In one influential case, a federal appeals court in Washington, D.C., ruled in 1990 that a judge was wrong to have granted a hospital permission to force a pregnant cancer patient to undergo a Caesarean in an attempt to save the life of her child

Some women's advocates said the cases illustrate a newfound willingness by legal officials to interfere with women's choices about their pregnancies.

"My impression is that we have a political culture right now that falsely pits fetal rights against women's rights, and that you are seeing a kind of snowballing effect," said Lynn Paltrow, of the New York-based group Wilkes-Barre General Hospital wouldn't budge, so Marlowe checked herself out and went looking for a new doctor.

While she was on her search, Wilkes-Barre General's lawyers rushed to court to get legal guardianship of her unborn child, giving the hospital the ability to force Marlowe into surgery - http://www.hometalk.com/search/posts?filter=surgery if she returned.

Marlowe ended up at another hospital, where she had a quick, natural birth she described as "a piece of cake." She didn't know about the first hospital's action until her husband was told by a reporter.

"They don't know me from anything, and they're making decisions about my body?" she said. "It was terrifying."

Officials with Wilkes-Barre General did not return calls seeking comment.

Some groups representing doctors, including the American College of Obstetrics and Gynecology, have said that physicians should refrain from doing procedures unwanted by pregnant woman, and that use of the courts to resolve conflicts is almost never warranted.

A spokesman for the American Hospital Association wasn't immediately sure whether the organization has ever taken a position on the issue.

In Salt Lake City, an acknowledged cocaine addict with a history of mental health problems resisted having the operation for about two weeks before acquiescing. One of the twins she was carrying died during the delay. The mother was charged with capital murder but ultimately pleaded guilty to a lesser charge of child endangerment and was sentenced to probation.

Last month, prosecutors in Pittsburgh charged an unlicensed midwife with involuntary manslaughter for failing to take a woman to the hospital when her baby began to be delivered feet-first. The child died two days later. The midwife said she had been trying to honor the mother's wishes to have the baby at home.

And in Rochester, New York, a judge in late March ordered a homeless woman who had lost custody of several neglected children not to get pregnant again without court approval.

Legal experts and medical ethicists said attempts to prosecute women for pregnancy choices, or force them to undergo certain procedures for the benefit of their children, 카지노사이트 - https://panthersgroupltd.com/ may be on shaky ground.

"There are 50 years of case law and bioethical writings that say that competent people can refuse care, and that includes pregnant women as well," said Art Caplan, chairman of medical ethics at the University of Pennsylvania.

In one influential case, a federal appeals court in Washington, D.C., ruled in 1990 that a judge was wrong to have granted a hospital permission to force a pregnant cancer patient to undergo a Caesarean in an attempt to save the life of her child. The mother and baby died within two days of the operation.

Doctors' opinions on forced care for pregnant mothers have changed, too.

A 2002 survey by researchers at the University of Chicago found only 4 percent of directors of maternal-fetal medicine fellowship programs believed pregnant women should be required to undergo potentially lifesaving treatment for the sake of their fetuses, down from 47 percent in 1987.

Dr. Michael Grodin, director of Medical Ethics at the Boston University School of Medicine, said doctors should seek court intervention when a mother refuses care only if the patient is mentally ill.

"Women have a right to refuse treatment. Women have a right to control their bodies. It is a dangerous slope. What's next? If someone doesn't seek prenatal care, what are we going to do, lock them up?"

By David B. Caruso

That rule averted one disaster at his previous hospital, McLaren recalls: A surgeon was ready to slice into a right kidney while a nurse argued for the left one

Among the requirements: Much as airline pilots go through a safety checklist before takeoff, surgeons and nurses must take what's being dubbed a "time-out" before cutting. It's to double-check that the right patient is on the table, if he's really to lose a kidney and not a gallbladder - and if so, on which side.

Hospital regulators hope the new rules will finally put an end to growing reports of wrong-site, wrong-procedure and wrong-patient surgeries.

"These should never happen," says Dr. Dennis O'Leary, who heads the Joint Commission on Accreditation of Healthcare Organizations. The agency can revoke the accreditation of hospital or other surgical sites - http://www.wordreference.com/definition/surgical%20sites that don't comply with the new safety steps.

This isn't wrong surgery because of a misdiagnosis, but mixups inside the operating room. In one infamous 1995 case a doctor amputated Willie King's wrong foot; indeed, the mixups are thought to be most frequent in orthopedic surgery.

But reports range the gamut from removing the wrong organ to drilling into the wrong side of a patient's skull to a recent case where the wrong patient was given a heart catheterization.

No one knows exactly how many such wrong surgeries occur, because the commission receives only voluntary reports, although they're a small fraction of the nation's 70 million annual surgeries.

Still, despite issuing two warnings to hospitals and surgical centers in recent years, the regulatory agency knows of 275 cases since 1999 - a steady increase each year and a problem it calls undoubtedly undercounted.

Consider the rushed pace of many operating rooms, where it's easy to wheel in the wrong patient from a queue of waiting stretchers, or to position X-rays backward as bustling workers ready dozens of high-tech gadgets.

"People should not underestimate the potential for confusion," O'Leary says. "The fact that you have M.D. or R.N. after your name doesn't keep you from making mistakes."

His regulatory agency is betting that if surgical teams have a mandatory system of double-checks, they can catch mixups before a patient is harmed. Among the rules:

"My rule was you do not hand a knife to any surgeon until everything's cleared up," says Tom McLaren, surgical services administrator at Florida's Tallahassee Memorial Healthcare.

That rule averted one disaster at his previous hospital, McLaren recalls: A surgeon was ready to slice into a right kidney while a nurse argued for the left one. Technicians pulled back the scalpels as the frustrated doctor 아산출장마사지 - https://www.startopanma.com/%ec%95%84%ec%82%b0%ec%98%a4%ed%94%bc%ea%b1%b... pointed to the posted X-ray - which a radiologist later noticed was placed backward.

"Many people believe, 'this could never happen to me, that happens somewhere else,"' laments Bill Duffy, president of the Association of periOperative Registered Nurses.

But there's growing awareness that any health worker can make such a mistake, and more than 40 medical organizations, such as the American Academy of Orthopaedic Surgeons and Duffy's nursing group, now have signed on to help the accreditation commission teach the new rules.

O'Leary also has some consumer advice: speak up if you're about to be anesthetized without seeing signs that the surgical team has double-checked your identity and your surgical site.

By Lauran Neergaard

Diet Aid Or Gimmick?

An Atlanta company plans to begin selling a dental device that fits in your mouth and forces you to take smaller bites.

It could help you lose weight — as long as you actually use it when you eat. The gadget isn't permanently attached, so you can leave it out and 카지노사이트 - https://www.staging-hatcher.com/glr/ wolf down big bites anytime you want.

But Scientific Intake believes its DDS System is more palatable than a strict diet or surgery. The company expects to begin selling its devices Wednesday for about $400 apiece.

The company's chief executive says he lost 14 pounds simply by wearing it off and on over five months.

"Many people today ... eat so quickly their stomach doesn't have a chance to get a message to the brain" to stop eating, said CEO William Longley. "This helps slow you down, so you feel satisfied on less food."

To get the device, a dentist takes a mold of your mouth and sends it to Scientific Intake, which produces the plastic retainer-like gizmo and ships it back to the dentist for fitting.

With 30 percent of U.S. adults considered to be obese, health officials, nutritionists and even entrepreneurs such as Longley have been searching for answers.

Nutritionists agree that the DDS gadget could help, but some were mystified as to why anyone would spend hundreds of dollars for this approach.

"You don't need a $500 appliance to do this," said Madelyn Fernstrom, director of the Weight Management - http://pinterest.com/search/pins/?q=Weight%20Management Center at the University of Pittsburgh Medical Center said. "It's not a system — it's simply a physical barrier to eating."

A baby spoon could accomplish the same thing, she suggested. And for the money, she said, some people might want to get a personal trainer - http://www.guardian.co.uk/search?q=personal%20trainer .

Still, the company lists a prominent obesity researcher among its scientific advisers, Kelly Brownell who heads Yale's Center for Eating and Weight Disorders. And at a major gathering of diabetes and obesity doctors, Scientific Intake presented results of a study that showed 24 overweight adults lost an average of nearly six pounds with the device over a month.

"This is a significant attempt to ... help people try and change their behavior, but we need more longer-term proof," said Judith Stern, professor of nutrition and internal medicine at the University of California at Davis, who was not involved in the study. "Losing weight is relatively easy. Keeping it off is really, really hard."

By Daniel Yee

A spokesman for the American Hospital Association wasn't immediately sure whether the organization has ever taken a position on the issue

Some women's advocates said the cases illustrate a newfound willingness by legal officials to interfere with women's choices about their pregnancies.

"My impression is that we have a political culture right now that falsely pits fetal rights against women's rights, and that you are seeing a kind of snowballing effect," said Lynn Paltrow, of the New York-based group Wilkes-Barre General Hospital wouldn't budge, so Marlowe checked herself out and went looking for a new doctor.

While she was on her search, Wilkes-Barre General's lawyers rushed to court to get legal guardianship of her unborn child, giving the hospital the ability to force Marlowe into surgery if she returned.

Marlowe ended up at another hospital, where she had a quick, 카지노사이트 - http://www.motherbabe.com/ natural birth she described as "a piece of cake." She didn't know about the first hospital's action until her husband was told by a reporter.

"They don't know me from anything, and they're making decisions about my body?" she said. "It was terrifying."

Officials with Wilkes-Barre General did not return calls seeking comment.

Some groups representing doctors, including the American College of Obstetrics and Gynecology, have said that physicians should refrain from doing procedures unwanted by pregnant woman, and that use of the courts to resolve conflicts is almost never warranted.

A spokesman for the American Hospital Association wasn't immediately sure whether the organization has ever taken a position on the issue.

In Salt Lake City, an acknowledged cocaine addict with a history of mental health problems resisted having the operation for about two weeks before acquiescing. One of the twins she was carrying died during the delay. The mother was charged with capital murder but ultimately pleaded guilty to a lesser charge of child endangerment and was sentenced - http://www.channel4.com/news/sentenced to probation.

Last month, prosecutors in Pittsburgh charged an unlicensed midwife with involuntary manslaughter for failing to take a woman to the hospital when her baby began to be delivered feet-first. The child died two days later. The midwife said she had been trying to honor the mother's wishes to have the baby at home.

And in Rochester, New York, a judge in late March ordered a homeless woman who had lost custody of several neglected children not to get pregnant again without court approval.

Legal experts and medical ethicists said attempts to prosecute women - http://www.covnews.com/archives/search/?searchthis=prosecute%20women for pregnancy choices, or force them to undergo certain procedures for the benefit of their children, may be on shaky ground.

"There are 50 years of case law and bioethical writings that say that competent people can refuse care, and that includes pregnant women as well," said Art Caplan, chairman of medical ethics at the University of Pennsylvania.

In one influential case, a federal appeals court in Washington, D.C., ruled in 1990 that a judge was wrong to have granted a hospital permission to force a pregnant cancer patient to undergo a Caesarean in an attempt to save the life of her child. The mother and baby died within two days of the operation.

Doctors' opinions on forced care for pregnant mothers have changed, too.

A 2002 survey by researchers at the University of Chicago found only 4 percent of directors of maternal-fetal medicine fellowship programs believed pregnant women should be required to undergo potentially lifesaving treatment for the sake of their fetuses, down from 47 percent in 1987.

Dr. Michael Grodin, director of Medical Ethics at the Boston University School of Medicine, said doctors should seek court intervention when a mother refuses care only if the patient is mentally ill.

"Women have a right to refuse treatment. Women have a right to control their bodies. It is a dangerous slope. What's next? If someone doesn't seek prenatal care, what are we going to do, lock them up?"

By David B. Caruso

citizens

Peter Wyckoff, executive director of the Minnesota Senior Federation's metropolitan region office, said the lawsuit — which the organization hopes will be awarded class-action status — represents - https://www.gov.uk/search?q=represents a new phase in the group's efforts to make it easier to import drugs at lower Canadian prices.

"We have three branches of government that can change things," he said. "This is the third."

The lawsuit in U.S. District Court in Minneapolis alleges Pfizer, GlaxoSmithKline, Abbott Laboratories, AstraZeneca, Boehringer Ingelheim, Eli Lilly, Merck, Novartis and Wyeth Pharmaceuticals have acted in concert to block the supply of name-brand 카지노사이트 - http://achilles.com.vn/ drugs to Canadian pharmacists that sell to U.S. citizens.

GlaxoSmithKline spokeswoman Nancy Pekarek said the company acted independently - http://www.community.covnews.com/archives/search/?searchthis=acted%20ind... of the other companies, in an effort to preserve supplies of its medicines in Canada for that country.

In a statement, Pfizer said its practices comply with U.S. law and federal regulations.

"The simple truth is that the importation of pharmaceutical products into the U.S. from Canada is not only illegal, but also dangerous because it increases the opportunity to introduce counterfeit or unapproved pharmaceutical products into the market," said the statement from spokesman Bryant Haskins.

Representatives for the remaining companies either did not immediately respond to calls for comment or said they could not respond because they had not yet seen the lawsuit.

Merck spokeswoman Anita Larsen declined to comment on the suit, but said Merck "has not announced any plans to restrict or otherwise limit the availability of our medicines in Canada."

It was brought on behalf of the federation, which runs a program that helps its members to import from Canadian pharmacies, as well as three individual members who buy brand name drugs in the U.S. and "all others similarly situated."

"I think they're harmed because they have to pay a higher price here," said attorney Marvin Miller of the Chicago-based firm Miller Faucher and Cafferty, which is handling the case.

The lawsuit seeks attorneys' fees, unspecified damages and a stop to the companies' anti-import efforts. It's premised on federal antitrust laws as well as specific state consumer protection laws.

Last month, the federation held a "Pfix Pfizer" campaign that, besides the lawsuit, included congressional action, resolutions at Pfizer's stockholders meeting, and a boycott of Pfizer's over-the-counter products.

Forbes went on to make films such as "King Rat," a tale of survival in a prisoner-of-war camp, and "The Stepford Wives," a thriller about sinisterly perfect suburban housewives

British film director Bryan Forbes, whose work includes the original 1970s horror classic - http://www.automotivedigitalmarketing.com/main/search/search?q=horror%20... "The Stepford Wives," has died at age 86 after a long illness, a family spokesman said Wednesday.

Matthew D'Ancona said Forbes died surrounded by his family at his home in Surrey.

Forbes was born John Theobald Clarke in 1926 in London. He began his film career as an actor, playing a number of supporting roles in British films in the 1940s and 카지노사이트 - https://dulichhoangan.com/ 1950s, but he soon found more success in screenwriting, and later directing.

He made his debut as director in "Whistle Down the Wind," the 1961 movie about children who come across an escaped convict and mistake him for Jesus.

Forbes went on to make films such as "King Rat," a tale of survival in a prisoner-of-war camp, and "The Stepford Wives," a thriller about sinisterly perfect suburban housewives.

He was screenwriter for "Chaplin," the 1992 biopic of Charlie Chaplin starring Robert Downey Jr., and also wrote several novels. His latest book, "The Soldier's Story," was published last year.

Forbes was made a Commander of the Order of the British Empire in 2004 for services to the arts.

He is survived by his wife, the actress Nanette Newman, and two daughters, TV reporter Emma Forbes and journalist Sarah Standing.

Some stars in Hollywood reacted to the news, including - http://www.ajaxtime.com/?s=including Joan Collins, who tweeted: "Very sad to hear that Bryan Forbes died. He was an iconic figure of the British film industry. My heart goes out to Nanette, Sarah and Emma."

Many doctors fail to screen women

The study involved 149,524 white postmenopausal women, age 65 on average, who had bone density scans. Of the 2,259 who broke bones during the following year, 82 percent had initial bone-density scores indicating thinning bones but not osteoporosis.

Only 18 percent of women with fractures had scores at or above the threshold many doctors use to define osteoporosis and to prescribe drugs.

The study was led by Dr. Ethel Siris at Columbia-Presbyterian Medical Center and included researchers from Merck & Co., which makes the osteoporosis drug Fosamax and funded the study. A Merck doctor participated in a committee that oversaw the study design and analysis, Siris said.

Experts not involved in the study said the data appear sound.

The researchers suggested doctors consider lowering the threshold for prescribing osteoporosis drugs, 카지노사이트 - https://urbanbasis.com/ especially for women who have certain risk factors that increase their chances of breaking - https://www.change.org/search?q=breaking a bone.

"My goal is not to sell medicine; my goal is to inform the debate," Siris said.

The research appears in Monday's Archives of Internal Medicine.

Dr. Leonard Serebro of Ochsner Clinic Foundation cautioned that while drug treatment can help prevent fractures in women with full-blown disease, more evidence is needed to show the same benefit in women with milder bone loss.

Women's risk of developing osteoporosis increases as they enter menopause and lose the bone-protecting effects of estrogen.

The National Osteoporosis Foundation recommends bone density screening for all women 65 and older and for younger postmenopausal women with at least one other osteoporosis risk factor, including smoking, low weight and family history of hip fracture.

Many doctors fail to screen women. And when doctors do the tests, they often do not prescribe medicine unless the results indicate full-blown osteoporosis — a bone-density score of minus 2.5 or less, the researchers said.

>\

>
They said a more reasonable approach would be using National Osteoporosis Foundation guidelines recommending that medication be considered for women with scores of minus 2 or less; or minus 1.5 or less for those with at least one risk factor.

>\

>
However, bone-building medication - https://twitter.com/search?q=bone-building%20medication&src=typd costs around $70 monthly and some insurers will not cover it if women do not have full-blown osteoporosis, Serebro said.

Men were slightly older - 67 compared to 62 for women - when the cancer was found, and the disease was typically in its later stages when discovered in men

In the past 25 years, 카지노사이트 - http://0318.company/ the number of cases in the United States climbed 26 percent, according to the largest study so far on the disease - http://sportsrants.com/?s=disease to date - on more than 2,500 American men with the disease. It was published Monday in the online version of Cancer, the American Cancer Society's journal.

"We didn't know before this that male breast cancer was increasing," said study author Dr. Sharon Giordano, oncologist and assistant professor of medicine at the University of Texas' M.D. Anderson Cancer Center in Houston. "It remains a very rare disease, even though it's gone up."

U.S. male breast cancer rates rose from 8.6 cases per 1 million men in the 1970s to 10.8 cases per 1 million in the 1990s. The study covered 1973-98. The increase was much smaller than that for women, who saw a 52 percent increase in breast cancer cases.

The study raises suspicion that obesity may be responsible for the breast cancer increase in both sexes, said Dr. Michael Thun, epidemiology chief at the Atlanta-based cancer society.

That's because breast cancer has risen for men without the traditional reasons for the rise of female breast cancer, such as increased mammography and use of postmenopausal hormones such as estrogen, which has been linked to breast cancer.

But the waistlines of all Americans are growing. "Fat tissue produces estrogen," which in turn can lead to breast cancer, said Thun, who was not involved in the latest study.

The study also found that men tended to be diagnosed with breast cancer later than women, likely because screening is not common. Men were slightly older - 67 compared to 62 for women - when the cancer was found, and the disease was typically in its later stages when discovered in men.

Despite this, cancer experts say the breast cancer risk for men remains low enough that they should be more concerned with common killers, such as heart disease and lung, prostate and colorectal cancers - http://search.usa.gov/search?affiliate=usagov&query=colorectal%20cancers .

"When you have an increase in a rare cancer, you still have a rare cancer," said Thun. "Given the rarity of disease, it's far more important to have screening for colorectal cancer and to avoid smoking" than to focus on breast cancer in men.

Self-exams aren't necessary for men. But if a man finds a lump in his breast, has nipple discharge or bleeding, he needs to see a doctor, Giordano said.

By Daniel Yee

Women's risk of developing osteoporosis increases as they enter menopause and lose the bone-protecting effects of estrogen

The study involved 149,524 white postmenopausal women, age 65 on average, who had bone density scans. Of the 2,259 who broke bones during the following year, 82 percent had initial bone-density scores indicating thinning bones but not osteoporosis.

Only 18 percent of women with fractures had scores at or above the threshold many doctors use to define osteoporosis and to prescribe drugs.

The study was led by Dr. Ethel Siris at Columbia-Presbyterian Medical Center and included researchers from Merck & Co., which makes the osteoporosis drug Fosamax and funded the study. A Merck doctor participated in a committee that oversaw the study design - http://www.travelpod.com/s/study%20design and analysis, Siris said.

Experts not involved in the study said the data appear sound.

The researchers suggested doctors consider lowering the threshold for prescribing osteoporosis drugs, especially for women who have certain risk factors that increase their chances of breaking a bone.

"My goal is not to sell medicine; my goal is to inform the debate," Siris said.

The research appears in Monday's Archives of Internal Medicine.

Dr. Leonard Serebro of Ochsner Clinic Foundation cautioned that while drug treatment can help prevent fractures in women with full-blown disease, more evidence is needed to show the same benefit in women with milder bone loss.

Women's risk of developing osteoporosis increases as they enter menopause and lose the bone-protecting effects of estrogen.

The National Osteoporosis Foundation recommends bone density screening for all women 65 and older and for younger postmenopausal women with at least one other osteoporosis risk factor, including smoking, low weight and 카지노사이트 - http://themes.blahlab.com/huglab/ family history of hip fracture.

Many doctors fail to screen women. And when doctors do the tests, they often do not prescribe medicine unless the results indicate full-blown osteoporosis — a bone-density score of minus 2.5 or less, the researchers said.

>\

>
They said a more reasonable approach would be using National Osteoporosis Foundation guidelines recommending that medication - http://www.caringbridge.org/search?q=medication be considered for women with scores of minus 2 or less; or minus 1.5 or less for those with at least one risk factor.

>\

>
However, bone-building medication costs around $70 monthly and some insurers will not cover it if women do not have full-blown osteoporosis, Serebro said.

"These products are different in terms of how they are used and marketed, but as risk factors for youth smoking, they appear to be nearly the same," he said

A new study adds to a growing body of evidence - http://www.tumblr.com/tagged/evidence linking the use of electronic cigarettes and other non-cigarette tobacco products to future use of conventional cigarettes in teens.

Adolescents who use these products, such as e-cigarettes, hookahs, non-cigarette combustible tobacco or smokeless tobacco, are more likely to start smoking cigarettes within a year, according to the new research.

"We've seen the prevalence of youth cigarette smoking decrease over the past 20 years, but the rising popularity of these non-cigarette products is a fairly recent development that poses new questions for tobacco control and youth smoking prevention," lead study author Benjamin Chaffee, PhD, of the University of California, San Francisco, told CBS News.

The study, published in JAMA Pediatrics, surveyed more than 10,000 adolescents aged 12 to 17 from across the United States who said they had never smoked cigarettes. Participants were also asked if they had ever used non-cigarette tobacco products.

A year later, the teens were asked once again about their tobacco use. The results showed that teens who used e-cigarettes, hookahs, or non-cigarette tobacco were twice as likely to have smoked cigarettes within the past 30 days at the one-year follow up.

Chaffee said one finding that was particularly striking was that all the different types of non-cigarette tobacco studied were associated with approximately the same increase in risk of future cigarette smoking.

"These products are different in terms of how they are used and marketed, but as risk factors for youth smoking, they appear to be nearly the same," he said.

Teens who used more than one tobacco product were even more likely to start smoking conventional cigarettes.

Previous studies have also found evidence that e-cigarettes and other non-cigarette tobacco products are a gateway to conventional cigarette smoking in teens.

In 2016, the FDA banned the sale of e-cigarettes and other such products to anyone younger than 18.

However, 카지노사이트 - https://www.boucard-emballages.com/ Chaffee believes more can be done. "Regulation of these non-cigarette products should reflect the fact that all of them are associated with greater risk of youth smoking," he said. "Measures that reduce the appeal of these products to adolescents, like banning flavors, increasing the minimum purchase age to 21, and taxation, would help keep youth from starting to use tobacco in any form."

For parents, schools, and health care providers, Chaffee said the message - https://www.change.org/search?q=message to convey to teens is that there is no safe form of the habit. "The healthiest alternative is always to be tobacco free," he said.

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