viability (in human beings, usually about the 20th week of gestation). An abortion may
occur spontaneously, in which case it is also called a miscarriage, or it may be brought
on purposefully, in which case it is often called an induced abortion.
(http://www.britannica.com/EBchecked/topic/1498/abortion)
An abortion is the removal or expulsion of an embryo or fetus from the uterus, resulting
in or caused by its death, when artificially induced bychemical, surgical, or other means.
When a fetus is expelled from the womb spontaneously it is called a miscarriage or
"spontaneous abortion." (http://www.newworldencyclopedia.org/entry/Abortion)
Abortion is the ending of pregnancy through the removal or forcing out from
the womb of a fetus or embryo before it is able tosurvive on its own. An abortion can
occur spontaneously, in which case it is often called a miscarriage. It can also be
purposely caused in which case it is known as an induced abortion. The
term abortion most commonly refers to the induced abortion of a human pregnancy. The
similar procedure after the fetus may be able to survive on its own is medically known
as a "late termination of pregnancy". (http://en.wikipedia.org/wiki/Abortion)
Kinds: (http://www.britannica.com/EBchecked/topic/1498/abortion)
b. Induced abortions may be performed for reasons that fall into four general
categories: to preserve the life or physical or mental well-being of the mother; to
prevent the completion of a pregnancy that has resulted from rape or incest; to
prevent the birth of a child with serious deformity, mental deficiency, or genetic
abnormality; or to prevent a birth for social or economic reasons (such as the
extreme youth of the pregnant female or the sorely strained resources of the
family unit). By some definitions, abortions that are performed to preserve the
well-being of the female or in cases of rape or incest are therapeutic, or
justifiable, abortions.
Kinds: (http://en.wikipedia.org/wiki/Abortion)
a. Induced
Reasons for procuring induced abortions are typically characterized as either
therapeutic or elective. An abortion is medically referred to as a therapeutic abortion
when it is performed to save the life of the pregnant woman; prevent harm to the
woman's physical or mental health; terminate a pregnancy where indications are that
the child will have a significantly increased chance of premature morbidity or mortality or
be otherwise disabled; or to selectively reduce the number of fetuses to lessen health
risks associated with multiple pregnancy. An abortion is referred to as an elective or
voluntary abortion when it is performed at the request of the woman for non-medical
reasons.
b. Spontaneous
Spontaneous abortion, also known as miscarriage, is the unintentional expulsion of an
embryo or fetus before the 24th week of gestation. A pregnancy that ends before 37
weeks of gestation resulting in a live-born infant is known as a "premature birth" or a
"preterm birth". When a fetus dies in utero after viability, or during delivery, it is usually
termed "stillborn". Premature births and stillbirths are generally not considered to be
miscarriages although usage of these terms can sometimes overlap.
Only 30% to 50% of conceptions progress past the first trimester. The vast majority of
those that do not progress are lost before the woman is aware of the conception, and
many pregnancies are lost before medical practitioners can detect an embryo. Between
15% and 30% of known pregnancies end in clinically apparent miscarriage, depending
upon the age and health of the pregnant woman. 80% of these spontaneous abortions
happen in the first trimester.
The most common cause of spontaneous abortion during the first trimester
is chromosomal abnormalities of the embryo or fetus, accounting for at least 50% of
sampled early pregnancy losses. Other causes include vascular disease (such
as lupus), diabetes, other hormonal problems, infection, and abnormalities of the
uterus. Advancing maternal age and a patient history of previous spontaneous abortions
are the two leading factors associated with a greater risk of spontaneous abortion. A
spontaneous abortion can also be caused by accidental trauma; intentional trauma or
stress to cause miscarriage is considered induced abortion or feticide.
Kinds: (http://www.newworldencyclopedia.org/entry/Abortion)
a. Spontaneous abortion
Most miscarriages occur very early in pregnancy. The risk of spontaneous abortion
decreases sharply after the eighth week. Between 10 percent and 50 percent of
pregnancies end in miscarriage, depending upon the age and health of the pregnant
woman. In most cases, they occur so early in the pregnancy that the woman is not even
aware that she was pregnant.
The risk or miscarriage is greater in those with a known history of several spontaneous
abortions or an induced abortion, those with systemic diseases, and those over age 35.
Other causes can be infection (of either the woman or fetus), immune response, or
serious systemic disease. A spontaneous abortion can also be caused by accidental
trauma; intentional trauma to cause miscarriage is considered an induced abortion.
b. Induced abortion
A pregnancy can be intentionally aborted in many ways. The manner selected depends
chiefly upon the gestational age of the fetus, in addition to the legality, regional
availability, and doctorpatient preference for specific procedures.
In the first twelve weeks, suction-aspiration or vacuum abortion is the most common
method. Manual vacuum aspiration, or MVA abortion, consists of removing
thefetus or embryo by suction using a manual syringe, while the electric vacuum
aspiration or EVA abortion method uses an electric pump. These techniques are
comparable, differing in the mechanism used to apply suction, how early in pregnancy
they can be used, and whether cervical dilation is necessary. MVA, also known as "mini-
suction" and menstrual extraction, can be used in very early pregnancy, and does not
require cervical dilation. Surgical techniques are sometimes referred to as STOP:
"Suction (or surgical) Termination Of Pregnancy." From the fifteenth week until
approximately the twenty-sixth week, a dilation and evacuation (D and E) method is
used. D and E consists of opening the cervix of the uterus and emptying it using
surgical instruments and suction.
Other techniques must be used to induce abortion in the third trimester. Premature
delivery can be induced with prostaglandin; this can be coupled with injecting the
amniotic fluid with caustic solutions containing saline or urea. Very late abortions can be
induced by intact dilation and extraction (IDX) (also called intrauterine cranial
decompression), which requires surgical decompression of the fetus's head before
evacuation. IDX is sometimes termed as "partial-birth abortion." A hysterotomy abortion,
similar to a caesarian section but resulting in a terminated fetus, can also be used at
late stages of pregnancy.
From the twentieth to twenty-third week of gestation, an injection to stop the fetal heart
can be used as the first phase of the surgical abortion procedure.
4. D & E (Dilation and Evacuation): within 13-24 weeks after last menstrual period
The fetus literally doubles in size between the 11th and 12th weeks of pregnancy. Soft
cartilage hardens into bone at 16 weeks, making the fetus too large and strong to pass
through a suction tube. The D & E procedure begins by inserting laminaria a day or two
before the abortion, opening the cervix wide to accommodate the larger fetal size. The
abortionist then both tears and cuts the fetus and uses the vacuum machine to extract
its remains. Because the skull is too large to be suctioned through the tube, it must be
crushed by forceps for removal. Pieces must be extracted very carefully because the
jagged, sharp pieces of the broken skull could easily cut the cervix.
8. D & X (Dilation and Extraction): from 20 weeks after last menstrual period to full
term. Also called partial birth abortion.
This procedure takes three days. During the first two days, the womans cervix is
dilated. She is given medication for cramping. On the third day, she receives medication
to induce labor. As the woman labors, the abortionist uses an ultrasound to locate the
babys legs. The abortionist then grasps a leg with forceps and delivers the baby up to
its head. Next, using a scissors, the abortionist creates an opening in the base of the
babys skull. A suction catheter is inserted into the skull opening, and the babys brains
are suctioned out. The skull collapses, and the rest of the babys body is delivered
through the birth canal.
Period of Viability
The period of viability refers (traditionally) to the period after the twenty-eighth
week, or more recently the twenty-fourth week, of gestation when a human fetus is
capable of living outside of the womb. Whether the fetus is in the period of viability has
legal ramifications as far as the fetus' rights of protection are concerned.
(en.wikipedia.org/wiki/Period_of_viability
Euthanasia
Euthanasia, also called mercy killing , act or practice of painlessly putting to death
persons suffering from painful and incurable disease or incapacitating physical disorder
or allowing them to die by withholding treatment or withdrawing artificial life-support
measures. Because there is no specific provision for it in most legal systems, it is
usually regarded as either suicide (if performed by the patient himself) or murder (if
performed by another). A physician may, however, lawfully decide not to prolong life in
cases of extreme suffering, and he may administer drugs to relieve pain even if this
shortens the patients life. In the late 20th century, several European countries had
special provisions in their criminal codes for lenient sentencing and the consideration of
extenuating circumstances in prosecutions for euthanasia.
(http://www.britannica.com/EBchecked/topic/196711/euthanasia)
Euthanasia is translated from Greek as "good death" or "easy death." As originally used,
the term referred to painless and peaceful natural deaths in old age that occurred in
comfortable and familiar surroundings. That usage is now archaic. As the word is
currently understood, euthanasia occurs when one person ends the life of another
person for the purpose of ending the killed person's pain or suffering.
(http://www.encyclopedia.com/topic/euthanasia.aspx)
Classification of Euthanasia
Euthanasia may be classified according to whether a person gives informed
consent into three types: voluntary, non-voluntary and involuntary.
There is a debate within the medical and bioethics literature about whether or not the
non-voluntary (and by extension, involuntary) killing of patients can be regarded as
euthanasia, irrespective of intent or the patient's circumstances. In the definitions
offered by Beauchamp and Davidson and, later, by Wreen, consent on the part of the
patient was not considered as one of their criteria, although it may have been required
to justify euthanasia.However, others see consent as essential.
Voluntary euthanasia
Euthanasia conducted with the consent of the patient is termed voluntary euthanasia.
Active voluntary euthanasia is legal in Belgium, Luxembourg and the Netherlands.
Passive voluntary euthanasia is legal throughout the U.S. per Cruzan v. Director,
Missouri Department of Health. When the patient brings about his or her own death with
the assistance of a physician, the term assisted suicide is often used instead. Assisted
suicide is legal in Switzerland and the U.S. states of Oregon, Washington, Montana and
Vermont.
Non-voluntary euthanasia
Euthanasia conducted where the consent of the patient is unavailable is termed non-
voluntary euthanasia. Examples include child euthanasia, which is illegal worldwide but
decriminalised under certain specific circumstances in the Netherlands under
the Groningen Protocol.
Involuntary euthanasia
Euthanasia conducted against the will of the patient is termed involuntary euthanasia.
(http://en.wikipedia.org/wiki/Euthanasia)
Suicide, the act of intentionally taking ones own life. Because this definition does not
specify the outcome of such acts, it is customary to distinguish between fatal suicide
and attempted, or nonfatal, suicide.
Throughout history, suicide has been both condemned and condoned by various
societies. It is generally condemned by Islam, Judaism, and Christianity, and suicide
attempts are punishable by law in many countries. The Brahmans of India, however,
tolerate suicide; and suttee, the theoretically voluntary suicide of an Indian widow, now
outlawed, was highly praised at one time. In ancient Greece, convicted criminals were
permitted to take their own lives, but the Roman attitude toward suicide hardened
toward the end of the empire as a result of the high incidence among slaves, who thus
deprived their owners of valuable property. Jews committed suicide rather than submit
to ancient Roman conquerors or Crusading knights who intended to force their
conversion. Buddhist monks and nuns have committed sacrificial suicide by self-
immolation as a form of social protest. The Japanese custom of seppuku (also called
hara-kiri), or self-disembowelment, was long practiced as a ceremonial rite
among samurai. Japans use of kamikaze suicide bombers during World War II was a
precursor to the suicide bombing that emerged in the late 20th century as a form
of terrorism, particularly among Islamic extremists (see September 11 attacks).
Members of some New Religious Movements, notably the Peoples Temple (Jonestown,
Guyana, 1978) and Heavens Gate (San Diego, California, U.S., 1997), committed mass
suicide. (http://www.britannica.com/EBchecked/topic/572110/suicide)
Causes of Suicide
1. Mental illness
Among the most common causes of suicide is that of mental illness. Although there are
a variety of treatment options for people with mental illnesses, they are far from perfect.
Most people end up trying a variety of psychiatric drugs and/or talk therapies. After
years of trying various medications (and cocktails), going through medication
withdrawals, and experimenting with therapies, some people are stuck in a constant
state of mental pain and despair.
Anxiety: Having generalized anxiety, social phobia, panic attacks, or obsessive-
compulsive disorder (OCD) can drive a person crazy. Some forms of anxiety make it
extremely difficult to maintain friendships, finish school, or hold down a steady job. The
combination of loneliness and fear can lead a person to contemplate suicide.
Bipolar disorder: There are a couple of subtypes of Bipolar disorder, but essentially it
involves fluctuations in mood from states of severe depression to elevations in mood
such as mania and hypomania. These mood fluctuations can make it difficult for people
with this disorder to maintain relationships and a balanced life. Additionally the
depression can lead a person to feel suicidal.
Depression: Major depression is a leading cause of suicide throughout the world.
People that do not treat their depressive symptoms have a greater risk for following
through with suicide. Individuals with major depression are typically genetically wired in
a way that makes it difficult to feel pleasure and happiness in life. 90% of people who
commit suicide suffer from untreated depression.
Schizophrenia: This is a highly severe mental illness with an array of symptoms
including severe depression, hallucinations, and cognitive impairment. Having this
illness makes it difficult to function in life and can serve as a major challenge due to the
fact that most medications to treat this illness carry severe side effects. Anywhere from
20% to 40% of people with this illness attempt suicide.
2. Traumatic Experience
Any type of traumatic experience can lead a person to feeling helpless, guilty, and/or
ashamed. If you were victim of physical abuse, sexual abuse, and/or dealt with trauma
in war, you are much more likely to end up with post-traumatic stress disorder. This
disorder and the feelings associated with traumatic experiences can lead a person to
become suicidal.
PTSD: Many people with PTSD or Post-Traumatic Stress Disorder develops after a
person is faced with a traumatic experience such as warfare, being seriously injured, or
assaulted. The illness is characterized by flashbacks and numbing or blockage of
memories surrounding the traumatic experience. People with this illness often live in a
state of intense, and sometimes debilitating anxiety and/or fear that can interfere with
leading a normal life. When people feel helpless about their situation and permanently
traumatized, they may turn to suicide.
Physical abuse: People who are victim to physical abuse either growing up or in a
relationship can be traumatized. They may harbor feelings of guilt and shame that stay
trapped inside for years. When someone is abused it may go unrecognized and
unreported for an extended period of time. A person who is being physically abused
may view suicide as the only way in which they can escape their situation.
Sexual abuse: Any form of sexual abuse can lead a person to feeling depressed and
suicidal. In cases of molestation and rape, a person is forced to perform sexual acts
against their will. This can result in significant psychological trauma caused to the
victim. When unreported or not addressed, this trauma can make a person feel highly
suicidal.
War: Being involved in a war can lead a person to see death, horrendous injuries, and
feel fearful for their own life. This intense anxiety and paranoia over whether the soldier
will stay alive coupled with seeing others die and injured can lead to trauma. People see
things in war that make them physically sick and in many cases, they have a tough time
mentally healing. The lack of support for veterans and not understanding their
psychological diagnosis can sometimes result in suicide.
3. Bullying
Most people experience bullying to some degree while growing up and going through
school its an inevitable part of life. Bullying can have a profound effect on the way
people think and how they feel. Most people that are bullied end up feeling extremely
depressed, worthless, and hopeless to change their situation.
Unfortunately in many cases, bullying goes completely unrecognized until the victim
cant take it anymore and sees suicide as the only way to escape the pain that they are
experiencing. Some kids view bullying others as a way to fit in and/or prove themselves
in regards to social hierarchy. Kids that get bullied are often viewed as being either
physically weak and/or socially weak to not come up with witty responses.
Additionally, now there is a phenomenon called cyber bullying in which people fall
victim to being bullied online. This happens on social media sites, comments sections of
websites, and various blogs that aim to ruin peoples reputations and make people feel
ashamed. When a person is bullied online and/or has privacy exposed online, they may
view a ruined reputation as the end of the world and feel helpless to change their
situation which could lead to suicide.
4. Personality Disorders
Personality disorders can be closely related to mental illness, but are considered a set
of traits that make it difficult to function within society. People with a personality disorder
may have trouble maintaining relationships, holding down a steady job, and/or coping
with life. For example, someone with dependent personality disorder may be too afraid
to leave an abusive relationship. This dependency may lead the person with this
disorder to consider suicide as an escape from their circumstances.
On the same token, avoidant personality disorder can lead individuals to avoid social
contact because they are afraid they will be rejected or wont fit in. This can result in
feelings of isolation and a person thinking that they will never have any friends. An
individual with a personality disorder may feel as if there is no hope for escaping the
problems caused by their personality and may consider suicide.
The bottom line is that if you have a personality disorder, you are at increased risk of
suicide. The personality disorder that is most associated with increased suicide risk is
that of borderline personality disorder (BPD). This disorder is characterized by impulsive
behavior, difficulty regulating emotions, and instability in relationships.
5. Drug Addiction / Substance Abuse
People that are addicted to drugs and/or abuse drugs or alcohol on a consistent basis
are more likely to become depressed. Many people use drugs to escape painful feelings
of depression and hopelessness of their current life situation. Being addicted to drugs or
alcohol may provide some short-term relief from the pain that they feel, but over the
long term, drug use tends to alter brain functioning and neurotransmitters.
Eventually a person will build up such a high tolerance to whatever drug they are
addicted to, that they wont experience anymore lift in mood that they got when they first
started using. In many cases, substance abuse can temporarily change the way we
think by altering neurotransmitter levels and overall brain function.
If you have an addiction, it could escalate to feelings of deep depression. You may feel
helpless to overcome whatever addiction you face and some people see suicide as an
only way out of the addiction trap.
6. Eating Disorders
Eating disorders are defined as a series of dysfunctional eating patterns that satisfy the
person in ways other than nutrition. Many eating disorders are thought to be caused by
body image problems, low self-esteem, and other mental health issues. It is thought that
eating disorders are a way a person attempts to cope with unrelated issues such as:
abuse, troublesome emotions, communication problems, or an identity crisis.
By eating in a certain way it allows the person to feel a sense of control over their life
and situation. A common disorder is that of anorexia, which is the refusal to eat enough
food to maintain a healthy body weight. Others include: bulimia, compulsive overeating,
and purging disorder. All of these disorders tend to affect both physical and mental
health negatively.
A person dealing with an eating disorder may constantly feel suicidal as a result of a
nutrient-deficient diet. Poor diets can lead a person to feel depression and constant
negative emotions. Only when the diet is corrected can a person experience
improvements in mental health and pain associated with their situation. Additionally in
cases of eating disorders, other underlying issues usually need to be addressed in
therapy before progress can be made.
7. Unemployment
Being unemployed can lead to feelings of isolation and make your life feel as if it is void
of purpose. With a poor economy, many people lose their jobs and look for new work,
but since the competition is fierce, landing a new job can be difficult. In many cases
being unemployed not only makes people feel as if they have no purpose in life, it can
lead to depression over lack of an income as well.
Individuals who are unemployed arent earning any money and may get especially
stressed out when it comes time to pay bills. Being unable to earn money and provide
for yourself and/or a family can result in significant depression and anxiety. In addition to
unemployment, hating your current job can also lead to suicidal thoughts and possibly
actions if you feel as if there is no alternative option.
Employment provides most people with a sense of purpose and belonging to a specific
group or company. If you are unemployed you may find yourself socially isolated and
lacking purpose and structure in your day. Being employed helps individuals stay busy
and can actually take their mind off of
(http://mentalhealthdaily.com/2014/07/23/15-common-causes-of-suicide-why-do-people-
kill-themselves/)
Determination of death
Self-Inflicted: There is evidence that death was self-inflicted. This may be determined by
pathologic (autopsy), toxicologic, investigatory, and psychologic evidence and by
statements of the decedent or witnesses.
Intent: There is evidence (explicit and/or implicit) that, at the time of injury, the decedent
intended to kill himself/herself or wished to die and that the decedent understood the
probable consequences of his/her actions. This evidence may include:
Explicit verbal or nonverbal expression of intent to kill self; Implicit or indirect evidence
of intent to die, such as
In vitro fertilization
In vitro fertilization (IVF) is a procedure in which eggs (ova) from a woman's ovary are
removed, they are fertilized with sperm in a laboratory procedure, and then the fertilized
egg (embryo) is returned to the woman's uterus.
IVF is one of several assisted reproductive techniques (ART) used to help infertile
couples to conceive a child. If after one year of having sexual intercourse without the
use of birth control a woman is unable to get pregnant, infertility is suspected. Some of
the reasons for infertility are damaged or blocked fallopian tubes, hormonal imbalance,
or endometriosis in the woman. In the man, low sperm count or poor quality sperm can
cause infertility.
IVF is one of several possible methods to increase the chances for an infertile couple to
become pregnant. Its use depends on the reason for infertility. IVF may be an option if
there is a blockage in the fallopian tube or endometriosis in the woman, or low sperm
count or poor quality sperm in the man. There are other possible treatments for these
conditions, such as surgery for blocked tubes or endometriosis, which may be
attempted before IVF.
IVF will not work for a woman who is incapable of ovulating or with a man who is not
able to produce at least a few healthy sperm.
( http://www.surgeryencyclopedia.com/Fi-La/In-Vitro-Fertilization.html#ixzz3caEMcPvs)
Stem cell technology is a rapidly developing field that combines the efforts of cell
biologists, geneticists, and clinicians and offers hope of effective treatment for a variety
of malignant and non-malignant diseases. Stem cells are defined as totipotent
progenitor cells capable of self renewal and multilineage differentiation.Stem cells
survive well and show stable division in culture, making them ideal targets for in vitro
manipulation. Although early research has focused on haematopoietic stem cells, stem
cells have also been recognised in other sites. Research into solid tissue stem cells has
not made the same progress as that on haematopoietic stem cells. This is due to the
difficulty of reproducing the necessary and precise three dimensional arrangements and
tight cell-cell and cell-extracellular matrix interactions that exist in solid organs.
However, the ability of tissue stem cells to integrate into the tissue cytoarchitecture
under the control of the host microenvironment and developmental cues, makes them
ideal for cell replacement therapy.