Antimicrobial stewardship programmes: bedside rationing by another name?

abstract：:In The Netherlands, neonatal euthanasia has become a legal option and the Groningen Protocol contains an approach to identify situations in which neonatal euthanasia might be appropriate. In the 5 years following the publication of the protocol, neither the prediction that this would be the first step on a slippery sl...

journal_title：Journal of medical ethics

authors： Verhagen AA

更新日期：2013-05-01 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：:This article, prompted by an extended essay published in the Journal of Medical Ethics by Charles Foster, and the current controversy surrounding the case of Vincent Lambert, analyses the legal and ethical arguments in relation to the withdrawal of life-sustaining treatment from patients with prolonged disorders of co...

journal_title：Journal of medical ethics

authors： Ruck Keene ACE,Lee A

更新日期：2019-12-01 00:00:00

abstract：:In this article, we discuss the ethical dimensions for the prescribing behaviours of opioids for a chronic pain patient, a scenario commonly witnessed by many physicians. The opioid epidemic in the USA and Canada is well known, existing since the late 1990s, and individuals are suffering and dying as a result of the e...

journal_title：Journal of medical ethics

authors： Yan E,Kuo DJ

更新日期：2019-04-01 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：:Literary accounts of traumatic events can be more informative and insightful than personal testimonials. In particular, reference to works of literature can give us a more vivid sense of what it is like to receive a devastating diagnosis. In turn this can lead us to question some common assumptions about the nature of...

journal_title：Journal of medical ethics

authors： Spriggs M

更新日期：1998-04-01 00:00:00

abstract：:The aim of regenerative medicine is to reconstruct tissue that has been lost or pathologically altered. Therapeutic cloning seems to offer a method of achieving this aim; however, the ethical debate surrounding human therapeutic cloning is highly controversial. Artificial parthenogenesis-obtaining embryos from unferti...

journal_title：Journal of medical ethics

authors： Fangerau H

更新日期：2005-12-01 00:00:00

abstract：:This paper is a response to Dr Shinebourne's response to my recent paper assessing the relative merits of the Staffordshire Protocol on covert video surveillance. Dr Shinebourne does not take the opportunity to rebut the criticisms made of the text of the protocol. It is further suggested that judicial oversight of th...

journal_title：Journal of medical ethics

authors： Thomas T

更新日期：1996-12-01 00:00:00

abstract：OBJECTIVE:This article describes a method for investigating attitudes towards prioritisation in medicine. SETTING:University of Kuopio, Finland. DESIGN:The method consisted of a set of 24 paired scenarios, which were imaginary patient cases, each containing three different ethical indicators randomly selected from a ...

journal_title：Journal of medical ethics

authors： Ryynänen OP,Myllykangas M,Vaskilampi T,Takala J

更新日期：1996-08-01 00:00:00

abstract：:Does the position of the Roman Catholic Church on contraception also imply that the usage of condoms by HIV-discordant couples is illicit? A standard argument is to appeal to the doctrine of double effect to condone such usage, but this meets with the objection that there exists an alternative action that brings about...

journal_title：Journal of medical ethics

authors： Bovens L

更新日期：2009-12-01 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：:Psychotropic and other drugs can alter brain mechanisms regulating the formation, storage, and retrieval of different types of memory. These include "off label" uses of existing drugs and new drugs designed specifically to target the neural bases of memory. This paper discusses the use of beta-adrenergic antagonists t...

journal_title：Journal of medical ethics

authors： Glannon W

更新日期：2006-02-01 00:00:00

abstract：:Jehovah's Witnesses are students of the Bible. They refuse transfusions out of obedience to the scriptural directive to abstain and keep from blood. Dr Muramoto disagrees with the Witnesses' religious beliefs in this regard. Despite this basic disagreement over the meaning of Biblical texts, Muramoto flouts the religi...

journal_title：Journal of medical ethics

authors： Ridley DT

更新日期：1999-12-01 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：:Dolores Dooley Clarke describes how the course in medical ethics at University College, Cork is structured, how it has changed and how it is likely to change as time goes on. Originally, the students seemed to view it as an intrusion 'to be tolerated' in their programme of 'strictly medical' studies. However, having m...

journal_title：Journal of medical ethics

authors： Clarke DD

更新日期：1978-03-01 00:00:00

abstract：:The law ordinarily recognises the woman who gives birth as the mother of a child, but in certain jurisdictions, it will recognise the commissioning couple as the legal parents of a child born to a commercial surrogate. Some commissioning parents have, however, effectively abandoned the children they commission, and in...

journal_title：Journal of medical ethics

authors： Parks JA,Murphy TF

更新日期：2018-08-01 00:00:00

abstract：:The 'right to the truth' involves disclosing all the pertinent facts to a patient so that an informed decision can be made. However, this concept of a 'right to the truth' entails certain ambiguities, especially since it is difficult to apply the concept in medical practice based mainly on current evidence-based data ...

journal_title：Journal of medical ethics

authors： Richard C,Lajeunesse Y,Lussier MT

更新日期：2010-06-01 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：:A negative image of community care prevails. This method of care is perceived to be a relatively novel phenomenon and has received mixed media coverage. The negative image of community care has led to the growing belief that this care method has failed. This failure has largely been ascribed to the lack of powers avai...

journal_title：Journal of medical ethics

authors： Glover N

更新日期：1998-10-01 00:00:00

abstract：:Clinicians' work depends on sincere and complete disclosures from their patients; they honour this candidness by confidentially safeguarding the information received. Breaching confidentiality causes harms that are not commensurable with the possible benefits gained. Limitations or exceptions put on confidentiality wo...

journal_title：Journal of medical ethics

authors： Kottow MH

更新日期：1986-09-01 00:00:00

abstract：:In 2016, the Office of the State Coroner of New South Wales released its report into the death of an Australian woman, Sheila Drysdale, who had died from complications of an autologous stem cell procedure at a Sydney clinic. In this report, we argue that Mrs Drysdale's death was avoidable, and it was the result of a p...

journal_title：Journal of medical ethics

authors： Lysaght T,Lipworth W,Hendl T,Kerridge I,Lee TL,Munsie M,Waldby C,Stewart C

更新日期：2017-11-01 00:00:00

abstract：OBJECTIVES:To assess whether UK and US health care professionals share the views of medical ethicists about medical futility, withdrawing/withholding treatment, ordinary/extraordinary interventions, and the doctrine of double effect. DESIGN, SUBJECTS AND SETTING:A 138-item attitudinal questionnaire completed by 469 UK...

journal_title：Journal of medical ethics

authors： Dickenson DL

更新日期：2000-08-01 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：:Technological advances in genetic testing have enabled prospective parents to learn about their risk of passing a genetic condition to their future children. One option for those who want to ensure that their biological children do not inherit a genetic condition is to create embryos through in vitro fertilisation (IV...

journal_title：Journal of medical ethics

authors： Kilbride MK

更新日期：2020-08-19 00:00:00

abstract：:The internet is becoming increasingly important in health care practice. The number of health-related web sites is rising exponentially as people seek health-related information and services to supplement traditional sources, such as their local doctor, friends, or family. The development of e-medicine poses important...

journal_title：Journal of medical ethics

authors： Parker M,Gray JA

更新日期：2001-04-01 00:00:00

abstract：:Understanding dental ethics as a field separate from its much better known counterpart, medical ethics, is a relatively new, but necessary approach in bioethics. This need is particularly felt in dental education and establishing a curriculum specifically for dental ethics is a challenging task. Although certain topic...

journal_title：Journal of medical ethics

authors： Gorkey S,Guven T,Sert G

更新日期：2012-01-01 00:00:00

abstract：:This paper investigates the medical law and ethics (MEL) learning needs of Foundation doctors (FYs) by means of a national survey developed in association with key stakeholders including the General Medical Council and Health Education England. Four hundred sevnty-nine doctors completed the survey. The average self-re...

journal_title：Journal of medical ethics

authors： Corfield L,Williams RA,Lavelle C,Latcham N,Talash K,Machin L

更新日期：2020-04-10 00:00:00

abstract：INTRODUCTION:Research in intensive care is necessary for the continuing advancement of patient care. In research, informed consent is considered essential for patient protection. In intensive care, the modalities of informed consent are currently being debated by both lawyers and the medical community. The preferences ...

journal_title：Journal of medical ethics

authors： Chenaud C,Merlani P,Verdon M,Ricou B

更新日期：2009-11-01 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：:In the light of increasing public mistrust, there is an urgent need to clarify the moral status of the medical profession and of the relationship of the clinician to his/her patients. In addressing this question, I first establish the coherence, within moral philosophy generally, of the concept of supererogation (the ...

journal_title：Journal of medical ethics

authors： McKay AC

更新日期：2002-04-01 00:00:00