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A New Edition of Nursing Philosophy Is Now Available

Bioethics News - Fri, 12/08/2017 - 09:00

Nursing Philosophy (vol. 18, no. 4, 2017) is available online by subscription only.

Articles include:

  • “Can Nursing Epistemology Embrace p-Values?” by Christine H. K. Ou, Wendy A. Hall, and Sally E. Thorne
  • “Person-Centred Care Dialectics—Inquired in the Context of Palliative Care” by Joakim Öhlén et al.
  • “Jürgen Habermas and the Dilemmas of Experience of Disability” by Krzysztof Pezdek and Wojciech Doli?ski
  • “Rhetoric Versus Reality: The Role of Research in Deconstructing Concepts of Caring” by Dawn Freshwater et al.
  • “Reconciling Conceptualisations of the Body and Person-Centred Care of the Older Person with Cognitive Impairment in the Acute Care Setting” by Carole Rushton and David Edvardsson


A New Edition of European Journal of Human Genetics Is Now Available

Bioethics News - Fri, 12/08/2017 - 09:00

European Journal of Human Genetics (vol. 25, no. 10, 2017) is available online by subscription only.

Articles include:

  • “Acceptable Applications of Preimplantation Genetic Diagnosis (PGD) Among Israeli PGD Users” by Shachar Zuckerman, David A Zeevi, Sigal Gooldin, and Gheona Altarescu


A New Edition of Journal of Legal Medicine Is Now Available

Bioethics News - Fri, 12/08/2017 - 09:00

Journal of Legal Medicine (vol. 37, no. 1-2, 2017) is available online by subscription only.

Articles include:

  • “Restricted Access: State Medicaid Coverage of Sofosbuvir Hepatitis C Treatment” by Marea B. Tumber
  • “With a Worthless Services Hammer, Everything Looks Like a Nail: Litigating Quality of Care Under the False Claims Act” by Richard Hughes IV
  • “Net Neutrality and a Fast Lane for Health” by Christina Susanto
  • “Direct Primary Care Business of Insurance and State Law Considerations” by Philip Eskew
  • “An Ethical Analysis of Euthanasia and Physician-Assisted Suicide: Rejecting Euthanasia and Accepting Physician Assisted Suicide with Palliative Care” by Benjamin Shibata
  • “Addressing Inadequate Federal Legislation Concerning Viral Disasters: A Hard Look at the Emergency Treatment and Active Labor Act” by Daniel Heil


The ‘Smart Pill’ for Schizophrenia and Bipolar Disorder Raises Tricky Ethical Questions

Bioethics News - Thu, 12/07/2017 - 15:41

(STAT News) – Sticking to a medication regimen is as important for people with mental illness as it is for those with physical illness. But what makes Abilify MyCite, a high-tech version of aripiprazole, problematic is that it could easily be incorporated into forced treatment, which ignores the values and preferences of people with mental illness. Involuntary treatment has a long and painful history in mental health. Without their consent, people with mental illness can be committed to inpatient or outpatient treatment, and sometimes forced to take medications. Only in the 1970s did the U.S. Supreme Court first address the lack of rights for people hospitalized against their will.

Even Low-Dose Contraceptives Slightly Increase Breast Cancer Risk

Bioethics News - Thu, 12/07/2017 - 15:33

(NPR) – It’s long been known that hormonal contraception, like any medicine, carries some risks. But doctors and women have hoped that the newer generations of low-dose contraceptive pills, IUDs and implants eliminated the breast cancer risk of earlier, higher-dose formulations. Now a big study from Denmark suggests the elevated risk of getting breast cancer — while still very small for women in their teens, 20s and 30s – holds true for these low-dose methods, too.

More Than 2,000 Drugs Now in Cancer Immunotherapy Race

Bioethics News - Thu, 12/07/2017 - 15:27

(Reuters) – The race to develop new immunotherapy treatments against cancer has sparked an unprecedented explosion in the oncology drug pipeline, with more than 2,000 immune system-boosting agents now in development. The result is a scramble for patients to enrol in clinical trials, duplication of effort and the likely ultimate failure of many projects, according to experts.

Scientists Use CRISPR to Turn Genes on [in Mice] Without Editing Their DNA

Bioethics News - Thu, 12/07/2017 - 15:15

(Los Angeles Times) – The revolutionary gene editing tool CRISPR-Cas9 is best-known for helping scientists edit a strand of DNA more precisely and efficiently than ever before. Now, researchers have demonstrated another use for the CRISPR complex: changing what genes are expressed without altering the genome itself. For the first time, researchers at the Salk Institute in San Diego were able to use CRISPR to activate beneficial genes in live mice suffering from muscular dystrophy, Type 1 diabetes and acute kidney injury.

Neuroscientists Just Launched an Atlas of the Developing Human Brain

Bioethics News - Thu, 12/07/2017 - 15:02

(Wired) – Today, things are looking a little less mysterious. A team of researchers led by neuroscientists at UC San Francisco has spent the last five years compiling the first entries in what they hope will become an extensive atlas of gene expression in the developing human brain. The researchers describe the project in the latest issue of Science, and, with the help of researchers at UC Santa Cruz, they’ve made an interactive version of the atlas freely available online.

African Slaves Cut Open for Their Kidneys in Libya’s Burgeoning Organ Trafficking Market

Bioethics News - Thu, 12/07/2017 - 14:37

(International Business Times) – The investigation into Libya’s seedy underbelly, where men and women are sold off to the highest bidder, has earned international condemnation, with demands for a swift investigation into the human rights atrocity. Now, a Ghanaian lawyer claims trafficking in the country is being used to facilitate the illegal sale of human organs and encourage a lucrative “red market”.

A New Edition of The New England Journal of Medicine Is Now Available

Bioethics News - Thu, 12/07/2017 - 09:00

The New England Journal of Medicine (vol. 377, no. 8, 2017) is available online by subscription only.

Articles include:

  • “From Last to First — Could the U.S. Health Care System Become the Best in the World?” by E.C. Schneider and D. Squires
  • “The HITECH Era and the Path Forward” by V. Washington, K. DeSalvo, F. Mostashari, and D. Blumenthal
  • “The HITECH Era in Retrospect” by J.D. Halamka and M. Tripathi
  • The Changing Face of Clinical Trials: Randomized, Controlled Trials in Health Insurance Systems” by N.K. Choudhry


A New Edition of Clinical Ethics is Now Available

Bioethics News - Thu, 12/07/2017 - 09:00

Clinical Ethics (vol. 12, no. 3, 2017) is available online by subscription only.

Articles include:

  • “The Ethical Basis for Performing Cardiopulmonary Resuscitation Only After Informed Consent in Selected Patient Groups Admitted to Hospital” by Philip Berry and Iona Heath
  • “Is Healthcare Providers’ Value-Neutrality Depending on how Controversial a Medical Intervention Is? Analysis of 10 More or Less Controversial Interventions” by Niels Lynöe, Joar Björk, and Niklas Juth
  • “Attitudes of Singapore Emergency Department Staff Towards Family Presence During Cardiopulmonary Resuscitation” by Zohar Lederman et al.
  • “‘It’s Like Sailing’ – Experiences of the Role as Facilitator During Moral Case Deliberation” by Dara Rasoal, Annica Kihlgren, and Mia Svantesson
  • “Overruling Parental Decisions in Paediatric Medicine: A Comparison of Diekema’s Harm Threshold Framework and the Zone of Parental Discretion Framework” by Vicki Xafis
  • “Beyond Individualism: Is There a Place for Relational Autonomy in Clinical Practice and Research?” by Edward S Dove et al.


A New Edition of JAMA Is Now Available

Bioethics News - Thu, 12/07/2017 - 09:00

JAMA (vol. 318, no. 9, 2017) is available online by subscription only.

Articles include:

  • “The Nuremberg Code 70 Years Later” by Jonathan D. Moreno, Ulf Schmidt, and Steve Joffe
  • “Correcting the Medical Literature: ‘To Err Is Human, to Correct Divine'” by Stacy Christiansen and Annette Flanagin
  • “Change in Medical Exemptions From Immunization in California After Elimination of Personal Belief Exemptions” by Paul L. Delamater, Timothy F. Leslie, and Y. Tony Yang


A New Edition of JAMA Internal Medicine Is Now Available

Bioethics News - Thu, 12/07/2017 - 09:00

JAMA Internal Medicine (vol. 177, no. 9, 2017) is available online by subscription only.

Articles include:

  • “Sharing as the Future of Medicine” by Richard Lehman
  • “Shared Decision Making—The Importance of Diagnosing Preferences” by Glyn Elwyn, Nan Cochran, and Michael Pignone
  • “Sharing Clinical Research Data—Finding the Right Balance” by Bernard Lo and Steven N. Goodman
  • “Sharing Knowledge for Health Care” by Tammy Hoffmann and Sharon Straus
  • “Sharing the Process of Diagnostic Decision Making” by John E. Brush Jr and James M. Brophy
  • “Shared Understanding With Patients” by Neal Maskrey and Andrea Gordon
  • “Sharing Experiences of Illness and Care” by Louise Locock, Richard Lehman, and Ronald M. Epstein
  • “Medical Assistance in Dying: Our Lessons Learned” by Kieran L. Quinn and Allan S. Detsky


A New Edition of British Medical Bulletin Is Now Available

Bioethics News - Thu, 12/07/2017 - 09:00

British Medical Bulletin (vol. 123, no. 1, 2017) is available online by subscription only.

Articles include:

  • “Think Adult – Think Child! Why Should Staff Caring for Dying Adults Ask What the Death Means for Children in the Family?” by Norman Vetter
  • “Physician-Assisted Suicide—A Clean Bill of Health?” by Robert Preston


FDA Clears First Medical Device Accessory for Apple Watch

Bioethics News - Wed, 12/06/2017 - 15:17

(Reuters) – The U.S. Food and Drug Administration on Thursday cleared a device embedded in an Apple Inc watch band that monitors a user’s heart rate, detects when something is amiss and prompts the user to take an electrocardiogram. The device, made by AliveCor, pairs the ability to take a personal 30 second electrocardiogram (EKG) with a feature that uses artificial intelligence to continuously evaluate the correlation between heart and physical activity.

Hospitals That Act as Modern-Day Debtor Prisons Deny Rights and Dignity

Bioethics News - Wed, 12/06/2017 - 15:13

(STAT News) – A new Chatham House paper that I co-authored with Tom Brookes and Eloise Whitaker shows that up to hundreds of thousands of people are detained in hospitals against their will each year. Their crime? Being too poor to pay their medical bills. This phenomenon is particularly prevalent in several sub-Saharan African countries, notably Nigeria, Democratic Republic of Congo, Ghana, Cameroon, Zimbabwe, and Kenya, but there is also evidence of it in India and Indonesia. The practice of medical detentions is particularly rife in Democratic Republic of Congo. In one study of a health facility over a six-week period in 2016, 54 percent of women who had given birth and were eligible for discharge were detained for the nonpayment of user fees.

First Baby Born to U.S. Uterus Transplant Patient Raises Ethical Concerns

Bioethics News - Wed, 12/06/2017 - 15:09

(NPR) – Beautiful. Pure. Natural. Medicine at its pinnacle. Those were the words of Dr. Giuliano Testa this week — the principal investigator of a clinical trial with ten women underway at Baylor University Medical Center in Dallas. He was talking about the birth of a baby boy to a mother who underwent a uterus transplant last year. It’s a first in the U.S., but in Sweden, eight babies have been born to mothers with uterus transplants. Not everyone is celebrating though.

‘Opiophobia’ Has Left Africa in Agony

Bioethics News - Wed, 12/06/2017 - 15:07

(New York Times) – The cobbler’s desperate need exemplifies a problem that deeply worries palliative care experts: how they can help the 25 million people who die in agony each year in poor and middle-income countries without risking an American-style overdose epidemic abroad or triggering opposition from Western legislators and philanthropists for whom “opioid” has become a dirty word.

Stopping Opioid Addiction at One Key Source: the Hospital

Bioethics News - Wed, 12/06/2017 - 15:00

(Kaiser Health News) – It may not be rocket science, but a group of surgeons at the University of Michigan’s Michigan Medicine have devised a strategy to curb the nation’s opioid epidemic — starting at their own hospital. Their findings appeared online Wednesday in the journal JAMA Surgery. Opioid addiction has been deemed a “national emergency.” It’s estimated to have claimed 64,000 lives in 2016 alone. And research shows that post-surgical patients are at an increased risk of addiction because of the medication they receive to help manage pain during recovery.

Liver Transplant Distribution Changed after Years of Debate

Bioethics News - Wed, 12/06/2017 - 14:30

(Washington Post) – After years of debate, the organization that oversees the allocation of livers for transplant took steps Monday to address a long-standing geographic disparity in supply of the scarce organs. The policy approved by the Organ Procurement and Transplantation Network will make more livers available in some places — including cities such as New York and Chicago — where the shortage is more severe than it is in regions such as the southeastern United States.