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American Journal of Bioethics最新文献

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Recognizing the Systemic Root Causes of Moral Distress. 认识道德失范的系统性根源。
IF 17 1区 哲学
American Journal of Bioethics Pub Date : 2024-12-01 Epub Date: 2024-11-20 DOI: 10.1080/15265161.2024.2416137
Sofia Weiss Goitiandia, Julia K Axelrod, Teva D Brender, Jason N Batten, Elizabeth W Dzeng
{"title":"Recognizing the Systemic Root Causes of Moral Distress.","authors":"Sofia Weiss Goitiandia, Julia K Axelrod, Teva D Brender, Jason N Batten, Elizabeth W Dzeng","doi":"10.1080/15265161.2024.2416137","DOIUrl":"https://doi.org/10.1080/15265161.2024.2416137","url":null,"abstract":"","PeriodicalId":50962,"journal":{"name":"American Journal of Bioethics","volume":"24 12","pages":"29-32"},"PeriodicalIF":17.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142677893","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"哲学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
You Don't Have to Be Bad to Work Here: Sustaining Ideals Inside Healthcare Institutions. 在这里工作，你不必太坏：在医疗机构中坚持理想。
IF 17 1区 哲学
American Journal of Bioethics Pub Date : 2024-12-01 Epub Date: 2024-11-20 DOI: 10.1080/15265161.2024.2416144
Alan Cribb
{"title":"You Don't Have to Be Bad to Work Here: Sustaining Ideals Inside Healthcare Institutions.","authors":"Alan Cribb","doi":"10.1080/15265161.2024.2416144","DOIUrl":"https://doi.org/10.1080/15265161.2024.2416144","url":null,"abstract":"","PeriodicalId":50962,"journal":{"name":"American Journal of Bioethics","volume":"24 12","pages":"23-25"},"PeriodicalIF":17.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142677390","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"哲学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
A Difference in Degree, Not Kind: Moral Stress, Distress, and Injury. 程度上的差异，而非种类上的差异：道德压力、苦恼和伤害。
IF 17 1区 哲学
American Journal of Bioethics Pub Date : 2024-12-01 Epub Date: 2024-11-20 DOI: 10.1080/15265161.2024.2416142
Daniel T Kim, Wayne Shelton, Bharat Ranganathan
{"title":"A Difference in Degree, Not Kind: Moral Stress, Distress, and Injury.","authors":"Daniel T Kim, Wayne Shelton, Bharat Ranganathan","doi":"10.1080/15265161.2024.2416142","DOIUrl":"https://doi.org/10.1080/15265161.2024.2416142","url":null,"abstract":"","PeriodicalId":50962,"journal":{"name":"American Journal of Bioethics","volume":"24 12","pages":"57-59"},"PeriodicalIF":17.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142677755","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"哲学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Context-Sensitivity and the Inclusion of Subjective Beliefs Have Broad Implications. 情境敏感性和纳入主观信念具有广泛的影响。
IF 17 1区 哲学
American Journal of Bioethics Pub Date : 2024-12-01 Epub Date: 2024-11-20 DOI: 10.1080/15265161.2024.2416140
Christian G Huber, Alexandre Wullschleger, Franziska Rabenschlag
{"title":"Context-Sensitivity and the Inclusion of Subjective Beliefs Have Broad Implications.","authors":"Christian G Huber, Alexandre Wullschleger, Franziska Rabenschlag","doi":"10.1080/15265161.2024.2416140","DOIUrl":"https://doi.org/10.1080/15265161.2024.2416140","url":null,"abstract":"","PeriodicalId":50962,"journal":{"name":"American Journal of Bioethics","volume":"24 12","pages":"101-103"},"PeriodicalIF":17.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142677785","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"哲学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Enabling Demonstrated Consent for Biobanking with Blockchain and Generative AI. 利用区块链和生成式人工智能实现生物银行的示范同意。
IF 17 1区 哲学
American Journal of Bioethics Pub Date : 2024-11-05 DOI: 10.1080/15265161.2024.2416117
Caspar Barnes, Mateo Riobo Aboy, Timo Minssen, Jemima Winifred Allen, Brian D Earp, Julian Savulescu, Sebastian Porsdam Mann
{"title":"Enabling Demonstrated Consent for Biobanking with Blockchain and Generative AI.","authors":"Caspar Barnes, Mateo Riobo Aboy, Timo Minssen, Jemima Winifred Allen, Brian D Earp, Julian Savulescu, Sebastian Porsdam Mann","doi":"10.1080/15265161.2024.2416117","DOIUrl":"https://doi.org/10.1080/15265161.2024.2416117","url":null,"abstract":"<p><p>Participation in research is supposed to be voluntary and informed. Yet it is difficult to ensure people are adequately informed about the potential uses of their biological materials when they donate samples for future research. We propose a novel consent framework which we call \"demonstrated consent\" that leverages blockchain technology and generative AI to address this problem. In a demonstrated consent model, each donated sample is associated with a unique non-fungible token (NFT) on a blockchain, which records in its metadata information about the planned and past uses of the sample in research, and is updated with each use of the sample. This information is accessible to a large language model (LLM) customized to present this information in an understandable and interactive manner. Thus, our model uses blockchain and generative AI technologies to track, make available, and explain information regarding planned and past uses of donated samples.</p>","PeriodicalId":50962,"journal":{"name":"American Journal of Bioethics","volume":" ","pages":"1-16"},"PeriodicalIF":17.0,"publicationDate":"2024-11-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142584955","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"哲学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Beyond Suppressing Testosterone: A Categorical System to Achieve a "Level Playing Field" in Sport. 超越抑制睾酮：在体育运动中实现 "公平竞争 "的分类系统。
IF 17 1区 哲学
American Journal of Bioethics Pub Date : 2024-11-01 Epub Date: 2023-07-12 DOI: 10.1080/15265161.2023.2232750
Katerina Jennings, Esther Braun
{"title":"Beyond Suppressing Testosterone: A Categorical System to Achieve a \"Level Playing Field\" in Sport.","authors":"Katerina Jennings, Esther Braun","doi":"10.1080/15265161.2023.2232750","DOIUrl":"10.1080/15265161.2023.2232750","url":null,"abstract":"<p><p>Regulations implemented by World Athletics (WA) require female athletes with differences of sexual development to suppress their blood testosterone levels in order to participate in certain women's sporting competitions. These regulations have been justified by reference to fairness. In this paper, we reconstruct WA's understanding of fairness, which requires a \"level playing field\" where no athlete should have a significant performance advantage based on factors other than talent, dedication, and hard work over an average athlete in their category. We demonstrate that by placing regulations only on testosterone levels, while ignoring physical as well as socioeconomic advantages, WA consistently fails to meet its own definition of fairness. We then discuss several ways in which this definition could be met. Our analysis shows that a categorical system, in which athletes are divided into categories based on properties leading to significant performance advantages, is best suited for meeting WA's definition of fairness.</p>","PeriodicalId":50962,"journal":{"name":"American Journal of Bioethics","volume":" ","pages":"4-17"},"PeriodicalIF":17.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9767572","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"哲学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
A Public Health Ethics Framework for Populations with Limited English Proficiency. 针对英语水平有限人群的公共卫生伦理框架。
IF 17 1区 哲学
American Journal of Bioethics Pub Date : 2024-11-01 Epub Date: 2023-06-28 DOI: 10.1080/15265161.2023.2224263
Samantha A Chipman, Karen Meagher, Amelia K Barwise
{"title":"A Public Health Ethics Framework for Populations with Limited English Proficiency.","authors":"Samantha A Chipman, Karen Meagher, Amelia K Barwise","doi":"10.1080/15265161.2023.2224263","DOIUrl":"10.1080/15265161.2023.2224263","url":null,"abstract":"<p><p>25.6 Million people in the United States have Limited English Proficiency (LEP), defined as insufficient ability to read, write, or understand English. We will (1) Delineate the merits of approaching language as a social determinant of health, (2) highlight pertinent public health values and guidelines which are most relevant to the plight of populations with LEP and (3) Use the COVID-19 pandemic as an example of how a breakdown in public health ethics values created harm for populations and patients with LEP. We define a framework to tease out public health responsibilities given some populations' limited proficiency in a society's predominant language. The American Public Health Association (APHA) public health ethics core values serve as a framework to interrogate current practices. We use the COVID-19 case to illustrate gaps between health policy and healthcare disparities experienced by populations with LEP.</p>","PeriodicalId":50962,"journal":{"name":"American Journal of Bioethics","volume":" ","pages":"50-65"},"PeriodicalIF":17.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10049042","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"哲学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The Ethical Standard for End-of-Life Decisions for Unrepresented Patients. 为无代表病人做出生命终结决定的道德标准。
IF 17 1区 哲学
American Journal of Bioethics Pub Date : 2024-10-21 DOI: 10.1080/15265161.2024.2416122
Matthew Shea
{"title":"The Ethical Standard for End-of-Life Decisions for Unrepresented Patients.","authors":"Matthew Shea","doi":"10.1080/15265161.2024.2416122","DOIUrl":"https://doi.org/10.1080/15265161.2024.2416122","url":null,"abstract":"<p><p>There has been increasing awareness of the medical and moral challenges in the care of unrepresented patients: those who cannot make their own medical decisions, do not have any surrogate decision maker, and have not indicated their treatment preferences. Most discussions have focused on procedural questions such as who should make decisions for these patients. An issue that has not gotten enough attention is the ethical standard that should govern medical decision making. I explore the question of which ethical standard provides better justification for end-of-life decisions for unrepresented patients. Two options are considered: the conventional and less demanding best interest standard, and the novel and more demanding medical futility standard. I explain the similarities and differences between these two standards, examine arguments for and against each one, and suggest that the medical futility standard is ethically superior and should replace the established best interest standard.</p>","PeriodicalId":50962,"journal":{"name":"American Journal of Bioethics","volume":" ","pages":"1-12"},"PeriodicalIF":17.0,"publicationDate":"2024-10-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142480033","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"哲学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Adaptive Machine Learning in Medicine: Not Human Subjects Research, Not Research at All. 医学中的自适应机器学习：不是人体研究，也根本不是研究。
IF 17 1区 哲学
American Journal of Bioethics Pub Date : 2024-10-01 Epub Date: 2024-09-16 DOI: 10.1080/15265161.2024.2388761
Haavi Morreim
{"title":"Adaptive Machine Learning in Medicine: Not Human Subjects Research, Not Research at All.","authors":"Haavi Morreim","doi":"10.1080/15265161.2024.2388761","DOIUrl":"https://doi.org/10.1080/15265161.2024.2388761","url":null,"abstract":"","PeriodicalId":50962,"journal":{"name":"American Journal of Bioethics","volume":"24 10","pages":"96-98"},"PeriodicalIF":17.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142300190","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"哲学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Machine Learning-Generated Clinical Data as Collateral Research: A Global Neuroethical Analysis. 机器学习生成的临床数据作为附带研究：全球神经伦理分析》。
IF 17 1区 哲学
American Journal of Bioethics Pub Date : 2024-10-01 Epub Date: 2024-09-16 DOI: 10.1080/15265161.2024.2388724
Michael O S Afolabi, Stephen Sodeke
{"title":"Machine Learning-Generated Clinical Data as Collateral Research: A Global Neuroethical Analysis.","authors":"Michael O S Afolabi, Stephen Sodeke","doi":"10.1080/15265161.2024.2388724","DOIUrl":"https://doi.org/10.1080/15265161.2024.2388724","url":null,"abstract":"","PeriodicalId":50962,"journal":{"name":"American Journal of Bioethics","volume":"24 10","pages":"103-106"},"PeriodicalIF":17.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142300192","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"哲学","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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