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[Duties of the Physician in Relation to the Use of Alternative and Complementary Medicines by Their Patients].
Rev Med Chil
November 2024
Facultad de Medicina, Pontificia Universidad Católica de Chile, Santiago, Chile.
In the prevailing medical pluralism of contemporary society, alternative and complementary medicine occupy a relevant place, comprising a heterogeneous group of practices with different values depending on tradition and social acceptance. Their scarce regulation and growing use, facilitated by promotion through social networks and distrust of the dominant biomedical model, have generated interest among medical organizations and health authorities in their use and consequences. Appreciations vary from outright rejection to interest in its adoption by public health systems as part of their services.
View Article and Find Full Text PDFConscientious Objection and the Anesthesiologist: An Ethical Dilemma.
Anesthesiology
November 2024
Department of Anesthesiology, College of Medicine, University of Illinois at Chicago, Chicago, Illinois.
Article Synopsis
- - Conscientious objection allows medical professionals to opt-out of patient care that conflicts with their personal values, but in anesthesiology, this raises unique ethical issues because they primarily support the performance of procedures by others rather than directly carrying them out themselves.
- - There are established cases for conscientious objection in areas like abortion and futile treatments, but emerging procedures like gender-affirming surgery introduce complex ethical dilemmas for anesthesiologists regarding patient care.
- - The review explores the legal, ethical, and practical aspects of conscientious objection in anesthesiology, the challenges faced by healthcare groups when this right is exercised, and potential strategies to navigate the resulting ethical tensions.
Navigating Gender Identity and Dementia in Transgender Older Adults: Ethical Challenges and Patient-Centered Care.
Clin Gerontol
September 2024
Mayo Clinic, Rochester, Minnesota, USA.
Objectives: As transgender individuals age, they are at risk for neurocognitive disorders which pose not only medical but also bioethical questions. We present a case study of a transgender older adult with dementia who experienced changes in gender identity and explore the bioethical implications of identity over time, including end-of-life care.
Methods: We reviewed clinical notes and relevant medical history to describe the transition and detransition process and examined ethical frameworks related to autonomy, psychological continuity, and transgender care.
The ethics and practice of perinatal care at the limit of viability: FIGO recommendations.
Int J Gynaecol Obstet
August 2024
FIGO Committee on Ethical Aspects of Human Reproduction and Women's Health, London, UK.
An arbitrary gestational age limit of viability cannot be set, and in clinical practice the focus should be on a periviability interval-the so-called "gray zone" of prognostic uncertainty. For cases within this interval, the most appropriate decision-making process remains debatable and periviability has emerged as one of the greatest challenges in bioethics. Universally recognized ethical principles may be interpreted differently due to socioeconomic, cultural, and religious aspects.
View Article and Find Full Text PDFLowering the Age of Consent for Vaccination to Promote Pediatric Vaccination: It's Worth a Shot.
J Law Med Ethics
May 2024
HARVARD MEDICAL SCHOOL, BOSTON, MASSACHUSETTS, USA.
This paper challenges historically preconceived notions surrounding a minor's ability to make medical decisions, arguing that federal health law should be reformed to allow minors with capacity as young as age 12 to consent to their own Centers for Diseases Control and Prevention (CDC)-approved COVID-19 vaccinations. This proposal aligns with and expands upon current exceptions to limitations on adolescent decision-making. This analysis reviews the historic and current anti-vaccination sentiment, examines legal precedence and rationale, outlines supporting ethical arguments regarding adolescent decision-making, and offers rebuttals to anticipated ethical counterarguments.
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