Second opinions

The terminology used in this Standard is slightly different from the others in that it is appropriate for the particular discipline. For example, the term, referral laboratories in paragraph 4.5 of ISO 15189 is used in a slightly different sense to the comparable clause in ISO/IEC 17025. Included in this section are consultants who may provide a second opinion. If the referral laboratory is an external laboratory, to which samples are submitted for a supplementary or confirmatory examination procedure and report, it is much the same as a contract laboratory in ISO/IEC 17025. There is an extra Annex in this Standard which covers the ethics applicable to laboratory medicine. 

In a state of desperation, I went to see all kinds of different doctors, healers and alternative practitioners. Based on the symptoms I reported, one doctor told me I must have intestinal parasites. I was willing to go along with any glimmer of hope. I thought If I have parasites, that can be treated, then my symptoms will go away—fantastic However, I wanted a second opinion. I went to a doctor in Albuquerque who took urine, stool and saliva samples and sent them to a doctor in New York. The lab report said there were eggs from two kinds of parasites found, hookworm and whipworm. The doctor gave me herbal potions made from God-knows-what he had gathered in the rain forest. These remedies made me worse, so I decided to go to the Tropical Disease Hospital in Tondon. It wasn t easy. 

Raeburn, P. (1999). Drug safety needs a second opinion. Business Week, Sept. 20, pp. 12-1 A. Redman, C. (1981). Screening compounds for clinically active drugs. In Statistics in the Pharmaceutical Industry. (C.R. Buncher and J. Tsay, Eds.). Marcel Dekker, New York, pp. 19 12. 

Psychiatrists who use ECT or refer adolescents for ECT should be familiar with all aspects of the treatment. For example, several states in the United States have age-related prohibitions for the use of ECT. It is not permitted in Texas and Colorado in persons under 16 years of age, in Tennessee for those under 14 years, and in California for those under 12. Most states require independent assessment of children and juveniles by one or more child and adolescent psychiatrists before ECT may be administered. This assessment must be conducted by psychiatrists not involved in the treatment of the patient. There are some noteworthy problems with the second opinion or independent assessment requirement, given a lack of knowledge about or experience with the treatment among many child psychiatrists (Parmar, 1993 Walter et al., 1997 Ghaziud-din et al., 2001). 

Tip 3 Seek professional help. Make your own decisions. Second opinions are advisable. Refrain from becoming dependent on one advisor. 

I had intended to bottle and label the reagents I had purchased in the afternoon, but the quatrain s warning seemed more urgent. In search of a second opinion, I locked up the atelier and went back to my room. There I unwrapped my tarot deck and took a reading, laying out the spread on my bedcover. It almost made my hair stand on end. 

Detailed review of reported data reduces laboratory risk of producing invalid data. Important features of internal data review are the spot checks of calculations the verification of the acceptability of calibrations and laboratory QC checks and the second opinion in data interpretation. Laboratories document internal review in appropriate checklist forms that are kept on file with the rest of the project documentation and sample data. The internal data review process is generally described in Laboratory QA Manual and detailed in appropriate SOPs. 

Matters that require a second opinion have been properly identified for supervisory... 

To provide an independent review of obtained data, a peer or a supervisor will review all of the data packages for a given analysis. Tier 2 Review verifies the conclusions of Tier 1 Review and provides a second opinion on matters that depend on professional judgment. Tier 2 Review may address the following issues ... 

Finkel, Adam (1994) A second opinion on an environmental misdiagnosis the risky prescriptions of breaking the vicious circle. NYU Environmental Law Journal 3 341. 

A second opinion may help the patient to accept diagnosis and comply with psychotherapy and medication treatment. 

I m trying to do what I like to do, and as actively as I can. With time you begin to think more broadly. As you get older, there is less and less time left. There are two ways of doing it. One is that you take more time to look at things. The alternative is, since there is less time left, one has to do more For the moment I m rather of the second opinion. 

Bejarano, PA., Koehler, A., Sherman, K.E. Second opinion pathology in hver biopsy interpretation. Amer. J. Gastroenterol. 2001 96 3158-3164... 

Although plagiarism is often unintentional, it s your job to be as honest and careful as possible. If you re in doubt about your use of a particular idea, consult your instructor for a second opinion. 

This is to remind you that you can refer a patient for a second opinion. Usually referral is advised if the patients are at increased risk, for example, paediatric patients, geriatric patients, etc., if the symptoms are persistent or if the symptoms suggest a potentially serious condition. 

The official status of laboratories in food control is defined in Art. 7 of the Council Directive 89/397/EEC, which refers to both first opinion and second opinion (or referee) laboratories. First opinion stands for laboratories of the official food control authorities in the European Union. Second opinion means private third party laboratories which undertake analyses on a second part of... 

First and second opinion institutions for the purpose of official food analysis have to be notified to the Commission as laboratories referred to in Art. 7 of the Directive 89/397/EEC. They have to meet the assessment criteria laid down in Art. 

Nonstandardized methods should not be used as the sole methods within a paternity testing laboratory. In addition, a nonstandard method should only be used if it can be documented that the method is used in at least one other laboratory, thus making it possible to obtain a second opinion based on repeated testing. 

The intention of the Guidelines is to provide pres-cribers with clear, practical, succinct, and up-to-date therapeutic information for a range of diseases. For experienced prescribers, the recommendations provide a valuable second opinion against which they can compare their own prescribing. For those less experienced, the recommendations form an acceptable basis for the management of patients. For other health professionals such as pharmacists and nurses. Therapeutic Guidelines provide information to support their contribution to the pharmaceutical care of their patients. 

The Quality Assurance statement has a two-fold function. It firstly serves to demonstrate that Quality Assurance has adequately monitored the conduct and progress of the study, from the first check of the study plan for GLP conformity to the audit of the final report as a second opinion on the completeness of the reporting and the adequacy of raw data coverage. It secondly provides the study with the seal of approval by attesting to the GLP compliant conduct. In this sense the Quality Assurance statement carries as much weight for the assessment of the study s integrity and validity as the Study Director s signature. 

Patients, by Robert Jay Rowen, M.D., who is editor in chief of Second Opinion. Artemisinin is known to be cytotoxic in the presence of ferrous iron, and inasmuch as cancer cells are naturally high in iron influx, the connection can be made. The article presents a number of positive clinical results for various advanced cancer cases. 

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