Tuesday, March 31, 2020

Euthanasia Essays (2210 words) - Euthanasia, Death, Medical Ethics

Euthanasia Euthanasia is clearly a deliberate and intentional aspect of a killing. Taking a human life, even with subtle rites and consent of the party involved is barbaric. No one can justly kill another human being. Just as it is wrong for a serial killer to murder, it is wrong for a physician to do so as well, no matter what the motive for doing so may be. Many thinkers, including almost all orthodox Catholics, believe that euthanasia is immoral. They oppose killing patients under any circumstances. Every human being has a natural inclination to continue living. Canadian and most other law forbids any form of homicide, including euthanasia and it is alleged that assisted suicide does eventually accustom a society to violence. It has been claimed that euthanasia brutalizes a society, as mercy killings are seen as a form of socialized violence. In any case killing a human being is immoral and unethical. Life should be valued, not abused, since everyone is only given one chance to live. Because death is final and irreversible, euthanasia contains within it the possibility that mistakes do happen and in fact an incorrect diagnosis is possible. If society condemns patients who are ?terminally ill? and in the end a mistake in the diagnosis is discovered then the suffering and blame would not fall on technology but on society itself. Suffering is surely a terrible thing and society has a clear duty to comfort those in need and to ease their suffering when it can. But suffering is also a natural part of life with values for the individual and for others that we should not overlook. Knowing that a life can be taken at any time will incline people to give up too easily, hence seeking an escape in euthanasia. Killing a human being is not justified under any circumstances, which is why euthanasia should no longer be in practice. Although many countries around the world accept assisted suicide as part of their social norm, the fact remains that any type of murder is illegal in most societies. The American case of ?It's over Debbie?, in which a gynecology resident gave a lethal injection of morphine to a woman with ovarian cancer, questions the legality of any doctor's intents and actions. First, the resident appears to have committed a felony: premeditated murder. Direct intentional homicide is a felony in all American jurisdictions, for which a plea of merciful motive is no excuse. Second, law aside, the physician behaved altogether in a scandalously unprofessional and unethical manner contrary to the policy of the American Medical Association. He did not know the patient: he had never seen her or her family, he did not study her chart, and he did not converse with her or her physician. He took, as an unambiguous command, her only words to him, ?Let's get this over with.? Instead of thinking of ways in which he could ease her suffering, he brought her death. This is no humane and thoughtful physician succumbing with fear and trembling to the pressures and wishes of a patient, for which there was truly no other recourse. ?This is an impulsive yet cold technician, arrogantly masquerading as a knight of compassion and humanity? who should be punished for his actions. When a patient asks for assistance in dying, and the doctor then gives the patient a lethal injection, there is no way of disguising what is happening. The doctor's intention is clear, this is undoubtedly a killing and not an allowing to die. An essential aspect of euthanasia is that it involves taking a human life of a person who is suffering from some disease of injury from which recovery cannot reasonably be expected. The action is deliberate and intentional as stated in section 231(2) of the Canadian Criminal Code: Murder is first degree when it is planned and deliberate. Section 222(1) of the Criminal Code states: A pers on commits homicide when, directly or indirectly, by any means, he causes the death of a human being. Therefore, when a doctor injects a lethal injection he is doing so deliberately with the intention to cause death to his patient. Nowhere in the Criminal Code does it state that

Saturday, March 7, 2020

Dothiepin Vs Fluoxetine Mechanism of Action and Pharmacodynamics essays

Dothiepin Vs Fluoxetine Mechanism of Action and Pharmacodynamics essays Comparison Between Mechanism of Action and Pharmacodynamics of Dothiepin and Fluoxetine Mechanism of action and pharmacodynamics Dothiepin is a tricyclic antidepressant. It acts by promoting the effectiveness of several amines (dopamine, norepinephrine, and 5-hydroxytryptamine, which is also known as 5HT and serotonin). It functions by inhibiting their reuptake at the terminals of nerve cells, thus leading to their prolonged presence at the synaptic cleft and an increased effect on the neuron.(1) The reuptake pumps for the above amines are responsible for reducing the concentration of these amines. Dothiepin works by blocking the pumps. According to the amine hypothesis, a decreased concentration of the amines and the resulting decrease in amine dependant synaptic transmission is associated with depression, therefore an increase in the above would help relieve the symptoms of depression. (2) Dothiepin has other actions as well. It reduces norepinephrine induced CAMP formation in the brain, as well as inhibiting the uptake of 5HT into platelets. It also has some anticholinergic and antihistaminic activity.(3) Dothiepin begins to take effect after approximately 2-3 weeks. Usual daily doses of Dothiepin range from 75mg to 200mg in the more severe cases. (2) Fluoxetine belongs to a group of antidepressants known as the SSRIs, or Selective serotonin reuptake inhibitors. It functions is similar to that of dothiepin above. It also acts as a reuptake inhibitor, but is highly selective. It only inhibits 5HT reuptake, and lacks many of the less useful functions of dothiepin, such as the antihistaminic properties. (1) As above the result in increase in the presence of serotonin at the synaptic cleft results in a decrease in many symptoms of depression. Fluoxetine does however have some side effects including nausea, tremors, loss of libido and in some cases decreased sexual function. (2) It is also possible that it may have a...