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https://www.readbyqxmd.com/read/27875651/religious-hospitals-and-patient-choice
#1
Nadia N Sawicki
Recent media reports have drawn widespread attention to the experiences of patients who are denied reproductive services at Catholic hospitals. For some patients, such as those experiencing miscarriage, denial of appropriate treatment can lead to serious health consequences. However, many patients are unaware of the limitations on services available at religiously affiliated health care institutions. As a result, patients' ability to make informed and autonomous decisions about where to seek treatment is hindered...
November 2016: Hastings Center Report
https://www.readbyqxmd.com/read/27764821/sesquicentennial-tribute-to-emil-redlich-1866-1930-the-embodied-conscience-of-neurology
#2
Nicolina E Savvaidou, Lazaros C Triarhou
Professor Emil Redlich (1866-1930) of the University of Vienna was born 150 years ago. Raised in a humble environment, he became an eminent researcher and neurology scholar, and succeeded in laying some of the key foundations of neuroanatomy and neuropathology. His name is linked to medical eponyms that define the dorsal root entry zone into the spinal cord, epidemic disseminated encephalomyelitis, narcolepsy, senile plaques and dementia. As its first director, he managed to organize the Maria-Theresien-Schlössel into a first-class neuropsychiatric hospital...
2016: European Neurology
https://www.readbyqxmd.com/read/27753590/stinging-the-conscience-a-case-of-severe-hymenoptera-anaphylaxis-and-the-need-for-provider-awareness
#3
Kyle Mikals, Douglas Beakes, Taylor A Banks
Hymenoptera venom allergy accounts for approximately 17% of all cases of anaphylaxis. Insect stings are a common occurrence across the world, with significant impact on active duty personnel. Venom immunotherapy (VIT) provides an effective treatment for those with systemic reactions to insect stings and other similar indications. We present a case of severe reaction to hymenoptera venom requiring an epinephrine drip and provide an overview for primary care providers on who should be referred to allergy or an allergist, carry an epinephrine auto-injector, and be a candidate for VIT...
October 2016: Military Medicine
https://www.readbyqxmd.com/read/27748754/differentiation-of-human-embryonic-stem-cells-to-hoxa-hemogenic-vasculature-that-resembles-the-aorta-gonad-mesonephros
#4
Elizabeth S Ng, Lisa Azzola, Freya F Bruveris, Vincenzo Calvanese, Belinda Phipson, Katerina Vlahos, Claire Hirst, Vanta J Jokubaitis, Qing C Yu, Jovana Maksimovic, Simone Liebscher, Vania Januar, Zhen Zhang, Brenda Williams, Aude Conscience, Jennifer Durnall, Steven Jackson, Magdaline Costa, David Elliott, David N Haylock, Susan K Nilsson, Richard Saffery, Katja Schenke-Layland, Alicia Oshlack, Hanna K A Mikkola, Edouard G Stanley, Andrew G Elefanty
The ability to generate hematopoietic stem cells from human pluripotent cells would enable many biomedical applications. We find that hematopoietic CD34(+) cells in spin embryoid bodies derived from human embryonic stem cells (hESCs) lack HOXA expression compared with repopulation-competent human cord blood CD34(+) cells, indicating incorrect mesoderm patterning. Using reporter hESC lines to track the endothelial (SOX17) to hematopoietic (RUNX1C) transition that occurs in development, we show that simultaneous modulation of WNT and ACTIVIN signaling yields CD34(+) hematopoietic cells with HOXA expression that more closely resembles that of cord blood...
October 17, 2016: Nature Biotechnology
https://www.readbyqxmd.com/read/27733437/rationing-conscience
#5
Dominic Wilkinson
Decisions about allocation of limited healthcare resources are frequently controversial. These decisions are usually based on careful analysis of medical, scientific and health economic evidence. Yet, decisions are also necessarily based on value judgements. There may be differing views among health professionals about how to allocate resources or how to evaluate existing evidence. In specific cases, professionals may have strong personal views (contrary to professional or societal norms) that treatment should or should not be provided...
October 12, 2016: Journal of Medical Ethics
https://www.readbyqxmd.com/read/27697790/further-clarity-on-cooperation-and-morality
#6
David S Oderberg
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 evaluation using the basic principles of cooperation' outlines a theory of cooperation inspired by Catholic moral theologians such as those cited by the court. The theory has independent plausibility and is at least worthy of serious consideration-in part because it is an instance of double-effect reasoning, which is also independently plausible despite its association with moral theology...
October 3, 2016: Journal of Medical Ethics
https://www.readbyqxmd.com/read/27685830/doctors-and-witches-conscience-and-violence-abortion-provision-on-american-television
#7
Gretchen Sisson, Katrina Kimport
CONTEXT: Popular entertainment may reflect and produce-as well as potentially contest-stigma regarding abortion provision. Knowledge of how providers are portrayed on-screen is needed to improve understanding of how depictions may contribute to the stigmatization of real providers. METHODS: All abortion provision plotlines on American television from 2005 to 2014 were identified through Internet searches. Plotlines were assessed in their entirety and coded for genre, abortion provision space, provider characteristics, method and efficacy of provision, and occurrence of violence...
September 29, 2016: Perspectives on Sexual and Reproductive Health
https://www.readbyqxmd.com/read/27683774/evaluation-of-the-thoracoabdominal-mobility-of-obese-subjects-in-pre-bariatric-surgery
#8
Ana Paula Limongi Richardelli Veloso, Karla Garcez Cusmanich
Background: Obesity can affect the thorax, diaphragm, and alterations in respiratory function even if the lungs are within normality. The respiratory compliance is very reduced by the increase in fat mass. Aim: To evaluate the effect of the physical therapeutic respiratory exercises on the thoracoabdominal mobility of obese individuals in pre-bariatric surgery. Methods: Cross-sectional and descriptive study, which used the cirtometry (axillary, xiphoid and abdominal) to evaluate the mobility of 74 individuals, 27 men and 47 women, in pre-bariatric surgery, assisted by the team EMAD, after eight weeks of physiotherapy, following a protocol of exercises, reevaluating and compared the measures pre and post intervention...
2016: Arquivos Brasileiros de Cirurgia Digestiva: ABCD, Brazilian Archives of Digestive Surgery
https://www.readbyqxmd.com/read/27681301/selling-conscience-short-a-response-to-schuklenk-and-smalling-on-conscientious-objections-by-medical-professionals
#9
Jocelyn Maclure, Isabelle Dumont
In a thought-provoking paper, Schuklenk and Smalling argue that no right to conscientious objection should be granted to medical professionals. First, they hold that it is impossible to assess either the truth of conscience-based claims or the sincerity of the objectors. Second, even a fettered right to conscientious refusal inevitably has adverse effects on the rights of patients. We argue that the main problem with their position is that it is not derived from a broader reflection on the meaning and implications of freedom of conscience and reasonable accommodation...
September 28, 2016: Journal of Medical Ethics
https://www.readbyqxmd.com/read/27659086/intricate-assessment-and-evaluation-of-effect-of-bruxism-on-long-term-survival-and-failure-of-dental-implants-a-comparative-study
#10
Kajal Yadav, Abhishek Nagpal, S K Agarwal, Aarti Kochhar
INTRODUCTION: Dental implants are one of the common lines of treatment used for the treatment of missing tooth. Various risk factors are responsible for the failure of the dental implants and occurrence of postoperative complications. Bruxism is one such factor responsible for the failure of the dental implants. The actual relation between bruxism and dental implants is a subject of long-term controversy. Hence, we carried out this retrospective analysis to assess the complications occurring in dental implants in patients with and without bruxism...
2016: Journal of Contemporary Dental Practice
https://www.readbyqxmd.com/read/27637191/the-dialogue-between-medical-doctors-and-bioethicists-rethinking-experience-to-improve-medical-education
#11
Luca Valera, María Teresa Russo, Giuseppe Curcio
More and more seems to be necessary to find new ways of communication between medical doctors and bioethicists in order to build a shared vocabulary and to prevent conflicts: many bioethical problems seem to be caused by the lack of dialogue between them, which both seem to speak two different languages. Improving this dialogue means searching new languages and innovative forms of communication: the narration could be a really effective tool to enhance the physicians' and bioethicist's moral conscience, since it facilitates reasoning on someone's particular experience, and, ultimately, on our experience...
May 2016: Cuadernos de Bioética: Revista Oficial de la Asociación Española de Bioética y Ética Médica
https://www.readbyqxmd.com/read/27618556/conscientious-objection-to-abortion-provision-why-context-matters
#12
Laura Florence Harris, Jodi Halpern, Ndola Prata, Wendy Chavkin, Caitlin Gerdts
Conscientious objection to abortion - a clinician's refusal to perform abortions because of moral or religious beliefs - is a limited right, intended to protect clinicians' convictions while maintaining abortion access. This paper argues that conscientious objection policies and debates around the world generally do not take into account the social, political, and economic pressures that profoundly influence clinicians who must decide whether to claim objector status. Lack of clarity about abortion policies, high workload, low pay, and stigma towards abortion providers can discourage abortion provision...
September 12, 2016: Global Public Health
https://www.readbyqxmd.com/read/27613799/two-conceptions-of-conscience-and-the-problem-of-conscientious-objection
#13
Xavier Symons
Schuklenk and Smalling argue that it is practically impossible for civic institutions to meet the conditions necessary to ensure that conscientious objection does not conflict with the core principles of liberal democracies. In this response, I propose an alternative definition of conscience to that offered by Schuklenk and Smalling. I discuss what I call the 'traditional' notion of conscience, and contrast this with the existentialist conception of conscience (which I take to be a close cousin of the view targeted by Schuklenk and Smalling)...
September 9, 2016: Journal of Medical Ethics
https://www.readbyqxmd.com/read/27601600/response-to-why-medical-professionals-have-no-moral-claim-to-conscientious-objection-accommodation-in-liberal-democracies-by-schuklenk-and-smalling
#14
Shimon M Glick, Alan Jotkowitz
The recent essay by Schuklenk and Smalling opposing respect for physicians' conscientious objections to providing patients with medical services that are legally permitted in liberal democracies is based on several erroneous assumptions. Acting in this manner would have serious harmful effects on the ethos of medicine and of bioethics. A much more nuanced and balanced position is critical in order to respect physicians' conscience with minimal damage to patients' rights.
September 6, 2016: Journal of Medical Ethics
https://www.readbyqxmd.com/read/27544140/individualised-claims-of-conscience-clinical-judgement-and-best-interests
#15
Stephen W Smith
Conscience and conscientious objections are important issues in medical law and ethics. However, discussions tend to focus on a particular type of conscience-based claim. These types of claims are based upon predictable, generalizable rules in which an individual practitioner objects to what is otherwise standard medical treatment (for example, the objections recognised in the Abortion Act). However, not all conscience based claims are of this type. There are other claims which are based not on an objection to a treatment in general but in individual cases...
August 20, 2016: Health Care Analysis: HCA: Journal of Health Philosophy and Policy
https://www.readbyqxmd.com/read/27541320/an-ethics-of-permission-a-response-to-the-california-end-of-life-option-act
#16
Craig Nelson
An ethics of permission can be helpful in framing a response to the ethical differences surrounding the California End of Life Option Act. Law does not define morality, and reaching a moral understanding demands thorough reflection. An ethics of permission examines the ethical demands of a permissive law for both clinician and patient. Serving the good of the patient, respecting professional conscience, and following the law are three ethical elements. Although developing an ethics of permission includes these three elements, these elements do not exhaust all the moral implications involved...
2016: Permanente Journal
https://www.readbyqxmd.com/read/27532896/transplant-medicine-in-china-need-for-transparency-and-international-scrutiny-remains
#17
T Trey, A Sharif, A Schwarz, M Fiatarone Singh, J Lavee
Previous publications have described unethical organ procurement procedures in the People's Republic of China. International awareness and condemnation contributed to the announcement abolishing the procurement of organs from executed prisoners starting from January 2015. Eighteen months after the announcement, and aligned with the upcoming International Congress of the Transplantation Society in Hong Kong, this paper revisits the topic and discusses whether the declared reform has indeed been implemented. It is noticeable that China has neither addressed nor included in the reform a pledge to end the procurement of organs from prisoners of conscience, nor have they initiated any legislative amendments...
August 17, 2016: American Journal of Transplantation
https://www.readbyqxmd.com/read/27527051/putting-forward-a-balanced-view
#18
B Hassell
I was disappointed to read in your editorial (June 8) that you believe private nursing homes 'have no greater conscience other than to be profitable'.
June 29, 1994: Nursing Standard
https://www.readbyqxmd.com/read/27522373/honorary-authorship-and-symbolic-violence
#19
Jozsef Kovacs
This paper invokes the conceptual framework of Bourdieu to analyse the mechanisms, which help to maintain inappropriate authorship practices and the functions these practices may serve. Bourdieu's social theory with its emphasis on mechanisms of domination can be applied to the academic field, too, where competition is omnipresent, control mechanisms of authorship are loose, and the result of performance assessment can be a matter of symbolic life and death for the researchers. This results in a problem of game-theoretic nature, where researchers' behaviour will be determined more by the logic of competition, than by individual character or motives...
August 13, 2016: Medicine, Health Care, and Philosophy
https://www.readbyqxmd.com/read/27521245/iranian-nurses-experience-of-being-a-wrongdoer-a-phenomenological-study
#20
Mohaddeseh Mohsenpour, MohammadAli Hosseini, Abbas Abbaszadeh, Farahnaz Mohammadi Shahboulaghi, HamidReza Khankeh
BACKGROUND: Patient safety, which is a patient's right, can be threatened by nursing errors. Furthermore, nurses' feeling of "being a wrongdoer" in response to nursing errors can influence the quality of care they deliver. RESEARCH OBJECTIVES: To explore the meaning of Iranian nurses' experience of "being a wrongdoer." RESEARCH DESIGN: A phenomenological approach was used to explore nurses' lived experiences. Nurses were recruited purposively to take part in semistructured interviews, and the data collected from these interviews were analyzed using Van Manen's thematic analysis...
August 12, 2016: Nursing Ethics
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