Medicine and Health Sciences Commons^™

Update - December 2004, Loma Linda University Center For Christian Bioethics

Update

In this issue:

-- Jack Wendell Provonsha: A Life Sketch
-- Editorial
-- Jack Provonsha: A Remembrance
-- Remembering Jack Provonsha: A Theological Appreciation
-- Jack the Just: Dr. Provonsha, Loma Linda, and the Adventist Wisdom Tradition

Heads Or Tails: Randomized Placebo-Controlled Trials, Charles Weijer

Charles Weijer

No abstract provided.

Respect: Or, How Respect For Persons Became Respect For Autonomy, M. Therese Lysaught

M. Therese Lysaught

This article provides an intellectual archeology of how the term “respect” has functioned in the field of bioethics. I argue that over time the function of the term has shifted, with a significant turning point occurring in 1979. Prior to 1979, the term “respect” connoted primarily the notion of “respect for persons” which functioned as an umbrella which conferred protection to autonomous persons and those with compromised autonomy. But in 1979, with the First Edition of Principles of Biomedical Ethics by Beauchamp and Childress, and the report of the Ethical Advisory Board (EAB) of the (then) Department of Health, Education, …

Pure And Undefiled Religion: A Practical Defense Of A Pro-Life Position, Katherine Hekel

CedarEthics Online

No abstract provided.

Homo Sapiens - The Human Animal: A Rebuttal To Kuhse And Singer, Paul Round

CedarEthics Online

No abstract provided.

Child Sacrifice In The Western World, David Miedema

CedarEthics Online

No abstract provided.

Update - September 2004, Loma Linda University Center For Christian Bioethics

Update

In this issue:

-- A Statement on Racism
-- Editorial
-- Review and Critique of "A Statement on Racism"
-- Homelessness and Poverty
-- Review and Critique of the Seventh-day Adventist Policy Statement Titled "Homelessness and Poverty"
-- News from the Center for Christian Biothics
-- Operating Principles for Health-Care Institutions

Letter: Would God 'Play' This Way?, Dennis M. Sullivan

Science and Mathematics Faculty Publications

No abstract provided.

Waiver Of Consent For Emergency Research, Andrew Mcrae, Charles Weijer

Charles Weijer

No abstract provided.

Examining The Meaning And Experience Of Self-Determination And Its Impact On Quality Of Life For Individuals With Cognitive Disabilities, Carol Marie Sundberg

Dissertations

There is a national agenda for advancing self-determination for persons with disabilities. Broadly defined, self-determination means having control over ones own life. The purpose of this research was to gain a better understanding of self-determination and its effect on the quality of life of persons with cognitive disabilities. A qualitative, phenomenological approach was selected. Ten individuals from a community mental health system in southwest Michigan participated in the study. Participants had a developmental disability and were dependent on others for their care. The research combined qualitative interviews with behavioral observations and proxy interviewing, and included the audiotaping of those interviews. …

Mid-Atlantic Ethics Committee Newsletter, Fall 2004

Mid-Atlantic Ethics Committee Newsletter

No abstract provided.

Mid-Atlantic Ethics Committee Newsletter, Summer 2004

Mid-Atlantic Ethics Committee Newsletter

No abstract provided.

Genetics: The Not-So-New Thing, Dena S. Davis

Law Faculty Articles and Essays

Practical knowledge of heredity predates history. Indigenous peoples laid the foundations of modern agriculture by developing plants such as corn. However, the language and metaphors of the Human Genome Project treat modern genetics as if it had no historical antecedents and fail to acknowledge these early contributions to the science of heredity. The results of this blindness are twofold: it exacerbates reluctance of native peoples to take part in genetic research and to garner the benefits of genetic medicine, and it encourages "biopiracy," as modern scientists "discover" and patent native plants.

Ideology Masquerading As Science: The Case Of Endocrine Disrupter Screening Programmes, Troy Seidle

Experimentation Collection

The global move to develop novel testing methods and strategies to identify suspected endocrine disrupting chemicals offers a unique opportunity to move away from traditional animal testing paradigms in this new area of regulatory concern. Regrettably, the programmes under development, both in the USA and internationally through the OECD, have thus far failed to consider in vitro and other nonanimal test methods as more than “pre-screening” or “priority-setting” tools in a larger, animal-based testing strategy. Validation efforts to date have focused almost exclusively on the modification of existing animal tests to detect “endocrine effects”, with no demonstrable effort to promote …

Update - June 2004, Loma Linda University Center For Christian Bioethics

Update

In this issue:

-- Examining the Ethics of Praying With Patients
-- Editorial
-- Agape and the Deeply Forgetful
-- Congratulations to this year's clinical ethics graduates

When Are Research Risks Reasonable In Relation To Anticipated Benefits?, Charles Weijer, Paul Miller

Charles Weijer

The question "When are research risks reasonable in relation to anticipated benefits?" is at the heart of disputes in the ethics of clinical research. Institutional review boards are often criticized for inconsistent decision-making, a problem that is compounded by a number of contemporary controversies, including the ethics of research involving placebo controls, developing countries, incapable adults and emergency rooms. If this pressing ethical question is to be addressed in a principled way, then a systematic approach to the ethics of risk in research is required. Component analysis provides such a systematic approach.

The Quest For Legitimacy: Comment On Cox Macpherson's 'To Strengthen Consensus, Consult The Stakeholders', Charles Weijer

Charles Weijer

No abstract provided.

The Ethical Analysis Of Risk In Intensive Care Unit Research, Charles Weijer

Charles Weijer

Research in the intensive care unit (ICU) is commonly thought to pose 'serious risk' to study participants. This perception may be at the root of a variety of impediments to the conduct of clinical trials in the ICU setting. Component analysis offers a promising approach to the ethical analysis of ICU research. Because clinical trials commonly involve a mixture of study interventions, therapeutic and nontherapeutic procedures must be analyzed separately. Therapeutic procedures must meet the requirement of clinical equipoise. Risks associated with nontherapeutic procedures must be minimized consistent with sound scientific design, and be deemed reasonable in relation to the …

Center For Professional Ethics, Spring 2004, Case Western Reserve University

Center for Professional Ethics

Table of Contents:

• Bonhoefer and King: Legacies and Lessons
• An Extraordinary Man: Case Celebrates Martin Luther King, Jr.
• It's About Ethics: An Interview with Robert P. Lawry
• Current Ethical Controversies in Internal Research: A Talk by Ruth Maklin
• Director's Corner: Civic Duty, Civic Courage by Robert P. Lawry
• News and Notes

Update - March 2004, Loma Linda University Center For Christian Bioethics

Update

In this issue:

-- Christians Contemplating New Developments in Biomedicine
-- Editorial
-- Christian Principals of Genetic Intervention
-- Statement on Ethical Considerations Regarding Human Cloning
-- Honoring the Religious Impulse Within the Arena of Genetic Counseling

Moral Callings And The Duty To Have Children: A Response To Jeff Mitchell, James Mcbain

Faculty Submissions

Jeff Mitchell argues that the good reason for having children is that parenthood is a “moral calling” and that one should heed the call out of a sense of duty and responsibility for the good of society. I argue such a “moral calling” account is mistaken, first, in that Mitchell problematically assumes the “basic intuition” is mistaken and, second, it fails to provide the epistemic conditions for the warranted belief that one would probably make a good parent (a central consideration of Mitchell’s). Thus, such a “moral calling” rationale for the having of children is not superior to rationales that …

Ethics And The 21st Century University, Judith Bailey

Center for the Study of Ethics in Society Papers

Papers presented for the Center of the Study of Ethics in Society Western Michigan University

Animals And Alternatives: Societal Expectations And Scientific Need, Alan M. Goldberg

Experimentation Collection

As Russell and Burch suggested more than 40 years ago, the most humane science is the best science. The path ahead is clear: pain and distress must be eliminated in animal experiments or reduced to an absolute minimum, and, as scientists, we must use the most humane approaches in our research. To accomplish the best science, we must train those who come after us in the principles and practice of humane science.

The Relationship Among The Types, Frequency And Resolution Of Moral Conflicts Perceived By Nurses In West Virginia And Their Educational Preparation, Educational Needs, And Selected Demographics, Nancy K. Dunn

Theses, Dissertations and Capstones

Technological changes, interpersonal relationships, and scarce resources have created a complex environment for health professionals. Nurses, as the largest group of health care providers, are confronted with moral issues when dealing with managed care policies, end-of-life care and workplace or institutional issues. Moral issues are expressed as moral distress, which has been linked to decreased satisfaction, termination of employment and leaving the profession of nursing altogether. Moral distress, therefore, decreases the number of nurses and contributes to the critical nursing shortage. The purpose of this study was to examine the relationships, if any, among the types, frequency and resolution of …

Does Spiritual Care Really Help? A Study Of Patient’S Perceptions, Charlotte Stephenson, Kaye Wilson-Anderson

Faculty Publications - College of Nursing

Microwaves, drive-through windows, cell phones, e-mail, Internet high-ways- fast, faster, fastest. These gadgets reflect the world of the 21st century in which we live. Nursing, too, has moved with these changing cultural norms, becoming compressed and high speed. However, the essence of people, the clients we care for, has remained that of heart-felt needs and a thirst for spiritual peace. How do we as nurses meet the demands of today’s increased patient care loads, unending paperwork and longer hours, yet still meet our clients’ spiritual needs?

Medicate-To-Execute: Current Trends In Death Penalty Jurisprudence And The Perils Of Dual Loyalty, Daniel S. Shaivitz

Journal of Health Care Law and Policy

No abstract provided.

Bioethical Malpractice: Risk And Responsibility In Human Research, Barbara A. Noah

Journal of Health Care Law and Policy

No abstract provided.

Rosenzweig's Messianic Aesthetics, Jules Simon

Jules Simon

No abstract provided.

Medical Training Using Simulation: Toward Fewer Animals And Safer Patients, Jonathan Balcombe

Experimentation Collection

This paper presents the current status of computer-based simulation in medicine. Recent technological advances have enabled this field to emerge from esoteric explorations in academic laboratories to commercially available simulators designed to train users to perform medical procedures from start to finish. Today, more than a dozen companies are producing virtual reality simulators and interactive manikins for training in endoscopy, laparoscopy, anaesthesia, trauma management, angiography, and needle insertion. For many of these procedures, thousands of animals are still being used in training. Yet simulation has many advantages that can transcend scientific, ethical, economic and logistical problems that arise when using …

Levels Of Citation Of Nonhuman Animal Studies Conducted At A Canadian Research Hospital, Anne Innis Dagg, Troy K. Seidle

Experimentation Collection

The publication of scientific articles that receive few or no citations raises questions of the appropriate use of resources as well as ethics. In the case of animal research, the ethics issue extends beyond human patients to nonhuman animals, as the research subjects them to pain and, typically, to death. This study is a citation analysis of animal research conducted at Toronto's Hospital for Sick Children (HSC). Of the 594 publications (1990 to 1995) on animal research by affiliates of HSC, 29% received Iower than 10 citations in a 10-year period. We compare the research history of 13 "best" and …