Fair subject selection in clinical research: formal equality of opportunity.

abstract：BACKGROUND:Because opioids can suppress respiratory drive, the principle of double effect (PDE) has been used to justify their use for terminally ill patients. Recent studies, however, suggest that the risk of respiratory depression in typical end-of-life (EOL) situations may be overstated and that heightened concern f...

journal_title：Journal of medical ethics

authors： Macauley R

更新日期：2012-03-01 00:00:00

abstract：:Recent literature has highlighted issues of racial discrimination in medicine. In order to explore the sometimes subtle influence of racial determinants in decisions about resource allocation, we present the case of a 53-year-old Australian Aboriginal woman with end-stage renal failure. The epidemiology of renal failu...

journal_title：Journal of medical ethics

authors： Lowe M,Kerridge IH,Mitchell KR

更新日期：1995-12-01 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：:To investigate the current status of hospital clinical ethics committees (CEC) and how they have evolved in Canada over the past 20 years, this paper presents an overview of the findings from a 2008 survey and compares these findings with two previous Canadian surveys conducted in 1989 and 1984. All Canadian hospitals...

journal_title：Journal of medical ethics

authors： Gaudine A,Thorne L,LeFort SM,Lamb M

更新日期：2010-03-01 00:00:00

abstract：:In this commentary on 'Why participating in (certain) scientific research is a moral duty', I take issue with a number of Stjernschantz Forsberg et al's claims. Though abiding by the terms of a contract might be obligatory, this won't show that those terms themselves indicate a duty--even allowing that there's a contr...

journal_title：Journal of medical ethics

authors： Brassington I

更新日期：2014-05-01 00:00:00

abstract：:The advent of prenatal genetic diagnosis has sparked debates among ethicists and philosophers regarding parental responsibility towards potential offspring. Some have attempted to place moral obligations on parents to not bring about children with certain diseases in order to prevent harm to such children. There has b...

journal_title：Journal of medical ethics

authors： Bosslet GT

更新日期：2011-05-01 00:00:00

abstract：:The Brisbane Supreme Court has denied an Australian woman's request to harvest and freeze her dead fiancé's sperm for future impregnation. After she was denied access to the sperm, the woman learnt that her fiancé may have been a sperm donor and she began checking to find out if his sperm was still available. Given wh...

journal_title：Journal of medical ethics

authors： Spriggs M

更新日期：2004-08-01 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：:Elaborating on the concept of confidentiality of medical records and interdisciplinary communication discussed in earlier articles by D.J. Kenny and Derek F.H. Pheby, the author expresses concern about written communications to professional colleagues and verbal revelations to colleagues or to persons outside the ther...

journal_title：Journal of medical ethics

authors： Green M

更新日期：1982-03-01 00:00:00

abstract：:The notion of consent which rose to the forefront in biomedical ethics as an attempt to safeguard patients' autonomy, is relatively new. The notion itself requires qualification, for it precludes neither duress nor ignorance. More seriously, I argue here that consent is redundant except in situations where paternalism...

journal_title：Journal of medical ethics

authors： Habiba MA

更新日期：2000-06-01 00:00:00

abstract：:In their controversial paper 'After-birth abortion', Alberto Giubilini and Francesca Minerva argue that there is no rational basis for allowing abortion but prohibiting infanticide ('after-birth abortion'). We ought in all consistency either to allow both or prohibit both. This paper rejects their claim, arguing that ...

journal_title：Journal of medical ethics

authors： McGee A

更新日期：2013-05-01 00:00:00

abstract：:In the context of military medical care, Eisenstein and colleagues have introduced the notion 'left of bang intervention in trauma', which refers to interventions administered before trauma to reduce morbidity and mortality after injury. This paper responds to Eisenstein and colleagues' ethical analysis of such interv...

journal_title：Journal of medical ethics

authors： Liivoja R

更新日期：2018-07-01 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：: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：:Direct-to-consumer genetic testing is a growing phenomenon, fuelled by the notion that knowledge equals control. One ethical question that arises concerns the proband's duty to share information indicating genetic risks in their relatives. However, such duties are unenforceable and may result in the realisation of ant...

journal_title：Journal of medical ethics

authors： Parsons JA,Baker PE

更新日期：2020-12-09 00:00:00

abstract：:Most moral dilemmas in medicine are analysed using the four principles with some consideration of consequentialism but these frameworks have limitations. It is not always clear how to judge which consequences are best. When principles conflict it is not always easy to decide which should dominate. They also do not tak...

journal_title：Journal of medical ethics

authors： Gardiner P

更新日期：2003-10-01 00:00:00

abstract：:It has been suggested that future application of stem-cell derived gametes (SCD-gametes) might lead to the possibility for same-sex couples to have genetically related children. Still, for this to become possible, the technique of gamete derivation and techniques of reprogramming somatic cells to a pluripotent state (...

journal_title：Journal of medical ethics

authors： Segers S,Mertes H,Pennings G,de Wert G,Dondorp W

更新日期：2017-10-01 00:00:00

abstract：AIM:To examine the hypothesis that knowledge about physician-assisted suicide (PAS) and euthanasia is associated with a more restrictive attitude towards PAS. DESIGN:A questionnaire about attitudes towards PAS, including prioritization of arguments pro and contra, was sent to Swedish veterinary surgeons. The results w...

journal_title：Journal of medical ethics

authors： Lerner H,Lindblad A,Algers B,Lynöe N

更新日期：2011-05-01 00:00:00

abstract：:This paper summarises the features of my paper, 'Voluntary Active Euthanasia', and a later jointly authored paper, 'Moral Fictions', which I believe are examples of good medical ethics. ...

journal_title：Journal of medical ethics

authors： Brock DW

更新日期：2015-01-01 00:00:00

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：: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：:In the context of 'Do-not-resuscitate' (DNR) decisions, there is a lack of information in the UK on the opinions of patients and prospective patients. Written anonymous responses to questionnaires issued to 322 out-patient subjects showed that 97 per cent would opt for cardiopulmonary resuscitation (CPR) in their curr...

journal_title：Journal of medical ethics

authors： Robertson GS

更新日期：1993-06-01 00:00:00

abstract：:Several prominent writers including Norman Daniels, James Sabin, Amy Gutmann, Dennis Thompson and Leonard Fleck advance a view of legitimacy according to which, roughly, policies are legitimate if and only if they result from democratic deliberation, which employs only public reasons that are publicised to stakeholder...

journal_title：Journal of medical ethics

authors： Smith WR

更新日期：2018-06-01 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：:There are various ways in which medicine and literature interact, but this paper concentrates on the contribution which literature can make to 'whole person understanding'. Scientific understanding is concerned with seeing events and actions in terms of patterns or similarities. But 'whole person understanding' is con...

journal_title：Journal of medical ethics

authors： Downie RS

更新日期：1991-06-01 00:00:00

abstract：BACKGROUND:Patient autonomy has gradually replaced physician paternalism as an ethical ideal. However, in a medical context, the principle of individual autonomy has different meanings. More knowledge is needed about what is and should be an appropriate understanding of the concept of patient autonomy in clinical pract...

journal_title：Journal of medical ethics

authors： Nessa J,Malterud K

更新日期：1998-12-01 00:00:00

abstract：:The issue of the allocation of resources in health care is here to stay. The goal of this study was to explore the views of physicians on several topics that have arisen in the debate on the allocation of scarce resources and to compare these with the views of policy makers. We asked physicians (oncologists, cardiolog...

journal_title：Journal of medical ethics

authors： van Delden JJ,Vrakking AM,van der Heide A,van der Maas PJ

更新日期：2004-04-01 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：BACKGROUND:Discussing treatment risks has become increasingly important in medical communication. Still, despite regulations, physicians must decide how much and what kind of information to present. OBJECTIVE:To investigate patients' preference for information about a small risk of a complication of colonoscopy, and w...

journal_title：Journal of medical ethics

authors： Janssen NB,Oort FJ,Fockens P,Willems DL,de Haes HC,Smets EM

更新日期：2009-05-01 00:00:00

abstract：OBJECTIVES:This study investigated Finnish physicians' experiences of decisions concerning living wills and do not resuscitate (DNR) orders and also their views on the role of patients and family members in these decisions. DESIGN:A questionnaire was sent to 800 physicians representing the following specialties: gener...

journal_title：Journal of medical ethics

authors： Hildén HM,Louhiala P,Palo J

更新日期：2004-08-01 00:00:00