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Lyno therapy

Joar Björk, Niklas Juth, Niels Lynøe
BACKGROUND: In many countries, there are health care initiatives to make smokers give up smoking in the peri-operative setting. There is empirical evidence that this may improve some, but not all, operative outcomes. However, it may be feared that some support for such policies stems from ethically questionable opinions, such as paternalism or anti-smoker sentiments. This study aimed at investigating the support for a policy of smoking cessation prior to surgery among Swedish physicians and members of the general public, as well as the reasons provided for this...
January 8, 2018: BMC Medical Ethics
Christian Weber, Barbara Fijalkowska, Katarzyna Ciecwierska, Anna Lindblad, Gisela Badura-Lotter, Peter M Andersen, Magdalena Kuźma-Kozakiewicz, Albert C Ludolph, Dorothée Lulé, Tomasz Pasierski, Niels Lynöe
BACKGROUND: Healthcare legislation in European countries is similar in many respects. Most importantly, the framework of informed consent determines that physicians have the duty to provide detailed information about available therapeutic options and that patients have the right to refuse measures that contradict their personal values. However, when it comes to end-of-life decision-making a number of differences exist in the more specific regulations of individual countries. These differences and how they might nevertheless impact patient's choices will be addressed in the current debate...
December 28, 2017: BMC Palliative Care
Hans O Thulesius, Helen Scott, Gert Helgesson, Niels Lynöe
BACKGROUND: Dying is inescapable yet remains a neglected issue in modern health care. The research question in this study was "what is going on in the field of dying today?" What emerged was to eventually present a grounded theory of control of dying focusing specifically on how people react in relation to issues about euthanasia and physician-assisted suicide (PAS). METHODS: Classic grounded theory was used to analyze interviews with 55 laypersons and health care professionals in North America and Europe, surveys on attitudes to PAS among physicians and the Swedish general public, and scientific literature, North American discussion forum websites, and news sites...
2013: BMC Palliative Care
Niels Lynøe
In this paper it is argued that physicians' restrictive attitudes in offering abortions during 1946-1965 in Sweden were due to their private values. The values, however, were rarely presented openly. Instead physicians' values influenced their assessment of the facts presented--that is, the women's' trustworthiness. In this manner the physicians were able to conceal their private values and impede the women from getting what they wanted and needed. The practice was concealed from both patients and physicians and never publicly discussed...
May 2014: Journal of Medical Ethics
Anna Lindblad, Niels Lynöe, Niklas Juth
The Rule of Double Effect (RDE) holds that it may be permissible to harm an individual while acting for the sake of a proportionate good, given that the harm is not an intended means to the good but merely a foreseen side-effect. Although frequently used in medical ethical reasoning, the rule has been repeatedly questioned in the past few decades. However, Daniel Sulmasy, a proponent who has done a lot of work lately defending the RDE, has recently presented a reformulated and more detailed version of the rule...
September 2014: Bioethics
Madeleine Leijonhufvud, Niels Lynøe
No abstract text is available yet for this article.
November 10, 2010: Läkartidningen
N Lynöe, M Sandlund, L Jacobsson
OBJECTIVES: To study the quality of informed consent in two samples of prisoners participating in a therapeutic trial. RESULTS: All participants (n=43) were aware of the fact that they had participated in a research project, that they were free to abstain from participation, and that they were free to withdraw from participation at any time. All but six were aware of the objective of the clinical trial and all but three understood the implications of participating...
2001: Medicine and Law
G Kullgren, L Jacobsson, N Lynöe, R Kohn, I Levav
Few empirical studies have examined the attitudes and ethical beliefs of psychiatrists. In this study, 328 members of the Swedish Psychiatric Association were randomly selected to respond to a questionnaire containing three clinical vignettes examining involuntary hospitalization, other compulsory interventions, and restraint. The questionnaire also contained 16 controversial statements and items on the abuse of psychiatry. A 60% response rate was obtained. Psychiatrists' responses were influenced not only by the severity of and risks associated with the patient's disorder, but also by family pressure which affected the decision-making process...
May 1996: Acta Psychiatrica Scandinavica
N Lynöe, B Mattsson, M Sandlund
Placebo treatment in clinical practice can be given either in order to comply with the wishes of the patient, or with the purpose of doing good and not causing harm. In the former instance, the procedure may be in accordance with the interests of the patient, yet be in conflict with the interests of the medical profession. In the latter instance, the procedure presupposes that in most cases the patient has not been informed of the nature of the treatment; this type of procedure may jeopardize a trusting patient-doctor relationship...
March 1993: Social Science & Medicine
N Lynöe, L O Bygren
No abstract text is available yet for this article.
October 25, 1989: Läkartidningen
N Lynöe, L O Bygren
No abstract text is available yet for this article.
November 1, 1989: Läkartidningen
N Lynöe
Critical situations help to clarify and define otherwise indistinct and vague phenomena. The paradigm-collision which occurs when assessing alternative medical phenomena against the background of a medical school paradigm is analogous to a critical situation. An analysis of the conditions for such an appraisal has helped to highlight aspects which are not normally ascribed any great significance in the assessment of technology. It turns out that theoretical requirements, the specific concept and certain irrational elements play a large role in the assessment of medical and alternative medical technology...
1989: Scandinavian Journal of Social Medicine
N Lynöe
A common assertion about alternative medical technologies is that their results are solely built upon the placebo effect. The reason for this assertion is due to the facts that the placebo effect is perceived as an irrational quantity, and that the placebo effect is considered unspecific. If it is possible to rehabilitate the placebo effect by interpreting it as a specific effect, what consequences would it have for school medicine and the view of certain alternative medical technologies? To answer these questions it is necessary to investigate just what sort of phenomenon the placebo effect is, and what determines its dimensions...
June 1990: Scandinavian Journal of Social Medicine
N Lynöe, T Svensson
No abstract text is available yet for this article.
May 29, 1991: Läkartidningen
N Lynöe, T Svensson
In the present paper, the attitudes of three different groups of physicians toward treatment with alternative medicine have been investigated. One of the groups studied consisted of randomly selected licensed physicians from the Swedish National Board of Health and Welfare. The other two groups comprised two different associations of physicians involved with alternative medicine. One third of the former groups were positively disposed toward one or more of the alternative medical technologies, while the latter groups were more positive toward alternative medicine in general...
March 1992: Scandinavian Journal of Social Medicine
N Lynöe
The question of who should provide alternative medical treatment raises a number of different problems of both an ethical and a professional nature. Providing medical treatment, including alternative medical treatment, presupposes that the physician in question possesses diagnostic competence. It is in the best interests of society that medical care is safe, and therefore society must monitor the medical profession, e.g. in order to assure itself that the treatment provided is in agreement with the tenet of science and proven experience...
December 1992: Scandinavian Journal of Social Medicine
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