The views about autonomy in medical treatment of people with HIV infection (who had acquired it via the injection of drugs) and their professional carers were investigated using a standardized self-report instrument. Forty-two patients and 61 staff were entered in the study. Patients and staff reported strong endorsement of patient autonomy, but there were important differences between groups. Staff as a group reported higher preference for patients' involvement in decision-making than the patients themselves, while the opposite was true for information-seeking, where patients wanted more information than staff had anticipated. The practical implications of the findings are discussed.

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Las cardiopatías congénitas son malformaciones del corazón presentes en el recién nacido. Este estudio pretende detectar si las variables biomédicas al nacimiento y al momento de la intervención quirúrgica repercuten en el neurodesarrollo de 80 participantes, sin anomalías cromosómicas asociadas ni prematuridad, valorados a través de Bayley-III. Los resultados evidencian que las variables biomédicas al momento de la intervención quirúrgica (duración de la operación, clampaje, edad de la cirugía y estancia postquirúrgica) son significativas en el neurodesarrollo. Se evidencia una lentificación en los niveles de desarrollo alcanzados en el área del lenguaje desde los 12 meses hasta los 42.

Despite the widespread need and clinical import ance of methadone dose assessment within UK addict ion services there are no empirical stud ies to support the process or outcome of anyone method. The main goal of assessm ent is to provide an adequate dose of methadone in order that other treatment goals can be achieved after stabilization. An excessive do se must be avoided in the interests of individual safety and to minim ise the risk of diversion of methadone on to the black market, and consequent public harm. A literature review reveals that methods of assessment vary considerably in their intensity of involvement of health professionals. Results of a recent national survey of assessment methods provides a summary of the current range of assessment methods used. An evaluation of two different assessment protocols is discussed in terms of service resource inputs and dependent variables such as client engagement. client percept ions, methadone dosage changes and other potential health gains .

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