394
A639591011087
5-year-old752591011060101161213267306347408441501
boy1283591011064124185
complains1496591011056116209269303356390450497
of2023591011064105
weakness,2161591011086140193253313366412459489
nervousness,2680591011064117158218278338384445498545591621
and3331591011057117177
periodic3538591011063118157190250310344397
fever396559101104397157210249
up4245591011065125
to440059101103797
37.54527591011063123153213
degrees4770591011064117178217271323369
Celsius5173591011080134167213247308355
(99.5639729011040100160190250
degrees919729011093146207246300353399
Fahrenheit)13497290110100154213253307366426480513548588
over1967729011093153206246
the2243729011067127181
past2454729011093147193227
year.2711729011096147201240263
A30057290110121
clinic3149729011088120154214247301
examination3480729011086146200293326387440473506567627
revealed4137729011073126187240293326379439
no4606729011093153
internal4790729011067127160214253313367400
organ5220729011094134192246306
pathology;639867011060113146206266300360420481512
a11818670110104
neurologist13148670110111165224264324358418479511558591
diagnosed19358670110111144197257316376423476535
somatoform2500867011097157251304337397437497538632
dysfunction31628670110111172216256316376429462495556616
of38088670110110150
the3988867011083143198
nervous42168670110111164203263323383430
system;4676867011097159204237290384417
general51238670110111164223277317370403
supportive6391005011047107167227287327360393453507
treatment1176100501104181134187220313367426460
was16751005011087140186
prescribed.18931005011068108161207260301334394447507537
The24601005011081141196
parents26851005011069122162216275308355
insist30701005011043103150183230264
on33641005011068128
further35221005011048108148181241294334
testing,3886100501104195141175208268329358
believing42741005011070123156189243302336396456
the47591005011041101156
diagnosis49451005011068101155215274334381414461
is5436100501104290
incomplete639114301103393147207300360393447480533
and12021143011053113173
that1405114301103393146180
the1615114301103393146
dysfunction17911143011060121165207267327381413447507567
has23881143011060113160
unidentified25781143011060120153213266326359393433466520579
causes.31871143011053106166212266312342
Questions6391281011087147200246279313373433480
for11491281011040100140
discussion:1318128101106093140193253300347380440500534
1)8191419011060100
What99914190110113174227260
should12891419011047107167227260320
a16391419011054
doctor17231419011060120173206266305
do20581419011060120
if2208141901103474
a23121419011053
patient23941419011060114147180234293326
doubts27501419011060120180240274321
his3101141901106093140
diagnosis?3271141901106093147206265325372405452506
2)8191557011060100
What99915570110113174227260
rights1289155701106599159217251298
does16171557011085145198245
the18931557011058118171
patient20941557011085140173206260319352
have24761557011086139199252
and27581557011079138198
what298615570110112172226259
responsibilities32751557011065119167227287347393427487520554587621654708754
does40591557011085145199245
the43341557011058118172
doctor45361557011085145198231291331
have48971557011085138197252
in51781557011059119
this53271557011058118152199
situation?999169501104780113174227260293354414466
3)8191833011060100
What99918330110113174227260
is1289183301103380
more13991833011094154194247
important16761833011033126187247287320373433466
in2172183301103393
this2295183301103393126173
situation:2498183301104780114174227261294354414448
doubt29761833011060120180240273
or32791833011060100
confidence34091833011052112172212245305358418471525
in3963183301103494
the4087183301103393147
decision42631833011060114166199246279340401
made?46941833011093146206260312
Case6392109011080140187240
12.9092109011060120150
An6392247011087147
outbreak8162247011069129162222262315368428
of12742247011069109
gastrointestinal14132247011070124170203243303337397430484530563597657710743
infections21862247011043103143196249282315376436482
began26982247011070123184236296
in30242247011042104
the31582247011043103156
seaside33442247011056109162208241301355
resort37292247011049103149212252285
town40442247011043103190250
this43252247011043103136183
summer.45382247011056116210303357396419
The49872247011082142196
rise5212224701105083130183
in54242247011043105
cases6392385011053106152206252
is921238501104996
primarily10472385011075115149242295336369403464
due15392385011075135189
to17582385011049110
poor18982385011076136196235
hygiene21632385011076138195228282342395
among25882385011070162222282342
vacationers29602385011077131183236269302363423476516562
(eating35522385011057110163196230290350
unwashed39312385011075135223277323383437496
fruits4457238501105696155188222269
and47562385011069128188
vegetables,49752385011076129190242275329389423476523552
dirty639252401106093133167228
hands,8942524011072127186246293323
eating12472524011065119152185246306
in15832524011045105
unsanitary17182524011072132180233293326359413453514
conditions22602524011065125185245278311345405465512
on28022524011072132
beaches,29642524011072126179232291346392422
etc.).3416252401106598151181222252
To36982524011085137
combat38662524011065124218278331364
the42612524011046106159
spread44502524011058118158212265325
of48052524011072113
the49482524011044104158
disease,51362524011071105151206259305360389
treatment639266201103373127179212306359419452
and11212662011053113173
sanitary13242662011047100160193226280321383
measures,17342662011093148201247307347400446476
including2240266201103393147180240300333394455
mandatory27232662011094147207267321355415455516
ones,32672662011060120173219249
are3546266201105594147
necessary.37232662011061114167221267313367407468489
Questions6392800011087147200246279313373433480
for11492800011040100140
discussion1318280001106093140193253300347380440500
1)8192938011060100
Would99929380110113164224258318
certain13472938011053106146179232265325
mandatory17022938011093147206266320353413453515
measures22462938011093146199245305345399445
be27212938011060113
morally28642938011093153194247280313376
justified3268293801103393140173207247280334393
in3691293801103494
this3815293801103393127173
situation?4018293801104781114174228261294354414466
2)8193076011060100
Please9993076011067100154207253306
formulate13353076011051111150243303336390423478
what18533076011086146201233
measures21273076011094148201247307347401447
can26053076011064116176
be28123076011071124
applied29673076011064123183216250303363
here33603076011071125165218
so36073076011057117
that37563076011044104157190
they39763076011044104158220
minimally42353076011093127187220314367400434495
violate47583076011071104164197251284337
citizens'5126307601106497130164217271331377399
rights999321401104073133192225272
and13013214011053113173
do15043214011060120
not16543214011060120154
provoke18383214011060100160220280340394
public22623214011060120180213246300
protest.25913214011060100160194247293326356
3)8193352011060100
How9993352011087147233
should12623352011046106166226260320
public16123352011060120180213247300
health19423352011060113166199232293
policy22653352011060120153186240301
be25933352011060113
effectively2736335201105494132186238271304365418451513
implemented32773352011033128188221275368421481514568627
in3934335201103494
this4058335201103393127173
situation?4261335201104781114174228261293353413465
4)8193490011060100
What99934900110113174227260
principles12893490011060100133193247280340373427473
of17923490011060100
public19223490011060120180213247300
health22523490011060113166199232292
ethics2574349001105486146180233280
are2884349001105392146
required3060349001104093152212246287340401
here?34913490011060113152206258
SELF-CHECK25263908010867147227301340426520600687780
TEST33323908010881161228308
Defects6394180011087140179232286319366
in1035418001103393
medical11584180011094147207240294346379
care15674180011054107147200
include:1797418001103394148180240300354387
1.819431801106090
violation999431801106093153187240273307367427
of14564318011060100
standards1586431801104680133193253306346406452
of20684318011060100
medical21994318011093146206240293346379
care26084318011053106146200
during28374318011061121161194254315
diagnostics3181431801106093147207267327374407441494541
2.819445601106090
unjustified9994456011060120153213260294327367401454513
refusal1542445601104094133193239293325
to1897445601103494
provide20214456011060100160221254314367
medical24184456011094147207240293346379
care28274456011053107147200
3.819459401106090
delay9994594011060113146199261
in1288459401103393
diagnosis1411459401106094147208267327374407454
due18954594011060120173
to2098459401103393
the2221459401103394147
doctor's23984594011060120173206266306328374
heavy28024594011060113166225288
workload31184594011087147187246280341394454
4.819473201106090
lack999473201103387140199
of12284732011060100
informed1358473201103494133193233326380439
consent18274732011054114174221274333367
of22244732011061101
the2355473201103393147
patient25314732011060113146180233293326
for28874732011040100140
medical30574732011093146206240294347380
intervention3468473201103393127180220280333392426459519579
5.819487001106090
improper9994870011033127187227287347400439
storage1468487001104780140180233294346
of18444870011060101
medical19754870011093146206239294346379
documents23844870011060120174234327380440473520
A6395146011087
mandatory7485146011094147207267320353413453515
condition12905146011055114174234268301335395455
for17755146011040100140
voluntary19445146011060120154214274307361400462
informed2434514601103494134194234327380440
consent29045146011054114175221275334368
is:3302514601103380113
1.819528401106090
oral9995284011060100153186
explanation12155284011053113174207261321374406440500560
of18055284011060100
the1935528401103393146
diagnosis2111528401106094147207265325372405452
2.819542201106090
written9995422011087127159193226280340
consent13695422011053112172219272332365
without17645422011087120154214274334367
explanation21615422011054114176209262322375408441502562
of27535422011060100
details28825422011060114147200233267313
3.819556001106090
full9995560011040100133167
information1196556001103393133193233326379412446506566
about17925560011053113173233266
the2088556001103494147
procedure22655560011060100159213266325385426479
and27745560011054113173
its2977556001103467114
consequences31215560011053113173220273334394447507560613659
4.819569801106090
consent9995698011053113173219273332366
of13955698011060100
the1525569801103393146
patient's17015698011060113146180233293326349394
relatives2125569801104095128182215248308362408
Voluntary6395974011087131164224284318371411473
informed1139597401103494133193233326380440
consent16095974011054113173220274334367
is2006597401103481
considered21175974011053113173219253313366406459518
invalid2665597401103393153207240273333
in3028597401103595
the3153597401103394147
event33305974011053112166227260
of:36205974011060100133
1.819611201106090
if999611201103373
the1102611201103494147
patient12796112011060113146179233292326
is1635611201103380
an17456112011053113
adult18886112011053113173206239
2.819625001106090
if999625001103373
the1102625001103494147
patient12796250011060113146179233292326
signed1635625001104680140199253313
the1978625001103393146
consent21546250011054114174221274334367
consciously25516250011053113173220273306366426473506568
3.819638801106090
if999638801103373
the1102638801103494147
information1279638801103393133193233326379412446506566
is1875638801103380
provided19856388011060100160220253313367426
in2441638801103494
understandable25656388011060120180233273319352406466526579638672725
language3320638801103388148208267320381434
4.819652601106090
if999652601103373
the1102652601103494147
patient12796526011060113146179233292326
gave16356526011060113173226
consent18906526011055114174221274334368
due22886526011060120174
to2492652601103393
stress2615652601104780120174219266
or29116526011060100
pressure30416526011060100153199246306346400
from3471652601104080140233
the3734652601103394147
doctor39116526011060120173206266306
The6396904011073133187
rule8556904011040100133187
of10716904011060100
truthfulness1201690401103373133166226266326359419474520567
in1798690401103394
medicine19226904011093146206240293326386439
includes:2391690401103393147180240300353399433
1.819704301106090
providing9997043011060100160220253313347407467
only14957043011060120153215
positive17387043011060120167200234267327381
information2148704301103494134194234326380413446506566
2.819720301106090
concealment9997203011053113173226279333366459513572606
of1635720301106099
an17647203011054113
unfavorable19077203011060120160214274335375428487520574
prognosis25117203011060100159220279339386419466
3.819736301106090
honest9997363011060120180233279313
information1342736301103394134194234326380413446506566
about19387363011054114174234267
the2235736301103393147
diagnosis2412736301106093146206264324371405451
and28937363011054113173
prognosis30967363011060101161222281342389422469
4.819752201106090
restriction999752201104093139172212246299332366426486
of15157522011060100
information1645752201103393133193233326379412446506566
at2242752201105386
the2358752201103494147
discretion2535752201106093140193233286319352412472
of30377522011060100
the3167752201103393147
physician33447522011060121182226259313346399459