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Leaving no one behind: successful ageing at the intersection of ageism and ableism. Philosophy, Ethics, and Humanities in Medicine (IF 1.9) Pub Date : 2023-11-24 Elisabeth Langmann,Merle Weßel
BACKGROUND The concept of 'successful ageing' has been a prominent focus within the field of gerontology for several decades. However, despite the widespread attention paid to this concept, its intersectional implications have not been fully explored yet. This paper aims to address this gap by analyzing the potential ageist and ableist biases in the discourse of successful ageing through an intersectional
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Admitting the heterogeneity of social inequalities: intersectionality as a (self-)critical framework and tool within mental health care. Philosophy, Ethics, and Humanities in Medicine (IF 1.9) Pub Date : 2023-11-24 Florian Funer
Inequities shape the everyday experiences and life chances of individuals at the margins of societies and are often associated with lower health and particular challenges in accessing quality treatment and support. This fact is even more dramatic for those individuals who live at the nexus of different marginalized groups and thus may face multiple discrimination, stigma, and oppression. To address
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The power of connected clinical teams: from loneliness to belonging. Philosophy, Ethics, and Humanities in Medicine (IF 1.9) Pub Date : 2023-11-09 Jacqueline Hoare
BACKGROUND We need to preserve the lessons of the COVID-19 pandemic in caring for the mental health of clinicians, of shared experiences, interdependence, team cohesion and vulnerability, among others. We need reform in the way that clinicians are cared for, and a resistance to the idea of a post-pandemic 'return to normal'. MAIN TEXT To build connected and optimally functioning clinical teams, we
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One hundred years of neurosciences in the arts and humanities, a bibliometric review. Philosophy, Ethics, and Humanities in Medicine (IF 1.9) Pub Date : 2023-11-09 Manuel Cebral-Loureda,Jorge Sanabria-Z,Mauricio A Ramírez-Moreno,Irina Kaminsky-Castillo
BACKGROUND Neuroscientific approaches have historically triggered changes in the conception of creativity and artistic experience, which can be revealed by noting the intersection of these fields of study in terms of variables such as global trends, methodologies, objects of study, or application of new technologies; however, these neuroscientific approaches are still often considered as disciplines
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The predictive factors of moral courage among hospital nurses. Philosophy, Ethics, and Humanities in Medicine (IF 1.9) Pub Date : 2023-10-18 Hamideh Hakimi,Noushin Mousazadeh,Hamid Sharif-Nia,Roghieh Nazari,Maryam Dehghani
BACKGROUND Having moral courage is a crucial characteristic for nurses to handle ethical quandaries, stay true to their professional obligations towards patients, and uphold ethical principles. This concept can be influenced by various factors including personal, professional, organizational, and leadership considerations. The purpose of this study was to explore the predictors of moral courage among
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Moral lessons from residents, close relatives and volunteers about the COVID-19 restrictions in Dutch and Flemish nursing homes. Philosophy, Ethics, and Humanities in Medicine (IF 1.9) Pub Date : 2023-09-06 Elleke Landeweer,Nina Hovenga,Suzie Noten,Floor Vinckers,Jasper de Witte,Annerieke Stoop,Sytse Zuidema
BACKGROUND During the COVID-19 outbreak in 2020, national governments took restrictive measures, such as a visitors ban, prohibition of group activities and quarantine, to protect nursing home residents against infections. As 'safety' prevailed, residents and close relatives had no choice but to accept the restrictions. Their perspectives are relevant because the policies had a major impact on them
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Should infectious disease modelling research be subject to ethics review? Philosophy, Ethics, and Humanities in Medicine (IF 1.9) Pub Date : 2023-08-04 Ben Green
Should research projects involving epidemiological modelling be subject to ethical scrutiny and peer review prior to publication? Mathematical modelling had considerable impacts during the COVID-19 pandemic, leading to social distancing and lockdowns. Imperial College conducted research leading to the website publication of a paper, Report 9, on non-pharmaceutical interventions (NPIs) and COVID-19
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On the relevance of (the New) Phenomenology to an ethics of health promotions: toward a prudent balance of understanding and explanation. Philosophy, Ethics, and Humanities in Medicine (IF 1.9) Pub Date : 2023-07-12 Christina Röhrich,Nikola B Kohls,Eckard Krüger,James Giordano
The field of health promotions faces considerable ethical and programmatic challenge - and we believe opportunity - in addressing the relative normativity of the concept(s) of health and its professional handling. To date, distinctions of objective and subjective indicants of "health" have fostered normative tension(s) within the utilitarian ethics of health promotions, which we opine to be anathema
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The advantages and disadvantages of altruistic and commercial surrogacy in India. Philosophy, Ethics, and Humanities in Medicine (IF 1.9) Pub Date : 2023-07-07 Yuri Hibino
BACKGROUND Comprehensive commercial surrogacy became legal in India in 2002, and many foreigners, including individuals and same-sex couples, sought Indian surrogacy services due to their affordability. Numerous scandals resulted, with increasing calls for the government to eliminate the exploitation of women in lower social strata. In 2015, the Indian government decided to exclude foreign clients
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Cryonics, euthanasia, and the doctrine of double effect. Philosophy, Ethics, and Humanities in Medicine (IF 1.9) Pub Date : 2023-06-29 Gabriel Andrade,Maria Campo Redondo
In 1989, Thomas Donaldson requested the California courts to allow physicians to hasten his death. Donaldson had been diagnosed with brain cancer, and he desired to die in order to cryonically preserve his brain, so as to stop its further deterioration. This case elicits an important question: is this a case of euthanasia? In this article, we examine the traditional criteria of death, and contrast
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Ethical challenges and dilemmas in the rationing of health commodities and provision of high-risk clinical services during COVID-19 pandemic in Ethiopia: the experiences of frontline health workers. Philosophy, Ethics, and Humanities in Medicine (IF 1.9) Pub Date : 2023-06-28 Tsegaye Melaku,Ahmed Zeynudin,Sultan Suleman
BACKGROUND Ethical reasoning and sensitivity are always important in public health, but it is especially important in the sensitive and complex area of public health emergency preparedness. Here, we explored the ethical challenges, and dilemmas encountered by frontline health workers amid the coronavirus disease-19 (COVID-19) pandemic in Ethiopia. METHODS A nationwide survey was conducted amongst the
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Reconciling art and science in the era of personalised medicine: the legacy of George Canguilhem. Philosophy, Ethics, and Humanities in Medicine (IF 1.9) Pub Date : 2023-05-24 Gianmarco Contino
BACKGROUND Biomedicine, i.e. the application of basic sciences to medicine, has become the cornerstone for the study of etiopathogenesis and treatment of diseases. Biomedicine has enormously contributed to the progress of medicine and healthcare and has become the preferred approach to medical problems in the West. The developments in statistical inference and machine learning techniques have provided
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Bearing the mark of pain: mystery in medicine. Philosophy, Ethics, and Humanities in Medicine (IF 1.9) Pub Date : 2023-05-19 Karel-Bart Celie,John J Paris
Dostoevsky wrote that love in action is a harsh and terrible thing compared to love in dreams. That reality is particularly evident in medicine, where there is an almost universal, involuntary participation of physicians and other healthcare workers in the suffering of their patients. This paper explores this phenomenon through the paradigm of 'mystery' as explained by the French existentialist philosopher
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The benefits and risks of nostalgia: analysis of a fictional case with special reference to ethical and existential issues. Philosophy, Ethics, and Humanities in Medicine (IF 1.9) Pub Date : 2023-04-19 Emmanuel Bäckryd
BACKGROUND In a previous paper in Philos Ethics Humanit Med, the 1937 Swedish novel Sömnlös (Swedish for sleepless) by Vilhelm Moberg was used as background for a thought experiment, in which last century's progresses concerning the safety of sleeping pills were projected into the future. This gave rise to a theoretical discussion about broad medico-philosophical questions such as (among other things)
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Mobile homes in the land of illness: the hospitality and hostility of language in doctor-patient relations. Philosophy, Ethics, and Humanities in Medicine (IF 1.9) Pub Date : 2023-04-12 Stephen R Milford
Illness has a way of disorientating us, as if we are cast adrift in a foreign land. Like strangers in a dessert we seek oasis to recollect ourselves, find refuge and learn to build our own shelters. Using the philosophy of Levinas and Derrida, we can interpret health care providers (HCP), and the sites from which they act (e.g. hospitals), as dwelling hosts that offer hospitality to strangers in this
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Accountability as a virtue in medicine: from theory to practice. Philosophy, Ethics, and Humanities in Medicine (IF 1.9) Pub Date : 2023-03-22 John R Peteet,Charlotte V O Witvliet,Gerrit Glas,Benjamin W Frush
Accountability is a norm basic to several aspects of medical practice. We explore here the benefits of a more explicit focus on the virtue of accountability, which as distinct from the state of being held accountable, entails both welcoming responsibility to others and welcoming input from others. Practicing accountably can limit moral distress caused by institutional pressures on the doctor patient
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Identifying the scope of ethical challenges caused by the Ebola epidemic 2014-2016 in West Africa: a qualitative study. Philosophy, Ethics, and Humanities in Medicine (IF 1.9) Pub Date : 2022-12-28 Saskia Wilhelmy,Regina Müller,Dominik Gross
BACKGROUND The West African Ebola virus epidemic from 2014 to 2016 is unprecedented in its scale, surpassing all previous and subsequent Ebola outbreaks since 1976. This epidemic provoked a humanitarian emergency that extended to different spheres of life, making visible ethical challenges in addition to medical, economic, and social ones. The present article aims to identify and differentiate the
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Normality in medicine: an empirical elucidation. Philosophy, Ethics, and Humanities in Medicine (IF 1.9) Pub Date : 2022-12-21 Michael Rost,Maddalena Favaretto,Eva De Clercq
BACKGROUND Normality is both a descriptive and a normative concept. Undoubtedly, the normal often operates normatively as an exclusionary tool of cultural authority. While it has prominently found its way into the field of medicine, it remains rather unclear in what sense it is used. Thus, our study sought to elucidate people's understanding of normality in medicine and to identify concepts that are
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What's in a name? A discussion on the definition of natural and unnatural causes of death. Philosophy, Ethics, and Humanities in Medicine (IF 1.9) Pub Date : 2022-11-23 Cécile M Woudenberg-van den Broek,Koos van der Velden,Wilma L J M Duijst-Heesters
When considering the manner of death, two categories can be distinguished, namely natural death and unnatural death. Though most physicians think that the distinction between the two is evident, this is not the case.When comparing the Netherlands, Belgium, England and Germany it is noticed that the terms natural and unnatural might be used in law but are not defined by law. In practice, the term unnatural
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The severity of moral distress in nurses: a systematic review and meta-analysis. Philosophy, Ethics, and Humanities in Medicine (IF 1.9) Pub Date : 2022-11-09 Nader Salari,Shamarina Shohaimi,Behnam Khaledi-Paveh,Mohsen Kazeminia,Mohammad-Rafi Bazrafshan,Masoud Mohammadi
BACKGROUND Moral distress is one of the most important problems that nurses face in their care of patients. Various studies have reported the frequency and severity of moral distress in nurses. However, to date, a comprehensive study that shows the results of these research across the world was not found, therefore due to the importance of this issue, its role in the health of nurses and patients,
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Operative public values as a tool for healthcare decisions: the social value and clinical criteria of triage. Philosophy, Ethics, and Humanities in Medicine (IF 1.9) Pub Date : 2022-09-28 Luis Cordeiro-Rodrigues
With the current pandemic, many scholars have contended that clinical criteria offer the best way to implement triage. Further, they dismiss the criteria of social value as a good one for triage. In this paper, I respond to refute this perspective. In particular, I present two sets of arguments. Firstly, I argue that the objections to the social value criteria they present apply to the clinical criteria
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How a compensated kidney donation program facilitates the sale of human organs in a regulated market: the implications of Islam on organ donation and sale. Philosophy, Ethics, and Humanities in Medicine (IF 1.9) Pub Date : 2022-07-28 Md Sanwar Siraj
BACKGROUND Advocates for a regulated system to facilitate kidney donation between unrelated donor-recipient pairs argue that monetary compensation encourages people to donate vital organs that save the lives of patients with end-stage organ failure. Scholars support compensating donors as a form of reciprocity. This study aims to assess the compensation system for the unrelated kidney donation program
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Entropy as the main justification for research in medical ethics. Philosophy, Ethics, and Humanities in Medicine (IF 1.9) Pub Date : 2022-05-04 Alban Zarzavadjian Le Bian,Louis Pantel,Christophe Tresallet,Marie-France Mamzer
Ethics is an unconventional field of research for a surgeon, as ethics in surgery owns several specificities and surgery is considered an aggressive specialty. Therefore, the interest of research in medical ethics is sometimes unclear.In this short essay, we discussed the interest of research in medical ethics using a comparison to thermodynamics and mainly, entropy. During the transformation of a
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Asclepion of Epidaurus: the application of a historical perspective in medical education. Philosophy, Ethics, and Humanities in Medicine (IF 1.9) Pub Date : 2022-04-20 Charalabos Papageorgiou,Gerasimos Konstantinou,Vassilis Lambrinoudakis,Christos Papageorgiou,Konstantina G Yiannopoulou
BACKGROUND The Asclepion of Epidaurus is one of the first healing environments in the world. Descendants of Asclepius, specifically medical students, have been singularly deprived of any information concerning this legacy. This article illuminates the role of Asclepion of Epidaurus and examines the view of medical students upon the subject and the possible benefits of this knowledge in their medical
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Media portrayal of ethical and social issues in brain organoid research. Philosophy, Ethics, and Humanities in Medicine (IF 1.9) Pub Date : 2022-04-13 Abigail Presley,Leigh Ann Samsa,Veljko Dubljević
BACKGROUND Human brain organoids are a valuable research tool for studying brain development, physiology, and pathology. Yet, a host of potential ethical concerns are inherent in their creation. There is a growing group of bioethicists who acknowledge the moral imperative to develop brain organoid technologies and call for caution in this research. Although a relatively new technology, brain organoids
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Alzheimer's disease: history, ethics and medical humanities in the context of assisted suicide. Philosophy, Ethics, and Humanities in Medicine (IF 1.9) Pub Date : 2022-03-30 Birgit Braun,Joachim Demling,Thomas Horst Loew
INTRODUCTION Dementia diseases, especially Alzheimer's disease (AD), are of considerable importance in terms of social policy and health economics. Moreover, against the background of the current Karlsruhe judgement on the legalisation of assisted suicide, there are also questions to be asked about medical humanities in AD. METHODOLOGY Relevant literature on complementary forms of therapy and prognosis
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Operation of a triage committee for advanced life support during the COVID-19 pandemic. Philosophy, Ethics, and Humanities in Medicine (IF 1.9) Pub Date : 2022-03-16 Benjamín Herreros,Rafael Ruiz de Luna,Natalia de la Calle,Diego Gayoso,Paula Martínez,Karmele Olaciregui Dague,Gregorio Palacios
BACKGROUND During the first weeks of March 2020 in Spain, the cases of severe respiratory failure progressively increased, generating an imbalance between the clinical needs for advanced life support (ALS) measures and the effective availability of ALS resources. To address this problem, the creation of triage committees (TC) was proposed, whose main function is to select the best candidates to receive
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The "One Health" approach in the face of Covid-19: how radical should it be? Philosophy, Ethics, and Humanities in Medicine (IF 1.9) Pub Date : 2022-02-28 Vittorio A Sironi,Silvia Inglese,Andrea Lavazza
BACKGROUND The 2020-2021 coronavirus (Covid-19) pandemic is just the latest epidemic event that requires us to rethink and change our understanding of health. Health should no longer be conceived only in relation to human beings, but in unitary terms, as a dimension that connects humans, animals, plants, and the environment (holistic view, One Health). In general, alterations occurring in this articulated
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Clusters, lines and webs-so does my patient have psychosis? reflections on the use of psychiatric conceptual frameworks from a clinical vantage point. Philosophy, Ethics, and Humanities in Medicine (IF 1.9) Pub Date : 2022-02-14 Tibor Zoltan Kovacs,Reece William Hill,Stuart Watson,Douglas Turkington
Mental health professionals working in hospitals or community clinics inevitably face the realisation that we possess imperfect conceptual means to understand mental disorders. In this paper the authors bring together ideas from the fields of Philosophy, Psychiatry, Cognitive Psychology and Linguistics to reflect on the ways we represent phenomena of high practical importance that we often take for
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Navigating ethical challenges of conducting randomized clinical trials on COVID-19. Philosophy, Ethics, and Humanities in Medicine (IF 1.9) Pub Date : 2022-01-28 Dan Kabonge Kaye
BACKGROUND The contemporary frameworks for clinical research require informed consent for research participation that includes disclosure of material information, comprehension of disclosed information and voluntary consent to research participation. There is thus an urgent need to test, and an ethical imperative, to test, modify or refine medications or healthcare plans that could reduce patient morbidity
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Changing self-concept in the time of COVID-19: a close look at physician reflections on social media. Philosophy, Ethics, and Humanities in Medicine (IF 1.9) Pub Date : 2022-01-26 Min Chiam,Chong Yao Ho,Elaine Quah,Keith Zi Yuan Chua,Caleb Wei Hao Ng,Elijah Gin Lim,Javier Rui Ming Tan,Ruth Si Man Wong,Yun Ting Ong,Yoke Lim Soong,Jin Wei Kwek,Wei Sean Yong,Kiley Wei Jen Loh,Crystal Lim,Stephen Mason,Lalit Kumar Radha Krishna
BACKGROUND The COVID-19 pandemic has changed the healthcare landscape drastically. Stricken by sharp surges in morbidity and mortality with resource and manpower shortages confounding their efforts, the medical community has witnessed high rates of burnout and post-traumatic stress amongst themselves. Whilst the prevailing literature has offered glimpses into their professional war, no review thus
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The role of philosophy and ethics at the edges of medicine. Philosophy, Ethics, and Humanities in Medicine (IF 1.9) Pub Date : 2021-11-06 Bjørn Hofmann
BACKGROUND The edge metaphor is ubiquitous in describing the present situation in the world, and nowhere is this as clearly visible as in medicine. "The edge of medicine" has become the title of books, scholarly articles, media headlines, and lecture series and seems to be imbued with hype, hope, and aversion. In order better to understand what is at stake at "the edge of medicine" this article addresses
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Mapping out epistemic justice in the clinical space: using narrative techniques to affirm patients as knowers. Philosophy, Ethics, and Humanities in Medicine (IF 1.9) Pub Date : 2021-10-26 Leah Teresa Rosen
Epistemic injustice sits at the intersection of ethics, epistemology, and social justice. Generally, this philosophical term describes when a person is wrongfully discredited as a knower; and within the clinical space, epistemic injustice is the underlying reason that some patient testimonies are valued above others. The following essay seeks to connect patterns of social prejudice to the clinical
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Exploring perception and usage of narrative medicine by physician specialty: a qualitative analysis. Philosophy, Ethics, and Humanities in Medicine (IF 1.9) Pub Date : 2021-10-20 Daniel A Fox,Joshua M Hauser
BACKGROUND Narrative medicine is a well-recognized and respected approach to care. It is now found in medical school curricula and widely implemented in practice. However, there has been no analysis of the perception and usage of narrative medicine across different medical specialties and whether there may be unique recommendations for implementation based upon specialty. The aims of this study were
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The standardization of clinical ethics consultation and technique's "long encirclement" of humanity: a response to Brummett and Muaygil. Philosophy, Ethics, and Humanities in Medicine (IF 1.9) Pub Date : 2021-10-12 Benjamin N Parks,Jordan Mason
In their recent article, Brummett and Muaygil reject Bishop et al.'s framing of the debate over standardization in clinical ethics consultation (CEC) "as one between pro-credentialing procedural and anti-credentialing phenomenological," claiming that this framing "amounts to a false dichotomy between two extreme approaches to CEC." Instead of accepting proceduralism and phenomenology as a binary, Brummett
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Indigenous knowledge around the ethics of human research from the Oceania region: A scoping literature review. Philosophy, Ethics, and Humanities in Medicine (IF 1.9) Pub Date : 2021-10-09 Etivina Lovo,Lynn Woodward,Sarah Larkins,Robyn Preston,Unaisi Nabobo Baba
BACKGROUND Many indigenous people have died or been harmed because of inadequately monitored research. Strong regulations in Human Research Ethics (HRE) are required to address these injustices and to ensure that peoples' participation in health research is safe. Indigenous peoples advocate that research that respects indigenous principles can contribute to addressing their health inequities. This
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The intractable problems with brain death and possible solutions. Philosophy, Ethics, and Humanities in Medicine (IF 1.9) Pub Date : 2021-10-09 Ari R Joffe,Gurpreet Khaira,Allan R de Caen
Brain death has been accepted worldwide medically and legally as the biological state of death of the organism. Nevertheless, the literature has described persistent problems with this acceptance ever since brain death was described. Many of these problems are not widely known or properly understood by much of the medical community. Here we aim to clarify these issues, based on the two intractable
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The downgrading of pain sufferers' credibility. Philosophy, Ethics, and Humanities in Medicine (IF 1.9) Pub Date : 2021-10-06 Mar Rosàs Tosas
BACKGROUND The evaluation of pain remains one of the most difficult challenges that healthcare practitioners face. Chronic pain appears to affect more than 35% of the population in the West, and indeed, pain is the most common reason patients seek medical care. Despite its ubiquity, studies in the last decades reveal that many patients feel their pain is dismissed by healthcare practitioners and that
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The pharmaceuticalisation of life? A fictional case report of insomnia with a thought experiment. Philosophy, Ethics, and Humanities in Medicine (IF 1.9) Pub Date : 2021-10-02 Emmanuel Bäckryd
BACKGROUND The safety of sleeping pills has increased dramatically during the last 100 years, from barbiturates to bensodiazepines to modern day so-called Z-drugs. METHODS The circumstances of prescribing sleeping pills in the early 20th century are illustrated by summarizing the main storyline of a novel by Swedish writer Vilhelm Moberg. This is followed by a thought experiment and a theoretical discussion
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Transforming trash to treasure Cultural ambiguity in foetal cell research. Philosophy, Ethics, and Humanities in Medicine (IF 1.9) Pub Date : 2021-09-15 Andréa Wiszmeg,Susanne Lundin,Åsa Mäkitalo,Håkan Widner,Kristofer Hansson
BACKGROUND Rich in different kind of potent cells, embryos are used in modern regenerative medicine and research. Neurobiologists today are pushing the boundaries for what can be done with embryos existing in the transitory margins of medicine. Therefore, there is a growing need to develop conceptual frameworks for interpreting the transformative cultural, biological and technical processes involving
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The worldwide investigating nurses' attitudes towards do-not-resuscitate order: a review. Philosophy, Ethics, and Humanities in Medicine (IF 1.9) Pub Date : 2021-09-07 Neda Raoofi,Samira Raoofi,Rostam Jalali,Alireza Abdi,Nader Salari
BACKGROUND The acceptance or practical application of the do-not-resuscitate order is substantially dependent on internal or personal factors; in a way that decision-making about this issue can be specific to each person. Moreover, most nurses feel morally and emotionally stressed and confused during the process decision-making regarding DNR order. Therefore, the purpose of the present study was to
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On the arts and humanities in medical education. Philosophy, Ethics, and Humanities in Medicine (IF 1.9) Pub Date : 2021-06-30 Danielle G Rabinowitz
This paper aims to position the birth of the Medical Humanities movement in a greater historical context of twentieth century American medical education and to paint a picture of the current landscape of the Medical Humanities in medical training. It first sheds light on the model of medical education put forth by Abraham Flexner through the publishing of the 1910 Flexner Report, which set the stage
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How to deal with the consent of adults with cognitive impairment involved in European geriatric living labs? Philosophy, Ethics, and Humanities in Medicine (IF 1.9) Pub Date : 2021-06-16 Guillaume Sacco,Frédéric Noublanche,Frédéric Blazek,Catherine Hue,Loïc Carballido,Marine Asfar,Philippe Allain,Cédric Annweiler
BACKGROUND Living labs are realistic environments designed to create links between technology developers and end-users (i.e. mostly older adults). Research in LLH (Living labs in health) covers a wide range of studies from non-interventional studies to CT (clinical trials) and should involve patients with neurocognitive disorders. However, the ethical issues raised by the design, development, and implementation
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Virtue and medical ethics education Philosophy, Ethics, and Humanities in Medicine (IF 1.9) Pub Date : 2021-05-27 Will Lyon
AbstractThe traditional structure of medical school curriculum in the United States consists of 2 years of pre-clinical study followed by 2 years of clinical rotations. In this essay, I propose that this curricular approach stems from the understanding that medicine is both a science, or a body of knowledge, as well as an art, or a craft that is practiced. I then argue that this distinction between
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Phenomenology, Saudi Arabia, and an argument for the standardization of clinical ethics consultation. Philosophy, Ethics, and Humanities in Medicine (IF 1.9) Pub Date : 2021-03-12 Abram Brummett,Ruaim Muaygil
BACKGROUND The purpose of this study is to make a philosophical argument against the phenomenological critique of standardization in clinical ethics. We used the context of clinical ethics in Saudi Arabia to demonstrate the importance of credentialing clinical ethicists. METHODS Philosophical methods of argumentation and conceptual analysis were used. RESULTS We found the phenomenological critique
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Retraction Note: Globalization and vulnerable populations in times of a pandemic: A Mayan perspective. Philosophy, Ethics, and Humanities in Medicine (IF 1.9) Pub Date : 2020-12-14 Claudia Ruiz Sotomayor,Alejandra Barrero
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Globalization and vulnerable populations in times of a pandemic: a Mayan perspective. Philosophy, Ethics, and Humanities in Medicine (IF 1.9) Pub Date : 2020-12-14 Claudia Sotomayor,Alejandra Barrero-Castillero
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RETRACTED ARTICLE: Globalization and vulnerable populations in times of a pandemic: A Mayan perspective Philosophy, Ethics, and Humanities in Medicine (IF 1.9) Pub Date : 2020-12-01 Claudia Ruiz Sotomayor,Alejandra Barrero
AbstractGlobal health conditions are marked by inequities due mostly to poverty and lack of access to healthcare services. In a Pandemic setting, Mayan Communities in the Quintana Roo State in Mexico are a good example of how these disparities are exacerbated. First, they may have difficulty in adhering to directives to stay home from work because of the nature of their job, and the necessity to work
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The impact of caring for dying patients in intensive care units on a physician's personhood: a systematic scoping review. Philosophy, Ethics, and Humanities in Medicine (IF 1.9) Pub Date : 2020-11-25 Joshua Tze Yin Kuek,Lisa Xin Ling Ngiam,Nur Haidah Ahmad Kamal,Jeng Long Chia,Natalie Pei Xin Chan,Ahmad Bin Hanifah Marican Abdurrahman,Chong Yao Ho,Lorraine Hui En Tan,Jun Leng Goh,Michelle Shi Qing Khoo,Yun Ting Ong,Min Chiam,Annelissa Mien Chew Chin,Stephen Mason,Lalit Kumar Radha Krishna
BACKGROUND Supporting physicians in Intensive Care Units (ICU)s as they face dying patients at unprecedented levels due to the COVID-19 pandemic is critical. Amidst a dearth of such data and guided by evidence that nurses in ICUs experience personal, professional and existential issues in similar conditions, a systematic scoping review (SSR) is proposed to evaluate prevailing accounts of physicians
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The impact of twenty-first century personalized medicine versus twenty-first century medicine's impact on personalization. Philosophy, Ethics, and Humanities in Medicine (IF 1.9) Pub Date : 2020-11-18 Camille Abettan,Jos V M Welie
BACKGROUND Over the past decade, the exponential growth of the literature devoted to personalized medicine has been paralleled by an ever louder chorus of epistemic and ethical criticisms. Their differences notwithstanding, both advocates and critics share an outdated philosophical understanding of the concept of personhood and hence tend to assume too simplistic an understanding of personalization
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My fear, my morals: a surgeon's perspective of the COVID crisis. Philosophy, Ethics, and Humanities in Medicine (IF 1.9) Pub Date : 2020-10-14 Shabir A Dhar,Zaid A Wani
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Coronavirus misinformation and the political scenario: the science cannot be 'another' barrier. Philosophy, Ethics, and Humanities in Medicine (IF 1.9) Pub Date : 2020-09-23 Marcelo Simões Mendes
The sensible and conflicting scenario of the pandemic postulated many challenges to societies around the world in 2020. Part of this problem refers to how the differences between politics and science are not comprehended in their particularities. The recognition of limits and power of science and politics can not only contribute to reaching the actions and strategies facing novel coronavirus but also
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Humanism in clinical education: a mixed methods study on the experiences of clinical instructors in Iran. Philosophy, Ethics, and Humanities in Medicine (IF 1.9) Pub Date : 2020-07-28 Hakimeh Hazrati,Shoaleh Bigdeli,Vahideh Zarea Gavgani,Seyed Kamran Soltani Arabshahi,Mozhgan Behshid,Zohreh Sohrabi
BACKGROUND Medical education is currently more considerate about the human dimension. The present qualitative study aimed to explain the experiences of clinical professors with regard to humanism in clinical education in Iran. METHODS This mixed methods study had two phases, a quanitative phase of scientometrics and a qualitative phase of a content analysis. In the scientometrics phase, Ravar PreMap
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What we may learn - and need - from pandemic fiction. Philosophy, Ethics, and Humanities in Medicine (IF 1.9) Pub Date : 2020-07-21 Jane Doherty,James Giordano
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Normality in medicine: a critical review. Philosophy, Ethics, and Humanities in Medicine (IF 1.9) Pub Date : 2020-04-16 Marisa Catita,Artur Águas,Pedro Morgado
What is considered normal determines clinical practice in medicine and has implications at an individual level, doctor-patient relationship and health care policies. With the increase in medical information and technical abilities it is urgent to have a clear concept of normality in medicine so that crucial discussions can be held with unequivocal terms.The different meanings for normality were analyzed
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Heart in art: cardiovascular diseases in novels, films, and paintings. Philosophy, Ethics, and Humanities in Medicine (IF 1.9) Pub Date : 2020-02-13 Ad A Kaptein,Pim B van der Meer,Barend W Florijn,Alexander D Hilt,Michael Murray,Martin J Schalij
BACKGROUND Understanding representations of disease in various art genres provides insights into how patients and health care providers view the diseases. It can also be used to enhance patient care and stimulate patient self-management. METHODS This paper reviews how cardiovascular diseases are represented in novels, films, and paintings: myocardial infarction, aneurysm, hypertension, stroke, heart
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Joining forces: the need to combine science and ethics to address problems of validity and translation in neuropsychiatry research using animal models. Philosophy, Ethics, and Humanities in Medicine (IF 1.9) Pub Date : 2020-01-23 Franck L B Meijboom,Elzbieta Kostrzewa,Cathalijn H C Leenaars
BACKGROUND Current policies regulating the use of animals for scientific purposes are based on balancing between potential gain of knowledge and suffering of animals used in experimentation. The balancing process is complicated, on the one hand by plurality of views on our duties towards animals, and on the other hand by more recent discussions on uncertainty in the probability of reaching the final
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The dental anomaly: how and why dental caries and periodontitis are phenomenologically atypical. Philosophy, Ethics, and Humanities in Medicine (IF 1.9) Pub Date : 2019-10-26 Dylan Rakhra
BACKGROUND Despite their shared origins, medicine and dentistry are not always two sides of the same coin. There is a long history in medical philosophy of defining disease and various medical models have come into existence. Hitherto, little philosophical and phenomenological work has been done considering dental caries and periodontitis as examples of disease and illness. METHODS A philosophical
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Critique of the concept of motivation and its implications for healthcare practices. Philosophy, Ethics, and Humanities in Medicine (IF 1.9) Pub Date : 2019-10-22 Leonardo Augusto Negreiros Parente Capela Sampaio,José Ricardo de Carvalho Mesquita Ayres
BACKGROUND Motivation is a crucial and widespread theme within medicine. From clinical to surgical scenarios, acquiescence in taking a pill or coming to a consultation is imperative for medical treatment to thrive. The "decade of the brain" gave practitioners substantial neuroscientific data on human behavior, helped to explain why people do what they do and created the concept of "motivated brain"
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An ethical comparison of living kidney donation and surrogacy: understanding the relational dimension. Philosophy, Ethics, and Humanities in Medicine (IF 1.9) Pub Date : 2019-09-18 Katharina Beier,Sabine Wöhlke
BACKGROUND The bioethical debates concerning living donation and surrogacy revolve around similar ethical questions and moral concepts. Nevertheless, the ethical discourses in both fields grew largely isolated from each other. METHODS Based on a review of ethical, sociological and anthropological research this paper aims to link the ethical discourses on living kidney donation and surrogacy by providing