Improving the evidence base in palliative medicine: a moral imperative.

abstract：:As a science and practice transcending metaphysical and ethical disagreements, 'secular' medicine should not exist. 'Secularity' should be understood in an Augustinian sense, not a secularist one: not as a space that is universally rational because it is religion-free, but as a forum for the negotiation of rival reaso...

journal_title：Journal of medical ethics

authors： Biggar N

更新日期：2015-03-01 00:00:00

abstract：:Perimortem gamete retrieval has been a possibility for several decades. It involves the surgical extraction of gametes which can then be cryo-preserved and stored for future use. Usually, the request for perimortem gamete retrieval is made by the patient's partner after the patient himself, or herself, has lost the ca...

journal_title：Journal of medical ethics

authors： Smajdor A

更新日期：2015-06-01 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：: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：:In this paper, we argue that there are important ethical questions about healthcare improvement which are underexplored. We start by drawing on two existing literatures: first, the prevailing, primarily governance-oriented, application of ethics to healthcare 'quality improvement' (QI), and second, the application of ...

journal_title：Journal of medical ethics

authors： Cribb A,Entwistle V,Mitchell P

更新日期：2020-02-01 00:00:00

abstract：:Much has been written by many distinguished persons about the philosophical, religious and ethical considerations of doctors and their involvement with torture. What follows will not have the erudition or authority of the likes of St Augustine, Mahatma Gandi, Schopenhauer or Thomas Paine. It represents the views of a ...

journal_title：Journal of medical ethics

authors： Burges SH

更新日期：1980-09-01 00:00:00

abstract：:While an ethical obligation to report findings of clinical research to trial participants is increasingly recognised, the academic debate is often vague about what kinds of data should be fed back and how such a process should be organised. In this article, we present a classification of different actors, processes an...

journal_title：Journal of medical ethics

authors： Kollek R,Petersen I

更新日期：2011-05-01 00:00:00

abstract：:Two protechnology arguments, the "hopeful principle" and the "automatic escalator", often used in bioethics, are identified and critically analysed in this paper. It is shown that the hopeful principle is closely related to the problematic precautionary principle, and the automatic escalator argument has close affinit...

journal_title：Journal of medical ethics

authors： Holm S,Takala T

更新日期：2007-01-01 00:00:00

abstract：:'Futility' is a contentious term that has eluded clear definition, with proposed descriptions either too strict or too vague to encompass the many facets of medical care. Requests for futile care are often surrogates for requests of a more existential character, covering the whole range of personal, emotional, cultura...

journal_title：Journal of medical ethics

authors： Vivas L,Carpenter T

更新日期：2020-04-24 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：:"No one has advanced a just and logical reason why reward for service to the public should be extended to the inventor of a mechanical toy and denied to the genius whose patience, foresight, and effort have given a valuable new [discovery] to mankind" (Katopis CJ. Patents v patents: policy implications of recent paten...

journal_title：Journal of medical ethics

authors： Mitnovetski O,Nicol D

更新日期：2004-10-01 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：:Clinical genetics encompasses a wider range of activities than discussion of reproductive risks and options. Hence, it is possible for a clinical geneticist to reduce suffering associated with genetic disease without aiming to reduce the birth incidence of such diseases. Simple cost-benefit analyses of genetic-screeni...

journal_title：Journal of medical ethics

authors： Clarke A

更新日期：1993-03-01 00:00:00

abstract：:Several religious traditions are widely believed to advocate the use of life-sustaining treatment in all circumstances. Hence, many believe that these faiths would require the use of a feeding tube in patients with advanced dementia who have lost interest in or the capacity to swallow food. This article explores wheth...

journal_title：Journal of medical ethics

authors： Gillick MR

更新日期：2001-02-01 00:00:00

abstract：:This personal narrative tugs at the heart strings. However, personal narratives are not sufficient to justify public funding for any screening policy. We have to take seriously the 'just caring' problem. We have only limited resources to meet virtually unlimited health care needs. No doubt, screening tests often save ...

journal_title：Journal of medical ethics

authors： Fleck LM

更新日期：2020-04-01 00:00:00

abstract：:Teaching medical ethics to medical students in a pluralistic society is a challenging task. Teachers of ethics have obligations not just to teach the subject matter but to help create an academic environment in which well motivated students have reinforcement of their inherent good qualities. Emphasis should be placed...

journal_title：Journal of medical ethics

authors： Glick SM

更新日期：1994-12-01 00:00:00

abstract：:In the past, a vast majority of medical assistance in dying (MAiD) patients were elderly patients with cancer who are not suitable for organ donation, making organ donation from such patients a rare event. However, more expansive criteria for MAiD combined with an increased participation of MAiD patients in organ dona...

journal_title：Journal of medical ethics

authors： Buturovic Z

更新日期：2020-12-10 00:00:00

abstract：BACKGROUND:Financial conflict of interest in clinical research is an area of active debate. While data exist on the perspectives and roles of academic institutions, investigators, industry sponsors, and scientific journals, little is known about the perspectives of potential research participants. METHODS:The authors ...

journal_title：Journal of medical ethics

authors： Kim SY,Millard RW,Nisbet P,Cox C,Caine ED

更新日期：2004-02-01 00:00:00

abstract：:The objective of this paper is to stimulate academic debate on embryo and fetal research from the perspective of the drafting of a protocol to the European Convention on Biomedicine. The Steering Committee on Bioethics of the Council of Europe was mandated to draw up such a protocol and for this purpose organised an i...

journal_title：Journal of medical ethics

authors： Byk JC

更新日期：1997-02-01 00:00:00

abstract：:I sketch a libertarian argument for the right to test in the context of 'direct to consumer' (DTC) genetic testing. A libertarian right to genetic tests, as defined here, relies on the idea of a moral right to self-ownership. I show how a libertarian right to test can be inferred from this general libertarian premise,...

journal_title：Journal of medical ethics

authors： Loi M

更新日期：2016-09-01 00:00:00

abstract：:A patient is described, a woman of 60, who at that age was diagnosed as having Huntington's chorea, a genetic disease which is transmitted as an autosomal dominant. She had one daughter, who was married and lived abroad. The patient's mother and maternal aunt, it emerged during the consultations, had had the disease, ...

journal_title：Journal of medical ethics

authors：

更新日期：1976-03-01 00:00:00

abstract：:Conflicts between the ethical values of an organisation and the ethical values of the employees of that organisation can often lead to conflict. When the ethical values of the employee are considerably higher than those of the organisation the potential for catastrophic results is enormous. In recent years several hig...

journal_title：Journal of medical ethics

authors： Faunce T,Bolsin S,Chan WP

更新日期：2004-02-01 00:00:00

abstract：:Traditionally, surgical practice has been experiential and based on the contemporary understanding of basic mechanisms of disease. It was both a science and an art and depended to far too great an extent on the individualism and self belief of its main exponents. "Evidence based medicine" (EBM) emerged in the 1980s an...

journal_title：Journal of medical ethics

authors： Stirrat GM

更新日期：2004-04-01 00:00:00

abstract：BACKGROUND:Despite the expansion of ethics consultation services, questions remain about the aims of clinical ethics consultation, its methods and the expertise of those who provide such services. OBJECTIVE:To describe physicians' expectations regarding the training and skills necessary for ethics consultants to contr...

journal_title：Journal of medical ethics

authors： Chwang E,Landy DC,Sharp RR

更新日期：2007-06-01 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：:This article reports on moral problems that were raised by medical students as the basis for an ethical case-conference in an obstetrics and gynaecology clerkship. After introducing the issue of teaching clinical ethics, the method of our case-conference is explained. Next, the variety of topics and related moral prob...

journal_title：Journal of medical ethics

authors： Olthuis G,Dukel L

更新日期：2008-09-01 00:00:00

abstract：:The increasing availability of DNA-based diagnostic tests has raised issues about whether these should be applied to the population at large in order to identify, treat or prevent a range of diseases. DNA tests raise concerns in the community for several reasons. There is the possibility of stigmatisation and discrimi...

journal_title：Journal of medical ethics

authors： Allen K,Williamson R

更新日期：1999-04-01 00:00:00

abstract：:Multiple self approaches purport that to have equal concern about all stages of one's life is not a requirement of rationality. This poses a challenge to the prudential lifespan account which Norman Daniels advocates in Just health: meeting health needs fairly. Daniels has criticised the multiple self approach in earl...

journal_title：Journal of medical ethics

authors： Schefczyk M

更新日期：2009-01-01 00:00:00

abstract：:In this paper we identify and evaluate arguments for and against offering assisted reproductive technologies (ART), specifically IVF, to HIV discordant couples (male partner HIV positive, female partner HIV negative). The idea of offering ART to HIV discordant couples generates concerns about safety and public health ...

journal_title：Journal of medical ethics

authors： Spriggs M,Charles T

更新日期：2003-12-01 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