From: Subject: AMA (Ethics) AMA Statement Date: Sat, 2 Oct 2004 16:34:13 -0400 MIME-Version: 1.0 Content-Type: multipart/related; type="text/html"; boundary="----=_NextPart_000_0000_01C4A89D.A6ABB820" X-MimeOLE: Produced By Microsoft MimeOLE V6.00.2900.2180 This is a multi-part message in MIME format. ------=_NextPart_000_0000_01C4A89D.A6ABB820 Content-Type: text/html; charset="Windows-1252" Content-Transfer-Encoding: quoted-printable Content-Location: http://www.ama-assn.org/ama/pub/category/7567.html AMA (Ethics) AMA Statement 3D"AMA3D"AMA
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3D""=20 		3D""=20

AMA=20 Statement

Elements of = Quality Care for=20 Patients in the Last Phase of Life

Preamble:

In the last = phase of life=20 people seek peace and dignity. To help realize this, every = person=20 should be able to fairly expect the following elements of = care from=20 physicians, health care institutions, and the = community.

Elements:

  1. The = opportunity to=20 discuss and plan for end-of-life care. This should include: = the=20 opportunity to discuss scenarios and treatment preferences = with=20 the physician and health care proxy, the chance for = discussion=20 with others, the chance to make a formal "living will" and = proxy=20 designation, and help with filing these documents in such = a way=20 that they are likely to be available and useful when=20 needed.=20
  2. Trustworthy = assurances=20 that physical and mental suffering will be carefully = attended to=20 and comfort measures intently secured. Physicians should be = skilled in the=20 detection and management of terminal symptoms, such as = pain,=20 fatigue, and depression, and able to obtain the assistance = of=20 specialty colleagues when needed.=20
  3. Trustworthy = assurance=20 that preferences for withholding or withdrawing = life-sustaining=20 intervention will be honored. Whether the intervention be less complex (such as = antibiotics or artificial nutrition and hydration) or = complex and=20 more invasive (such as dialysis or mechanical = respiration), and=20 whether the situation involves imminent or more distant = dying,=20 patients=92 preferences regarding withholding or = withdrawing=20 intervention should be honored in accordance with the = legally and=20 ethically established rights of patients.=20
  4. Trustworthy = assurance=20 that there will be no abandonment by the physician. = Patients should be able = to trust=20 that their physician will continue to care for them when = dying. If=20 a physician must transfer the patient in order to provide = quality=20 care, that physician should make every reasonable effort = to=20 continue to visit the patient with regularity, and = institutional=20 systems should try to accommodate this.=20
  5. Trustworthy = assurance=20 that dignity will be a priority. Patients should be = treated in a=20 dignified and respected manner at all times.=20
  6. Trustworthy = assurance=20 that burden to family and others will be minimized. = Patients should be able = to expect=20 sufficient medical resources and community support, such = as=20 palliative care, hospice or home care, so that the burden = of=20 illness need not overwhelm caring relationships.=20
  7. Attention to = the personal=20 goals of the dying person. Patients should be able to trust that their = personal goals=20 will have reasonable priority whether it be: to = communicate with=20 family and friends, to attend to spiritual needs, to take = one last=20 trip, to finish a major unfinished task in life, or to die = at home=20 or at another place of personal meaning.=20
  8. Trustworthy = assurance=20 that care providers will assist the bereaved through early = stages=20 of mourning and adjustment. Patient and their loved ones should be able to = trust that=20 some support continues after bereavement. This may be by=20 supportive gestures, such as a bereavement letter, and by=20 appropriate attention to/referral for care of the = increased=20 physical and mental health needs that occur among the = recently=20 bereaved.=20


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Last updated: May 01, 2003
Content provided by: = Ethics=20 Resource Center


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Copyright 1995-2004 American Medical=20 Association. All rights reserved.
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} ------=_NextPart_000_0000_01C4A89D.A6ABB820 Content-Type: application/octet-stream Content-Transfer-Encoding: quoted-printable Content-Location: http://www.ama-assn.org/ama1/js/ama.js function getCookie(cookieName) {=0A= var cookieStr =3D "" + document.cookie;=0A= var index1 =3D cookieStr.indexOf(cookieName);=0A= if (index1 =3D=3D -1 || !cookieName) {=0A= return "";=0A= }=0A= var index2 =3D cookieStr.indexOf(";", index1);=0A= if (index2 =3D=3D -1) {=0A= index2 =3D cookieStr.length;=0A= }=0A= return(unescape(cookieStr.substring(index1 + cookieName.length + 1, = index2)));=0A= }=0A= =0A= function popup(url, name, w, h, features, warning) {=0A= if (url) {=0A= var win_features =3D "";=0A= if (w) { win_features +=3D "width=3D" + w; }=0A= if (h) {=0A= if (win_features) { win_features +=3D ","; }=0A= win_features +=3D "height=3D" + h;=0A= }=0A= if (features) {=0A= if (win_features) { win_features +=3D ","; }=0A= win_features +=3D features;=0A= }=0A= window.open(url, name, win_features);=0A= } else {=0A= if (warning) {=0A= alert(warning);=0A= }=0A= }=0A= }=0A= =0A= // bookmark toolbar=0A= function bookmarkImage() {=0A= if (document.all) {=0A= document.write('3D"Bookmark');=0A= }=0A= }=0A= =0A= function bookmarkLink() {=0A= if (document.all) {=0A= document.write('Bookmark Page');=0A= }=0A= }=0A= =0A= // session toolbar=0A= function sessionToolbar(itemTitle) {=0A= var ldap =3D document.cookie.indexOf("AMAHTTPSESSIONID");=0A= var myama =3D document.cookie.indexOf("MYAMA");=0A= =0A= if (ldap !=3D -1) {=0A= document.write(' 3D"Logout"');=0A= }=0A= =0A= if (myama !=3D -1 || ldap !=3D -1) {=0A= document.write(' 3D"Return');=0A= }=0A= }=0A= =0A= // quickpoll=0A= function makeResultsWindow() {=0A= window.open("", "QuickPoll_results", = "directories=3D0,location=3D0,menubar=3D0,resizable=3D0,scrollbars=3D1,st= atus=3D0,toolbar=3D0,width=3D550,height=3D400");=0A= document.QuickPoll.js.value =3D "no";=0A= document.QuickPoll.target =3D "QuickPoll_results";=0A= return true;=0A= } ------=_NextPart_000_0000_01C4A89D.A6ABB820 Content-Type: application/octet-stream Content-Transfer-Encoding: quoted-printable Content-Location: http://www.ama-assn.org/ama1/js/menu.js // --ntai 08.23.2002=0A= =0A= var spacer_path =3D "/ama1/images/system/spacer.gif", arrow_path =3D = "/ama1/images/menu/arrow.gif";=0A= var arrow_img =3D '3D""';=0A= var open_menu =3D "", open_sub =3D "", open_hi =3D "";=0A= =0A= function setVis(id, vis) {=0A= vis ? vis =3D "visible" : vis =3D "hidden";=0A= if (document.getElementById) {=0A= document.getElementById(id).style.visibility =3D vis;=0A= } else if (document.all) {=0A= document.all[id].style.visibility =3D vis;=0A= } else if (document.layers) {=0A= document.layers[id].visibility =3D vis;=0A= }=0A= }=0A= =0A= function setPos(id, x, y) {=0A= if (document.getElementById) {=0A= document.getElementById(id).style.left =3D x;=0A= document.getElementById(id).style.top =3D y;=0A= } else if (document.all) {=0A= document.all[id].style.pixelLeft =3D x;=0A= document.all[id].style.pixelTop =3D y;=0A= } else if (document.layers) {=0A= document.layers[id].left =3D x;=0A= document.layers[id].top =3D y;=0A= }=0A= }=0A= =0A= function buildLayer(id, vis, x, y, z, w, h, attr_div, attr_lay, over, = out, content) {=0A= vis ? vis =3D "visible" : vis =3D "hidden";=0A= if (document.getElementById || document.all) {=0A= return '
' + content + '
';=0A= } else if (document.layers) {=0A= return '' + content + '';=0A= }=0A= }=0A= =0A= function buildMapArea(url, x, y, w, h, over, out) {=0A= return '';=0A= }=0A= =0A= function buildSpacer(w, h) {=0A= return '3D""';=0A= }=0A= =0A= function nt_itemOver(id, x, y) {=0A= setPos(id, x, y);=0A= setVis(id, true);=0A= }=0A= =0A= function nt_itemOut(id) {=0A= setVis(id, false);=0A= }=0A= =0A= function closeMenu(id) {=0A= setVis(id, false);=0A= setVis(id + "_map", false);=0A= setVis(id + "_bg", false);=0A= setVis(id + "_hi", false);=0A= }=0A= =0A= function openMenu(id) {=0A= setVis(id, true);=0A= setVis(id + "_map", true);=0A= setVis(id + "_bg", true);=0A= }=0A= =0A= function openSub(id) {=0A= if (open_sub !=3D "") {=0A= closeMenu(open_sub);=0A= }=0A= open_sub =3D id;=0A= openMenu(open_sub);=0A= }=0A= =0A= function closeSub() {=0A= if (open_sub !=3D "") {=0A= closeMenu(open_sub);=0A= open_sub =3D "";=0A= }=0A= }=0A= =0A= function closeBaseMenu(id) {=0A= if (id !=3D "") {=0A= open_menu =3D "";=0A= closeSub();=0A= closeMenu(id);=0A= setVis(id + "_deact", false);=0A= }=0A= }=0A= =0A= function openBaseMenu(id) {=0A= if (open_menu !=3D "") {=0A= closeBaseMenu(open_menu);=0A= }=0A= open_menu =3D id;=0A= openMenu(id);=0A= }=0A= =0A= function closeAll() {=0A= closeBaseMenu(open_menu);=0A= }=0A= =0A= function addItem(label, url) {=0A= this._items[this._items.length] =3D new NT_Item(this.id + = this._items.length, label, url);=0A= }=0A= =0A= function addSubItem(label, url) {=0A= this._items[(this._items.length - 1)].sub_menu.addItem(label, url);=0A= }=0A= =0A= function buildMenu(style_id, vis, x, y, z, item_w, item_h, spacer_w, = spacer_h, parent_id) {=0A= var over =3D "", out =3D "", map_over =3D "", map_out =3D "";=0A= var bg_style_id =3D style_id + "_bg", hi_style_id =3D style_id + = "_hi", sp_style_id =3D style_id + "_sp";=0A= var menu_map_id =3D this.id + "_map", menu_bg_id =3D this.id + "_bg", = menu_hi_id =3D this.id + "_hi", menu_deact_id =3D this.id + "_deact";=0A= var menu_w =3D item_w + spacer_w, menu_h =3D 0, sub_length =3D 0;=0A= =0A= var menu_map =3D '';=0A= var menu_html =3D '';=0A= var menu_bg =3D menu_html, menu_hi =3D menu_html;=0A= menu_hi +=3D '
' + = buildSpacer(menu_w, item_h) + '
';=0A= =0A= for (var i =3D 0; i < this._items.length; i++) {=0A= map_over =3D "";=0A= map_out =3D "";=0A= =0A= map_over +=3D "nt_itemOut('" + menu_hi_id + "'); nt_itemOver('" + = menu_hi_id + "', " + x + ", " + (y + menu_h + spacer_h) + ");";=0A= =0A= if (i < this._items.length) {=0A= menu_html +=3D '' + buildSpacer(1, spacer_h) + '';=0A= menu_h +=3D spacer_h;=0A= }=0A= =0A= menu_html +=3D '';=0A= menu_html +=3D this._items[i].label + '';=0A= =0A= sub_length =3D this._items[i].sub_menu._items.length;=0A= =0A= if (sub_length > 0) {=0A= var sub_x =3D x + menu_w, sub_y =3D y + menu_h - spacer_h, sub_h = =3D sub_length * (item_h + spacer_h);=0A= =0A= menu_html +=3D arrow_img;=0A= map_over +=3D "openSub('" + this.id + i.toString() + "');";=0A= =0A= =0A= if (sub_y + sub_h > view_h) {=0A= var off_items =3D Math.ceil((sub_y + sub_h - view_h) / (item_h + = spacer_h));=0A= sub_y =3D sub_y - (off_items * (item_h + spacer_h));=0A= }=0A= =0A= this._items[i].sub_menu.buildMenu(style_id, false, sub_x, sub_y, = z, item_w, item_h, spacer_w, spacer_h, this.id);=0A= =0A= } else {=0A= menu_html +=3D ' ';=0A= if (parent_id !=3D null) {=0A= } else {=0A= map_over +=3D "closeSub();";=0A= }=0A= =0A= }=0A= =0A= menu_html +=3D '' + buildSpacer(spacer_w, item_h) + = '';=0A= menu_map +=3D buildMapArea(this._items[i].url, 0, menu_h, item_w, = item_h, map_over, map_out);=0A= menu_h +=3D item_h;=0A= }=0A= =0A= menu_html +=3D '';=0A= menu_map +=3D '3D""';=0A= menu_bg +=3D '' + = buildSpacer(menu_w, menu_h) + '';=0A= =0A= var deact =3D "";=0A= if (parent_id =3D=3D null) {=0A= over =3D "setVis('" + menu_deact_id + "', true);";=0A= deact =3D buildLayer(menu_deact_id, false, 0, 0, 0, x + (menu_w * = 3), menu_h * 2, "", "", "closeBaseMenu('" + this.id + "');", "", = buildSpacer(x + (menu_w * 3), menu_h * 2));=0A= }=0A= =0A= var menu =3D buildLayer(this.id, vis, x, y, z, menu_w, menu_h, "", "", = "", "", menu_html);=0A= var map =3D buildLayer(menu_map_id, vis, x, y, z + 1, menu_w, menu_h, = "", "", over, out, menu_map);=0A= var bg =3D buildLayer(menu_bg_id, vis, x, y, z - 2, menu_w, menu_h, = "", "", "", "", menu_bg);=0A= var hi =3D buildLayer(menu_hi_id, false, x, y, z - 1, menu_w, item_h, = "", "", "", "", menu_hi);=0A= =0A= with(document) {=0A= write(bg);=0A= write(menu);=0A= write(map);=0A= write(hi);=0A= write(deact);=0A= }=0A= }=0A= =0A= function NT_Menu(id) {=0A= this.id =3D id;=0A= this._items =3D new Array();=0A= this.addItem =3D addItem;=0A= this.addSubItem =3D addSubItem;=0A= this.buildMenu =3D buildMenu;=0A= }=0A= =0A= function NT_Item(id, label, url) {=0A= this.label =3D label;=0A= this.url =3D url;=0A= this.sub_menu =3D new NT_Menu(id);=0A= } ------=_NextPart_000_0000_01C4A89D.A6ABB820 Content-Type: application/octet-stream Content-Transfer-Encoding: quoted-printable Content-Location: http://www.ama-assn.org/ama1/js/menu_load.js var view_h =3D 0;=0A= var menu_phy_item_w =3D 165, menu_phy_item_h =3D 23, menu_phy_spacer_w = =3D 2, menu_phy_spacer_h =3D 2;=0A= var menu_pat_item_w =3D 165, menu_pat_item_h =3D 23, menu_pat_spacer_w = =3D 2, menu_pat_spacer_h =3D 2;=0A= =0A= var menu_phy =3D new NT_Menu("menu_phy");=0A= var menu_pat =3D new NT_Menu("menu_pat");=0A= =0A= =0A= // physicians=0A= =0A= menu_phy.addItem("Member Center", "/apps/vm?12848");=0A= menu_phy.addSubItem("Join the AMA", "/apps/vm?/go/join");=0A= menu_phy.addSubItem("Renew Membership", "/apps/vm?/go/renew");=0A= menu_phy.addSubItem("Membership Information", "/apps/vm?3561");=0A= menu_phy.addSubItem("Members-Only", "/apps/vm?1675");=0A= =0A= menu_phy.addItem("About AMA", "/apps/vm?1810");=0A= menu_phy.addSubItem("AMA Directories", "/apps/vm?1811");=0A= menu_phy.addSubItem("AMA History", "/apps/vm?1854");=0A= menu_phy.addSubItem("AMA Mission", "/apps/vm?1815");=0A= menu_phy.addSubItem("Jobs at the AMA", "/apps/vm?1817");=0A= menu_phy.addSubItem("Affiliated Groups", "/apps/vm?11600");=0A= menu_phy.addSubItem("Award Recognition Programs", "/apps/vm?8232");=0A= menu_phy.addSubItem("Working Guidelines", "/apps/vm?11601");=0A= =0A= menu_phy.addItem("Advocacy", "/apps/vm?8659");=0A= menu_phy.addSubItem("Advocacy Resource Center", = "/ama/priv/category/4134.html");=0A= menu_phy.addSubItem("AMA in Washington", "/apps/vm?4015");=0A= menu_phy.addSubItem("Managed Care/Private Sector", "/apps/vm?2387");=0A= =0A= menu_phy.addItem("Clinical Practice Tools", "/apps/vm?4555");=0A= menu_phy.addSubItem("AMA Internet ID", "/apps/vm?3133");=0A= menu_phy.addSubItem("Atlas of the Body", "/apps/vm?7140");=0A= menu_phy.addSubItem("Clinical Quality Improvement", "/apps/vm?2936");=0A= menu_phy.addSubItem("CPT", "/apps/vm?3113");=0A= menu_phy.addSubItem("Downloadable Resources", "/apps/vm?2207");=0A= menu_phy.addSubItem("Health Literacy", "/apps/vm?8577");=0A= menu_phy.addSubItem("HIPAA Resources", "/apps/vm?4234");=0A= menu_phy.addSubItem("JAMA Patient Page", "/apps/vm?3469");=0A= menu_phy.addSubItem("Legal Issues / Litigation Center", "/apps/vm?4541");=0A= menu_phy.addSubItem("Literature Search", "/apps/vm?6271");=0A= menu_phy.addSubItem("Online Data Collection", "/apps/vm?4080");=0A= menu_phy.addSubItem("Practice Web Sites", "/apps/vm?2821");=0A= menu_phy.addSubItem("RBRVS", "/apps/vm?2292");=0A= menu_phy.addSubItem("Roadmaps for Clinical Practice", "/apps/vm?6886");=0A= =0A= menu_phy.addItem("Ethics", "/apps/vm?2416");=0A= menu_phy.addSubItem("Council on Ethical and Judicial", "/apps/vm?2498");=0A= menu_phy.addSubItem("Ethics Resource Center", "/apps/vm?2732");=0A= menu_phy.addSubItem("Institute for Ethics", "/apps/vm?2558");=0A= =0A= menu_phy.addItem("Journals", "/apps/vm?http://pubs.ama-assn.org/");=0A= menu_phy.addSubItem("Archives", "/apps/vm?http://pubs.ama-assn.org/");=0A= menu_phy.addSubItem("• Dermatology", = "/apps/vm?http://archderm.ama-assn.org/");=0A= menu_phy.addSubItem("• Facial Plastic Surgery", = "/apps/vm?http://archfaci.ama-assn.org/");=0A= menu_phy.addSubItem("• Family Medicine", = "/apps/vm?http://archfami.ama-assn.org/");=0A= menu_phy.addSubItem("• General Psychiatry", = "/apps/vm?http://archpsyc.ama-assn.org/");=0A= menu_phy.addSubItem("• Internal Medicine", = "/apps/vm?http://archinte.ama-assn.org/");=0A= menu_phy.addSubItem("• Neurology", = "/apps/vm?http://archneur.ama-assn.org/");=0A= menu_phy.addSubItem("• Ophthalmology", = "/apps/vm?http://archopht.ama-assn.org/");=0A= menu_phy.addSubItem("• Otolaryngology", = "/apps/vm?http://archotol.ama-assn.org/");=0A= menu_phy.addSubItem("• Pediatrics & Adolescent Med", = "/apps/vm?http://archpedi.ama-assn.org/");=0A= menu_phy.addSubItem("• Surgery", = "/apps/vm?http://archsurg.ama-assn.org/");=0A= menu_phy.addSubItem("JAMA", "/apps/vm?http://jama.ama-assn.org/");=0A= =0A= menu_phy.addItem("Medical School and Residency", "/apps/vm?12851");=0A= menu_phy.addSubItem("Becoming a Physician", "/apps/vm?2320");=0A= menu_phy.addSubItem("CME Select", "/apps/vm?2797");=0A= menu_phy.addSubItem("Council on Medical Education", "/apps/vm?2954");=0A= menu_phy.addSubItem("Ethical Guidelines for Gifts", "/apps/vm?5689");=0A= menu_phy.addSubItem("FREIDA Online", "/apps/vm?2997");=0A= menu_phy.addSubItem("Medical Education Resources", "/apps/vm?4847");=0A= menu_phy.addSubItem("Section on Medical Schools", "/apps/vm?1843");=0A= =0A= menu_phy.addItem("Meetings", "/apps/vm?1814");=0A= menu_phy.addSubItem("Board of Trustees", "/apps/vm?2451");=0A= menu_phy.addSubItem("House of Delegates", "/apps/vm?9871");=0A= menu_phy.addSubItem("Sections/Special Groups", "/apps/vm?2452");=0A= =0A= menu_phy.addItem("Member Groups", "/apps/vm?1522");=0A= menu_phy.addSubItem("Group Practice", "/apps/vm?1736");=0A= menu_phy.addSubItem("International Grads", "/apps/vm?17");=0A= menu_phy.addSubItem("Medical Schools", "/apps/vm?1843");=0A= menu_phy.addSubItem("Medical Students", "/apps/vm?14");=0A= menu_phy.addSubItem("Minority Physicians", "/apps/vm?20");=0A= menu_phy.addSubItem("Organized Med Staff", "/apps/vm?21");=0A= menu_phy.addSubItem("Residents", "/apps/vm?15");=0A= menu_phy.addSubItem("Senior Physicians", "/apps/vm?23");=0A= menu_phy.addSubItem("Women Physicians", "/apps/vm?18");=0A= menu_phy.addSubItem("Young Physicians", "/apps/vm?16");=0A= =0A= menu_phy.addItem("News", "/apps/vm?3085");=0A= menu_phy.addSubItem("AMA Voice", "/apps/vm?10150");=0A= menu_phy.addSubItem("American Medical News", "/apps/vm?/go/amednews");=0A= menu_phy.addSubItem("For the Media", "/apps/vm?1578");=0A= menu_phy.addSubItem("News From the AMA", "/apps/vm?1576");=0A= menu_phy.addSubItem("Obituary Listings", "/apps/vm?7255");=0A= =0A= menu_phy.addItem("Policy", "/apps/vm?2982");=0A= menu_phy.addSubItem("AMA Councils", "/apps/vm?6693");=0A= menu_phy.addSubItem("Health Policy", "/apps/vm?3037");=0A= menu_phy.addSubItem("PolicyFinder", = "/apps/vm?/apps/pf_online/pf_online");=0A= =0A= menu_phy.addItem("Products and Services", "/apps/vm?3066");=0A= menu_phy.addSubItem("AMA Insurance", = "/apps/vm?http://www.amainsure.com/");=0A= menu_phy.addSubItem("AMA Solutions", "/apps/vm?8804");=0A= menu_phy.addSubItem("Book and Product Catalog", "/go/catalog");=0A= menu_phy.addSubItem("CPT Online", = "/apps/vm?https://catalog.ama-assn.org/Catalog/cpt/cpt_home.jsp");=0A= menu_phy.addSubItem("Credentialing Products", = "/apps/vm?https://profiles.ama-assn.org/amaprofiles");=0A= menu_phy.addSubItem("Data Licensing", "/apps/vm?2299");=0A= menu_phy.addSubItem("Data Resources", "/apps/vm?2670");=0A= menu_phy.addSubItem("Publications Ordering", = "/apps/vm?http://pubs.ama-assn.org/subscriptions/subscribe.dtl");=0A= =0A= menu_phy.addItem("Public Health", "/apps/vm?2625");=0A= menu_phy.addSubItem("Adolescent Health", "/apps/vm?1947");=0A= menu_phy.addSubItem("Aging and Community Health", "/apps/vm?4642");=0A= menu_phy.addSubItem("Alcohol & Other Drugs", "/apps/vm?3337");=0A= menu_phy.addSubItem("Disaster Preparedness", "/apps/vm?6206");=0A= menu_phy.addSubItem("Physician Health", "/apps/vm?5705");=0A= menu_phy.addSubItem("Health Disparities", "/apps/vm?7639");=0A= menu_phy.addSubItem("Medicine and Public Health", "/apps/vm?3611");=0A= menu_phy.addSubItem("Patient Safety", "/apps/vm?5343");=0A= menu_phy.addSubItem("SmokeLess States", "/apps/vm?3229");=0A= menu_phy.addSubItem("Violence Prevention", "/apps/vm?3242");=0A= =0A= menu_phy.addItem("Science", "/apps/vm?1796");=0A= menu_phy.addSubItem("Clinical Quality Improvement", "/apps/vm?2936");=0A= menu_phy.addSubItem("Council on Scientific Affairs", "/apps/vm?1800");=0A= menu_phy.addSubItem("Genetics", "/apps/vm?1799");=0A= menu_phy.addSubItem("Infectious Diseases", "/apps/vm?1797");=0A= menu_phy.addSubItem("United States Adopted Names", "/apps/vm?2956");=0A= =0A= =0A= // patients=0A= =0A= menu_pat.addItem("Health Information", "/apps/vm?3457");=0A= menu_pat.addItem("Medical Group Practice Locator", "/apps/vm?2168");=0A= =0A= =0A= if (menu_phy._items.length > menu_pat._items.length) {=0A= view_h =3D menu_phy._items.length * (menu_phy_item_h + = menu_phy_spacer_h) + 80;=0A= } else {=0A= view_h =3D menu_pat._items.length * (menu_pat_item_h + = menu_pat_spacer_h) + 80;=0A= }=0A= =0A= menu_phy.buildMenu("menu_phy", false, 4, 78, 100, menu_phy_item_w, = menu_phy_item_h, menu_phy_spacer_w, menu_phy_spacer_h, null);=0A= menu_pat.buildMenu("menu_pat", false, 98, 78, 100, menu_pat_item_w, = menu_pat_item_h, menu_pat_spacer_w, menu_pat_spacer_h, null);=0A= ------=_NextPart_000_0000_01C4A89D.A6ABB820--