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Is this distinction, between the elements and the dimensions of risk, arti cial or unnecessary Some (eg MacCrimmon and Wehrung, 1986) argue that time is, or in the terms of this analysis would be, an element rather than a dimension Every risk decision involves a period of time, the argument runs A child will be at a greater risk if he or she is placed with an adult, who is thought to be dangerous, for a week than for a day Therefore time is an element, not just a dimension That is true, so far as it goes But this emphasises the essential integrative, or iterative, character of the elements and the dimensions of risk, risk assessment and risk management Risktaking will always involve both elements and dimensions, even if this is not explicit.

Should doctors provide the drugs cheaply and safely which is what many drug users want or should they insist on detoxi cation out of concern for their welfare Which policy has most regard for autonomy (Note: It is true to say that if it is argued that autonomy is a quality, and that this quality ought to be increased, then this belief could be translated into a principle Equally, if health workers have a duty to enhance this quality in others, then it might be argued that this implies a right to have one s autonomy increased The rst suggestion is undoubtedly true we create principles and there is no reason why we should not create this one However, we must remember that the principle is not a thing in itself but originates from admiration of a complex human quality The second recommendation is a little more complicated.

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If it is meant to imply an objective right, then it is wrong The duty to create autonomy stems from health workers decisions to commit to work for health, and does not exist before this pledge Further-.

A decision to refuse someone a service, say to admit to hospital, may appear to lack a time dimension It is a risk decision because harm may result; it may have been a bad decision because the individual should have been assessed as needing a service But the decision-maker has not decided that the individual concerned will never, ever, require a service, say admission to hospital Another request for services may be made in due course next week, next month leading to a fresh risk decision, say to admit into hospital Time may not be an explicit dimension in all risk decisions, although it is submitted that it ought to be Those who declare that someone is not a danger to others are not claiming that the individual will never, ever, be a danger.

Australian operators are rst non-European operators who decide to implement GSM and to sign the MoU ETSI Technical Committee SMG agrees objectives and methodology for an open evolution of GSM beyond phase 2, to be implemented as phase 2 1 The world s rst DCS 1800 (now GSM 1800) personal communication network opened in the UK by Mercury One-2-One (now One 2 One) Data capabilities launched in GSM networks GSM MoU Group becomes a legal body, registered as a GSM MoU Association in Switzerland 10 million GSM users in 100 GSM networks on air in (60) countries world-wide GSM Phase 2 standardisation frozen in ETSI Technical Committee SMG The rst North American PCS 1900 (now GSM 1900) network opened by American Personal Communications in Washington, DC Fax, data and SMS services started, video over GSM demonstrated UMTS Task Force Report on a UMTS strategy for Europe completed.

These drugs prevent the reuptake of 5-HT by the neuron, and this results in more 5-HT being available to produce heightened nervous system activity There is some recent evidence that this serotonin increase is produced from an interaction of a protein (p11) and a specific serotonin receptor (1B; Svenningsson et al, 2006) The 1B receptor has been shown in animals to be related to a diverse range of physiological functions and behaviors, including mood, Obsessive-Compulsive Disorder, depression, anxiety, cognition, aggression, drug addiction, and sleep P11 makes more 5-HT 1B receptors available at the cell surface, thereby increasing the receptor signaling efficiency Svenningsson et al have provided convincing evidence that long-term administration of either electroconvulsive therapy or antidepressant drugs increases p11 mRNA in rat brains They also found that p11 mRNA was markedly reduced in helpless mice (showing behavioral signs of depres-.

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