Medical Ethics Research This is an OPML file. It can be used to export all the MedWorm RSS feeds on this topic into your personal RSS reader (usually you have to save this file to your own computer before clicking on an Import OPML command in your own feed reader to upload the file which will then import all the feeds) or it can be used by webmasters to integrate MedWorm feeds with their own website. This is an RSS file. You can use it to subscribe to this data in your favourite RSS reader, such as GoogleReader, or to display this data on your own website or blog. Subscribe to this data using MyMedWorm.Subscribe to this data using GoogleReader.Subscribe to this data using Bloglines.Subscribe to this data using MyYahoo.

This page shows you the most recent publications within this specialty of the MedWorm directory. This is page number 30.

Reconciling informed consent with prescription drug requirements
According to Jessica Flanigan,1 ‘physicians and pharmacists must be legally required to allow universal access to whatever treatments they provide. Citizens have rights of self-medication for the same reasons that they have rights of informed consent.’ In particular, health outcome promotion, welfare promotion and respect for patient autonomy, ‘the most widely cited’ reasons for the doctrine of informed consent (DIC), equally support a libertarian drug access policy. Moreover, they support it regardless of the impact on the patient's future welfare or autonomy or the externalities for others. Outsid...
Source: Journal of Medical Ethics - September 25, 2012 Category: Medical Ethics Authors: Eyal, N. Tags: Commentaries Source Type: research

Commentary on 'Three arguments against prescription requirements'
Flanigan argues that the same arguments for a right to informed consent equally support a right to self-medicate,i and that prescription requirements violate the latter right. She proposes that, in order to respect the right to self-medicate, almost all prescription-grade drugs should be available over-the-counter (OTC) or behind-the-counter (BTC).1 On her proposal, consumers would be encouraged to consult with a physician or pharmacist but could waive the right to be informed about the potential benefits and risks of the drugs they purchase. There are two places a person uncomfortable with the full sweep of this proposal ...
Source: Journal of Medical Ethics - September 25, 2012 Category: Medical Ethics Authors: Martin, A. Tags: Commentaries Source Type: research

The value of autonomy and the right to self-medication
In ‘Three Arguments Against Prescription Requirements’, Jessica Flanigan argues that ‘prescription drug laws violate patients' rights to self-medication’ and that patients ‘have rights to self-medication for the same reasons they have rights to refuse medical treatment according to the doctrine of informed consent (DIC), claiming that the strongest of these reasons is grounded on the value of autonomy. However, close examination of the moral value of autonomy shows that rather than being the strongest justification for the DIC, respect for the value of autonomy is actually the weakest, and it ...
Source: Journal of Medical Ethics - September 25, 2012 Category: Medical Ethics Authors: Taylor, J. S. Tags: Commentaries Source Type: research

Three arguments against prescription requirements
In this essay, I argue that prescription drug laws violate patients' rights to self-medication. Patients have rights to self-medication for the same reasons they have rights to refuse medical treatment according to the doctrine of informed consent (DIC). Since we should accept the DIC, we ought to reject paternalistic prohibitions of prescription drugs and respect the right of self-medication. In section 1, I frame the puzzle of self-medication; why don't the same considerations that tell in favour of informed consent also justify a right of self-medication? In section 2, I show that the prescription drug system was histor...
Source: Journal of Medical Ethics - September 25, 2012 Category: Medical Ethics Authors: Flanigan, J. Tags: Editor's choice, Informed consent, Legal and forensic medicine Feature article Source Type: research

Highlights from this issue
Should we be free to self-medicate? In this month's feature article, Jessica Flannigan presents a challenge to our commitment to respecting patient autonomy, arguing that argues that prescription drug laws that enable doctors to control access to medications violate what she calls a patient's rights to self-medication (see page 579, Editor's choice). She makes the bold point that the prescription drug system has bad consequences and it privileges regulators’ and physicians’ judgments about a patient's health over the patient's judgment about her overall well being, as well as violating patient autonomy. She poi...
Source: Journal of Medical Ethics - September 25, 2012 Category: Medical Ethics Authors: Goold, I. Tags: Patients, Informed consent, Legal and forensic medicine The concise argument Source Type: research

Effect of UK policy on medical migration: a time series analysis of physician registration data
Conclusions: Ethical guidance was ineffective in preventing mass registration by doctors trained inresource-poor countries between 2001 and 2004 because of competing NHS policy priorities.Changes in United Kingdom immigration laws and bilateral agreements have subsequentlyreduced new registrations, but about 4000 new doctors a year continue to register who trainedin Africa, Asia and less economically developed European countries.
Source: Human Resources for Health - September 25, 2012 Category: Health Management Authors: Claire BlacklockCarl HeneghanDavid MantAlison Ward Source Type: research

Assessing children's competence to consent in research by a standardized tool: a validity study
In this study we modified the MacCAT-CR, the best evaluated competence assessment tool for adults, for use in children and adolescents. We will administer the tool prospectively to a cohort of pediatric patients from 6 to18 years during the selection stages of ongoing clinical trials. The outcomes of the MacCAT-CR interviews will be compared to a reference standard, established by the judgments of clinical investigators, and an expert panel consisting of child psychiatrists, child psychologists and medical ethicists. The reliability, criterion-related validity and reproducibility of the tool will be determined. As MacCAT-C...
Source: BMC Pediatrics - Latest articles - September 25, 2012 Category: Pediatrics Authors: Irma HeinPieter TroostRobert LindeboomMartine de VriesC ZwaanRamón Lindauer Source Type: research

Informed consent in medical practice
Abstract How much information does a patient need in order to give full informed consent? The authors explain the ethical reasoning behind the introduction of public reporting of clinician performance data. Copyright © 2012 John Wiley & Sons
Source: Trends in Urology, Gynaecology and Sexual Health - September 25, 2012 Category: OBGYN Authors: Stephen Bolsin, Kym Saunders Tags: Current Issues Source Type: research

Fear of Litigation and Cesarean Section Rates
Both the rates of cesarean section and the rates and payouts from obstetrical malpractice suits have risen in past decades, albeit not always in tandem. A great deal of evidence suggests that physicians practice defensive medicine, and many obstetricians acknowledge that a more liberal recourse to cesarean section is one such behavior in which they sometimes engage. However the degree to which fear of litigation actually is a contributor to, or perhaps even a driver of, the rising cesarean section rate is not as clearly known. In this article I will discuss the research that has been performed that attempts to epidemiologi...
Source: Seminars in Perinatology - September 24, 2012 Category: Perinatology & Neonatology Authors: Howard Minkoff Source Type: research

Former Rust Consulting controller Meyer takes association CFO job
Janice Meyer, the former controller at Rust Consulting Inc., has been hired as chief financial officer of two professional associations. Meyer will be CFO for the Society of Corporate Compliance and Ethics, and for the Health Care Compliance Association, according to a news release. Both groups share an office in Minneapolis and serve more than 10,000 members globally. Before working for Rust Consulting, a class-action-settlement administrator based in Minneapolis, Meyer was the finance director…
Source: bizjournals.com Health Care:Hospitals headlines - September 24, 2012 Category: Hospital Management Authors: Ed Stych Source Type: research

Top 10 IJGO articles downloaded from SciVerse ScienceDirect July 2011 - July 2012
Source: International Journal of Gynaecology and Obstetrics - September 24, 2012 Category: OBGYN Tags: Ethical and legal issues in reproductive health Source Type: research

AAAS Strengthens Ties with China
AAAS and Science Staff Enhance Collaborative Efforts in China Four AAAS groups visiting China focused on women in science, ethics in science, the communication of peer-reviewed research, and challenges facing future innovators.
Source: AAAS - September 24, 2012 Category: Science Tags: Science News Source Type: research

Ethical issues of genetic susceptibility testing for occupational diseases: opinions of trainees in a high-risk job
Conclusions Comparing the students’ statements with the issues addressed by the guidelines, we conclude that the guidelines should pay more attention to risk communication and practical advice accompanying the test results. Content Type Journal ArticleCategory Original ArticlePages 1-10DOI 10.1007/s00420-012-0816-yAuthors M. J. Visser, Coronel Institute of Occupational Health, Academic Medical Center, University of Amsterdam, P.O. box 22700, 1100 DE Amsterdam, The NetherlandsM. D. F. Rhebergen, Coronel Institute of Occupational Health, Academic Medical Center, University of Amsterdam, P.O. box 2270...
Source: International Archives of Occupational and Environmental Health - September 24, 2012 Category: Occupational Health Tags: International Archives of Occupational and Environmental Health Source Type: research

Attitudes to and perceptions of research for health science lecturers
This study explores attitudes of AHP's/nurses in one higher educational establishment towards research activity.Method: Ethical approval was obtained from the academic ethics committee. Six focus groups were facilitated using semi structured and open grounded theory approaches. Participants included AHP's/nurses who are now lecturers or teachers in HE. Informed written consent was gained and each session audio recorded and transcribed. NVivo v8 was used to code data and thematic analysis carried out using the OSOP method.Findings: All groups identified previously reported barriers to research, such as lack of time, resourc...
Source: Radiography - September 24, 2012 Category: Radiology Authors: Catherine Williams Tags: Original Articles Source Type: research

Training of Future Interventional Neuroradiologists: The European Approach [Special Report]
Source: Stroke - September 24, 2012 Category: Neurology Authors: Flodmark, O., Grisold, W., Richling, B., Mudra, H., Demuth, R., Pierot, L. Tags: Other Ethics and Policy Special Report Source Type: research

Clinical trial design for endovascular ischemic stroke intervention
Conclusion: The randomized clinical trial design in AIS endovascular therapy is challenging. Lead-in phases, careful patient selection, use of innovative outcome measures, control groups, and newer clinical trial design may enhance conduct of future trials, their validity, and their results.
Source: Neurology - September 24, 2012 Category: Neurology Authors: Zaidat, O. O., Liebeskind, D. S., Edgell, R. C., Amlie-Lefond, C. M., Kalia, J. S., Alexandrov, A. V. Tags: FUTURE Source Type: research

Development of a competency framework for quality improvement in family medicine: A qualitative study
Conclusion:We believe that the framework can serve as a useful tool for identifying gaps in knowledge and skills and guiding the development of CPD and CME curricula for GPs/FDs not only in Europe but also in other regions, including the United States and Canada, on the assumption that many of the core tasks of quality improvement would be relevant across multiple contexts.
Source: Journal of Continuing Education in the Health Professions - September 24, 2012 Category: Universities & Medical Training Authors: Katarzyna Czabanowska, Zalika Klemenc‐Ketis, Amanda Potter, Andrée Rochfort, Tomasz Tomasik, Judit Csiszar, Piet Van den Bussche Tags: Original Research Source Type: research

Developing a guideline for clinical trial protocol content: Delphi consensus survey
Conclusions: This Delphi process achieved consensus from a large panel of experts from diverse stakeholder groups on essential content for RCT protocols. It also highlights areas of divergence. These results, complemented by other empirical research and consensus meetings, are helping guide the development of a guideline for protocol content.
Source: BioMed Central - September 24, 2012 Category: Journals (General) Authors: Jennifer M. TetzlaffDavid MoherAn-Wen Chan Source Type: research

Early glottic carcinoma treated by radiotherapy: Defining a population for surgical salvage
CONCLUSIONS:Early recognition of local failure following radiotherapy for early glottic carcinoma may avoid laryngectomy as a salvage procedure.
Source: The Laryngoscope - September 24, 2012 Category: ENT & OMF Authors: Robert I. Smee, Janet R. Williams, Kathryn Broadley, G.P. Bridger Tags: Head and Neck Source Type: research

Geriatric urolithiasis in the emergency department: risk factors for hospitalisation and emergency management patterns of acute urolithiasis
Background: Urolithiasis is one of the most common conditions seen in emergency departments (ED) worldwide, with an increasing frequency in geriatric patients (>65 years). Given the high costs of emergency medical urolithiasis treatment, the need to optimise management is obvious. We aimed to determine risk factors for hospitalisation and evaluate diagnostic and emergency treatment patterns by ED physicians in geriatric urolithiasis patients to assist in optimising treatment. Methods: After receiving ethics committee approval, we examined the records of all emergency urolithiasis admissions to our ED between January 2000 a...
Source: BMC Nephrology - September 24, 2012 Category: Urology & Nephrology Authors: Spyridon ArampatzisGregor LindnerFiliz IrmakGeorg-Christian FunkHeinz ZimmermannAristomenis Exadaktylos Source Type: research

William G. Bartholome Award for Ethical Excellence [AAP AWARDS]
Source: AAP News - September 24, 2012 Category: Pediatrics Tags: AAP Awards Source Type: research

‘It Looks Like You Just Want Them When Things Get Rough’: Civil Society Perspectives on Negative Trial Results and Stakeholder Engagement in HIV Prevention Trials
This study explored the perspectives of CSO representatives involved in HIV prevention trials (HPTs) on the impact of premature trial closures on stakeholder engagement. Fourteen respondents from South African and international CSOs representing activist and advocacy groups, community mobilisation initiatives, and human and legal rights groups were purposively sampled based on involvement in HPTs. Interviews were conducted from February‐May 2010. Descriptive analysis was undertaken across interviews and key themes were developed inductively. CSO representatives largely described positive outcomes of recent microbicide an...
Source: Developing World Bioethics - September 24, 2012 Category: Medical Ethics Authors: Jennifer Koen, Zaynab Essack, Catherine Slack, Graham Lindegger, Peter A. Newman Tags: Original Article Source Type: research

Towards a new procreation ethic: the exemplary instance of cleft lip and palate
This article sets out, via the emblematic instance of CLP, to show how present fears of an emerging “domestic” or liberal eugenic trend could become redundant if disability is addressed politically and medically, so that individuals with a disability have the same social rights as any other citizen. Content Type Journal ArticleCategory Scientific ContributionPages 1-11DOI 10.1007/s11019-012-9437-1Authors Gaëlle Le Dref, Institut de Recherches Interdisciplinaires sur les Sciences et la Technologie (IRIST) EA 3424, Université de Strasbourg, Strasbourg, FranceBruno Grollemund, Institut de Recherches Interdiscip...
Source: Medicine, Health Care and Philosophy - September 23, 2012 Category: Medical Ethics Tags: Medicine, Health Care and Philosophy Source Type: research

A theoretical framework for early human studies: uncertainty, intervention ensembles, and boundaries
Clinical development of novel therapeutics begins with a coordinated sequence of early phase clinical trials. Such early human studies confront a series of methodological and ethical challenges. In what follows, I propose a theoretical framework for early human studies aimed at informing the negotiation of these challenges. At the outset of clinical development, researchers confront a virtually undifferentiated landscape of uncertainty with respect to three variables: outcomes, their probability of occurrence, and operation dimensions needed to effectuate favorable outcomes. Early human trials transform this uncertain land...
Source: BioMed Central - September 22, 2012 Category: Journals (General) Authors: Jonathan Kimmelman Source Type: research

The buck stops here
It's a second-opinion consultation for a patient who has traveled over an hour to see you. She is an aspiring actress who was told that she must improve her smile if she wants to excel in her career. Two other orthodontists have advised her that she is not a candidate for correction via removable appliances, but one told her he could complete full appliance therapy in 10 months without surgical procedures. He suggested a new technology called the “Powerwand,” which he claims “stimulates the teeth,” leading to accelerated tooth movement. The technique, he said, is newly developed but worked in a patient he finished...
Source: American Journal of Orthodontics and Dentofacial Orthopedics - September 21, 2012 Category: Dentistry Authors: Peter M. Greco Tags: Ethics in Orthodontics Source Type: research

Herbal Menopause Supplement Often Contains Other Species, DNA Bar Coding Reveals
When hormone replacement therapy was found to put some menopausal women at increased risk of cancer and cardiovascular disease, many went in search of safer treatments to decrease their symptoms. In the ensuing decade black cohosh has won out as an overwhelming consumer favorite, now reaping millions of dollars in sales each year. [More]
Source: Scientific American - Official RSS Feed - September 21, 2012 Category: Science Tags: Health,Chemistry,Health,Mind & Brain,Pharmaceuticals,Society Policy,Everyday Science,More Science,Ethics,Medical Technology,Biology,Technology Source Type: research

NICU Nurses' Lived Experience: Caring for Infants With Neonatal Abstinence Syndrome.
CONCLUSIONS: : Nurses in this study struggled with issues of beneficence and nonmaleficence and were not aware of scientific evidence that guides methadone management of pregnant women. PMID: 22964603 [PubMed - in process]
Source: Advances in Neonatal Care - September 21, 2012 Category: Nursing Authors: Maguire D, Webb M, Passmore D, Cline G Tags: Adv Neonatal Care Source Type: research

Physiological relevance and performance of a minimal lung model ¿ an experimental study in healthy and acute respiratory distress syndrome model piglets
Conclusion: The minimal model is capable of capturing physiologically relevant TOP, TCP and SD of both healthy and ARDS lungs. The model is able to track disease progression and the response to treatment.
Source: BMC Pulmonary Medicine - Latest articles - September 21, 2012 Category: Respiratory Medicine Authors: Yeong Shiong ChiewJ.Geoffrey ChaseBernard LambermontNathalie JanssenChristoph SchranzKnut MoellerGeoffrey ShawThomas Desaive Source Type: research

Ethical genetic research in Indigenous communities: challenges and successful approaches(☆).
Abstract Indigenous populations, in common with all populations, stand to benefit from the potential of genetic research to lead to improvements in diagnostic and therapeutic tools for a wide range of complex diseases. However, many Indigenous communities, especially ones that are isolated, are not included in genetic research efforts. This situation is largely a consequence of the challenges of ethically conducting genetic research in Indigenous communities and compounded by Indigenous peoples' negative past experiences with genetic issues. To examine ways of addressing these challenges, we review one investigatio...
Source: Trends in Molecular Medicine - September 21, 2012 Category: Molecular Biology Authors: McWhirter RE, Mununggirritj D, Marika D, Dickinson JL, Condon JR Tags: Trends Mol Med Source Type: research

[Highlights of the history of onanism.]
Abstract For many societies in the world onanism is taboo because of religious and medical ethics. From ancient times until the present day this type of body sensation is disclaimed by modern communities like a recurrent theme. After the discovery of the mechanism of fertilisation by the biologist Eduard van Beneden (1846-1910) in 1875 the feminine clitoris was declared to be a dispensable organ. The clitoris was suspected of causing hysteria, epilepsy and other forms of insanity. In the eighteenth century masturbation performed by young men was classified as a consumptive disease that caused inevitable death. The ...
Source: Der Urologe. Ausg. A - September 21, 2012 Category: Urology & Nephrology Authors: Hatzinger M, Berberich H, Moll F, Schultheiss D Tags: Urologe A Source Type: research

Physiological relevance and performance of a minimal lung model -- an experimental study in healthy and acute respiratory distress syndrome model piglets
Conclusion: The minimal model is capable of capturing physiologically relevant TOP, TCP and SD of both healthy and ARDS lungs. The model is able to track disease progression and the response to treatment.
Source: BMC Pulmonary Medicine - Latest articles - September 21, 2012 Category: Respiratory Medicine Authors: Yeong Shiong ChiewJ.Geoffrey ChaseBernard LambermontNathalie JanssenChristoph SchranzKnut MoellerGeoffrey ShawThomas Desaive Source Type: research

Commentary on Gupta, Mona (2011): Improved health or improved decision making? The ethical goals of EBM. Journal of Evaluation in Clinical Practice 17(5), 957–963
Source: Journal of Evaluation in Clinical Practice - September 21, 2012 Category: Journals (General) Authors: Lillian Geza Rothenberger Tags: Debate Source Type: research

The lived body as a medical topic: an argument for an ethically informed epistemology
Source: Journal of Evaluation in Clinical Practice - September 21, 2012 Category: Journals (General) Authors: Anna Luise Kirkengen, Eline Thornquist Tags: KCL workshops on Philosophy and Medicine Source Type: research

Imperfection, practice and humility in clinical ethics
Summary In this essay, I provide a description of the discipline of ethics using the philosophies of Aristotle and the American pragmatist John Dewey. Specifically, I argue that ethics is an active undertaking that is ambiguous and pluralistic. I then normatively prescribe the way in which clinical ethicists ought to approach their work in medicine. Rather than endeavouring to become, or behaving as if they are, experts, clinical ethicists must be humble. They must practise ethics. That is, they must admit ethics is the study and pursuit of the good life but that this study and pursuit occurs imperfectly in the face of problematic situations.
Source: Journal of Evaluation in Clinical Practice - September 21, 2012 Category: Journals (General) Authors: Kim Garchar Tags: Reasoning and Value Source Type: research

Autonomy and reason: treatment choice in breast cancer
Abstract The practice of offering choice to those women with breast cancer for whom either breast conserving surgery or mastectomy would be equally beneficial has come to be seen as an important aspect of medical care. As well as improving satisfaction with treatment, this is seen as satisfying the ethical principle of respect for autonomy. A number of studies, however, show that women are not always comfortable with such choice, preferring to leave treatment decisions to their surgeons. A question then arises as to the extent that these women can be seen as autonomous or as exercising autonomy. This paper argues, however,...
Source: Journal of Evaluation in Clinical Practice - September 21, 2012 Category: Journals (General) Authors: Mary Twomey Tags: Reasoning and Value Source Type: research

Ethics between curriculum and workplace
Source: Journal of Evaluation in Clinical Practice - September 21, 2012 Category: Journals (General) Authors: Gideon Calder Tags: Reasoning and Value Source Type: research

Meaning and value in medical school curricula
ConclusionsOur findings support the view that philosophy and sociology should be included in medical school and specialty training curricula. Curricula should be reframed to introduce students to habits of thought that recognize the need for critical reflection on the social processes in which they are embedded, and on the philosophical assumptions that underpin their practice.
Source: Journal of Evaluation in Clinical Practice - September 21, 2012 Category: Journals (General) Authors: Wendy Lipworth, Ian Kerridge, Miles Little, Jill Gordon, Pippa Markham Tags: Reasoning and Value Source Type: research

Values‐based medicine and modest foundationalism
Abstract Philosophically, values refer to the basic commitments that justify judgements, beliefs and practices, both at the community and personal levels. The study of these kinds of values is axiology. We suggest that all people subscribe to three foundational values – survival, security and flourishing – and that these foundational values are expressed by way of concepts, systems, principles and practices that may differ substantially from culture to culture. Values can stand on their own as foundational justifications for health care and medicine. Many ethical quandaries can be better understood, even though they ma...
Source: Journal of Evaluation in Clinical Practice - September 21, 2012 Category: Journals (General) Authors: Miles Little, Wendy Lipworth, Jill Gordon, Pippa Markham, Ian Kerridge Tags: Reasoning and Value Source Type: research

Medicine, law, ethics: teaching versus learning
Conclusions: Medical schools should be teaching patient‐centered medicine, reconciling an awareness of the legal environment with the provision of ethically and clinically sound patient care. To improve performance, we must address the messages faculty members send students and reduce the disparity between perceived faculty teaching and claimed student learning in this context.
Source: The Clinical Teacher - September 21, 2012 Category: Universities & Medical Training Authors: Marshall Kapp, Gregory Turner, Dennis Baker Tags: Diverse approaches Source Type: research

Association of Coping Style, Cognitive Errors and Cancer-related Variables with Depression in Women Treated for Breast Cancer
Conclusions A causal relationship exists between depression and a patient's cognitive patterns and accompanying anxiety. The degree of depression is inversely related to both fighting spirit coping type and educational level. If clinicians take this into consideration, diagnosing and treating depression will be more effective.
Source: Japanese Journal of Clinical Oncology - September 21, 2012 Category: Cancer & Oncology Authors: Alcalar, N., Ozkan, S., Kucucuk, S., Aslay, I., Ozkan, M. Tags: Palliative and Supportive Care, Original Articles Psycho-Oncology Source Type: research

End‐of‐Life Care and Dying: Issues Raised by Staff Supporting Older People with Intellectual Disability in Community Living Services
ConclusionsEnd‐of‐life care represents a complex interaction between the care issues and the partners involved in care. Despite this complexity, staff were committed to the provision of end‐of‐life care.
Source: Journal of Applied Research in Intellectual Disabilities - September 21, 2012 Category: Disability Authors: Michele Wiese, Roger J. Stancliffe, Susan Balandin, Glennys Howarth, Angela Dew Tags: Original Article Source Type: research

[Correspondence] Thrombolysis in acute ischaemic stroke
The IST-3 report on the use of thrombolysis after stroke raises important ethical and statistical issues. The statistical issues are fairly obvious, with a non-significant difference in the primary outcome of living independently at 6 months, yet a secondary ordinal analysis showing a significant effect in favour of treatment. This situation raises familiar questions about how we should interpret a significant effect apparent only in a secondary analysis, especially when it relates to an outcome whose clinical and financial relevance is unclear.
Source: LANCET - September 20, 2012 Category: Journals (General) Authors: David Curtis Tags: Correspondence Source Type: research

[Perspectives] Debating the ethics of organ transplantation
Sir Ian Kennedy, a leading British expert on health law, ethics, and policy, impressed me. Not because he chaired many high-profile medical inquiries and organisations in the UK, causing one former Health Secretary to say of him “he runs the NHS doesn't he?” Rather, Sir Ian impressed me because I heard him lecture, in 1998, on the ethics of xenotransplantation. In the presentation he quoted Plato, followed by Barry Humphries in adjoining sentences. It was this ability to collect together philosophical arguments, add the common touch, and then come up with practical plans that made such an impact on me.
Source: LANCET - September 20, 2012 Category: Journals (General) Authors: John Forsythe Tags: Perspectives Source Type: research

Safety Rules for Fracking Disposal Wells Often Ignored
[More]
Source: Scientific American - Official RSS Feed - September 20, 2012 Category: Science Tags: Energy & Sustainability,Health,Society Policy,Energy Technology,Energy Sustainability,Ethics,Energy Technology,Environment Source Type: research

Bioscience job market heating up in Ohio
Ohio bioscience employment has increased nearly 17 percent since 2000, even as overall employment in the state declined, according to a new report. The industry, which includes companies such as Blue Ash-based Ethicon Endo-Surgery and Columbus-based Cardinal Health, employs about 61,000 workers, according to BioOhio, a nonprofit booster group for the state’s technology industry. Ohio’s bioscience industry generated nearly $4.6 billion of payroll in 2011, a 31 percent increase since 2000, the…
Source: bizjournals.com Health Care:Hospitals headlines - September 20, 2012 Category: Hospital Management Authors: James Ritchie Source Type: research

THE SUBSTANCE VIEW: A CRITIQUE (PART 2)
ABSTRACT In my initial critique of the substance view, I raised reductio‐style objections to the substance view's conclusion that the standard human fetus has the same intrinsic value and moral standing as the standard adult human being, among others. In this follow‐up critique, I raise objections to some of the premises invoked in support of this conclusion. I begin by briefly presenting the substance view as well as its defense. (For a more thorough presentation, see the first part of my critique.) I then raise objections to three claims involved in the substance view's defense: the claim that the standard human fetu...
Source: Bioethics - September 20, 2012 Category: Medical Ethics Authors: ROB LOVERING Source Type: research

FedEx and UPS Commit to Not Ship Research Mammals
By Meredith Wadman of Nature magazine [More]
Source: Scientific American - Official RSS Feed - September 20, 2012 Category: Science Tags: Health,Health,Ethics,More Science,Evolution,Biology,Society & Policy Source Type: research

Pursuing Permanent Hemodialysis Vascular Access in Patients With a Poor Prognosis: Juxtaposing Potential Benefit and Harm
For patients with end-stage renal disease requiring hemodialysis, the native arteriovenous fistula remains the gold standard of vascular access, with tunneled cuffed central venous catheters reserved for temporary use or as a last resort in patients for whom a permanent vascular access is not possible. It is expected that most patients receiving hemodialysis will be suitable for arteriovenous fistula placement, with suitable patients defined as those: (1) for whom long-term dialysis is expected to confer benefit, (2) with vascular anatomy amenable to arteriovenous fistula placement, and (3) with progressive irreversible ki...
Source: American Journal of Kidney Diseases - September 20, 2012 Category: Urology & Nephrology Authors: Rebecca J. Schmidt, Richard S. Goldman, Michael Germain Tags: In Practice Source Type: research

Physicians' religiosity and attitudes towards patients.
Conclusion: Physicians' religiosity is an essential factor shaping their attitude towards patients. The majority of physicians declared that their religious faith influences their professional decisions, especially in difficult situations. The religiosity variable explains physicians' moral attitude better than the denomination (religious affiliation) variable. Physician-patient relation frameworks should take into account not only patients' but also physicians' cultural and religious beliefs. PMID: 23020047 [PubMed - in process]
Source: Annals of Agricultural and Environmental Medicine : AAEM - September 20, 2012 Category: Environmental Health Authors: Pawlikowski J, Sak JJ, Marczewski K Tags: Ann Agric Environ Med Source Type: research