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Write for me capstone curriculum publishing do my 37 in 1 box sensor kit for arduino proper essay format double spaced pages so we to talk about the ethics of antimicrobial stewardship so we'll start by talking about antimicrobial stewardship as a response to antimicrobial resistance I talked about how to being conceived as a technical problem and the need for it to be understood as an ethical problem and then some pilots of the questions will need to ask in order to address stewardship as both the technical and practical problem so we're all very clear maaaan today why ALR is a trap from which going to escape we're not very clear about all of the health economic and social consequences vote for ourselves within the UK felipine nations but globally in terms of developing nations and also for people who just do not yet exist in terms of the threat to future generations it's the shared dependent gullibility to this threat that creates an imperative to respond and I'm interested in a particular response that's taken the form of antimicrobial stewardship antimicrobial stewardship focuses on preserving antimicrobial infections and traditionally it's focused on the clinical setting in particular it's soft to promote optimal antimicrobial prescription as well as trying to reduce x micro luminous use or full Reuters restarting now to see expansion beyond that clinical setting in order to focus on improving infection surveillance prevention and control strawberry pushes you to develop new antimicrobials as well as reducing non-essential use of antimicrobials and the agricultural or cultural and farming industry so we have not looking just to the actual drug itself but the behaviors and conditions under which that drug will be affected the problem is that current stewardship activities predominantly focus on this is taking technical problem to consult and I'm only asking these how questions again how do you improve prevention how do we optimize prescribing how to increase surveillance so all these technical problems and questions are forced essential to our MS activities and misguided thing that they should exhaust our stewardship approach a Stuart has to ask both the wine and weather questions but underpin the acceptable matters so we have to be clear that an antimicrobial stewardship involves decision-making and policymaking that's inherently an S capably ethical so again we all agree of course we should improve infection control practices but how far should be allowed to go in restricting the choices in actions of individuals again everything in the room and a grade of course it should reduce misuse and overuse of antimicrobials which is how much risk is it going to be ethically permissible subject patients to in order to achieve this we all agree of course we need to encourage changes in prescribing behaviour utilization hand-washing practices of course what kind of behavior changing interventions will be permissible to subject the population to in order to achieve this which we believe you allowed motive Airness and have education campaigns or should be allowed to nudge incentivize what it for works maybe even manipulate people given how high the stakes are and people aren't addressing these kinds of questions acting as an antimicrobial Stewart then will involve making particular kinds of moral judgements promoting particular values and prioritizing different kinds of aims these are normative not technical activities so addition to stewardship having these kinds of ethical implications we also need to recognize that stewardship itself is an ethical value its ethical project and inherently this kind of project or notions about ethical behavior and good decision making these kinds of ideas to be addressed within our stewardship activities my suggestion is that a failure to adequately address the ethical issues in a direct impact on the success of our MX activities and it's a massive bailing for us currently that our approach the glass help Stuart's identify reflect on and resolve the numerous practical and related legal issues relating to being good antimicrobial stewards electrical proper understanding of what it needs to be visually angel microbial Stuart you're both sets we're not going to be able to handle the numerous and complex ethical and legal issues involved in feeding antimicrobial stewards so we need to move away from this idea of mere technical stewardship let a good stewardship in which we're also including what it means for our strategies our policies or activities to be happy to justifiable be fairly developed to be sounding implemented they do so that means we're going to have to start to ask and answer some fundamental conceptual and normative questions go beyond the technical so first to start about just who are going to be the individuals institutions that hold the role of antimatter stewards and on what basis we demand that these people institutions hold these rules and is it impossible for people who are stewards to still hold some kind of stewardship obligations people talk about possibility of guardians or champions but in on what basis can people hold those obligations and when we actually identify the development people what basis and what can we do to hold them responsible when they fail to behold they're different stewardship obligation you'll need to look at the values of steward should use so going to be skipped a lot of wide agreement on different protocol and policy paper is about antimicrobial stewardship they start to use no order terms such as being responsible judicious appropriate accountable these are normative terms again that require moral and valued judgments so for instance if we talk about the best use of antimicrobials it's going to matter whether that's is understood in terms of harm reduction or whether the best used understood in terms of providing equitable access right we have to examine the values its do what you're going to use you also need to be clear that the benefits to be obtained for preserving angel a kerbal effectiveness will require us to impose burdens on each other that potentially increase our risk delivered our choices this is the require more identification we all seem to know that good stewardship is not just in the about curbing excessive use let's also be concerned with guaranteeing sustainable fair access to those who don't yet have access for instance in low and middle income countries again this requires moral justification should be the case the good steward provides equal access to everyone whereas it possible to give priority to certain people to begin priority to individuals versus groups we give priority to future generations you don't get exists over current general and should pass behavior in contribution to current levels and rates of resistance be taken into account when we decide who gets access these valuable resources so another question to ask we caught it assume that what goes on here in the UK should go on in other parts of the world but is that necessarily the case we seem to your suppose that we always want to maximize patient outcomes minimize expenditures and flow resistance at all costs well that should not always be the case is it going to always be the case that a good Stewart have fulfilled their stewardship obligations in the same way is it possible that these obligations might be understood as being contact sensitive that given different patient populations conditions and resource availability we may expect good stewards act in different ways so lastly this a large run interrupted vicious cycle that's going to continue no matter what we do developing these relative diagnostic and treatment agents which makes addressing these ethical issues even more important we understand stewardship as a fundamental ethical project and the ability to use Georgia as a tool being informed by this ethical consideration write for me udacity machine learning capstone project 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