Exiled writer refuses post

When Your Patient Refuses

Numerous malpractice lawsuits have been filed against health care providers by patients who claimed that, upon suffering a serious injury after refusing care, they did not fully understand the potential consequences of such refusal. In a typical situation, a patient alleges that the health care provider was negligent in not fully disclosing the risks of treatment refusal. Coupled with this alle...

Improving Writer Identification Through Writer Selection

In this work we present a method for selecting instances for a writer identification system underpinned on the dissimilarity representation and a holistic representation based on texture. The proposed method is based on a genetic algorithm that surpasses the limitations imposed by large training sets by selecting writers instead of instances. To show the efficiency of the proposed method, we ha...

Nurse as writer, writer as nurse.

When a mentally ill woman refuses abortion.

A case study is presented in which an institutionalized, schizophrenic woman refuses the abortion her legal guardian wants her to have. Her psychiatrist considers her to be incapable of responsible parenthood, and her child would probably be placed in permanent foster care. Mahowald considers a legal determination of the woman's competence to be crucial, although she argues that even a legall...

Ingenol Mebutate: When the Patient Refuses Surgery

Herein, we report the case of a 51 year-old Caucasian woman, Fitzpatrick’s skin type III, successfully treated with ingenol mebutate (IM) 0.05% gel on a large-sized(ø 3 cm) superficial BCC (sBCC) localized on the right shoulder. Such lesion appeared as an asymptomatic, irregularly round-shaped patch. The diagnosis was ruled out by clinical and dermoscopic examinations (Figure 1), confirmed by h...