Including more than 50'000 documents - as well as 500 doctoral theses - the Globethics.net Health Ethics collection is a unique online resource covering topics related to health ethics such as pharmaceuticals, health economics, health politics, access to medical care, environmental issues and bioethics.

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  • Ethical Reflections Triggered by New Discovery of Clopidogrel

    Li Liu (2022-03-23)
    Abstract In the previous article "Prediction on Clopidogrel's Abnormal Behaviors and Pharmacobehavioral Economics", the authors propose to establish new disciplines such as pharmacobehavioral economics. Although the establishment of a new discipline normally brings about a breakthrough in the development of the field, from December 2012 to July 2021, this paper had been rejected by many journals, and the correct results of empirical studies turned into a hot potato. During this process, both invisible hand and visible hand became barriers to the formal publication of this article, justice and morality were ignored,and the market and regulators failed. So far, for clopidogrel whose global cumulative sales have surpassed $90 billion, the treatment guidelines based on the incorrect results of Phase III CAPRIE cannot be corrected, and the global medical economic resources have been excessively consumed for a long time. At present, the global COVID-19 is serious, but some false information has been widely publicized by some media, misleading the public, causing confusion in thinking, harming epidemic prevention and control, and interfering with economic recovery. In addition, the publication of false information or rumors by the media is also a fairly important factor leading to conflict and war. However, the rumour-mongering media is difficult to suppress. Therefore, we suggest that new disciplines such as quantitative media ethics etc. should be established to conduct ethical evaluation or hierarchical management of media behaviors from a new perspective, an eight-level grading standard for media based on publishing false information or rumors should also be established, so as to reduce the ability of inferior media to mislead the public, cultivate more peace fighters, lower the number or intensity of wars or conflicts, and construct world stability and peace.
  • Ethical Reflections Triggered by New Discovery of Clopidogrel

    Li Liu (2022-03-23)
    Abstract In the previous article "Prediction on Clopidogrel's Abnormal Behaviors and Pharmacobehavioral Economics", the authors propose to establish new disciplines such as pharmacobehavioral economics. Although the establishment of a new discipline normally brings about a breakthrough in the development of the field, from December 2012 to July 2021, this paper had been rejected by many journals, and the correct results of empirical studies turned into a hot potato. During this process, both invisible hand and visible hand became barriers to the formal publication of this article, justice and morality were ignored,and the market and regulators failed. So far, for clopidogrel whose global cumulative sales have surpassed $90 billion, the treatment guidelines based on the incorrect results of Phase III CAPRIE cannot be corrected, and the global medical economic resources have been excessively consumed for a long time. At present, the global COVID-19 is serious, but some false information has been widely publicized by some media, misleading the public, causing confusion in thinking, harming epidemic prevention and control, and interfering with economic recovery. In addition, the publication of false information or rumors by the media is also a fairly important factor leading to conflict and war. However, the rumour-mongering media is difficult to suppress. Therefore, we suggest that new disciplines such as quantitative media ethics etc. should be established to conduct ethical evaluation or hierarchical management of media behaviors from a new perspective, an eight-level grading standard for media based on publishing false information or rumors should also be established, so as to reduce the ability of inferior media to mislead the public, cultivate more peace fighters, build brotherly relations among nations, decrease the number of military and nuclear weapons, put an end to the development and use of genetic biological and chemical weapons, lower the number or intensity of wars or conflicts, and construct world stability and peace.
  • Salvar vidas : la pasión de médicos y enfermeros

    UCH. Departamento de Ciencias Políticas, Ética y Sociología; García Sánchez, Emilio. (2014)
  • The Gay Blade, February 1973

    D.Y.K. Enterpriseset al
    An independent newspaper serving the LGBTQIA+ community. This edition features articles on anti-gay policies at Georgetown University, efforts to de-medicalize homosexuality and to fight against Federal government employment discrimination, two Gay Alcoholics Anonymous groups, and ads for gay-friendly organizations, religious services, and events.
  • Physician Assisted Dying (PAD): An Investigation into the Mechanistic Action of Opioid, Benzodiazepine, and Barbiturate Administration as an Alternative Measure to Forgoing Life Sustaining Treatment and Aggressive Palliation.

    Deighton, Jordana Chanel (Scholarship @ Claremont, 2022-01-01)
    Whilst modern medicine has increased longevity, the rise in life expectancy has brought about new struggles, namely that of aging and age related disease. Thus, humanity has been presented with a new problem: at what point is death preferable to aggressive life-prolonging treatment in the face of inevitable death? And if so, what right do individuals have to control the circumstances of their death? In the West, traditionally, individuals who seek to end their own lives in the face of terminal illness opt for forgoing artificial hydration and nutrition. Driven by an increase in desire for autonomous dignified death, a new method, physician assisted dying (PAD), has increased in popularity. Due to its novelty, previous studies have concentrated primarily on demographics of PAD or the ethical implications of PAD legislation - fearing possible eugenics-complications for vulnerable societies. Currently, there does not exist a review which contemplates PAD as an option for the critically ill and contrasts it with that of forgoing life sustaining treatment. This includes an investigation into demographics opting for PAD, PAD drug classes and their physiological action in inducing death, and an analysis of case studies . PAD offers a succinct and decisive opportunity to end one's life, without the fear of enduring the extended dying process and unforeseen psychological and physiological changes of forgoing treatment. Contrary to what one might assume, PAD in fact promotes thorough decision-making and preparedness for death through encouraged patient autonomy. These encouraging prospects suggest that patients considering death should be offered multiple options in order to make an informed decision as to which plan is most appropriate for their circumstances. I propose that awareness and acceptance of PAD as a form of humane end of life care should be exemplified. In this way, palliative care givers can continue to support patients in attaining a life which is consistent with patient goals and values.
  • Društvena i etička problematika Ambient Assisted Living-a

    Čartolovni, Anto; Singbo, Odilon; Gložinić, Terezija (Hrvatsko katoličko sveučilište. Odjel za sestrinstvo.Catholic University of Croatia. Department of Nursing., 2021-09-24)
    Sažetak Uvod: Jedan od većih problema koji zahvaća posebice zapadni svijet je povećanje udjela starog stanovništva u općoj populaciji. Zbog toga društvo je primorano tražiti i razvijati sustave brige i podrške za starije osobe. S tim ciljem razvijaju se tehnologije i tehnološki sustavi kojima se želi poboljšati kvaliteta života starijih osoba i omogućiti im što dužu neovisnost i životnu samostalnost. Jedan od takvih alata je Ambient Assisted Living (AAL) koji implementacijom različitih tehnologija (senzori, kamere) u domove starijih osoba nastoji pridonijeti njihovoj većoj sigurnosti. Upotreba takvih tehnologija potiče stvaranje različitih problema društvene ili etičke naravi. Cilj: Cilj istraživanja bio je analizirati društvenu i etičku problematiku AAL-a te podrobnije razumjeti percepciju zainteresiranih sudionika. Metode: Provedeno je kvalitativno istraživanje putem polustrukturiranih intervjua s 11 sudionika iz tri kategorije ljudi koji mogu biti potencijalni akteri implementacije AAL sustava: medicinske sestre, starije osobe te inženjeri. Rezultati: Rezultati istraživanja pokazuju da postoji potreba za korištenjem AAL tehnologija u vidu poboljšanja skrbi za starije osobe i njihove kvalitete života. Ističe se zabrinutost medicinskih sestara i starijih osoba oko namjere takvih tehnologija da zamijene ljudski oblik skrbi koji nikako ne može isključiti važnost ljudske topline i dodira, drugim riječima, ističe se problem gubitka ljudskog kontakta što može potencijalno rezultirati socijalnom izolacijom. Problem koji se može javiti je i nedovoljna upućenost starijih osoba u korištenje tehnologije. Etičko pitanje povrede privatnosti zbog stalnog video nadzora istaknuli svi sudionici. Zaključak: S obzirom na to da se u ovom istraživanju kao najveći problem istaknuo nedostatak ljudskog kontakta, odnosno dehumanizacija skrbi te problem ugroze privatnosti zbog prikupljanja raznih vrsta podataka koristeći senzore i video nadzor, od iznimne je važnosti analizirati etičke aspekte razvijanja i korištenja AAL tehnologija. Iz toga proizlazi da je važno i razviti smjernice za razvijanje i korištenje AAL tehnologija koje će se temeljiti na etičkim principima i bioetičkim načelima uz poštivanje temeljnog dostojanstva svake ljudske osobe.
  • Dilemmes éthiques des médecins militaires en opérations extérieures au cours de l’opération Barkhane : quelle place pour la réflexion éthique au sein d'un cadre normatif contraint?

    Aix-Marseille; Einaudi - De Siano, Marie-Ange; Lamblin, Antoine (2021-12-03)
    Les nombreuses missions des médecins militaires déployés sur l’opération Barkhane peuvent créer des dilemmes éthiques quand des décisions s'imposent, à l'origine de conflits de valeurs. Des entretiens avec 20 médecins récemment projetés au Mali ou au Tchad ont été réalisés. Tous ont déclaré avoir été confrontés à plusieurs dilemmes éthiques. Tous les dilemmes rapportés concernaient le traitement de personnels civils ou de personnes capturées, et étaient en lien avec le choix des patients à traiter, l'utilisation du soin à des fins diplomatiques, politiques ou de renseignement par les autorités militaires, et le niveau de soins à apporter aux patients en l'absence de capacité de prise en charge hospitalière d'aval. La plupart des dilemmes relevaient de la double loyauté (conflit entre le devoir des médecins militaires envers les patients et envers l'institution militaire), ainsi que de facteurs contextuels (limitation des ressources et contraintes sécuritaires). Ce travail fournit un aperçu unique de leurs expériences éthiques et s'avérera utile pour améliorer la formation opérationnelle du personnel de santé déployé en opérations extérieures.
  • Perspective of geriatric patients on advance care planning in Denmark:a qualitative study

    Dahmke, Kirstine; Nielsen-Hannerup, Elisabeth; Madsen, Ida Sondergaard; Rerup, Sofie; Ramberg, Emilie; Lembeck, Maurice A.; Pedersen, Hanne; Holm, Ellen Astrid (2022)
    <
  • Perspective of geriatric patients on advance care planning in Denmark:a qualitative study

    Dahmke, Kirstine; Nielsen-Hannerup, Elisabeth; Madsen, Ida Sondergaard; Rerup, Sofie; Ramberg, Emilie; Lembeck, Maurice A.; Pedersen, Hanne; Holm, Ellen Astrid (2022)
    <
  • The Washington Blade, September 8, 1989

    Washington Blade, Inc.et al (null, 2016-07)
    An independent newspaper serving the LGBTQIA+ community. This edition features articles on the use of circumstantial evidence and hidden cameras planted in restrooms in the Naval Investigative Service's controversial crackdown on gay sailors, an update in the investigation of the explosion aboard the USS Iowa, a profile of South African gay rights and anti-Apartheid activist Simon Nkoli, analysis of support for gay rights and AIDS response in the U.S. Senate, health information about innovations in AZT regimens, an excerpt from the final book in Armistead Maupin's Tales of the City series, book reviews, and ads for gay-friendly businesses, events, and groups.
  • Neuroscience-based psychiatric assessments of criminal responsibility: beyond self-report?

    Forensische psychiatrie / psychologie; UCALL / Aansprakelijkheid en verantwoordelijkheid; Meynen, Gerben (2020-07-01)
    Many legal systems have an insanity defense, which means that although a person has committed a crime, she is not held criminally responsible for the act. A challenge with regard to these assessments is that forensic psychiatrists have to rely to a considerable extent on the defendant's self-report. Could neuroscience be a way to make these evaluations more objective? The current value of neuroimaging in insanity assessments will be examined. The author argues that neuroscience can be valuable for diagnosing neurological illnesses, rather than psychiatric disorders. Next, he discusses to what extent neurotechnological 'mind reading' techniques, if they would become available in the future, could be useful to get beyond self-report in forensic psychiatry.
  • The Blade, May 1978

    Blade Communications, Inc.et al
    An independent newspaper serving the LGBTQIA+ community. This edition features articles on gay activists' efforts to reform sex education curricula, efforts to combat homophobia among Maryland cops, gay films, feminist films, coverage of the Spring 1978 conference of the National Organization of Women, public sports facilities in D.C. and ads for gay-friendly businesses, events, and groups.
  • Supplementary File 4 Information, Consent and Topic Areas for Online Delphi Survey 2 (for translation to Jisc Online Survey)

    Cathy Bulley (6802340); Jane Burridge (12857431); Adine Adonis (12857433); Sarah Joiner (12857434); Eleanor Curnow (12857435); Marietta van der Linden (12857438); Tamsyn Street (12857441) (2022-06-10)
    This file contains all content of the second survey in the Delphi Consensus Study, including information for the Expert Panellists, consent information and all remaining items for which consensus and feedback were sought.
  • Supplementary File 2 Information, Consent and Topic Areas for Online Delphi Survey1 (for translation to Jisc Online Survey)

    Cathy Bulley (6802340); Jane Burridge (12857431); Adine Adonis (10233827); Sarah Joiner (12857434); Eleanor Curnow (12857435); Marietta van der Linden (12857438); Tamsyn Street (12857441) (2022-06-09)
    This file contains all content of the first survey in the Delphi Consensus Study, including information for the Expert Panellists, consent information and all items for which conensus and feedback were sought.
  • In Evaluating Technological Risks, When and Why Should We Consult Our Emotions?

    LS Wijsgerige Ethiek; OFR - Ethics Institute; Nyholm, Sven (2020)
  • Should a medical digital twin be viewed as an extension of the patient's body?

    LS Wijsgerige Ethiek; OFR - Ethics Institute; Nyholm, Sven (2021-06-01)
  • Responding to Human Brain Surrogates Research: The Value of Empirical Ethics

    Forensische psychiatrie / psychologie; UCALL / Aansprakelijkheid en verantwoordelijkheid; Metselaar, Suzanne; Geurts, Jeroen; Meynen, Gerben (2021-01)
  • Knowledge of healthcare professionals about rights of patient’s images

    Bianca Rodrigues Caires (12835830); Maria Carolina Barbosa Teixeira Lopes (4791165); Meiry Fernanda Pinto Okuno (4791159); Cássia Regina Vancini-Campanharo (4791168); Ruth Ester Assayag Batista (4791162) (2015-06-01)
    Objective To assess knowledge of healthcare professionals about capture and reproduction of images of patients in a hospital setting. Methods A cross-sectional and observational study among 360 healthcare professionals (nursing staff, physical therapists, and physicians), working at a teaching hospital in the city of São Paulo (SP). A questionnaire with sociodemographic information was distributed and data were correlated to capture and reproduction of images at hospitals. Results Of the 360 respondents, 142 had captured images of patients in the last year, and 312 reported seeing other professionals taking photographs of patients. Of the participants who captured images, 61 said they used them for studies and presentation of clinical cases, and 168 professionals reported not knowing of any legislation in the Brazilian Penal Code regarding collection and use of images. Conclusion There is a gap in the training of healthcare professionals regarding the use of patient´s images. It is necessary to include subjects that address this theme in the syllabus of undergraduate courses, and the healthcare organizations should regulate this issue.
  • Prisutnost moralnog distresa i moralne ozljede kod medicinskih sestara na palijativnim i onkološkim odjelima

    Čartolovni, Anto; Stanojević, Stella (Hrvatsko katoličko sveučilište. Odjel za sestrinstvo.Catholic University of Croatia. Department of Nursing., 2022-01-28)
    Uvod: Medicinske sestre koje rade na palijativnim i onkološkim odjelima suočavaju se s brojnim etičkim dilemama u svom radu. Ponekad im je teško razlučiti što je moralno ispravno i kako bi trebale postupiti s obzirom na naredbe nadređenih. Njihov rad s umirućim pacijentima iziskuje psihičku i emocionalnu stabilnost. Upravo zbog toga one imaju povećan rizik od razvoja moralnog distresa i moralne ozljede. Cilj: utvrditi i usporediti razinu moralnog distresa i moralne ozljede kod sestara koje rade na palijativnim i onkološkim odjelima, najčešće posljedice i ostale čimbenike koji su povezani sa razvojem moralnog distresa i moralne ozljede. Metode: Istraživanje se provodilo na palijativnim i onkološkim odjelima u 11 ustanova na području Republike Hrvatske. Razdoblje prikupljanja podataka je od siječnja do srpnja 2021. godine. Za prikupljanje podataka korišteni su upitnici Mjera moralnog distresa – zdravstveni djelatnici (MMD-HP) i Ljestvica simptoma moralne ozljede: verzija za zdravstvene djelatnike (MISS HP). Podaci su prikazani pomoću deskriptivne statistike. Povezanost prosječnog ukupnog rezultata za oba upitnika prikazana je pomoću Pearsonovog koeficijenta korelacije. Za upitnik MISS-HP provedena je eksplorativna faktorska analiza. Rezultati: U istraživanje je sudjelovalo 162 ispitanika. Većina ispitanika, njih 65,4% pokazuje nisku razinu moralnog distresa. Ozbiljne simptome moralne ozljede pokazuju 54,4% ispitanika. U istraživanju je dokazana povezanost moralnog distresa i moralne ozljede te je uočeno da viša razina moralnog distresa i ozbiljni simptomi moralne ozljede rezultiraju napuštanjem posla te nižim stupnjem obrazovanja. Zaključak: Iako se do sada o ovom problemu kod nas nije govorilo, prisutnost moralnog distresa i moralne ozljede kod medicinskih sestara koje rade na palijativnim i onkološkim odjelima značajna je. Važno je osvijestiti sve zdravstvene djelatnike o štetnosti moralnog distresa i moralne ozljede kako kroz javno-zdravstvene i obrazovne programe, tako i kroz radionice i seminare. Potrebna su daljnja istraživanja na navedenu temu u Hrvatskoj što bi neupitno moglo doprinijeti daljnjem razvoju sestrinske struke, ali i zaštiti mentalnog zdravlja medicinskih sestara.
  • Assessing MyData Scenarios:Ethics, Concerns, and the Promise

    Alorwu, Andy; Kheirinejad, Saba; Berkel, Niels Van; Kinnula, Marianne; Ferreira, Denzil; Visuri, Aku; Hosio, Simo (Association for Computing Machinery, 2021)
    Public controversies around the unethical use of personal data are increasing, spotlighting data ethics as an increasingly important field of study. MyData is a related emerging vision that emphasizes individuals’ control of their personal data. In this paper, we investigated people’s perceptions of various data management scenarios by measuring the perceived ethicality and level of personal felt concern regarding the scenarios. We deployed the set of 96 unique scenarios to a paid crowdsourcing platform for assessment and invited a representative sample of the participants to a second-stage questionnaire about the MyData vision as well as its potential in the field of healthcare. Our results provide a timely investigation into how topical data-related practices affect the perceived ethicality and the felt concern. The questionnaire analysis reveals great potential in the MyData vision. Through the combined quantitative and qualitative results, we contribute to the field of data ethics.

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