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The changing needs of the population and the financial crisis in many developed countries of the world have already imposed and will impose in the years ahead a new vision of the acute care hospital. The hospital is required to be more efficient and effective and thu...

Buprenorphine detection in biological samples

Buprenorphine is a narcotic analgesic used in the treatment of moderate-to-severe pain. In Italy, buprenorphine is now being used as an alternative in the therapeutic treatment of heroin abusers. Even if confirmation methods are needed for identification and quantitation, a rapid and se...

[Intensive care at extremely low gestational age: ethical issues and treatment choices]

With the continuing progress of obstetrical and neonatal care, the limit of human viability has continued to shift towards younger gestational ages. The survival rate as well as the survival without disability increases with each additional week of gestation but, for infants born f...

Perinatal care at the threshold of viability: An international comparison of practical guidelines for the treatment of extremely preterm births

Over the last 2 decades, the survival rate of infants born at < or = 25 weeks of gestation has increased; however, significant morbidity and disability persist. The commitment for their care gives rise to a variety of complex medical, social, and ethical aspects. Decision-m...

Periviable babies: Italian suggestions for the ethical debate

With the advancement of medical technology, the outcomes for high-risk infants have greatly improved. However, hand and hand with the more positive result of saving neonates, modern neonatal intensive care has also brought to light several issues regarding the ethical grounds in infant&...

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