What do medical students experience as moral problems during their obstetric and gynaecology clerkship?

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：:More than 25 years into the HIV epidemic, in excess of 2 million new infections continue to occur each year. HIV prevention research is crucial for groups at heightened risk for HIV, but the design and conduct of HIV prevention research with vulnerable populations worldwide raises considerable ethical challenge...

journal_title：Journal of medical ethics

authors： Rennie S,Sugarman J

更新日期：2010-12-01 00:00:00

abstract：:In an earlier article in this journal, I advanced five ethical arguments in favour of a voluntary, unpaid system of blood donation. In his reply to my article, Hugh McLachlan criticised one of those arguments, namely, the argument that an unpaid system promotes altruism and social solidarity. In this reply to Dr. McLa...

journal_title：Journal of medical ethics

authors： Keown J

更新日期：1998-08-01 00:00:00

abstract：:This paper argues the case for coming to see 'medical politics' as a topic or subject within medical education. First, its absence is noted from the wide array of paramedical subjects (medical ethics, history of medicine, the medical humanities, etc) currently given attention in both the medical education literature a...

journal_title：Journal of medical ethics

authors： Emmerich N

更新日期：2011-10-01 00:00:00

abstract：:The public often believes that parents have a right to make medical decisions about their child. The idea that, in respect of children, doctors should do what parents tell them to do is problematic on the face of it. The effect of such a claim would be that a doctor who acted deliberately to harm a child would be maki...

journal_title：Journal of medical ethics

authors： Hain RDW

更新日期：2018-07-01 00:00:00

abstract：BACKGROUND:Humanitarian crises and emergencies, events often marked by high mortality, have until recently excluded palliative care-a specialty focusing on supporting people with serious or terminal illness or those nearing death. In the COVID-19 pandemic, palliative care has received unprecedented levels of societal a...

journal_title：Journal of medical ethics

authors： Wynne KJ,Petrova M,Coghlan R

更新日期：2020-08-01 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：:This opinion piece aims to situate the placebo effect within the field of psychiatric treatment. To accomplish this, the placebo is explored at the centre of an often heated debate between three discrete perspectives: the clinical trial researcher, the placebo researcher and the clinician. Each occupational perspectiv...

journal_title：Journal of medical ethics

authors： Huculak S

更新日期：2014-06-01 00:00:00

abstract：:Francis Fukuyama, in his Our Posthuman Future, and Gregory Stock, in his Redesigning Humans, present competing versions of the biomedical future of human beings, and debate the merits of more or less stringent regimes of regulation for biomedical innovation. In this article, these positions are shown to depend on a sh...

journal_title：Journal of medical ethics

authors： Ashcroft RE

更新日期：2003-02-01 00:00:00

abstract：:This article is a response to Raphael Cohen-Almagor's paper entitled 'First do no harm: intentionally shortening lives of patients without their explicit request in Belgium'. His paper deals with very important matters of life and death, however its concept usage is in part misleading. For instance, the fact that medi...

journal_title：Journal of medical ethics

authors： Materstvedt LJ,Magelssen M

更新日期：2016-09-01 00:00:00

abstract：:This response refutes the claim made in a recent article that organs for transplantation in China will no longer be sourced from executed prisoners. We identify ongoing ethical problems due to the lack of transparent data on current numbers of transplants in China; implausible and conflicting claims about voluntary do...

journal_title：Journal of medical ethics

authors： Rogers WA,Trey T,Fiatarone Singh M,Bridgett M,Bramstedt KA,Lavee J

更新日期：2016-08-01 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：:A fetus may survive an intentional interference with its intrauterine environment (1) if gestational age is mistaken and the procedure of induced abortion does not kill the fetus, (2) if a change of heart takes place after abortifacient drugs are taken and the abortion does not proceed, and (3) if a high-multiple preg...

journal_title：Journal of medical ethics

authors： Jansen RP

更新日期：1990-06-01 00:00:00

abstract：:Recently, there has been a lot of enthusiasm for mindfulness practice and its use in healthcare, businesses and schools. An increasing number of studies give us ground for cautious optimism about the potential of mindfulness-based interventions (MBIs) to improve people's lives across a number of dimensions. This paper...

journal_title：Journal of medical ethics

authors： Schmidt AT

更新日期：2016-07-01 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：:Junior researchers can be abused and bullied by unscrupulous senior collaborators. This article describes the profile of a type of serial abuser, the White Bull, who uses his academic seniority to distort authorship credit and who disguises his parasitism with carefully premeditated deception. Further research into th...

journal_title：Journal of medical ethics

authors： Kwok LS

更新日期：2005-09-01 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：:One of the central arguments given to resist testing currently healthy, asymptomatic children for adult-onset diseases is that they may be psychologically harmed by the knowledge gained from such tests. In this discussion I examine two of the most serious arguments: children who are tested may face limited futures, an...

journal_title：Journal of medical ethics

authors： Malpas PJ

更新日期：2008-04-01 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：:Robert Veatch has proposed a model of the doctor-patient relationship that has as its foundation the sharing of values between the doctor and the patient. This paper uses qualitative research conducted with six doctors involved in the long term, specialised care of HIV positive patients in South Australia to explore t...

journal_title：Journal of medical ethics

authors： Lawlor A,Braunack-Mayer A

更新日期：2004-12-01 00:00:00

abstract：:In medicine, racial differences are frequently presented as part of the best explanation of differences in the risk of diseases. The problem of using racial classification in biomedical research has become important because of its ethical consequences in society. However, the biological relevance of the concept of rac...

journal_title：Journal of medical ethics

authors： Lorusso L

更新日期：2011-09-01 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：:As the law around surgical consent continues to evolve, surgeons and those in training risk being caught red-faced and defenceless. Despite repeated concerns regarding surgical consent being raised by the General Medical Council of the UK, how much is changing on the National Health Service shop floor? This report inv...

journal_title：Journal of medical ethics

authors： Loughran D

更新日期：2015-02-01 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：:The International Bioethics Committee (IBC) of the United Nations Educational, Scientific and Cultural Organisation (UNESCO) is currently drafting a Universal Bioethics Declaration ("the declaration"). The content and even the name of the declaration has yet to be finalized, but it is expected to range widely over hum...

journal_title：Journal of medical ethics

authors： Faunce TA

更新日期：2005-03-01 00:00:00

abstract：:Rationing healthcare is a difficult task, which includes preventing patients from accessing potentially beneficial treatments. Proponents of implicit rationing argue that politicians cannot resist pressure from strong patient groups for treatments and conclude that physicians should ration without informing patients o...

journal_title：Journal of medical ethics

authors： Lauridsen SM,Norup MS,Rossel PJ

更新日期：2007-12-01 00:00:00

abstract：:Explorations of bioethical issues frequently raise the question of an entity's "moral standing," or its right to moral consideration by rational agents. Many contemporary philosophers subscribe to Leonard Nelson's view that only beings that have interests have moral standing. Kuhse attempts to define interests and t...

journal_title：Journal of medical ethics

authors： Kuhse H

更新日期：1985-09-01 00:00:00

abstract：CONTEXT:The need to reinvigorate medical confidentiality protections is recognised as an important objective in building patient trust necessary for successful health outcomes. Little is known about patient understanding and expectations from medical confidentiality. OBJECTIVE:To identify and describe patient views of...

journal_title：Journal of medical ethics

authors： Jenkins G,Merz JF,Sankar P

更新日期：2005-09-01 00:00:00

abstract：OBJECTIVE:The purpose of this article is to investigate the need for ethics support in Dutch healthcare institutions in order to understand why ethics support is often not used in practice and which factors are relevant in this context. METHODS:This study had a mixed methods design integrating quantitative and qualita...

journal_title：Journal of medical ethics

authors： Dauwerse L,Abma T,Molewijk B,Widdershoven G

更新日期：2011-08-01 00:00:00

abstract：OBJECTIVE:To demonstrate Japanese doctors' and nurses' attitudes towards and practices of voluntary euthanasia (VE) and to compare their attitudes and practices in this regard. DESIGN:Postal survey, conducted between October and December 1999, using a self-administered questionnaire. PARTCIPANTS: All doctor members an...

journal_title：Journal of medical ethics

authors： Asai A,Ohnishi M,Nagata SK,Tanida N,Yamazaki Y

更新日期：2001-10-01 00:00:00