Clinically assisted hydration and the Liverpool Care Pathway: Catholic ethics and clinical evidence.

abstract：:W B Gallie's notion of essentially contested concepts remains of philosophical interest. I argue that medicine is one such concept and look at the consequences of this as regards the inappropriateness of looking for definitions and necessary and sufficient conditions to settle debates about what medicine is and is not...

journal_title：Journal of medical ethics

authors： McKnight C

更新日期：2003-08-01 00:00:00

abstract：:Australian immigration detention centres are in secluded locations, some on offshore islands, and are subject to extreme secrecy, comparable with 'black sites' elsewhere. There are parallels between healthcare professionals working in immigration detention centres and healthcare professionals involved with or complici...

journal_title：Journal of medical ethics

authors： Isaacs D

更新日期：2016-07-01 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 inclusion of elite transwomen athletes in sport is controversial. The recent International Olympic Committee (IOC) (2015) guidelines allow transwomen to compete in the women's division if (amongst other things) their testosterone is held below 10 nmol/L. This is significantly higher than that of cis-women. Science...

journal_title：Journal of medical ethics

authors： Knox T,Anderson LC,Heather A

更新日期：2019-06-01 00:00:00

abstract：:Many children in the USA are prescribed psychotropic drugs that have not been fully investigated in paediatric clinical trials. The common practice of prescribing psychotropic drugs off-label poses unknown and potentially serious short- and long-term consequences for these children. This paper briefly reviews the fact...

journal_title：Journal of medical ethics

authors： Tishler CL,Reiss NS

更新日期：2012-04-01 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：: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：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：:One theme of London University lawyer Ian Kennedy's 1980 Reith Lectures on medical ethics was the need to change the emphasis in physician patient relations from paternalism on the part of doctors to self determination on the part of patients. Bamford, a specialist in obstetrics and gynecology, demonstrates how reali...

journal_title：Journal of medical ethics

authors： Bamford PN

更新日期：1981-12-01 00:00:00

abstract：:In debates over life and death it is often said that one should err on the side of caution--that is, on the side of life. In the light of the recent case of Terri Schiavo, it is explained how the "err-on-the-side-of-life" argument proceeds, and an objection to it is offered. ...

journal_title：Journal of medical ethics

authors： Merrell DA

更新日期：2009-05-01 00:00:00

abstract：BACKGROUND:The importance of respecting patients and participants in clinical research is widely recognised. However, what it means to respect persons beyond recognising them as autonomous is unclear, and little is known about what patients find to be respectful. OBJECTIVE:To understand patients' conceptions of respec...

journal_title：Journal of medical ethics

authors： Dickert NW,Kass NE

更新日期：2009-07-01 00:00:00

abstract：OBJECTIVES:To explore attitudes and reasoning among Swedish physicians and the general public regarding the withdrawal of life-sustaining treatment at a competent patient's request. DESIGN:A vignette-based postal questionnaire including 1202 randomly selected individuals in the county of Stockholm and 1200 randomly se...

journal_title：Journal of medical ethics

authors： Lindblad A,Juth N,Fürst CJ,Lynöe N

更新日期：2010-05-01 00:00:00

abstract：:Are fake diagnoses and false or misleading certificates permissible means of helping patients? This question is examined in relation to four examples from Swedish health care: the sterilisation case, the asylum case, the virginity case, and the adoption case. We argue that both consequentialist and deontological ethic...

journal_title：Journal of medical ethics

authors： Helgesson G,Lynöe N

更新日期：2008-03-01 00:00:00

abstract：:The research assessment exercise (RAE) forms the basis for determining the funding of higher education institutions in the UK. Monies are distributed according to a range of performance criteria, the most important of which is "research outputs". Problems to do with publication misconduct, and in particular, issues of...

journal_title：Journal of medical ethics

authors： Sheikh A

更新日期：2000-12-01 00:00:00

abstract：:Eduard Seidler sets his discussion of the teaching of medical ethics in the Federal Republic of Germany against an historical background. Immediately after the Second World War the freshness of the memory of the 'Nuremberg Medical Trials' influenced the way in which moral dilemmas were treated in Germany. At the prese...

journal_title：Journal of medical ethics

authors： Seidler E

更新日期：1979-06-01 00:00:00

abstract：:This point of view compares the issue of informed patient consent primarily as it operates in Australia and the United Kingdom. It affords an overview, also, of the applicable law in the United States and Canada. It particularly focuses on the legal test to be applied to patient consent as established in the Bolam cas...

journal_title：Journal of medical ethics

authors： Kirby M

更新日期：1995-02-01 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：:Euthanasia and physician-assisted suicide (PAS) by request and/or based on an advance directive are legal in The Netherlands under strict conditions, thus providing options for patients with Huntington's disease (HD) and other neurodegenerative diseases to stay in control and choose their end of life. HD is an inherit...

journal_title：Journal of medical ethics

authors： Booij SJ,Engberts DP,Rödig V,Tibben A,Roos RA

更新日期：2013-10-01 00:00:00

abstract：:Article 3.4 of EC directive 89/381 requires member states to take "all necessary measures to promote Community self-sufficiency in human blood or human plasma" and, for this purpose, to "encourage the voluntary unpaid donation of blood and plasma". This paper presents an ethical case in support of the policy of volunt...

journal_title：Journal of medical ethics

authors： Keown J

更新日期：1997-04-01 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：:Teaching medical ethics by the case method may be enriched by adding to the principles-and-rules approach to practical reasoning modes of inquiry and interpretation that engage the moral imagination. :Carson and Higgs are strong advocates of the use of case studies in the teaching of medical ethics. Carson maintains...

journal_title：Journal of medical ethics

authors： Carson RA

更新日期：1986-03-01 00:00:00

abstract：:In healthcare, a tension sometimes arises between the injunction to do as much good as possible with scarce resources and the injunction to rescue identifiable individuals in immediate peril, regardless of cost (the "Rule of Rescue"). This tension can generate serious ethical and political difficulties for public poli...

journal_title：Journal of medical ethics

authors： Cookson R,McCabe C,Tsuchiya A

更新日期：2008-07-01 00:00:00

abstract：:Futile treatment is one ethically challenging situation commonly encountered by junior doctors. By analysing an intern's story using a role virtues framework, I propose a set of three steps for junior doctors facing this problem. I claim that junior doctors ought always to investigate the rationale underlying decision...

journal_title：Journal of medical ethics

authors： McDougall R

更新日期：2011-11-01 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：: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：: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：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：:The paternalistic view that decisions on whether to treat defective newborns are best made by physicians is rejected. It is contended that society should serve as the infant's protector by providing legal standards to govern treatment decisions. ...

journal_title：Journal of medical ethics

authors： Ferguson P

更新日期：1983-03-01 00:00:00

abstract：:According to estimates more than 400 biobanks currently operate across Europe. The term 'biobank' indicates a specific field of genetic study that has quietly developed without any significant critical reflection across European societies. Although scientists now routinely use this phrase, the wider public is still co...

journal_title：Journal of medical ethics

authors： Sándor J,Bárd P,Tamburrini C,Tännsjö T

更新日期：2012-06-01 00:00:00

abstract：:The rapid emergence and exploding usage of online social networking forums, which are frequented by millions, present clinicians with new ethical and professional challenges. Particularly among a younger generation of physicians and patients, the use of online social networking forums has become widespread. In this ar...

journal_title：Journal of medical ethics

authors： Guseh JS 2nd,Brendel RW,Brendel DH

更新日期：2009-09-01 00:00:00