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  • 1
    Electronic Resource
    Electronic Resource
    Springer
    Der Nervenarzt 71 (2000), S. 709-714 
    ISSN: 1433-0407
    Keywords: Schlüsselwörter Patientenaufklärung ; Einwilligungsfähigkeit ; Relationaler “informed consent” ; Ethik in der Psychiatrie ; Key words Informed consent ; Competence ; Capacity ; Sliding scale ; Ethics in psychiatry
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Description / Table of Contents: Summary The doctrine of informed consent has become a legal and ethical standard in psychiatry today. However, ethical problems arise if patients lose the capacity to give informed consent due to their psychiatric disorders. Particularly in the field of psychiatry, the assessment of competence of informed consent to medical treatment and participation in clinical trials is a controversial issue. New empirical data suggest that a high percentage of psychiatric patients are incompetent according to defined standards for assessing their capacity to make treatment decisions. Assessing competence according to a sliding scale integrates the ethical principles of autonomy and beneficence and provides help in assessing competence in clinical practice.
    Notes: Zusammenfassung Die Aufklärung und Einwilligung von Patienten in der Psychiatrie gilt heute als allgemein akzeptierter rechtlicher und ethischer Standard. In der Praxis stößt das Konzept jedoch an Grenzen, wenn Patienten aufgrund ihrer psychischen Störung die Einwilligungsfähigkeit verlieren. Die Feststellung der Einwilligungsfähigkeit zur medizinischen Behandlung oder zur Teilnahme an wissenschaftlichen Studien ist besonders in der Psychiatrie schwierig. Neue empirische Untersuchungen mit klar definierten Standards weisen auf einen erheblichen Anteil nicht einwilligungsfähiger Patienten in der Psychiatrie hin. Hieraus resultiert für den Psychiater die schwierig medizinethische Abwägung zwischen Patientenselbstbestimmung und Patientenwohl, bei der das relationale Modell der Einwilligungsfähigkeit in Theorie und Praxis helfen kann.
    Type of Medium: Electronic Resource
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  • 2
    ISSN: 1432-2242
    Keywords: Key words DNA markers ; Genetic diversity ; Agroecological area ; Quality ; Adaptation
    Source: Springer Online Journal Archives 1860-2000
    Topics: Biology
    Notes: Abstract  For studying genetic differentiation caused by selection for adaptation and end-use, the allele frequencies of 42 microsatellites (MS), representative of the three wheat genomes, were analysed in a total of 60 wheat cultivars. The cultivars originate from three agroecological areas (AEAs) – Germany, Austria and Hungary – and represent equal numbers of ’quality wheats’ and ’feed wheats’ for each country. For the 42 loci, 202 alleles were detected using PAGE and silver staining. The average number of alleles per locus was 4.8, including four monomorphic loci. For 16 loci, null alleles were detected. Cluster analysis clearly differentiated the varieties according to the three AEAs and, within each AEA, into quality wheats from feed wheats. Analysis of variance revealed highly significant differences of distance data between AEAs as well as between quality groups. The correlation between genetic distance (GD) and pedigree data (coefficient of diversity, COD) was r s=0.45. The results have proven the excellent resolving power of MS in varietal differentiation, which arises through breeding under specific environmental conditions, and for different end-use.
    Type of Medium: Electronic Resource
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