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Bioethics

Opinion: The ‘smart pill’ for schizophrenia and bipolar disorder raises tricky ethical questions

10 Dec, 2017 | 15:48h | UTC

The ‘smart pill’ for schizophrenia and bipolar disorder raises tricky ethical questions – STAT (free)

 


Viewpoint – Disclosures in Nutrition Research: Why It Is Different

10 Dec, 2017 | 15:44h | UTC

Disclosures in Nutrition Research: Why It Is Different – JAMA (free)

 


Moral Choices for Today’s Physician

7 Dec, 2017 | 22:04h | UTC

Moral Choices for Today’s Physician – JAMA (free)

 


An Unconscious Patient with a DNR Tattoo

5 Dec, 2017 | 18:39h | UTC

An Unconscious Patient with a DNR Tattoo – New England Journal of Medicine (free)

Commentary: His tattoo said “do not resuscitate.” Doctors wanted another opinion – The New York Times (free)

 


Research: Drivers not always told about their prescriptions’ potentially impairing effects

11 Nov, 2017 | 18:56h | UTC

Receipt of Warnings Regarding Potentially Impairing Prescription Medications and Associated Risk Perceptions in a National Sample of U.S. Drivers – Journal of Studies on Alcohol and Drugs (free)

Commentaries: Drivers not always told about their prescriptions’ potentially impairing effects – ACP Internist (free)

Many People Prescribed Drugs That Could Impair Driving Aren’t Warned About Risk – Physician’s First Watch (free)

 


A ‘smart’ approach to performance drugs

5 Nov, 2017 | 20:35h | UTC

A ‘smart’ approach to performance drugs – ACP Internist (free)

Related: Growing use of smart drugs by students could be a recipe for disaster – The Conversation (free) AND Brain Hackers Seeking Peak Performance Use Risky Chemical Cocktails: “Smart drugs” are not clinically proven and could be dangerous – Scientific American (free) AND Universities must do more to tackle use of smart drugs, say experts – The Guardian (free) AND Tweaking brains with ‘smart drugs’ to get ahead in Silicon Valley – The Washington Post (free) AND Professors take same ‘smart drugs’ as students to keep up with workloads, claims academic – Independent (free)

 


Opinion: Drug company sales reps should be banned from hospitals

5 Nov, 2017 | 20:33h | UTC

Drug company sales reps should be banned from hospitals – STAT (free)

 


Research: Influence of pharmaceutical marketing on prescriptions

5 Nov, 2017 | 19:20h | UTC

Influence of pharmaceutical marketing on Medicare prescriptions in the District of Columbia – PLOS One (free)

Commentaries: The More Lavish the Gifts to Doctors, the Costlier the Drugs They Prescribe – The New York Times (10 articles per month are free) AND Study finds even small gifts from pharma companies change prescribing habits – FierceHealthcare (free) AND Pharma gifts to providers result in more branded, expensive prescriptions – Georgetown University Medical Center, via EurekAlert (free)

 


Research: Payments by US pharmaceutical and medical device manufacturers to US medical journal editors

29 Oct, 2017 | 01:33h | UTC

Payments by US pharmaceutical and medical device manufacturers to US medical journal editors: retrospective observational study – The BMJ (free)

“Industry payments to journal editors are common and often large, particularly for certain subspecialties. Journals should consider the potential impact of such payments on public trust in published research”.

 


A baby with a disease gene or no baby at all: Genetic testing of embryos creates an ethical morass

29 Oct, 2017 | 00:52h | UTC

A baby with a disease gene or no baby at all: Genetic testing of embryos creates an ethical morass – STAT (free)

 


Is gene editing ethical?

23 Oct, 2017 | 20:45h | UTC

Is gene editing ethical? – Medical News Today (free)

Related: Embryo Gene-Editing Experiment Reignites Ethical Debate – Scientific American (free) AND U.S. scientists edit genome of human embryo, but cast doubt on possibility of ‘designer babies’ – STAT (free)

Related Position Statement: Human Germline Genome Editing – American Society of Human Genetics (free) AND Commentary: 11 Organizations Urge Cautious but Proactive Approach to Gene Editing

 


The Revised Declaration of Geneva: A Modern-Day Physician’s Pledge

17 Oct, 2017 | 18:53h | UTC

The Revised Declaration of Geneva: A Modern-Day Physician’s Pledge – JAMA (free)

 


We may soon have our first $1 million drug. Who will pay for it? And how?

17 Oct, 2017 | 18:28h | UTC

We may soon have our first $1 million drug. Who will pay for it? And how? – STAT (free)

 


Research: Communication-And-Resolution Programs

7 Oct, 2017 | 22:33h | UTC

Outcomes In Two Massachusetts Hospital Systems Give Reason For Optimism About Communication-And-Resolution Programs – Health Affairs (link to abstract – $ for full-text)

Commentaries: After medical error, apology goes a long way – Stanford University Medical Center, via ScienceDaily (free) AND Conflict Resolution Program: ‘Cause for Optimism’ – MedPage Today (free registration required)

 


Should Euthanasia Be Considered Iatrogenic?

20 Sep, 2017 | 21:06h | UTC

Should Euthanasia Be Considered Iatrogenic? – AMA Journal of Ethics (free)

 


Guideline: Ethics and the Legalization of Physician-Assisted Suicide

19 Sep, 2017 | 22:31h | UTC

Ethics and the Legalization of Physician-Assisted Suicide: An American College of Physicians Position Paper (free)

Commentaries: ACP reaffirms opposition to physician-assisted suicide – ACP Internist (free) AND ACP Reaffirms Position Against Physician-Assisted Suicide – Physician’s First Watch (free)

 


Guideline: Adolescent and Young Adult Tattooing, Piercing, and Scarification

19 Sep, 2017 | 22:24h | UTC

Adolescent and Young Adult Tattooing, Piercing, and Scarification – Pediatrics (free) AND Clinical Guidance on Body Modification Among Youth – Journal Watch (free) AND When Adolescents Want Tattoos or Piercings – The New York Times (10 articles per month are free)

 


Study: Antipsychotic Use With and Without Comorbid Psychiatric Diagnosis Among Adults with Intellectual and Developmental Disabilities

10 Sep, 2017 | 01:31h | UTC

Antipsychotic Use With and Without Comorbid Psychiatric Diagnosis Among Adults with Intellectual and Developmental Disabilities – The Canadian Journal of Psychiatry (link to abstract – $ for full-text)

Commentaries: Antipsychotics common for adults with intellectual and developmental disabilities – Centre for Addiction and Mental Health (free) AND Antipsychotics Overused in Intellectually Disabled Adults – Medscape (free registration required)

“Antipsychotics are used inappropriately particularly in vulnerable groups: Poor children; Intellectually challenged; Autistic; Nursing homes. (RT @AllenFrancesMD see Tweet)

 


Should Euthanasia Be Considered Iatrogenic?

9 Sep, 2017 | 22:45h | UTC

Should Euthanasia Be Considered Iatrogenic? – AMA Journal of Ethics (free)

 


Viewpoint: Nonvoluntary Psychiatric Treatment Is Distinct From Involuntary Psychiatric Treatment

8 Sep, 2017 | 00:09h | UTC

Nonvoluntary Psychiatric Treatment Is Distinct From Involuntary Psychiatric Treatment – JAMA (free)

Commentary: Ethicist proposes new category for psychiatric patients to justify instances of compulsory treatment – Science Daily (free)

 

 


FDA approval brings first gene therapy to the United States

3 Sep, 2017 | 21:19h | UTC

FDA News Release: FDA approval brings first gene therapy to the United States (free)

Commentaries: A $475,000 cancer drug: Wall Street sees ‘bargain’; patients see ‘completely broken’ system – HealthNewsReview (free) FDA Approves First CAR-T Cell Therapy for Pediatric Acute Lymphoblastic Leukemia – National Institutes of Health (free) AND FDA Approves First Gene-Altering Leukemia Treatment, Costing $475.000 – New York Times (10 articles per month are free) AND The FDA Approves a Landmark Cancer Drug – The Atlantic (free)

“…is a cancer therapy that represents several things at once: a game-changing way to treat cancer through genetic engineering, a novel paradigm for the biotech business, and the latest turn in the debate over just how astronomically expensive a life-saving therapy can be”. (from The Atlantic)

 


China’s embrace of embryo selection raises thorny questions

26 Aug, 2017 | 20:08h | UTC

China’s embrace of embryo selection raises thorny questions – Nature News (free)

“Fertility centres are making a massive push to increase preimplantation genetic diagnosis in a bid to eradicate certain diseases”.

 


Perspectives on Cognition-Enhancing Drugs

22 Aug, 2017 | 13:05h | UTC

Medical News & Perspectives: Chess Study Revives Debate Over Cognition-Enhancing Drugs – JAMA (free)

Related: Growing use of smart drugs by students could be a recipe for disaster – The Conversation (free) AND Brain Hackers Seeking Peak Performance Use Risky Chemical Cocktails: “Smart drugs” are not clinically proven and could be dangerous – Scientific American (free) AND Universities must do more to tackle use of smart drugs, say experts – The Guardian (free) AND Tweaking brains with ‘smart drugs’ to get ahead in Silicon Valley – The Washington Post (free) AND Professors take same ‘smart drugs’ as students to keep up with workloads, claims academic – Independent (free)

 


Should Potential Risk of Chronic Traumatic Encephalopathy Be Discussed with Young Athletes?

17 Aug, 2017 | 17:46h | UTC

Should Potential Risk of Chronic Traumatic Encephalopathy Be Discussed with Young Athletes? – AMA Journal of Ethics (free)

See also a recent article on the high incidence of Chronic Traumatic Encephalopathy in Players of American Football in our July 26th issue (see #3)

 


Should older doctors be examined, tested or forced to retire?

16 Aug, 2017 | 19:59h | UTC

Should older doctors be examined, tested or forced to retire? – Reuters (free)

Original article: The Aging Physician and the Medical Profession: A Review – JAMA Surgery (link to abstract – $ for full-text)

 


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