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The concepts of assent and parental permission in pediatrics

World Journal of Pediatrics 2014年第1期10卷 89-90页

作者： urh groselj Hassib Narchi Department of Pediatric Endocrinology Diabetes and Metabolic DiseasesUniversity Children's Hospital Ljubljanaand National Medical Ethics Committee of Slovenia LjubljanaSlovenia Department of Pediatrics College of Medicine&Health Sciences United Arab Emirates University Al Ain United Arab Emirates

The recently published article by Narchi et al[1]brings an important empirical insight into a very complex issue of parental consent for lumbar puncture(LP)in children;quite worrisome observation from authors'clinical practice that almost half of the parents refused to give consent for the LP is confirmed.[1]However,the concept of(parental)consent,used by Narchi et al,[1]would need to be further elaborated with introduction of two other important concepts in pediatrics-child's assent and parental *** concepts were endorsed by the policy statement of the American Academy of Pediatrics(published in 1995;reaffirmed in 2011).[2]Accordingly,only the patients with appropriate decisional capacity could give their informed *** all other situations,parents provide informed permission for an intervention on their child,with assent of the child if appropriate.[2]Most of children from age seven are thought to understand basic information if adequately presented,[3]The need for assent was also supported by the Confederation of European Specialists in Pediatrics,stating that all children have a right to give their assent(or dissent)and may refuse interventions that are not necessary to save their lives or prevent serious harm.[4]Furthermore,the responsibility to make decision in children is shared between physicians and *** later should provide informed permission before interventions(except in emergency situations),which includes all the elements of informed consent,reflecting the child's best interests.

关键词： parental statement consent

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The Influence of Different Sterilization Techniques on the Time-Dependent Behavior of Polyamides

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Journal of Biomaterials and Nanobiotechnology 2011年第4期2卷 361-368页

作者： Galina Kubyshkina Barbara Zupancic Marina Stukelj Dusan groselj Ljubo Marion Igor Emri Elektromaterial Lendava d.d. LendavaSlovenia Center for Experimental Mechanics Faculty of Mechanical EngineeringUniver-sity of LjubljanaLjubljanaSlovenia Veterinary Faculty University of LjubljanaLjubljanaSlovenia Faculty of Medicine University of LjubljanaLjubljanaSlovenia

For this investigation conventional polyamide 6 with monomodal molecular mass distribution, and the newly developed bimodal one were used. Conventional polyamide 6 was used as a reference material in order to emphasize prospects of using bimodal material for medical applications from the point of view of sterilization resistance and improved creep behavior. Time-dependent mechanical properties of testing samples were characterized by torsional creep measurements in non-sterilized state and after sterilization with three different techniques: with autoclave, ethylene oxide, and hydrogen peroxide plasma. Results show that the two materials exhibit pronounced difference in morphology and consequently, mechanical properties. Both of them were not significantly affected by any of used sterilization techniques. However, bimodal material, originally being noticeably more time-stable in comparison to monomodal one, retains these preferences also post sterilization.

关键词： Sterilization Polyamide Creep Time stability

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