Challenges facing occupational health services in the 21st century.
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The mission and tasks of occupational health services are reviewed in the context of the global megatrends of productivity increase, population overgrowth, and the implications of changes in the technology of information and communication. Current trends in attempts to achieve harmonization with respect to the concept and tasks of occupational health services in the European Union are described, along with the basic features of occupational health services as a human service organization with implications for the setting of objectives and criteria for assessing quality and performance and ethics. The need to adopt a quality-focused approach to occupational health service programs is emphasized, and some of the inhibitions and obstacles to quality work are mentioned. The need for professional commitment to develop and implement quality concepts is outlined. Evidence-based health care in the setting of occupational health services and some salient aspects of professional ethics in the 21st century are commented on. (+info)
Cognitive empathy in inter-disciplinary research: the contrasting attitudes of plant breeders and molecular biologists towards rice.
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I draw attention to the perceptions of and interactions between molecular biologists and scientists engaged in plant breeding in India, who have been attempting to employ molecular biology tools to understand and intervene to improve the rice crop. The present essay suggests that the concept of cognitive empathy is crucial for enabling basic scientists and applied scientists to begin to understand phenomena from the point of view of the other and from the point of view of society at large, and in arriving at solutions that are scientifically feasible and socially acceptable. Socialization into disciplinary cultures, organizational factors and individual anxieties seem to inhibit inter-disciplinary collaboration. The majority of rice breeders and a small group of molecular biologists emphasize the relative merits of marker-assisted selection (MAS) in the near term vis-a-vis the currently controversial transgenic approach for rice crop improvement in India. (+info)
Confidentiality within physiotherapy: perceptions and attitudes of clinical practitioners.
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OBJECTIVES: This study examined the issue of confidentiality in relation to i) undergraduate curriculum content in physiotherapy, and ii) the awareness, experiences and attitudes of clinical physiotherapists. DESIGN: Postal survey of universities and focus group interviews with physiotherapists. SETTING: Twenty-five universities in the UK and Ireland and 44 therapists in five hospitals in southern England. RESULTS: The survey of universities indicated that legal and ethical aspects of confidentiality featured in virtually all preregistration courses that responded. However, whereas its inclusion was rated as extremely important, the degree of coverage of confidentiality varied considerably between courses. Within the focus groups, 35 informants recollected coverage of confidentiality in their preregistration education, and 12 in postregistration in-service training; in neither case was this coverage in great detail. Informants identified environmental factors and working practices as barriers to preserving confidentiality. Disclosure to others also gave rise to difficulties. Informants were only aware in general terms of the relevant sections of the Chartered Society of Physiotherapy's Rules of Professional Conduct. CONCLUSIONS: Aspects of hospital-based physiotherapy practice were seen to create specific problems in relation to confidentiality. More detailed sources of education and guidance on this issue appear to be required. (+info)
The road not taken.
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The annual Janet Doe Lecture was established in 1966 to honor Janet Doe, emerita librarian of the New York Academy of Medicine. The lecture focuses on either the history or philosophy of health sciences librarianship. This lecture addresses three fundamental values of the field, highlighting basic beliefs of the profession that are at risk: privacy, intellectual property rights, and access to quality information. It calls upon readers to make the everyday choices required to keep the value system of health sciences librarianship in place. Robert Frost's poignant poem "The Road Not Taken" provides the metaphor for examining choices in an information economy. (+info)
The "new perception" of animal agriculture: legless cows, featherless chickens, and a need for genuine analysis.
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A growing popular literature has created a "New Perception" of animal agriculture by depicting commercial animal production as 1) detrimental to animal welfare, 2) controlled by corporate interests, 3) motivated by profit rather than by traditional animal care values, 4) causing increased world hunger, 5) producing unhealthy food, and 6) harming the environment. Agricultural organizations have often responded with public relations material promoting a very positive image of animal agriculture and denying all six of the critics' claims. The public, faced with these two highly simplistic and contradictory images, needs knowledgeable research and analysis to serve as a basis for public policy and individual choice. Scientists and ethicists could provide such analysis. In some cases, however, scientists and ethicists have themselves produced misleading, polarized, or simplistic accounts of animal agriculture. The problems in such accounts include the repetition of unreliable information from advocacy sources, use of unwarranted generalizations, simplistic analysis of complex issues, and glossing over the ethical problems. The New Perception debate raises important and complex ethical issues; in order to provide useful guidance, both scientists and ethicists must consider these issues as research problems that are worthy of genuine investigation and analysis. (+info)
Managed mental health care: attitudes and ethical beliefs of child and pediatric psychologists.
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OBJECTIVE: To examine child and pediatric psychologists' ethical beliefs and attitudes toward managed mental health care. METHODS: In a survey mailed in spring 1997, 252 child and pediatric psychologists responded to three vignettes depicting ethical dilemmas related to working with managed mental health care (confidentiality, restriction of services, misdiagnosis). Data were collected about psychologists' ethical choices and reasons given for choices, attitudes toward managed care, the extent to which managed care affected ethical decision making, and level of managed care involvement. RESULTS: Differences were found in choices made for the ethical dilemmas in regard to what participants thought they should do, would do, and actually did do. Overall, participants endorsed negative attitudes toward managed care. Participants reported that managed care somewhat affected their ethical decision making for the vignettes. Level of managed care involvement was not related to ethical decision making or attitudes toward managed care. CONCLUSIONS: The findings suggest areas for examination as new ethical standards are created for work in managed care environments. (+info)
Ethical and methodological issues in pedigree stroke research.
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BACKGROUND: Stroke is a complex genetic disorder with a variable phenotype. Investigations of heritable factors in complex genetic disorders use pedigree and genetic techniques, which pose different ethical and methodological challenges than those routinely encountered in therapeutic research. Building consensus on acceptable research practices in this field is vital to the success of multicentered collaborations. SUMMARY OF REVIEW: We review important ethical and methodological concerns related to the collection, storage, and release of pedigree research information. The human studies aspects of pedigree research are complicated methodologically because individuals can be active or passive participants and pedigrees can be proband derived, partially validated, or fully validated. Current research ethics frameworks do not work well outside of a dyadic researcher-subject relationship. Privacy and confidentiality for family members must be considered in pedigree research. Investigators should anticipate potential conflicts of interest among family members when designing a pedigree research protocol. CONCLUSIONS: We propose a "proband-initiated contact" methodology in which the proband or the proband's designate allows identification of potential families without breaching the privacy of individuals in the family. In situations in which family history data are collected without direct contact between researchers and individuals in the proband's family, an Institutional Review Board may waive consent by family members after appropriate review of the protocol and application of rules for granting waivers of consent. Certificates of Confidentiality should be considered. (+info)
A study in animal ethics in New Brunswick.
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Society uses animals in ever-increasing numbers and ways, providing ethical challenges. Decisions about animal use are guided by the social consensus ethic towards animals. Because there is no clear social consensus ethic, these decisions are difficult. Society's ethic is changing and a "new ethic" towards animals is emerging. This study addressed the need to better understand society's ethics towards animals. Qualitative research methodology (focus groups) was used to study 7 different animal-interest groups. Qualitative data analysis was computer-aided. The group ethical position towards animals of its own group interest was determined for each group. The animal welfare, companion animal, and veterinary groups took Rollin's Position, a position based on both the Utilitarian and the Rights Principles; the farmer and trapper groups the Utilitarian/Land Ethic position, a dual position based on actions producing the greatest amount of pleasure and the least amount of pain for the greatest number, and preserving the integrity, stability, and beauty of the biotic community; the hunter group the Utilitarian/Judeo-Christian position, a dual position based on actions producing the greatest amount of pleasure and the least amount of pain for the greatest number, and having dominion over animals; and the naturalist group took Rollin's Position/Land Ethic. All these groups perceived medium to extreme ethical responsibility towards animals of their own group's interest that are used by others. The study showed that the predicted "new ethic" towards animals is in New Brunswick society and it is Rollin's Position. (+info)