Medicinsk etik og lægeetik

This is the first volume to comprehensively discuss the ethical, regulatory, and social aspects of xenotransplantation research.Organized into four parts, Xenotransplantation begins by examining ethical issues around informed consent of the potential xenograft recipient, the major ethical issues encountered when doing this research on pigs, and allocation issues. Part two examines regulatory aspects from a global perspective, specifically from three major regions of the world doing xenotransplantation research currently, of which include the United States, Western Europe, and Asia. Following this, part three describes religious aspects of xenotransplantation amongst the major world religions, including Christianity, Islam, Judaism, and Hinduism. The book closes with an analysis of quantitative and qualitative studies conducted by the editors that assess the public¿s perception of xenotransplantation. Featuring original data collectedby the editors, this book is an instrumental resource for all clinicians involved in the research and practice of xenotransplantation.

Hvad vil det sige at gøre det rigtige? Og ifølge hvilke principper? Skal man for eksempel altid respektere patientens ønsker? Hvad med de tilfælde, hvor (du mener) du ved bedre? Hvad med vanskelige sager som aktiv dødshjælp? Og hvilket ansvar har man som henholdsvis sundhedsprofessionel og patient?Sundhedsprofessionelle stilles hver dag over for svære afgørelser. Og derfor er det vigtigt – ja, faktisk helt grundlæggende – at sundhedsprofessionelle kan håndtere etiske og filosofiske spørgsmål.Denne bog ruster læseren til den etiske refleksion. I et dagligdags sprog og ved brug af mange eksempler bliver læseren præsenteret for redskaber fra filosofiens værktøjskasse og for centrale begreber som utilitarisme og paternalisme samt de dilemmaer, der knytter sig til begreberne.Ethics4Medics er en guide til etik og filosofi, skrevet for studerende og professionelle inden for sundhedsfagene.

Træn dine kliniske evner med akutmedicinske casesAkutmedicinske cases gennemgår ud fra en kliniknær og casebaseret tankegang nogle af de hyppigste og vigtigste scenarier inden for det akutmedicinske speciale. Modtagelsen af akutte og uafklarede patienter kræver en helt særlig faglighed. Akutlægen skal under tidspres kunne vurdere og sandsynliggøre mellem forskellige differentialdiagnoser, skal kunne flowstyre, triagere og prioritere mellem kritiske patienter, og det kræver samarbejde, lederskab og overblik – alt sammen kernekompetencer, som denne bog sætter fokus på via patientcases. Her bygges bro til virkelighedens akutmedicin i praksis, fra primærmelding, over patientmodtagelse og udredning til behandling og plan fremefter – og du er som læser hovedperson!Bogens 51 patientcases henvender sig til medicinstuderende og yngre KBU- og introlæger, som er på vej ind i det akutmedicinske speciale, men også andre lægefaglige specialområder med interesse for det akutte felt kan med fordel læse med.

This book presents an important reflection on the concept and limits of the Fundamental Right to Health as opposed to a supposed ¿Right to Hope¿ in the context of the treatment of patients with advanced cancer. The central idea of the work is the question of whether and to what extent patients with advanced cancer have the right to legally demand a palliative treatment whose efficacy has not been proven from the point of view of the desired objectives. The book demonstrates how hope cannot be subject to legal protection and, also, that, even if theoretical-legal reasons were not sufficient for the absence of an abstract right to hope, ethical reasons would be. The work concludes that the best palliative care, rather than palliative treatment, guarantees the best right to health for advanced cancer patients, especially in terminal cases.In addition to this theoretical discussion, the book also presents the results of a qualitative research the author conducted with 48 advancedcancer patients in Brazil and Germany to investigate their expectations towards chemotherapy. This study has confirmed that many patients decide to undergo often toxic and exhausting treatments, unrealistically believing that their cancer is curable or that, as long as they continue with a course of chemotherapy, cancer may be beaten. Palliative Treatment for Advanced Cancer Patients: Can Hope Be a Right? will be of interest to health professionals and social workers working with advanced cancer patients, as well as to researchers in the fields of public health, bioethics, medical ethics and health law, especially those interested in the growing interdisciplinary field of end-of-life decision-making.

This book provides the first systematic study on three types of incentives for organ donation. It covers extensive research conducted in four culturally different societies: Hong Kong, mainland China, Iran and the United States, and shows on the basis of the research that a new model of incentives can be constructed to enhance organ donation in contemporary societies. The book focuses on three types of incentives: honorary incentives, commonly adopted in the United States and other Western countries by offering things such as a thank-you card and a memorial park for donors to encourage donations motivated by pure altruism; compensationalist incentives, adopted in the Islamic Republic of Iran to encourage donation by providing monetary compensation to unrelated living donors for appreciating their altruistic contribution of donation; and familist incentives, implemented in Israel and mainland China to provide priority to organ transplantation to donors and/or their family members. The book demonstrates that a new model of incentives must go beyond offering only one type of incentives and should rather include different types of incentives that are practically effective, politically legitimate and ethically justifiable for particular societies. This implies that suitable incentive measures may vary from society to society to optimize organ donation. This book provides a clear reference for both the scholars and practitioners in the field of organ transplantation, as well as for general readers interested in bioethics and health care policy.

¿Dieses Open-Access-essential schafft Orientierung, wenn Künstliche Intelligenz im klinischen Alltag eingesetzt wird. Die Herausforderungen werden anhand zweier Beispiele aus dem Bereich der Nephrologie erläutert, die ethisch und rechtlich reflektiert werden. Ein umfangreicher Empfehlungsteil schließt diesen durchweg interdisziplinär erarbeiteten Band ab.

This volume discusses the definitional problems and conceptual strategies involved in defining the human. By crossing the boundaries of disciplines and themes, it offers a transdisciplinary platform for exploring the new ideas of the human and adjusting to the dynamic in which we are plunged. The emerging cyborgs and transhumans call for an urgent reconsideration of humans as individuals and collectives. The identity of the human in the 21st century eludes definitions underpinned by simplifying and simplified dichotomies. Affecting all the spheres of life, the discoveries and achievements of recent decades have challenged the bipolar categorizations of human/nonhuman and human/machine, real/virtual and thus opened the door to transdisciplinary considerations. Ours is a new world where the boundaries of normality and abnormality, a legacy of the long history of philosophy, medicine, and science need dismantling. We are now on our way to re-examine, re-understand, and re-describe what normal-abnormal, human-nonhuman, and I-we-they mean. We find ourselves facing what resembles the liminal stage of a global ritual, a stage of being in-between¿between the old anthropocentric order and a new position of blurred boundaries. The volume addresses philosophical, bioethical, sociological, and cognitive approaches developed to transcend the binaries of human-nonhuman, natural-artificial, individual-collective, and real-virtual.

In this volume the authors explore the landscape of thought on the ethical and policy implications of Brain Computer Interface (BCI) technology. BCI technology is a promising and rapidly advancing research area. Recent developments in the technology, based on animal and human studies, allow for the restoration and potential augmentation of faculties of perception and physical movement, and even the transfer of information between brains. Brain activity can be interpreted through both invasive and non-invasive monitoring devices, allowing for novel, therapeutic solutions for individuals with disabilities and for other non-medical applications. However, a number of ethical and policy issues have been identified from the use of BCI technology, with the potential for near-future advancements in the technology to raise unique new ethical and policy questions that society has never grappled with before. The volume has three parts: 1) Past, Present and Future of BCI technology, 2) Ethical and Philosophical Issues and 3) Legal and Policy Implications. The rich and detailed picture of the field of BCI ethics with contributors from various fields and backgrounds, from academia and from the commercial sphere may serve as an introductory textbook into the neuroethics of BCI, or as a resource for neuroscientists, engineers, and medical practitioners to gain additional insight into the ethical and policy implications of their work.

Internationally, marginalized populations, including indigenous people, refugees fleeing both war and the effects of climate change and people-of-color, have borne a disproportionate share of serious COVID 19 illnesses and deaths. Each contributor has a background in public health, applied psychology, and international issues, bringing a unique perspective and a valuable lens through which to view these issues. Additionally, the authors are members of the COVID-19 Ethics and Legal Issues Task Force within Division 52 (International Psychology) of the American Psychological Association. The task force has spent the last two years describing how COVID-19 has highlighted pre-existing health disparities within the U.S. and internationally. The topics investigated include strategies to manage the pandemic employed by governments in various countries as well as models of medical ethics guiding healthcare decision-making.

This book provides the first comprehensive, historically based, philosophical interpretations of two texts of Thomas Percival¿s professional ethics in medicine set in the context of his intellectual biography. Preceded by his privately published and circulated Medical Jurisprudence of 1794, Thomas Percival (1740-1804) published Medical Ethics in 1803, the first book thus titled in the global histories of medicine and medical ethics. From his days as a student at the Warrington Academy and the medical schools of the universities of Edinburgh and Leyden, Percival steeped himself in the scientific method of Francis Bacon (1561-1626). McCullough shows how Percival became a Baconian moral scientist committed to Baconian deism and Dissent. Percival also drew on and significantly expanded the work of his predecessor in professional ethics in medicine, John Gregory (1724-1773). The result is that Percival should be credited with co-inventing professionalism in medicine with Gregory. To aid and encourage future scholarship, this book brings together the first time three essential Percival texts, Medical Jurisprudence, Medical Ethics, and Extracts from the Medical Ethics of Dr. Percival of 1823, the bridge from Medical Ethics to the 1847 Code of Medical Ethics on the American Medical Association. To support comparative reading, this book provides concordances of Medical Jurisprudence to Medical Ethics and of Medical Ethics to Extracts. Finally, this book includes the first Chronology of Percival¿s life and works.

The Virtuous Physician: A Brief Medical History of Moral Inquiry from Hippocrates to COVID-19 traces the origin and development of practical moral inquiry as viewed through a lens of medical history. The cornerstone of the book is a translation of, and commentary on, the second century BC pseudo-Hippocratic Greek text, Precepts, a work not translated into English since 1921, which introduces the idea of the 'virtuous physician', and the 'art' of medicine. Precepts describes the ideal way of being of the physician, and a pragmatic, very modern code of ethics. Through the examination of other early texts the book locates the physician as a seminal figure in ancient society, first with religious significance, and later with increasingly philosophico-intellectual meaning, the physical embodiment of the search for moral-pragmatic professional standardization. This inquiry is put to the test as applied to the existential threat and crisis of the COVID-19 pandemic.The new, updated translation of Precepts makes the book interesting to classicists; and the detailed discussion of the cross-cultural influences between East and West in the Ancient World, especially of the influence of the Ancient Near East on Greek and Roman thought, to historians. It provides an outline of the history of the field for bioethicists and biomedical ethicists, and a seminal reference piece for physicians, from which to ground their own daily decision-making. It can be seen as a more valuable guide than the Hippocratic Oath, in this regard.

This book exposes significant threats to research integrity and identifies policies and practices that can reverse these trends. It is focused on human research and US policy. Recent assessments have shown inadequacies in institutions, policies, and practices that seriously compromise ethics. The presumed self-regulatory nature of the scientific endeavor has been exposed to have allowed unabated areas of poor-quality science, an incomplete and inaccessible scientific record, conflicts of interest, differing notions of accountability, virtually no evidence base to direct research integrity policy, and a growing sense of alienation, moral injury and even revolt among scientists. Reconstructing Research Integrity aims to capture ways of vigorously moving toward scientific and ethical rigor, including self-correction and emerging or already-successful initiatives.The book begins with analysis of the full system of institutions, policies, and practices involved in production, dissemination, and application of research, including an examination of the blind spots in research ethics ideology, policy, and practice. The book then identifies policies and practices that can reverse harmful ethical trends, such as strengthening Responsible Conduct of Research (RCR) training and improving self-regulation in the scientific community. Finally, the book discusses the constant evolution of research ethics and integrity, which is illustrated by emerging research fields like gene editing and data science.This book will be of interest to all research administrators in academic, commercial and government positions; to policy advisors at the National Science Foundation and at the National Academies of Science, Engineering, and Medicine; to graduate students in research ethics; to advanced bioethics education programs across the globe; and to researchers and consultants in ELSI (ethical, legal, and social implications) programs.

Health and healthcare are vitally important to all of us, and academic interest in the law regulating health has, over the last 50 years, become an important field of academic study. An analysis of the development of, changes in, and scope of health law and ethics to date, is both timely and of interest to students and scholars alike, along with an exploration of its likely future development. This work brings together contributions from leading and emerging scholars in the field. Each contributor has been invited to select and analyse a 'leading work', which has for them shed light on the way that health law and ethics has developed. The chapters are both autobiographical, reflecting upon the works that have proved significant to contributors, and also critical analyses of the current state of the field. This collection also includes a specially written Introduction and Conclusion, which critically reflect upon the development of health law and ethics and its likely future developments in the light of the reflections by contributors on their chosen leading works. The book will be of interest to students, teachers, and researchers in health law and ethics, as it provides critical discussions and assessments of some of the leading scholarship in the field.

This book details how ethical and professional behaviors are the essential key to nurturing the important trust bond with patients.

This book draws a connection between ethics and research across social sciences, philosophy, medical sciences and legal sciences, and demonstrates that any research activity needs to be conducted by means of rules deriving from the field of ethics. Although having a common core, such rules assume different characteristics depending on the branch of science, as the contributions on philosophy, medicine, dentistry, law, biotechnology, robotics and architecture highlight. It also investigates the more complex ethical concerns and places them in a larger, technological context. Starting with an introduction to common-sense ethical principles, the contributions then guide the reader, helping them develop and understand a comprehensive knowledge on the field. Notably, it appeared interesting to analyze recent events related to the arrival of the Sars-CoV-2 pandemic in light of ethical principles, highlighting in what terms their applicability can still be confirmed. Moreover, the book makes these topics accessible to a non-expert audience, while also offering alternative reading pathways to inspire more specialized readers.

Raimund Pousset gives in this essential a concise account of senicide, the modern form of cultural killing of the elderly. He sheds light on both the history and the current situation of an ancient method. Practiced for millennia almost everywhere in the world, this custom of actively disposing of old 'useless' people or passively putting oneself to death is increasingly being revived today. Senicide is a nameless and silent scandal in our modern, enlightened society. The author wishes to bring this silent death into the focus of a mindful professional public, for the segregation of old age and the avalanche of costs in health care suggest that senicide will continue to grow in sad significance

This new volume in the Reproductive Medicine for Clinicians series of the International Academy of Human Reproduction (IAHR) focuses on current hot topics in the field, their ethical and legal aspects and their impact on society.It covers topics such as Covid-19, religious and philosophical controversies, possibilities that new technologies offer, human reproductive cloning problems, future challenges related to the heritable gene editing, therapeutic use of stem cells and stem cell factors and the role of receptors in steroids hormone action.This volume also offers an analysis of important innovations and new possibilities such as the use of artificial intelligence in reproductive medicine and the future of prenatal testing. The volume also discusses the issues of pregnancies in advanced paternal age, ethical and legal aspects of gametes donation, sex preselection, surrogate motherhood and infertility in overweight or obese PCOS patients. Chapters on the ethicaland legal aspects of fertility preservation in woman, in children with cancer, and in patients sparing treatments in gynecological oncology are also included. This new volume in the series is a valuable resource for gynecologists, obstetricians, endocrinologists, general practitioners and all specialists dealing with reproductive health.

Tod und Sterben gehören zu den existentiellen Grunderfahrungen des Menschseins, die seit jeher Gegenstand kultureller Deutung sind. Der erste Teil des Bandes nähert sich dem Thema aus der Perspektive der philosophischen und theologischen Anthropologie, wobei zunächst die philosophischen Grundmodelle des Leib-Seele-Problems und ihre variantenreiche Rezeption im Raum der drei abrahamitischen Religionen thematisiert werden. Auf dieser Grundlage sind dann im zweiten Teil des Bandes mit der Debatte um Hirntod und Suizidassistenz zwei aktuelle medizinethische Konfliktfelder zu thematisieren, in denen unterschiedliche Todesverständnisse virulent werden.

This is a book about several specific and serious challenges that bioethics has to deal with in our time, particularly in the South African context. From an almost non-existent 'science' at the beginning of the 20th century, not receiving systematic reflection in intellectual circles such as universities, bioethics has grown with unprecedented strides and has established itself across the world as a major field of study. This book is an acknowledgement of the relevance and actuality of this development of bioethics internationally, and particularly in South Africa. In addition, it is an inter- and multidisciplinary composition of contributors and a significant reflection of the interdisciplinary approach that is universally required for bioethical work. The contributions also testify to a notable diversity in recently researched issues and in the backgrounds of the contributors.

In this book, John Wyatt analyses the arguments in favour of euthanasia and physician assisted suicide and shows how unstable their foundations are. Instead, Wyatt suggests a more humane path forward: one that is both achievable and more honouring to the patient.

In light of the potential novel applications of neurotechnologies in psychiatry and the current debate on moral bioenhancement, this book outlines the reasons why more conceptual work is needed to inform the scientific and medical community, and society at large, about the implications of moral bioenhancement before a possible, highly hypothetical at this point, broad acceptance, and potential implementation in areas such as psychiatry (e.g., treatment of psychopathy), or as a measure to prevent crime in society. The author does not negate the possibility of altering or manipulating moral behavior through technological means. Rather he argues that the scope of interventions is limited because the various options available to ¿enhance morality¿ improve, or simply manipulate, some elements of moral behavior and not the moral agent per se in the various elements constitutive of moral agency. The concept of Identity Integrity is suggested as a potential framework for a responsible use of neurotechnologies in psychiatry to avoid human beings becoming orderers and orderables of technological manipulations.