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https://www.readbyqxmd.com/read/28532556/ethical-challenges-in-the-provision-of-dialysis-in-resource-constrained-environments
#1
REVIEW
Valerie A Luyckx, Ingrid Miljeteig, Addisu M Ejigu, M Rafique Moosa
The number of patients requiring dialysis by 2030 is projected to double worldwide, with the largest increase expected in low- and middle-income countries (LMICs). Dialysis is seldom considered a high priority by health care funders, consequently, few LMICs develop policies regarding dialysis allocation. Dialysis facilities may exist, but access remains highly inequitable in LMICs. High out-of-pocket payments make dialysis unsustainable and plunge many families into poverty. Patients, families, and clinicians suffer significant emotional and moral distress from daily life-and-death decisions imposed by dialysis...
May 2017: Seminars in Nephrology
https://www.readbyqxmd.com/read/28531645/judgment-of-moral-and-social-transgression-in-schizophrenia
#2
Jonathan McGuire, Martin Brüne, Robyn Langdon
INTRODUCTION: Despite evidence of pervasive social-cognitive deficits in schizophrenia, little is known of moral cognition in this population. While recent research indicates that impairment of explicit moral reasoning is explained by these individuals' other cognitive deficits, their capacities for basic moral judgment are unknown. METHODS: 45 people with schizophrenia and 27 healthy controls completed the Moral-Conventional Distinction Task: a classic task that assesses judgment of violations of moral or social convention on permissibility, severity, and authority-contingence...
May 4, 2017: Comprehensive Psychiatry
https://www.readbyqxmd.com/read/28530440/children-s-reasoning-about-deception-and-defiance-as-ways-of-resisting-parents-and-teachers-directives
#3
Matthew Gingo
This research presented 8-, 10-, and 12-year-olds (N = 120) with hypothetical situations depicting comparably aged children engaging in defiance and deception to circumvent authorities' directives that they disagreed with. The nature of the situations varied in terms of domain (personal, moral, or prudential) and type of authority figure (parent or teacher). Evaluations and justifications for the legitimacy of the directives, defiance, and deception were examined, as were general evaluations of deception. Across domains, increased age was associated with decreased acceptance of directives, and increased acceptance of defiance and deception...
May 22, 2017: Developmental Psychology
https://www.readbyqxmd.com/read/28530308/-influenza-vaccination-among-healthcare-workers-the-data-and-the-duty
#4
Sonia Habib, Shmuel Rishpon, Itamar Grotto, Arnon Afek
Seasonal influenza is a significant disease affecting public health due to substantial morbidity and mortality and a high economic burden. in view of its high propensity for genetic mutations, the virus can easily evade preexisting immunity acquired from prior exposure to it, thereby causing severe seasonal epidemics. Influenza vaccination has been shown to be safe and effective. In many countries, including Israel, it is recommended to all members of the population aged 6 months and older, especially those with a higher risk of developing severe complications...
January 2017: Harefuah
https://www.readbyqxmd.com/read/28524793/moral-dilemmas-of-women-undergoing-pregnancy-termination-for-medical-reasons-in-poland
#5
Kornelia Zaręba, Michał Ciebiera, Małgorzata Bińkowska, Grzegorz Jakiel
OBJECTIVES: We explored the religious views and dilemmas of Polish women making the decision to terminate a pregnancy. The article discusses the highly restrictive legislation and significant influence of the Church on the lives of Polish citizens. METHODS: This study was designed to investigate the effect of religious and political beliefs, social and moral conditioning and professional support on the decision to abort a fetus. A 65-item questionnaire was administered to 60 participants at the time of their pregnancy termination...
May 19, 2017: European Journal of Contraception & Reproductive Health Care
https://www.readbyqxmd.com/read/28504021/the-theory-of-dyadic-morality-reinventing-moral-judgment-by-redefining-harm
#6
Chelsea Schein, Kurt Gray
The nature of harm-and therefore moral judgment-may be misunderstood. Rather than an objective matter of reason, we argue that harm should be redefined as an intuitively perceived continuum. This redefinition provides a new understanding of moral content and mechanism-the constructionist Theory of Dyadic Morality (TDM). TDM suggests that acts are condemned proportional to three elements: norm violations, negative affect, and-importantly-perceived harm. This harm is dyadic, involving an intentional agent causing damage to a vulnerable patient (A→P)...
May 1, 2017: Personality and Social Psychology Review
https://www.readbyqxmd.com/read/28500619/prevalence-of-cribra-orbitalia-in-pacopampa-during-the-formative-period-in-peru
#7
Tomohito Nagaoka, Yuji Seki, Kazuhiro Uzawa, Mai Takigami, Daniel Morales Chocano
Cribra orbitalia is characterized by an aggregation of small apertures in the orbital roof in response to marrow hypertrophy. This pathological change is indicative of biological stress during youth. We examined the prevalence of this lesion in Pacopampa, a ceremonial center of the formative period, located in the northern highlands of Peru. Using this evaluation of cribra orbitalia, we reconstructed aspects of the population's health and nutritional status during the formation of Andean civilization. We examined 41 orbits of 27 adult individuals (13 males, 14 females) and recorded the macroscopic presence or absence of cribra orbitalia...
May 12, 2017: Anatomical Science International
https://www.readbyqxmd.com/read/28497725/factors-guiding-moral-judgment-reason-decision-and-action
#8
Alex Wiegmann, Magda Osman
No abstract text is available yet for this article.
March 2017: Experimental Psychology
https://www.readbyqxmd.com/read/28497724/explaining-moral-behavior
#9
Magda Osman, Alex Wiegmann
In this review we make a simple theoretical argument which is that for theory development, computational modeling, and general frameworks for understanding moral psychology researchers should build on domain-general principles from reasoning, judgment, and decision-making research. Our approach is radical with respect to typical models that exist in moral psychology that tend to propose complex innate moral grammars and even evolutionarily guided moral principles. In support of our argument we show that by using a simple value-based decision model we can capture a range of core moral behaviors...
March 2017: Experimental Psychology
https://www.readbyqxmd.com/read/28495209/young-children-consider-individual-authority-and-collective-agreement-when-deciding-who-can-change-rules
#10
Xin Zhao, Tamar Kushnir
Young children demonstrate awareness of normativity in various domains of social learning. It is unclear, however, whether children recognize that rules can be changed in certain contexts and by certain people or groups. Across three studies, we provided empirical evidence that children consider individual authority and collective agreement when reasoning about who can change rules. In Study 1, children aged 4-7years watched videos of children playing simply sorting and stacking games in groups or alone. Across conditions, the group game was initiated (a) by one child, (b) by collaborative agreement, or (c) by an adult authority figure...
May 8, 2017: Journal of Experimental Child Psychology
https://www.readbyqxmd.com/read/28493747/leader-social-accounts-of-subordinates-unethical-behavior-examining-observer-reactions-to-leader-social-accounts-with-moral-disengagement-language
#11
Carolyn T Dang, Elizabeth E Umphress, Marie S Mitchell
When providing social accounts (Sitkin & Bies, 1993) for the unethical conduct of subordinates, leaders may use language consistent with cognitive strategies described by Bandura (1991, 1999) in his work on moral disengagement. That is, leader's social accounts may reframe or reconstrue subordinates' unethical conduct such that it appears less reprehensible. We predict observers will respond negatively to leaders when they use moral disengagement language within social accounts and, specifically, observers will ostracize these leaders...
May 11, 2017: Journal of Applied Psychology
https://www.readbyqxmd.com/read/28476218/-bioethics-in-end-of-life-decisions-in-neonatology-unresolved-issues
#12
Juan Arnaez, Juan Carlos Tejedor, Sonia Caserío, María Teresa Montes, María Teresa Moral, Javier González de Dios, Alfredo García-Alix
This document is the result of previous work carried out by different expert groups and submitted to multidisciplinary debate at a Conference about controversial, deficient, or new aspects in the field of neonatal palliative care, such as: 1) the deliberative decision-making process, 2) hospital and domiciliary palliative care, 3) donation after controlled cardiac death, and 4) moral stress in professionals. The most relevant conclusions were: the need to instruct professionals in bioethics and in the deliberative method to facilitate thorough and reasonable decision-making; the lack of development in the field of perinatal palliative care and domiciliary palliative care in hospitals that attend newborns; the need to provide neonatal units with resources that help train professionals in communication skills and in the management of moral distress, as well as delineate operational procedure and guidelines for neonatal organ donation...
May 2, 2017: Anales de Pediatría: Publicación Oficial de la Asociación Española de Pediatría (A.E.P.)
https://www.readbyqxmd.com/read/28473788/age-related-differences-in-contribution-of-rule-based-thinking-toward-moral-evaluations
#13
Simona C S Caravita, Lindamulage N De Silva, Vera Pagani, Barbara Colombo, Alessandro Antonietti
This study aims to investigate the interplay of different criteria of moral evaluation, related to the type of the rule and context characteristics, in moral reasoning of children, early, and late adolescents. Students attending to fourth, seventh, and tenth grade were asked to evaluate the acceptability of rule breaking actions using ad hoc scenarios. Results suggest that the role of different moral evaluation criteria changes by age. During adolescence a greater integration of the moral criteria emerged. Moreover, adolescents also prioritized the evaluation of moral rule (forbidding to harm others) violations as non-acceptable when the perpetrator harms an innocent victim by applying a direct personal force...
2017: Frontiers in Psychology
https://www.readbyqxmd.com/read/28470075/factors-influencing-choice-of-site-for-rural-clinical-placements-by-final-year-medical-students-in-a-south-african-university
#14
Nontsikelelo O Mapukata, Rainy Dube, Ian Couper, Motlatso Mlambo
BACKGROUND: Most of South Africa's citizens who live in rural or underserved communities rely on the public health care sector to access quality health care. The value of rural exposure through clinical placements is well documented. Medical schools in South Africa have a responsibility to provide solutions that address the prevailing human resources challenges. Despite this commitment, medical students do not necessarily appreciate their role in resolving South Africa's human resources challenges...
April 28, 2017: African Journal of Primary Health Care & Family Medicine
https://www.readbyqxmd.com/read/28468023/islamic-civilization-in-spain-a-magnificient-example-of-interaction-and-unity-of-religion-and-science
#15
Safvet Halilović
Islam and its followers had created a civilization that played very important role on the world stage for more than a thousand years. One of the most important specific qualities of the Islamic civilization is that it is a well-balanced civilization that brought together science and faith, struck a balance between spirit and matter and did not separate this world from the Hereafter. This is what distinguishes the Islamic civilization from other civilizations which attach primary importance to the material aspect of life, physical needs and human instincts, and attach greater attention to this world by striving to instantly satisfy desires of the flesh, without finding a proper place for God and the Hereafter in their philosophies and education systems...
April 2017: Psychiatria Danubina
https://www.readbyqxmd.com/read/28464757/nurses-contributions-to-the-resolution-of-ethical-dilemmas-in-practice
#16
Nichola Ann Barlow, Janet Hargreaves, Warren P Gillibrand
BACKGROUND: Complex and expensive treatment options have increased the frequency and emphasis of ethical decision-making in healthcare. In order to meet these challenges effectively, we need to identify how nurses contribute the resolution of these dilemmas. AIMS: To identify the values, beliefs and contextual influences that inform decision-making. To identify the contribution made by nurses in achieving the resolution of ethical dilemmas in practice. DESIGN: An interpretive exploratory study was undertaken, 11 registered acute care nurses working in a district general hospital in England were interviewed, using semi-structured interviews...
January 1, 2017: Nursing Ethics
https://www.readbyqxmd.com/read/28441460/how-embarrassing-the-behavioral-and-neural-correlates-of-processing-social-norm-violations
#17
Janna Marie Bas-Hoogendam, Henk van Steenbergen, Tanja Kreuk, Nic J A van der Wee, P Michiel Westenberg
Social norms are important for human social interactions, and violations of these norms are evaluated partly on the intention of the actor. Here, we describe the revised Social Norm Processing Task (SNPT-R), a paradigm enabling the study of behavioral and neural responses to intended and unintended social norm violations among both adults and adolescents. We investigated how participants (adolescents and adults, n = 87) rate intentional and unintentional social norm violations with respect to inappropriateness and embarrassment, and we examined the brain activation patterns underlying the processing of these transgressions in an independent sample of 21 adults using functional Magnetic Resonance Imaging (fMRI)...
2017: PloS One
https://www.readbyqxmd.com/read/28438784/professional-and-conscience-based-refusals-the-case-of-the-psychiatrist-s-harmful-prescription
#18
Morten Magelssen
By way of a case story, two common presuppositions in the academic debate on conscientious objection in healthcare are challenged. First, the debate typically presupposes a sharp division between conscience-based refusals based on personal core moral beliefs and refusals based on professional (eg, medical) reasons. Only the former might involve the moral gravity to warrant accommodation. The case story challenges this division, and it is argued that just as much might sometimes be at stake morally in refusals based on professional reasons...
April 24, 2017: Journal of Medical Ethics
https://www.readbyqxmd.com/read/28438252/an-exploratory-sequential-design-to-validate-measures-of-moral-emotions
#19
Margarita G Márquez, Ana R Delgado
BACKGROUND: This paper presents an exploratory and sequential mixed methods approach in validating measures of knowledge of the moral emotions of contempt, anger and disgust. METHOD: The sample comprised 60 participants in the qualitative phase when a measurement instrument was designed. Item stems, response options and correction keys were planned following the results obtained in a descriptive phenomenological analysis of the interviews. In the quantitative phase, the scale was used with a sample of 102 Spanish participants, and the results were analysed with the Rasch model...
May 2017: Psicothema
https://www.readbyqxmd.com/read/28438074/the-value-of-metaphorical-reasoning-in-bioethics-an-empirical-ethical-study
#20
Erik Olsman, Bert Veneberg, Claudia van Alfen, Dorothea Touwen
BACKGROUND: Metaphors are often used within the context of ethics and healthcare but have hardly been explored in relation to moral reasoning. OBJECTIVE: To describe a central set of metaphors in one case and to explore their contribution to moral reasoning. METHOD: Semi-structured interviews were conducted with 16 parents of a child suffering from the neurodegenerative disease CLN3. The interviews were recorded, transcribed, and metaphors were analyzed...
January 1, 2017: Nursing Ethics
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