"Why aren't you doing what we want?" Cultivating collegiality and communication between specialist and generalist physicians and residents.

abstract：:Recent studies using functional magnetic resonance imaging of patients in a vegetative state have raised the possibility that such patients retain some degree of consciousness. In this paper, the ethical implications of such findings are outlined, in particular in relation to decisions about withdrawing life-sustainin...

journal_title：Journal of medical ethics

authors： Wilkinson DJ,Kahane G,Horne M,Savulescu J

更新日期：2009-08-01 00:00:00

abstract：:Clinical trials of xenotransplantation (XTx) may begin early in the next decade, with kidneys from genetically modified pigs transplanted into adult humans. If successful, transplanting pig hearts into children with advanced heart failure may be the next step. Typically, clinical trials have a specified end date, and ...

journal_title：Journal of medical ethics

authors： Hurst DJ,Padilla LA,Walters W,Hunter JM,Cooper DKC,Eckhoff DM,Cleveland D,Paris W

更新日期：2020-05-01 00:00:00

abstract：:There is as yet no widely agreed-upon solution to the standard textbook problem whether actively shutting off a life-sustaining medical device, e.g. a respirator, and thus bringing about a patient's death amounts to active killing or just to an omission of further treatment. Apart from a range of astutely contrived ca...

journal_title：Journal of medical ethics

authors： Merkel R

更新日期：2016-06-01 00:00:00

abstract：:A recurrent issue in the vast amount of literature on reasoning models in ethics is the role and nature of moral intuitions. In this paper, we start from the view that people who work and live in a certain moral practice usually possess specific moral wisdom. If we manage to incorporate their moral intuitions in ethic...

journal_title：Journal of medical ethics

authors： van Thiel GJ,van Delden JJ

更新日期：2009-04-01 00:00:00

abstract：:Discussions on the ethics and regulation of clinical research have a great deal to say about the responsibilities of investigators, sponsors, research institutions and institutional review boards, but very little about the responsibilities of research participants. In this article, we discuss the responsibilities of p...

journal_title：Journal of medical ethics

authors： Resnik DB,Ness E

更新日期：2012-12-01 00:00:00

abstract：:Clinical trials emerged in rapid succession as the COVID-19 pandemic created an unprecedented need for life-saving therapies. Fair and equitable subject selection in clinical trials offering investigational therapies ought to be an urgent moral concern. Subject selection determines the distribution of risks and benefi...

journal_title：Journal of medical ethics

authors： Jansen MO,Angelos P,Schrantz SJ,Donington JS,Madariaga MLL,Zakrison TL

更新日期：2021-01-01 00:00:00

abstract：:Non-therapeutic circumcision violates boys' right to bodily integrity as well as to self-determination. There is neither any verifiable medical advantage connected with the intervention nor is it painless nor without significant risks. Possible negative consequences for the psychosexual development of circumcised boys...

journal_title：Journal of medical ethics

authors： Merkel R,Putzke H

更新日期：2013-07-01 00:00:00

abstract：:Among bioethicists and members of the public, genetics is often regarded as unique in its ethical challenges. As medical researchers and clinicians increasingly combine genetic information with a range of non-genetic information in the study and clinical management of patients with common diseases, the unique ethical ...

journal_title：Journal of medical ethics

authors： Foster MW,Royal CD,Sharp RR

更新日期：2006-11-01 00:00:00

abstract：:For many people, living with genital herpes generates not just episodic physical discomfort but recurrent emotional distress, centred on concerns about how to live and love safely without passing infection to others. This article considers the evidence on herpes transmission, levels of sexual risk, when the law has in...

journal_title：Journal of medical ethics

authors： Dunphy K

更新日期：2014-12-01 00:00:00

abstract：OBJECTIVES:This study investigated Finnish physicians' experiences of decisions concerning living wills and do not resuscitate (DNR) orders and also their views on the role of patients and family members in these decisions. DESIGN:A questionnaire was sent to 800 physicians representing the following specialties: gener...

journal_title：Journal of medical ethics

authors： Hildén HM,Louhiala P,Palo J

更新日期：2004-08-01 00:00:00

abstract：:Brierley et al argue that in cases where it is medically futile to continue providing life-sustaining therapies to children in intensive care, medical professionals should be allowed to withdraw such therapies, even when the parents of these children believe that there is a chance of a miracle cure taking place. In re...

journal_title：Journal of medical ethics

authors： Clarke S

更新日期：2013-09-01 00:00:00

abstract：:In the context of 'Do-not-resuscitate' (DNR) decisions, there is a lack of information in the UK on the opinions of patients and prospective patients. Written anonymous responses to questionnaires issued to 322 out-patient subjects showed that 97 per cent would opt for cardiopulmonary resuscitation (CPR) in their curr...

journal_title：Journal of medical ethics

authors： Robertson GS

更新日期：1993-06-01 00:00:00

abstract：:Conflict is an important consideration in the intensive care unit (ICU). In this setting, conflict most commonly occurs over the 'best interests' of the incapacitated adult patient; for instance, when families seek aggressive life-sustaining treatments, which are thought by the medical team to be potentially inappropr...

journal_title：Journal of medical ethics

authors： Johal HK,Danbury C

更新日期：2020-07-06 00:00:00

abstract：:Ancillary care is care that research participants need that is not essential to make the research safe or scientifically valid and is not needed to remedy injuries that eventuate as a result of the research project itself. Ancillary care duties have recently been defended on the grounds of beneficence, entrustment, ut...

journal_title：Journal of medical ethics

authors： Hooper CR

更新日期：2010-11-01 00:00:00

abstract：:A successful feature of the 4th-year curriculum in the Medical Faculty of the Queen's University, Belfast has been the development of interdisciplinary teaching in a three-week joint course to which several clinical departments contribute...Co-ordinated teaching of topics of common interest in small groups included, u...

journal_title：Journal of medical ethics

authors： Irwin WG,McClelland RJ,Stout RW,Stchedroff M

更新日期：1988-09-01 00:00:00

abstract：:Currently, any dentist in the UK who is HIV-seropositive must stop treating patients. This is despite the fact that hepatitis B-infected dentists with a low viral load can continue to practise, and the fact that HIV is 100 times less infectious than hepatitis B. Dentists are obliged to treat HIV-positive patients, but...

journal_title：Journal of medical ethics

authors： Shaw D

更新日期：2008-03-01 00:00:00

abstract：:Five arguments are presented in favour of the proposal that people who opt in as organ donors should receive a tax break. These arguments appeal to welfare, autonomy, fairness, distributive justice and self-ownership, respectively. Eight worries about the proposal are considered in this paper. These objections focus u...

journal_title：Journal of medical ethics

authors： Søbirk Petersen T,Lippert-Rasmussen K

更新日期：2012-08-01 00:00:00

abstract：:Public and healthcare professionals differ in their attitudes towards euthanasia and physician-assisted suicide (PAS), the legal status of which is currently in the spotlight in the UK. In addition to medical training and experience, religiosity, locus of control and patient characteristics (eg, patient age, pain leve...

journal_title：Journal of medical ethics

authors： Hains CA,Hulbert-Williams NJ

更新日期：2013-11-01 00:00:00

abstract：:Nigel Biggar (2015) argues that religion deserves a place in secular medicine. Biggar suggests we abandon the standard rationalistic conception of the secular realm and see it rather as "a forum for the negotiation of rival reasonings". Religious reasoning is one among a number of ways of thinking that must vie for ac...

journal_title：Journal of medical ethics

authors： Symons X

更新日期：2015-11-01 00:00:00

abstract：BACKGROUND:According to the Declaration of Helsinki, patients who take part in a clinical trial must be adequately informed about the trial's aims, methods, expected benefits, and potential risks. The declaration does not, however, elaborate on what "adequately informed" might amount to, in practice. Medical researcher...

journal_title：Journal of medical ethics

authors： Ferguson PR

更新日期：2002-02-01 00:00:00

abstract：:The case of W v M and Others, in which the court rejected an application to withdraw artificial nutrition and hydration from a woman in a minimally conscious state, raises a number of profoundly important medico-legal issues. This article questions whether the requirement to respect the autonomy of incompetent patient...

journal_title：Journal of medical ethics

authors： Mullock A

更新日期：2013-09-01 00:00:00

abstract：:Coercion and pressure in mental healthcare raise moral questions. This article focuses on moral questions raised by the everyday practice of pressure and coercion in the care for the mentally ill. In view of an example from literature-the story of Ulysses and the Sirens-several ethical issues surrounding this practice...

journal_title：Journal of medical ethics

authors： Widdershoven G,Berghmans R

更新日期：2007-10-01 00:00:00

abstract：:The recent essay by Schuklenk and Smalling opposing respect for physicians' conscientious objections to providing patients with medical services that are legally permitted in liberal democracies is based on several erroneous assumptions. Acting in this manner would have serious harmful effects on the ethos of medicine...

journal_title：Journal of medical ethics

authors： Glick SM,Jotkowitz A

更新日期：2017-04-01 00:00:00

abstract：:In this commentary on 'Why participating in (certain) scientific research is a moral duty', I take issue with a number of Stjernschantz Forsberg et al's claims. Though abiding by the terms of a contract might be obligatory, this won't show that those terms themselves indicate a duty--even allowing that there's a contr...

journal_title：Journal of medical ethics

authors： Brassington I

更新日期：2014-05-01 00:00:00

abstract：:Debate continues over the acts/omissions doctrine, and over the concepts of duty and charity. Such issues inform the debate over the moral permissibility of euthanasia. Recent papers have emphasised moral sensitivity, medical intuitions, and sub-standard palliative care as some of the factors which should persuade us ...

journal_title：Journal of medical ethics

authors： Parker M

更新日期：1990-03-01 00:00:00

abstract：:Ancell and Sinnott-Armstrong argue that medical providers possess wide freedoms to determine the scope of their practice, and therefore, prohibiting almost any conscientious objections is a bad idea. They maintain that we could create an acceptable system on the whole which even grants accommodations to discriminatory...

journal_title：Journal of medical ethics

authors： Card RF

更新日期：2019-03-01 00:00:00

abstract：:Robert Veatch and others have questioned whether there are internal moral rules of medicine. This paper examines the legal regulatory model for governing professions as the autonomous exercise of professional skills and asks whether there is a theoretical basis for this model. Taking John Rawls's distinction between t...

journal_title：Journal of medical ethics

authors： McAndrew S

更新日期：2019-03-01 00:00:00

abstract：:A considerable amount of publicity has recently centred on a few Lesbian couples who have successfully obtained artificial insemination by donor (AID) in order to have a child. Advice was orginally sought on a private basis from the Journal on the following case: now the issue is public knowledge, the doctor presentin...

journal_title：Journal of medical ethics

authors：

更新日期：1978-06-01 00:00:00

abstract：:Dr Neil Campbell suggests that when patients suffering extremes of protracted pain ask for help to end their lives, their requests should be discounted as made under compulsion. I contend that the doctors concerned should be referred to and then act upon advance directives made by those patients when of sound and calm...

journal_title：Journal of medical ethics

authors： Flew A

更新日期：1999-06-01 00:00:00

abstract：:Robertson comments on a case presented by Gafner in the same issue of the Journal of Medical Ethics. A proposal to crush a laryngeal nerve to halt the incessant yelling of an elderly demented patient is disapproved by a medical center's surgery department for risk and ethical reasons. Robertson, an anesthesiologist,...

journal_title：Journal of medical ethics

authors： Robertson GS

更新日期：1987-12-01 00:00:00