medwaygreen

Despite overwhelming medical evidence supporting the withdrawal of intensive care in extremely ill children who are unlikely to survive, parents who have deeply held religious beliefs may hold out for a miracle, a small study has found. Although religion provides needed support for many families of critically ill patients, the investigators found hopes for divine intervention are increasingly causing children to be subjected to aggressive medical treatment that is not in their best interest. The ethics and legality of these cases should be reevaluated, the study authors suggested. The study, conducted by a team of intensive care doctors and a hospital chaplain, involved a review of 203 cases in which parents were forced to make end-of-life decisions for their children. The researchers found that in 186 of these cases, the children's parents and their doctors were in agreement about the withdrawal of aggressive medical care that would ultimately be ineffective. In 17 cases, however, there was prolonged debate between the sick children's parents and their medical team over the best way to continue with their medical care. Although the children's doctors advised the withdrawal of intensive care based on overwhelming medical evidence, their parents insisted on continuing aggressive medical treatment. Of these cases involving disagreement over the children's end-of-life decisions, 65 percent, or 11 cases, involved directly expressed religious beliefs that intensive care should not be stopped because the parents anticipated divine intervention and a cure. Among the religions represented in this group were Christian fundamentalism, Islam, Judaism, and Roman Catholicism, the researchers noted. These parents also thought the doctors were overly pessimistic and wrong. In the remaining five cases in which religious beliefs played a role in children's end-of-life decisions, resolution was not found so intensive care was continued. Four of the children eventually died. One child survived with profound neurological disability, according to the report published online Aug. 14 in the Journal of Medical Ethics. The study authors noted that intensive care was withdrawn in all six of the 17 cases in which religion did not sway parents' decisions about their children's treatment. Five of these children died and one survived with severe brain damage. It's "completely understandable" for parents to advocate for their children, the researchers noted in a journal news release. However, when children are too young to actively subscribe to their parents' religion, these beliefs may not be the appropriate determining factor for their treatment, study author Dr. Andy Petros, of the pediatric and neonatal intensive care unit at Great Ormond Street Hospital for Children, in London, and colleagues explained. In some cases, they stated, continuing useless aggressive medical treatment may be inhumane. "Spending a lifetime attached to a mechanical ventilator, having every bodily function supervised and sanitized by a carer or relative, leaving no dignity or privacy to the child and then adult, has been argued as inhumane," they said in the report. "We suggest it is time to reconsider current ethical and legal structures and facilitate rapid default access to courts in such situations when the best interests of the child are compromised in expectation of the miraculous," the authors concluded. Just from we with great emotional love. Richard.

I wanted to buy a leather watch strap from a site in America and the postage required for this $39.99 item was quoted to me as being $133.00 and they were serious.

Have to reply here Phone, it is a bit the other way around, no matter what voice inflection( natural) the artist seems to have they all, it is the good one,s come out singing English. Richard.

Let me know want you want, I will tell him:)

London 2012 80cm Wenlock Union Jack Soft Toy, Was £150 NOW £19.99 - 86% off It,s out of stock:( Wanted this for my Grandchildren.

I told my wife Janet about the feeding advise and She had feed whilst the plants were growing, then she stopped and as soon as the flower heads started to develop into baby toms, feeding was started again. We have a abundance of fruit and the plants are hanging over the pots with the weight, so thank you for this tread. I think her variety are bush type plants that do not grow high. Very happy and pleased the wife is. , , .

As with most threads of this type,it does appear to degenerate into the black and white corners. therefore I can only decline to support the initiative for more benefits for the military, unless it encompasses all of us. Richard. THIS WAS WHAT YOU PASTED AND NOT MY POST OR MY VIEWS YOU ARE SO CHEAP> This reply just shows me why no one wishes to debate with you, all YOU do is corrupt posts to suit your own perspective and you do not deserve to have any replies to anything you post.

Ken you love to aggravate the situation and sometime you are like a dog with a bone, let it go and be objective as I know you most often are. Richard.

As with most threads of this type,it does appear to degenerate into the black and white corners. My observation is that, we all undertake our careers as young people with a small understanding of what may be expected of us. That is with the exception of let me use the word essential services, our young and middle aged men and women that joined the military or other services knew what they signed up for and yes they did expect a pension superia to others, however that is not the case across the broad spectrum of the British and more importantly the ENGLISH working class( that used in it,s literal sense), therefore I can only decline to support the initiative for more benefits for the military, unless it encompasses all of us. Richard.

Hi Judy, Well all four on your short list are very good camera,s, I would always recommend Nikon as all my DSLR kit is Nikon, however not knowing the camera I would be a little concern about the huge zoom range and the ability of the camera to keep the IQ across 28-1000mm. The Panasonic has that wonderful Leica lens very good indeed, it also has the ability to shoot in RAW if you need to, IE uncompressed files. This would just edge it for me. My advice to you as all of the camera,s are closely matched is to go into a shop that has all the models a try them in hand. often the best feel and handling for you will make the decision for you. Good luck and I cannot wait to see your first postings. Richard.

No VAT on funeral costs.

Ken to your first Do you, No I do not it is our responsibly as a cultured society to do what has to be done. The next Do you, Yes I do if you take a lead through the argument, then logically free for one free for all, if not you are only talking about who can we TAX. In my opinion there is only one balance on this and that is if we love our aged community then we pay, yes that is us the TAX providing population, NOW can you see why the Government of the day or past do not wish to go this route, it is to bloody expensive, do all the bleeding hearts want to pay I doubt it very much.

I believe the word is more appropriately FEAR and of course the encouragement of the PM and chancellor of the time. They were very frightening times for all and still could be(aftermath), especially for Members of government of the time, that had and still do have a very low IQ.

Thought you may like to see a different genre, ie 35mm film these taken on Nikon F90X Sigma 24mm and Fuji Sensia slide film. I hope you like. Richard.

I am sure that the trust have responsibility for the system, but I am not sure any fishing happens due to the access, this contact may be able to help you if anyone can. Thamesmead Town Angling Club Thamesmead Town Angling Club (TTAC) fish at Gallions Lake in West Thamesmead and at Birchmere, sun-up to sun-down and at just £6 per session for one rod, £10 per session for two rods. T: 07810 066632 (Brian) E: brianwoolsey@btinternet.com

Now Mr Goddard, I have it on good authority that you were a pretty good footballer in your youth. And to be precise it is a wall of red and a wall of blue paint, much more exciting to watch dry .

Will be a much better final with Italy there and maybe Spain will play a forward or two .

That,s because the idiot Brown sold all the gold reserves off for less than $300 an once and gave a discount on that as well. Just a complete idiot and how anyone can justify what he did is beyond me.

Very nice set of shots Newt, that camera is doing you proud. The area looks just fantastic.

That,s the best post I have seen for years. :thumbs: Blended it looks like.

Robin will be pleased about that.

I had the privilege to be invited to fish Wingham 2012 for the Saturday and although my basket was empty at the end of my session, it is sometimes only secondary to the experience of being at such a wonderful place and having a chance to meet our AN friends. Firstly and big thank you to Steve for inviting me, I have not had any opportunity to fish in the last twelve months and I enjoyed myself immensely. As usual the organisation was second to none and a tremendous thank you to Steve, Peggy, Terry, Glynn and all the bailiffs who have work so hard to make this annual event the highlight of our fishing calendar. Here are some photo,s of the outlook from my swim, which I hope conveys the sheer beauty of Wingham. Once again many thanks to all. Richard.

Hi Si, I am at the moment about 30 miles from Wingham and the weather does indeed look and feel just right for your Carp adventure, good luck and I hope you lock into one of the big common,s, see you tomorrow maybe. Richard.

I think you should be addressing your question to Phil not me, I am a buyer, Phil is the seller.

Arrived OK and very pleased, excellent value, thank you very much Phil. Richard.