I have listed below any procedures which I do not wish to be carried out without further discussion. Signature Name (print) D ate A witness should sign below if the patient is unable to sign but has indicated consent. Witness’s signature Name (print) D ate Confirmation of consent (to be completed by a health professional when the patient comes in for the procedure, if the patient has signed the form in advance). On behalf of the team treating the patient, I have confirmed with the patient that he or she has no further questions and wishes the procedure to go ahead. Before you have the operation, you will be asked to sign a consent form and so it is important that you understand the leaflet before you decide to have surgery. If you have any questions, you may wish to write them down so that you can ask one of the hospital staff. The cataract Your eye surgeon has recommended cataract surgery because the lens in your eye has become cloudy making it difficult for you to see well enough to carry out your usual daily activities. If the cataract is not removed, your vision may stay the same, but it will probably gradually get worse. Waiting for a longer period of time is unlikely to make the operation more difficult, unless your eyesight becomes so poor that all you can see is light and dark. The operation the purpose of the operation is to replace the cloudy lens (cataract) with a plastic lens (implant) inside your eye. An experienced eye surgeon will carry out the operation or may supervise a doctor in training who also performs some operations. You will not be able to see what is happening, but you will be aware of a bright light. This may consist simply of eye drops or injecting local anaesthetic solution into the tissue surrounding the eye. During the operation you will be asked to keep your head still, and lie as flat as possible. A member of the nursing staff is usually available to hold your hand during the operation, should you want them to . Most cataracts are removed by a technique called phacoemulsification, in which the surgeon makes a very small cut in the eye, softens the lens with sound waves and removes the cataract through a small tube. At the end of the operation, a pad or shield may be put over your eye to protect it.
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Thus, Pons y Berjano (1999) note that about half of suicide attempts in women and two thirds in men occur under the influence of alcohol. According to Romero (1994), up to 60% of traffic accidents occur from the following combination: young peoplealcohol weekend. The alcohol abuse is 7 Basic Concepts in Drug Addiction often associated with abuse, domestic violence and couple breakup (Carvalho et al. In the long run, individuals addicted to alcohol often lose their jobs (Moreno, Portus and Arias, 1995). It has also been observed that the intensity of alcohol consumption is one of the variables related to the use of other illegal drugs, such that the earlier the consumption of alcoholic beverages begins, the more substances will be used later (Secades, 1996). Adverse effects of alcohol in the juvenile population the negative repercussions of alcohol poisoning are numerous. Among the negative consequences that young people may specifically suffer the following stand out: ? School problems: alcohol consumption among boy and girl students has consequences that directly impact on their academic performance. Among the students who have never repeated a course there is a higher proportion of abstainers than among repeaters. Jacobson, Aldalna and Beaty (1994) affirm that 25% of teens had been drinking before their last sexual experience. However, intoxication may act as a barrier to 8 Jose Pedro Espada and Daniel Lloret Irles implementing the knowledge and attitudes about health behaviors (Cooper et al. Grana and Munoz (2000) found that among adolescent consumers there was a higher probability of carrying out pre-delinquent activities. Other studies, such the one by Basabe and Paez (1992) confirm the co-morbidity between alcohol consumption and antisocial behavior, finding that 11% of adolescents have relationship problems caused by alcohol in the form of fights and quarrels with friends, and 12% with other people. Opiates Opium is a narcotic drug obtained from a type of poppy originating in Asia Minor and known as white opium. The psychoactive effects are produced by the alkaloids contained in opium, which can be classified into two types depending on the action they produce and their chemical composition: ? Morphine, codeine, thebaine, which act on the nervous system. It is a psychodysleptic, a substance that disrupts mental activity and acts as a powerful painkilling sedative and anxiolytic. The mechanism of action of morphine is based on the presence of opioid receptors in the Central Nervous System of the human body. When 9 Basic Concepts in Drug Addiction morphine enters the body, it accumulates in the tissues through the blood, acting on said opiate receptors and affecting the Central Nervous System, smooth muscles of the abdominal organs and skin.
Elber, 64 years: Double-counting An important issue in case-finding concerns double-counting the same person, either within or between agencies.
Daro, 57 years: Module 6 Page 167 Risk factors higher proportion of smear negative cultures and Certain groups of people are at special risk of the tuberculin skin test may be negative.
Sven, 54 years: Increased cytosolic calcium ion concentration generates more force of contraction through greater cross-bridge cycling than would be possible without sympathetic stimulation.