an important text for ayurvedic physician belonging to andhra pradehs. It is a popular compendium in various parts of our country as well as in andhra pradesh. The content of the text was presented in sanskrit and telugu language (Bilingual). One of the most famous book in ayurvedic pharmaceutics and therapeutics. This book contains 25 chapters called as prakaranas. Many rasaoushadis were explained, pioneer of dhatu druti, nadi pareeksha, mutra pareeksha etc. Belongs to the period of 15-16 century. New diseases like upadamsha, phiranga rogas are explained.
These lecture slides, by Dr Sidra Arshad, offer a quick overview of the physiological basis of a normal electrocardiogram.
Learning objectives:
1. Define an electrocardiogram (ECG) and electrocardiography
2. Describe how dipoles generated by the heart produce the waveforms of the ECG
3. Describe the components of a normal electrocardiogram of a typical bipolar lead (limb II)
4. Differentiate between intervals and segments
5. Enlist some common indications for obtaining an ECG
6. Describe the flow of current around the heart during the cardiac cycle
7. Discuss the placement and polarity of the leads of electrocardiograph
8. Describe the normal electrocardiograms recorded from the limb leads and explain the physiological basis of the different records that are obtained
9. Define mean electrical vector (axis) of the heart and give the normal range
10. Define the mean QRS vector
11. Describe the axes of leads (hexagonal reference system)
12. Comprehend the vectorial analysis of the normal ECG
13. Determine the mean electrical axis of the ventricular QRS and appreciate the mean axis deviation
14. Explain the concepts of current of injury, J point, and their significance
Study Resources:
1. Chapter 11, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 9, Human Physiology - From Cells to Systems, Lauralee Sherwood, 9th edition
3. Chapter 29, Ganong’s Review of Medical Physiology, 26th edition
4. Electrocardiogram, StatPearls - https://www.ncbi.nlm.nih.gov/books/NBK549803/
5. ECG in Medical Practice by ABM Abdullah, 4th edition
6. Chapter 3, Cardiology Explained, https://www.ncbi.nlm.nih.gov/books/NBK2214/
7. ECG Basics, http://www.nataliescasebook.com/tag/e-c-g-basics
These simplified slides by Dr. Sidra Arshad present an overview of the non-respiratory functions of the respiratory tract.
Learning objectives:
1. Enlist the non-respiratory functions of the respiratory tract
2. Briefly explain how these functions are carried out
3. Discuss the significance of dead space
4. Differentiate between minute ventilation and alveolar ventilation
5. Describe the cough and sneeze reflexes
Study Resources:
1. Chapter 39, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 34, Ganong’s Review of Medical Physiology, 26th edition
3. Chapter 17, Human Physiology by Lauralee Sherwood, 9th edition
4. Non-respiratory functions of the lungs https://academic.oup.com/bjaed/article/13/3/98/278874
Basavarajeeyam is a Sreshta Sangraha grantha (Compiled book ), written by Neelkanta kotturu Basavaraja Virachita. It contains 25 Prakaranas, First 24 Chapters related to Rogas& 25th to Rasadravyas.
Muktapishti is a traditional Ayurvedic preparation made from Shoditha Mukta (Purified Pearl), is believed to help regulate thyroid function and reduce symptoms of hyperthyroidism due to its cooling and balancing properties. Clinical evidence on its efficacy remains limited, necessitating further research to validate its therapeutic benefits.
Knee anatomy and clinical tests 2024.pdfvimalpl1234
This includes all relevant anatomy and clinical tests compiled from standard textbooks, Campbell,netter etc..It is comprehensive and best suited for orthopaedicians and orthopaedic residents.
2. objectives
• Autonomy
• Consent
• Rights of the patient
• Confidentiality
• Right to life
• Sex Pre selection and female foeticide
• Assisted Reproductive Technologies
3. Autonomy
• The word “Autonomy” is derived from the Greek
word “autos”(self) and “nomos” (rule ,
governance or law).
• Principle of Autonomy
a) Right to information and self determination
b) Free and informed consent
c) free will and accord – Intentional participation
in treatment
d) Respect and dignity maintained
4. Consent
“Permission to do something”.
or
“A written agreement to carry out an activity
after being fully informed in one’s native
language of all information relevant to the
activity.”
or
A legal term stating when one party has given
authority to another party for particular purpose.
5. CONSENT
• Consent refers to the provision of approval or
agreement, particularly and especially after thoughtful
consideration and understanding
• As per jurisprudence prior provision of consent
signifies a possible defense (justification) against civil
or criminal liability by the doctor.
• Practitioners who use this defense claim that they
should not be held liable for a tort or a crime ,as the
consequence in question occurred with the prior
consent and permission of the patient without
realizing whether it is a commission or an omission
and the extent of negligence.
6.
7. • Informed Consent - It is the process by which
a fully informed patient can participate in
choices about her health care.
• It is necessary in physician –patient
relationship
8. Types of consent
• Implied consent
• Expressed consent
a) Oral
b) Written
• Written Informed Consent
• Blanket Consent
9. • Implied consent is consent which is not
expressly granted by a person, but rather
inferred from a person's actions and the facts
and circumstances of a particular situation (or
in some cases, by a person's silence or
inaction). Example – Physical Examination like
,BP, Weight or Height.
10. • Expressed Consent – Any examination beyond
routine physical examination requires a
specific consent given i.e. expressed by the
patient. Example- giving injections,
examination of private parts giving
anesthesia, radiological anesthesia etc.
• It can be oral or written – but with the
presence of two or more witness in sufficient.
11. • Written Informed Consent – It refers to the
written consent given by the patient after
being informed of nature of illness, nature of
operation or procedures to be done, its
alternatives consequences and publications
12. • Blanket consent - It refers to the consent
which is taken usually on a printed form at
the time of admission of the patient
authorizing to do any surgery under
anesthesia.
13. Confidentiality
• “All that comes to my knowledge in the
exercise of my profession or outside of my
profession pr in dairy commerce with me
which ought not to spread abroad. I will keep
secret and will never reveal.” – Hippocratic
Oath
• “I will respect the secrets which are confined
in me even after the patient has died”. –
Geneva
14. Breach of Confidentiality might occur under a variety of
situations
• Gossiping between doctors or the doctor and
others.
• Leaving note on desk, where it is accessible to
others
• Press and employers representatives may
pose as close relatives and ask for
information.
• Talk over phone
15. There is a need for safeguards
• when it is approached by lawyers , employers
and insurance companies
• Computers held records
• When collecting health statistics.
Information may be given to the third party in
certain situations :
• Notifiable infectious disease
• Infectious disease risk to the community
• Risk to public safety .
16. Right to life
• Life is a valuable gift of god . Life exsist in all living
organisms.
• “Every one has the right to life, liberty and security of
person” - Article 3 of universal declaration of human
rights.
• “Every human being has the inherent right to life”. Article 6
of the International convenant on civil and political right.
• Every all religions emphasize that god gives life and no
human being has a right to take away one or his/her own
life , if so it is considered as a sin. So in general all the
declarations , laws , religions etc. saying that right to life is
in herent in a person , a human being.
17. Issues related to Right of life
• Abortion
• Infanticide /Foeticide/ Selective Abortion
• Euthnasia
• Suicide
• Capital Punishment
• Foetal tissue research
18. Abortion
• It is an issue in Right of life.
• An operation or other procedure to terminate
pregnancy before the fetus is viable or it is
premature termination of pregnancy by
spontaneous or induced expulsion of
nonviable fetus from the uterus.
19. Abortion is permitted by Law on:
1.Physical Health Grounds :
• Laws that authorize abortion to protect the
pregnant woman‘s life and physical health.
2.Mental Health Grounds:
• Laws expressly permit abortion to protect
the woman’s mental health as well as her life
and physical health.
20. 3. Socioeconomic Health:
• Laws , which allow abortion on
socioeconomic grounds, permit consideration
of factors as a woman’s economic resources ,
her age, her marital status, and the number
of her children. Such laws are generally
interpreted liberally.
21. 4.Without Restriction as to Reason:
• Finally, the least restrictive abortion laws are
those abortion without restriction as to
reason. Most countries with such laws ,
however , impose a limit on the period during
which women can readily access the
procedure.
22. MTP(Medical Termination of
Pregnancy )Act
• It was passed in 1971.
• The act was intended to grant women freedom
from unwanted pregnancies. Especially where
there was social censure or medical risk involved
.
• The aim of the act is to allow for the termination
of certain pregnancies by registered medical
practioners.
• If someone who is not a registered practitioner
terminates a pregnancy , it would constitute an
offence punishable under the Act.
23. When MTP is permitted
• where the length of the pregnancy does not;
exceed 12 weeks or Where the length of the
pregnancy exceeds 12 weeks but does not
exceed twenty weeks, if not less than 2
registered medical practioners are, of
opinion, formed in good faith, that –
The continued pregnancy would cause a risk
of injury to the woman’s physical or mental
health.
24. • There exists a substantial risk that the fetus
would suffer from a severe physical or
mental abnormality.
• The pregnancy resulted from rape or incest.
• The continued pregnancy would significally
affect the social or economic circumstances.
25. Consent to perfom MTP
• A pregnancy can be terminated only with
the informed consent of the pregnant woman;
no other person’s consent needs to be
obtained.
• Less than 18 years – parents Consent to be
taken.
• For Unconscious or Severely mentally disabled
woman the pregnancy can be terminated.
27. • Foeticide - The destruction of a fetus in the
uterus.
or
Selective Sex Abortion.
Female Foeticide - Female foeticide is the act of
aborting a fetus because it is female. The frequency
of female foeticide is indirectly estimated from the
observed high birth sex ratio, that is the ratio of boys
to girls at birth
28. Infanticide
• There are some people who advocate the
doing away of life of the newborn, if the
newborn is defective. The defects are
compatible with life but may be a burden on
the individual, the family and even the
society.