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Antimicrobial resistance: strategies to counter it and Italian actions 抗菌药耐药性：应对战略和意大利的行动
Ethics, Medicine and Public Health Pub Date : 2024-01-01 DOI: 10.1016/j.jemep.2024.101019
A. Vitiello , M. Sabbatucci , A. Zovi
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引用次数: 0
Addressing Malaysia's rising suicide 解决马来西亚自杀率不断上升的问题
Ethics, Medicine and Public Health Pub Date : 2024-01-01 DOI: 10.1016/j.jemep.2024.101003
T.F. Aroyewun , A. Perveen , S.O. Olaleye
{"title":"Addressing Malaysia's rising suicide","authors":"T.F. Aroyewun , A. Perveen , S.O. Olaleye","doi":"10.1016/j.jemep.2024.101003","DOIUrl":"10.1016/j.jemep.2024.101003","url":null,"abstract":"","PeriodicalId":37707,"journal":{"name":"Ethics, Medicine and Public Health","volume":"32 ","pages":"Article 101003"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142122220","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Ethical concerns of including too few or too many participants in clinical studies 临床研究参与者过少或过多的伦理问题
Ethics, Medicine and Public Health Pub Date : 2024-01-01 DOI: 10.1016/j.jemep.2024.100980
L.O. Rosengaard , S. Fonnes , J. Rosenberg
{"title":"Ethical concerns of including too few or too many participants in clinical studies","authors":"L.O. Rosengaard ,&nbsp;S. Fonnes ,&nbsp;J. Rosenberg","doi":"10.1016/j.jemep.2024.100980","DOIUrl":"https://doi.org/10.1016/j.jemep.2024.100980","url":null,"abstract":"<div><h3>Background</h3><p>Ensuring an appropriate sample size is crucial for ethical reasons when conducting a clinical study.</p></div><div><h3>Discussion</h3><p>Insufficient participants may lead to underpowered studies, jeopardizing the detection of true effects and exposing individuals to suboptimal treatment. On the other hand, an excessive number of participants raise ethical concerns, subjecting individuals to unnecessary risks and burdens, and contributing to research waste, such as the misuse of resources.</p></div><div><h3>Conclusion</h3><p>Overall, there is a significant emphasis on striking a balance in participant inclusion to attain accurate, generalizable, and ethical outcomes in clinical trials.</p></div>","PeriodicalId":37707,"journal":{"name":"Ethics, Medicine and Public Health","volume":"32 ","pages":"Article 100980"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140533439","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Erroneous diagnosis of scleroderma in Archangel Raphael with Bishop Domonte (1680) by Bartolomé Esteban Murillo 巴托洛梅-埃斯特万-穆里略创作的《大天使拉斐尔与多蒙特主教》（1680 年）中对硬皮病的错误诊断
Ethics, Medicine and Public Health Pub Date : 2024-01-01 DOI: 10.1016/j.jemep.2024.100985
N. Kluger , M. Prilutskaya
{"title":"Erroneous diagnosis of scleroderma in Archangel Raphael with Bishop Domonte (1680) by Bartolomé Esteban Murillo","authors":"N. Kluger ,&nbsp;M. Prilutskaya","doi":"10.1016/j.jemep.2024.100985","DOIUrl":"https://doi.org/10.1016/j.jemep.2024.100985","url":null,"abstract":"<div><p>Thirty years ago, a group of scholars believed to have identified features of systemic scleroderma in Archangel Raphael with Bishop Domonte (1680), a masterpiece by Seville-based painter Bartolomé Esteban Murillo (1617–1682). However, restoration of the artwork in 2003–2006 showed that the sitter had no feature of scleroderma and all the suspected lesions were merely artefactual. This case illustrates that caution and proper background work is warranted when it comes to iconodiagnosis.</p></div>","PeriodicalId":37707,"journal":{"name":"Ethics, Medicine and Public Health","volume":"32 ","pages":"Article 100985"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2352552524000203/pdfft?md5=f55982d3c33f184f872d405dfc7cd7e9&pid=1-s2.0-S2352552524000203-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140893302","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
A case from Argentina on the ethical imperative to prioritize children in the health and climate change research agenda 阿根廷关于在健康和气候变化研究议程中优先考虑儿童的伦理必要性的案例
Ethics, Medicine and Public Health Pub Date : 2024-01-01 DOI: 10.1016/j.jemep.2024.101004
C. Kaufman , T. Daly , M.F. Santi
{"title":"A case from Argentina on the ethical imperative to prioritize children in the health and climate change research agenda","authors":"C. Kaufman ,&nbsp;T. Daly ,&nbsp;M.F. Santi","doi":"10.1016/j.jemep.2024.101004","DOIUrl":"10.1016/j.jemep.2024.101004","url":null,"abstract":"","PeriodicalId":37707,"journal":{"name":"Ethics, Medicine and Public Health","volume":"32 ","pages":"Article 101004"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142169508","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Neuro-ophthalmological pathology in a “Portrait of a Young Woman” from Roman Egypt at the Toledo Museum of Art (USA)? 托莱多艺术博物馆（美国）收藏的罗马埃及 "年轻女子肖像 "中的神经眼科病理？
Ethics, Medicine and Public Health Pub Date : 2024-01-01 DOI: 10.1016/j.jemep.2024.100998
A.I. Cucu , L.H. Corcoran , A. Perciaccante , A.G. Nerlich , R. Bianucci
{"title":"Neuro-ophthalmological pathology in a “Portrait of a Young Woman” from Roman Egypt at the Toledo Museum of Art (USA)?","authors":"A.I. Cucu ,&nbsp;L.H. Corcoran ,&nbsp;A. Perciaccante ,&nbsp;A.G. Nerlich ,&nbsp;R. Bianucci","doi":"10.1016/j.jemep.2024.100998","DOIUrl":"10.1016/j.jemep.2024.100998","url":null,"abstract":"<div><h3>Background</h3><p>This case report discusses the possible incidence of a neuro-ophthalmological tumour identified in a high quality mummy portrait of a woman from Roman Egypt at the Toledo Museum of Art, USA (1971.13).</p></div><div><h3>Methodology</h3><p>This analysis employs the published methodological procedures and recommendations for iconodiagnosis.</p></div><div><h3>Results/Discussion</h3><p>Careful observation allows the identification of neuro-ophthalmological signs possibly consistent with a neuro-ophtalmological tumour. Differential diagnosis includes post-traumatic condition.</p></div><div><h3>Conclusion/Perspectives</h3><p>This case is another example of a neuro-ocular pathology in a funerary mummy portrait of a woman who lived over 1,800<!--> <!-->years ago and adds to the few cases of medical conditions so far identified in portrait paintings from Roman Egypt.</p></div>","PeriodicalId":37707,"journal":{"name":"Ethics, Medicine and Public Health","volume":"32 ","pages":"Article 100998"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141985842","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
When surrogates choose suffering 当代孕者选择痛苦时
Ethics, Medicine and Public Health Pub Date : 2024-01-01 DOI: 10.1016/j.jemep.2024.100997
F. Al-Moussally , E. Casey
{"title":"When surrogates choose suffering","authors":"F. Al-Moussally ,&nbsp;E. Casey","doi":"10.1016/j.jemep.2024.100997","DOIUrl":"10.1016/j.jemep.2024.100997","url":null,"abstract":"<div><h3>Background</h3><p>In modern era medicine, patient's autonomy is held in the epitome of medical decision making. When patients lose decision making capacity, providers try to the best of their ability to uphold patient's pre-expressed wishes. Substituted judgment can take many forms, such as consulting with next of kin, surrogate decision makers, court appointed guardian, and emergency consent. The goal is to answer: What is in the patient's best interest and what would the patient want if they could speak for themselves?</p></div><div><h3>Methodology</h3><p>We present a case of an elderly patient with a diagnosis of terminal lungcancer with metastasis to the brain, liver, and bones who presented with complaints of weakness and altered mental status. Although the patient could not speak, they exhibited signs and symptoms of severe pain. The surrogate refused to provide the patient with analgesics. The ethics committee was consulted to help navigate the situation and facilitate a solution. We discuss in this manuscript some important background and guiding ethical principles and describe how our case resolved.</p></div><div><h3>Discussion</h3><p>Substituted judgment is considered a basic guiding principle when making decisions for incapacitated patients; where providers and surrogate decision makers try to make decisions that the patient would have made. Literature illustrates that this framework is not free of fault. Our case emphasizes the importance of understanding the guiding principles in medical ethics and consulting the ethics department when unclear.</p></div><div><h3>Perspectives</h3><p>Though the pursuit of substituted judgment is well-intended, it is not infallible. It is important to recognize this when having discussions with surrogate decision makers and understanding that alternative models could be a better fit in certain situations. All while trying to the best of the provider's ability to uphold patient's wishes and best interests.</p></div>","PeriodicalId":37707,"journal":{"name":"Ethics, Medicine and Public Health","volume":"32 ","pages":"Article 100997"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142048278","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Pandemic, minorities, and prejudice: Distinguishing knowledge and thought 流行病、少数群体和偏见：区分知识与思想
Ethics, Medicine and Public Health Pub Date : 2024-01-01 DOI: 10.1016/j.jemep.2024.100996
M. Simões Mendes
{"title":"Pandemic, minorities, and prejudice: Distinguishing knowledge and thought","authors":"M. Simões Mendes","doi":"10.1016/j.jemep.2024.100996","DOIUrl":"10.1016/j.jemep.2024.100996","url":null,"abstract":"<div><h3>Background</h3><p>Despite the sensible and dramatic moment that the world has faced with the pandemic provoked by the novel coronavirus, something is not novel – the ‘attack’ and the struggle for what is most precious: knowledge.</p></div><div><h3>Methodology</h3><p>It is a critical theoretical essay.</p></div><div><h3>Discussion</h3><p>Throughout history, something most threatening had a direct or indirect relationship with what was most valuable (e.g., Socrates, Copernicus, among others). Evidently, the best resources of knowledge and approaches must be used to collaborate with the analysis of social domains regarding the Covid-19 pandemic. However, it is crucial to use different approaches so as not to foster the same harmful consequences.</p></div><div><h3>Perspectives</h3><p>Developing novel theoretical approaches does not dispense the ability and need to think.</p></div>","PeriodicalId":37707,"journal":{"name":"Ethics, Medicine and Public Health","volume":"32 ","pages":"Article 100996"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142048805","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
“Better than ever”: The ethical and pharmacologic management of a severely anemic bloodless medicine patient "比以往更好"：严重贫血的无血病人的伦理和药物管理
Ethics, Medicine and Public Health Pub Date : 2024-01-01 DOI: 10.1016/j.jemep.2024.100973
K. Johnson-Arbor
{"title":"“Better than ever”: The ethical and pharmacologic management of a severely anemic bloodless medicine patient","authors":"K. Johnson-Arbor","doi":"10.1016/j.jemep.2024.100973","DOIUrl":"https://doi.org/10.1016/j.jemep.2024.100973","url":null,"abstract":"","PeriodicalId":37707,"journal":{"name":"Ethics, Medicine and Public Health","volume":"32 ","pages":"Article 100973"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139936121","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Does autopsy still play a role in the diagnostic process? Future perspectives on clinical autopsy 尸体解剖在诊断过程中仍起作用吗？临床尸检的未来展望
Ethics, Medicine and Public Health Pub Date : 2024-01-01 DOI: 10.1016/j.jemep.2024.100986
L. Tomassini , M. Bacci
{"title":"Does autopsy still play a role in the diagnostic process? Future perspectives on clinical autopsy","authors":"L. Tomassini ,&nbsp;M. Bacci","doi":"10.1016/j.jemep.2024.100986","DOIUrl":"https://doi.org/10.1016/j.jemep.2024.100986","url":null,"abstract":"","PeriodicalId":37707,"journal":{"name":"Ethics, Medicine and Public Health","volume":"32 ","pages":"Article 100986"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140843456","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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