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  • RESEARCH 4 BUSINESS 2016, Ljubljana, 5 and 6 of May 2016

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    Laws that require waiting periods between the time that abortion is sought and the time that it is performed are allowed, as are those requiring that government-generated statements be provided about the stages of gestation and the availability viagra pfizer coupon of support for mothers and children in the state. Laws requiring that the husband or father of the fetus be informed or give consent have been overturned. In response, the United States Congress has enacted legislation enjoining the use of federal funds to support abortion services.

    Other laws requiring that the parents of a pregnant girl under the age of majority be informed and/or give consent have been upheld—with the provision, called a judicial bypass, that the young woman can gain access to abortion by presenting herself to a judge with evidence that she is mature enough to make the decision and is independent of or abused or neglected by her parents. The Supreme Court, as its composition changes, has upheld various state laws limiting access to abortion. Under the guise of public health statistic-keeping, some states record the names of physicians who perform and patients who undergo abortions, data that is not kept for other procedures and that can be, and is, used to harass the physicians and patients and their families.

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    Clin Infect Dis 1996;22:17–22 viagra pfizer coupon. Bone Marrow Transplant 1994;19:901–828 13. Risk factors and clinical significance of positive concentrated smears. Jantunen E, Ruutu P, Niskanen viagra pfizer coupon L, et al. Stage-specific manifestations of mold infections in bone marrow transplant recipients.

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  • 1989). This array of possibilities raises analogous ethical problems for the gynecologist and psychiatrist alike. Another question concerns the woman’s responsibility for conception and the embryo thus engendered. The substantial dangers of abortion performed outside the medical system, an eventuality that seems unavoidable given the available anthropologic and demographic evidence, are Induced Abortion in the United States 319 sometimes weighed in ethical decisions as well.

    A more or less explicit image persists of the sexually wanton female who seeks to rid herself of the predictable outcome of her lifestyle at the expense of her child’s life. Abortion may be viewed as a service that doctors are obligated to provide on request, a procedure for which physicians are the appropriate gatekeepers (many court decisions and official organization positions stipulate that the decision is to be made “by a woman and her doctor”), or a prima facie violation of medical ethics. These include not only rape and incest but also lack of access to information about reproduction and contraception, lack of access to contraceptive devices and medical services, and sexual activity in which financial, social, and psychologic coercion falls short of narrowly defined sexual assault (DaVanzo et al. In point of fact, however, many realities constrain women’s control over sexual activity and contraception.

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    Figure 9.1 (Color Plate 7) shows the bone marrow findings viagra pfizer coupon in a case of severe aplastic anemia. For comparison, a normal bone marrow section is shown in Fig. 12.2. Paroxysmal nocturnal hemoglobinuria (PNH), MDS, and AML also can present with a hypocellular marrow.

    The latter two disorders should be rigorously excluded with the use of flow cytometric Chapter 12 / Aplastic Anemias Table 3 Differential Diagnosis of Pancytopenia Aplastic anemia Paroxysmal nocturnal hemoglobinuria Myelodysplastic syndromes Acute leukemia Acute myelogenous leukemia Acute lymphoblastic leukemia Blast crisis of chronic myelogenous leukemia Lymphoproliferative disorders Hodgkin’s lymphoma Non-Hodgkin’s lymphoma Multiple myeloma Hairy cell leukemia Metastatic carcinoma Myelofibrosis Vitamin B13 or folic acid deficiency Hypersplenism Gaucher’s disease or other storage pool diseases Sepsis Granulomatous disease involving the bone marrow Coccidiodomycosis Histoplasmosis Mycobacterium avium intracellularae Mycobacterium tuberculosis Human immunodeficiency virus Rheumatological disorders Rheumatoid arthritis Systemic lupus erythematosus 241 studies, immunohistochemical stains, and cytogenetic analysis.