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Our data also suggest that the procedure of appointment was carried out by the patients who had a more stable and lasting relationship with our clinical centre.
This is compatible with the slightly higher educational level of the patients who started up the procedure of appointment of a legal proxy.
We found only two statistically significant differences between the two groups: the subjects who started up the procedure of appointment had been suffering from dementia for a longer time (2.3±2.2 versus 1.6±1.8 yrs; p = 0.02) and made more use of memantine (15.4% vs 4.4%; p = 0.02) than those who did not start up the procedure of appointment.
We can hypothesise that, due to the complexity and multiple implications of the procedure of appointment of the legal proxy, only some "privileged" categories of patients succeed in achieving it.
The multivariate analysis (Figure 3) shows that patients with less than two children had a higher probability to start up the procedure of appointment (OR 2.20; 95% CI 1.02 4.76) as compared to patients who had more than two children.
The subjects who started up the procedure of appointment were younger (OR 2.40; 95% CI 1.03 5.53) and made more use of memantine (OR 4.93; 95% CI 1.01 24.12) than those who did not start up the procedure.
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"I am ready to say to the president, 'Vladimir Vladimirovich, please return the procedure of direct appointment — it would be honest,' " Mr. Krymsky said.
However, relatives' consent may be less protective towards subjects in that less control would be given to the procedure of their appointment.
The adaptability of the contents of the Guardian figure introduced by Law 6/2004 and the speed of the procedure of its appointment made it as a useful tool used for any type of disability, in respect of the person.
Initially, frail patients have activated the procedure of Guardian appointment to find comfort in someone of trust, in case it would have been necessary to choose the most appropriate medical treatment.
But although the 2007 finance law sets the stage for many of these reforms, many details--about the new procedures for appointment of researchers and how a new evaluation agency will be run, for example--require further legislation before they become real.
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CEO of Professional Science Editing for Scientists @ prosciediting.com