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Lawrence M

Bio: Lawrence M is an academic researcher. The author has an hindex of 1, co-authored 1 publications receiving 164 citations.

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01 Jan 2013
TL;DR: The Council on Accreditation’s foremost concern, in all situations, is with humane technique, the goal of humane technique is to minimize pain, distress, and the negative effect to the animal.
Abstract: 1. Clarification: The 2013 Guidelines make a distinction between euthanasia, humane killing, and slaughter, and state that neither slaughter nor humane killing is covered in the document P.68, S6.1.1. Not included among the definitions of these terms are ending the lives of healthy animals or scientific collection of animals. For clarification, whatever the term used, classification of the method, or reason given for killing animals: euthanasia, humane killing, slaughter, harvest, depopulation, scientific collection, or research-related, the Council on Accreditation’s foremost concern, in all situations, is with humane technique. The goal of humane technique is to minimize pain, distress, and the negative effect to the animal. The technique employed should result in rapid loss of consciousness followed by cardiac or respiratory arrest and, ultimately, a loss of brain function. Although complete absence of pain and distress is preferred, it is understood that it cannot always be achieved P7.13.2.

1,198 citations

01 Jan 2010
TL;DR: The Ornithological Council has asked the Office of the Solicitor of the Department of the Interior to determine if the use of SUA to study wildlife is subject to the AHA, and has filed a petition for rulemaking asking the USFWS to issue permits.
Abstract: Note for ornithologists who plan to use drones or model aircraft to study or monitor birds in the United States: The Airborne Hunting Act may prohibit the use of drones to study or monitor wildlife in the United States, except for state and federal agency personnel or their agents (i.e., someone who is working under contract to or in collaboration with state or federal agencies) or under a permit issued by one of those agencies. However, the USFWS will not issue such permits and only four states allow the use of drones for research. The Ornithological Council has asked the Office of the Solicitor of the Department of the Interior to determine if the use of SUA to study wildlife is subject to the AHA. Anticipating that the Solicitor will determine that the AHA does apply, The Ornithological Council has also filed a petition for rulemaking asking the USFWS to issue permits. Read more on this situation on OrnithologyExchange.org.

464 citations

Journal ArticleDOI
TL;DR: The evidence from this review supports the use of general anaesthesia combined with a femoral nerve block for surgery and postoperative analgesia, or alternatively spinal anaesthesia with local anaesthetic plus spinal morphine for total knee arthroplasty.
Abstract: The PROSPECT Working Group, a collaboration of anaesthetists and surgeons, conducts systematic reviews of postoperative pain management for different surgical procedures (http://www.postoppain.org). Evidence-based consensus recommendations for the effective management of postoperative pain are then developed from these systematic reviews, incorporating clinical practice observations, and transferable evidence from other relevant procedures. We present the results of a systematic review of pain and other outcomes following analgesic, anaesthetic and surgical interventions for total knee arthroplasty (TKA). The evidence from this review supports the use of general anaesthesia combined with a femoral nerve block for surgery and postoperative analgesia, or alternatively spinal anaesthesia with local anaesthetic plus spinal morphine. The primary technique, together with cooling and compression techniques, should be supplemented with paracetamol and conventional non-steroidal anti-inflammatory drugs or COX-2-selective inhibitors, plus intravenous strong opioids (high-intensity pain) or weak opioids (moderate- to low-intensity pain).

292 citations

Journal ArticleDOI
TL;DR: Simulation offers ethical benefits, increased precision and relevance of training and competency assessment, and new methods of teaching error management and safety culture, which will help fill needs in patient safety.
Abstract: Continuous quality improvement is an accepted mandate in healthcare services. The delivery of the best, evidence based quality of care ultimately depends on the competences of practitioners as well as the system that supports their work. Medical education has been increasingly called upon to insure providers possess the skills and understanding necessary to fulfill the quality mission. Patient safety has in the past five years rapidly risen to the top of the healthcare policy agenda, and been incorporated into quality initiatives. Demand for curricula in patient safety and transfer of safety lessons learned in other risky industries have created new responsibilities for medical educators. Simulation based medical education will help fill these needs. Simulation offers ethical benefits, increased precision and relevance of training and competency assessment, and new methods of teaching error management and safety culture.Established and successful simulation methods such as standardized patients and task t...

280 citations

Journal ArticleDOI
TL;DR: The currently available data do not provide strong evidence that these devices should supersede standard direct laryngoscopy for routine or difficult intubation, and further research needs to be of high quality, studying relevant patients to create such evidence.
Abstract: This quantitative review summarises studies of rigid fibreoptic laryngoscopy systems. In 6622 'normal' patients only the Bonfils and CTrach had homogenous data and first time intubation success rates above 90%. In 1110 patients predicted or known to be difficult to intubate only the Bonfils, CTrach and Glidescope had homogenous data and first-time success rates above 90%. In comparative studies with the Macintosh-3 blade, no device had homogenous data in more than one study. Many devices had higher summed performances, but due to data heterogeneity, interpretation is very difficult, if worthwhile at all. The currently available data do not provide strong evidence that these devices should supersede standard direct laryngoscopy for routine or difficult intubation. Further research needs to be of high quality, studying relevant patients to create such evidence. Multicentre collaborations are likely to be needed studying known difficult patients or creating databases reporting the success/failure rate of these devices.

180 citations