Open Access. Powered by Scholars. Published by Universities.®

Digital Commons Network

Open Access. Powered by Scholars. Published by Universities.®

Articles 1 - 17 of 17

Full-Text Articles in Entire DC Network

D'Oh! An Analysis Of The Medical Care Provided To The Family Of Homer J. Simpson, Robert Patterson, Charles Weijer Dec 1998

D'Oh! An Analysis Of The Medical Care Provided To The Family Of Homer J. Simpson, Robert Patterson, Charles Weijer

Charles Weijer

No abstract provided.


Monitoring Informed Consent In An Oncology Study Posing Serious Risk To Subjects, Myrian Skrutkowski, Charles Weijer, Stan Shapiro, Abraham Fuks, Adrian Langleben, Benjamin Freedman Oct 1998

Monitoring Informed Consent In An Oncology Study Posing Serious Risk To Subjects, Myrian Skrutkowski, Charles Weijer, Stan Shapiro, Abraham Fuks, Adrian Langleben, Benjamin Freedman

Charles Weijer

No abstract provided.


Bioethics For Clinicians: 16. Dealing With Demands For Inappropriate Treatment, Charles Weijer, Peter Singer, Bernard Dickens, Stephen Workman Oct 1998

Bioethics For Clinicians: 16. Dealing With Demands For Inappropriate Treatment, Charles Weijer, Peter Singer, Bernard Dickens, Stephen Workman

Charles Weijer

Demands by Patients or their Families for treatment thought to be inappropriate by health care providers constitute an important set of moral problems in clinical practice. A variety of approaches to such cases have been described in the literature, including medical futility, standard of care and negotiation. Medical futility fails because it confounds morally distinct cases: demand for an ineffective treatment and demand for an effective treatment that supports a controversial end (e.g., permanent unconsciousness). Medical futility is not necessary in the first case and is harmful in the second. Ineffective treatment falls outside the standard of care, and thus …


Cpr For Patients In A Persistent Vegetative State?, Charles Weijer Jun 1998

Cpr For Patients In A Persistent Vegetative State?, Charles Weijer

Charles Weijer

No abstract provided.


Self Interest Is Not The Sole Legitimate Basis For Making Decisions, Charles Weijer Mar 1998

Self Interest Is Not The Sole Legitimate Basis For Making Decisions, Charles Weijer

Charles Weijer

No abstract provided.


The Irb's Role In Assessing The Generalizability Of Non-Nih-Funded Clinical Trials, Charles Weijer Feb 1998

The Irb's Role In Assessing The Generalizability Of Non-Nih-Funded Clinical Trials, Charles Weijer

Charles Weijer

No abstract provided.


Cardiopulmonary Resuscitation For Patients In A Persistent Vegetative State: Futile Or Acceptable?, Charles Weijer Feb 1998

Cardiopulmonary Resuscitation For Patients In A Persistent Vegetative State: Futile Or Acceptable?, Charles Weijer

Charles Weijer

No abstract provided.


Assessing The Interpretation Of Criteria For Clinical Trial Eligibility: A Survey Of Oncology Investigators, Charles Weijer, Benjamin Freedman, Stanley Shapiro, Abraham Fuks, Myriam Skrutkowska, Maria Sigurjonsdottir Jan 1998

Assessing The Interpretation Of Criteria For Clinical Trial Eligibility: A Survey Of Oncology Investigators, Charles Weijer, Benjamin Freedman, Stanley Shapiro, Abraham Fuks, Myriam Skrutkowska, Maria Sigurjonsdottir

Charles Weijer

OBJECTIVE: To investigate whether eligibility criteria that exclude the elderly, persons with psychiatric disease, and persons with substance abuse problems from participation in randomized controlled trials (RCTs) are subjective and hence a source of variability in enrolment decisions and investigator uncertainty.

DESIGN: Survey questionnaire.

PARTICIPANTS: Cancer investigators from the United States and Canada.

INTERVENTIONS: Investigators were presented with clinical vignettes from 3 patient categories--eligible, ineligible and uncertain--for each of 5 eligibility criteria--3 subjective and 2 objective--and were asked whether they would enrol the patient in a trial and how sure they were of this decision. Demographic characteristics of the investigators …


A Study In Contrasts: Eligibility Criteria In A Twenty-Year Sample Of Nsabp And Pog Clinical Trials, Abraham Fuks, Charles Weijer, Benjamin Freedman, Stanley Shapiro, Myriam Skrutkowska, Amina Riaz Jan 1998

A Study In Contrasts: Eligibility Criteria In A Twenty-Year Sample Of Nsabp And Pog Clinical Trials, Abraham Fuks, Charles Weijer, Benjamin Freedman, Stanley Shapiro, Myriam Skrutkowska, Amina Riaz

Charles Weijer

We studied changes in eligibility criteria--the largest impediment to patient accrual--in two samples of clinical trials. Trials from the NSABP (National Surgical Adjuvant Breast and Bowel Program) and POG (Pediatric Oncology Group) were analyzed. After eliminating duplications, the criteria in each protocol were enumerated and classified according to a novel schema. NSABP trials contained significantly more criteria than POG trials, and added precision criteria (making study populations homogeneous) at a faster rate than POG studies. The difference between NSABP studies (explanatory trials) and POG studies (pragmatic trials) suggest that large numbers of eligibility criteria are not necessary for quality studies. …


Darwinism And Developmentalism: Prospects For Convergence, David Depew Dec 1997

Darwinism And Developmentalism: Prospects For Convergence, David Depew

David J Depew

No abstract provided.


"Response And Responsibility: Chou Tun-I And Neo-Confucian Resources For Environmental Ethics", Joseph Adler Dec 1997

"Response And Responsibility: Chou Tun-I And Neo-Confucian Resources For Environmental Ethics", Joseph Adler

Joseph Adler

No abstract provided.


Reb Review Of Research Proposals Involving Placebo Controls, Charles Weijer Dec 1997

Reb Review Of Research Proposals Involving Placebo Controls, Charles Weijer

Charles Weijer

No abstract provided.


A Kantian Defense Of Enterprise Democracy, Harry Van Der Linden Dec 1997

A Kantian Defense Of Enterprise Democracy, Harry Van Der Linden

Harry van der Linden

In Autonomy and Community, contemporary Kant scholars apply Kant's moral and political views to current social issues, examining contemporary topics through the lenses of various recent Kantian approaches to issues in ethical, political, and social philosophy. The articles, written with a minimum of technical language, engage current social problems directly, demonstrating the possibility of diverse applications of Kant's views.


Bribery: The Concept, Michael Pritchard Dec 1997

Bribery: The Concept, Michael Pritchard

Michael Pritchard

The aim of this paper is to clarify the concept of bribery, and to do this in a way that reveals its underlying normative features. Bribery, like lying is not a value neutral concept. It has a negative connotation and is regarded by most as generally, although not necessarily universally, wrong. At the very least, those who resort to bribery bear a burden of justification for what they do. This is no small point, as no such burden must be borne for the vast majority of human activities, such as engaging in conversation or taking a walk, which normally …


Society’S Choices: Social And Ethical Decision Making In Biomedicine, Charles Weijer Dec 1997

Society’S Choices: Social And Ethical Decision Making In Biomedicine, Charles Weijer

Charles Weijer

No abstract provided.


Professional Responsibility: Focusing On The Exemplary, Michael Pritchard Dec 1997

Professional Responsibility: Focusing On The Exemplary, Michael Pritchard

Michael Pritchard

The literature on ethics in science and engineering tends to dwell on the negative, emphasizing disasters, scandals, and problems of wrongdoing in everyday practice. This paper shifts to the positive, focusing on the exemplary. After outlining different possible conceptions of responsibility (ranging from a minimalist view of “staying out of trouble” to “going above and beyond the call of duty”), the paper discusses the importance of certain virtues for scientists and engineers. Finally, a broad range of examples of exemplary practice is offered.


Ethics: A Contemporary Introduction, Harry Gensler, S.J. Dec 1997

Ethics: A Contemporary Introduction, Harry Gensler, S.J.

Harry J. Gensler, S.J.

No abstract provided.