#16
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Íèêòî íè÷åãî íå ðàññêàçûâàë î Õåëüñèíêñêîé äåêëàðàöèè? Î ïðàâèëàõ ïðîâåäåíèÿ êëèíè÷åñêèõ èñïûòàíèé (GCP)?
À åñëè áû Âàøåìó ðåáåíêó ÷òî-òî äàâàëè áåç Âàøåãî âåäîìà äëÿ ýêñïåðèìåíòà? Âû áû âîçìóòèëèñü. À çà ýòèõ êòî çàñòóïèòñÿ? Êòî çíàåò, ìîæåò êîìó ïîìîæåò... À êîìó íàâðåäèò? À êîìó íàâðåäèò íå âñêîðîñòè ïîñëå ïðèìåíåíèÿ ïðåïàðàòà, à ÷åðåç íåñêîëüêî ëåò? Âû áóäåòå îòñëåæèâàòü? Âû âîçüìåòå îòâåòñòâåííîñòü çà ýòèõ áðîøåííûõ äåòèøåê? |
#17
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Ïåðåä çàùèòîé âñå ðàâíî íàäî áóäåò áðàòü áóìàæêó ýòè÷åñêîãî êîìèòåòà (êàæåòñÿ òàê íàçûâàåòñÿ). Ýòî ðàç. Ïîòîì, ÿ íå ñîâñåì ïîíÿë íàñ÷åò êîíòèíãåíòà. Ó Âàñ åñòü êàêàÿ-òî ñòàòèñòèêà ïî ýòîìó äîìó ðåáåíêà? Òàì åñòü ïðîôèëü? ×òî Âû áóäåòå ëå÷èòü îëèãîïåïòèäàìè (êàêèìè?) è ÷òî çíà÷èò "ìîæíî ïðîáîâàòü âñå"? Âàì ÄÅÉÑÒÂÈÒÅËÜÍÎ âñå ðàâíî? Îäíèì áåçäîìíèêîì áîëüøå, îäíèì ìåíüøå? Òåìà, ïîëó÷àåòñÿ, áóäåò ôàêòè÷åñêè "Ïðèìåíåíèå ïîòåíöèàëüíî îïàñíûõ ïðåïàðàòîâ ñ íåäîêàçàííîé ýôôåêòèâíîñòüþ ïðè âñåõ áîëåçíÿõ"? È ýòî ðàäè íåñêîëüêèõ ñîòåí ê çàðïëàòå çà ñòåïåíü? Îáúÿñíèòå, ìîæåò áûòü ÿ Âàñ íåäîïîíÿë.
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#18
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Óâàæàåìàÿ Ñëàííà!
Äëÿ Âàøåãî ñïîêîéíîãî íî÷íîãî ñíà - ïî÷èòàéòå áèîýòèêó è óïîìÿíóòûå çäåñü äîêóìåíòû ïî ïðàâèëàì ïðîâåäåíèÿ êëèíè÷åñêèõ èñïûòàíèé. ×èñòûå ðóêè íèêîìó åùå íå ïîìåøàëè, à ðåïóòàöèÿ äîêòîðà Ìåíãåëå íå ñòîèò òîãî, ÷òîáû åé çàâèäîâàòü.
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Lead, follow, or get out of the way. — Thomas Paine |
#19
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#20
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Ìîæåò ïîïðîáîâàòü ñïëàíèðîâàòü äðóãîå èññëåäîâàíèå? Áåç ìåäèêàìåíòîçíîãî âìåøàòåëüñòâà (è ÁÀÄ). Íàïðèìåð îïèñàòåëüíîå, ýïèäåìèîëîãè÷åñêîå.
Åñëè õîòèòå, îáðàòèòåñü çà êîíñóëüòàöèåé â Ñàíêò-Ïåòåðáóðãñêîå ãîðîäñêîå îòäåëåíèå îáùåñòâà ñïåöèàëèñòîâ äîêàçàòåëüíîé ìåäèöèíû ([Ññûëêè äîñòóïíû òîëüêî çàðåãèñòðèðîâàííûì ïîëüçîâàòåëÿì ]) Ïðåäñåäàòåëü îòäåëåíèÿ è Ïðàâëåíèÿ: Äóáèêàéòèñ Òàòüÿíà Àëåêñàíäðîâíà Òåë. (812) 598-93-20 e-mail: [Ññûëêè äîñòóïíû òîëüêî çàðåãèñòðèðîâàííûì ïîëüçîâàòåëÿì ] web: [Ññûëêè äîñòóïíû òîëüêî çàðåãèñòðèðîâàííûì ïîëüçîâàòåëÿì ] |
#21
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Öèòàòà:
Êàíîíû íàó÷íîé äåÿòåëüíîñòè ïðåäñìàòðèâàþò äî íà÷àëà çàíÿòèÿ íàóêîé (èññëåäîâàíèå ýôôåêòà íåâåäîìîãî âåùåñòâà íà íåâåäîìîå ñóùåñòâî) îçíàêîìëåíèå ñ ïðèíöèïàìè è ïðàâèëàìè íàó÷íîãî èññëåäîâàíèÿ. Êîëëåãè èçî âñåõ ñèë ïîäñòêàçûâàþò Âàì, ÷òî ñïëàíèðîâàííîå òàêèì îáðàçîì èññëåäîâàíèå íàðóøàåò íåêèå ýòè÷åñêèå è ìåòîäîëîãè÷åñêèå ïðèíöèïû ïîñòðîåíèÿ íàó÷íîãî èññëåäîâàíèÿ. Äîïóñòèì, Âû íàïèøåòå äèññåðòàöèþ è ïðåäñòàâèòå åå ê çàùèòå. À âäðóã â Ó÷åíîì ñîâåòå íàéäåòñÿ ÷åëîâåê, êîòîðûé Âàì âî âñåóñëûøàíüå ñêàæåò òî æå, ÷òî çäåñü Âàì ãîâîðèò ïðîôåññîð, ÷ëåí-êîðð. ÐÀÌÍ Ãàëèíà Àôàíàñüåâíà Ìåëüíè÷åíêî è äðóãèå ìåíåå èìåíèòûå êîëëåãè. Ïðåäñòàâëÿåòå, êàê áóäåò îáèäíî! À åñëè âñå ïðîìîë÷àò................ Ïðåäñòàâëÿåòå êàê áóäåò îáèäíî. Íå îáèæàéòåñü, ïîêà ýòî ÷åðíûå øàðû íå ñòîëüêî â Âàø îãîðîä, ñêîëüêî â îãîðîä òåõ, êòî ïðåäëàãàåò Âàì ïðîâåñòè ïîäîáíîå èññëåäîâàíèå. Óäà÷è Âàì â Âàøåé áóäóùåé íàó÷íîé äåÿòåëüíîñòè! |
#22
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Óâàæàåìàÿ Ñëàííà!
Óæå âñåì íàäîåë íà ôîðóìå ñ ýòîé òåìàòèêîé (äà ïðîñòÿò êîëëåãè ìåíÿ åùå ðàç), íî åñëè î÷åíü õî÷åòñÿ âìåøàòüñÿ, òî ïî÷åìó áû íå ñêîððåêòèðîâàòü èì æåëåçíûé áàëàíñ: âåäü áåç ìàòåðèíñêîãî âñêàðìëèâàíèÿ ïî âñåìó ìèðó ðåêîìåíäóåòñÿ ñ ïåðâûõ äíåé âîñïîëíåíèå åãî äåôèöèòà? À ó Âàñ â ÄÄ ýòî ïðàêòèêóåòñÿ? Æåëåçîäåôèöèò ëåãêî âûÿâëÿåòñÿ, íå ñëîæíî êîððåêòèðóåòñÿ, à ïîñëåäñòâèÿ åãî íàëè÷èÿ â äåòñêîì âîçðàñòå äëÿ ÍÑ âåñüìà êàòàñòðîôè÷íû è íå âñåãäà îáðàòèìû: Pediatr Neurol. 2002 Aug;27(2):85-92. Neurologic manifestations of iron deficiency in childhood. Yager JY, Hartfield DS. Department of Pediatrics, University of Saskatchewan;, Saskatoon, Canada Iron deficiency is a common disorder in pediatric patients. Although the most common manifestation is that of anemia, iron deficiency is frequently the source of a host of neurologic disorders presenting to general pediatric neurologic practices. These disorders include developmental delay, stroke, breath-holding episodes, pseudotumor cerebri, and cranial nerve palsies. Although frequent, the identification of iron deficiency as part of the differential diagnosis in these disorders is uncommon and frequently goes untreated. The purpose of the current review is to highlight what is understood regarding iron deficiency and it's underlying pathophysiology as it relates to the brain, and the association of iron deficiency with common neurologic pediatric disease. • Introduction • Iron deficiency • Brain iron: investigations in animal models • Transport and storage of iron • Iron deficiency in the developing brain • Myelination • Neurochemical effects • Cognitive and motor function in animal models • Neurologic sequelae in humans • Developmental abnormalities • Iron deficiency anemia and infant development • Marginal iron deficiency and infant development • Children and adolescents with iron deficiency • Pediatric stroke • Breath-holding spells • Pseudotumor cerebri • Conclusions • References Íóæíà áóäåò ïîëíàÿ âåðñèÿ ñòàòüè - ñîîáùèòå. |
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#23
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#24
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