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- Cuttini, Marina, et al.
(författare)
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Patient refusal of emergency cesarean delivery - A study of obstetricians' attitudes in Europe
- 2006
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Ingår i: Obstetrics and Gynecology. - 1873-233X. ; 108:5, s. 1121-1129
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Tidskriftsartikel (refereegranskat)abstract
- OBJECTIVE: To compare the attitudes of a large sample of obstetricians from eight European countries toward a competent woman's refusal to consent to an emergency cesarean delivery for acute fetal distress. METHODS: Obstetricians' attitudes in response to a hypothetical clinical case were surveyed through an anonymous, self-administered questionnaire. The sample included 1,530 obstetricians (response rate 77%) from 105 maternity units (response rate 70%) in eight countries: France, Germany, Italy, Luxembourg, Netherlands, Spain, Sweden and the United Kingdom. RESULTS: In every country, the majority of obstetricians would keep trying to persuade the woman, telling her that failure to perform cesarean delivery might result in the fetus surviving with disability, or even that her own life might be endangered. In Spain, France, Italy, and, to a lesser extent, Germany and Luxembourg, a consistent proportion of physicians would seek a court order to protect fetal welfare or avoid possible legal liability or both. In the United Kingdom, Sweden, and Netherlands, several respondents (59%, 41%, and 37%, respectively) would accept the woman's decision and assist vaginal delivery. Only a small minority (from 0 in the United Kingdom to 10% in France) would proceed with cesarean delivery without a court order. CONCLUSION: Case law arising from a few countries (United States, Canada, and the United Kingdom) and professional guidelines favoring women's autonomy have not solved the underlying ethical conflict, and in Europe acceptance of a woman's right to refuse cesarean delivery, at least in emergency situations, is not uniform. Differing attitudes between obstetricians from the eight countries may reflect diverse legal and ethical environments.
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| 2. |
- Stefanova, Silvia, et al.
(författare)
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Viewing and Querying Topic Maps in terms of RDF
- 2008
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Ingår i: SEMMA2008: First International Workshop on Semantic Metadata Management and Applications.
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Konferensbidrag (refereegranskat)abstract
- Both Topic Maps and RDF are popular semantic web standards designed for machine processing of web documents. Since these representations were originally created for different purposes, they have conceptual differences in their data models, and therefore have different tools to parse, store, and query them. However, there are more tools to handle RDF data than those existing for Topic Maps. Our approach is to map Topic Maps to a view expressed in RDF and then query this view by the RDF query language SPARQL. To achieve this, a generic conceptual schema of Topic Maps is defined using a functional data model. Based on the conceptual schema of Topic Maps, an automatic mapping from Topic Maps to the RDF data model is developed. The mapping provides a general view of any Topic Map data in terms of RDF that can be queried using SPARQL. Query rewriting techniques based on partial evaluation enable realistic performance.
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