Routine antenatal HIV testing and informed consent: an unworkable marriage?

abstract：:In 2018 and 2019 Cancer Research UK (CRUK) launched a controversial advertising campaign to inform the British public of obesity being a preventable cause of cancer. On each occasion the advertisements used were emotive and provoked frustration among the British public which was widely vocalised on social media. As we...

journal_title：Journal of medical ethics

authors： Varshney N

更新日期：2020-11-25 00:00:00

abstract：OBJECTIVE:To examine the current ethical review process (ERP) of ethics committees in a non-pharmacological trial from the perspective of a clinical investigator. DESIGN:Prospective collection of data at the Study Centre of the German Surgical Society on the duration, costs and administrative effort of the ERP of a ra...

journal_title：Journal of medical ethics

authors： Seiler CM,Kellmeyer P,Kienle P,Büchler MW,Knaebel HP,INSECT Study Group.

更新日期：2007-02-01 00:00:00

abstract：:To many in India and elsewhere, the life and thoughts of Mohandas Karamchand Gandhi are a source of inspiration. The idea of non-violence was pivotal in his thinking. In this context, Gandhi reflected upon the possibility of what is now called 'euthanasia' and 'assisted suicide'. So far, his views on these practices h...

journal_title：Journal of medical ethics

authors： Gielen J

更新日期：2012-07-01 00:00:00

abstract：:This paper explores the use of advance directives in clinical dementia research. The focus is on advance consent to participation of demented patients in non-therapeutic research involving more than minimal risks and/or burdens. First, morally relevant differences between advance directives for treatment and care, and...

journal_title：Journal of medical ethics

authors： Berghmans RL

更新日期：1998-02-01 00:00:00

abstract：BACKGROUND:Desire for improvement in one's illness and having one's own doctor functioning as a researcher are thought to promote therapeutic misconception (TM), a phenomenon in which research subjects are said to conflate research with treatment. PURPOSE:To examine whether subjects' therapeutic motivation and own doc...

journal_title：Journal of medical ethics

authors： Kim SY,De Vries R,Parnami S,Wilson R,Kim HM,Frank S,Holloway RG,Kieburtz K

更新日期：2015-05-01 00:00:00

abstract：OBJECTIVES:This study aimed to determine the ability to successfully contact past paediatric patients and their families to request participation in research, to assess familial views on the use of previously collected archival clinical samples for research purposes, and to highlight the ethical and practical issues in...

journal_title：Journal of medical ethics

authors： Sexton-Oates A,Dodgshun A,MacGregor D,Ludlow LE,Sullivan M,Saffery R

更新日期：2016-07-01 00:00:00

abstract：:Direct-to-consumer (DTC) genetic services have generated enormous controversy from their first emergence. A dramatic recent manifestation of this is the Food and Drug Administration's (FDA) cease and desist order against 23andMe, the leading provider in the market. Critics have argued for the restrictive regulation of...

journal_title：Journal of medical ethics

authors： Vayena E

更新日期：2015-04-01 00:00:00

abstract：:Although an invasive medical intervention, Deep Brain Stimulation (DBS) has been regarded as an efficient and safe treatment of Parkinson's disease for the last 20 years. In terms of clinical ethics, it is worth asking whether the use of DBS may have unanticipated negative effects similar to those associated with othe...

journal_title：Journal of medical ethics

authors： Gilbert F

更新日期：2012-07-01 00:00:00

abstract：:In this paper, I explore the ethics of subject selection in the context of biomedical research. I reject a key principle of what I shall refer to as the standard view According to this principle, investigators should select participants so as to minimise aggregate risk to participants and maximise aggregate benefits t...

journal_title：Journal of medical ethics

authors： MacKay D

更新日期：2016-10-01 00:00:00

abstract：:Current UK legislation is impacting upon the feasibility and cost-effectiveness of medical record-based research aimed at benefiting the NHS and the public heath. Whereas previous commentators have focused on the Data Protection Act 1998, the Health and Social Care Act 2001 is the key legislation for public health res...

journal_title：Journal of medical ethics

authors： Metcalfe C,Martin RM,Noble S,Lane JA,Hamdy FC,Neal DE,Donovan JL

更新日期：2008-01-01 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：:Understanding dental ethics as a field separate from its much better known counterpart, medical ethics, is a relatively new, but necessary approach in bioethics. This need is particularly felt in dental education and establishing a curriculum specifically for dental ethics is a challenging task. Although certain topic...

journal_title：Journal of medical ethics

authors： Gorkey S,Guven T,Sert G

更新日期：2012-01-01 00:00:00

abstract：:In a recent article, Udo Schuklenk and Suzanne van de Vathorst argued in favour of a legal option of physician-assisted death for patients with 'treatment-resistant' depression. In this commentary, I contend that their argument neglects the important consideration of the professional integrity of physicians. In light ...

journal_title：Journal of medical ethics

authors： MIller FG

更新日期：2015-11-01 00:00:00

abstract：:This paper looks at the issue of consent from children and whether the test of Gillick competency, applied in medical and healthcare practice, ought to extend to participation in research. It is argued that the relatively broad usage of the test of Gillick competency in the medical context should not be considered app...

journal_title：Journal of medical ethics

authors： Hunter D,Pierscionek BK

更新日期：2007-11-01 00:00:00

abstract：:I explain the notion of contributory injustice, a kind of epistemic injustice, and argue that it occurs within psychiatric services, affecting (at least) those who hear voices. I argue that individual effort on the part of clinicians to avoid perpetrating this injustice is an insufficient response to the problem; miti...

journal_title：Journal of medical ethics

authors： Miller Tate AJ

更新日期：2019-02-01 00:00:00

abstract：:Literary accounts of traumatic events can be more informative and insightful than personal testimonials. In particular, reference to works of literature can give us a more vivid sense of what it is like to receive a devastating diagnosis. In turn this can lead us to question some common assumptions about the nature of...

journal_title：Journal of medical ethics

authors： Spriggs M

更新日期：1998-04-01 00:00:00

abstract：:The article considers the objection to a commercial market in living donor organs for transplantation on the ground that such a market would be exploitative of the vendors. It examines a key challenge to that objection, to the effect that denying poor people the option to sell an organ is to withhold from them the bes...

journal_title：Journal of medical ethics

authors： Greasley K

更新日期：2014-01-01 00:00:00

abstract：:Research that is initiated, designed or funded by sponsor agencies based in countries with relatively high social and economic development, and conducted in countries that are relatively less developed, gives rise to many important ethical challenges. Although clinical trials of HIV vaccines began ten years ago in the...

journal_title：Journal of medical ethics

authors： Guenter D,Esparza J,Macklin R

更新日期：2000-02-01 00:00:00

abstract：:In this article, we discuss the ethical dimensions for the prescribing behaviours of opioids for a chronic pain patient, a scenario commonly witnessed by many physicians. The opioid epidemic in the USA and Canada is well known, existing since the late 1990s, and individuals are suffering and dying as a result of the e...

journal_title：Journal of medical ethics

authors： Yan E,Kuo DJ

更新日期：2019-04-01 00:00:00

abstract：:In this issue of the journal Mark Brown has offered a new argument against my potential future of value theory. I argue that even though the premises of this new argument are far more defensible than the premises of his old argument, the new argument does not show that the potential future of value theory of the wrong...

journal_title：Journal of medical ethics

authors： Marquis D

更新日期：2002-06-01 00:00:00

abstract：BACKGROUND:To allow patients to reflect about a decision to participate in a clinical trial, guidelines suggest a 24-h delay from when they are informed about the trial to when they give consent. In certain clinical settings, this is likely to hamper recruitment. METHOD:After oral and written information about the tri...

journal_title：Journal of medical ethics

authors： Gulbrandsen P,Jensen BF

更新日期：2010-02-01 00:00:00

abstract：:David Shaw's response to Hugh McLachlan's criticism of his proposed new perspective on euthanasia is ineffectual, mistaken and unfair. It is false to say that the latter does not present an argument to support his claim that there is a moral difference between killing and letting die. It is not the consequences alone ...

journal_title：Journal of medical ethics

authors： McLachlan H

更新日期：2011-12-01 00:00:00

abstract：BACKGROUND:Although fair distribution of healthcare services for older patients is an important challenge, qualitative research exploring clinicians' considerations in clinical prioritisation within this field is scarce. OBJECTIVES:To explore how clinicians understand their professional role in clinical prioritisation...

journal_title：Journal of medical ethics

authors： Nortvedt P,Pedersen R,Grøthe KH,Nordhaug M,Kirkevold M,Slettebø A,Brinchmann BS,Andersen B

更新日期：2008-05-01 00:00:00

abstract：:Obstetricians face difficult decisions when the interests of fetus and mother conflict. An example is the problem of choosing the delivery method when labour begins prematurely and the fetus is breech. Vaginal delivery involves risks for the breech fetus of brain damage or death caused by umbilical cord compression an...

journal_title：Journal of medical ethics

authors： Anderson G,Strong C

更新日期：1988-03-01 00:00:00

abstract：:Why do we persist in the relentless pursuit of artificial nourishment and other treatments to maintain a permanently unconscious existence? In facing the future, if not the present world-wide reality of a huge number of persistent vegetative state (PVS) patients, will they be treated because of our ethical commitment ...

journal_title：Journal of medical ethics

authors： Mitchell KR,Kerridge IH,Lovat TJ

更新日期：1993-06-01 00:00:00

abstract：:At the 5th International Conference on Priorities in Health Care in Wellington, New Zealand, 2004, one resonating theme was that for priority setting to be effective, it has to include clinicians in both decision making and the enforcement of those decisions. There was, however, a disturbing undertone to this theme, n...

journal_title：Journal of medical ethics

authors： Hunter D

更新日期：2007-09-01 00:00:00

abstract：:Dual-track assessment directs research ethics committees (RECs) to assess the risks of research interventions based on the unclear distinction between therapeutic and non-therapeutic interventions. The net risks test, in contrast, relies on the clinically familiar method of assessing the risks and benefits of interven...

journal_title：Journal of medical ethics

authors： Wendler D,Miller FG

更新日期：2007-08-01 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：:Dr Wells, a general practitioner, looks at the problem of barbiturate dependence from the point of view of the prescribing doctor who has to choose for his patients - of all ages - the drug, usually a hypnotic, which is sought for insomnia or states of anxiety and stress. He argues that it is wise to prescribe non-bar...

journal_title：Journal of medical ethics

authors： Wells F

更新日期：1976-06-01 00:00:00

abstract：:Over the past few decades, "Big Tobacco" has spread its tentacles across the developing world with devastating results. The global incidence of smoking has increased exponentially in Africa, Asia and South America and it is leading to an equally rapid increase in the incidence of smoking-induced morbidity and mortalit...

journal_title：Journal of medical ethics

authors： Hooper CR,Agule C

更新日期：2009-06-01 00:00:00