| 61. |
- Funestrand, Henrik, et al.
(författare)
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Substandard and falsified medical products are a global public health threat. A pilot survey of awareness among physicians in Sweden
- 2019
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Ingår i: Journal of Public Health. - : Oxford University Press (OUP). - 1741-3850 .- 1741-3842. ; 41:1, s. 95-102
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Tidskriftsartikel (refereegranskat)abstract
- BackgroundSubstandard and falsified medical products are a public health threat, primarily associated with low- and middle-income countries. Today, the phenomenon also exists in high-income countries. Increased Internet access has opened a global market. Self-diagnosis and self-prescription have boosted the market for unregulated websites with access to falsified medicines.AimTo describe the state of knowledge and experience on SF medical products among emergency physicians (EPs) and general practitioners (GPs) in Sweden.MethodsAn online survey with anonymous answers from 100 EPs and 100 GPs. Physicians were recruited from TNS SIFO’s medical database. The term in the survey was ‘illegal and falsified medicines’ which was common in Sweden at that time. It corresponds well with the term ‘substandard and falsified medical products’ that the WHO launched shortly after our data collection. We report our results with this term.ResultsIn Sweden, 78.5% of the physicians had heard the term ‘illegal and falsified medicines’ and 36.5% had met patients they suspected had taken it. Physicians lacked awareness of the use of the reporting system and wanted more knowledge about how to deal with patients who have possibly used falsified medicines.ConclusionsTo meet the public health threat of SF medical products, physicians need more knowledge.
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| 62. |
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Gamla kroppar och nya tekniker, i Åldrandets Betydelser (red Jönsson & Lundin)
- 2007
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Samlingsverk (redaktörskap) (övrigt vetenskapligt/konstnärligt)abstract
- Åldrandets betydelser: I det västerländska samhället kämpar vi för långa liv men mot åldrandet. Det är bara en av de motsägelser som ålder och åldrande ger upphov till. I Åldrandets betydelser undersöks olika förhållningssätt till och konsekvenser av åldrande. Boken belyser hur kronologisk ålder inte alltid är densamma som den upplevda och hur samhället möter olika åldrar. Exempel tas från såväl hälso- och sjukvården som samhället runt omkring. Boken vänder sig till studenter inom medicin, samhälle och humaniora samt alla som arbetar med åldersrelaterade problem och möjligheter. Författarna är verksamma som forskare inom samhälls- och kulturvetenskapliga ämnen vid svenska och danska universitet.
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| 63. |
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| 64. |
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Global Bodies in Grey Zones : Hope, Health, Biotechnology
- 2016
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Samlingsverk (redaktörskap) (refereegranskat)abstract
- Global Bodies in Grey Zones departs from the current globalised market in biological material and treatments. Three different forms of medical travel are in focus: transplant travel, fertility travel and stem cell travel. The global travelling includes legally organised cross-border care, as well as completely illegal activities involving trafficking in bodies and body parts implicating a range of people, technologies and treatments. The theoretical focus is grey zones – various places where people, money, bodies, and so on constitute components in an international market. The authors are researchers from the cultural, social and medical sciences. They examine how people’s desperation, hopes and longing for health and reproduction fuel the travels
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| 65. |
- Griessler, Erich, et al.
(författare)
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Xenotransplantation as policy problem : Comparing public debate and policies in an international perspective
- 2012
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Ingår i: Xenotransplantation. - : John Wiley & Sons. - 0908-665X .- 1399-3089. ; 19:1, s. 15-15
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Tidskriftsartikel (refereegranskat)abstract
- Xenotransplantation research had a hype in the late 1990s and early 2000s and was by then considered a therapeutic option with huge financial potential which was to become clinical standard practice in the near future. Driven by these economic hopes and by the expectation that xenotransplantation might alleviate the so-called organ shortage, governmental actors in different countries but also international organizations (WHO, OECD, Council of Europe) and EU institutions started to think about the implications of xenotransplantation and how to regulate this potential new technology.Xenotransplantation, however, for several reasons was not an uncontroversial technology. In the aftermath of food crises, the GMO conflict and blood scandals connected to HIV and hepatitis, xenotransplantation not only raised serious risk problems – connected to xenozoonosis – there were also basic human rights and animal welfare at stake. These were hotly discussed not only within science but also by different NGOs.In this situation many countries and international organizations carried out Technology Assessment (TA) and participatory Technology Assessment (pTA) procedures which should inform policy-makers about what to do.In my presentation I will compare attempts of TA and pTA on xenotransplantation in different countries and international organization (Austria, Canada, Denmark, Latvia, Netherlands, Sweden, UK, Switzerland OECD, and the European Commission). The paper addresses the following questions: How was xenotransplantation framed as a topic in these countries and institutions? In which settings of TA and pTA was xenotransplantation discussed? Who was included and excluded in policy making? In what way? What was the impact of TA and PTA on policy-making? What can we learn from these examples for negotiating techno-scientific futures in complex societies?The paper draws on an international comparative research project about the impact of citizen participation in knowledge-intensive policy fields (CIT-PART) financed by the European Commission within the 7th Framework Programme (Project Number: SSH-CT-2008-225327). For this research, document analysis of literature and media reports has been carried out. One main source, however, were interviews with people involved in pTA and TA either as participants, researchers, civil servants, politicians, stakeholders and practitioners of TA and pTA. For preliminary results see www.cit-art.at.
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| 66. |
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| 67. |
- Gunnarson, Martin
(författare)
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Please Be Patient : A Cultural Phenomenological Study of Haemodialysis and Kidney Transplantation Care
- 2016
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Doktorsavhandling (övrigt vetenskapligt/konstnärligt)abstract
- This thesis examines the practice of haemodialysis and kidney transplantation, the two medical therapies available for persons with kidney failure, from a phenomenological perspective. A basic assumption made in the thesis is that contemporary biomedicine is deeply embedded in the cultural, historical, economic, and political circumstances provided by the particular local, national, and transnational contexts in which it is practiced. The aim of the thesis is twofold. On the one hand, the aim is to examine the forms of person- and patienthood enacted and negotiated in haemodialysis and kidney transplantation care and in the daily lives of persons with kidney failure. On the other hand, the aim is to investigate the ways in which the enacted and negotiated forms of person- and patienthood are culturally embedded and normatively charged. In order to examine and investigate this twofold aim, an empirical material has been gathered that comprises observations and in-depth interviews with patients and caregivers at four haemodialysis units, one in Riga, Latvia, and three in Stockholm, Sweden. The theoretical approach and methodology of the study is cultural and phenomenological in character, drawing on an ethnological and anthropological understanding of culture as processual and relational, and on a phenomenological understanding of personhood as embodied and intertwined with the surrounding world. The thesis shows that patients’ encounters and attempts to deal with the diagnoses and treatments associated with kidney failure are complex and often misalign them with the normatively charged orientations enacted and recommended by medicine. The complex situation that emerges when they undergo transplantation, for example, stands in stark contrast to the widespread official view of organ transplantation as a self-evidently health-bringing and normalising therapy. Through their repeated and extensive experiences of undergoing haemodialysis and living with the disease, patients eventually become able to create a synthesis between their lived experiences of their own body and their body as a medical object – what in the thesis is called a ‘sick body’ – a synthesis that allows them to reorient themselves in life and experience a sense of direction. This process relies, to a large extent, on the temporal structure that haemodialysis affords life; it is by repeatedly undergoing the treatment that patients become able to create a sick body. Even so, many of them find this temporal structure problematic; they experience it as disruptive of their control and future-orientedness and as causing an existentially difficult-to-handle boredom. The thesis also shows that the political developments and the norms prevalent in the two national contexts studied greatly affect the orientations of the treatment practices and the participants’ lives. In both Riga and Stockholm, ideals of freedom, activity, control, and self-actualisation influence what forms of patienthood and personhood are enacted. The study indicates that persons who fall ill with a serious and chronic disease only gradually become able to understand and actively cope with their differently embodied circumstances of life. This suggests that medical professionals should not too hastily enlist their patients as experts on their own bodies, but rather provide them with the time and support necessary for making repeated attempts at creating and maintaining a life with a sick body.
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| 68. |
- Gunnarson, Martin, 1979-, et al.
(författare)
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The Complexities of Victimhood : Insights from the Organ Trade
- 2015
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Ingår i: Somatechnics. - Edinburgh : Edinburgh University Press. - 2044-0138 .- 2044-0146. ; 5:1, s. 32-51
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Tidskriftsartikel (refereegranskat)abstract
- The aim of this paper is to explore the complexity of the concept of the victim within the context of organ trading. By examining the intricate phenomenon of organ trade, we show how prevailing notions of victimhood form the basis of concrete social practices. The empirical basis for this exploration comprises in-depth interviews conducted during fieldwork in South Africa and Kosovo. We also draw on research undertaken at various expert meetings. What our research in these locations attests to is that one-dimensional and generalised conceptualisations of victimhood are rife, and that these tend to be founded on a pre-theorised opposition between agency and victimhood. For persons who become practically and intimately involved in dealing with cases of organ trade – such as investigators and prosecutors – such conceptualisations do not hold. What is required is an understanding of victimhood that takes into account its complexity. In this paper, we explore attempts to grasp and reduce this complexity, and argue against generalised concepts of victimhood and for concepts that are sensitive to contextual and relational variations.
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| 69. |
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| 70. |
- Hagen, Niclas, et al.
(författare)
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Genetics and democracy-what is the issue?
- 2012
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Ingår i: Journal of Community Genetics. - : Springer Science and Business Media LLC. - 1868-6001 .- 1868-310X.
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Tidskriftsartikel (refereegranskat)abstract
- Current developments in genetics and genomics entail a number of changes and challenges for society as new knowledge and technology become common in the clinical setting and in society at large. The relationship between genetics and ethics has been much discussed during the last decade, while the relationship between genetics and the political arena-with terms such as rights, distribution, expertise, participation and democracy-has been less considered. The purpose of this article is to demonstrate the connection between genetics and democracy. In order to do this, we delineate a notion of democracy that incorporates process as well as substance values. On the basis of this notion of democracy and on claims of democratisation in the science and technology literature, we argue for the importance of considering genetic issues in a democratic manner. Having established this connection between genetics and democracy, we discuss this relation in three different contexts where the relationship between genetics and democracy becomes truly salient: the role of expertise, science and public participation, and individual responsibility and distributive justice. As developments within genetics and genomics advance with great speed, the importance and use of genetic knowledge within society can be expected to grow. However, this expanding societal importance of genetics might ultimately involve, interact with, or even confront important aspects within democratic rule and democratic decision-making. Moreover, we argue that the societal importance of genetic development makes it crucial to consider not only decision-making processes, but also the policy outcomes of these processes. This argument supports our process and substance notion of democracy, which implies that public participation, as a process value, must be complemented with a focus on the effects of policy decisions on democratic values such as distributive justice.
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