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That is not a monitor for health care professionals. That<br />

is a health care professional to monitor research with<br />

respect to the well-be<strong>in</strong>g of the subjects of research for<br />

this category of research. This is reflected <strong>in</strong> the text.<br />

It just got dropped from this page.<br />

That is all, Jim.<br />

DR. SHAPIRO: Jim, why don't -- if there are<br />

any comments any of you have let me turn the chair over to<br />

Jim for the rest of this discussion.<br />

DR. CHILDRESS: All right. The floor is open<br />

for discussion. Aga<strong>in</strong> I would like to have all of the<br />

suggestions you have for the revision of the report. We do<br />

not have a lot of time so some of those you may want to<br />

submit by e-mail. I th<strong>in</strong>k it would be particularly helpful<br />

if we could look at some of the recommendations, the ones<br />

that are given here, and the k<strong>in</strong>ds of modifications you<br />

would propose for them. That will help us then th<strong>in</strong>k<br />

further about the revision of the report.<br />

DR. EMANUEL: Jim, <strong>in</strong> this summary of the<br />

recommendations there is no potential benefit, no potential<br />

benefit issue, and the use of advanced directives. I have<br />

for reasons you and many others <strong>in</strong> this room know about<br />

serious concerns about that as an operative pr<strong>in</strong>ciple. We<br />

have a lot of data that it does not work <strong>in</strong> other areas.

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