1,932 research outputs found

    Nutrition and Eye Health

    Get PDF
    Diet is a key lifestyle factor that can have long-term effects on ocular health [...]

    Dr. Cezanne and the Art of Re(peat)search: Competing Interests and Obligations in Clinical Research

    Get PDF
    Clinician researchers have a number of roles, each of which carries specific obligations. There are times when these obligations may be in competition (up to and including conflict) with each other. Using a narrative case study that describes a group of colleagues discussing their clinical department\u27s participation in an industry-sponsored research protocol, we illustrate a number of the obligations faced by clinician researchers, and discuss how competing interests and obligations can lead to ethical problems. The case study is followed by a discussion of the effect of university-industry relations on competing interests and obligations in both clinical research and the role of the university, and a suggested framework that could be used to determine when university involvement in commercial research is ethically acceptable

    Pereira’s Attack on Legalizing Euthanasia or Assisted Suicide: Smoke and Mirrors

    Get PDF
    Objective: To review the empirical claims made in: Pereira J. Legalizing euthanasia or assisted suicide: the illusion of safeguards and controls. Curr Oncol 2011;18:e38–45. Design: We collected all of the empirical claims made by Jose Pereira in “Legalizing euthanasia or assisted suicide: the illusion of safeguards and controls.” We then collected all reference sources provided for those claims. We compared the claims with the sources (where sources were provided) and evaluated the level of support, if any, the sources provide for the claims. We also reviewed other available literature to assess the veracity of the empirical claims made in the paper. We then wrote the present paper using examples from the review. Results: Pereira makes a number of factual statements without providing any sources. Pereira also makes a number of factual statements with sources, where the sources do not, in fact, provide support for the statements he made. Pereira also makes a number of false statements about the law and practice in jurisdictions that have legalized euthanasia or assisted suicide. Conclusions: Pereira’s conclusions are not supported by the evidence he provided. His paper should not be given any credence in the public policy debate about the legal status of assisted suicide and euthanasia in Canada and around the world

    Pereira\u27s Attack on Legalizing Euthanasia or Assisted Suicide: Smoke and Mirrors

    Get PDF
    In a paper published in Current Oncology, University of Ottawa palliative care physician Jose Pereira states that the, “laws and safeguards [in countries in which euthanasia or assisted suicide have been legalized] are regularly ignored and transgressed in all the jurisdictions, and that transgressions are not prosecuted.” He purports to demonstrate that the safeguards and controls put in place in the permissive jurisdictions are an “illusion.” In the present paper, we expose problems with the evidence base provided and relied upon by Pereira. It should be noted that we provide only examples of each of the categories of mistakes made by Pereira. The original work contains more, but the examples given should suffice to demonstrate that Pereira’s conclusions are not supported by the evidence provided by him. We conclude that his paper should not be given any credence in the public policy debate about the legal status of assisted suicide and euthanasia in Canada and around the world

    A Critical Appraisal of National and International Clinical Practice Guidelines Reporting Nutritional Recommendations for Age-Related Macular Degeneration: Are Recommendations Evidence-Based?

    Get PDF
    Eye care professionals should have access to high quality clinical practice guidelines that ideally are underpinned by evidence from robust systematic reviews of relevant research. The aim of this study was to identify clinical guidelines with recommendations pertaining to dietary modification and/or nutritional supplementation for age-related macular degeneration (AMD), and to evaluate the overall quality of the guidelines using the Appraisal of Guidelines for Research and Evaluation II (AGREE II) instrument. We also mapped recommendations to existing systematic review evidence. A comprehensive search was undertaken using bibliographic databases and other electronic resources for eligible guidelines. Quality appraisal was undertaken to generate scores for each of the six AGREE II domains, and mapping of extracted nutritional recommendations was performed for systematic reviews published up to March 2017. We identified 13 national and international guidelines, developed or updated between 2004 and 2019. These varied substantially in quality. The lowest scoring AGREE II domains were for 'Rigour of Development', 'Applicability' (which measures implementation strategies to improve uptake of recommendations), and 'Editorial Independence'. Only four guidelines used evidence from systematic reviews to support their nutritional recommendations. In conclusion, there is significant scope for improving current Clinical Practice Guidelines for AMD, and guideline developers should use evidence from existing high quality systematic reviews to inform clinical recommendations

    The impact of modelling method selection on predicted extent and distribution of deep-sea benthic assemblages

    Get PDF
    Predictive modelling of deep-sea species and assemblages with multibeam acoustic datasets as input variables is now a key tool in the provision of maps upon which spatial planning and management of the marine environment can be based. However, with a multitude of methods available, advice is needed on the best methods for the task at hand. In this study, we predictively modelled the distribution and extent of three vulnerable marine ecosystems (VMEs) at the assemblage level (‘Lophelia pertusa reef frameworks’; ‘Stylasterids and lobose sponges’; and ‘Xenophyophore fields’) on the eastern flank of Rockall Bank, using three modelling methods: MaxEnt; RandomForests classification with multiple assemblages (gRF); and RandomForests classification with the presence/absence of a single VME (saRF). Performance metrics indicated that MaxEnt performed the best, but all models were considered valid. All three methods broadly agreed with regard to broad patterns in distribution. However, predicted extent presented a variation of up to 35 % between the different methods, and clear differences in predicted distribution were observed. We conclude that the choice of method is likely to influence the results of predicted maps, potentially impacting political decisions about deep-sea VME conservation
    • 

    corecore