RESUMO
In 2004, the then National Institute for Clinical Excellence (NICE) published a technology-appraisal guideline on the treatment of patients with unstable angina (UA) or non-ST elevation myocardial infarction (NSTEMI). This article reports the results of a study in which triage and treatment for this patient group in one emergency department (ED) was assessed against this NICE guideline. The study found that patients were triaged by ED staff successfully but that there had been a lack of awareness of prognostic risk groupings and that compliance with guidelines on early antiplatelet therapy had not been ideal. The authors conclude, therefore, that the introduction of an ED pathway for patients with UA or NSTEMI would improve clinicians' compliance with the NICE guideline.
Assuntos
Síndrome Coronariana Aguda/enfermagem , Angina Instável/enfermagem , Fidelidade a Diretrizes , Infarto do Miocárdio/enfermagem , Auditoria de Enfermagem , Inibidores da Agregação Plaquetária/uso terapêutico , Triagem , Síndrome Coronariana Aguda/diagnóstico , Síndrome Coronariana Aguda/terapia , Adulto , Idoso , Idoso de 80 Anos ou mais , Angina Instável/diagnóstico , Angina Instável/terapia , Procedimentos Clínicos , Inglaterra , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Infarto do Miocárdio/diagnóstico , Infarto do Miocárdio/terapia , Estudos Retrospectivos , Medição de RiscoRESUMO
This report considers whether research involving the creation of human-animal interspecies somatic cell nuclear transfer (iSCNT) embryos raises new ethical issues, and if so, whether it requires additional or special criteria and oversight distinct from research on human-animal chimeras.
Assuntos
Técnicas de Transferência Nuclear/ética , Pesquisa Biomédica/ética , Blastocisto/citologia , Técnicas de Cultura Embrionária/ética , Desenvolvimento Embrionário , Células-Tronco Embrionárias/citologia , Pesquisa em Genética/ética , HumanosRESUMO
The International Society for Stem Cell Research (ISSCR) task force that developed new Guidelines for the Clinical Translation of Stem Cells discusses core principles that should guide the responsible transition of basic stem cell research into appropriate clinical applications.