| 1. |
- Ancillotti, Mirko, 1981-, et al.
(författare)
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Individual moral responsibility for antibiotic resistance
- 2022
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Ingår i: Bioethics. - : John Wiley & Sons. - 0269-9702 .- 1467-8519. ; 36:1, s. 3-9
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Tidskriftsartikel (refereegranskat)abstract
- Antibiotic resistance (AR) is a major threat to public health and healthcare worldwide. In this article, we analyse and discuss the claim that taking actions to minimize AR is everyone's responsibility, focusing on individual moral responsibility. This should not be merely interpreted as a function of knowledge of AR and the proper use of antibiotics. Instead, we suggest a circumstantial account of individual responsibility for AR, where individuals do or do not engage in judicious antibiotic behaviour with different degrees of voluntariness. Furthermore, we suggest a notion of responsibility as a virtue, in which individuals have the opportunity to develop a sensitivity towards the AR theme and, consequently, are capable of engaging, actively and voluntarily, in judicious antibiotic behaviour. The development of such sensitivity depends on the creation of adequate circumstances, that is individual capacities and availability of resources.
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| 4. |
- Bognar, Greg, 1975-
(författare)
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A theory of triage
- 2024
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Ingår i: Bioethics. - 0269-9702 .- 1467-8519. ; 38:2, s. 95-106
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Tidskriftsartikel (refereegranskat)abstract
- This paper provides a general framework for conceptualizing triage for intensive care unit admissions in public health emergencies such as the COVID-19 pandemic. It applies this framework to some of the guidelines issued during the pandemic and addresses some controversial issues, including the role of age, the use of lives or life years, and the relevance of quality of life considerations. The paper defends a view on which triage protocols for public health emergencies should aim to maximize the number of life years saved, may take into account age as a proxy, and should ignore quality of life considerations.
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| 5. |
- Cutas, Daniela
(författare)
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Nothing if not family? Genetic ties beyond the parent/child dyad
- 2023
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Ingår i: Bioethics. - 0269-9702. ; 37:8, s. 763-770
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Tidskriftsartikel (refereegranskat)abstract
- Internationally, there is considerable inconsistency in the recognition and regulation of children's genetic connections outside the family. In the context of gamete and embryo donation, challenges for regulation seem endless. In this paper, I review some of the paths that have been taken to manage children' being closely genetically related to people outside their families. I do so against the background of recognising the importance of children's interests as moral status holders. I look at recent qualitative research involving donor-conceived people and borrow their own words to make sense of a purported interest to know (of) their close genetic ties. I also review ways in which gamete donation may have facilitated new kinds of kinship, which are at the same time genetic and chosen. In short, in this paper, I explore what meaning there could be in genetic connections that is not about parenthood. Further, I argue that the focus on parenthood in previous work in this area may be detrimental to appreciating some of the goods that can be derived from close genetic connections.
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| 6. |
- Cutas, Daniela
(författare)
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On a Romanian attempt to legislate on medically assisted human reproduction
- 2008
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Ingår i: Bioethics. - : Wiley-Blackwell. - 0269-9702 .- 1467-8519. ; 22:1, s. 56-63
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Tidskriftsartikel (refereegranskat)abstract
- The paper presents and briefly analyses some of the provisions of a Romanian legislative proposal which arrived at the Presidency for ratification twice, in slightly different forms, and which was rejected twice: the first time at the Presidency in October 2004, and the second at the Constitutional Court in July 2005. The proposal was finally dropped in February 2006. My intention here is to point to some of the most problematic deficiencies of the legislative document in the hope that this may assist with future debates and regulations on assisted reproduction either in Romania or elsewhere. I have isolated the features to be discussed under two headings: (1) whose are the rights to reproduce, that the document claimed to 'acknowledge, regulate and guarantee' and (2) what is the status of the embryo, the child and the surrogate mother?
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| 7. |
- Cutas, Daniela
(författare)
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Postmenopausal motherhood: immoral, illegal? A case study
- 2007
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Ingår i: Bioethics. - : Wiley-Blackwell. - 0269-9702 .- 1467-8519. ; 21:8, s. 458-463
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Tidskriftsartikel (refereegranskat)abstract
- The paper explores the ethics of post-menopausal motherhood by looking at the case of Adriana Iliescu, the oldest woman ever to have given birth (so far). To this end, I will approach the three most common objections brought against the mother and/or against the team of healthcare professionals who made it happen: the age of the mother, the fact that she is single, the appropriateness of her motivation and of that of the medical team.
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| 8. |
- de Snoo-Trimp, Janine, et al.
(författare)
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What Outcomes do Dutch Healthcare Professionals Perceive as Important Before Participation in Moral Case Deliberation?
- 2017
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Ingår i: Bioethics. - : John Wiley & Sons. - 0269-9702 .- 1467-8519. ; 31:4, s. 246-257
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Tidskriftsartikel (refereegranskat)abstract
- Background: There has been little attention paid to research on the outcomes of clinical ethics support (CES) or critical reflection on what constitutes a good CES outcome. Understanding how CES users perceive the importance of CES outcomes can contribute to a better understanding, use of and normative reflection on CES outcomes.Objective: To describe the perceptions of Dutch healthcare professionals on important outcomes of moral case deliberation (MCD), prior to MCD participation, and to compare results between respondents.Methods: This mixed-methods study used both the Euro-MCD instrument and semi-structured interviews. Healthcare professionals who were about to implement MCD were recruited from nursing homes, hospitals, psychiatry and mentally disabled care institutions.Results: 331 healthcare professionals completed the Euro-MCD instrument, 13 healthcare professionals were interviewed. The outcomes perceived as most important were more open communication', better mutual understanding', concrete actions', see the situation from different perspectives', consensus on how to manage the situation' and find more courses of action'. Interviewees also perceived improving quality of care, professionalism and the organization as important. Women, nurses, managers and professionals in mentally disabled care rated outcomes more highly than other respondents.Conclusions: Dutch healthcare professionals perceived the MCD outcomes related to collaboration as most important. The empirical findings can contribute to shared ownership of MCD and a more specific use of MCD in different contexts. They can inform international comparative research on different CES types and contribute to normative discussions concerning CES outcomes. Future studies should reflect upon important MCD outcomes after having experienced MCD.
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| 9. |
- De Vries, Bouke
(författare)
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Sending people to care homes in lower‐income countries: A qualified defence
- 2022
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Ingår i: Bioethics. - : John Wiley & Sons. - 0269-9702 .- 1467-8519. ; 36:1, s. 85-92
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Tidskriftsartikel (refereegranskat)abstract
- In recent years, a proportion of older Germans has been sent to relatively high-end care homes within lower-income countries where the care tends to be cheaper and more extensive than that in German care homes. Destination countries are found predominantly within Eastern Europe (e.g. Poland, Hungary, Czech Republic), but to a lesser extent also within South-East Asia (e.g. Thailand). At the same time, these expatriations have caused much controversy, with some German commentators calling them ‘inhumane’ and ‘shameful’. In this article, I argue that such criticisms are overdrawn. Although sending an older individual to a care home within a lower-income country can be morally impermissible, I find that there are at least three sets of conditions under which it is not.
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