BMJ : British medical journal
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To describe and evaluate the management of patients with motor neurone disease from the perspective of a hospice. ⋯ Although motor neurone disease is an uncommon disorder, many of its symptoms occur commonly in medical practice and must be actively treated. Opioids are both safe and effective for such treatment. The term chocking is both inaccurate and inappropriate in describing the cause of death in motor neurone disease and its use should be abandoned.
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Quantify possible increases in cadaveric organ donation from intensive care units; identify major sources of regional variation. ⋯ A 20% increase in number of cadaveric kidney donors from intensive care could be achieved by prompt testing for brain stem death and a quarter reduction in relatives' refusals.