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A New Edition of Medical Law Review Is Now Available

Thu, 11/09/2017 - 09:00

Medical Law Review (vol. 25, no. 2, 2017) is available online by subscription only.

Articles include:

  • “Does the Law on Compensation for Research-Related Injury in the UK, Australia, and New Zealand Meet Ethical Requirements?” by Joanna M. Manning
  • “Seeking Certainty? Judicial Approaches to the (Non-)Treatment of Minimally Conscious Patients” by Richard Huxtable and Giles Birchley
  • “Transparency Policies of the European Medicines Agency: Has the Paradigm Shifted?” by Daria Kim

 

New Articles for BMC Medical Ethics Are Now Available

Thu, 11/09/2017 - 09:00

BMC Medical Ethics has new articles  available online.

Articles include:

  • “Development of a Consensus Operational Definition of Child Assent for Research” by Alan R. Tait and Michael E. Geisser
  • “Are Advance Directives Helpful for Good End of Life Decision Making: A Cross Sectional Survey of Health Professionals” by Eimantas Peicius, Aurelija Blazeviciene, and Raimondas Kaminskas
  • “Comparative Effectiveness Research: What to Do when Experts Disagree about Risks” by Reidar K. Lie et al.
  • “Familiar Ethical Issues Amplified: How Members of Research Ethics Committees Describe Ethical Distinctions Between Disaster and Non-Disaster Research” by Catherine M. Tansey et al.
  • “Ethics Review of Studies During Public Health Emergencies – The Experience of the WHO Ethics Review Committee During the Ebola Virus Disease Epidemic” by Emilie Alirol et al.
  • “Ethical Issues of Informed Consent in Malaria Research Proposals Submitted to a Research Ethics Committee in Thailand: A Retrospective Document Review” by Pornpimon Adams et al.

 

A New Edition of NanoEthics Is Now Available

Thu, 11/09/2017 - 09:00

NanoEthics (vol. 11, no. 2, 2017) is available online by subscription only.

Articles include:

  • “Reflection as a Deliberative and Distributed Practice: Assessing Neuro-Enhancement Technologies via Mutual Learning Exercises (MLEs)” by Hub Zwart et al.
  • “Nanoethics, Science Communication, and a Fourth Model for Public Engagement” by Andy Miah
  • “Creating Golems: Uses of Golem Stories in the Ethics of Technologies” by Erik Thorstensen
  • “More than a Decade On: Mapping Today’s Regulatory and Policy Landscapes Following the Publication of Nanoscience and Nanotechnologies: Opportunities and Uncertainties” by Diana M Bowman
  • “Staff’s Views from One Canadian Organ Procurement Organization on Organ Donation and Organ Transplant Technologies: a Content Analysis” by Jennifer Cheung and Gregor Wolbring

 

Risky Stimulants Turn Up–Again–in Weight Loss and Workout Supplements

Wed, 11/08/2017 - 14:24

(STAT News) – Octodrine did indeed show up in one of the products Cohen analyzed. But the others contained three different stimulants, with unknown or potentially risky side effects. They could speed up heart rate and raise blood pressure. And none, including octodrine, has gone through the process required by the FDA to be included as ingredients in dietary supplements. Cohen called the results “surprising and alarming.” The finding, published on Wednesday in Clinical Toxicology, is the latest example of potentially dangerous pharmaceutical ingredients turning up in products that consumers can easily order online or pick up from retail shelves. In some cases, the risk seems to be part of the appeal.

A Dying Boy Gets a New Gene-Corrected Skin

Wed, 11/08/2017 - 14:15

(The Atlantic) – In August, De Luca and Pelligrini got the green light to try their technique. In September, they collected a square inch of skin from Hassan’s groin—one of the few parts of his body with intact skin. They isolated stem cells, genetically modified them, and created their gene-corrected skin grafts. In October and November, they transplanted these onto Hassan, replacing around 80 percent of his old skin. It worked. In February 2016, Hassan was discharged from the hospital. In March, he was back in school. He needs no ointments. His skin is strong. It doesn’t even itch. “He hasn’t developed a single blister,” says de Luca, who shared the details of Hassan’s story with me. “He’s gaining weight. He’s playing sports. He’s got a normal social life.”

Four Ethical Priorities for Neurotechnologies and AI

Wed, 11/08/2017 - 14:09

(Nature) – It might take years or even decades until BCI and other neurotechnologies are part of our daily lives. But technological developments mean that we are on a path to a world in which it will be possible to decode people’s mental processes and directly manipulate the brain mechanisms underlying their intentions, emotions and decisions; where individuals could communicate with others simply by thinking; and where powerful computational systems linked directly to people’s brains aid their interactions with the world such that their mental and physical abilities are greatly enhanced. Such advances could revolutionize the treatment of many conditions, from brain injury and paralysis to epilepsy and schizophrenia, and transform human experience for the better. But the technology could also exacerbate social inequalities and offer corporations, hackers, governments or anyone else new ways to exploit and manipulate people. And it could profoundly alter some core human characteristics: private mental life, individual agency and an understanding of individuals as entities bound by their bodies.

Skin Regeneration with Insights

Wed, 11/08/2017 - 14:06

(Nature) – Somewhere in Germany’s Ruhr valley, a nine-year-old boy is doing what children do: playing football, joking around with friends and going to school. Two years ago, he was confined to a hospital bed, dying of a rare and cruel genetic skin disease. In a landmark paper online in Nature this week, scientists and clinicians present the details of his astonishing recovery. The boy had junctional epidermolysis bullosa, or JEB. He, like other people with the disease, carried a mutation in a gene that controls the integrity of the skin. Doctors could only try to ease his suffering as some 80% of his skin simply fell away.

Hockey and DNA: Personalized Genetic Tests Show Up Rink-Side

Wed, 11/08/2017 - 14:01

(STAT News) – At an NHL hockey game, it’s not uncommon to see some blood. The other day, it turned out to be some of my own. The good news is that it was all in the name of science. The Boston-based consumer genetics company Orig3n had announced that it was planning to set up booths at a Boston Bruins game I was going to attend. Along with other fans, I could get a free DNA test and learn about my own genes. These kinds of tests are increasingly common — and many of them are marketed toward fitness junkies and sports fans like myself. The idea is that you can discover all kinds of things you never knew about your health.

Severe Air Pollution Declared Public Health Emergency in Delhi, India

Wed, 11/08/2017 - 13:56

(ABC News) – The city of Delhi, India, is surrounded by a thickening blanket of smog that covers the city, making the sky less visible and the air less breathable.  The Indian Medical Association (IMA) declared a public health emergency in the city on Tuesday — the city’s air quality rating is above the highest levels on the index. People have been advised to avoid any outdoors activity and to keep children indoors to avoid the risks of the “severely harmful” air quality.

Stem Cell Restoration of Hearing Loss Might Be a Double-Edged Sword

Wed, 11/08/2017 - 13:46

(GEN) – Stem cells have been a boon to biological research, allowing researchers to visualize and develop potential therapies for diseases where intervention has hit a wall. However, not all stem cell therapies are as simple as adding undifferentiated cells to damaged areas, allowing natural biological processes to take hold. For instance, inner ear stem cells can be converted to auditory neurons that could reverse deafness, but the process can also make those cells divide too quickly, posing a cancer risk—this according to recent findings from a study led by investigators at Rutgers University-New Brunswick.

A New Edition of Bioethics Is Now Available

Wed, 11/08/2017 - 09:00

Bioethics (vol. 31, no. 7, 2017) is available online by subscription only.

Articles include:

  • “Wrongness, Responsibility, and Conscientious Refusals in Health Care” by Alida Liberman
  • ‘You Are Inferior!’ Revisiting the Expressivist Argument” by Bjørn Hofmann
  • A Pragmatic Analysis of Vulnerability in Clinical Research” by David Wendler
  • Euthanasia and Cryothanasia” by Francesca Minerva and Anders Sandberg
  • Human Organisms Begin to Exist at Fertilization” by Calum Miller and Alexander Pruss
  • Tying Oneself to the Mast: One Necessary Cost to Morally Enhancing Oneself Biomedically” by Benedict Rumbold
  • First, Do No Harm: Generalized Procreative Non-Maleficence” by Ben Saunders
  • Defending the Social Value of Knowledge as a Safeguard for Public Trust” by Felicitas S. Holzer

 

A New Edition of JAMA Internal Medicine Is Now Available

Wed, 11/08/2017 - 09:00

JAMA Internal Medicine (vol. 177, no. 8, 2017) is available online by subscription only.

Articles include:

  • “Cosmetics, Regulations, and the Public Health: Understanding the Safety of Medical and Other Products” by Robert M. Califf, Jonathan McCall, and Daniel B. Mark

 

A New Edition of Genetics in Medicine Is Now Available

Wed, 11/08/2017 - 09:00

Genetics in Medicine (vol. 19, no. 5, 2017) is available online by subscription only.

Articles include:

  • “Diagnostic Cytogenetic Testing Following Positive Noninvasive Prenatal Screening Results: A Clinical Practice Resource of the American College of Medical Genetics and Genomics (ACMG)” by Athena M. Cherry et al.
  • “Carnitine Palmitoyltransferase 1A P479L and Infant Death: Policy Implications of Emerging Data” by Alison E. Fohner, Nanibaa’ A. Garrison, Melissa A. Austin, and Wylie Burke
  • “The Current State of Implementation Science in Genomic Medicine: Opportunities for Improvement” by Megan C. Roberts, Amy E. Kennedy, David A. Chambers, and Muin J. Khoury
  • “Conflicts of Interest in Genetic Counseling: Acknowledging and Accepting” by Katie A. Stoll, Amanda Mackison, Megan A. Allyse, and Marsha Michie

 

Nursing Ethics (vol. 24, no. 3, 2017) is available online by subscription only. Articles include:

Wed, 11/08/2017 - 09:00

Nursing Ethics (vol. 24, no. 3, 2017) is available online by subscription only.

Articles include:

  • “Nurse Ethical Awareness: Understanding the Nature of Everyday Practice” by Aimee Milliken and Pamela Grace
  • “The Development of Ethical Guidelines for Nurses’ Collegiality Using the Delphi Method” by Mari Kangasniemi et al.
  • “From Painful Busyness to Emotional Immunization: Nurses’ Experiences of Ethical Challenges” by Anne Storaker, Dagfinn Nåden, and Berit Sæteren
  • “Evaluating Care from a Care Ethical Perspective:: A Pilot Study” by Esther E Kuis and Anne Goossensen
  • “Nurses’ and Patients’ Perceptions of Privacy Protection Behaviours and Information Provision” by Kyunghee Kim, Yonghee Han, and Ji-su Kim

 

A New Edition of JAMA Is Now Available

Wed, 11/08/2017 - 09:00

JAMA (vol. 318, no. 6, 2017) is available online by subscription only.

Articles include:

  • “Can Patients Make Recordings of Medical Encounters? What Does the Law Say?” by Glyn Elwyn, Paul James Barr, and Mary Castaldo
  • “Challenges in International Comparison of Health Care Systems” by Irene Papanicolas and Ashish K. Jha
  • “Unintended Consequences of Machine Learning in Medicine” by Federico Cabitza, Raffaele Rasoini, and Gian Franco Gensini
  • “Health and Spirituality” by Tyler J. VanderWeele, Tracy A. Balboni, and Howard K. Koh
  • “Organ Donation After Euthanasia” by Rahul M. Jindal

 

How Doctors Are Getting Rich on Urine Tests for Opioid Patients

Tue, 11/07/2017 - 17:02

(Bloomberg) – The high-tech testing lab’s raw material has become liquid gold for the doctors who own Comprehensive Pain Specialists. This testing process, driven by the nation’s epidemic of painkiller addiction, generates profits across the doctor-owned network of 54 clinics, the largest pain-treatment practice in the Southeast. Medicare paid the company at least $11 million for urine and related tests in 2014, when five of its professionals stood among the nation’s top billers.

The FDA Just Made It a Lot Easier for DNA Health Tests to Hit the Market

Tue, 11/07/2017 - 16:59

(Gizmodo) – The newly proposed regulations will allow genetic health tests to make it to market without prior review. Companies seeking to sell such tests would have to come to the FDA for a one-time review. But after getting that initial FDA stamp of approval, any subsequent genetic health test the company develops will not face further regulatory hurdles. “Our goal is to streamline the regulatory pathway to get innovative medical products to people more efficiently, while providing the FDA assurances that consumers seek,” said Gottlieb.

Should Children Form Emotional Bonds with Robots?

Tue, 11/07/2017 - 16:56

(The Atlantic) – Stefania Druga and Randi Williams, the researchers behind the study, want to know how children perceive smart robots, and, eventually, to study how those bots affect kids’ cognitive development. So far, they’ve discovered that little children (ages 3 and 4) aren’t sure whether the robots are smarter than they are, but that slightly older children (ages 6 to 10) believe the robots to have superior intelligence. Druga and Williams were inspired by the research of the legendary Sherry Turkle, who wrote a highly influential 1984 book called The Second Self.

Brain Imaging Reveals ADHD as a Collection of Different Disorders

Tue, 11/07/2017 - 16:42

(Science Daily) – Researchers have found that patients with different types of attention-deficit/hyperactivity disorder (ADHD) have impairments in unique brain systems, indicating that there may not be a one-size-fits-all explanation for the cause of the disorder. Based on performance on behavioral tests, adolescents with ADHD fit into one of three subgroups, where each group demonstrated distinct impairments in the brain with no common abnormalities between them.

Over-the-Counter Painkillers Treated Painful Injuries Just as Well as Opioids in New Study

Tue, 11/07/2017 - 16:36

(Los Angeles Times) – In an opioid epidemic that currently claims an average of 91 lives per day, there have been many paths to addiction. For some, it started with a fall or a sports injury, a trip to a nearby emergency room and a prescription for a narcotic pain reliever that seemed to work well in the ER. New research underscores how tragically risky — and unnecessary — such prescribing choices have been. In a new study of patients who showed up to an emergency department with acute pain in their shoulders, arms, hips or legs, researchers found that a cocktail of two non-addictive, over-the-counter drugs relieved pain just as well as — and maybe just a little better than — a trio of opioid pain medications widely prescribed under such circumstances.

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