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The law is, therefore, widely seen by clinicians as “hypocritical andanachronistic,” explains Dr Goldbeck-Wood. Another problem is that abortion care has become artificially separated from the rest of reproductive health care, she adds. In the UK, a high proportion of abortion care is provided in specialist organisations outside the NHS. Trainees in obstetrics and gynaecology – among them the potential service providers of the future – have too little opportunity to benefit from the learning environment that abortion care offers. “As well as reinforcing stigma, this deprives trainees of valuable learning opportunities,” she says Organisations calling for the law to be reformed include the British Pregnancy Advisory Service, the Royal College of Nursing, the Royal College of Midwives and other women’s health organisations. And if the law is to be reformed, says Dr Goldbeck-Wood, there will be a strong need for debate which is respectful and acknowledges the ethical complexity in this sensitive area of health care. “Abortion care remains a high-volume, under-researched and under-integrated area of women’s healthcare,” she writes. “2017 is an excellent time for practitioners to be challenging hypocrisy and exceptionalism in UK abortion care, and leading respectful debate centred on women’s needs, with complexity acknowledged.” A study led by Dr Louise Keogh, from the University of Melbourne, assessed the decriminalisation of abortion in the Victoria state of Australia in 2008. It found that a change in the law has empowered women, and increased clarity and safety for clinicians, but has failed to address stigma, access to services and workforce sustainability.

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Acarix has attracted a highly-experienced management team who have held senior positions in international medical device companies – CEO Sren Rysholt Christiansen with ELOS Medtech, GN ReSound and Cook Medical. Acarix`s CADScorSystem is based on engineering excellence in sound recording and signal processing. It has long been known that both cardiac contraction movement and turbulent flow can generate sound. Contraction related sounds are in lower frequency, whereas turbulent sounds in the streaming blood caused by partial obstruction (stenosis) in the coronary arteries are of higher frequencies. The detection of these murmurs is delicate, since the energy of the murmurs is very weak. Detecting and recording the coronary murmurs requires not only an advanced sensor but also means for proper attachment to the skin above the heart to optimize the recorded signal and to avoid external noise. The Acarix CADScorSystem has been designed to be an all-in-one system in the sense that the heart signal will be recorded, processed and displayed as a patient specific score, the CAD-score, on the device screen. The CADScorSystem contains the necessary electronics to instruct professionals during use and guide the patient through the recording periods. The system also contains a docking station for daily qualification of the sensor. Further the system integrates with an adhesive patch for locking the CADScor sensor to a fixed position above the heart during the recording. The software embedded in The Acarix CADScorSystem ensures that adequate recording conditions are controlled at every examination, whether performing your examinations in a quiet clinical settings or at busy GP clinics, at high altitudes (>95% coverage) or on the move.

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