Abstract:
:This is the first contribution to a new JME column, "At the coalface," to which readers are invited to relate ethical problems they have encountered in their work. An adolescent patient requested that the author, a general practitioner, certify that he was medically fit to box. Toon attempted to dissuade him from boxing by explaining its dangers. When the boy persisted, the physician rapidly considered the ethical principles involved in the encounter and decided to "wash his hands" by telling his patient that if "he insisted on damaging his, or someone else's brain, then he must find another medical accomplice."
journal_name
J Med Ethicsjournal_title
Journal of medical ethicsauthors
Toon PDdoi
10.1136/jme.14.2.69subject
Has Abstractpub_date
1988-06-01 00:00:00pages
69issue
2eissn
0306-6800issn
1473-4257journal_volume
14pub_type
杂志文章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
pub_type: 杂志文章
doi:10.1136/jme.7.2.62
更新日期:1981-06-01 00:00:00
abstract::Court-ordered caesarean sections against the explicit wishes of the pregnant woman have been criticised as violations of the woman's fundamental right to autonomy and to the inviolability of the person--particularly, so it is argued, because the fetus in utero is not yet a person. This paper examines the logic of this...
journal_title:Journal of medical ethics
pub_type: 杂志文章
doi:10.1136/jme.14.4.206
更新日期:1988-12-01 00:00:00
abstract::I explore the increasingly important issue of cooperation in immoral actions, particularly in connection with healthcare. Conscientious objection, especially as pertains to religious freedom in healthcare, has become a pressing issue in the light of the US Supreme Court judgement in Hobby Lobby Section 'Moral evaluati...
journal_title:Journal of medical ethics
pub_type: 杂志文章
doi:10.1136/medethics-2016-103476
更新日期:2017-04-01 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
pub_type: 杂志文章
doi:10.1136/medethics-2012-100561
更新日期:2014-04-01 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
pub_type: 杂志文章
doi:10.1136/jme.2009.029231
更新日期:2009-09-01 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
pub_type: 杂志文章
doi:10.1136/jme.12.1.36
更新日期:1986-03-01 00:00:00
abstract::Robertson comments on a case presented by Gafner in the same issue of the Journal of Medical Ethics. A proposal to crush a laryngeal nerve to halt the incessant yelling of an elderly demented patient is disapproved by a medical center's surgery department for risk and ethical reasons. Robertson, an anesthesiologist,...
journal_title:Journal of medical ethics
pub_type: 杂志文章
doi:10.1136/jme.13.4.198
更新日期:1987-12-01 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
pub_type: 杂志文章
doi:10.1136/medethics-2020-106966
更新日期:2020-12-09 00:00:00
abstract::Fourteen experienced psychiatric nurses participated in a pilot study aimed at describing the experiential aspect of making decisions for the patient. In-depth interviews focused on conflicts, were transcribed, coded, and categorized according to the Grounded Theory method. The theoretical construct, 'modifying autono...
journal_title:Journal of medical ethics
pub_type: 杂志文章,评审
doi:10.1136/jme.20.2.101
更新日期:1994-06-01 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
pub_type: 杂志文章
doi:10.1136/medethics-2015-103045
更新日期:2017-07-01 00:00:00
abstract::Dr Wells, a general practitioner, looks at the problem of barbiturate dependence from the point of view of the prescribing doctor who has to choose for his patients - of all ages - the drug, usually a hypnotic, which is sought for insomnia or states of anxiety and stress. He argues that it is wise to prescribe non-bar...
journal_title:Journal of medical ethics
pub_type: 杂志文章
doi:
更新日期:1976-06-01 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
pub_type: 杂志文章
doi:10.1136/jme.7.4.179
更新日期:1981-12-01 00:00:00
abstract::According to a recent convention on human rights and biomedicine, coercive treatment of psychiatric patients may only be given if, without such treatment, serious harm is likely to result to the health of the patient; it must not be given in the interest of other people. In the present article a discussion is undertak...
journal_title:Journal of medical ethics
pub_type: 杂志文章
doi:10.1136/jme.2002.000703
更新日期:2004-10-01 00:00:00
abstract::Towers reviews Joan Robinson: One Woman's Story, an American documentary film about a terminal cancer patient that was first broadcast by the Public Broadcasting Service on 21 January 1980. The film was made at the instigation of Robinson, a writer and editor, and covers the last twenty-two months of her life from th...
journal_title:Journal of medical ethics
pub_type: 杂志文章
doi:10.1136/jme.6.2.101
更新日期:1980-06-01 00:00:00
abstract::Newborn screening is the programme through which newborn babies are screened for a variety of conditions shortly after birth. Programmes such as this are individually oriented but resemble traditional public health programmes because they are targeted at large groups of the population and they are offered as preventiv...
journal_title:Journal of medical ethics
pub_type: 杂志文章
doi:10.1136/medethics-2011-100040
更新日期:2012-05-01 00:00:00
abstract::In this paper we identify and evaluate arguments for and against offering assisted reproductive technologies (ART), specifically IVF, to HIV discordant couples (male partner HIV positive, female partner HIV negative). The idea of offering ART to HIV discordant couples generates concerns about safety and public health ...
journal_title:Journal of medical ethics
pub_type: 杂志文章,评审
doi:10.1136/jme.29.6.325
更新日期:2003-12-01 00:00:00
abstract::Recognising that offers of payment to research participants can serve various purposes-reimbursement, compensation and incentive-helps uncover differences between participants, which can justify differential payment of participants within the same study. Participants with different study-related expenses will need dif...
journal_title:Journal of medical ethics
pub_type: 杂志文章
doi:10.1136/medethics-2018-105140
更新日期:2019-05-01 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
pub_type: 杂志文章
doi:10.1136/jme.2003.003681
更新日期:2004-04-01 00:00:00
abstract::With the increase in the proportion of hospital deaths there is increasing debate about appropriateness of place of death. Death should be a family affair but is increasingly hidden from public view. In contrast to those who die at home, most of those who die in hospital die alone with no relatives or friends with the...
journal_title:Journal of medical ethics
pub_type: 杂志文章
doi:10.1136/jme.9.3.158
更新日期:1983-09-01 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
pub_type: 杂志文章
doi:10.1136/jme.20.2.87
更新日期:1994-06-01 00:00:00
abstract:OBJECTIVE:To examine the current ethical review process (ERP) of ethics committees in a non-pharmacological trial from the perspective of a clinical investigator. DESIGN:Prospective collection of data at the Study Centre of the German Surgical Society on the duration, costs and administrative effort of the ERP of a ra...
journal_title:Journal of medical ethics
pub_type: 杂志文章
doi:10.1136/jme.2005.014605
更新日期:2007-02-01 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
pub_type: 杂志文章
doi:10.1136/medethics-2012-101286
更新日期:2013-06-01 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
pub_type: 杂志文章
doi:10.1136/jme.2008.025031
更新日期:2009-05-01 00:00:00
abstract:OBJECTIVES:to assess physicians' and patients' views in Saudi Arabia (KSA) towards involving the patient versus the family in the process of diagnosis disclosure and decision-making, and to compare them with views from the USA and Japan. DESIGN:A self-completion questionnaire (used previously to study these issues in ...
journal_title:Journal of medical ethics
pub_type: 杂志文章
doi:10.1136/jme.2006.019638
更新日期:2008-04-01 00:00:00
abstract::Many patients believe that cardiopulmonary resuscitation (CPR) is more likely to be successful than it really is in clinical practice. Even when working with accurate information, some nevertheless remain resolute in demanding maximal treatment. They maintain that even if survival after cardiac arrest with CPR is extr...
journal_title:Journal of medical ethics
pub_type: 杂志文章
doi:10.1136/medethics-2019-105558
更新日期:2020-02-01 00:00:00
abstract::This paper argues the case for coming to see 'medical politics' as a topic or subject within medical education. First, its absence is noted from the wide array of paramedical subjects (medical ethics, history of medicine, the medical humanities, etc) currently given attention in both the medical education literature a...
journal_title:Journal of medical ethics
pub_type: 杂志文章
doi:10.1136/jme.2010.041277
更新日期:2011-10-01 00:00:00
abstract::One of the central arguments given to resist testing currently healthy, asymptomatic children for adult-onset diseases is that they may be psychologically harmed by the knowledge gained from such tests. In this discussion I examine two of the most serious arguments: children who are tested may face limited futures, an...
journal_title:Journal of medical ethics
pub_type: 杂志文章
doi:10.1136/jme.2006.019802
更新日期:2008-04-01 00:00:00
abstract::Artificial intelligence (AI) is expected to revolutionise the practice of medicine. Recent advancements in the field of deep learning have demonstrated success in variety of clinical tasks: detecting diabetic retinopathy from images, predicting hospital readmissions, aiding in the discovery of new drugs, etc. AI's pro...
journal_title:Journal of medical ethics
pub_type: 杂志文章
doi:10.1136/medethics-2019-105935
更新日期:2020-07-01 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
pub_type: 杂志文章
doi:10.1136/jme.26.5.363
更新日期:2000-10-01 00:00:00
abstract::The work performed by the clinical chemist may deeply affect the decisions of the doctor and the well-being of the patient. Yet in contrast to the doctor and to the nurse the clinical chemist usually has no personal relationship with the patient. Being encumbered by much technology and anonymity is itself a reason for...
journal_title:Journal of medical ethics
pub_type: 杂志文章
doi:10.1136/jme.9.4.207
更新日期:1983-12-01 00:00:00