A march of folly.
نویسنده
چکیده
Folly, as defined by Barbara Tuchman, is “the pursuit of policy contrary to the self-interest of the constituency or state involved . . . folly is a policy that is counter-productive.” Current trends in cancer incidence and mortality rates, education, research, and societal mores and views combine to present a number of antithetical propositions. A review of these propositions highlights the need for ethical reflection and studies on end-of-life issues affecting cancer patients and their families, lest we also embark on a “march of folly.” Examples of these conflicted conditions occur in relation to cancer incidence and mortality, the shift from institutional to community care, education and research, communication and the health care workforce, and euthanasia and physician-assisted suicide. What follows are my own musings on these problems and the promising aspects of modern end-of-life care. My colleagues will have their own list.
منابع مشابه
Untrammeled growth as an environmental “ March of Folly ”
The themewe explore in this paper is that uncontrolled growth and resulting environmental damage can be considered as an Environmental March of Folly. A folly has been defined as the pursuit of policies that are contrary to the pursuers own long-term interests. For an event or series of events to be considered a folly, three criteria must bemet. The policy must be perceived as counter-productiv...
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The objective of the present study was to compare the success rate of extra-amniotic saline with traction on the cervix with folly catheter for termination of second trimester pregnancies. A randomized trial of extra-amniotic saline infusion versus traction on the cervix with folly catheter was performed on 200 patients with gestational age of 14-28 weeks who required induction of lab...
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The present study was undertaken to compare complications of folly catheter removal 24 hours versus 72 hours after cystocele repair and Kelly plication. A randomized clinical trial study was performed in Shahid Akbar Abadi Hospital on 83 patients with cystocele repair and Kelly plication due to stress urinary incontinence. The patients were divided randomly into two groups. In 34 patients f...
متن کاملمقایسه نتایج استفاده از کاتترفولی و سنتوسینون در آماده سازی دهانه رحم و پیامدهای زایمانی
Background & Aim: Cervical ripening is one of the methods used for cervical preinduction with the aim of facilitating labor and ending pregnancy. There are various recommendations on using labor inducing methods, but no preferred method has been known. The aim of this study was to compare the results of using folly catheter balloon and oxytocin for cervical induction. Material & Method: It wa...
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ورودعنوان ژورنال:
- CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne
دوره 158 13 شماره
صفحات -
تاریخ انتشار 1998