61. British Medical Journal: Persistent Vegetative State - Website Of The Week You are Here Articles British Medical Journal Feb 10, 2001 Article. Persistentvegetative state.(Website of the Week) British Medical Journal, Feb 10 http://www.findarticles.com/cf_dls/m0999/7282_322/71316606/p1/article.jhtml

@import url(/css/us/style.css); @import url(/css/us/searchResult1.css); @import url(/css/us/articles.css); Advanced Search Home Help IN all publications this publication Health Automotive Business Computing Entertainment Health News Reference Sports YOU ARE HERE Articles British Medical Journal Feb 10, 2001 Content provided in partnership with Print friendly Tell a friend Find subscription deals Persistent vegetative state - Website of the Week British Medical Journal Feb 10, 2001 by Alison Tonks Persistent vegetative state This week, two articles discuss the problems encountered by relatives and professionals caring for people in the persistent vegetative state (pp 352 and 372). This high profile and ethically challenging form of coma has thousands of web pages devoted to it, some crankier than others. If you want a professional view it's always best to start at the top, and the US based National Institute of Neurological Disorders and Stroke has an information page plus links to care organisations at www.ninds.nih.gov. It's also the starting point for an interesting diversion to the National Library of Medicine's new register of clinical trials at www.Clinicaltrials.gov. It's hard to think about the persistent vegetative state for long without considering the nature of awareness, since these patients are defined only by their lack of it. David Chalmers' website at the University of Arizona (www.u.arizona.edu/~chalmers/index.html) is a wonderful resource for beginners. As a professor of philosophy and an associate director of the university's centre for consciousness studies, he is a good guide to an emerging discipline that links many others, including philosophy, cognitive science, and neurophysiology. Browse through some of his 722 online papers to appreciate just how controversial it can be to define abstract concepts such as awareness.

62. Coma Coma is also to be distinguished from the persistent vegetative state whichmay follow it. External Links. persistent vegetative state. External link. http://www.fact-index.com/c/co/coma.html

Main Page See live article Alphabetical index Coma In medicine , a coma is a profound state of unconsciousness , which may result from a variety of conditions including intoxication drug alcohol or toxins metabolic abnormalities ( hypoglycemia hyperglycemia ketosis , etc.), central nervous system diseases, stroke , head trauma, seizures, and hypoxia . The metabolic abnormalities are the most common causes of coma. The difference between coma and stupor is that a patient with coma cannot give a suitable response to either noxious or verbal stimuli, whereas a patient in a stupor can give a rough response (like screaming) to a noxious stimulus. Coma is also to be distinguished from the persistent vegetative state which may follow it. This is a condition in which the individual has lost cognitive neurological function and awareness of the environment but does have noncognitive function and a preserved sleep-wake cycle. Spontaneous movements may occur and the eyes may open in response to external stimuli, but the patient does not speak or obey commands. Patients in a vegetative state may appear somewhat normal. They may occasionally grimace, cry, or laugh. Likewise, coma is not the same as

63. The Persistent Vegatative State: A Fate Worse Than Death You are either in a coma or what is known as a persistent vegetative state. Sheentered the unfortunate condition of a persistent vegetative state. http://www.near-death.com/experiences/suicide10.html

The vegetative state: A fate worse than death Imagine yourself being out of your body and in between two worlds - a state of limbo. You are aware of what's going around your body but you can't move or speak. You feel pain but you can tell anyone about it. You are either in a coma or what is known as a persistent vegetative state . No matter what you call it, it is certainly a fate worse than death. This is because it is neither life nor death. In 1990, Terri Schiavo suffered major brain damage when her heart failed which cut oxygen to her brain. She entered the unfortunate condition of a persistent vegetative state. Her eyes are open and she goes through periods of sleep and wakefulness. But that part of her brain that controls most motor functions has been destroyed. She can breathe on her own, but cannot eat, thus she is kept alive with a feeding tube. The legal fight over Terri Schiavo began almost immediately in 1990. Court-appointed doctors declared that Terri would never recover from the brain damage, and for the last 13 years, she's needed feeding and hydration tubes to stay alive. That's against her stated wishes, says Terri's husband Michael. He's been battling her parents in court, seeking to allow her to die. For all of the medical knowledge, legal wrangling and family anguish expended in the past 10 years over the fate of Terri Schiavo, the most pivotal question remains unanswered: Would the 39-year-old Florida woman want to go on living in her current vegetative state?

64. Dr. Frank's What's-it: A Persistent Vegetative State June 21, 2003. a persistent vegetative state. Noted by Steven RubioGary Huckabay, A s fan and Baseball Prospectus raconteur, on http://www.doktorfrank.com/archives/002567.html

Dr. Frank's What's-it Main June 21, 2003 a persistent vegetative state Noted by Steven Rubio: Gary Huckabay, A's fan and Baseball Prospectus raconteur, on the kind of person who wears caps with the colors of both the A's and Giants, offered for your perusal as the two local teams prepare to take each other on: "Those are David Koresh rejects who should be dragged from their '82 Dodge Colts and savagely beaten into a persistent vegetative state." TrackBack Comments recommend A's fans read "Moneyball" by Mike Lewis. Same dude who wrote "Liars Poker" about the million dollar game of comparing dollar bill serial numbers and other weird stuff at junk bond haven, Salomon Bros. "Moneyball" is the not as dry as you'd think story of Billy Beane and the new computerized baseball scouting coup that led the (impoverished at $40 mil)A's to equal the payroll might of the Yanks. just a tip for the A's baseball minded. (MTX fan in sacto) for more: http://www.blogcritics.org/archives/2003/06/11/094909.php Posted by: mikey at June 22, 2003 02:47 AM

65. Blackwell Synergy - Cookie Absent ORIGINAL ARTICLE. Bedside monitoring of nutritional metabolism in the persistentvegetative state. enteral nutrition. persistent vegetative state. Affiliations. http://www.blackwell-synergy.com/links/doi/10.1046/j.1440-6047.2000.00142.x/full

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66. Gutowski: CPR For Patients In A Persistent Vegetative State? [CMAJ - July 14, 19 CPR for patients in a persistent vegetative state? CMAJ 1998;15919See response from C. Weijer Two of the major issues addressed http://collection.nlc-bnc.ca/100/201/300/cdn_medical_association/cmaj/vol-159/is

CPR for patients in a persistent vegetative state? CMAJ See response from: C. Weijer Two of the major issues addressed in this editorial are worth amplifying. The first is the concept of whether a life is worth living. We must never accept the concept that any life is not worth living. Once we do, we are on a slippery slope. There is very little difference between someone who is in a vegetative state for 2 years and someone who is in a vegetative state for 2 years less a day. Once the principle of the sanctity of human life is ignored, there may be no stopping the trend: the religion of death becomes accepted. The second issue concerns the controversy surrounding euthanasia, exemplified in the editorial by the example of an Orthodox Jew who believes in God. Human beings are not only body and soul, but also spirit. Unless this conceptualization is accepted we will never understand that even for someone in a PVS, the spirit still exists. We do not know whether or not such a person is receiving input through some of the senses. There have been reports of patients later able to describe in detail every word spoken in their presence while they were in a comatose state. Let us not play God. Let us maintain our traditional values and concepts. These values work. William D. Gutowski, MD

67. Definition Of Persistent Vegetative State - WordReference.com Dictionary persicaria persiennes persiflage persimmon Persis persist persistence persistentpersistent cruelty persistent vegetative state persnickety person Person http://www.wordreference.com/english/definition.asp?en=persistent vegetative sta

68. Patients Who Are In A Persistent Vegetative State, Even For Years, Must Be Given group March 20 at the end of a four day meeting on the ethical decisions surroundinglifesustaining treatments for patients in a persistent vegetative state. http://www.dnu.org/news/newspaper/april04/trends.html

Patients who are in a persistent vegetative state, even for years, must be given nutrition and hydration as long as their bodies can absorb the nourishment, Pope John Paul II said. "The administration of water and food, even when delivered using artificial means, always represents a natural method of preserving life and not a medical act," the pope told an international group of physicians and ethicists. The pope met the group March 20 at the end of a four day meeting on the ethical decisions surrounding life-sustaining treatments for patients in a persistent vegetative state. Washington - On March 25, 2004, a bipartisan majority of the U.S. Senate voted to pass the Unborn Victims of Violence Act, S. 1019, The bill passed the House of Representatives three times; this action marks the first Senate vote on the bill. The Bush Administration has indicated its strong support for prompt enactment of the bill.

69. Post-coma Unresponsiveness (Persistent Vegetative State): A Clinical Framework F Postcoma unresponsiveness (Vegetative State) A clinical frameworkfor diagnosis. Synopsis of an NHMRC publication. This document http://www.health.gov.au/nhmrc/publications/synopses/hpr23syn.htm

For text only browsers, click here to see full site index Post-coma unresponsiveness (Vegetative State): A clinical framework for diagnosis Synopsis of an NHMRC publication This document provides a framework of considerations for diagnosis of Post-coma unresponsiveness Post-coma unresponsiveness (Vegetative State): A clinical framework for diagnosis - in PDF (519kb) How to order: http://www.nhmrc.gov.au/publications/order.htm This document is provided as an Adobe Acrobat PDF file. If you wish to view the PDF file you will need to install the Adobe Acrobat Reader on your computer to view it. The Adobe Acrobat Reader is available free of charge from Adobe's website Note: Due to the large PDF file size, if your browser opens Adobe Acrobat files within the browser window, it is strongly recommended that the following procedure be used to access all these files: Click the link with the RIGHT mouse button

70. University Of Virginia Experts Database SPECIAL University experts on affirmative action. Ethics Ethics Philosophy persistent vegetative state http://uva.category4.com/uvaexperts/?root_id=1053

71. Alles Zu Apallisches Syndrom,Behandlungsabbruch,Behandlungspflicht,Centre Of Med Translate this page Apallisches Syndrom,Behandlungsabbruch,Ethik,persistent vegetative state,Sterbehilfe,Wachkoma,Großbritannien,Kasuistik.Wachkoma Dem Tod zuvorkommen? http://www.klinikheute.de/html/bereiche/apallisches-liste.htm

document.write(upperhtml); weitere Stichwörter: A B C D ... Der Fall Anthony Bland: Prinzip der Unantastbarkeit des Lebens Apallisches Syndrom,Behandlungsabbruch,Ethik,Persistent Vegetative State,Sterbehilfe,Wachkoma,Großbritannien,Kasuistik Wachkoma: Dem Tod zuvorkommen? Apallisches Syndrom,Ethik,Persistent Vegetative State,Wachkoma Wachkoma: Makaber Apallisches Syndrom,Ethik,Persistent Vegetative State,Wachkoma Das apallische Syndrom Apallisches Syndrom,Behandlungsabbruch,Ethik,Persistent Vegetative State,Sterbehilfe,Wachkoma,Differenzialdiagnose Brite nach acht Jahren aus dem Koma erwacht Apallisches Syndrom,Ethik,Persistent Vegetative State,Sterbehilfe,Wachkoma,Großbritannien,Kasuistik Das apallische Syndrom: Diagnose, Prognose und ethische Probleme Apallisches Syndrom,Behandlungsabbruch,Ethik,Persistent Vegetative State,Sterbehilfe,Wachkoma,Diagnosestellung,Differenzialdiagnose,Hirnschädigung,Schädel-Hirn-Trauma Euthanasie: Unantastbarkeit des Sterbens Apallisches Syndrom,Behandlungsabbruch,Ethik,Persistent Vegetative State,Sterbehilfe,Wachkoma Euthanasie: Unerträglich Apallisches Syndrom,Behandlungsabbruch,Ethik,Persistent Vegetative State,Sterbehilfe,Wachkoma

72. Title Details - Cambridge University Press This unique account by an unrivalled expert in the field, who himself collaboratedin coining the term ‘persistent vegetative state’, surveys the medical http://titles.cambridge.org/catalogue.asp?isbn=0521441587

73. Bard Lindeman -- In Your Prime Be Outrageous Home Page Home. Bard at Barnes and Noble! Bard at Amazon!Outrageous Associations. IN YOUR PRIME. persistent vegetative state. http://beoutrageous.com/IYP/Persistent Vegetative State.htm

Know Your PSA! Be An Outrageous Older Man! This Just In! In Your Prime Outrageous Guestbook! Coping Newsletter Outrageous Links What Others are Saying about Be Outrageous! Bard's Biography Home Outrageous Associations IN YOUR PRIME Persistent Vegetative State Open Letter to: Paul R. Lindeman, MD Dear Son, A story of unspeakable tragedy continues to unfold in south Florida, one that compels me to ask you for a pledge. I speak here of the cruel fate that has trapped a hapless, 39-year-old woman in a partially live body while her brain, for all intent and purpose, is severely damaged; indeed, to a degree that it is beyond repair. Of course, I am describing pitiable Terri Schiavo and her vegetative state, identified by expert brain scientists as "an ironic combination of wakefulness without awareness." You perhaps read where Dr. Ron Cranford, of Minneapolis, and the American Academy of Neurology, said sophisticated x-rays of Ms. Schiavo's brain "indicate a massive shrinkage...with the brain's higher centers completely destroyed...(this) indicates irreversibility." It is almost beyond comprehension, but this youthful woman, a wife who most assuredly would one day have become a mother, has been vegetative 13 years. The neurology academy definition explains how long-term sufferers may make noises, or faces, and even say words.

74. Extenza - Detecting Residual Cognitive Function In Persistent Vegetative State Detecting Residual Cognitive Function in persistent vegetative state.Author(s) Adrian M. Owen 1 David K. Menon 2 Ingrid S. Johnsrude http://www.extenza-eps.com/extenza/loadHTML?objectIDValue=16184&type=abstract

75. Bulletin Of Medical Ethics - Sample Copy - 2nd Review Article Review. persistent vegetative state. The Official Solicitor for Englandand Wales issued in July the following revised practice note http://ourworld.compuserve.com/homepages/Bulletin_of_Medical_Ethics/review2.htm

Review Persistent vegetative state The Official Solicitor for England and Wales issued in July the following revised practice note on how applications to discontinue the treatment of patients in PVS should be made. PRACTICE NOTE : VEGETATIVE STATE The need for the prior sanction of a High Court judge 1. The termination of artificial feeding and hydration for patients in a vegetative state will in virtually all cases require the prior sanction of a High Court judge: Airedale NHS Trust v Bland [1993] 1 All ER 821 @ 833, [1993] AC 789 @ 805 per Sir Stephen Brown P and Frenchay Healthcare Trust v S [1994] 2 All ER 403, [1994] 1 WLR 601. 2. The diagnosis should be made in accordance with the most up-to-date generally accepted guidelines for the medical profession. A working group of the Royal College of Physicians issued guidance on the diagnosis and management of permanent vegetative state (PVS) in March 1996 (JR Coll Physns 1996; 30: 119-21). This has been endorsed by the Conference of Medical Royal Colleges. The working group advises that the diagnosis of permanent vegetative state is not absolute but based on probabilities. Such a diagnosis may not reasonably be made until the patient has been in a continuing vegetative state following head injury for more than 12 months or following other causes of brain damage for more than 6 months. Before then, as soon as the patient’s condition has stabilised, rehabilitative measures, such as coma arousal pro- grammes, should be instituted (see

76. Alex Keegan - Persistent Vegetative State Drawing by Judith Wolfe. ALEX KEEGAN / persistent vegetative state. This ishis hill. He prays. persistent vegetative state I m so sorry, Mary. . http://www.book.co.nz/keegie.htm

Drawing by Judith Wolfe ALEX KEEGAN / Persistent Vegetative State For ages, people had considered life to exist as long as an individual was breathing. It was later realised that respiration was a means of maintaining the heart which circulated the blood. Life was then attributed to cardio-respiratory action. As long as such activity maintained the nutritional needs of the brain, the individual was alive. But in the middle of this century physicians became aware that the brain required much more energy than other organs and, if its needs were not met, it would cease to function, while other parts of the body (requiring less energy) might remain viable and even regain their activity provided the circulation was maintained. The result would be a dead brain in a viable body. Is such a preparation alive or dead? A study by Younger et al at Case Western Reserve University found that nurses and physicians working in critical care and operating theatre settings differed in their reasons for accepting brain-death. Some thought brain-dead patients were dead because they would never wake up again. Others accepted them as dead because they had lost the integrating functions of the brain stem. Others indicated that they did not truly believe the patients to be dead but would die soon despite aggressive intervention. Others felt the patients were dead because the quality of their life was unacceptable. In the operating theatre nurses sometimes felt that the patient's spirit was in the room during organ retrieval surgery and only departed when the ventilator was turned off and the patient came to complete rest.

77. Schiavo Case Reveals Need To Protect Disabled BY Bob and Mary Schindler, Dr. Jay Wolfson relates that the Schindlers have latelymaintained that Theresa is not in a persistent vegetative state, and/or that http://www.terrisfight.org/schiavo_case_reveals_need_to_pro.htm

Schiavo Case Reveals Need To Protect Disabled BY: BARBARA OLEVITCH (Credit: Tampa Tribune, December 14, 2003) Barbara Olevitch, Ph.D., is a clinical psychologist specializing in the treatment of the seriously mentally ill and author of "Protecting Psychiatric Patients and Others from the Assisted-Suicide Movement: Insights and Strategies."

78. Coma Medical Wisdom Health Advice And Information What is Coma, including persistent vegetative state? Is there any treatment? Whatis the prognosis? What is Coma, including persistent vegetative state? http://medicalwisdom.com/health/disorders/coma_doc.htm

Join our Message Board Forum Health Concerns Women's Health ... Dental Health Concerns Coma Information Page Table of Contents (click to jump to sections) What is Coma, including Persistent Vegetative State? Is there any treatment? What is the prognosis? What is Coma, including Persistent Vegetative State? A coma is a profound or deep state of unconsciousness. An individual in a state of coma is alive but unable to move or respond to his or her environment. Coma may occur as a complication of an underlying illness, or as a result of injuries, such as head trauma. A persistent vegetative state (commonly, but incorrectly, referred to as "brain-death") sometimes follows a coma. Individuals in such a state have lost their thinking abilities and awareness of their surroundings, but retain non-cognitive function and normal sleep patterns. Even though those in a persistent vegetative state lose their higher brain functions, other key functions such as breathing and circulation remain relatively intact. Spontaneous movements may occur, and the eyes may open in response to external stimuli. They may even occasionally grimace, cry, or laugh. Although individuals in a persistent vegetative state may appear somewhat normal, they do not speak and they are unable to respond to commands. Is there any treatment?

79. Vegetative Coma and persistent vegetative state A coma is a deep state of unconsciousness. Whatis Coma, including persistent vegetative state? Is there any treatment http://www.thebigletterlist.net/word/v-Vegetative.html

Vegetative (a.) Having relation to growth or nutrition; partaking of simple growth and enlargement of the systems of nutrition apart from the sensorial or distinctively animal functions; vegetal. Vegetative Alltheweb (Cached) Results Web Results Responding to Patients in the Persistent Vegetative State - an ethical and legal dilemma. ... Responding to Patients in the Persistent Vegetative State. Donal P ... withdrawing of food and fluids from patients in persistent vegetative state PVS is one of these tragic situations ... VEGCHAR Lab 2: Vegetative Characters. Objectives for this lab: learn the different root types. learn to recognize and name different stem modifications. learn to recognize and interpret simple and compound leaves ... learn to recognize vegetative features such as thorns, spines, prickles, tendrils ... Coma and Persistent Vegetative State A coma is a deep state of unconsciousness. It may occur as a complication of an underlying illness, or as a result of an event such as head trauma. ... In persistent vegetative state the individual loses the higher cerebral powers of the brain, but the functions of the ... Patients in a

80. Zenit News Agency - The World Seen From Rome Member of the National Bioethics Committee of Italy Premise The aim of my paperis to outline the condition of the persistent vegetative state beginning with http://www.zenit.org/english/visualizza.phtml?sid=52535

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