Terrible choices in the septic child: a response to the PALOH trial round table authors.

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：: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：:The question of whether old age should or should not play a role in medical decision-making for the elderly patient is regularly debated in ethics and medicine. In this paper we investigate exactly how age influences the decision-making process. To explore the normative argumentation in the decisions regarding an elde...

journal_title：Journal of medical ethics

authors： Ubachs-Moust J,Houtepen R,Vos R,ter Meulen R

更新日期：2008-12-01 00:00:00

abstract：:In this paper, we argue that there are important ethical questions about healthcare improvement which are underexplored. We start by drawing on two existing literatures: first, the prevailing, primarily governance-oriented, application of ethics to healthcare 'quality improvement' (QI), and second, the application of ...

journal_title：Journal of medical ethics

authors： Cribb A,Entwistle V,Mitchell P

更新日期：2020-02-01 00:00:00

abstract：:The author responds to Professor Kottow's criticisms, explaining numerous errors and misconceptions. ...

journal_title：Journal of medical ethics

authors： Seedhouse D

更新日期：1999-08-01 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：OBJECTIVE:Informed consent and protection of patient confidentiality are central to the conduction of clinical research. Consent for chart review and contact (CCRC) allows a patient chart to be screened for research by persons outside the direct circle-of-care and for the patient to be contacted regarding potential stu...

journal_title：Journal of medical ethics

authors： Druce I,Ooi TC,McGuire D,Sorisky A,Malcolm J

更新日期：2015-05-01 00:00:00

abstract：INTRODUCTION:Understanding the views of the public is essential if generally acceptable policies are to be devised that balance research access to general practice patient records with protection of patients' privacy. However, few large studies have been conducted about public attitudes to research access to personal h...

journal_title：Journal of medical ethics

authors： Buckley BS,Murphy AW,MacFarlane AE

更新日期：2011-01-01 00:00:00

abstract：:The death of Jesse Gelsinger in 1999 during a gene therapy trial raised many questions about the ethical review of medical research. Here, the author argues that the principle of justice is interpreted too narrowly and receives insufficient emphasis and that what we permit in terms of bodily invasion affects the value...

journal_title：Journal of medical ethics

authors： Kong WM

更新日期：2005-04-01 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：:Developing residents' communication skills has been a goal of residency training programmes since the Accreditation Council for Graduate Medical Education codified it as a core competency. In this article, a case that features problematic communication between a generalist and specialist physician is drawn upon, and i...

journal_title：Journal of medical ethics

authors： Rentmeester CA

更新日期：2007-05-01 00:00:00

abstract：:The author, a philosopher, suggests that the concept of death should be left as it is 'in its present indeterminate state', and that we ought to reject attempts to define death in terms of whole-brain death or any other type of brain death, including cerebral death and 'irreversible coma'. Instead of 'fiddling with th...

journal_title：Journal of medical ethics

authors： Browne A

更新日期：1983-03-01 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：:It is argued that the current policy of the British Medical Association (BMA) on conscientious objection is not aligned with recent human rights developments. These grant a right to conscientious objection to doctors in many more circumstances than the very few recognised by the BMA. However, this wide-ranging right m...

journal_title：Journal of medical ethics

authors： Adenitire JO

更新日期：2017-04-01 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：:I sketch a libertarian argument for the right to test in the context of 'direct to consumer' (DTC) genetic testing. A libertarian right to genetic tests, as defined here, relies on the idea of a moral right to self-ownership. I show how a libertarian right to test can be inferred from this general libertarian premise,...

journal_title：Journal of medical ethics

authors： Loi M

更新日期：2016-09-01 00:00:00

abstract：:This paper relates two experiences of teaching medical ethics, the first to a small group of clinical medical students, the second to a larger group of GP trainees. :Boyd, a theologian who is Scottish Director of the Institute of Medical Ethics, comments on a day he spent teaching two ethics sessions, one to a group ...

journal_title：Journal of medical ethics

authors： Boyd K

更新日期：1987-09-01 00:00:00

abstract：:The concept of evidence-based medicine (EBM) has been invented by physicians mostly from English Canada, mostly from McMaster University, Ontario, Canada. The term EBM first appeared in the biomedical literature in 1991 in an article written by a prominent member of this group-Gordon Guyatt from McMaster University. T...

journal_title：Journal of medical ethics

authors： Watine J

更新日期：2011-03-01 00:00:00

abstract：:The passing on of information to GPs by genito-urinary doctors is to be encouraged but is not always possible and ultimately the patient's wishes and confidentiality must be respected if sexually transmitted diseases and HIV infection are to be controlled. Infected health-care workers should seek counselling and medic...

journal_title：Journal of medical ethics

authors： Adler MW

更新日期：1991-12-01 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：:Several films, including Three Identical Strangers, examined ethical problems in an experiment that involved identical siblings who were adopted as infants and separated into different families to examine the effects of nature versus nurture. The study was primarily designed and directed by Dr Peter Neubauer. The expe...

journal_title：Journal of medical ethics

authors： Klitzman RL,Kelmenson AM

更新日期：2020-05-04 00:00:00

abstract：BACKGROUND:Although fair distribution of healthcare services for older patients is an important challenge, qualitative research exploring clinicians' considerations in clinical prioritisation within this field is scarce. OBJECTIVES:To explore how clinicians understand their professional role in clinical prioritisation...

journal_title：Journal of medical ethics

authors： Nortvedt P,Pedersen R,Grøthe KH,Nordhaug M,Kirkevold M,Slettebø A,Brinchmann BS,Andersen B

更新日期：2008-05-01 00:00:00

abstract：:In this paper, I explore under what circumstances it might be morally acceptable to transplant organs from a patient lacking capacity. I argue, with a developed hypothetical based around a mother and son, that (1) 'Best interests' should be interpreted broadly to include the interests that people have previously expre...

journal_title：Journal of medical ethics

authors： Fritz Z

更新日期：2017-07-01 00:00:00

abstract：:The traditional view that having a personality disorder, unlike other mental disorders, is not usually reason enough to consider a person incompetent to make healthcare decisions is challenged. The example of a case in which a woman was treated for a physical disorder without her consent illustrates that personality d...

journal_title：Journal of medical ethics

authors： Winburn E,Mullen R

更新日期：2008-10-01 00:00:00

abstract：:Transcranial direct current stimulation (tDCS), a simple means of brain stimulation, possesses a trifecta of appealing features: it is relatively safe, relatively inexpensive and relatively effective. It is also relatively easy to obtain a device and the do-it-yourself (DIY) community has become galvanised by reports ...

journal_title：Journal of medical ethics

authors： Fitz NS,Reiner PB

更新日期：2015-05-01 00:00:00

abstract：:The Liverpool Care Pathway for the Dying Patient (LCP), a framework introduced for providing comfortable care at the last stage of life, has recently become highly contentious. Among the most serious allegations levelled against it, has been that the LCP may be used as a covert form of euthanasia by withdrawal of clin...

journal_title：Journal of medical ethics

authors： Nowarska A

更新日期：2015-08-01 00:00:00

abstract：:I argue that the concept of 'longitudinal form', which Poplawski and Gillett have introduced into ethical discussions about embryos and gametes, involves too many metaphysical subtleties to be a useful aid to making moral decisions. I conclude by suggesting a criterion for relevance in medical ethics. ...

journal_title：Journal of medical ethics

authors： Leavitt FJ

更新日期：1992-12-01 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：: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：:Judges face difficult choices when the birth and genetic mothers of a child are separate people who dispute maternal access; the views of the general population may help them. Fifty women were asked whether, if they were infertile and could have only one child, they would prefer to be birth mothers (to carry a baby wh...

journal_title：Journal of medical ethics

authors： Thornton JG,McNamara HM,Montague IA

更新日期：1994-06-01 00:00:00