setting up an ethical oncofertility practice in developing countries

Fertility preservation for cancer patients is a relatively new field in medicine which requires interdisciplinary approach. Improving therapies and rising survival rates require to consider patient's quality of life after cancer is cured which is relevant personal issue regardless of the individual income and the level of development of the country of origin. Fertility preservation offers possible solution but also raises ethical questions. We provide a summary of ethical principles embodied in professional guidelines together with options and restrictions to access fertility preservation in developing countries. We also make a suggestion that oncofertility counselling could be a pillar to address fertility preservation issues in cancer patients. Our proposed decisional support model is patient centred and focuses on patient values, personal philosophy and view of life emphasizing sensitivity to individual patient's needs and wishes. Some fertility preservation concerns in oncology might be addressed mirroring already available expertise while some others will call for innovative and region specific solutions. Therefore, in addition to our proposal we also provide a list of organisations working in oncofertility field. DOI: http://dx.doi.org/10.3329/bioethics.v5i3.21532 Bangladesh Journal of Bioethics 2014 Vol.5 (3): 6-17

Conformal Transformations in Cosmology of Modified Gravity: the Covariant Approach Perspective

The 1+3 covariant approach and the covariant gauge-invariant approach to perturbations are used to analyze in depth conformal transformations in cosmology. Such techniques allow us to obtain very interesting insights on the physical content of these transformations, when applied to non-standard gravity. The results obtained lead to a number of general conclusions on the change of some key quantities describing any two conformally related cosmological models. In particular, it is shown that the physics in the Einstein frame has characteristics which are completely different from those in the Jordan frame. Even if some of the geometrical properties of the cosmology are preserved (homogeneous and isotropic Universes are mapped into homogeneous and isotropic universes), it can happen that decelerating cosmologies are mapped into accelerated ones. Differences become even more pronounced when first-order perturbations are considered: from the 1+3 equations it is seen that first-order vector and tensor perturbations are left unchanged in their structure by the conformal transformation, but this cannot be said of the scalar perturbations, which include the matter density fluctuations. Behavior in the two frames of the growth rate, as well as other evolutionary features, like the presence or absence of oscillations, etc., appear to be different too. The results obtained are then explicitly interpreted and verified with the help of some clarifying examples based on $f(R)$-gravity cosmologies.Comment: 26 pages, 8 figure

Early extubation with immediate non-invasive ventilation versus standard weaning in intubated patients for coronavirus disease 2019: a retrospective multicenter study

In patients intubated for hypoxemic acute respiratory failure (ARF) related to novel coronavirus disease (COVID-19), we retrospectively compared two weaning strategies, early extubation with immediate non-invasive ventilation (NIV) versus standard weaning encompassing spontaneous breathing trial (SBT), with respect to IMV duration (primary endpoint), extubation failures and reintubations, rate of tracheostomy, intensive care unit (ICU) length of stay and mortality (additional endpoints). All COVID-19 adult patients, intubated for hypoxemic ARF and subsequently extubated, were enrolled. Patients were included in two groups, early extubation followed by immediate NIV application, and conventionally weaning after passing SBT. 121 patients were enrolled and analyzed, 66 early extubated and 55 conventionally weaned after passing an SBT. IMV duration was 9 [6–11] days in early extubated patients versus 11 [6–15] days in standard weaning group (p = 0.034). Extubation failures [12 (18.2%) vs. 25 (45.5%), p = 0.002] and reintubations [12 (18.2%) vs. 22 (40.0%) p = 0.009] were fewer in early extubation compared to the standard weaning groups, respectively. Rate of tracheostomy, ICU mortality, and ICU length of stay were no different between groups. Compared to standard weaning, early extubation followed by immediate NIV shortened IMV duration and reduced the rate of extubation failure and reintubation

Shannon Information Theory and Molecular Biology

The role and the contribution of Shannon Information Theory to the development of Molecular Biology has been the object of stimulating debates during the last thirty years. This seems to be connected with some semantic charms associated with the use of the word \u201cinformation\u201d in the biological context. Furthermore information itself, if viewed in a broader perspective, is far from being completely defined in a fashion that overcomes the technical level at which the classical Information Theory has been conceived. This review aims at building on the acknowledged contribution of Shannon Information Theory to Molecular Biology, so as to discover if it is only a technical tool to analyze DNA and proteinic sequences, or if it can rise, at least in perspective, to a higher role that exerts an influence on the construction of a suitable model for handling the genetic information in Molecular Biology

Explicating the notion of causation: the role of extensive quantities

This chapter proposes an empirical explication of the notion of 'causation', which the chapter calls a generalized explication of 'causation' (GEC), based on the numerical balance between instantiations of extensive quantities. In this way, the chapter shows that both the conserved and the non-conserved quantities have a role. It follows that the Salmon-Dowe approach should be considered valid only in particular cases