289 research outputs found

    Investigations into the effects of cyclical rhythm and hormonal contraception on serum fat-mobilizing activity, glycerol, cholesterol and blood glucose.

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    The effects were investigated of cyclical rhythm and hormonal contraception on serum fat-mobilizing activity, glycerol, cholesterol and whole blood glucose during 2 menstrual cycles in a group of normally menstruating young women and a second group of young women using hormonal contraception. A control group of normal young men was also investigated. There was no evidence of any change in mean level of any of the parameters measured, among the follicular, ovulatory and luteal phases. No cyclical pattern was discernable in the male subjects. The mean value for serum cholesterol concentration in women using hormonal contraception was higher than the value for the untreated human female group. The overall mean value for serum glycerol concentration in the women was significantly (0.01 > P > 0.001) higher than the mean value obtaining in the men

    “Being Guided”: What Oncofertility Patients’ Decisions Can Teach Us About the Efficacy of Autonomy, Agency, and Decision-Making Theory in the Contemporary Critical Encounter

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    Recent research on patient decision-making reveals a disconnect between theories of autonomy, agency, and decision-making and their practice in contemporary clinical encounters. This study examines these concepts in the context of female patients making oncofertility decisions in the United Kingdom in light of the phenomenon of “being guided.” Patients experience being guided as a way to cope with, understand, and defer difficult treatment decisions. Previous discussions condemn guided decision-making, but this research suggests that patients make an informed, autonomous decision to be guided by doctors. Thus, bioethicists must consider the multifaceted ways that patients enact their autonomy in medical encounters
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