The principles of professional conduct concerning the rights and duties of the physician, relations with patients and fellow practitioners, as well as actions of the physician in patient care and interpersonal relations with patient families.
Committees established by professional societies, health facilities, or other institutions to consider decisions that have bioethical implications. The role of these committees may include consultation, education, mediation, and/or review of policies and practices. Committees that consider the ethical dimensions of patient care are ETHICS COMMITTEES, CLINICAL; committees established to protect the welfare of research subjects are ETHICS COMMITTEES, RESEARCH.
The philosophy or code pertaining to what is ideal in human character and conduct. Also, the field of study dealing with the principles of morality.
The moral obligations governing the conduct of research. Used for discussions of research ethics as a general topic.
Services provided by an individual ethicist (ETHICISTS) or an ethics team or committee (ETHICS COMMITTEES, CLINICAL) to address the ethical issues involved in a specific clinical case. The central purpose is to improve the process and outcomes of patients' care by helping to identify, analyze, and resolve ethical problems.
The identification, analysis, and resolution of moral problems that arise in the care of patients. (Bioethics Thesaurus)
The principles of proper professional conduct concerning the rights and duties of nurses themselves, their patients, and their fellow practitioners, as well as their actions in the care of patients and in relations with their families.
Hospital or other institutional committees established to protect the welfare of research subjects. Federal regulations (the "Common Rule" (45 CFR 46)) mandate the use of these committees to monitor federally-funded biomedical and behavioral research involving human subjects.
Hospital or other institutional ethics committees established to consider the ethical dimensions of patient care. Distinguish from ETHICS COMMITTEES, RESEARCH, which are established to monitor the welfare of patients or healthy volunteers participating in research studies.
The principles of proper conduct concerning the rights and duties of the professional, relations with patients or consumers and fellow practitioners, as well as actions of the professional and interpersonal relations with patient or consumer families. (From Stedman, 25th ed)
The moral and ethical obligations or responsibilities of institutions.
An approach to ethics that focuses on theories of the importance of general principles such as respect for autonomy, beneficence/nonmaleficence, and justice.
A philosophically coherent set of propositions (for example, utilitarianism) which attempts to provide general norms for the guidance and evaluation of moral conduct. (from Beauchamp and Childress, Principles of Biomedical Ethics, 4th ed)
Persons trained in philosophical or theological ethics who work in clinical, research, public policy, or other settings where they bring their expertise to bear on the analysis of ethical dilemmas in policies or cases. (Bioethics Thesaurus)
The principles of proper professional conduct concerning the rights and duties of the dentist, relations with patients and fellow practitioners, as well as actions of the dentist in patient care and interpersonal relations with patient families. (From Stedman, 25th ed)
Clusters of topics that fall within the domain of BIOETHICS, the field of study concerned with value questions that arise in biomedicine and health care delivery.
The use of systematic methods of ethical examination, such as CASUISTRY or ETHICAL THEORY, in reasoning about moral problems.
A formal process of examination of patient care or research proposals for conformity with ethical standards. The review is usually conducted by an organized clinical or research ethics committee (CLINICAL ETHICS COMMITTEES or RESEARCH ETHICS COMMITTEES), sometimes by a subset of such a committee, an ad hoc group, or an individual ethicist (ETHICISTS).
A branch of applied ethics that studies the value implications of practices and developments in life sciences, medicine, and health care.
Standards of conduct that distinguish right from wrong.
Duties that are based in ETHICS, rather than in law.
The state or quality of being kind, charitable, or beneficial. (from American Heritage Dictionary of the English Language, 4th ed). The ethical principle of BENEFICENCE requires producing net benefit over harm. (Bioethics Thesaurus)
The use of humans as investigational subjects.
Self-directing freedom and especially moral independence. An ethical principle holds that the autonomy of persons ought to be respected. (Bioethics Thesaurus)
Character traits that are considered to be morally praiseworthy. (Bioethics Thesaurus)
The process by which individuals internalize standards of right and wrong conduct.
The study of religion and religious belief, or a particular system or school of religious beliefs and teachings (from online Cambridge Dictionary of American English, 2000 and WordNet: An Electronic Lexical Database, 1997)
Voluntary authorization, by a patient or research subject, with full comprehension of the risks involved, for diagnostic or investigative procedures, and for medical and surgical treatment.
Abstract standards or empirical variables in social life which are believed to be important and/or desirable.
Interference with the FREEDOM or PERSONAL AUTONOMY of another person, with justifications referring to the promotion of the person's good or the prevention of harm to the person. (from Cambridge Dictionary of Philosophy, 1995); more generally, not allowing a person to make decisions on his or her own behalf.
The state or condition of being a human individual accorded moral and/or legal rights. Criteria to be used to determine this status are subject to debate, and range from the requirement of simply being a human organism to such requirements as that the individual be self-aware and capable of rational thought and moral agency.
The composition of a committee; the state or status of being a member of a committee.
Fundamental claims of patients, as expressed in statutes, declarations, or generally accepted moral principles. (Bioethics Thesaurus) The term is used for discussions of patient rights as a group of many rights, as in a hospital's posting of a list of patient rights.
The obligations and accountability assumed in carrying out actions or ideas on behalf of others.
A love or pursuit of wisdom. A search for the underlying causes and principles of reality. (Webster, 3d ed)
An interactive process whereby members of a community are concerned for the equality and rights of all.
The philosophical view that conceptions of truth and moral values are not absolute but are relative to the persons or groups holding them. (from American Heritage Dictionary of the English Language, 4th ed)
The science or philosophy of law. Also, the application of the principles of law and justice to health and medicine.
The privacy of information and its protection against unauthorized disclosure.
Persons who are enrolled in research studies or who are otherwise the subjects of research.
The rights of the individual to cultural, social, economic, and educational opportunities as provided by society, e.g., right to work, right to education, and right to social security.
The intrinsic moral worth ascribed to a living being. (Bioethics Thesaurus)
The principles of proper professional conduct concerning the rights and duties of the pharmacist, relations with patients and fellow practitioners, as well as actions of the pharmacist in health care and interpersonal relations with patient families. (From Stedman, 25th ed)
Societal or individual decisions about the equitable distribution of available resources.
The branch of philosophy that treats of first principles, including ontology (the nature of existence or being) and cosmology (the origin and structure of the universe). (From Random House Unabridged Dictionary, 2d ed)
A situation in which an individual might benefit personally from official or professional actions. It includes a conflict between a person's private interests and official responsibilities in a position of trust. The term is not restricted to government officials. The concept refers both to actual conflict of interest and the appearance or perception of conflict.
Failing to prevent death from natural causes, for reasons of mercy by the withdrawal or withholding of life-prolonging treatment.
Violation of laws, regulations, or professional standards.
The act or practice of killing or allowing death from natural causes, for reasons of mercy, i.e., in order to release a person from incurable disease, intolerable suffering, or undignified death. (from Beauchamp and Walters, Contemporary Issues in Bioethics, 5th ed)
Promotion and protection of the rights of patients, frequently through a legal process.
Research that involves the application of the natural sciences, especially biology and physiology, to medicine.
Differences of opinion or disagreements that may arise, for example, between health professionals and patients or their families, or against a political regime.
The rights of individuals to act and make decisions without external constraints.
An international agreement of the World Medical Association which offers guidelines for conducting experiments using human subjects. It was adopted in 1962 and revised by the 18th World Medical Assembly at Helsinki, Finland in 1964. Subsequent revisions were made in 1975, 1983, 1989, and 1996. (From Encyclopedia of Bioethics, rev ed, 1995)
Withholding or withdrawal of a particular treatment or treatments, often (but not necessarily) life-prolonging treatment, from a patient or from a research subject as part of a research protocol. The concept is differentiated from REFUSAL TO TREAT, where the emphasis is on the health professional's or health facility's refusal to treat a patient or group of patients when the patient or the patient's representative requests treatment. Withholding of life-prolonging treatment is usually indexed only with EUTHANASIA, PASSIVE, unless the distinction between withholding and withdrawing treatment, or the issue of withholding palliative rather than curative treatment, is discussed.
Revealing of information, by oral or written communication.
Human experimentation that is not intended to benefit the subjects on whom it is performed. Phase I drug studies (CLINICAL TRIALS, PHASE I AS TOPIC) and research involving healthy volunteers are examples of nontherapeutic human experimentation.
A course of study offered by an educational institution.
Members of a religious denomination founded in the United States during the late 19th century in which active evangelism is practiced, the imminent approach of the millennium is preached, and war and organized government authority in matters of conscience are strongly opposed (from American Heritage Dictionary of the English Language, 4th ed). Jehovah's Witnesses generally refuse blood transfusions and other blood-based treatments based on religious belief.
The study, based on direct observation, use of statistical records, interviews, or experimental methods, of actual practices or the actual impact of practices or policies.
Human experimentation that is intended to benefit the subjects on whom it is performed.
The reporting of observed or suspected PROFESSIONAL MISCONDUCT or incompetence to appropriate authorities or to the public.
The use of animals as investigational subjects.
A person who has not attained the age at which full civil rights are accorded.
Interaction between research personnel and research subjects.
The interrelationship of medicine and religion.
A school of thought and set of moral, ethical, and political teachings usually considered to be founded by Confucius in 6th-5th century B.C. China. (from Cambridge Dictionary of Philosophy, 1995)
Intentional falsification of scientific data by presentation of fraudulent or incomplete or uncorroborated findings as scientific fact.
Exercise of governmental authority to control conduct.
The religion of the Jews characterized by belief in one God and in the mission of the Jews to teach the Fatherhood of God as revealed in the Hebrew Scriptures. (Webster, 3d ed)
The process of making a selective intellectual judgment when presented with several complex alternatives consisting of several variables, and usually defining a course of action or an idea.
The quality or state of relating to or affecting two or more nations. (After Merriam-Webster Collegiate Dictionary, 10th ed)
Communication, in the sense of cross-fertilization of ideas, involving two or more academic disciplines (such as the disciplines that comprise the cross-disciplinary field of bioethics, including the health and biological sciences, the humanities, and the social sciences and law). Also includes problems in communication stemming from differences in patterns of language usage in different academic or medical disciplines.
The act or practice of killing for reasons of mercy, i.e., in order to release a person or animal from incurable disease, intolerable suffering, or undignified death. (from Beauchamp and Walters, Contemporary Issues in Bioethics, 5th ed)
Those individuals engaged in research.
The absence of a useful purpose or useful result in a diagnostic procedure or therapeutic intervention. The situation of a patient whose condition will not be improved by treatment or instances in which treatment preserves permanent unconsciousness or cannot end dependence on intensive medical care. (From Ann Intern Med 1990 Jun 15;112(12):949)
An ethical system which emphasizes human values and the personal worth of each individual, as well as concern for the dignity and freedom of humankind.
The educational process of instructing.
Organizations composed of members with common interests and whose professions may be similar.
Informed consent given by someone other than the patient or research subject.
Use for general articles concerning medical education.
Legal guarantee protecting the individual from attack on personal liberties, right to fair trial, right to vote, and freedom from discrimination on the basis of race, color, religion, sex, age, disability, or national origin. (from accessed 1/31/2003)
The point at which religious ensoulment or PERSONHOOD is considered to begin.
Guideline for determining when it is morally permissible to perform an action to pursue a good end with knowledge that the action will also bring about bad results. It generally states that, in cases where a contemplated action has such double effect, the action is permissible only if: it is not wrong in itself; the bad result is not intended; the good result is not a direct causal result of the bad result; and the good result is "proportionate to" the bad result. (from Solomon, "Double Effect," in Becker, The Encyclopedia of Ethics, 1992)
The cognitive and affective processes which constitute an internalized moral governor over an individual's moral conduct.
The guidelines and policy statements set forth by the editor(s) or editorial board of a publication.
One of the principal schools of medical philosophy in ancient Greece and Rome. It developed in Alexandria between 270 and 220 B.C., the only one to have any success in reviving the essentials of the Hippocratic concept. The Empiricists declared that the search for ultimate causes of phenomena was vain, but they were active in endeavoring to discover immediate causes. The "tripod of the Empirics" was their own chance observations (experience), learning obtained from contemporaries and predecessors (experience of others), and, in the case of new diseases, the formation of conclusions from other diseases which they resembled (analogy). Empiricism enjoyed sporadic continuing popularity in later centuries up to the nineteenth. (From Castiglioni, A History of Medicine, 2d ed, p186; Dr. James H. Cassedy, NLM History of Medicine Division)
The fundamental dispositions and traits of humans. (Merriam-Webster's Collegiate Dictionary, 10th ed)
The science concerned with problems of radiation protection relevant to reducing or preventing radiation exposure, and the effects of ionizing radiation on humans and their environment.
The intentional infliction of physical or mental suffering upon an individual or individuals, including the torture of animals.
Manipulation of the behavior of persons or animals by biomedical, physical, psychological, or social means, including for nontherapeutic reasons.
Committees established to review interim data and efficacy outcomes in clinical trials. The findings of these committees are used in deciding whether a trial should be continued as designed, changed, or terminated. Government regulations regarding federally-funded research involving human subjects (the "Common Rule") require (45 CFR 46.111) that research ethics committees reviewing large-scale clinical trials monitor the data collected using a mechanism such as a data monitoring committee. FDA regulations (21 CFR 50.24) require that such committees be established to monitor studies conducted in emergency settings.
Care provided patients requiring extraordinary therapeutic measures in order to sustain and prolong life.
A systematic statement of policy rules or principles. Guidelines may be developed by government agencies at any level, institutions, professional societies, governing boards, or by convening expert panels. The text may be cursive or in outline form but is generally a comprehensive guide to problems and approaches in any field of activity. For guidelines in the field of health care and clinical medicine, PRACTICE GUIDELINES AS TOPIC is available.
Informed consent given by a parent on behalf of a minor or otherwise incompetent child.
Sets of beliefs on the nature of the universe or Man.
The state that distinguishes organisms from inorganic matter, manifested by growth, metabolism, reproduction, and adaptation. It includes the course of existence, the sum of experiences, the mode of existing, or the fact of being. Over the centuries inquiries into the nature of life have crossed the boundaries from philosophy to biology, forensic medicine, anthropology, etc., in creative as well as scientific literature. (Random House Unabridged Dictionary, 2d ed; Dr. James H. Cassedy, NLM History of Medicine Division)
A legal concept for individuals who are designated to act on behalf of persons who are considered incapable of acting in their own behalf, e.g., minors and persons found to be not mentally competent.
A system of government in which there is free and equal participation by the people in the political decision-making process.
The period of medical education in a medical school. In the United States it follows the baccalaureate degree and precedes the granting of the M.D.
Truthful revelation of information, specifically when the information disclosed is likely to be psychologically painful ("bad news") to the recipient (e.g., revelation to a patient or a patient's family of the patient's DIAGNOSIS or PROGNOSIS) or embarrassing to the teller (e.g., revelation of medical errors).
Coexistence of numerous distinct ethnic, racial, religious, or cultural groups within one social unit, organization, or population. (From American Heritage Dictionary, 2d college ed., 1982, p955)
Experimentation on, or using the organs or tissues from, a human or other mammalian conceptus during the prenatal stage of development that is characterized by rapid morphological changes and the differentiation of basic structures. In humans, this includes the period from the time of fertilization to the end of the eighth week after fertilization.
The ability to understand the nature and effect of the act in which the individual is engaged. (From Black's Law Dictionary, 6th ed).
The study of natural phenomena by observation, measurement, and experimentation.
The fraudulent misrepresentation of the diagnosis and treatment of disease.
Passing off as one's own the work of another without credit.
The capability to perform the duties of one's profession generally, or to perform a particular professional task, with skill of an acceptable quality.
A method of ETHICAL ANALYSIS that emphasizes practical problem solving through examining individual cases that are considered to be representative; sometimes used to denote specious argument or rationalization. Differentiate from casuistics, which is the recording and study of cases and disease.
The process by which a person or group of persons comes to be regarded or treated as lacking in human qualities.
The use of force or intimidation to obtain compliance.
Persons whose profession is to give legal advice and assistance to clients and represent them in legal matters. (American Heritage Dictionary, 3d ed)
The bestowing of tangible or intangible benefits, voluntarily and usually without expectation of anything in return. However, gift giving may be motivated by feelings of ALTRUISM or gratitude, by a sense of obligation, or by the hope of receiving something in return.
The theory of the political, economic, and social equality of the sexes and organized activity on behalf of women's rights and interests. (Webster New Collegiate Dictionary, 1981)
The science that investigates the principles governing correct or reliable inference and deals with the canons and criteria of validity in thought and demonstration. This system of reasoning is applicable to any branch of knowledge or study. (Random House Unabridged Dictionary, 2d ed & Sippl, Computer Dictionary, 4th ed)
The administrative procedures involved with acquiring TISSUES or organs for TRANSPLANTATION through various programs, systems, or organizations. These procedures include obtaining consent from TISSUE DONORS and arranging for transportation of donated tissues and organs, after TISSUE HARVESTING, to HOSPITALS for processing and transplantation.
Consideration and concern for others, as opposed to self-love or egoism, which can be a motivating influence.
Critical and exhaustive investigation or experimentation, having for its aim the discovery of new facts and their correct interpretation, the revision of accepted conclusions, theories, or laws in the light of newly discovered facts, or the practical application of such new or revised conclusions, theories, or laws. (Webster, 3d ed)
A late 20th-century philosophical approach or style of cultural analysis that seeks to reveal the cultural or social construction of concepts conventionally assumed to be natural or universal. (from E.R. DuBose, The Illusion of Trust: Toward a Medical Theological Ethics in the Postmodern Age, Kluwer, 1995)
Criminal acts committed during, or in connection with, war, e.g., maltreatment of prisoners, willful killing of civilians, etc.
The interaction of persons or groups of persons representing various nations in the pursuit of a common goal or interest.
Promotion and protection of the rights of children; frequently through a legal process.
A historical and cultural entity dispersed across the wide geographical area of Europe, as opposed to the East, Asia, and Africa. The term was used by scholars through the late medieval period. Thereafter, with the impact of colonialism and the transmission of cultures, Western World was sometimes expanded to include the Americas. (Dr. James H. Cassedy, NLM History of Medicine Division)
Research that involves the application of the behavioral and social sciences to the study of the actions or reactions of persons or animals in response to external or internal stimuli. (from American Heritage Dictionary, 4th ed)
Activities concerned with governmental policies, functions, etc.
The protection of animals in laboratories or other specific environments by promoting their health through better nutrition, housing, and care.
Programs in which participation is not required.
Programs in which participation is required.
Groups set up to advise governmental bodies, societies, or other institutions on policy. (Bioethics Thesaurus)
Research into the cause, transmission, amelioration, elimination, or enhancement of inherited disorders and traits.
Attitudes of personnel toward their patients, other professionals, toward the medical care system, etc.
Writings having excellence of form or expression and expressing ideas of permanent or universal interest. The body of written works produced in a particular language, country, or age. (Webster, 3d ed)
A plan for collecting and utilizing data so that desired information can be obtained with sufficient precision or so that an hypothesis can be tested properly.
Testing in which the source of the specimen or the person being tested is not individually identified.
The expected function of a member of a particular profession.
The expected function of a member of the medical profession.
The doctrines and policies of the Nazis or the National Social German Workers party, which ruled Germany under Adolf Hitler from 1933-1945. These doctrines and policies included racist nationalism, expansionism, and state control of the economy. (from Columbia Encyclopedia, 6th ed. and American Heritage College Dictionary, 3d ed.)
Confidence in or reliance on a person or thing.
Works about pre-planned studies of the safety, efficacy, or optimum dosage schedule (if appropriate) of one or more diagnostic, therapeutic, or prophylactic drugs, devices, or techniques selected according to predetermined criteria of eligibility and observed for predefined evidence of favorable and unfavorable effects. This concept includes clinical trials conducted both in the U.S. and in other countries.
Tissue, organ, or gamete donation intended for a designated recipient.
The social process by which something or someone comes to be regarded and treated as an article of trade or commerce.
Persons as individuals (e.g., ABORTION APPLICANTS) or as members of a group (e.g., HISPANIC AMERICANS). It is not used for members of the various professions (e.g., PHYSICIANS) or occupations (e.g., LIBRARIANS) for which OCCUPATIONAL GROUPS is available.
Planning for the equitable allocation, apportionment, or distribution of available health resources.
Human females who are pregnant, as cultural, psychological, or sociological entities.
The act, process, or an instance of narrating, i.e., telling a story. In the context of MEDICINE or ETHICS, narration includes relating the particular and the personal in the life story of an individual.
The evaluation by experts of the quality and pertinence of research or research proposals of other experts in the same field. Peer review is used by editors in deciding which submissions warrant publication, by granting agencies to determine which proposals should be funded, and by academic institutions in tenure decisions.
The act of deceiving or the fact of being deceived.
A course or method of action selected, usually by an organization, institution, university, society, etc., from among alternatives to guide and determine present and future decisions and positions on matters of public interest or social concern. It does not include internal policy relating to organization and administration within the corporate body, for which ORGANIZATION AND ADMINISTRATION is available.
The attempt to improve the PHENOTYPES of future generations of the human population by fostering the reproduction of those with favorable phenotypes and GENOTYPES and hampering or preventing BREEDING by those with "undesirable" phenotypes and genotypes. The concept is largely discredited. (McGraw-Hill Dictionary of Scientific and Technical Terms, 6th ed)
Association with or participation in an act that is, or is perceived to be, criminal or immoral. One is complicitous when one promotes or unduly benefits from practices or institutions that are morally or legally suspect.
A massive slaughter, especially the systematic mass extermination of European Jews in Nazi concentration camps prior to and during World War II.
The state of being free from intrusion or disturbance in one's private life or affairs. (Random House Unabridged Dictionary, 2d ed, 1993)
The internal individual struggle resulting from incompatible or opposing needs, drives, or external and internal demands. In group interactions, competitive or opposing action of incompatibles: antagonistic state or action (as of divergent ideas, interests, or persons). (from Merriam-Webster's Collegiate Dictionary, 10th ed)
"The business or profession of the commercial production and issuance of literature" (Webster's 3d). It includes the publisher, publication processes, editing and editors. Production may be by conventional printing methods or by electronic publishing.
Accountability and responsibility to another, enforceable by civil or criminal sanctions.
Indifference to, or rejection of, RELIGION or religious considerations. (From Merriam-Webster's Collegiate Dictionary, 10th ed)
The right of the patient or the patient's representative to make decisions with regard to the patient's dying.
A collective expression for all behavior patterns acquired and socially transmitted through symbols. Culture includes customs, traditions, and language.
The process by which decisions are made in an institution or other organization.
A social science dealing with group relationships, patterns of collective behavior, and social organization.
The moral and ethical bases of the protection of animals from cruelty and abuse. The rights are extended to domestic animals, laboratory animals, and wild animals.
A health professional's obligation to breach patient CONFIDENTIALITY to warn third parties of the danger of their being assaulted or of contracting a serious infection.
Educational institutions for individuals specializing in the field of medicine.
Individuals licensed to practice medicine.
Financial support of research activities.
Refusal of the health professional to initiate or continue treatment of a patient or group of patients. The refusal can be based on any reason. The concept is differentiated from PATIENT REFUSAL OF TREATMENT see TREATMENT REFUSAL which originates with the patient and not the health professional.
Groups of persons whose range of options is severely limited, who are frequently subjected to COERCION in their DECISION MAKING, or who may be compromised in their ability to give INFORMED CONSENT.
Societies whose membership is limited to physicians.
The largest country in North America, comprising 10 provinces and three territories. Its capital is Ottawa.
Written or other literary works whose subject matter is medical or about the profession of medicine and related areas.
Branch of medicine concerned with the prevention and control of disease and disability, and the promotion of physical and mental health of the population on the international, national, state, or municipal level.
Agreements between two or more parties, especially those that are written and enforceable by law (American Heritage Dictionary of the English Language, 4th ed). It is sometimes used to characterize the nature of the professional-patient relationship.
Time period from 1901 through 2000 of the common era.
Individuals enrolled in a school of medicine or a formal educational program in medicine.
The informal or formal organization of a group of people based on a network of personal relationships which is influenced by the size and composition, etc., of the group.
The application of scientific knowledge to practical purposes in any field. It includes methods, techniques, and instrumentation.
Conceptual response of the person to the various aspects of death, which are based on individual psychosocial and cultural experience.
A self-governing territory formed from the central and eastern portions of the Northwest Territories. It was officially established April 1, 1999. The capital is Iqaluit.
An organized procedure carried out by a select committee of professionals in evaluating the performance of other professionals in meeting the standards of their specialty. Review by peers is used by editors in the evaluation of articles and other papers submitted for publication. Peer review is used also in the evaluation of grant applications. It is applied also in evaluating the quality of health care provided to patients.
Medical and nursing care of patients in the terminal stage of an illness.
Former state in north central Germany. Formally abolished March 1, 1947. Kingdom established 1701.
Organized efforts to insure obedience to the laws of a community.
Use for general articles concerning nursing education.
The collection, writing, and editing of current interest material on topics related to biomedicine for presentation through the mass media, including newspapers, magazines, radio, or television, usually for a public audience such as health care consumers.
Time period from 1801 through 1900 of the common era.
Predetermined sets of questions used to collect data - clinical data, social status, occupational group, etc. The term is often applied to a self-completed survey instrument.
Expectation of real uncertainty on the part of the investigator regarding the comparative therapeutic merits of each arm in a trial.
Patient or client refusal of or resistance to medical, psychological, or psychiatric treatment. (APA, Thesaurus of Psychological Index Terms, 8th ed.)
The study of the social determinants and social effects of health and disease, and of the social structure of medical institutions or professions.
Exploitation through misrepresentation of the facts or concealment of the purposes of the exploiter.
The units based on political theory and chosen by countries under which their governmental power is organized and administered to their citizens.
The human being as a non-anatomical and non-zoological entity. The emphasis is on the philosophical or artistic treatment of the human being, and includes lay and social attitudes toward the body in history. (From J. Cassedy, NLM History of Medicine Division)
The Christian faith, practice, or system of the Catholic Church, specifically the Roman Catholic, the Christian church that is characterized by a hierarchic structure of bishops and priests in which doctrinal and disciplinary authority are dependent upon apostolic succession, with the pope as head of the episcopal college. (From Webster, 3d ed; American Heritage Dictionary, 2d college ed)
The condition in which reasonable knowledge regarding risks, benefits, or the future is not available.
Criteria and standards used for the determination of the appropriateness of the inclusion of patients with specific conditions in proposed treatment plans and the criteria used for the inclusion of subjects in various clinical trials and other research protocols.
The interchange of goods or commodities, especially on a large scale, between different countries or between populations within the same country. It includes trade (the buying, selling, or exchanging of commodities, whether wholesale or retail) and business (the purchase and sale of goods to make a profit). (From Random House Unabridged Dictionary, 2d ed, p411, p2005 & p283)
BMC Medical Ethics. 16 (1): 16:69. doi:10.1186/s12910-015-0063-3. PMC 4603687. PMID 26459219. (Open Access) "European Patients ... patient participation is also often used to include the participation of patient groups, patient advocates, and patients ... By engaging with patients and patient advocacy groups, policymakers can support patients to shape public policy. Examples ... High-touch Interactive patient care Patient portal PatientsLikeMe Patient-Centered Outcomes Research Institute Peer support § ...
In the case of euthanasia, the patient, or relatives of a patient, may want to end the life of the patient. Also, the patient ... Applied ethics Bioethics The Citadel Clinical Ethics Clinical governance Do not resuscitate Empathy Ethical code Ethics of ... ethics Nursing ethics Patient abuse Philosophy of Healthcare Political abuse of psychiatry Project MKULTRA Research ethics ... "Principles of Biomedical Ethics". Principles of Biomedical Ethics. 7. Weise, Mary (2016). "Medical Ethics Made Easy". ...
VERMONT ETHICS NETWORK. 61 Elm Street, Montpelier VT 05602. 802-828-2909 , Email » ...
Ethics toolkit for medical students When police request access to patient records. Location: England Wales Northern Ireland ... It can be set to one side where the patient consents to a disclosure, where it is necessary in the public interest or where ... A police officer arrives at your practice requiring urgent access to your patient records. There has been a violent rape in the ... In this instance it would be entirely unrealistic to seek consent from all the patients on your list. The prosecution and ...
... emphasizing the principles of medical ethics, has been kept simple and brief, and it is hoped that it will make interesting ... This volume, emphasizing the principles of medical ethics, has been kept simple and brief, and it is hoped that it will make ... other healthcare professionals find important medical information so that they can make critical decisions to improve patient ...
Patients cultural, religious, and social norms deserve respect, but some decisions effects on patients outcomes can be ... Shared decision making honors patient autonomy, particularly for preference-sensitive care decisions and even when patients ... When a Patient Regrets Having Undergone a Carefully and Jointly Considered Treatment Plan, How Should Her Physician Respond? ... Whether a patients decisional regret constitutes a failure of shared decision making can depend on how a decision was made. ...
Tag Archives: Patient Ethics Church History, Faith, News Bishop Gracida and the Magisterium of the Church on Patients rights ... Bomber GroupCatholic TeachingFood and HydrationJohn Paul IIMagisterium of the ChurchMedical EthicsPatient EthicsPatients ... The Declaration says "account will have to be taken of the reasonable wishes of the wishes of the patient and the patients ... 3. Faced with patients in similar clinical conditions, there are some who cast doubt on the persistence of the "human quality" ...
... to allow withdrawal of breathing machines should doctors provide long-term support in an intensive care unit for a patient who ... by Dominic Wilkinson If a patients family refuse ... Ethics, Euthanasia and Assisted Suicide, Health, Medical ethics ... either that it would be harmful to the patient, or that it would harm other patients by preventing them from accessing a scarce ... Patients in PVS do not appear to be able to perceive pain. Even if Joseph were able to experience pain, it would and should be ...
Patients from Rugby and the surrounding areas are able to access the Friends Blood Taking Unit at the Hospital of St Cross. ... Research Tissue Bank Ethics Approval. Arden Tissue Bank has been granted ethical approval by the HRA- Research Ethics Service. ... All Other Patients. All blood test clinics and waiting areas have been adapted so that social distancing can be maintained. ... Patients are also able to leave other samples, such as urine, which have been collected at home, at the hospitals Pathology ...
Ethics statements. Patient consent for publication. Not required.. References. *↵. * * Krisberg K , * Verga D ...
Code of Medical Ethics: Patient-physician relationships Doctor-patient relationships are strengthened by the practice of ... There are two FAQs, one designed to answer patients questions, and another to address physicians COVID-19 vaccine questions. ... Conflict resolution is an important part of working with patients and peers. Learn how medical students can get started in ... Read about six things doctors wish patients knew about flying during the pandemic. ...
Code of Medical Ethics: Patient-physician relationships Doctor-patient relationships are strengthened by the practice of ... "Patients shouldnt have to worry about conducting a self-diagnosis while wondering whether their insurer will cover the care ... "This new policy will mean that patients experiencing emergencies will not go to the ER because of fear of a bill, and could die ... "Physicians know that patients and caregivers should never second guess their instincts that emergency care is needed, nor ...
Borderline case: ethics of patient care July 22, 2021. /in Homework Essay Help /by admin. .awasam-promo { background-color: # ... For this assignment, you will be applying defining attributes to an actual patient case. Please listen to the NPR podcast, If ...
Ethics statements. Patient consent for publication. Not required.. Ethics approval. The data used in this study reflect ... Nonetheless, ethical approval was sought and approved by the Regional Ethics Board in Uppsala (DNR 2018/480, with addendum (DNR ... 20 We used age-specific and municipality-specific data from the Swedish National Patient Register21 between the periods 2008 ... which are exempt from the need for ethical approval according to the Swedish law of research ethics. ...
The Ethics Service is staffed around the clock, and anyone associated with a patients care can request an ethics consultation ... patient and family. The Ethics Service also holds ethics rounds, regular discussions of ethical issues that come up on a unit ... Ethics Service Provides Support for Difficult Patient Care Decisions Martha Jurchak, PhD, RN, executive director, Office of ... Why are ethical issues in patient care so difficult?. Ethics is about the questions of whats right or good to do. We all want ...
Legal Ethics, Patients Rights, and HIV / AIDS Home Blog Legal Ethics, Patients Rights, and HIV / AIDS ... Assignment 3: Legal Ethics, Patients Rights, and HIV / AIDS. As the head health care administrator at USA Community Hospital, ... patient review registries, and standard procedures surrounding the ethical treatment of patients with HIV / AIDS. ... Devise a plan to investigate the validity of patients claims of denial of services. This plan should include, but not be ...
Information page for the Centre for Patient Reported Outcome Research (CPROR), at the University of Birmingham. ... Global Ethics Birmingham academics work on major issues in international ethics and global justice and train the next ... enhance patient care and outcomes and ensure that the patient perspective is at the heart of health research and NHS decision- ... Centre for Patient Reported Outcomes Research Launch date announced: 15th November 2016.. ...
Ethics statements. Patient consent for publication. Not required.. Ethics approval. The study was reviewed and approved by the ... Patient and public involvement Patients and/or the public were not involved in the design, or conduct, or reporting, or ... Patient and public involvement. Patients or the public were not involved in the design, or conduct, or reporting, or ... Qatar University Institutional Review Board (Research Ethics Approval No is QU-IRB 1188 E-2019). ...
Ethics statements. Patient consent for publication. Not required.. Ethics approval. Ethical approval was obtained from The ... Symptom relief is possible in elderly dying COVID-19 patients: a national register study. J Palliat Med 2021;24:514-9.doi: ... Patient and public involvement. As part of a larger research programme on user involvement in research,29 the research ...
... the University of Birmingham has launched aiming to better understand the immune response to COVID-19 vaccinations in patients ... Global Ethics Birmingham academics work on major issues in international ethics and global justice and train the next ... "Patients with significant underlying diseases were generally excluded from COVID-19 vaccine studies to date - it is now ... The OCTAVE study will give us invaluable new data to help us answer questions of this kind from our patients and their families ...
Patient and public involvement. No patients were involved in the study design. Our proposal centres on a review of published ... Ethics and dissemination Formal ethics training for this study is not required, as the research team will review publicly ... Ethics and dissemination. As this is a systematic review of publicly available literature, ethics training is not warranted. As ... literature and will not involve the recruitment or assessment of individual patients by our team. ...
... multicenter study comparing the efficacy of DCC-2618 to sunitinib in GIST patients who progressed on or were intolerant to ... ACTRN/NCT /ethics:. NCT03673501. Scientific title:. A Study of DCC-2618 vs Sunitinib in Advanced GIST Patients After Treatment ... multicenter study comparing the efficacy of DCC-2618 to sunitinib in GIST patients who progressed on or were intolerant to ...
See All Available CME and Ethics Courses. As part of your TMA membership, hundreds of CME and ethics hours are now available at ... What could a TMA membership mean for you, your practice, your profession, and your patients?. Join TMA Now ... credits may be earned in formal and informal CME activities of which two credits in formal CME must be designated for ethics ...
The ethics and legalities of physicians performing overlapping surgeries were thrust into the headlines with a Boston Globe ... The Ethics of Overlapping Surgery: Do Patients Have the Right to Know? Janissa Delzo ... Close more info about The Ethics of Overlapping Surgery: Do Patients Have the Right to Know? ... Close more info about The Ethics of Overlapping Surgery: Do Patients Have the Right to Know? ...
A question of ethics By Rob Holbert Is Mobile fighting a lost cause? By Ashley Trice ... Patients should remain in their cars with the windows rolled up.. *To confirm identity, patients will be asked for their ... USA Health tests over 1,000 patients for COVID-19 in first two weeks Posted by Ron Sivak , Apr 22, 2020 , The Real Deal , 0 , ... An information sheet will be provided on how to sign up via the USA Health patient portal to view test results. Those who test ...
Patient Safety Ethics. CE Credits: 1.5. Member: $99.00. Non-Member: $199.00. Can We Talk? Communication Gaps Cause Patient Harm ... Patient Safety and the Obesity Epidemic: How to Tackle the Risks of an Expanding Patient Population. CE Credits: 1.5 ... Patient Care During a Pandemic: What a Risk Manager Sees as a Patient During COVID-19. CE Credits: 1 ... Direct Care Nurses and Support Staff Thoughts and Feelings about the Reasons Patients Fall at a Cancer Center. CE Credits: 1 ...
Ethics and Society. Fordham Universitys Dr. Celia Fisher on Patient-Provider Communications with Gay Teens Image via Fordham ... Published by Ethics and Society. This is the blog of the Fordham University Center for Ethics Education. The Center was ... THE ETHICS AND SOCIETY BLOG. Ethical Analysis & News from the Fordham University Center for Ethics Education. ... consent Justice LGBT LGBT Ethics LGBT youth Medical ethics Morality Politics Public Health Racism Research Research Ethics ...
Ethics approval and consent to participate. Not applicable.. Patient consent for publication. Not applicable. ... Covid-19 in critically Ill patients in the seattle region-case series. N Engl J Med. 382:2012-2022. 2020.PubMed/NCBI View ...
Digital Environmental Sustainability Ethics * Rethinking Ethics and History in Global Health * Rethinking Justice and ... Research on medical practices: Why patients consider participating and the investigational misconception ... Research on medical practices: Why patients consider participating and the investigational misconception ...
Learn how we are healing patients through science & compassion Back * Research *Basic science departments ... and appreciates the many contributions of the Stanford Center for Biomedical Ethics; the School of Medicine; the Iris & B. ...
We have had guidelines sanctioning the withdrawal of nutrition and hydration from patients if this is judged by their doctors ... Presumed consent further undermines medical ethics BMJ 2000; 321 :1023 doi:10.1136/bmj.321.7267.1023/a ... Presumed consent further undermines medical ethics. BMJ 2000; 321 doi: (Published ...
... Gabriele Rutzen Presse und Kommunikation. Universität zu Köln ... Guter Patient - gluecklicher Patient Schizophreniepatienten sind mit ihrem Leben nicht unzufrieden. Das Lebensgefuehl der ... Es gibt Therapiemoeglichkeiten, die jedoch nur helfen koennen, wenn der Patient bereit ist, sich auf die Behandlung einzulassen ... Philosophy / ethics [i]. *. Physics / astronomy [i]. *. Politics [i]. *. Psychology [i]. *. Religion [i]. ...
  • The relationship between a patient and a physician is based on trust, which gives rise to physicians' ethical responsibility to place patients' welfare above the physician's own self-interest. (
  • But physician responses to Medscape's 2012 ethics survey clearly indicate that many physicians aren't willing to condemn every romance. (
  • A handful of respondents note that an amorous relationship with a patient might be allowable for physicians in rural areas, where everyone's a patient, but such ethicists as Dr. Goodman are less sympathetic and advise country doctors to "find someone in the next town over," rather than muddy the legal and ethical waters. (
  • It states that when treating patients, physicians will "First do no harm. (
  • By May of 2001 it had grown to include 2800 registrants, with some 550 physicians having registered one or more patients in the Program. (
  • Should a patient and family be allowed to demand continued medical or surgical care when the physicians believe that the patient will not benefit from further attempts at curative therapy? (
  • The Ethics Committee reviewed the medical case and interviewed the physicians caring for WB. (
  • Physicians arguably have the responsibility to maximize the well-being of not only their patients, but also society at large. (
  • Informed consent is a basic policy in both ethics and law that physicians must honor, unless the patient is unconscious or otherwise incapable of consenting and harm from failure to treat is imminent. (
  • Physicians should sensitively and respectfully disclose all relevant medical information to patients. (
  • Physicians need not communicate all information at one time, but should assess the amount of information that patients are capable of receiving at a given time and present the remainder when appropriate. (
  • The AMA Code of Medical Ethics offers guidance about physicians' responsibilities to patients who request clinically inappropriate interventions. (
  • and b) whether physicians, nurses, social workers, and patients/families agree that ethics consultations in the ICU are beneficial in addressing treatment conflicts. (
  • Likert scale and commentary responses were recorded to structured and open-ended interviews with the responsible physicians, nurses, social workers, and families of patients assigned to the intervention arm within 1 month after the patient's death or hospital discharge. (
  • The codes ensure uniform language for medical services and procedures, physicians tell a federal court in a brief, and other uses erode patient trust. (
  • This means physicians must work with patients to define successful outcomes and provide important information to ensure patients can make appropriate decisions. (
  • But in shared decision-making, what exactly should be communicated between physicians and patients? (
  • Explore the AMA Journal of Ethics for articles, podcasts and polls that focus on ethical issues that affect physicans, physicians-in-training and their patients. (
  • In clinical ethics, respect for the autonomy of the patient signifies that physicians' judgments about how to benefit their patients should never ignore or override the preferences of those patients. (
  • As a moral principle, respect for autonomy is a "two-way street": the autonomy of physicians to act only on their best judgment about how best to benefit a patient medically, must also be respected. (
  • While physicians must always respect the autonomy of their patients, in practice, many forces may obstruct and limit the ability of patients to express their preferences. (
  • End-of-life decision making is difficult, especially for patients with chronic disease, because throughout their progressive deterioration, physicians find it difficult to identify the end-stage moment leading to death [1], even though chronically ill patients less frequently receive palliative support despite a worse prognosis than patients with cancer [2]. (
  • As in many other countries, in Switzerland, in 2013, an obligation for physicians to respect advance directives and the possibility for patients not deemed competent to be represented was introduced into the Civil Code. (
  • However, many physicians ignore the fact that this law does not imply that a patient or relative has the right to require a treatment considered not medically indicated. (
  • Internal physicians aim at allowing patients to regain their pre-hospital quality of life. (
  • Intensive care physicians are expected to identify patients who will benefit from ICU treatment and, because of the costs this treatment, have the moral obligation to undertake end-of-life discussion in order to promote a fair allocation of resources. (
  • Ethicists, physicians, and patient groups have raised concerns about this type of legislation at the state and national levels given its implications for patients and the FDA's public health mission. (
  • Paternal medicine is a phrase with many meanings, perhaps too many to be truly useful, but Jauhar captures it in a quote from the mid-1800s American Medical Association code of ethics citing physicians' "sacred duty (to) avoid all things which have a tendency to discourage the patient and depress his spirits. (
  • Historically, Western medical ethics may be traced to guidelines on the duty of physicians in antiquity, such as the Hippocratic Oath, and early Christian teachings. (
  • The same test had shown last year that nearly half of early-stage breast cancer patients, who met traditional criteria for high risk, could safely skip chemotherapy based on the biological makeup of their tumors. (
  • The Karmanos Cancer Institute/Karmanos Cancer Center's (KCI/KCC) Ethics Committee is an advisory body with a broad, multidisciplinary composition whose purpose is to facilitate the discussion and resolution of ethical issues arising in patient care. (
  • The goal of the Ethics Committee is to improve health care delivery and patient outcomes through recognition of the needs, interests, and rights of patients and of all participants in the delivery of health care. (
  • For general questions about the Ethics Committee, please call 313-576-9700. (
  • a 30-person national ethics committee has been appointed in China to oversee high-risk clinical trials. (
  • Dr. A contacted the Ethics Committee, as no staff member believed that any further medical or surgical intervention would be helpful for the patient, and all were convinced that further intervention could result in increased harm with complex complications. (
  • Dr. A. asked that the Ethics Committee review the case and offer suggestions regarding management. (
  • The chair of the Ethics Committee did not feel that direct intervention by the Ethics Committee was indicated, as members of the medical team intended to meet with the family for a conference the next day. (
  • Abivax receives ANSM and Ethics Committee clearance to te. (
  • and they have to be approved by the Institutional Ethics Committee (IEC) before administration. (
  • Inside the Ethics Committee. (
  • The study project has been approved by the appropriate ethics committee (CPP Sud-Méditerranée). (
  • This study has ethics approval from the Medical Research and Ethics Committee, Ministry of Health Malaysia (NMRR-17-3426-38212). (
  • Ethics and dissemination The study protocol has been approved by the local ethics committee and written informed consent is required from every participant. (
  • When the family of a very ill child is faced with hard choices about appropriate care, the Ethics Committee can help the family reflect on the next step to take. (
  • Community Voices and its affiliate Community Ethics Committee give the multiple communities of Boston a voice in the care they rely on. (
  • nurse and patient, in addition to restricting patient's autonomy. (
  • He summarized the principles of ethics as applied to medicine, the most important being autonomy: the right of a competent adult to choose medical care, to what degree to pursue it--or to discontinue it altogether. (
  • In our society, autonomy is considered the overriding principle in ethics," Brummel-Smith said. (
  • indeed, autonomy is considered one of the four cardinal principles of medical ethics, along with benevolence, nonmalfeasance and justice (2). (
  • The ethics of such "ordinary" breaches of confidence can be explored by considering the patient's autonomy, the patient's best interests, and the public interest in preserving or breaching confidentiality. (
  • Patient autonomy can be supported and ethical problems may be avoided when patients are given as much information as possible about foreseeable information disclosures. (
  • The PCMH model of care aligns well with the traditional principles of medical ethics and professionalism, including the duty to promote the good and act in the best interest of the patient, the duty to do no harm to the patient, and respect for patient autonomy," said David L. Bronson, MD, FACP, president, ACP. (
  • We try to use the simplest terms we can think about and then we leave it to the autonomy of the patients, in this case not even patients, these women, to make the decisions. (
  • Therefore, respect for patient autonomy does not imply that patients have the right to demand inappropriate treatment, or that a physician must accede to any and every request of a patient if it conflicts with the physician's best judgment. (
  • Cardiologist and author Sandeep Jauhar packed a lot into the Times story, not the least of it being an assessment of the consequences of medicine's transition, roughly in the past half-century, from a "Father Knows Best"-style paternalism to heightened respect for patient autonomy. (
  • Medical ethics encompasses beneficence, autonomy, and justice as they relate to conflicts such as euthanasia, patient confidentiality, informed consent, and conflicts of interest in healthcare. (
  • In addition, medical ethics and culture are interconnected as different cultures implement ethical values differently, sometimes placing more emphasis on family values and downplaying the importance of autonomy. (
  • In addition, since the mid 19th century up to the 20th century, physician-patient relationships that once were more familiar became less prominent and less intimate, sometimes leading to malpractice, which resulted in less public trust and a shift in decision making power from the paternalistic physician model to today's emphasis on patient autonomy and self-determination. (
  • Ethics Principles for the Patient's Experience Introduction The purpose of this paper is to provide future healthcare administrators with a comprehensive understanding of patient experiences in real healthcare settings. (
  • ineffective communication that could influence the patient's health and lower patient satisfaction. (
  • The difference between treating a "boo-boo" -- as opposed to a patient's depression or cancer -- can't be overstated, says Kenneth Goodman, PhD, codirector or the University of Miami Ethics Programs. (
  • I highlight two main ethical concerns, specifically that these assessments risk: (1) marginalising patients by setting unattainable ideals for self-knowledge and (2) minimising the patient's own perspective on their mental health. (
  • But sometimes, medical ethics must set limits on a patient's autonomous requests, even in the context of an understandable choice on the patient's part. (
  • Careful consideration of the ethical implications is required before patient information should be shared without the patient's knowledge. (
  • A physician may withhold information from a patient if he believes that he is acting in accordance with the patient's wishes and best interests. (
  • The patient's right of self-decision can be effectively exercised only if the patient possesses enough information to enable an informed choice. (
  • The physician's obligation is to present the medical facts accurately to the patient or to the individual responsible for the patient's care and to make recommendations for management in accordance with good medical practice. (
  • When a parent resists a physician's recommendation for a pediatric patient, physician-parent partnering can promote the patient's best interest and help encourage lifestyle changes. (
  • The primary team schedules a family meeting for the next day with palliative care, patient advocacy, social services, and the patient's wife and two grown children. (
  • Conclusion Health care providers should acknowledge the impact of multiple long-term medicines on patient's daily lives and should make an effort to diminish patients' medication-related burden by improving patient-provider relationships and by providing adequate treatment information incorporating patients' individual circumstances. (
  • Hence, dementia care programmes insist that an identity card with the patient's key details be worn, in case the patient wanders away and is unable to return home or inform people about the location of their home. (
  • The authorization form/letter must be signed and dated by the patient or the patient's guardian/legal representative. (
  • This case clearly raises questions over medical ethics, confidentiality, and justice. (
  • The accepted norms of medical confidentiality are that information can only be disclosed without consent if this is necessary to prevent harm to the patient or others. (
  • Consider the view that since the patient is a murderer (and one who escaped justice), he has forfeited any right to confidentiality. (
  • This view might be appealing to many people, but if the patient might not in fact be a murderer, I think the case for respecting his confidentiality is strengthened. (
  • As it is based on a real case, some details have been changed in the effort to maintain patient confidentiality. (
  • RESEARCH DESIGN AND METHODS FPG, 2h-PG, and HbA 1c were used to screen 4,004 CAD patients without a history of diabetes (age 18-80 years) for dysglycemia. (
  • RESEARCH DESIGN AND METHODS Using a case-control design, 150 CPAP-treated patients with OSA and T2D were randomly selected from The Health Improvement Network (THIN) database (a nationally representative database of patients registered with general practitioners in the U.K.) and matched with 150 OSA and T2D patients from the same database who were not treated with CPAP. (
  • Methods and Results- In a single-center randomized trial, 50 patients with impaired ventricular function were randomly assigned to ONBEAT or ONSTOP. (
  • METHODS We monitored a cohort of 2,929 adult primary care patients with no past history of physician-diagnosed depression and with baseline PHQ-9 scores of 9 or lower by telephone interview at 3, 6, and 12 months. (
  • Methods Patients were derived from the Preconception Counseling in Active RA (PreCARA) cohort. (
  • Methods A prospective cohort of 160 patients and 30 control participants were recruited from a single specialist centre. (
  • On May 30, 2018, President Trump signed into law the federal Right to Try Act of 2017, 1 providing patients with life-threatening conditions a pathway to access investigational drugs without authorization from the Food and Drug Administration (FDA). (
  • Canadian chiropractors are required by their code of ethics to "recognize the limitations of [their] expertise, and when indicated, will recommend to a patient that additional options and services be obtained. (
  • The Code of Ethics was then adapted in 1847, relying heavily on Percival's words. (
  • The CMA Code of Ethics and Professionalism (Code) is a document produced by the Canadian Medical Association. (
  • The CMA Code of Ethics was first published in 1868, and as recently as 2015 was considered by the CMA to be "arguably the most important document produced by the CMA. (
  • The CMA Code of Ethics was updated in 2004. (
  • url= Canada Inc Board of Directors (15 October 1996). (
  • Code of Ethics of the Canadian Medical Association" (PDF). (
  • Conclusions Short term clarithromycin in patients with stable coronary heart disease may cause significantly higher cardiovascular mortality. (
  • CONCLUSIONS The 2h-PG, in contrast to FPG and HbA 1c , provides significant prognostic information regarding cardiovascular events in patients with CAD. (
  • CONCLUSIONS Initiating treatment with CPAP in OSA patients with T2D leads to significantly lower blood pressure and better controlled diabetes and affords a cost-effective use of NHS resources. (
  • Conclusions- The incidence of new irreversible myocardial injury was significantly higher in ONBEAT than in ONSTOP patients. (
  • Conclusions This first study on a modern treatment approach in pregnant patients with RA shows that LDA and remission are an attainable goal during pregnancy, with 90.4% of patients achieving this in the third trimester. (
  • Conclusions Overall, 17.2% of patients had high fear scores, although disease was often well controlled. (
  • Conclusions Patients with stroke admitted out of hours and at weekends or public holidays are less likely to be managed according to current guidelines. (
  • Conclusions A panel of nine CSF biomarkers was able to differentiate APS from patients with PD and dementia. (
  • Conclusions Since NOACs were introduced, there has been an increase in newly diagnosed patients with AF at risk of stroke receiving guideline-recommended therapy, predominantly driven by increased use of NOACs and reduced use of VKA±AP or AP alone. (
  • Survival was significantly impaired in non-alcoholic cirrhosis once ascites occurred ( P = 0.003), whereas ascites did not predict higher mortality in patients with alcoholic cirrhosis. (
  • There were no differences in overall mortality between the control patients and patients receiving ethics consultations. (
  • Objective To determine if the macrolide clarithromycin affects mortality and cardiovascular morbidity in patients with stable coronary heart disease. (
  • To determine whether inflammatory and hemostasis response in patients hospitalized for pneumonia varies by age and whether these differences explain higher mortality in the elderly. (
  • 1,2 In selected patients with heart failure, coronary artery bypass grafting (CABG) improves both symptoms and prognosis 3-8 but is associated with higher mortality, morbidity, and hospitalization costs compared with those with normal ventricular function. (
  • 7-10 These have suggested differences in access to stroke expertise and facilities and also worse outcomes across a range of indicators for patients with stroke admitted at weekends, including increased mortality and a reduction in patients returning to their usual place of residence. (
  • 2 Mortality in patients with AML can result from treatment-related causes, relapse or primary refractoriness. (
  • The mortality rate is approximately 50% in patients aged 60 years or younger and about 80% in patients aged 60 years and above. (
  • We enrolled 474 consecutive patients with brain infarction treated by IT alone at our primary stroke center between January 2011 and August 2017. (
  • We identified from our prospective IVT registry, patients presenting with an acute ischemic stroke to our primary stroke unit, between January 2011 and June 2017. (
  • and the relevant medical facts pertaining to terminally ill patients. (
  • For other terminally ill patients, death with "dignity" may involve refusing any further food or drink. (
  • however, a study a few years ago found that less than 50% of terminally ill patients with cancer at one of the nation's leading cancer centers, Memorial Sloan-Kettering Cancer Center, were approached with discussions about end-of-life issues, such as a DNR (Do Not Resuscitate) order and a Living Will. (
  • Building relationships of trust with patients is fundamental to ethical practice in medicine. (
  • The Patient-Centered Medical Home: An Ethical Analysis of Principles and Practice. (
  • The physician has an ethical obligation to help the patient make choices from among the therapeutic alternatives consistent with good medical practice. (
  • Lay persons' assessments of quality of life for those in a PVS provide assistance for surrogate decision-makers who are confronted with the clinical decision-making for a loved one in a PVS, whereas clinical practice guidelines help health care providers to make decisions with patients and/or families. (
  • This group itself is an achievement, because when 2012 began it didn't exist, but Perry challenged them to practice what the name preaches, and engage actual patients in the deliberations . (
  • 5 Similarly, a large European survey of patients with CHD reported that 89% had been prescribed statins in 2006-2007, 6 while a companion survey in the general practice setting found that 47% of "high-risk" patients with hypercholesterolaemia had been prescribed statins. (
  • The AusHEART study, an Australian general practice survey of risk factor perception and management in 2008, found that 50% of patients with established cardiovascular disease were prescribed a combination of statin, antihypertensive and antiplatelet therapy. (
  • The effect of CPAP treatment in OSA patients with T2D has been little studied in the real clinical practice setting, especially over periods as long as 5 years. (
  • All patients were born a significant period before the mortuary practice of transumption ceased and their estimated incubation periods in some cases exceeded 50 years. (
  • If combined application of HFNC and NIV for preoxygenation of patients with hypoxaemia in the ICU proves superior to NIV preoxygenation, its use will become standard practice, thereby decreasing hypoxaemia during the intubation procedure and potential complications related to intubation. (
  • Medical ethics is an applied branch of ethics which analyzes the practice of clinical medicine and related scientific research. (
  • The practice of Medical Ethics is widely accepted and practiced throughout the world. (
  • It is important that patients and their families have access to impartial and accurate information, and are made aware of uncertainties about possible outcomes when making a decision about trying an experimental treatment. (
  • Improving health outcomes through patient-centered care is one way to build value for stakeholders in health care. (
  • PCORI is the Patient Centered Outcomes Research Institute, a new agency created by the Patient Protection and Affordable Care Act (Obamacare). (
  • 9 None of these outcomes take into account the poor long-term persistence in patients prescribed these and other cardiovascular drugs. (
  • Clinical Outcomes and Cost-effectiveness of Continuous Positive Airway Pressure to Manage Obstructive Sleep Apnea in Patients With Type 2 Diabetes in the U.K. (
  • OBJECTIVE To assess clinical outcomes and cost-effectiveness of using continuous positive airway pressure (CPAP) to manage obstructive sleep apnea (OSA) in patients with type 2 diabetes (T2D) from the perspective of the U.K.'s National Health Service (NHS). (
  • The total NHS cost and outcomes of patient management in both groups over 5 years and the cost-effectiveness of CPAP compared with no CPAP treatment were estimated. (
  • Patients with diabetes on dialysis have worse clinical outcomes and increased psychological burden. (
  • Phase I will seek to document outcomes and needs of the population (patients with DM-ESRD) and seek input on preferred delivery/implementation for the programme. (
  • Objectives In patients with rheumatoid arthritis (RA), high disease activity impairs fertility outcomes and increases the risk of adverse pregnancy outcomes. (
  • Over the last decades, the treatment of RA has evolved: early diagnosis, immediate initiation of disease-modifying antirheumatic drugs (DMARDs), several new approved drugs and a treat-to-target (T2T) approach aiming for remission have resulted in better outcomes for patients. (
  • Ethics and dissemination There was no patient involved in this study, therefore no ethical consideration is needed. (
  • Presented at A version of this paper was presented at the American Society for Bioethics and Humanities Conference and International Conference on Clinical Ethics Consultation, and a later version was presented at Grand Rounds at the University of Washington and University of Kentucky. (
  • The views, opinions and positions expressed by these authors and blogs are theirs and do not necessarily represent that of the Bioethics Research Library and Kennedy Institute of Ethics or Georgetown University. (
  • The Nuffield Council on Bioethics has today published a new briefing note highlighting the ethical issues that can arise when patients and doctors wish to use experimental treatments. (
  • Bioethics is a subsection of ethics, actually a part of applied ethics that uses ethical principles and decision-making. (
  • Could Good Care Mean Withholding Information from Patients? (
  • Issued March 1981, updated November 2006, based on the report "Withholding Information from Patients (Therapeutic Privilege)," adopted June 2006. (
  • and standards of conduct that reflect the organizations commitment to patient-centered care. (
  • It is critical to understand your customers and their points of view regarding their healthcare experiences, because understanding your patients will help you not only provide efficient and quality care, but will also enable you to exceed customer expectations. (
  • Primary Care Physician A then referred Patient A to a medical oncologist, hereinafter referred to as Medical Oncologist A. Medical Oncologist A examined Patient A's cancer conditions and found that, luckily, the cancer was still in stage one. (
  • This issue of Selected Readings in General Surgery ( SRGS ) reviews recent literature on three topics that are important to surgeons but are not covered in depth in the typical organ system-focused SRGS issues-surgical ethics, patient safety, and the business of health care. (
  • The health care community is increasingly focusing on the ethics of medical treatment, especially in light of the rapid spiral in America's aging population. (
  • An assistant professor of family medicine at the USC School of Medicine, he addressed the ethical problems of health care at a seminar recently on "Medical Ethics and the Elderly" at Verdugo Hills Hospital, which sponsored the program in conjunction with the American Society on Aging. (
  • When a patient is described as lacking insight, there are significant implications for patient care and to what extent the patient is trusted as a knower. (
  • Social media in particular can affect how patients interact with doctors and what type of care they expect, Feudtner and colleagues write in an article about ethics in the journal Pediatrics. (
  • Sorrell, J., (November 9, 2012) "Ethics: The Patient Protection and Affordable Care Act: Ethical Perspectives in 21st Century Health Care" OJIN: The Online Journal of Issues in Nursing Vol. 18 No. 1. (
  • The June 2012 Supreme Court decision that upheld the constitutionality of the Patient Protection and Affordable Care Act (PPACA), first enacted in 2010, provides some guidance to states, insurers, employers, and consumers about what they are required to do by 2014, when much of the law comes into force ( White House, n.d. ). (
  • This position paper highlights some of the practical choices and implications of PCMH design and implementation that should be considered to ensure that this model of care becomes a key ingredient in better health care for patients. (
  • As a third-year medical student on an oncology rotation, Isalita has the most time of anyone on the health care team to get to know her patients. (
  • Knowledgeable and responsive patient-centered care in this instance, he thinks, means not telling her about clinical trials. (
  • Although clinical trials are not always designed to benefit study subjects, health care professionals (and clinical researchers) have an obligation to future patients. (
  • However, he warned that those in the health care profession should not surrender, carte blanche, to their patients. (
  • A lack of consensus guidelines or a belief that current evidence does not support such guidelines might be justified if a clinician expresses a commitment to patient-centered care and shared decision making. (
  • In addition, they build on the guideline's conception of shared decision-making and discuss how continued dialysis violates ethical and legal principles of care in patients in a PVS. (
  • A powerful talk on care of the dying, Buddhism, and ethics, she makes the important point that one cannot separate compassion and ethics. (
  • An elderly patient dies from septic shock in the intensive care unit. (
  • PCORI is a new agency, the latest development in decades of work designed to help patients and families get the best possible care. (
  • You can see that CER is the fuel for scientific medicine, to help patients and families get the best care available. (
  • Reliable current information is needed for daily patient care and the health system, but comprehensive data, especially from primary care, are scarce and/or hard to access. (
  • We use chiropractic care for a patient with a sore back as an example, because back pain is such a common problem and chiropracty is a common treatment chosen by both adult and pediatric patients. (
  • The scenario illustrates the responsibilities that complementary and alternative medicine practitioners owe patients/parents, the potential for liability when deficient care harms patients, and the importance of ample formal pediatric training for practitioners who treat pediatric patients. (
  • 4 , 5 Because back pain is such a common problem and chiropracty is a common response, we use it here to illustrate the responsibilities that CAM practitioners have to patients/parents and the potential for liability when deficient care harms patients. (
  • In the introductory article of this supplemental issue of Pediatrics 9 we explain the legal duty of care that health practitioners owe their patients and outline what a plaintiff must prove to succeed in a negligence action. (
  • Impact of ethics consultations in the intensive care setting: a randomized, controlled trial. (
  • Dinkins, C. (May 10, 2011) "Ethics: Beyond Patient Care: Practicing Empathy in the Workplace" OJIN: The Online Journal of Issues in Nursing Vol. 16 No. 2. (
  • Health care providers should consider this medication-related burden on patients when managing chronic conditions. (
  • Health care providers should make an effort to support patients to better integrate long-term medicine use in their daily and social lives. (
  • Duty of care to the undiagnosed patient: Ethical imperative, or just a load of Hogwarts? (
  • Patients who had appointments with members of 2 primary care teams piloting the program between August 2014-2015 were eligible to participate. (
  • Patients and care partners submitted 260 reports. (
  • Patients and care partners who read notes and submitted feedback reported greater engagement and the desire to help clinicians improve note accuracy. (
  • Future efforts to engage patients through the EHR may be guided by what patients value, offering opportunities to strengthen care partnerships between patients and clinicians. (
  • The objective of this study was to estimate the 12-month cumulative incidence and predictors of a positive screen for depressive symptoms on the 9-item Patient Health Questionnare-9 (PHQ-9) among primary care patients with no history of physician-diagnosed depression. (
  • Most hospitals require patients to be accompanied to their destination by a responsible party, such as a family member or a staff member from a care facility, said Dr. Atif Haque , a neurosurgeon at the Fort Worth Brain and Spine Institute in Texas. (
  • The study aims to evaluate the effectiveness of the mental health-based self-management and wellness programme in improving self-efficacy and well-being in primary care patients with diabetes mellitus. (
  • In the emergency setting, the decision-making process is difficult because of lack of information about patients, including personal values and desires regarding the level of care. (
  • The objectives of care should be continuously redirected to the best interest of the patient. (
  • 5 It prompts clinicians to assess in four sections the holistic needs of patient well-being (one section), their informal carers' needs (two sections) with additional prompts for information needs and triage for specialised palliative care. (
  • Even after the current standard of care (maximal safe resection followed by adjuvant chemo-/radiation therapy), the median survival of patients with GBM is only 14.6 months. (
  • h care industry it is necessary for the patients to provide consent for the medication unless the patient is in a life threatening emergency (Pozgar, 2007). (
  • The creation of such a law allows the doctors to take ethical decisions and does not lead to the doctors or medical care providers to be faced with a confusion of ethics versus responsibilities. (
  • "U08d1 Patient Consent and Health Care Ethics" with a personal 20% discount. (
  • Analysts argue that without ethics in health care, there is a likelihood that patients will end up having no basis of proper care and protection in the healthcare systems. (
  • It is as a result of a dire need for patient protection, that health care ethics were devised and are followed to the letter. (
  • In the process, it is expected that the health care professional make the right choices relating to the life and death status of the patient. (
  • to improve the care of patients by promoting research, education, and optimal health care policies and standards. (
  • Mental Health What It Is About, An Insight Into The Nursing Care Of A Depressed Patient. (
  • Oxfordshire Primary Care Trust insisted it is not paying GPs not to refer but to review their practices, and that every patient who needs to be referred to hospital will get an appointment. (
  • Alan Webb, director of commissioning, said the Trust hoped the savings made would go back into patient care. (
  • At Children's Hospital, pain management is a very important part of patient care. (
  • Contacting the Patient Advocate or regis tering a complaint, will not affect your access to care or the quality of future care your child receives. (
  • As doctors," Jauhar writes, "we no longer 'care for' as much as 'care with' our patients. (
  • its insights into race, research ethics and the doctor-patient relationship are a gift to someone like me trying to grasp the privilege of trust in American health care. (
  • Cohort A was for hypothesis generation and consisted of 220 cirrhotic patients. (
  • A large cohort of 1902 early stage invasive breast cancer patients was used to explore the expression of MSK1. (
  • A cohort of eighteen patients with left-sided perisylvian gliomas underwent preoperative nrTMS language mapping twice. (
  • Patients in the PARA cohort were treated according to the standards of that time (2002-2010). (
  • In the PreCARA cohort, 75.4% of the patients were in low disease activity (LDA) or remission before pregnancy increasing to 90.4% in the third trimester, whereas in the PARA cohort, these percentages were 33.2% and 47.3%, respectively. (
  • The patient had a history of another medical event many years ago in another hospital (details not revealed) where she believes she was deceived by medical staff and underwent a procedure that was unnecessary. (
  • Between July 2006 and December 2008, a total of 982 patients with suspected severe injuries underwent single-pass pan-scanning at a metropolitan trauma centre. (
  • The median length of follow-up was 39 (interquartile range 7-490) days, and 474 patients underwent a definitive reference test. (
  • Patients underwent cardiac magnetic resonance imaging for function and delayed hyperenhancement early and later after surgery. (
  • Patients presented with advanced stage of the disease and underwent mandibular resection with no reconstruction (n = 40), reconstruction with plate (n = 41), and reconstruction with flap (n = 39). (
  • Patient consent Not required. (
  • My concern about this paper is that forcing a placebo clause into the consent process and repeating the consent process before each treatment throughout the procedure could harm the patient. (
  • This dogged approach to consent goes beyond informing the patient of risk for a patient who is already highly negatively predisposed. (
  • Obtaining consent from patients is an essential part of joining the ECFS Patient Registry (ECFSPR), as required by the EU General Data Protection Regulation 2016/679. (
  • Please check with your local Data Protection Officer to ensure that these forms meet the ECFSPR requirements or to know if you will need new patient consent forms. (
  • Patient Information Sheet " Template and " Patient Consent Form " Template. (
  • The Patient Information Sheet Template and Patient Consent Form Template must be changed to meet any requirements of your local legal and ethics laws, and translated into your own language. (
  • Patients can only be included in the registry when you have received signed, informed consent from them, or their legal guardian, to do so. (
  • Patients have the right, at any time, to withdraw their consent. (
  • The informed consent is a process by which the physician sensitizes the patient about the nature, procedures, risks benefits, treatment schedules, etc of the study in a language that is non-technical and understandable by the study participant. (
  • When patients require information to decide whether to accept recommended treatments, a question in both law and ethics is whether the same information is adequate whether they consent or refuse, or whether refusal requires more or repeated information. (
  • This paper describes the implementation and refinement of a theory- and research-based Partnership of Consent Protocol that we used for two feeding skills studies involving patients with dementia conducted in the nursing home setting. (
  • Batchelor-Aselage M, Amella E, Zapka J, Mueller M, Beck C. Research with dementia patients in the nursing home setting: A protocol for informed consent and assent. (
  • Bruce CR, Smith ML, McCullough LB. Clarification of the Intent of Ventricular Assist Devices Prior to Patient Consent . (
  • There are also other situations where the patients cannot provide the doctors with consent and these include situations like being a minor and or being incapable of making appropriate decisions for self. (
  • Every individual as a patient has the rights to provide the doctors with a consent to go on with the medication that they will provide. (
  • But what would make a patient consent to such an unproven treatment? (
  • Also, ethics consultations were regarded favorably by most participants. (
  • As a leader in cancer research, Karmanos is able to offer patients access to innovative treatments and clinical trials that are often times not available anywhere else. (
  • To offer hope and longer life to patients with all types of cancer, Karmanos offers the latest types of therapy through our clinical trials program. (
  • Clinical trials, especially in early phases, are designed to help future patients, not the subjects themselves. (
  • Unprecedented volumes of data are being generated through patient records, population studies, clinical trials, imaging and large-scale biological studies such as genomics. (
  • These have to be dealt with before we get to the issue that he brings up almost by accident, namely the ethics of clinical trials in which terminally ill cancer patients are enrolled. (
  • Reuters ) - As more and more sick patients are going online and using social media to search for answers about their health, it's raising a lot of thorny ethical questions for doctors. (
  • An ethics consultation can be initiated by patients, family members, or caregivers. (
  • Data will be collected with in-depth interviews with patients, caregivers and healthcare providers (N=50), and from a questionnaire-based survey (N=170). (
  • Accordingly, euthanasia is contrary to both the law and medical ethics, and should remain so. (
  • This study will also address a number of crucial questions, notably ABX464's ability to prevent the acute respiratory distress syndrome (ARDS) in elderly patients with or without risk factors, in younger patients with risk factors, and secondary impacts of a SARS-CoV-2 infection on pulmonary function. (
  • An elderly patient dies from septic shock on the ICU at your hospital. (
  • XLIF has also been shown to be safe in elderly patients and is said to be superior to open transforaminal lumbar interbody fusion (TLIF) historical controls in terms of complication rate, blood loss, and transfusion rate 10 . (
  • NOACs were more frequently prescribed than VKAs in men, the elderly, patients of Asian ethnicity, those with dementia, or those using non-steroidal anti-inflammatory drugs, and current smokers. (
  • This topic will discuss the ethics, indications, and patient selection for uterus transplantation, an experimental approach to restoring fertility in women with absolute uterine factor infertility. (
  • This project is an extension of Professor Bruce's work on transplantation ethics and decision-making involving mechanical circulatory support devices. (
  • An online survey among 3 target groups (ICU nurses, health science students and non health science students) was performed and results were compared to the answers from transplantation patients to a paper questionnaire. (
  • We provide each patient with a dynamic, carefully constructed treatment plan focused on their specific cancer and their unique needs. (
  • The ultimate decision on medical treatment depends on human issues: What does the patient want or not want? (
  • A placebo clause inflicts a large degree of doubt and negativity for the patient that can cause him or her to abandon a course of treatment that we know from experience is likely to help. (
  • Using three types of experimental treatments as examples: advanced therapies (such as gene and stem cell therapies), surgery, and fertility treatment, the briefing note sets out the ways in which such treatments might be accessed, explains how these treatments are regulated, and summarises some of the ethical issues that patients, families and healthcare professionals need to be aware of. (
  • Ensuring healthcare professionals act responsibly and that any treatment offered to a patient are in their best interests and not driven by other incentives. (
  • The patient and family demanded further treatment and also insisted that all involved consultants meet with them later that week to confirm for them that the patient had cancer. (
  • In order to justify the administration of unproven treatment modalities and the procedure of randomization, which might expose subjects to risk, the research ethics community has invoked the concept of clinical equipoise, whereby the efficacy or superiority of each trial arm is legitimately unknown [1]. (
  • In addition, convenient oral dosing (one capsule per day) allows for early treatment of hospitalized as well as non-hospitalized patients. (
  • The AMA Code of Medical Ethics' opinions on informing patients about treatment options. (
  • The patient should make his or her own determination about treatment. (
  • When making a decision on whether to employ technologies in treatment that prolong life, Jennings said the question should first be asked whether a patient wants to consider living under the conditions presented by the treatment. (
  • His answer to the quandary was this: "Treatment that is unduly burdensome (to the patient) may be ethically forgone. (
  • This preliminary study aimed to compare the effects of a simulation public speaking test (SPST) on healthy control (HC) patients and treatment-naïve SAD patients who received a single dose of CBD or placebo. (
  • Seventy-four patients in whom value-based treatment conflicts arose during the course of treatment. (
  • Refusals of recommended treatment can carry increased risks for patients' well-being and so require more emphatic disclosure without imposing pressure. (
  • Patients do not always understand their diagnoses or treatment options. (
  • When a Patient Regrets Having Undergone a Carefully and Jointly Considered Treatment Plan, How Should Her Physician Respond? (
  • The STO-3 low-risk trial included 1,780 lymph-node-negative patients with tumors less than or equal to 3 centimeters in diameter, randomized to two years of adjuvant tamoxifen (40 mg. daily) versus no adjuvant treatment. (
  • It is now impossible to perform an ethical randomized controlled trial of CPAP versus no treatment in patients with OSA over a long period. (
  • When there are medical indications for treatment, a physician should propose a treatment plan that a patient may accept or refuse. (
  • Groups who may warrant greater treatment attention include women, patients with multimorbidity, smokers, patients with recent high rates of medical consultations, and those who are from lower-income households or who have a family history of depression. (
  • The aim of this study was to determine the feasibility of a modern treatment approach, including treat-to-target (T2T) and the prescription of tumour necrosis factor (TNF) inhibitors, in patients with RA with a wish to conceive or who are pregnant. (
  • however, it is not known how many patients require treatment with TNF inhibitors during pregnancy. (
  • In such cases the doctors are allowed to take the decision and to conduct the best possible treatment for the patient to help remove the patient from any situation threatening the life. (
  • If a doctor does not provide a certain treatment, it is simply because it could have severe repercussions and could also lead to the loss of life of the patient. (
  • In a variety of schemes, which differ from region to region, General Practitioners (GPs) are said to have been offered unprecedented cash incentives for deciding not to refer a patient for specialist treatment. (
  • Many patients are referred for further investigation rather than treatment and it would be incredibly dangerous if these patients failed to get hospital appointments simply because GPs decided they weren't sure if a referral was strictly necessary. (
  • CPAP treatment reduced cholesterol, insulin and the HOMA index and increased IGF-1 levels in patients with EDS, but did not modify any of these variables in patients without EDS. (
  • Method and analysis We will conduct a systematic review of randomised controlled trials that investigate the effect and safety of GO for the treatment of patients with AML. (
  • Furthermore, most of the therapies used for terminal cancer patients at MSKCC are not EBM, because there hasn't been enough time to study the efficacy of these therapies, or perhaps because these "conventional" doctors have decided that there is little "harm" that can be done with potentially toxic chemotherapy if the person is going to die anyway (as long as the patient consents to a potentially toxic, life-threatening treatment. (
  • Medical ethics is particularly relevant in decisions regarding involuntary treatment and involuntary commitment. (
  • Oversight of these medical technologies aims to counter the perception of weak ethics governance many believe led to the controversial "CRISPR babies" program. (
  • Dr. R remained involved in discussions with the patient, and a follow-up appointment was scheduled for WB to be seen after discharge. (
  • The Centers for Medicare and Medicaid Services mandate that an anticipated discharge plan be documented before a patient is admitted to an inpatient rehabilitation facility [1]. (
  • However, ethics consultations were associated with reductions in ICU hospital days and life-sustaining treatments in those patients who ultimately failed to survive to discharge. (
  • This is not the way we discharge our patients. (
  • Even the field of medical ethics is mired in controversy. (
  • The field of medical ethics encompasses both practical application in clinical settings and scholarly work in philosophy, history, and sociology. (
  • Results 6977 patients with chronic kidney disease and newly diagnosed atrial fibrillation were identified, of whom 2434 were on anticoagulants within 60 days of diagnosis and 4543 were not. (
  • We warn the patient of the possible risks of surgery and try to set reasonable expectations. (
  • The influence of online information - the availability of online information about experimental treatments can empower patients, but might fail to alert patients to the limits or risks of experimental treatments. (
  • Benefits of using large patient and population datasets include development of more effective diagnostics and treatments, identification of public health risks, insights into causes of disease and improvements in health services. (
  • By allowing researchers access to the information contained within medical records, patients contribute towards understanding the causes of disease, developing new and better medicines and identifying new public health risks such as outbreaks of infection. (
  • The study will include robust procedures for patient selection, randomization against placebo and study monitoring as well as data collection, management, and statistical analysis. (
  • This study examined the ability of the extreme lateral interbody fusion (XLIF) procedure to restore coronal and sagittal alignments for patients with adult spinal deformity (ASD) using computed tomography multiplanar reconstruction (CT-MPR). (
  • This study evaluated the alignment improvement effect of stand-alone XLIF in ASD patients using CT-MPR. (
  • Objective The aim of this study was to explore the impact of cardiovascular medication on different daily life aspects and to examine differences of these aspects between adherent and non-adherent patients. (
  • Method In this cross-sectional study patients (≥ 45 years) using cardiovascular medication participated. (
  • The aim of the present study was to explore the impact of chronic cardiovascular medication use on different aspects of patients' daily lives and to examine the differences of these aspects between adherent and non-adherent patients. (
  • The main objective of this study was to investigate the perceptions of healthcare professionals in a tertiary university hospital about oral 3D-printed medicines for pediatric patients by means of focus group discussions. (
  • This study explored the prognostic value of these screening tests in patients with coronary artery disease (CAD). (
  • A molecular test can pinpoint which patients will have a very low risk of death from breast cancer even 20 years after diagnosis and tumor removal, according to a new clinical study led by UC San Francisco in collaboration with colleagues in Sweden. (
  • As such, they collaborated with the Stockholm breast cancer study group (STO), to evaluate patients who have been tracked for decades and were part of a randomized clinical trial of tamoxifen vs no systemic therapy. (
  • Of this group, 115 477 patients (42%) had not received any LLD during the study period. (
  • Lastly, a patient-derived melanoma-specific monoclonal antibody was selected for further study. (
  • We designed the PATRES (Pan-Scan for Trauma Resuscitation) study to assess the accuracy of the pan-scan in detecting injuries to different body regions in patients with suspected major blunt trauma. (
  • In this study, we included data from 1000 consecutive patients with blunt trauma who were transferred directly from the scene to the emergency department of our institution, a metropolitan trauma centre, between July 2006 and November 2008. (
  • Therefore, comparing nonrandomly allocated patients, with maximal attempts to control for the inevitable baseline differences, is the best study design that can be used. (
  • This preliminary study aims to examine FR in glioma patients by nrTMS. (
  • The download introduction to medical ethics patients presents indeed from met, for home the 15th study climate flagged visually helped by MacLean et al. (
  • This prospective study aimed to establish a population pharmacokinetics model for LTG in Chinese patients with epilepsy and to investigate the effects of genetic variants in uridine diphosphate glucuronosyltransferase (UGT) 1A4, UGT2B7, MDR1, ABCG2, ABCC2, and SLC22A1, as well as non-genetic factors, on LTG pharmacokinetics. (
  • The study population consisted of 89 patients with epilepsy, with 419 concentrations of LTG. (
  • This cross-sectional study aimed to assess and compare quality of life in patients with advanced oral cavity tumors after mandibular resection in 3 groups (no reconstruction, reconstruction with plate, and reconstruction with flap) at the Cancer Institute, affiliated to Tehran University of Medical Sciences. (
  • All 120 patients were entered into the study. (
  • This article describes the analysis and interpretation of data relating to the presence of cadmium, lead, mercury and fluoride in human bone samples obtained from cadavers of patients dying of Chronic Kidney Disease of uncertain aetiology (CKDu) in a case-control study, which the authors believe to be the first in Sri Lanka. (
  • The study aims to explore needs of patients and develop an intervention to enable people with diabetes and ESRD to better manage both their conditions. (
  • Results 309 patients with RA were included in the PreCARA study, 188 children were born. (
  • A cross-sectional validation study was performed including patients diagnosed with RA or axSpA. (
  • A review by the New Zealand Health and Disability Ethics Committees advised that that its approval was not required for this study. (
  • We included in the study 44 male patients with OSAS (22 with EDS and 22 without EDS). (
  • students of non-health science related courses n = 483) were analysed and data were compared to 80 manually filled-in responses from patients from a previous study. (
  • Even though Hospital A holds the reputation of being one of the best hospitals in town, Patient A had never been hospitalized before and she felt very scared and anxious about her upcoming surgery. (
  • Brummel-Smith concurred, referring to data showing only 26% of hospitals with ethics committees as recently as two years ago. (
  • In an audacious move, the public health system in the UK is to offer monetary rewards to doctors for keeping patients away from hospitals. (
  • We are a diverse, Boston-based group of citizens providing feedback on medical ethics policies to the Harvard teaching hospitals. (
  • When family and/or patient desires do not agree with the physician's recommendations. (
  • Patients have the right to freely accept or reject physician's recommendations. (
  • Undetected dysglycemia, defined as diabetes and its prestates impaired fasting glucose (IFG) and impaired glucose tolerance (IGT), is common in patients with coronary artery disease (CAD) ( 1 , 2 ), and its presence influences the prognosis of CAD unfavorably ( 3 - 5 ). (
  • Are high coronary risk patients missing out on lipid-lowering drugs in Australia? (
  • To examine whether high coronary risk patients in Australia, where use of lipid-lowering drugs (LLD) is very high by international standards, are receiving LLD. (
  • The Australian ACACIA registry reported that statins were prescribed for 75%-89% of patients with acute coronary syndrome in 2005-2007, with the rate varying depending on the clinical presentation. (
  • Here, we used the PBS database to explore whether patients arbitrarily defined as being at high coronary risk (those with prior CHD, diabetes or hypertension) are receiving LLD as they should, according to contemporary prevention guidelines. (
  • Background- Beating heart coronary artery bypass grafting (CABG) improves early postoperative cardiac function in patients with normal ventricular function, but its effect in patients with impaired function is uncertain. (
  • The most likely mechanism is inadequate coronary perfusion to distal myocardial territories in patients with severe proximal coronary disease. (
  • Many patients with dementia may be all alone at home with a domestic help and no family caregiver for most of the day and may sometimes wander off from their homes. (
  • Objective To use a panel of cerebrospinal fluid (CSF) biomarkers to differentiate patients with APS from PD and dementia. (
  • Yet, according to Dr. Kenneth Brummel-Smith, co-chief of clinical gerontology services at the county's Rancho Los Amigos Hospital, "most doctors have no idea what (medical) ethics is all about. (
  • By that, he meant that few medical schools teach ethics and that most doctors therefore have little formal training in ethics. (
  • Physician-assisted suicide is in direct conflict with this statement which, when followed, has protected the patient, physician, society and the family, and at the same time has committed doctors to compassion and human dignity. (
  • These might be an issue of ethics for the doctors. (
  • It was reported last night that under another local scheme, doctors in Torbay in Devon could make 59 for every patient not referred. (
  • It seems these doctors believe that they can try experimental, unproven therapies because these patients come to them from other referral centers where their cancers were determined untreatable. (
  • But here's the price: the better that doctors have gotten at understanding diseases and symptoms, the less they know many of their patients -- at a time when decision-making ostensibly is becoming more collaborative. (
  • This column presents a problematic case that poses a medical-ethical dilemma for patients, families, and healthcare professionals. (
  • Greater health information transparency, more rapid communication, patient-friendly educational resources, and easier access to the medical record can send a powerful message of inclusivity to patients and families. (
  • We respect and protect the privacy of our patients and their families. (
  • An remote epub Finding Your Way: A Medical Ethics Handbook for Patients and Families of the built book could right engage designed on this investment. (
  • Kern's suggestion is that this "right," when exercised by researchers, is something that cancer patients end up paying for with their lives (unless they go into suspended animation while cancer researchers are spending time with their families or puttering around their gardens). (
  • Recommended dose regimens for patients with different gene polymorphisms and comedications were estimated on the basis of Monte Carlo simulations and the established model. (
  • Additionally, the daytime sleepiness experienced by patients with OSA can lead to road traffic and occupational accidents ( 12 ), as well as impact on their quality of life ( 13 ). (
  • Excessive daytime sleepiness (EDS), obesity and insulin resistance (IR) occur frequently in patients with obstructive sleep apnoea syndrome (OSAS). (
  • 1 A number of clinical features, such as obesity, excessive daytime sleepiness (EDS) and insulin resistance (IR), are often but not invariably present in these patients. (
  • The authors sought to perform the first direct visualization of GBM collagen architecture, identify clinically relevant collagen signatures, and link them to differential patient survival. (
  • Patients were clinically diagnosed according to current consensus criteria. (
  • Data from (1) a focus group of respiratory clinicians and (2) an expert consensus group (respiratory and palliative clinicians, academics, patients, carers) were analysed using Framework Analysis. (
  • A key challenge is balancing the interests of patients with ensuring they are protected from harm, particularly if treatments are offered outside of UK regulation. (
  • Two patients showed marked cognitive impairment well before preterminal stages, in contrast to earlier clinical descriptions. (
  • Limited data on patients' experienced burden of long-term medicine use and its impact on patients' daily lives especially in cardiovascular disease are available. (
  • 8 Only a third of patients without established cardiovascular disease but at high risk of a first event were prescribed statin and antihypertensive medication. (
  • Recently, it has been reported that significant improvements in sagittal and coronal alignments can be obtained in correction surgery for ASD patients by using a two-stage combined approach 15 . (
  • Diabetes management frameworks need to integrate a biopsychosocial, patient-centred approach. (
  • Patients with a wish to conceive or who are pregnant were treated according to a modified T2T approach, in which the obvious restrictions of pregnancy were taken into account. (
  • Who forbids a dying cancer patient a safe and natural herb that mitigates some of the worst symptoms of their disease? (
  • Depression, like other medical conditions such as chronic pain, is a disease whose symptoms are measured by subjective reports from the patient as well as objective rating scales. (
  • Of patients with disseminated disease, ∼25% initially present with symptoms that arise from the metastasis and not the primary tumor. (
  • One way to overcome this issue is by using patient self-reported symptoms for case finding. (
  • This case-patient subsequently showed development of symptoms and showed positive results for SARS-CoV-2 four days later. (
  • Dizziness and gait ataxia were significantly more common in patients with CMI, whereas visual symptoms, diplopia, and tinnitus were significantly more frequent in patients with IIH. (
  • These symptoms are reflected in my patient Vera. (
  • Triangulation of perspectives of all parties (patients, family members and healthcare professionals) using in-depth interviews and questionnaires to guide the development of the combined diabetes and renal control trial (C-DIRECT) intervention. (
  • These findings should be valuable for developing individualized dosage regimens in adult and adolescent Chinese patients 13-65 years of age. (
  • 1 Complete remission (CR) was achieved in 35%-40% of adult patients aged 60 years or younger and 5%-15% among patients older than 60 years of age. (
  • The neurology consultants diagnose him with severe anoxic brain injury and state in the medical record that the patient has a "poor prognosis. (
  • This is important as atypical parkinsonian syndromes (APSs) such as progressive supranuclear palsy (PSP), multiple system atrophy (MSA) and corticobasal syndrome (CBS) carry a poor prognosis, compared with patients with Parkinson's disease (PD). (
  • In patients with rheumatoid arthritis (RA), high disease activity is associated with a prolonged time to pregnancy and is an independent risk factor for lower birth weight of the offspring. (
  • Objectives To develop and validate an outcome measure for assessing fears in patients with rheumatoid arthritis (RA) and axial spondyloarthritis (axSpA). (
  • The May issue of AMA Journal of Ethics ® ( @JournalofEthics ) features numerous perspectives on sharing health decisions and gives you an opportunity to earn CME credit. (
  • Through qualitative interviewing, the purpose of this project is to learn about the information and decision needs of patients that undergo innovative surgeries and procedures compared to surgeons' perspectives. (
  • This is the question posed by a fascinating case report in the Journal of Clinical Ethics , from New Zealand-based authors Laura Tincknell and colleagues. (
  • Although not an independent marker of outcome, we believe such findings and significant associations with well-established negative prognostic factors (age, grade, Nottingham Prognostic Index, hormone receptor status, time to distant metastasis, recurrence and triple-negative/basal-like status) warrant further examination and validation in independent patient cohorts. (
  • Main outcome measure Data were collected by means of the Living with Medicines Questionnaire measuring the impact of medicines use on patients' daily lives. (
  • Furthermore, recently published long-term outcome data showed us the prolonged impact of supra-total resections on the outcome of patients suffering from LGG ( 3 ). (
  • The HFNC combined to NIV for decreasing oxygen desaturation during the intubation procedure in patients with hypoxaemia in the ICU (OPTINIV) trial is an investigator-initiated monocentre randomised controlled two-arm trial with assessor-blinded outcome assessment. (
  • Of course, the physician-patient relationship would have to end. (
  • Results In total, 196 patients participated, including 96 non-adherent patients. (
  • No statistically significant results were found when comparing the impact on patients' daily lives between adherent and nonadherent patients. (
  • RESULTS Complete information including all three glycemic parameters was available in 3,775 patients (94.3%), of whom 246 (6.5%) experienced the primary end point. (
  • RESULTS Using CPAP was associated with significantly lower blood pressure at 5 years and increasingly lower HbA 1c levels over 5 consecutive years compared with untreated OSA patients. (
  • Present results confirm that nrTMS can show FR of LNS in glioma patients. (
  • Combining genomic and epidemiologic data, we investigated the origin of an acute case of coronavirus disease identified in the community after the patient had spent 14 days in managed isolation and quarantine and had 2 negative test results. (
  • To demonstrate the relevance of these results, we focused our attention on CD4 + T cells from uninfected healthy controls, chronic HIV-1-infected patients, and long-term nonprogressors. (
  • These data demonstrate the presence of a mature systemic B cell response in melanoma patients, which is reduced with disease progression, adding to previous reports of tumor-reactive antibodies in patient sera, and suggesting the merit of future work to elucidate the clinical relevance of activating humoral immune responses to cancer. (
  • We show that the presence of circulating tumor cells (CTCs) in samples of patients with primary and metastatic breast cancer can be detected with an array of selected tumor-marker-genes by reverse transcription real-time PCR. (