Bioethics最新文献_第2页

Thinking like a mountain: A land ethical approach to healthcare resource. 像山一样思考：医疗资源的土地伦理方法。

IF 1.7 2区哲学

Bioethics Pub Date : 2024-10-06 DOI: 10.1111/bioe.13355

Alistair Wardrope

引用次数: 0

Generative AI in healthcare: A call for a Māori perspective. 医疗保健中的生成式人工智能：呼吁从毛利人的角度看问题。

IF 1.7 2区哲学

Bioethics Pub Date : 2024-10-06 DOI: 10.1111/bioe.13354

Marta Seretny, Kerry Hiini, George Laking

引用次数: 0

Passive euthanasia? 被动安乐死？

IF 1.7 2区哲学

Bioethics Pub Date : 2024-10-03 DOI: 10.1111/bioe.13358

Miguel H Kottow

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Addressing the COVID-induced healthcare backlog: How can we balance the interests of people and nature? 解决 COVID 引起的医疗保健积压问题：如何平衡人与自然的利益？

IF 1.7 2区哲学

Bioethics Pub Date : 2024-10-03 DOI: 10.1111/bioe.13356

Bridget Pratt

{"title":"Addressing the COVID-induced healthcare backlog: How can we balance the interests of people and nature?","authors":"Bridget Pratt","doi":"10.1111/bioe.13356","DOIUrl":"https://doi.org/10.1111/bioe.13356","url":null,"abstract":"The COVID-19 pandemic created healthcare backlogs of routine primary and preventive care, elective procedures, dental care, and mental healthcare appointments across the world. So far, governments are responding by enacting pandemic recovery policies that expand their healthcare sector activity, without much, if any, consideration of its effects on the environmental crisis that is (among other things) worsening human health and health equity. This study argues that, as a matter of health and social justice, governments have an ethical responsibility to equitably reduce the backlog with minimal environmental damage. To do so, a first key action is to give priority to policy options that minimise negative human impacts on the environment. Yet these policies alone will not be sufficient to address the backlog, particularly in relation to elective procedures. The study therefore contends that a second key action for governments is to enact the policy options that are best able to equitably reduce the remainder of the backlog, while accelerating the transition to sustainable health care in ways that are best able to reduce the specific environmental costs of those policy options. It concludes by considering whether limits apply to governments' ethical responsibilities that ultimately mean accelerating the transition to sustainable health care is not required when addressing the backlog.","PeriodicalId":55379,"journal":{"name":"Bioethics","volume":null,"pages":null},"PeriodicalIF":1.7,"publicationDate":"2024-10-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142367578","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"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

Public preferences regarding slow codes in critical care. 公众对重症监护慢码的偏好。

IF 1.7 2区哲学

Bioethics Pub Date : 2024-10-03 DOI: 10.1111/bioe.13359

Philipp Sprengholz

引用次数: 0

Double-donor surrogacy and/or private planned adoption: A conceptual defense for aging societies. 双亲代孕和/或私人计划收养：老龄化社会的概念辩护。

IF 1.7 2区哲学

Bioethics Pub Date : 2024-10-03 DOI: 10.1111/bioe.13353

Niñoval F Pacaol, Ehra Mae C Meniano, Peve Ivanz P Vero, Shimeah Rhiz A Monge, Brad Colin S Cagnan, Richard N Buro, Ziegfred U Tamayo, Elieakim G Baguilod, James Daniel B Corregidor, Annika Sofia N Vasquez

引用次数: 0

Clinical research vehicles as a modality for medical research education and conduct of decentralized trials, supporting justice, equity, and diversity in research. 临床研究车作为医学研究教育和开展分散试验的一种模式，支持研究的公正、公平和多样性。

IF 1.7 2区哲学

Bioethics Pub Date : 2024-10-03 DOI: 10.1111/bioe.13360

Kenneth T Moore

{"title":"Clinical research vehicles as a modality for medical research education and conduct of decentralized trials, supporting justice, equity, and diversity in research.","authors":"Kenneth T Moore","doi":"10.1111/bioe.13360","DOIUrl":"https://doi.org/10.1111/bioe.13360","url":null,"abstract":"Current clinical research lacks diversity in those that participate. This lack of diversity is concerning given its importance for successful drug development. The frequency and severity of many diseases, along with the pharmacological properties of therapies, can display significant differences based on patient diversity. A clinical trial population that is more reflective of these differences will help researchers better understand the therapeutic profile of the treatment and provide generalizable knowledge to the medical community. The advent of decentralized clinical trial designs is meant to help address this lack of diversity by using portable digital health technologies and virtual interactions to enhance clinical trial access and broaden participation. By leveraging these technologies, trial conduct can occur at locations other than traditional research sites. This shift in trial location may help address some of the logistical, educational, engagement, and trust barriers that have historically prevented enrollment of diverse populations. However, these types of trials still have limitations. Ethical concerns around justice, equity, and diversity will still exist with decentralized clinical trials, which could be mediated using clinical research vehicles. When utilized, this modality may enhance the scientific design and conduct of clinical trials and better follow these ethical principles. These enhancements and improved ethical direction could be accomplished through increasing community involvement, improving health literacy, supporting more diverse trial sites, creating community-based research footholds, fostering connections with researchers, limiting technical challenges, and preventing data security issues.","PeriodicalId":55379,"journal":{"name":"Bioethics","volume":null,"pages":null},"PeriodicalIF":1.7,"publicationDate":"2024-10-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142367579","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"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

Palliative care-based arguments against assisted dying. 基于姑息治疗的反对协助死亡的论点。

IF 1.7 2区哲学

Bioethics Pub Date : 2024-10-03 DOI: 10.1111/bioe.13352

Ben Colburn

引用次数: 0

Fifty years of killing and letting die: On the limits of philosophical bioethics. 五十年的杀戮与死亡：论生命伦理学的局限。

IF 1.7 2区哲学

Bioethics Pub Date : 2024-09-24 DOI: 10.1111/bioe.13351

Joona Räsänen, Matti Häyry

引用次数: 0

Against epigenetic responsibility: The problem of causality in 'foetal programming' science. 反对表观遗传责任：胎儿编程 "科学中的因果关系问题。

IF 1.7 2区哲学

Bioethics Pub Date : 2024-09-06 DOI: 10.1111/bioe.13350

Courtney McMahon, Catherine Mills

{"title":"Against epigenetic responsibility: The problem of causality in 'foetal programming' science.","authors":"Courtney McMahon, Catherine Mills","doi":"10.1111/bioe.13350","DOIUrl":"https://doi.org/10.1111/bioe.13350","url":null,"abstract":"Emerging evidence that intrauterine exposures to environmental stressors can 'programme' epigenetic modifications in offspring, leading to long-lasting health risks, has generated debate about whether prospective mothers have a specific 'epigenetic' moral responsibility. However, to date, proposals for maternal epigenetic responsibility have failed to grapple adequately with the uncertainty of scientific evidence, and specifically, whether the causal basis for intrauterine epigenetic effects is sufficiently established to ground claims of moral responsibility. Causality is widely considered a necessary condition for the attribution of moral responsibility. In this paper, we show that much foetal programming science in humans has yet to establish a causal epigenetic connection between intrauterine exposures and subsequent offspring health impacts. This research struggles to establish that the relationship between such exposures and offspring health risks is in fact causal, neither has it been able to evince the causal significance of exposures during pregnancy to such outcomes. We argue that these two challenges to establishing causality in foetal programming research seriously undercut the idea that prospective mothers may have a moral responsibility to ensure the epigenetics of their offspring.","PeriodicalId":55379,"journal":{"name":"Bioethics","volume":null,"pages":null},"PeriodicalIF":1.7,"publicationDate":"2024-09-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142141769","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"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