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Get Biological and biomimetic adhesives PDF

By Romana Santos, Nick Aldred, Stanislav Gorb, Patrick Flammang

Content material: Bioadhesive Characterisation; Modelling of Biomimetic platforms; concentrating on particular functions; floor amendment for optimum Bonding/Debonding; convention outlook

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Feeding via nasogastric tube. Since the Human Rights Act came into force, the courts have a greater tendency to rule in favour of a competent 16 or 17 years old. However in practice where the child’s actions are likely to result in death or serious injury, the child’s wishes will be overridden in the overall best interests of the child. CAMHS clinicians will have to provide up-to-date medical reports for the court to include the patient’s own history, his or her views and ability to make decisions, the views of the parents, the risks and benefits of treatment and the likely consequences if treatment is not given.

It is helpful for them to test out managing time away from the ward before ending the admission. Certainly medical stabilisation will be necessary before transfer to a psychiatric setting. Most services will require that blood results are at or nearing normal range and that the ECG does not show any changes other than a bradycardia. The CAMHS clinician will be responsible for identifying the appropriate service and making the referral. Paediatric staff will need help to appreciate that this may take some time where SEDB are limited.

When we see for a first appointment a patient who is so unwell that emergency admission to a paediatric ward is required, it is reasonable for the clinician to wonder how the child came to be in such a state without accessing medical help sooner. Unless the neglect has been very extreme and active, it is our experience that referrals to social services are not helpful at this point. However, when the acutely unwell child or adolescent describes or hints at more active physical, sexual or emotional abuse, whether current or historic, then referral to social services is, for all practical purposes, mandatory.

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