Bioethics
Opinion: The ‘smart pill’ for schizophrenia and bipolar disorder raises tricky ethical questions
10 Dec, 2017 | 15:48h | UTCThe ‘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 | UTCDisclosures in Nutrition Research: Why It Is Different – JAMA (free)
Moral Choices for Today’s Physician
7 Dec, 2017 | 22:04h | UTCMoral Choices for Today’s Physician – JAMA (free)
An Unconscious Patient with a DNR Tattoo
5 Dec, 2017 | 18:39h | UTCAn 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 | UTCCommentaries: Drivers not always told about their prescriptions’ potentially impairing effects – ACP Internist (free)
A ‘smart’ approach to performance drugs
5 Nov, 2017 | 20:35h | UTCA ‘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 | UTCDrug company sales reps should be banned from hospitals – STAT (free)
Research: Influence of pharmaceutical marketing on prescriptions
5 Nov, 2017 | 19:20h | UTCCommentaries: 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“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
Is gene editing ethical?
23 Oct, 2017 | 20:45h | UTCIs 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 | UTCThe 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 | UTCWe 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 | UTCOutcomes 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 | UTCShould Euthanasia Be Considered Iatrogenic? – AMA Journal of Ethics (free)
Guideline: Ethics and the Legalization of Physician-Assisted Suicide
19 Sep, 2017 | 22:31h | UTCCommentaries: 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 | UTCAdolescent 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 | UTCAntipsychotic 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 | UTCShould Euthanasia Be Considered Iatrogenic? – AMA Journal of Ethics (free)
Viewpoint: Nonvoluntary Psychiatric Treatment Is Distinct From Involuntary Psychiatric Treatment
8 Sep, 2017 | 00:09h | UTCNonvoluntary 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 | UTCFDA 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 | UTCChina’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 | UTCMedical 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 | UTCSee 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 | UTCShould 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)