The inaugural issue of Ethics & Human Research explores new challenges in US human subjects research, including the impact of single-IRB mandates and genome editing. The journal also examines the need for local knowledge in multisite studies and highlights the difficulties countries face in adhering to international ethical standards w...
The American College of Physicians has released a new edition of its Ethics Manual, providing guidance on complex issues in medicine. The updated manual covers topics such as precision medicine, genetic testing, telemedicine, and end-of-life care, offering practical advice for clinicians, educators, researchers, and policymakers.
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Researchers found that young-onset diabetes is associated with a higher risk of hospitalization for mental illness compared to usual-onset diabetes. The study also showed that adults with young-onset diabetes had excess hospitalizations across their lifespan.
A new special report explores the definition of death, including the controversy over brain death and its implications for organ transplantation. Leading experts discuss areas of ongoing debate, such as whether brain-dead organ donors are truly dead.
Research found that more Oregonians filled out POLST forms between 2015-16, with a 45% increase compared to 2010-11. The study also showed changes in how people use the form, including increased use by middle-aged individuals and those with Alzheimer's and Parkinson's diseases.
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Researchers found that variations in tone of language used in advertising biased attitudes toward a brand, decreasing consumer trust. The level of politeness was most important, with more polite taglines leading to lower trust in ethically ambiguous business practices.
The study explores the implications of applying utilitarian, deontological, and virtue ethical standards to superstition in the marketplace. It highlights the need for researchers to clearly state the rationality of consumers' behaviors and assess their irrationality to promote consumer well-being.
Researchers aim to improve guidelines for human-animal chimera research, considering moral status and animal welfare. The project will address conceptual, ethical, and procedural limitations in existing ethics guidance.
A proposed taxonomy categorizes conscience protections based on state or private actors, as well as provider conduct. Bioethicists must shape AI and machine learning to prevent moral pitfalls, including exacerbating human biases and weakening patient confidentiality.
A study of eight Ontario nurses reveals that making conscientious objections to ethically-relevant policies requires concrete supports and protection in healthcare settings. The researchers emphasize the need for routine conversations about conscience and conscientious objection to respect human rights and promote ethical practice.
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The Brainstorm Project aims to develop a philosophical framework for government policy and regulations on brain organoid research. The two-year project, led by CWRU researcher Insoo Hyun, will bring together neuroscientists and bioethicists to explore emerging ethical issues in this rapidly advancing field.
The report examines how bioethics can better reflect the needs of an aging society. Key findings include the impact of economic insecurity on older adults, inadequate housing solutions, and socioeconomic disparities affecting communities.
Researchers at Linköping University found that uterus transplantation with living donors is ethically comparable to altruistic surrogacy, citing potential pressures on donors and lack of research on child outcomes. The study suggests that decision-makers should consider the parallels between the two practices.
The CRISPR Journal publishes groundbreaking research on gene editing, including off-target effects in HIV therapy and the role of p53 in genome editing. The journal explores the ethics of CRISPR technology and its potential applications.
A new report by UCSF bioethicists recommends targeted genome sequencing for symptomatic newborns, but opposes universal screening. This approach aims to balance the benefits of genomics with potential risks and costs.
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A new report recommends that targeted genomic sequencing be used to diagnose sick newborns, but genome-wide sequencing of all newborns should not be pursued. The report also advises against direct-to-consumer genetic testing for newborns due to potential anxiety and lack of adequate follow-up.
Researchers evaluated Stanford University's work on the tiny mummified body, concluding genetic abnormalities could explain perceived abnormalities. However, Otago-led experts found no evidence for these anomalies, revealing normal skeletal development in a fetus.
Researchers emphasize the importance of authentication in medical research/treatment, highlighting issues related to respect for autonomy, privacy protection, and trust establishment. They propose two-factor authentication as a solution to address these concerns.
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The article discusses the ethical implications of genetic testing and the duty to warn family members of hereditary disease risks. Experts argue that patients have a moral obligation to share their genetic information with relatives, citing the principle of rescue as a framework for decision-making.
A new study reveals widespread labor exploitation in the global tea and cocoa industries, with workers facing severe poverty, abuse, and lack of basic services. The research found that even certified companies are failing to prevent labor abuses, highlighting a need for structural changes to address the root causes.
Bioethicists from the National Institutes of Health suggest a framework for discussing the use of online genealogy data in crime-solving. The potential benefits are exciting, but issues must be addressed, including citizen rights and DNA evidence misuse.
Researchers must value Indigenous people's knowledge and experiences to conduct meaningful health research. The history of Indigenous health research in Canada involved unethical methods, but guidelines have been implemented to improve the field, including minimum requirements from the Tri-Council Policy Statement.
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A special section in Perspectives in Biology and Medicine examines the newest and most complex issues surrounding stem cells. The issue includes essays on the potential impacts of using a person's own stem cells on patients, health-care systems, and the public trust in science and medicine.
A recent commentary examines the ethical fit of mindfulness practices in corporate America, highlighting potential conflicts between prioritizing shareholder return and mindfulness' philosophical commitment to non-harm and wholesome living. The authors argue that infiltrating corporate culture with mindfulness can raise the ethical bar...
Researchers must consult with Indigenous communities before analyzing ancient DNA to avoid harming descendants and stigmatizing their communities. Collaboration with communities strengthens analysis and allows for better questions to be asked, guided by community narratives.
A new study from the University of Oxford recommends regulating the digital afterlife industry to ensure ethical usage of digital remains. The guidelines used for managing human remains in archaeological exhibitions could be applied to regulate commercial use of digital remains, treating them with care and respect rather than manipulat...
A review of vitamin D research highlights ethical concerns with placebo groups in clinical trials, particularly in vulnerable populations. The authors propose solutions and recommend guidelines for the use of placebos to mitigate risks and ensure informed study design.
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Experts argue that scientific progress can generate harm, while researchers propose a revised standard for disclosing incidental findings. Bioethicist Daniel Callahan also suggests delaying technological innovation to consider its consequences. Additionally, experts like Sean Philpott-Jones advocate for concrete policy measures on gun ...
A recent study found that e-cigarette users were less likely to abstain from tobacco at 6 months compared to non-users. However, this finding may not be representative of the general population, and more research is needed to determine the efficacy of e-cigarettes in smoking cessation.
The American College of Physicians releases a new position paper advising physicians on ethical obligations when participating in short-term global health experiences. Key findings include the importance of partnering with local leaders and minimizing potential burdens on local communities.
The use of artificial intelligence in medicine raises important ethical questions, including bias in algorithms and the potential for data to replace human clinical experience. Researchers call for careful examination of these risks and for physicians to critically assess machine-learning tools and their limitations.
The Hastings Center Report has published a new article examining the ethics of rationing healthcare resources through inconvenience. The authors argue that under certain conditions, this approach can be ethical and even preferable to direct rationing. Meanwhile, another author highlights the potential downsides of this practice, includ...
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A new study by Michigan Technological University proposes principles for resolving conservation conflicts that also consider social justice. The principles focus on three key values: equality, need, and desert, which aim to balance human well-being with environmental protection.
Researchers found that literacy-adapted group cognitive behavior therapy (CBT) and simplified pain education (EDU) significantly improved pain and physical function in patients with chronic pain. The study suggests that CBT can be simplified to improve accessibility without reducing its potency.
The American College of Physicians recommends reinforcing formal curricula with hidden cultural lessons in medical education. This includes modeling empathy, encouraging reflection, and promoting learner and clinician wellness. The goal is to align positive hidden curricula with formal curricula and foster respect, inquiry, and honesty.
A new veterinary medical ethics committee has been developed at North Carolina State University to aid caregivers in navigating complex care situations. The committee, consisting of seven members, operates independently from the hospital's academic and business aspects to provide a fair and open discussion of ethical issues.
Researchers call for regulations to protect human mental privacy and integrity in neurotechnology, citing concerns over dual-use applications. The University of Basel outlines a new framework concept aimed at preventing the weaponization of brain technology.
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The $125,000-per-dose cost of the drug nusinersen poses barriers for many patients with spinal muscular atrophy, who may not have access to it due to insurance restrictions. Early treatment is crucial for halting muscle degeneration, but unequal access to the medication raises ethical concerns about fairness and decision-making.
The article examines the persistence of continuous electronic fetal monitoring as a standard of care, despite evidence that it increases risks. It also discusses the lack of mechanisms for ensuring medical professionals stay current with best practices and the role of malpractice law in setting boundaries on acceptable interventions.
The shift from public to private funding in biomedical research poses significant challenges, including collaborative research models, intellectual property rights, and oversight. Researchers must navigate conflicts between private benefactors, institutions, and scientists to ensure the integrity of research.
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The report examines how financial constraints, clinical expectations, and societal pressures impact reproductive autonomy. It also delves into the 'criminalization of pregnancy' causing racial disparities in reproductive autonomy.
Researchers will examine patients' and family members' perspectives on personality changes before and after Parkinson's disease treatment. The study aims to develop personalized measures of personality and inform public discussions of identity and autonomy in the context of deep brain stimulation.
The separation of conjoined twins presented a complex medical challenge, requiring coordination of multiple specialists and consideration of the ethical implications. The case highlighted the importance of collaboration and compassion in providing care to vulnerable populations.
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A new study argues that voluntary stopping of eating and drinking (VSED) is a form of suicide, requiring regulation by physicians. In many cases, patients would need substantial medical assistance to carry out their intention of fasting to death.
University of Pennsylvania School of Nursing's Connie M. Ulrich emphasizes the value of ethic preparedness among nurse bioethicists, addressing challenges in everyday practice and nursing's role in bioethics and care delivery.
The Hastings Center Report examines ethical dilemmas in global health, including resource sensitivity, physician-assisted death and parental authority. The case for providing cheaper, less effective treatments to promote health and realize ethical values is presented.
A new code of ethical behavior for sharing plastic surgery videos on social media aims to curb vulgar content and prioritize patient safety. The guidelines, proposed by Northwestern Medicine authors, are based on four guiding principles of medical ethics and will be presented at the American Society of Plastic Surgeons annual meeting.
Researchers found that open-label placebos can be effective in treating physical complaints such as chronic back pain and migraine. The placebo effect is enhanced when participants are given a clear explanation of how it works, suggesting that a narrative plays a crucial role.
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The American College of Physicians (ACP) has reaffirmed its opposition to the legalization of physician-assisted suicide, citing ethical and clinical concerns. ACP emphasizes the importance of improving palliative care, including awareness and access, as a more effective approach to end-of-life care.
The American College of Physicians opposes the legalization of physician-assisted suicide, citing ethical concerns and a focus on improving hospice and palliative care. The organization recommends 12 steps for physicians to provide compassionate supportive care to patients nearing the end of life.
The Your DNA Your Say project gathers public opinions on the sharing of genetic information through a film-based survey. The results will feed into the work of GA4GH and inform policy development on how genetic data is used and distributed.
A new concept of nonvoluntary treatment could distinguish psychiatric patients who refuse help but likely would have accepted it in a healthy state of mind from traditional involuntary treatment. This distinction aims to provide more precise categorization and alleviate ethical concerns.
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A new review examines the evolution of animal experimentation ethics, providing strategies for teaching and alternatives like tissue cultures and computer modeling. Practical approaches are offered to improve ethical practices in animal research.
In the wake of Charlie Gard's high-profile court case, Professor Dominic Wilkinson emphasizes the need for fair, accurate, and balanced discussion in cases involving life-prolonging treatment. One potential solution is to allow medical professionals to make public the medical evidence on which they are basing their decisions.
The Precision Medicine Initiative raises concerns about protecting participant data and balancing health needs across sociocultural groups. Research on life extension also sparks debates over its necessity and potential economic and social impacts.
The Nuffield Council on Bioethics recommends banning invasive cosmetic procedures for under 18s, citing social media pressure and lack of regulation. The report calls for improved testing and training for practitioners, as well as public awareness campaigns to ensure safe procedures.
Children with DSD may be able to preserve fertility using experimental techniques, but this raises concerns about cost, insurance coverage, and transmission to offspring. The procedure also presents complex ethical dilemmas, particularly regarding gender dysphoria and autonomous decision-making.
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The Hastings Center Report explores the ethics of opioid treatment agreements, which critics say are ethically suspect. The authors conclude that the purpose of these agreements is to disclose their requirements to patients, promoting mutual decision-making on pain management programs. In contrast, some experts propose replacing agreem...
A South African team has successfully performed the second penis transplant, a procedure that aims to address penile mutilation caused by traditional circumcisions. The recipient is expected to regain full urinary and reproductive functions within six months, paving the way for cost-effective solutions to help affected men.
A recent study published in Annals of Internal Medicine reveals that Nazi-era physicians were required to study medical ethics in German medical schools, with a focus on the 'people's body' over individual health. This challenges the notion of medical ethics as a universal construct.