MD2002 Week 7 Flashcards
(56 cards)
4 methods of abortion
- medical (up to 13weeks)
- vacuum aspiration/suction (7-15weeks)
- surgical d and e (15 weeks onward)
- late abortion (20weeks onward)
under Abortion Act of 1967, abortion permitted when…
24 weeks, when necessary to prevent permanent injury or child has substantial risk of serious handicap
accompanying rules under Abortion Act
- 2 doctors must agree on abortion
- females under 16 don’t need parental consent if they are competent
- you, as a health care provider, can object to directly participating in abortion
- fetus acquires same legal rights as newborn once outside of uterus
ethical difficulties with the Abortion Act
- what is a serious handicap?
- rights of father
- can a woman be forced to undergo C-section?
outline St. George’s Healthcare NHS Trust v S case
“S” diagnosed w/ pre-eclampsia but wanted baby born naturally regardless of life threat. “S” self-reported depression and was forcibly admitted under Mental Health Act 1983 to undergo C-section
what was dispensation in “S” case wrongly granted? (3)
- capacity is not automatically effected due to pregnancy
- fetus has no legal right to life
- forced treatment for mental disorders under Mental Health Act don’t include physical treatments outside scope of mental disorder
what is the takeaway from the “S” case?
woman cannot be forced to agree to treatment even if thinking is irrational
euthanasia
X intentionally kills or permits Y’s death for Y’s benefit
passive euthanasia
euthanasia where X withholds life prolonging treatment
non-voluntary euthanasia
euthanasia when Y isn’t competent to express a preference
pyramid pain killing
increasing doses of pain killers to alleviate pain, but with possibility of causing death (doctrine of double effect)
reasons for allowing euthanasia (5)
- consistency (suicide legal - why not allow those incapable of suicide?)
- passive to active (passive is slow)
- painkillers to lethal injection (is L.I. so different from painkillers morally? DDE)
- mercy/compassion
- regulation (policing, doctors less vulnerable)
reasons against euthanasia (5)
- respect for sanctity of life
- palliative care
- exploitation/manipulation
- contrary to aims of medicine
- slippery slope
euthanasia in Netherlands is allowed if… (4)
- patient is incurable
- patient is suffering
- patient has requested to die
- performed by patient’s doctor
where is assisted suicide legal?
this is legal in Switzerland and Oregan
two euthanasia organizations in Switzerland
- EXIT (only for nationals)
2. Dignitas
basis of hospice movement
emphasis from care focusing on quantity of life, towards quality of life
how are cyclin-cdk complexes activated?
- protein kinases prime it w/ 2 P
2. activating protein phosphatase removes inhibitory P
Wee1
a cyclin-cdk inhibitory kinase
cdc25
a cyclin-cdk activating phosphatase
cyclin-cdk complex characteristic of M phase
B-CDC2
cyclin-cdk complex characteristic of G1 phase
D-CDK4/6
cyclin-cdk complex characteristic of G1/S phase
E-CDK2
cyclin-cdk complex characteristic of beginning of S phase
A-CDK2