Medicine and Health Sciences Commons^™

Ethical Considerations In The Conduct Of Vaccine Trials In Developing Countries, Charles Weijer, C. Lanata, C. Plowe

Charles Weijer

No abstract provided.

Evidence, Belief, And Action: The Failure Of Equipoise To Resolve The Ethical Tension In The Randomized Clinical Trial, Deborah Hellman

Deborah Hellman

No abstract provided.

Exploring Transplant Opportunities In Hmong Culture: A Case Report, Alon Neidich, Harish Maranty, Katrina Bramstedt

Katrina A. Bramstedt

A clinical case is used to explore the ethical complexities of solid organ donation and transplantation within the Hmong community in the United States. Although many cultures can present various ethical issues, the challenges of the Hmong belief system are unique and distinctly complex. Ways for the medical team to integrate with the Hmong value system to attempt to create an environment of transcultural respect and appreciation are described.

Being Sherlock Holmes: The Internet As A Tool For Assessing Live Organ Donors, Katrina Bramstedt, Steven Katznelson

Katrina A. Bramstedt

Donor advocacy is a critical feature of live donor transplantation. Donor Advocates and Donor Advocate Teams (DAT) are now routine to the practice of live donor evaluation in the USA. Multidisciplinary in nature, DATs gather both medical and psychosocial information about potential live organ donors and then render a decision as to whether or not these individuals are suitable to participate. Because of the critical ethical and psychosocial concerns about live donation, thorough donor evaluations are essential. Additionally, the information gathered must be accurate, and this requires honest disclosure by the donor candidate. In this paper, we describe how DATs …

Universalism And Particularism In Bioethics: Lessons From Theological Ethics, Michael Moreland

Michael P. Moreland

No abstract provided.

The Birth Of Evidence-Based Psychiatry: The Real Legacy Of Philippe Pinel (1745-1826), Louis Charland

Louis C. Charland

No abstract provided.

Technological Reason And The Regulation Of Emotion, Louis Charland

Louis C. Charland

No abstract provided.

Optimising The Documentation Practices Of An Ethics Consultation Service, Katrina Bramstedt, A. Jonsen, W. Andereck, J. Mcgaughey, A. Neidich

Katrina A. Bramstedt

A formal Ethics Consultation Service (ECS) can provide significant help to patients, families and hospital staff. As with any other form of clinical consultation, documentation of the process and the advice rendered is very important. Upon review of the published consult documentation practices of other ECSs, we judged that none of them were sufficiently detailed or structured to meet the needs and purposes of a clinical ethics consultation. Thus, we decided to share our method in order to advance the practice of ethics consultation. Here, we describe a method of ECS documentation practice, including use of a formal consult report …

Ethics In The Affective Sciences, Louis Charland

Louis C. Charland

No abstract provided.

Qualia, Louis Charland

Louis C. Charland

No abstract provided.

Emotion: Philosophical Issues, Louis Charland

Louis C. Charland

No abstract provided.

Affect, Louis Charland

Louis C. Charland

No abstract provided.

Hoping For A Miracle: Supporting Patients In Transplantation And Cardiac Assist Programs, Katrina Bramstedt

Katrina A. Bramstedt

Purpose of review: Palliative medicine is often viewed as a medical specialty reserved for end of life care. This review focuses on the role that palliative care can play in transplant and cardiac assist device programs, along the continuum of a patient's disease course. Recent findings: In general, transplant and cardiac assist programs do not incorporate palliative medicine during the treatment course, but rather reserve it for when the patient is approaching death and is no longer a candidate for transplant or device therapy. There is a new shift, however, to viewing the practice of aggressive medicine and palliative medicine …

Deactivating Implanted Cardiac Devices In Terminally Ill Patients: Practices And Attitudes, Paul Mueller, Sarah Jenkins, Katrina Bramstedt, David Hays

Katrina A. Bramstedt

Background: Clinicians may receive requests to deactivate pacemakers and implantable cardioverter-defibrillators (ICDs) in terminally ill patients. Methods: We describe practices and attitudes regarding deactivation of pacemakers and ICDs in terminally ill patients among physicians, nurses, and others who manage treatment of patients with implanted cardiac devices and among field representatives of device manufacturers. A Web-based survey was provided to Heart Rhythm Society members and to representatives of two manufacturers of implantable cardiac devices. Measurements were the answers of 787 respondents. Results: Of the respondents, 86.8% reported involvement in requests for ICD deactivation and 77.6% reported involvement in pacemaker deactivation (P …

Alcohol Abstinence Criteria For Living Donors And Their Organ Recipients, Katrina Bramstedt

Katrina A. Bramstedt

Purpose of review: Psychosocial criteria for live organ donors and their organ recipients are important for their safety and welfare. In liver transplantation, alcohol use by either party is problematic. This article reviews this topic and offers guidance for donor and recipient selection. Recent findings: The '6 month rule' for alcohol abstinence is the standard approach for many hospitals when evaluating patients for transplant candidacy. Recently, clinicians have explored the rationale for this quantitative rule and discovered additional factors that can help to predict the risk for post-transplant alcohol relapse. Guidance for live liver donors is a newer topic and …

Alexander Crichton On The Psychopathology Of The Passions, Louis Charland

Louis C. Charland

No abstract provided.

A Moral Line In The Sand: Sir Alexander Crichton And Philippe Pinel On The Psychopathology Of The Passions, Louis Charland

Louis C. Charland

No abstract provided.

Ethics And Schizophrenia, A. Rudnick, Charles Weijer

Charles Weijer

No abstract provided.

Destination Nowhere: A Potential Dilemma With Ventricular Assist Devices, Katrina Bramstedt

Katrina A. Bramstedt

Increasingly, ventricular assist devices (VADs) are used as destination therapy for those who are not candidates for heart transplantation. Although these devices can benefit patients by improving their functional status and quality of life, they can, in some cases, facilitate an end-point known as destination nowhere. In such situations, patients and clinicians find themselves in medical limbo where the patient's net benefit is, in fact, a burden, or the continued use of the device has no utility in light of the goals of the technology. This article presents guidance for avoiding destination nowhere, as well as guidance for ethical care …

China: A Case Study Regarding Transplant Publishing Issues, Katrina A. Bramstedt, Jun Xu

Katrina A. Bramstedt

Doing Ethics In An Ecclesial Context, M. Therese Lysaught

M. Therese Lysaught

No abstract provided.

Consent Or Coercion? Referral To Alcoholics Anonymous, Louis Charland

Louis C. Charland

No abstract provided.

Does Borderline Personality Disorder Exist?, Louis Charland

Louis C. Charland

No abstract provided.

Politics, Risk, And Community In The Maya Icbg Case, Fern Brunger, Charles Weijer

Charles Weijer

No abstract provided.

Anorexia And The Maccat-T Test For Mental Competence: Validity, Value, Emotion. Commentary On Jacinta Tan’S Competence To Make Treatment Decisions In Anorexia Nervosa: Thinking Processes And Values, Louis Charland

Louis C. Charland

No abstract provided.

Affective Neuroscience And Addiction, Louis Charland

Louis C. Charland

No abstract provided.

Cognitive Modularity Of Emotion, Louis Charland

Louis C. Charland

No abstract provided.

Benevolent Theory: Moral Treatment At The York Retreat, Louis Charland

Louis C. Charland

No abstract provided.

The Moral Nature Of The Cluster B Personality Disorders, Louis Charland

Louis C. Charland

No abstract provided.

Reasons Of The Heart: Neuroscience And The Ethics Of Consent, Louis Charland

Louis C. Charland

No abstract provided.