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Revue

    Journal of Medical Ethics
    J. Med. Ethics
    JME
    Rédaction:
    The Editor, Journal of Medical Ethics
    36 West Towers
    Pinner
    Middlesex HA5 1UA
    UK

    Published by the BMJ Publishing Group, on behalf of the Institute of Medical Ethics (registered charity) and the British Medical Association

    BMJ Bookshop:
    PO Box 295
    London WC1H 9JR
    UK
    Tél: 0171 383 6244
    Fax: 0171 383 6662
    http://www.jmedethics.com
1279 documents trouvés
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Alternative medicine : methinks the doctor protests too much and incidentally befuddles the debate
Article de revue
    PIETRONI Patrick C.
    Journal of Medical Ethics , 1992, vol. 18, n/o 1, pp.23-25
    Cote : REVUE EN STOCK

    Dr Kottow in his paper "Classical medicine v alternative medical practices" places the alternative/orthodox medicine debate within a historical context of antiquackery literature. This paper explores the nature of science as it is applied to clinical practice and challenges the narrow view of the diagnostic process as outlined by Dr Kottow. Research methodologies more appropriate to "whole person" medicine are suggested as having more ethical value than those based on the clinical trial.
    -----
    Ref.

Ethics and ethics committees : HIV serosurveillance in Scotland
Article de revue
    TAPPIN D.M. ; COCKBURN F.
    Journal of Medical Ethics , 1992, vol. 18, n/o 1, pp.43-46
    Cote : REVUE EN STOCK

    Knowledge of the heterosexual spread of HIV is needed to plan future health-care needs. In December 89, the authors gained approval and finance for unlinked anonymous testing of neonatal Guthrie card samples in Scotland. Local ethics committee approval was required before testing could start. 20 ethics committees were approached, 19 of which agreed. Their method of contacting ethics committees is discussed, as are the points raised.
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    Références bibliographiques

Symposium on death
Article de revue
    (collectif)
    Journal of Medical Ethics , 1992, 18 (1), pp.26-42
    Cote : REVUE EN STOCK

    COLE David J./The reversibility of death, pp.26-30
    LAMB David/Reversibility and death : a reply to David J.Cole, pp.31-33
    CATHERWOOD John F./Rozencrantz and Guildenstern are 'dead' ?, pp.34-39
    LAMB David/Death and reductionism : a reply to John F. Catherwood, pp.40-42

Classical medicine v alternative medical practices
Article de revue
    KOTTOW Michael H.
    Journal of Medical Ethics , 1992, vol. 18, n/o 1, pp.18-22
    Cote : REVUE EN STOCK

    Alternative therapeutic approaches have taken advantage of the eroded public image of medicine, offering treatments based on holistic philosophies that stress the non-rational, non-technical and non-scientific approach to the unwell, disregarding traditional diagnostic categories and concentrating on enhancing subjective comfort and well-being, but remaining oblivious to the organic substrate of disease. This leads to questionable ethics in terms of false hopes and lost opportunities for effective therapy.

Who should get the kidney machine ?
Article de revue
    LANGFORD Michael J.
    Journal of Medical Ethics , 1992, vol. 18, n/o 1, pp.12-17
    Cote : REVUE EN STOCK

    This paper considers the problem that arises when the number of patients who need a resource exceeds the supply. An initial decision-making model is proposed that uses two essential criteria, medical prognosis and the priority of life-threatening situations. The model is then subjected to some criticism and modified in order to contain both a non-utilitarian feature that stresses the intrinsic importance of all persons, and a utilitarian feature that could be applied in some circumstances.

Cost-effectiveness analysis : is it ethical ?
Article de revue
    WILLIAMS Alan
    Journal of Medical Ethics , 1992, vol. 18, n/o 1, pp.7-11
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    Many clinicians believe that allowing costs to influence clinical decisions is unethical. The author argues that it cannot be ethical to ignore the adverse consequences upon others of the decisions you make, which is what "costs" represent. There are, however, some important ethical issues in deciding what costs to count and how to count them.
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    Ref.

Personal health records
Article de revue
    BLACK Douglas
    Journal of Medical Ethics , 1992, vol. 18, n/o 1, pp.5-6
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    Are there particular conditions under which the confidentiality of medical records could or should be breached ?

A startling 19,000-word thesis on the origin of AIDS : should the JME have published it ?
Article de revue
    GILLON Raanan
    Journal of Medical Ethics , 1992, vol. 18, n/o 1, pp.3-4
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    Review of a recent study on the origin of AIDS. Mr Pascal argues that AIDS is an iatrogenic disease. He believes that the HIV was transmitted into the human race from monkeys, as a result of oral "vaccination" programmes against polyomyelitis carried out in Africa at the end of the 1950s.
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    Ref. Editorial

A proposal to classify happiness as a psychiatric disorder
Article de revue
    BENTALL Richard P.
    Journal of Medical Ethics , 1992, vol.18, n 2, pp.94-98
    Cote : REVUE EN STOCK

    It is proposed that happiness be classified as a psychiatric disorder and be included in future editions of the major diagnostics manuals under the new name : "major affective disorder, pleasant type".
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    Références

The psychological profile of parents who volunteer their children for clinical research : a controlled study
Article de revue
    HARTH S.C. ; JOHNSTONE R.R. ; THONG Y.H.
    Journal of Medical Ethics , 1992, vol.18, n 2, pp.86-93
    Cote : REVUE EN STOCK

    The results of the study presented here suggest that parents who volunteer their children for clinical research are not only socially disadvantaged and emotionally vulnerable, but may also be psychologically predisposed to volunteering. Further more, the informed consent procedure seems to discourage the better educated, more privileged members of society from participation as research subjects.
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    Références.

Huntington's Disease
Article de revue
    Journal of Medical Ethics , 1992, vol.18, n 2, pp.75-85
    Cote : REVUE EN STOCK

    POST Stephen G./Huntington's disease : prenatal screening for late onset disease, pp.75-78
    TERRENOIRE Gwen/Huntington's disease and the ethics of genetic prediction, pp.79-85
    -----
    The first article presents a set of moral arguments regarding the selective abortion of fetuses on the basis of prenatal screening for late onset genetic diseases only, and for Huntington's disease in particular. The second article asks the following question : "what ethical justification can be found for informing a person that he or she will later develop a lethal disease for which no therapy is available ?".
    -----
    Références

Attitudes of a Mediterranean population to the truth-telling issue
Article de revue
    DALLA-VORGIA Panaglota ; et al.
    Journal of Medical Ethics , 1992, 18 (2), pp.67-74
    Cote : REVUE EN STOCK

    The attitudes of the Greeks to the issue of telling the truth to the patient have been studied. The conclusion is that, emphasising the need for good communication between doctors and patients, doctors should not lie, but should disclose to their patients the part of the truth they are ready to accept.
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    Références.

On lying and deceiving
Article de revue
    BAKHURST David
    Journal of Medical Ethics , 1992, vol.18, n 2, pp.63-66
    Cote : REVUE EN STOCK

    This article challenges Jennifer Jackson's recent defence of doctors'rights to deceive patients. It argues that both lying and intentional deception are wrong where they infringe a patient's right to autonomy or his/her right to be treated with dignity.

Health care ethics and casuistry
Article de revue
    DOWNIE Robin
    Journal of Medical Ethics , 1992, vol.18, n 2, pp.61-62, 66
    Cote : REVUE EN STOCK

    One claim often made by those advocating the study of health care ethics is that such a study will assist in the solving of "ethical dilemmas". Is health care ethics in this sense possible ? Is it desirable ? Is it philosophy ?
    -----
    Guest editorial

In the genes or in the stars ? Children's competence to consent.
Article de revue
    ALDERSON Priscilla
    Journal of Medical Ethics , 1992, vol.18, n 3, pp.119-124
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    Children's competence to refuse or consent to medical treatment or surgery tends to be discussed in terms of the child's ability or maturity. This paper argues that the social context also powerfully influences the child's capacity to consent. Inner attribues and external influences are discussed using an analogy of the genes and the stars.

Learning to see : moral growth during medical training
Article de revue

"Aid-in-dying" and the taking of human life
Article de revue

Legislation on euthanasia : recent developments in the Netherlands
Article de revue
    GEVERS J.K.M.
    Journal of Medical Ethics , 1992, vol.18, n 3, pp.138-141
    Cote : REVUE EN STOCK

    Recently, new developments took place in the Dutch debate on the legislation of euthanasia. After a brief account of that debate, the article discusses a new government proposal for legislation in this field, which was submitted to the Dutch parliament in November 1991. This proposal relates not only to euthanasia but also to some other medical decisions concerning the end of life. The author concludes that, for several reasons, it is unsatisfactory.

Resuscitation policies-action required
Article de revue

Measuring the ethical sensitivity of medical students : a study at the University of Toronto
Article de revue

The impact of physician denial upon patient autonomy and well-being
Article de revue
    MEYERS Christopher
    Journal of Medical Ethics , 1992, vol.18, n 3, pp.135-137
    Cote : REVUE EN STOCK

    In this paper, the author uses a true case to reveal the harmful effects of PHYSICIAN denial upon patient autonomy and well-being. He suggests further that such physician denial may be more common than is generally acknowledged, since aspects of the contemporary medical ethos likely serve to reinforce rather than to undercut such denial.

When loyalties are divided between teachers and patients
Article de revue
    MORRIS Mark
    Journal of Medical Ethics , 1992, vol.18, n 3, pp.153-155
    Cote : REVUE EN STOCK

    Three situations are described where a junior doctor is required by his consultant to do something that he thinks is not in the patient's best interests. The dilemma is explored from the perspective of patients'interests being the doctor's first concern ; of the importance of respect for medical teachers, and of the implications of an apprenticeship model of postgraduate medical training.

The ethics of ignorance
Article de revue
    SMITH Richard
    Journal of Medical Ethics , 1992, vol.18, n 3, pp.117-118, 134
    Cote : REVUE EN STOCK

    The scientific base of medicine is weak and it would be better for everybody if that fact was more widely recognised.

Developing guidelines for decisions to forgo life-prolonging medical treatment
Article de revue
    STANLEY John M. ; Appleton International Conference
    Journal of Medical Ethics , 1992, vol.18, supplement, 22 p.
    Cote : REVUE EN STOCK

    This serie of guidelines is the result of the third working conference of the Appleton International Conference. The guidelines are divided into four parts : 1) Decisions involving patients who have decision-making capacity or patients who have executed an advance directive before losing this capacity ; 2) Decisions involving patients who have lost the capacity to make decisions and who have not executed an advance directive ; 3) Decisions involving neonates and other patients who have never achieved decision-making capacity ; 4) Decisions to forgo life-sustaining treatment under conditions of scarcity.

Baby marrow : ethicists and privacy
Article de revue
    ZUCKER Arthur
    Journal of Medical Ethics , 1992, vol.18, n 3, pp.125-127, 141
    Cote : REVUE EN STOCK

    A family had a child in large part to use its marrow in the hopes of saving the life of an older child afflicted with leukaemia. Public response from medical ethicists was negative. This paper argues that what the family did was not clearly wrong and that the ethicists should not have made public pronouncements calling the morals of the family into question.

Ethical dilemmas in malaria drug and vaccine trials : a bioethical perspective
Article de revue

HIV infection and AIDS : the ethics of medical confidentiality
Article de revue

On visibility : AIDS, deception by patients, and the responsibility of the doctor
Article de revue
    DUNBAR Scott ; REHM Susan
    Journal of Medical Ethics , 1992, Vol.18, n 4, pp.180-185
    Cote : REVUE EN STOCK

    This paper deals with lying or deceiving on the part of the patient. Three cases involving HIV-infected male homosexual or bisexual persons are presented. In each case, the patient deceives or wants the doctor to deceive a third party on his behalf. A dichotomy was created between the private life and the public image, that leads to a progressive isolation and impedes the provision of optimal care.

Should public health respect autonomy ?
Article de revue

Gilligan : a voice for nursing ?
Article de revue

Let's keep metaphysics out of medical ethics : a critique of Poplawski and Gillett
Article de revue

Is the endoscopic view too narrow ?
Article de revue

Epidemiology and moral philosophy
Article de revue

Bioethics in Europe
Article de revue
    Journal of Medical Ethics , 1993, Vol. 19, n 1, pp.3-16
    Cote : REVUE EN STOCK

    GILLON Raanan/Biomedical ethics in Europe - a need for the POBS? (editorial), pp.3-4
    QUINTANA Octavi/International bioethics? The role of the Council of Europe, pp.5-6
    RIIS Povl/Medical ethics in the European Community, pp.7-12
    BYK C./The European Convention on bioethics, pp.13-16

Debate
Article de revue
    Journal of Medical Ethics , 1993, Vol. 19, n 1, pp.19-27
    Cote : REVUE EN STOCK

    HUNT Roger W./A critique of using age to ration health care, pp.19-23
    CALLAHAN Daniel/Response to Roger W Hunt, pp.24-27

What counts as success in genetic counselling?
Article de revue

The disposal of the aborted fetus - new guidelines: ethical considerations in the debate in Sweden
Article de revue

The relevance of health state after treatment in prioritising between different patients
Article de revue

The medical ethics of the 'Father of Gynaecology', Dr J Marion Sims
Article de revue
    OJANUGA Durrenda
    Journal of Medical Ethics , 1993, Vol. 19, n 1, pp.28-31
    Cote : REVUE EN STOCK

    Dr Sims used female slaves as research subjects over a four-year period of experimentation (1845-1849). Discussion.

After bioethics and towards virtue?
Article de revue
    TOON Peter D.
    Journal of Medical Ethics , 1993, Vol. 19, n 1, pp.17-18
    Cote : REVUE EN STOCK

    The place of philosophical medical ethics in medical education and clinical practice has recently been questioned. Although partially valid, the criticisms do not warrant abandoning the enterprise. Instead a reappraised model, based on Aristotelean concepts of intellectual and moral virtue is suggested.

The teaching of medical ethics : University College, Cork, Ireland
Article de revue

Assessing the clinical ethical competence of undergraduate medical students
Article de revue

Quality of life in cancer patients - an hypothesis
Article de revue

On withholding artificial nutrition and hydration in the terminally ill
Article de revue
    Journal of Medical Ethics , 1994, 20 (3), 10 p.
    Cote : REVUE EN STOCK

    GILLON Raanan/Editorial : Palliative care ethics : non-provision of artificial nutrition and hydration to terminally ill sedated patients/pp. 131-2 + 187
    CRAIG Gillian/On withholding nutrition and hydration in the terminally ill : has palliative medicine gone too far?/pp. 139-143
    WILKES Eric/On withholding nutrition and hydration in the terminally ill : has palliative medicine gone too far? A commentary/pp. 144-145

A reply to Craig
Article de revue
    Journal of Medical Ethics , 1995, 21 (3), pp.135-40+141-3
    Cote : REVUE EN STOCK

    ASHBY Michael
    STOFFEL Brian/Artificial hydration and alimentation at the end of life : a reply to Craig
    DUNLOP R.J.
    ELLERSHAW J.E.
    BAINES M.J.
    SYKES N.
    SAUNDERS C.M./On withholding nutrition and hydration in the terminally ill : has palliative medicine gone too far? A reply

The proof of the vegetable : a commentary on medical futility
Article de revue

Justice, welfare and health care
Article de revue

On withholding artificial hydration and nutrition from terminally ill sedated patients. The debate continues
Article de revue
    CRAIG Gillian
    Journal of Medical Ethics , 1996, 22 (3), pp. 147-153
    Cote : REVUE EN STOCK

    (NB: suite d'un débat paru dans le Journal of Medical Ethics, 20 (3), September 1994, pp. 131-2 + pp. 139-145, et 21 (3), June 1995, pp. 135-40 + pp. 141-3)

"Wrongful life" lawsuits for faulty genetic counselling : should the impaired newborn be entitled to sue ?
Article de revue

(Teaching medical ethics)
Article de revue
    Journal of Medical Ethics , 1999, 25 (1), pp. 42-50
    Cote : REVUE EN STOCK

    PATTISON Stephen et al./ Do case studies mislead about the nature of reality ?
    HIGGS Roger/ Do the studies of the nature of cases mislead about the reality of the cases ? A response to Pattison et al.

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