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Enviado por Biblio on 2/3/2015 10:41:23 (7 Lecturas)

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by Dr. Bertalan Meskó on February 26, 2015
While I was writing my book, The Guide to the Future of Medicine, I was constantly thinking about all the ethical issues disruptive technologies will make us face in the coming years. I’m a born optimist and if you look at recent developments in medicine & healthcare, you realize optimism can now be based on facts. Although, without being prepared for the coming waves of change, physicians, patients and all stakeholders will only come across threats, ethical issues and serious problems when they try to implement technology into everyday care.

I remain confident that we are still in time and we can still prepare for the amazing yet uncertain future of medicine. What is definitely needed, among others things such as new skills, is initiating public discussions now. It was my intention when I made a list of 10 potential ethical issues we will all have to deal with soon.


Enviado por Biblio on 27/2/2015 11:42:45 (23 Lecturas)

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Members of the Presidential Commission on the Study of Bioethical Issues (Bioethics Commission) are considering possible recommendations for future engagements in public health emergencies, including ethical approaches to conducting research in affected countries even in the midst of a crisis.

Yesterday’s deliberations touched on a wide range of issues generated by the ongoing Ebola epidemic in western Africa, from the ethics of using placebos in clinical trials, to the stigmatization of members of western African communities and health care workers who tended to the sick, to the need to improve the response to future outbreaks.

Commission members heard from a wide variety of speakers, including current and former government officials; leading experts in infectious disease, ethics, and global health; and people who belong to and work with communities both in western Africa and the U.S. who have been profoundly affected by the epidemic.

The day closed with a roundtable discussion at which Amy Gutmann, Ph.D., Chair of the Bioethics Commission, posed a simple question: “If there was one thing you think could be improved moving forward in the U.S. response to public health crises like Ebola, what would it be?”


Enviado por Biblio on 26/2/2015 9:52:25 (19 Lecturas)

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Three-term New York governor Mario Cuomo was a skilled politician who almost ran for President and almost sat on the Supreme Court. He was an eloquent spokesman for the liberal strain of American politics, defending the little guy and big government. But he also exerted a great influence on US bioethics debates.


Enviado por Biblio on 25/2/2015 9:42:40 (23 Lecturas)

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Paul S. Teirstein, M.D.
N Engl J Med 2015; 372:106-108January 8, 2015DOI: 10.1056/NEJMp1407422

In January 2014, the American Board of Internal Medicine (ABIM) changed its certification policies for physicians. Instead of being listed by the ABIM as “certified,” physicians are now listed as “certified, meeting maintenance of certification (MOC) requirements” or “certified, not meeting MOC requirements.” MOC requirements include ongoing engagement in various medical knowledge, practice-assessment, and patient-safety activities, on which physicians are assessed every 2 years, and passage of a secure exam in one's specialty every 10 years.


Enviado por Biblio on 24/2/2015 9:55:36 (24 Lecturas)

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Christopher Meyers is a Professor of Philosophy and Executive Director of the Kegley Institute of Ethics at California State University, Bakersfield. He provides ethics commentary on California's Valley Public Radio. His latest podcast concerns the intersection of religion and medicine.


Enviado por Biblio on 23/2/2015 9:51:11 (38 Lecturas)

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En un número especial de la Revista Science, M. Enserink and G. Chin (2015). “The end of privacy.” Science 347(6221): 490-491 los autores destacan que para los científicos "...la elevada cantidad de datos que las personas dejan todos los días ofrecen grandes oportunidades pero a la vez nuevos dilemas"

En este sentido acorde a la opinión de los autores de la publicación "...algunos investigadores médicos reconocen que mantener en privado los datos de los pacientes se está transformando en algo casi imposible, y en vez de ello están analizando nuevas formas de ganar la confianza de los pacientes y su colaboración"


Enviado por Biblio on 20/2/2015 10:07:11 (39 Lecturas)

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The levees of the Red River in Grand Forks, North Dakota, are built to withstand 51-ft water levels. In 1997, the National Weather Service predicted a flood, but despite a 35% margin of error for previous estimates, it emphasized that the river would crest at 49 ft at most. When the waters rose to 54 ft, wreaking havoc on the area, local inhabitants were shocked and angry. Why had forecasters projected such confidence in their prediction? According to Nate Silver, who describes the incident in The Signal and the Noise, “The forecasters later told researchers that they were afraid the public might lose confidence in the forecast if they had conveyed any uncertainty in the outlook.”


Enviado por Biblio on 19/2/2015 10:13:04 (36 Lecturas)

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N.Y. Public Health Law 2803-c requires healthcare facilities to publicly adopt and to comply with a statement of patient rights. Senator Kemp Hannon has introduced a bill that would amend the statement of patient rights. The capitalized words are new.


Enviado por Biblio on 18/2/2015 9:43:23 (44 Lecturas)

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Ubaka Ogbogu argues that vaccinating a child against illness is in the child’s best interest and should be the default norm.
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There has been much discussion lately regarding the resurgence of vaccine-preventable childhood infectious diseases and the problems of anti-vaccination and vaccine hesitancy. These discussions were triggered, in part, by a number of recent events: (1) an outbreak of measles at Disneyland; (2) Roald Dahl’s heartrending essay recalling the loss of his seven-year old daughter Olivia to measles, and in which he urged parents to get their children immunized; and (3) the comments of US politicians like Rand Paul, who think that vaccines should be resisted based largely on conspiracy theories and the idea that individuals have the right to choose not to be vaccinated.


Enviado por Biblio on 17/2/2015 10:03:08 (54 Lecturas)

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by Barry Shuster, Bioethics Program Alum (2013)

At a holiday social gathering last year, I sat with a former colleague, a physician, who inquired about my progress in bioethics. While he finds bioethics interesting and occasionally useful, he broached the familiar refrain: “It’s all relative”.

“We say this is ‘right’ or ‘wrong’ based on someone’s philosophy,” he said. “But there are always other perspectives. The Nazis thought what they were doing was ethical.”

My friend paused to take bite of his sandwich, and looked across the table, waiting for a response. I’m Jewish, so the comment was particularly provocative. If I’ve learned anything from being a lawyer and parenting teenagers, however, it is how not to flinch when provoked. I encouraged him to continue.


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