Expectations and obligations: professionalism and medicine's social contract with society.

abstract：:There is a need in our society to raise the national consciousness about aging, health, and the prospects for longevity, so that many more persons take responsibility for their personal health and understand what we will need in an era of health-care reform to promote health across the life course. We address this imp...

journal_title：Perspectives in biology and medicine

authors： Hamerman D,Fried LP

更新日期：2013-04-01 00:00:00

abstract：:Both leading scientific journals and the popular press now regularly report the convincing evidence of massive environmental degradation and decline. Yet despite the seriousness of the problems, despite their anthropogenic nature, and despite their profound implications for present and future population health, such t...

journal_title：Perspectives in biology and medicine

authors： Levine BR

更新日期：2007-01-01 00:00:00

abstract：:The impact of chronic illness on patients has been discussed extensively, but little attention has been paid to the reverse situation: the need for patients who have been chronically ill since childhood to adjust to health and normality in adulthood. Drawing upon the narratives of two adults with childhood onset disea...

journal_title：Perspectives in biology and medicine

authors： Orfali K,Anderson-Shaw L

更新日期：2005-04-01 00:00:00

abstract：:The concept of placebo has evolved over time. Generally believed to be the basis of the premodern pharmacopoeia, the placebo has been adopted in practice as a harmless but unscientific approach towards alleviating symptoms. Currently, many medical scientists view placebos pejoratively as confounding elements in the an...

journal_title：Perspectives in biology and medicine

authors： Kradin RL

更新日期：2004-07-01 00:00:00

abstract：:Over time, contemporary writing becomes part of the historical record. In medicine, it is an important learning tool, particularly for understanding the experience and context of disease and illness. Although a century has elapsed since the fictional events on a single day described in James Joyce's Ulysses, the work ...

journal_title：Perspectives in biology and medicine

authors： Shanahan F,Quigley EM

更新日期：2006-04-01 00:00:00

abstract：:Metaphysics is an essential part of philosophy of medicine, providing the background for further methodological work. Current accounts of the ontology of particular diseases may be classified as realist or anti-realist. Because strong arguments can be marshaled by both of these positions, an approach to medical ontolo...

journal_title：Perspectives in biology and medicine

authors： Simon JR

更新日期：2008-07-01 00:00:00

abstract：:We argue that medical decisions on behalf of children should be made with the welfare of the child as the primary interest, that parents should generally be allowed to determine which options optimize the interests of their child, and that those decisions should be formally challenged only when the parental decision p...

journal_title：Perspectives in biology and medicine

authors： Diekema DS,Wilfond BS

更新日期：2016-01-01 00:00:00

abstract：:Social media use in modern medicine is fraught with ethical dilemmas and risks of unprofessional behavior. This essay surveys the existing literature on the possibilities and pitfalls of social media use by health-care professionals and concludes that non-engagement with social media is not an option. A mindful approa...

journal_title：Perspectives in biology and medicine

authors： Frischtak H,Sinha P

更新日期：2013-10-01 00:00:00

abstract：:In retrospect, mortality from coronary heart disease (CHD) in the 20th century followed an epidemic pattern: mortality rates increased dramatically from 1920 until about 1960, remained roughly constant for almost a decade, and have been decreasing since the late 1960s. CHD has traditionally been conceived of as a sing...

journal_title：Perspectives in biology and medicine

authors： Azambuja MI,Levins R

更新日期：2007-04-01 00:00:00

abstract：:Randomized, controlled clinical trials (RCTs) may be possible, permissible, and practical in certain circumstances, but ethical or practical considerations often preclude their utilization. In many such cases, ethical objections will not apply to a similarly oriented, prospective, matched-pair observational study. Add...

journal_title：Perspectives in biology and medicine

authors： Kowalski CJ

更新日期：2013-04-01 00:00:00

abstract：:Laura Ferguson's The Visible Skeleton Series constitutes an artistic self-representation of scoliosis. Ferguson employs high-tech medical imaging and innovative graphical techniques to suggest a novel view of her skeletal "deformity." This section presents introductions to the series by a historian of medicine and by ...

journal_title：Perspectives in biology and medicine

authors： Dreger AD,Ferguson L,Aspinall C,Polly DW Jr,Beckwith JB

更新日期：2004-04-01 00:00:00

abstract：:Since the 19th century, we have come to think of disease in terms of specific entities--entities defined and legitimated in terms of characteristic somatic mechanisms. Since the last third of that century, we have expanded would-be disease categories to include an ever-broader variety of emotional pain, idiosyncrasy, ...

journal_title：Perspectives in biology and medicine

authors： Rosenberg CE

更新日期：2006-07-01 00:00:00

abstract：:In this essay we link the rationale for the medical humanities with radical hermeneutics, a move that infuses the medical humanities with incredulity and suspicion. This orientation is particularly important at this historical moment, when the evidence-based and competency blanket is threatening to overpower all aspec...

journal_title：Perspectives in biology and medicine

authors： Wear D,Aultman JM

更新日期：2007-07-01 00:00:00

abstract：:The general population is experiencing lifelong exposure to old and new hazardous substances. By using data collected from a subject's own teeth, accuracy in determining the effects of exposure is assured since extrapolation is excluded. The establishment of a common tooth bank can provide means to integrate data from...

journal_title：Perspectives in biology and medicine

authors： Sharon IM

更新日期：1988-10-01 00:00:00

abstract：:Ensuring experimental outcomes are of the highest clinical caliber is crucial prior to the introduction of germline genome editing. However, if we are to police scientific progress using probability or the potential to go wrong, then we must account for the specious standards of human reproduction. With 15% of clinica...

journal_title：Perspectives in biology and medicine

authors： O'Neill HC

更新日期：2020-01-01 00:00:00

abstract：:Autobiographical narratives of illness and disability are influential in popular and medical discourses of illness and disability, in part because these narratives represent illness and disability within a sociocultural context, intersecting with other categories of difference. Clinicians can benefit patients through ...

journal_title：Perspectives in biology and medicine

authors： Garden R

更新日期：2010-01-01 00:00:00

abstract：:There is a growing national awareness that the extraordinary extension of life expectancy in our society poses an impending crisis for our health-care system. This is due in large part to the scarcity of primary-care providers, especially geriatricians. To address these concerns, the Obama administration has considere...

journal_title：Perspectives in biology and medicine

authors： Hamerman D

更新日期：2009-07-01 00:00:00

abstract：:Concerns about nature are playing increasingly prominent roles in a variety of social debates, including medical biotechnology, environmental protection, and agricultural biotechnology. These concerns are often simply rejected as incoherent: critics argue that there is no good account for how natural states of affairs...

journal_title：Perspectives in biology and medicine

authors： Kaebnick GE

更新日期：2007-10-01 00:00:00

abstract：:Diverse and non-coherent sets of epistemological principles currently inform research in the general area of functional genomics. Here, from the personal point of view of a scientist with over half a century of immersion in hypothesis driven scientific discovery, I compare and deconstruct the ideological bases of prom...

journal_title：Perspectives in biology and medicine

authors： Davidson EH

更新日期：2015-04-01 00:00:00

abstract：:This paper constructs a brief history of the biochemical term agonist by exploring the multiple meanings of the root agôn in ancient Greek literature and describing how agonist first appeared in the scientific literature of the 20th century in the context of neurophysiologists' debates about the existence and properti...

journal_title：Perspectives in biology and medicine

authors： Russo R

更新日期：2002-07-01 00:00:00

abstract：:Fifty years after Beecher's landmark article, an old question is being debated anew: is it ethical to conduct clinical research without consent? This paper provides a systematic analysis of this question. First, it describes five clinical trials that have either been conducted (or proposed) without the subjects provid...

journal_title：Perspectives in biology and medicine

authors： Kim SY

更新日期：2016-01-01 00:00:00

abstract：:The reigning paradigm of rational drug discovery in translational medicine attempts to exploit biological theories and pathophysiological explanations to identify novel drug targets and therapeutic strategies. Yet because many theories in medicine are either incomplete (at best) or false (at worst), relying on theoret...

journal_title：Perspectives in biology and medicine

authors： Hey SP

更新日期：2019-01-01 00:00:00

abstract：:As part of a mid-1940s malaria research program, U.S. Public Health Service researchers working in South Carolina chose to withhold treatment from a group of subjects while testing the efficacy of a new insecticide. Research during World War II had generated new tools to fight malaria, including the insecticide DDT an...

journal_title：Perspectives in biology and medicine

authors： Slater L,Humphreys M

更新日期：2008-01-01 00:00:00

abstract：:This article describes the origins and drafting of the Belmont Report by members of the National Commission for the Protection of Human Subjects of Biomedical and Behavioral Research. ...

journal_title：Perspectives in biology and medicine

authors： Beauchamp TL

更新日期：2020-01-01 00:00:00

abstract：:Judgments of futility are always relative to some goal. In light of that proposition, continued treatment for those diagnosed as "brain dead" is not necessarily futile. ...

journal_title：Perspectives in biology and medicine

authors： Miller FG

更新日期：2018-01-01 00:00:00

abstract：:Several studies suggest that clinical researchers are prone to overestimating the chance that scientific protocols will succeed, say, by confirming a treatment hypothesis or reaching recruitment targets. In this essay, we address the normative question of whether such "unrealistic optimism" is harmful in clinical rese...

journal_title：Perspectives in biology and medicine

authors： Benjamin D,Kimmelman J

更新日期：2016-01-01 00:00:00

abstract：:The pace of biomedical innovation is important because it determines the rate of progress in medicine and allied disciplines. A review of the history of medical advances reveals that the three decades from 1950 to 1980 were a particularly innovative time. Subsequent decades have seen fewer seminal advances, despite co...

journal_title：Perspectives in biology and medicine

authors： Casadevall A

更新日期：2018-01-01 00:00:00

abstract：:Mary Shelley's Frankenstein is 200 years old and remains relevant to 21st-century scientific experimentation. Molecular biologists today have become especially bold in their attempts to cure diseases while remaining mindful of the real dangers of their research. Scientists presumably share an abiding concern about pro...

journal_title：Perspectives in biology and medicine

authors： Nowlin C

更新日期：2018-01-01 00:00:00

abstract：:This article outlines a Darwinian approach to sports that takes into account its profoundly cultural character and thereby overcomes the traditional nature-culture dichotomies in the sociology of sport. We argue that there are good reasons to view sports as culturally evolved signaling systems that serve a function si...

journal_title：Perspectives in biology and medicine

authors： De Block A,Dewitte S

更新日期：2009-01-01 00:00:00

abstract：:Shopping for genetic information has become popular, but consumers may not understand what exactly they are buying. The retail DNA industry is forcing laypersons, academics, and medical and legal professionals alike to face the crossroads of genetics, law, and society. How will we decipher the meanings of the tests, d...

journal_title：Perspectives in biology and medicine

authors： Wagner JK

更新日期：2010-04-01 00:00:00