A plea for end-of-life discussions with patients suffering from Huntington's disease: the role of the physician.

abstract：:Therapeutic privilege (TP) is a defence that may be available to doctors who fail to disclose to the patient relevant information when seeking informed consent for treatment if they have a reasonable belief that providing that information would likely cause the patient concerned serious physical or mental harm. In a l...

journal_title：Journal of medical ethics

authors： Menon S,Entwistle V,Campbell AV,van Delden JJM

更新日期：2021-01-01 00:00:00

abstract：:The Groningen protocol allows for the euthanasia of severely ill newborns with a hopeless prognosis and unbearable suffering. We understand the impetus for such a protocol but have moral and ethical concerns with it. Advocates for euthanasia in adults have relied on the concept of human autonomy, which is lacking in t...

journal_title：Journal of medical ethics

authors： Jotkowitz AB,Glick S

更新日期：2006-03-01 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：: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：BACKGROUND:Studies describing physicians' experiences with sedation at the end of life are indispensible for informed palliative care practice, but they are scarce. We describe the accounts of physicians from the USA and the Netherlands, two countries with different regulations on end-of-life decisions regarding their ...

journal_title：Journal of medical ethics

authors： Rietjens JA,Voorhees JR,van der Heide A,Drickamer MA

更新日期：2014-04-01 00:00:00

abstract：:The way people think about equality as a value will influence how they think genetic interventions should be regulated. In this paper the author uses the taxonomy of equality put forth by Derek Parfit and applies this to the issue of genetic interventions. It is argued that telic egalitarianism is untenable and that d...

journal_title：Journal of medical ethics

authors： Farrelly C

更新日期：2004-12-01 00:00:00

abstract：OBJECTIVES:This study aimed to determine attitudinal and self reported behavioural variations between medical students in different years to scenarios involving academic misconduct. DESIGN:A cross-sectional study where students were given an anonymous questionnaire that asked about their attitudes to 14 scenarios desc...

journal_title：Journal of medical ethics

authors： Rennie SC,Rudland JR

更新日期：2003-04-01 00:00:00

abstract：OBJECTIVES:To compare 2005 and 1995 ethics guidelines from journal editors to authors regarding requirements for institutional review board (IRB) approval and conflict-of-interest (COI) disclosure. DESIGN:A descriptive study of the ethics guidelines published in 103 English-language biomedical journals listed in the A...

journal_title：Journal of medical ethics

authors： Rowan-Legg A,Weijer C,Gao J,Fernandez C

更新日期：2009-01-01 00:00:00

abstract：:Until recently, moral case deliberation (MCD) sessions have mostly been facilitated by external experts, mainly professional ethicists. We have developed a train the facilitator programme for healthcare professionals aimed at providing them with the competences needed for being an MCD facilitator. In this paper, we pr...

journal_title：Journal of medical ethics

authors： Plantinga M,Molewijk B,de Bree M,Moraal M,Verkerk M,Widdershoven GA

更新日期：2012-10-01 00:00:00

abstract：:The progress of the discussion about the 'indicators of humanhood' is reviewed, along with several associated problems. It is argued that a more serious problem is posed by social attitudes about mental handicap. The author concludes that an uncritical use of criteria of humanhood may simply reinforce a morally unjust...

journal_title：Journal of medical ethics

authors： Clinkenbeard WW

更新日期：1989-06-01 00:00:00

abstract：:Genetic parenthood is usually portrayed as a value-neutral concept that can be confirmed or rejected based on objective, scientific tests. However, on inspection, it is exposed as a very complex idea that we might need to consider as something that comes in different shapes and forms and that is open to interpretation...

journal_title：Journal of medical ethics

authors： Mertes H

更新日期：2014-11-01 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：:The current COVID-19 pandemic has raised many questions and dilemmas for modern day ethicists and healthcare providers. Are physicians, nurses and other healthcare workers morally obligated to put themselves in harm's way and treat patients during a pandemic, occurring a great risk to themselves, their families and po...

journal_title：Journal of medical ethics

authors： Solnica A,Barski L,Jotkowitz A

更新日期：2020-07-01 00:00:00

abstract：:This paper re-evaluates euthanasia and assisted suicide from the perspective of eudaimonia, the ancient Greek conception of happiness across one's whole life. It is argued that one cannot be said to have fully flourished or had a truly happy life if one's death is preceded by a period of unbearable pain or suffering t...

journal_title：Journal of medical ethics

authors： Shaw DM

更新日期：2009-09-01 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：:The paper comments on Scott Dunbar's "An obstructed death and medical ethics," arguing contra Dunbar that we should not view truth-telling to the terminally ill as primarily governed by principles of veracity and respect for autonomy. All such rules are of limited value in medical ethics. We should instead turn to a...

journal_title：Journal of medical ethics

authors： Byrne P

更新日期：1990-06-01 00:00:00

abstract：:The COVID-19 pandemic has created unusually challenging and dangerous workplace conditions for key workers. This has prompted calls for key workers to receive a variety of special benefits over and above their normal pay. Here, we consider whether two such benefits are justified: a no-fault compensation scheme for har...

journal_title：Journal of medical ethics

authors： McConnell D,Wilkinson D

更新日期：2020-05-28 00:00:00

abstract：:The urgency of the resuscitation and the impaired ability of the patient to make a reasonable autonomous decision both conspire against adequate consideration of the principles of medical ethics. Informed consent is usually not possible for these reasons and this leads many to consider that consent is not required for...

journal_title：Journal of medical ethics

authors： Ardagh M

更新日期：1999-10-01 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：: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：: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：:With so much attention being paid to the development and refinement of appropriate criteria and tests for death, little attention has been given to the broader conceptual issues having to do with its definition or with the relation of a definition to its criterion. The task of selecting the correct criterion is, howev...

journal_title：Journal of medical ethics

authors： Bartlett ET

更新日期：1995-10-01 00:00:00

abstract：:Organs available for transplantation are scarce and valuable medical resources and decisions about who is to receive them should not be made more difficult by complicated calculations of desert. Consideration of likely clinical outcome must always take priority when allocating such a precious resource otherwise there ...

journal_title：Journal of medical ethics

authors： Eaton S

更新日期：1998-06-01 00:00:00

abstract：:Kovacs argues that honorary authorship and regarding each co-author of multi-authored papers as if they were sole authors when the performance of researchers is being evaluated by their publications mean that we should require authors to identify what proportion of each publication should be attributed to each co-auth...

journal_title：Journal of medical ethics

authors： Dyck MJ

更新日期：2013-08-01 00:00:00

abstract：OBJECTIVES:A statute enacted in 2005 modified the legislative framework of the rights of terminally ill persons in France. Ten years after the EURONIC study, which described the self-reported practices of neonatal caregivers towards ethical decision-making, a new study was conducted to assess the impact of the new law ...

journal_title：Journal of medical ethics

authors： Garel M,Caeymaex L,Goffinet F,Cuttini M,Kaminski M

更新日期：2011-04-01 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: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：: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：:The COVID-19 pandemic will likely recede only through development and distribution of an effective vaccine. Although there are many unknowns surrounding COVID-19 vaccine development, vaccine demand will likely outstrip early supply, making prospective planning for vaccine allocation critical for ensuring the ethical d...

journal_title：Journal of medical ethics

authors： Gupta R,Morain SR

更新日期：2020-12-17 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