In Reply. —We appreciate the response of Drs Hooyman and Veremakis to our recent study. We agree with their first reservation regarding the use of deeply comatose patients who did not receive drugs as a control group compared with patients who are not deeply comatose and did receive drugs, and we expressed this reservation in our article.1 However, as Hooyman and Veremakis note, a better control group was not available to us and is unlikely to be available to other investigators in the future.As for their second reservation regarding the principle of double effect, we note that the source we cited on this principle emphasized the importance of the primary motivation, relief of pain and suffering, in ordering and administering sedatives and analgesics. Because such relief was the primary motivation for the physicians and nurses in our study, we stated that their actions were ethically justified. Hooyman and Veremakis
Country-Specific Mortality and Growth Failure in Infancy and Yound Children and Association With Material Stature
Use interactive graphics and maps to view and sort country-specific infant and early dhildhood mortality and growth failure data and their association with maternal
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