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https://www.readbyqxmd.com/read/28912618/moral-theological-analysis-of-direct-versus-indirect-abortion
#1
John M Haas
Cases of a vital conflict, where the lives of both the mother and child are at risk during pregnancy, have been the subject of recent vigorous debate. The basic principles put forth in the Ethical and Religious Directives are reviewed, as is the principle of double effect. An illustrative case of severe cardiomyopathy in a pregnant woman is described and it is noted that the principle of double effect would not apply. Counter arguments are noted, focusing on Martin Rhonheimer who posits that in the case of vital conflicts, such as performing a craniotomy on a baby stuck in the birth canal, taking the baby's life does not constitute a direct abortion because moral norms do not apply in the extreme conflict situation where both mother and child will die...
August 2017: Linacre Quarterly
https://www.readbyqxmd.com/read/28905727/-teach-to-goal-to-better-assess-informed-consent-comprehension-among-incarcerated-clinical-research-participants
#2
Cyrus Ahalt, Rebecca Sudore, Marielle Bolano, Lia Metzger, Anna M Darby, Brie Williams
Correctional health research requires important safeguards to ensure that research participation is ethically conducted. In addition to having disproportionately low educational attainment and low literacy, incarcerated people suffer from health-related conditions that can affect cognition (e.g., traumatic brain injury, substance use disorders, mental illness). Yet modified informed consent processes that assess participants' comprehension of the risks and benefits of participation are not required by relevant federal guidelines...
September 1, 2017: AMA Journal of Ethics
https://www.readbyqxmd.com/read/28905272/what-is-a%C3%A2-good-doctor
#3
REVIEW
Verena Steiner-Hofbauer, Beate Schrank, Anita Holzinger
Changes in medical curricula have led to a shift of focus in medical education. The goal was to implement a more practical approach to teaching and thereby create better doctors. However, the question of what makes a good doctor is not easy to answer. This article gives an overview on the literature about this topic. A systematized review and narrative synthesis were conducted including 20 articles about the features of good doctors. Qualitative and quantitative studies as well as questionnaires were included...
September 13, 2017: Wiener Medizinische Wochenschrift
https://www.readbyqxmd.com/read/28904537/the-effect-of-new-model-prepared-on-obtaining-informed-consent-skill-in-midwifery-students-of-shahid-sadoughi-university-of-medical-sciences
#4
Tahmineh Farajkhoda, Mahshid Bokaie, Mahmoud Abbasi, Saeedeh NajafiHedeshi, Zahra Alavi, Mahin Rahimdel
BACKGROUND: Professional ethics culture should be taught to students appropriately. Studies have shown that midwifery students are not entirely familiar with the skill of obtaining informed consent. Using a new and applicable model to teach this skill to midwifery students is necessary. This study was conducted to determine the effect of a new standard model, PREPARED, on the skill of obtaining informed consent in midwifery students of Shahid Sadoughi University of Medical Sciences. MATERIALS AND METHODS: This interventional study was conducted on 37 5(th) semester midwifery students through a census method...
July 2017: Iranian Journal of Nursing and Midwifery Research
https://www.readbyqxmd.com/read/28903820/considerations-when-writing-and-reviewing-a-higher-education-teaching-protocol-involving-animals
#5
Tracy H Vemulapalli, Shawn S Donkin, Timothy B Lescun, Peggy A O'Neil, Patrick A Zollner
The targeted use of animals in teaching at institutions of higher learning is fundamental to educating the next generation of professionals in the biologic and animal sciences. As with animal research, universities and colleges that use animals in teaching are subject to regulatory oversight. Instructors must receive approval from their IACUC before using animals in their teaching. However, the questions asked on many institutions' animal care and use protocol (ACUP) are often geared more toward the use of animals for research...
September 1, 2017: Journal of the American Association for Laboratory Animal Science: JAALAS
https://www.readbyqxmd.com/read/28899390/-if-it-s-a-medical-issue-i-would-have-covered-it-by-now-learning-about-fibromyalgia-through-the-hidden-curriculum-a-qualitative-study
#6
V Silverwood, C A Chew-Graham, I Raybould, B Thomas, S Peters
BACKGROUND: Fibromyalgia syndrome (FMS) is a long-term condition that affects between 1 and 5% of the general population and lies within the spectrum of medically unexplained symptoms (MUS). FMS can be difficult to diagnose and is usually done so as a diagnosis of exclusion. There is continuing debate regarding its legitimacy excluding other causes of symptoms. It is known that the diagnosis and management of MUS, including FMS, receives little attention in medical curricula and attitudes towards patients with FMS amongst medical professionals and trainees can be negative...
September 12, 2017: BMC Medical Education
https://www.readbyqxmd.com/read/28899296/caring-science-conscious-dying-an-emerging-metaparadigm
#7
William Rosa, Tarron Estes, Jean Watson
Caring science is an extant theory of human relationship, guiding the profession of nursing with the understanding and application of a moral-ethical praxis that promotes, protects, and provides human dignity throughout the life continuum. Over the past 30 or more years, caring science has transformed nursing by calling for a heightened ethical perspective of human dignity in how nurses practice, educate, research, and evolve the profession. Conscious dying is a framework rooted in a human caring ontology, which strives to deepen the nurse healer's awareness in tending to a patient's dying and death, returning death to its sacred place in the cycle of life...
January 2017: Nursing Science Quarterly
https://www.readbyqxmd.com/read/28899249/ethics-with-mentoring
#8
Constance L Milton
The concept of mentoring is a phenomenon critical to teaching-learning in coming to know in the performing art of leadership. The author of this article discusses the mentoring relationship from an alternative view through the humanbecoming lens of understanding. Possibilities of ethical nurse practice with the art of mentoring from the humanbecoming perspective are illuminated.
April 2017: Nursing Science Quarterly
https://www.readbyqxmd.com/read/28890451/in-the-matter-of-stories
#9
Hilde Lindemann
This essay lays out some of the many resources that a background in literary studies has to offer bioethics. After identifying four useful characteristics of stories, it briefly discusses some kinds of moral work that stories can be put to, including countering ethically undesirable stories and modeling ethically troubling situations. Stories can be invoked in our moral reasoning, compared and parsed, and used to teach moral lessons. They can help us discern which moral concepts are operative in a specific instance...
2017: Perspectives in Biology and Medicine
https://www.readbyqxmd.com/read/28889089/on-the-integration-of-ethics-into-the-physiology-curriculum
#10
D Savitha, Manjulika Vaz, Olinda Timms, G D Ravindran, Mario Vaz
A one-day state-level workshop was organised in Karnataka to share the experience of a programme implemented earlier, in 2015-16, at St John's Medical College, Bengaluru that integrated the teaching of ethics into the physiology curriculum. The aim was to develop the programme further, list the challenges likely to be faced while scaling it up, and identify other colleges which could participate in the scaling up. Twenty-eight participants, representing 13 medical colleges, and five resource persons attended the workshop...
August 23, 2017: Indian Journal of Medical Ethics
https://www.readbyqxmd.com/read/28884725/-ethical-aspects-of-teaching-of-nervous-diseases
#11
A A Bakhmet, I V Damulin, S V Klochkova, R V Shurupova
Ethical aspects of training of physicians are considered. The author highlights the importance of teaching the basic disciplines during the training of the neurologist. An analysis of most frequent mistakes that arise in practical activity as a consequence of overestimation of paraclinical methods of investigation, underestimation of a role of treatment that the patient receives due to other indications is presented. The formation of life attitude of the physician is the extremely important component of teaching process...
2017: Zhurnal Nevrologii i Psikhiatrii Imeni S.S. Korsakova
https://www.readbyqxmd.com/read/28876680/registrar-perceptions-on-general-surgical-training-in-south-africa-a-report-by-the-south-african-society-of-surgeons-in-training-sassit
#12
N Patel, A Leusink, N Singh, M Z Koto, T Luvhengo
BACKGROUND: Surgical training varies significantly even amongst universities within the same country. This trend is reflected in South Africa and provides an opportunity for innovation to improve the quality of general surgical training. METHOD: A prospective descriptive study was performed by means of a confidential questionnaire distributed to general surgical registrars at all 8 training centres in South Africa. Participants were asked to give comments regarding adequacy of formal academic teaching, level of supervision during surgical procedures, exposure to and training in minimally invasive surgery (MIS), and preparation for examinations...
June 2017: South African Journal of Surgery. Suid-Afrikaanse Tydskrif Vir Chirurgie
https://www.readbyqxmd.com/read/28871026/study-protocol-for-a-matter-of-heart-a-qualitative-study-of-patient-factors-driving-overuse-of-cardiac-catheterisation
#13
Anna Herwig, Birgitta Weltermann
INTRODUCTION: Overuse of cardiac catheterisation (CC) for stable coronary artery disease (CAD) is documented in Germany and other regions, although percutaneous coronary interventions do not provide a benefit over medical therapy for stable patients. Various studies investigated health system, physician and patient factors driving non-adherence to guidelines which recommend a stepwise approach with invasive procedures only in case of signs of ischaemia in non-invasive testing. In a larger-scale project, we aim to better understand the patients' perspective in order to develop an intervention that enhances patient's acceptance of this stepwise diagnostic approach for stable CAD...
September 3, 2017: BMJ Open
https://www.readbyqxmd.com/read/28869654/nursing-roles-and-functions-addressing-relatives-during-in-hospital-rehabilitation-following-stroke-care-needs-and-involvement
#14
Lena Aadal, Sanne Angel, Leanne Langhorn, Birgitte Blicher Pedersen, Pia Dreyer
RATIONALE: In the last decades, length of stay of in-hospital rehabilitation of patients with stroke has been significantly reduced. Health authorities expect relatives to be at disposal to convey the knowledge of everyday life and to provide emotional as well as practical support in relation to the patient. Caregivers require nurse assistance, support and to be seen as an essential partner in the care giving process. However, the nurses do not perceive that teaching of relatives is a task they should routinely undertake...
September 4, 2017: Scandinavian Journal of Caring Sciences
https://www.readbyqxmd.com/read/28869501/the-use-of-a-virtual-online-debating-platform-to-facilitate-student-discussion-of-potentially-polarising-topics
#15
Paul D McGreevy, Vicky Tzioumis, Chris Degeling, Jane Johnson, Robert Brown, Mike Sands, Melissa J Starling, Clive J C Phillips
The merits of students exchanging views through the so-called human continuum exercise (HCE) are well established. The current article describes the creation of the virtual human continuum (VHC), an online platform that facilitates the same teaching exercise. It also reports feedback on the VHC from veterinary science students (n = 38). First-year Doctor of Veterinary Medicine students at the University of Sydney, Australia, trialed the platform and provided feedback. Most students agreed or strongly agreed that the VHC offered: a non-threatening environment for discussing emotive and challenging issues; and an opportunity to see how other people form ideas...
September 2, 2017: Animals: An Open Access Journal From MDPI
https://www.readbyqxmd.com/read/28868846/personhood-and-moral-status-of-the-embryo-it-s-effect-on-validity-of-surrogacy-contract-revocation-according-to-shia-jurisprudence-perspective
#16
Saeid Nazari Tavakkoli
Background: One of the most controversial issues related to the human embryo is the determination of the moment when an embryo is considered a human being and acquires a moral status. Although personhood and moral status are frequently mentioned in medical ethics, they are considered interdisciplinary as concepts that shape the debate in medical law (fiqh) since their consequences are influential in the way which the parents and other individuals behave towards the embryo. MATERIALS AND METHODS: This analytical-descriptive research gathered relevant data in a literature search...
October 2017: International Journal of Fertility & Sterility
https://www.readbyqxmd.com/read/28867584/coalition-for-global-clinical-surgical-education-the-alliance-for-global-clinical-training
#17
Jahanara Graf, Mackenzie Cook, Samuel Schecter, Karen Deveney, Paul Hofmann, Douglas Grey, Larry Akoko, Ali Mwanga, Kitembo Salum, William Schecter
OBJECTIVE: Assessment of the effect of the collaborative relationship between the high-income country (HIC) surgical educators of the Alliance for Global Clinical Training (Alliance) and the low-income country surgical educators at the Muhimbili University of Health and Allied Sciences/Muhimbili National Hospital (MUHAS/MNH), Dar Es Salaam, Tanzania, on the clinical global surgery training of the HIC surgical residents participating in the program. DESIGN: A retrospective qualitative analysis of Alliance volunteer HIC faculty and residents' reports, volunteer case lists and the reports of Alliance academic contributions to MUHAS/MNH from 2012 to 2017...
August 31, 2017: Journal of Surgical Education
https://www.readbyqxmd.com/read/28862248/the-allan-burns-mummies-a-history-and-future-prospect-of-an-anatomical-collection
#18
J Lee, G Štrkalj
Acquiring adequate resources for anatomy education has represented a challenge throughout the discipline's long history. A significant number of collections housed in anatomy departments contain human tissue of unknown provenance with some obtained in morally dubious ways. This paper outlines the history and future prospects of one such anatomical assemblage - the Burns Anatomical Collection, currently housed at the University of Maryland (UM). The collection originally contained more than 1000 anatomically prepared mummified human remains...
August 31, 2017: Journal of Postgraduate Medicine
https://www.readbyqxmd.com/read/28853969/the-active-engagement-model-of-applied-ethics-as-a-structure-for-ethical-reflection-in-the-context-of-course-based-service-learning
#19
Kathryn C Nesbit, Gail M Jensen, Clare Delany
PURPOSE: The purpose of this case report is to explore the active engagement model as a tool to illuminate the ethical reflections of student physical therapists in the context of service learning in a developing country. METHODS: The study participants were a convenience sample of six students. The study design is a case report using a phenomenological perspective. Data were collected from students' narrative writing and semi-structured interviews. The steps of the active engagement model provided the structural framework for student responses...
August 30, 2017: Physiotherapy Theory and Practice
https://www.readbyqxmd.com/read/28851791/organ-damage-in-sickle-cell-disease-study-ordiss-protocol-for-a-longitudinal-cohort-study-based-in-ghana
#20
Kofi A Anie, Vivian Paintsil, Ellis Owusu-Dabo, Daniel Ansong, Alex Osei-Akoto, Kwaku Ohene-Frempong, Kofi Aikins Amissah, Nicholas Addofoh, Ezekiel Bonwin Ackah, Amma Twumwa Owusu-Ansah, Solomon Fiifi Ofori-Acquah
INTRODUCTION: Sickle cell disease is highly prevalent in Africa with a significant public health burden. Nonetheless, morbidity and mortality in sickle cell disease that result from the progression of organ damage is not well understood. The Organ Damage in Sickle Cell Disease Study (ORDISS) is designed as a longitudinal cohort study to provide critical insight into cellular and molecular pathogenesis of chronic organ damage for the development of future innovative treatment. METHODS AND ANALYSIS: ORDISS aims to recruit children aged 0-15 years who attend the Kumasi Centre for Sickle Cell Disease based at the Komfo Anokye Teaching Hospital in Kumasi, Ghana...
August 28, 2017: BMJ Open
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