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BMC Medical Ethics

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https://www.readbyqxmd.com/read/29157253/the-no-correlation-argument-can-the-morality-of-conscientious-objection-be-empirically-supported-the-italian-case
#1
Marco Bo, Carla Maria Zotti, Lorena Charrier
BACKGROUND: The legitimacy of conscientious objection to abortion continues to fuel heated debate in Italy. In two recent decisions, the European Committee for Social Rights underlined that conscientious objection places safe, legal, and accessible care and services out of reach for most Italian women and that the measures that Italy has adopted to guarantee free access to abortion services are inadequate. Nevertheless, the Ministry of Health states that current Italian legislation, if appropriately applied, accommodates both the right to conscientious objection and the right to voluntary abortion...
November 21, 2017: BMC Medical Ethics
https://www.readbyqxmd.com/read/29149849/biobanking-in-israel-2016-17-expressed-perceptions-versus-real-life-enrollment
#2
Gideon Koren, Daniella Beller, Daphna Laifenfeld, Iris Grossman, Varda Shalev
BACKGROUND: As part of the preparations to establish a population-based biobank in a large Israeli health organization, we aimed to investigate through focus groups the knowledge, perceptions and attitudes of insured Israelis, toward biobanking, and then, after input from focus groups' participants, to empirically assess the impact of a revised recruitment process on recruitment rates. METHODS: 1) Six Focus group discussions were conducted (n = 10 per group) with individuals who had routine blood laboratory tests taken in the last 2 years...
November 17, 2017: BMC Medical Ethics
https://www.readbyqxmd.com/read/29141641/gender-and-age-disparity-in-the-initiation-of-life-supporting-treatments-a-population-based-cohort-study
#3
Peng-Sheng Ting, Likwang Chen, Wei-Chih Yang, Tien-Shang Huang, Chau-Chung Wu, Yen-Yuan Chen
BACKGROUND: The relationships between age and the life-supporting treatments use, and between gender and the life-supporting treatments use are still controversial. Using extracorporeal membrane oxygenation as an example of life-supporting treatments, the objectives of this study were: (1) to examine the relationship between age and the extracorporeal membrane oxygenation use; (2) to examine the relationship between age and the extracorporeal membrane oxygenation use; and (3) to deliberate the ethical and societal implications of age and gender disparities in the initiation of extracorporeal membrane oxygenation...
November 15, 2017: BMC Medical Ethics
https://www.readbyqxmd.com/read/29121942/ethical-aspects-of-brain-computer-interfaces-a-scoping-review
#4
Sasha Burwell, Matthew Sample, Eric Racine
BACKGROUND: Brain-Computer Interface (BCI) is a set of technologies that are of increasing interest to researchers. BCI has been proposed as assistive technology for individuals who are non-communicative or paralyzed, such as those with amyotrophic lateral sclerosis or spinal cord injury. The technology has also been suggested for enhancement and entertainment uses, and there are companies currently marketing BCI devices for those purposes (e.g., gaming) as well as health-related purposes (e...
November 9, 2017: BMC Medical Ethics
https://www.readbyqxmd.com/read/29121886/the-strange-case-of-mr-h-starting-dialysis-at-90%C3%A2-years-of-age-clinical-choices-impact-on-ethical-decisions
#5
Giorgina Barbara Piccoli, Andreea Corina Sofronie, Jean-Philippe Coindre
BACKGROUND: Starting dialysis at an advanced age is a clinical challenge and an ethical dilemma. The advantages of starting dialysis at "extreme" ages are questionable as high dialysis-related morbidity induces a reflection on the cost- benefit ratio of this demanding and expensive treatment in a person that has a short life expectancy. Where clinical advantages are doubtful, ethical analysis can help us reach decisions and find adapted solutions. CASE PRESENTATION: Mr...
November 9, 2017: BMC Medical Ethics
https://www.readbyqxmd.com/read/29100520/the-emergence-of-ethical-issues-in-the-provision-of-online-sexual-health-outreach-for-gay-bisexual-two-spirit-and-other-men-who-have-sex-with-men-perspectives-of-online-outreach-workers
#6
Sophia Fantus, Rusty Souleymanov, Nathan J Lachowsky, David J Brennan
BACKGROUND: Mobile applications and socio-sexual networking websites are used by outreach workers to respond synchronously to questions and provide information, resources, and referrals on sexual health and STI/HIV prevention, testing, and care to gay, bisexual and other men who have sex with men (GB2M). This exploratory study examined ethical issues identified by online outreach workers who conduct online sexual health outreach for GB2M. METHODS: Semi-structured individual interviews were conducted between November 2013 and April 2014 with online providers and managers (n = 22) to explore the benefits, challenges, and ethical implications of delivering online outreach services in Ontario, Canada...
November 3, 2017: BMC Medical Ethics
https://www.readbyqxmd.com/read/29078769/this-moral-coil-a-cross-sectional-survey-of-canadian-medical-student-attitudes-toward-medical-assistance-in-dying
#7
Eli Xavier Bator, Bethany Philpott, Andrew Paul Costa
BACKGROUND: In February, 2015, the Supreme Court of Canada struck down the ban on medical assistance in dying (MAiD). In June, 2016, the federal government passed Bill C-14, permitting MAiD. Current medical students will be the first physician cohort to enter a system permissive of MAiD, and may help to ensure equitable access to care. This study assessed medical student views on MAiD, factors influencing these views, and opportunities for medical education. METHODS: An exploratory cross-sectional survey was developed and distributed to medical students across all years of a three-year Canadian undergraduate medical program...
October 27, 2017: BMC Medical Ethics
https://www.readbyqxmd.com/read/29070032/collaborative-partnership-and-the-social-value-of-clinical-research-a-qualitative-secondary-analysis
#8
Sanna-Maria Nurmi, Arja Halkoaho, Mari Kangasniemi, Anna-Maija Pietilä
BACKGROUND: Protecting human subjects from being exploited is one of the main ethical challenges for clinical research. However, there is also a responsibility to protect and respect the communities who are hosting the research. Recently, attention has focused on the most efficient way of carrying out clinical research, so that it benefits society by providing valuable research while simultaneously protecting and respecting the human subjects and the communities where the research is conducted...
October 25, 2017: BMC Medical Ethics
https://www.readbyqxmd.com/read/29017486/limits-to-human-enhancement-nature-disease-therapy-or-betterment
#9
Bjørn Hofmann
BACKGROUND: New technologies facilitate the enhancement of a wide range of human dispositions, capacities, or abilities. While it is argued that we need to set limits to human enhancement, it is unclear where we should find resources to set such limits. DISCUSSION: Traditional routes for setting limits, such as referring to nature, the therapy-enhancement distinction, and the health-disease distinction, turn out to have some shortcomings. However, upon closer scrutiny the concept of enhancement is based on vague conceptions of what is to be enhanced...
October 10, 2017: BMC Medical Ethics
https://www.readbyqxmd.com/read/28969671/what-is-a-good-health-check-an-interview-study-of-health-check-providers-views-and-practices
#10
Yrrah H Stol, Eva C A Asscher, Maartje H N Schermer
BACKGROUND: Health checks identify (risk factors for) disease in people without symptoms. They may be offered by the government through population screenings and by other providers to individual users as 'personal health checks'. Health check providers' perspective of 'good' health checks may further the debate on the ethical evaluation and possible regulation of these personal health checks. METHODS: In 2015, we interviewed twenty Dutch health check providers on criteria for 'good' health checks, and the role these criteria play in their practices...
October 2, 2017: BMC Medical Ethics
https://www.readbyqxmd.com/read/28950853/descriptive-study-of-association-between-quality-of-care-and-empathy-and-burnout-in-primary-care
#11
Oriol Yuguero, Josep Ramon Marsal, Miquel Buti, Montserrat Esquerda, Jorge Soler-González
BACKGROUND: The doctor-patient relationship is a crucial aspect of primary-care practice Research on associations between quality of care provision and burnout and empathy in a primary care setting could improve this relationship. METHODS: Cross-sectional study of family physicians (108) and nurses (112) of twenty-two primary care centers in the health district of Lleida, Spain. Empathy and burnout were measured using the Jefferson Physician Empathy Scale and the Maslach Burnout Inventory, while quality of care delivery was evaluated using Quality Standard Indicator scores...
September 26, 2017: BMC Medical Ethics
https://www.readbyqxmd.com/read/28915865/informed-consent-and-registry-based-research-the-case-of-the-danish-circumcision-registry
#12
Thomas Ploug, Søren Holm
BACKGROUND: Research into personal health data holds great potential not only for improved treatment but also for economic growth. In these years many countries are developing policies aimed at facilitating such research often under the banner of 'big data'. A central point of debate is whether the secondary use of health data requires informed consent if the data is anonymised. In 2013 the Danish Minister of Health established a new register collecting data about all ritual male childhood circumcisions in Denmark...
September 15, 2017: BMC Medical Ethics
https://www.readbyqxmd.com/read/28841862/erratum-to-the-liverpool-care-pathway-discarded-in-cancer-patients-but-good-enough-for-dying-nursing-home-patients-a-systematic-review
#13
Bettina S Husebo, Elisabeth Flo, Knut Engedal
No abstract text is available yet for this article.
August 25, 2017: BMC Medical Ethics
https://www.readbyqxmd.com/read/28810914/eliciting-meta-consent-for-future-secondary-research-use-of-health-data-using-a-smartphone-application-a-proof-of-concept-study-in-the-danish-population
#14
Thomas Ploug, Søren Holm
BACKGROUND: The increased use of information technology in every day health care creates vast amounts of stored health data that can be used for research. The secondary research use of routinely collected data raises questions about appropriate consent mechanisms for such use. One option is meta consent where individuals state their own consent preferences in relation to future use of their data, e.g. whether they want the data to be accessible to researchers under conditions of specific consent, broad consent, blanket consent or not at all...
August 15, 2017: BMC Medical Ethics
https://www.readbyqxmd.com/read/28807022/ethical-issues-of-informed-consent-in-malaria-research-proposals-submitted-to-a-research-ethics-committee-in-thailand-a-retrospective-document-review
#15
Pornpimon Adams, Sukanya Prakobtham, Chanthima Limpattaracharoen, Sumeth Suebtrakul, Pitchapa Vutikes, Srisin Khusmith, Polrat Wilairatana, Paul Adams, Jaranit Kaewkungwal
BACKGROUND: The informed-consent process should be one of meaningful information exchange between researchers and study participants. One of the responsibilities of research ethics committees is to oversee appropriate informed consent. The committee must consider various matters before deciding whether the process is appropriate, including the adequacy and completeness of the written information provided to study participants, and the process of obtaining informed consent. This study aimed to identify, quantitatively and qualitatively, consent-related issues in different types of malaria proposals submitted to the Faculty of Tropical Medicine, Ethics Committee...
August 14, 2017: BMC Medical Ethics
https://www.readbyqxmd.com/read/28797266/does-growing-up-with-a-physician-influence-the-ethics-of-medical-students-relationships-with-the-pharmaceutical-industry-the-cases-of-the-us-and-poland
#16
Marta Makowska
BACKGROUND: Medical schools have a major impact on future doctors' ethics and their attitudes towards cooperation with the pharmaceutical industry. From childhood, medical students who are related to a physician are exposed to the characteristics of a medical career and learn its professional ethics not only in school but also in the family setting. The present paper sought to answer the research question: 'How does growing up with a physician influence medical students' perceptions of conflicts of interest in their relationships with industry?' METHODS: An anonymous questionnaire was completed by 451 medical students from four Philadelphia medical schools and 554 medical students from Warsaw Medical University during 2013...
August 10, 2017: BMC Medical Ethics
https://www.readbyqxmd.com/read/28793905/the-liverpool-care-pathway-a-systematic-review-discarded-in-cancer-patients-but-good-enough-for-dying-nursing-home-patients
#17
Bettina S Husebø, Elisabeth Flo, Knut Engedal
BACKGROUND: The Liverpool Care Pathway (LCP) is an interdisciplinary protocol, aiming to ensure that dying patients receive dignified and individualized treatment and care at the end-of-life. LCP was originally developed in 1997 in the United Kingdom from a model of cancer care successfully established in hospices. It has since been introduced in many countries, including Norway. The method was withdrawn in the UK in 2013. This review investigates whether LCP has been adapted and validated for use in nursing homes and for dying people with dementia...
August 9, 2017: BMC Medical Ethics
https://www.readbyqxmd.com/read/28789658/healthcare-professionals-and-patients-perspectives-on-consent-to-clinical-genetic-testing-moving-towards-a-more-relational-approach
#18
Gabrielle Natalie Samuel, Sandi Dheensa, Bobbie Farsides, Angela Fenwick, Anneke Lucassen
BACKGROUND: This paper proposes a refocusing of consent for clinical genetic testing, moving away from an emphasis on autonomy and information provision, towards an emphasis on the virtues of healthcare professionals seeking consent, and the relationships they construct with their patients. METHODS: We draw on focus groups with UK healthcare professionals working in the field of clinical genetics, as well as in-depth interviews with patients who have sought genetic testing in the UK's National Health Service (data collected 2013-2015)...
August 8, 2017: BMC Medical Ethics
https://www.readbyqxmd.com/read/28764782/pre-and-post-testing-counseling-considerations-for-the-provision-of-expanded-carrier-screening-exploration-of-european-geneticists-views
#19
Sandra Janssens, Davit Chokoshvili, Danya F Vears, Anne De Paepe, Pascal Borry
BACKGROUND: Carrier screening is generally performed with the aim of identifying healthy couples at risk of having a child affected with a monogenic disorder to provide them with reproductive options. Expanded carrier screening (ECS), which provides the opportunity for multiple conditions to be screened in one test, offers a more cost-effective and comprehensive option than screening for single disorders. However, implementation of ECS at a population level would have implications for genetic counseling practice...
August 1, 2017: BMC Medical Ethics
https://www.readbyqxmd.com/read/28701168/erratum-to-ethics-review-of-studies-during-public-health-emergencies-the-experience-of-the-who-ethics-review-committee-during-the-ebola-virus-disease-epidemic
#20
Emilie Alirol, Annette C Kuesel, Maria Magdalena Guraiib, Vânia de la Fuente-Núñez, Abha Saxena, Melba F Gomes
No abstract text is available yet for this article.
July 12, 2017: BMC Medical Ethics
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