BACKGROUND The Netherlands, Belgium, and Luxembourg have adopted laws decriminalizing euthanasia under strict conditions of prudent practice. These laws stipulate, among other things, that the attending physician should consult an independent colleague to judge whether the substantive criteria of due care have been met. In this context initiatives were taken in the Netherlands and Belgium to es...

According to even the most conservative estimates, at least a quarter of deaf children have additional disabilities. Most teacher preparation programs do not sufficiently prepare teacher candidates for the challenges posed by these children. This article describes a professional development effort to prepare in-service educators of the deaf to work with students with additional disabilities. Ov...

Following the stellar career of papal physician Giulio Mancini, the article brings into focus learned doctors' uses of, and relationships with, manu- scripts. Manuscripts were the main outcome of their practice - as letters of consultation to patients and colleagues, as consilia of various kinds, including for use in courts of law, and also in the form of key professional tools such as casebook...

The Hand Therapy Certification Commission, Inc., in consultation with the Professional Examination Service, completed a practice analysis of hand therapy in 2001. One goal was to obtain information about the competencies shown by therapists at specific points of experience. Six competency areas were identified and included in the final survey: scientific knowledge, clinical judgment/clinical re...

For decades a debate has played out in the literature about who bioethicists are, what they do, whether they can be considered professionals qua bioethicists, and, if so, what professional responsibilities they are called to uphold. Health care ethics consultants are bioethicists who work in health care settings. They have been seeking guidance documents that speak to their special relationship...

In 2008, the Hand Therapy Certification Commission (HTCC), in consultation with Professional Examination Service, performed a practice analysis study of hand therapy, the fourth in a series of similar studies performed by HTCC over a 23-year period. An updated profile of the domains, tasks, knowledge, and techniques and tools used in hand therapy practice was developed by subject-matter experts...

Services of ethics consultants are nowadays commonly used in such various spheres of life as engineering, public administration, business, law, health care, journalism, and scientific research. It has however been maintained that use of ethics consultants is incompatible with personal autonomy; in moral matters individuals should be allowed to make their own decisions. The problem this criticis...

Parents of children with intellectual disabilities and/or physical disabilities are supposed to have an increased risk for parenting stress and psychological distress. We as professional caregivers sometimes experience difficulties in keeping good relations or communicating with the parents. Professional workers in 460 institutions and consultation centers throughout Japan answered a questionna...

BACKGROUND Delayed diagnosis of head and neck cancer is often caused by patient related factors. However, the primary health care provider may also be responsible. OBJECTIVES To define patient, professional and total delay, and to identify factors that may increase delay. METHODS The study group consisted of 102 patients with oral or pharyngeal cancer referred to Princess Margaret Hospital,...

BACKGROUND Telemedicine has emerged as an efficient means of distributing professional medical expertise over a broad geographic area with few limitations to the various services that can be provided around the globe. Telepathology is particularly well suited to distributing subspecialty expertise in certain environments in an economical fashion, while preserving centers of excellence. MATERI...