z Evidence summary The law of informed consent defines the right to informed refusal. Thus, each case must establish: 1) that the patient or decision maker is competent, 2) that the decision is voluntary, and 3) that the physician disclosed the risks of the choice to the patient, including a discussion of risks and alternatives to treatment, and potential consequences of treatment refusal, incl...

OBJECTIVE To validate a brief measure of vaccination confidence using a large, nationally representative sample of parents. METHODS We analyzed weighted data from 9018 parents who completed the 2010 National Immunization Survey-Teen, an annual, population-based telephone survey. Parents reported on the immunization history of a 13- to 17-year-old child in their households for vaccines includi...

Involuntary administration of antipsychotic medication to pretrial criminal defendants raises important and controversial questions. These questions arise especially with defendants who have been adjudicated as incompetent to stand trial and who require medication to be restored to trial-competency and return to face their pending criminal charges. This subject has been fiercely debated for dec...

arguments for the recognition of cultural diversity have led to a fundamental question in political theory: on what basis the process of political decision making should be formed to accommodate cultural diversity as a permanent feature of contemporary societies? the aim of this paper is to examine whether 'dialogue' can be employed as a means in such a process. the first section of this paper...

BACKGROUND AND AIMS Self-efficacy beliefs and outcome expectancies are central to Social Cognitive Theory (SCT). Alcohol studies demonstrate the theoretical and clinical utility of applying both SCT constructs. This study examined the relationship between refusal self-efficacy and outcome expectancies in a sample of cannabis users, and tested formal mediational models. DESIGN Patients referre...

Since the introduction of HPV vaccination programs in Canada in 2007, coverage has been below public health goals in many provinces and territories. This analysis investigated the determinants of HPV non-vaccination and vaccine refusal. Data from the Childhood National Immunization Coverage Survey (CNICS) 2013 were used to estimate the prevalence of HPV non-vaccination and parental vaccine refu...

[1] Benthic foraminiferal dC and Cd/Ca studies suggest that deep Atlantic circulation during the Last Glacial Maximum was very different from today, with high-nutrient (low dC, high Cd) deep Southern Ocean Water (SOW) penetrating far into the North Atlantic. However, if some glacial dC values are biased by productivity artifacts and/or air-sea exchange processes, then the existing dC data may b...