How should the 'privilege' in therapeutic privilege be conceived when considering the decision-making process for patients with borderline capacity?

abstract：:A report of a problem-based learning project on the ethics of terminal care, offered as one of the options available to first year MB ChB students in Edinburgh University Medical School. The project formed part of the 'clinical correlation course' in the new curriculum. Six students took part under the supervision of ...

journal_title：Journal of medical ethics

authors： Thompson IE,Lowther CP,Doyle D,Bird J,Turnbull J

更新日期：1981-06-01 00:00:00

abstract：:Human embryo models formed from stem cells-known as embryoids-allow scientists to study the elusive first stages of human development without having to experiment on actual human embryos. But clear ethical guidelines for research involving embryoids are still lacking. Previously, a handful of researchers put forward n...

journal_title：Journal of medical ethics

authors： Piotrowska M

更新日期：2021-01-05 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：:The revised Declaration of Helsinki allows placebo-controlled trials to be used even when there is an established therapy, provided there are adequate 'methodological' reasons for doing so. This seems to violate the principle of beneficence: where there is an established therapy, physicians treating patients with a pl...

journal_title：Journal of medical ethics

authors： Batra S,Howick J

更新日期：2017-08-09 00:00:00

abstract：INTRODUCTION:Future HIV vaccine efficacy trials with adolescents will need to ensure that participants comprehend study concepts in order to confer true informed assent. A Hepatitis B vaccine trial with adolescents offers valuable opportunity to test youth understanding of vaccine trial requirements in general. METHOD...

journal_title：Journal of medical ethics

authors： Lee S,Kapogiannis BG,Flynn PM,Rudy BJ,Bethel J,Ahmad S,Tucker D,Abdalian SE,Hoffman D,Wilson CM,Cunningham CK,Adolescent Medicine Trials Network for HIV\/AIDS Interventions.

更新日期：2013-06-01 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

abstract：AIM:The primary aim of the study was to evaluate two different methods of communicating information on cardiopulmonary resuscitation (CPR) to patients admitted to general medical and elderly care wards. The information was either in the form of a detailed information leaflet (appendix I) or a summary document (appendix...

journal_title：Journal of medical ethics

authors： Sivakumar R,Knight J,Devlin C,Keir P,Ghosh P,Khan S

更新日期：2004-06-01 00:00:00

abstract：BACKGROUND:Wish-fulfilling medicine appears to be on the rise. It can be defined as 'doctors and other health professionals using medical means (medical technology, drugs, and so on) in a medical setting to fulfil the explicitly stated, prima facie non-medical wish of a patient'. Some instances of wish fulfilling medic...

journal_title：Journal of medical ethics

authors： Asscher EC,Schermer M

更新日期：2014-12-01 00:00:00

abstract：:According to the two-tragedies argument proponents of pro-life can justifiably prioritize efforts to prevent abortion rather than miscarriages due to the fact that abortions in contrast to miscarriages involves usually the act of killing. William Simkulet has recently argued against this argument claiming that it fail...

journal_title：Journal of medical ethics

authors： Friberg-Fernros H

更新日期：2019-06-01 00:00:00

abstract：:In recent years, it has become almost axiomatic that biomedical research and clinical practice should be 'innovative'-that is, that they should be always evolving and directed towards the production, translation and implementation of new technologies and practices. While this drive towards innovation in biomedicine mi...

journal_title：Journal of medical ethics

authors： Lipworth W,Axler R

更新日期：2016-07-01 00:00:00

abstract：OBJECTIVES:To evaluate the UK undergraduate medical ethics curricula against the Institute of Medical Ethics (IME) recommendations; to identify barriers to teaching and assessment of medical ethics and to evaluate perceptions of ethics faculties on the preparation of tomorrow's doctors for clinical practice. DESIGN:Qu...

journal_title：Journal of medical ethics

authors： Brooks L,Bell D

更新日期：2017-09-01 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：:Recent studies using functional magnetic resonance imaging of patients in a vegetative state have raised the possibility that such patients retain some degree of consciousness. In this paper, the ethical implications of such findings are outlined, in particular in relation to decisions about withdrawing life-sustainin...

journal_title：Journal of medical ethics

authors： Wilkinson DJ,Kahane G,Horne M,Savulescu J

更新日期：2009-08-01 00:00:00

abstract：OBJECTIVES:To explore British community pharmacists' views on PAS, including professional responsibility, personal beliefs, changes in law and ethical guidance. DESIGN:Postal questionnaire. SETTING:Great Britain. SUBJECTS:A random sample of 320 registered full-time community pharmacists. RESULTS:The survey yielded ...

journal_title：Journal of medical ethics

authors： Hanlon TR,Weiss MC,Rees J

更新日期：2000-10-01 00:00:00

abstract：:The paper considers and rejects two arguments against the performance of sexual reassignment surgery. First, it is argued that the operation is not mutilating, but functionally enabling. Second, it is argued that the operation is not objectionably deceptive, since, if there is such a thing as our 'real sex', we do not...

journal_title：Journal of medical ethics

authors： Lavin M

更新日期：1987-06-01 00:00:00

abstract：:For a few decades, patients with Parkinson's disease (PD) have been treated with intracerebral transplantations of fetal mesencephalic tissue. The results of open trials have been variable. Double blind, placebo-controlled studies have recently been started in order to further investigate the efficacy of this new medi...

journal_title：Journal of medical ethics

authors： Dekkers W,Boer G

更新日期：2001-06-01 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：:Since the mid-1990s most EU Member States have established a national forensic DNA database. These mass repositories of DNA profiles enable the police to identify DNA stains which are found at crime scenes and are invaluable in criminal investigation. Governments have always brushed aside privacy objections by stressi...

journal_title：Journal of medical ethics

authors： Van Camp N,Dierickx K

更新日期：2008-08-01 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：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：OBJECTIVE:To explore the ways in which health care practitioners working within the morally contested area of prenatal screening balance their professional and private moral values. DESIGN:Qualitative study incorporating semistructured interviews with health practitioners followed by multidisciplinary discussion group...

journal_title：Journal of medical ethics

authors： Farsides B,Williams C,Alderson P

更新日期：2004-10-01 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：: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：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：:The purpose of the present study was to examine whether or not strong values might influence physicians' estimations of future events. In an empirical study about physicians' attitudes towards physician assisted suicide (PAS) we asked about the physicians' main reasons for being pro, doubtful or contra PAS and also as...

journal_title：Journal of medical ethics

authors： Juth N,Lynöe N

更新日期：2010-04-01 00:00:00

abstract：OBJECTIVES:Potentially life-shortening medical end-of-life practices (end-of-life decisions (ELDs)) remain subject to conceptual vagueness. This study evaluates how physicians label these practices by examining which of their own practices (described according to the precise act, the intention, the presence of an expli...

journal_title：Journal of medical ethics

authors： Deyaert J,Chambaere K,Cohen J,Roelands M,Deliens L

更新日期：2014-07-01 00:00:00

abstract：CONTEXT:The need to reinvigorate medical confidentiality protections is recognised as an important objective in building patient trust necessary for successful health outcomes. Little is known about patient understanding and expectations from medical confidentiality. OBJECTIVE:To identify and describe patient views of...

journal_title：Journal of medical ethics

authors： Jenkins G,Merz JF,Sankar P

更新日期：2005-09-01 00:00:00

abstract：:No discussion of when an individual is dead is meaningful in the absence of a definition of death. If human death is defined as the irreversible loss of the capacity for consciousness combined with the irreversible loss of the capacity to breathe spontaneously (and hence to maintain a spontaneous heart beat) the deat...

journal_title：Journal of medical ethics

authors： Pallis C

更新日期：1990-03-01 00:00:00

abstract：OBJECTIVES:Disclosures of funding sources and conflicts of interests (COI) in published peer-reviewed journal articles have recently begun to receive some attention, but many critical questions remain, for example, how often such reporting occurs concerning research conducted in the developing world and what factors ma...

journal_title：Journal of medical ethics

authors： Klitzman R,Chin LJ,Rifai-Bishjawish H,Kleinert K,Leu CS

更新日期：2010-08-01 00:00:00

abstract：:Ethics committees now require that individuals give informed consent to much health services research, in the same way as for clinical research. This is misguided. Existing ethical guidelines do not help us decide how to seek consent in these cases, and have allowed managerial experimentation to remain largely uncheck...

journal_title：Journal of medical ethics

authors： Cassell J,Young A

更新日期：2002-10-01 00:00:00