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Neo-ethics

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33 papers 0 to 25 followers
https://read.qxmd.com/read/30838681/association-of-antenatal-steroid-exposure-with-survival-among-infants-receiving-postnatal-life-support-at-22-to-25-weeks-gestation
#1
Ankita Shukla, Vikas Chowdhary
No abstract text is available yet for this article.
March 5, 2019: Acta Paediatrica
https://read.qxmd.com/read/30790306/social-media-e-health-and-medical-ethics
#2
Mélanie Terrasse, Moti Gorin, Dominic Sisti
Given the profound influence of social media and emerging evidence of its effects on human behavior and health, bioethicists have an important role to play in the development of professional standards of conduct for health professionals using social media and in the design of online systems themselves. In short, social media is a bioethics issue that has serious implications for medical practice, research, and public health. Here, we inventory several ethical issues across four areas at the intersection of social media and health: the impact of social networking sites on the doctor-patient relationship, the development of e-health platforms to deliver care, the use of online data and algorithms to inform health research, and the broader public health consequences of widespread social media use...
January 2019: Hastings Center Report
https://read.qxmd.com/read/30790314/capacity-for-preferences-and-pediatric-assent-implications-for-pediatric-practice
#3
Mark Christopher Navin, Jason Adam Wasserman
In the past thirty to forty years, clinicians and bioethicists have expanded the scope for children's participation in decision-making about their medical care, often under the banner of "pediatric assent." The success of this movement was signaled perhaps most strongly by the creation of American Academy of Pediatrics guidance on pediatric assent in 1995. We agree with the AAP that both the best interests of the child patient and the need to respect the child patient are reasons to take seriously children's treatment preferences...
January 2019: Hastings Center Report
https://read.qxmd.com/read/26471383/part-13-neonatal-resuscitation-2015-american-heart-association-guidelines-update-for-cardiopulmonary-resuscitation-and-emergency-cardiovascular-care-reprint
#4
Myra H Wyckoff, Khalid Aziz, Marilyn B Escobedo, Vishal S Kapadia, John Kattwinkel, Jeffrey M Perlman, Wendy M Simon, Gary M Weiner, Jeanette G Zaichkin
No abstract text is available yet for this article.
November 2015: Pediatrics
https://read.qxmd.com/read/28232518/variability-in-the-management-and-outcomes-of-extremely-preterm-births-across-five-european-countries-a-population-based-cohort-study
#5
COMPARATIVE STUDY
Lucy K Smith, Beatrice Blondel, Patrick Van Reempts, Elizabeth S Draper, Bradley N Manktelow, Henrique Barros, Marina Cuttini, Jennifer Zeitlin
OBJECTIVE: To explore international variations in the management and survival of extremely low gestational age and birthweight births. DESIGN: Area-based prospective cohort of births SETTING: 12 regions across Belgium, France, Italy, Portugal and the UK PARTICIPANTS: 1449 live births and fetal deaths between 22+0 and 25+6 weeks gestation born in 2011-2012. MAIN OUTCOME MEASURES: Percentage of births; recorded live born; provided antenatal steroids or respiratory support; surviving to discharge (with/without severe morbidities)...
September 2017: Archives of Disease in Childhood. Fetal and Neonatal Edition
https://read.qxmd.com/read/30614556/active-care-of-infants-born-between-22-and-26-weeks-of-gestation-does-not-follow-consensus-expert-recommendations
#6
Ruth Sinclair, Barbara Bajuk, Robert Guaran, Daniel Challis, Joanne Sheils, Mohamed E Abdel-Latif, Lisa Hilder, Ian M Wright, Ju Lee Oei
AIM: To determine the relationship between clinical practice and publication of an Australian consensus statement for management of extremely preterm infants published in 2006. METHODS: A population based study using linked data from New South Wales, Australia for births between 22+0 and 26+6 weeks of gestation between 2000 and 2011. RESULTS: There were 4,746 births of whom 2,870 were liveborn and 1,876 were stillborn. Of the live births, 2,041(71%) were resuscitated, 1,914 (67%) were admitted into a neonatal intensive care unit (NICU) and 1,310 (46%) survived to hospital discharge...
January 7, 2019: Acta Paediatrica
https://read.qxmd.com/read/29369374/fragile-lives-with-fragile-rights-justice-for-babies-born-at-the-limit-of-viability
#7
Manya J Hendriks, John D Lantos
There is an inconsistency in the ways that doctors make clinical decisions regarding the treatment of babies born extremely prematurely. Many experts now recommend that clinical decisions about the treatment of such babies be individualized and consider many different factors. Nevertheless, many policies and practices throughout Europe and North America still appear to base decisions on gestational age alone or on gestational age as the primary factor that determines whether doctors recommend or even offer life-sustaining neonatal intensive care treatment...
March 2018: Bioethics
https://read.qxmd.com/read/29331209/ethical-and-end-of-life-considerations-for-neonates-requiring-ecmo-support
#8
REVIEW
Roxanne Kirsch, David Munson
ECMO has proven to be a life-saving intervention for a variety of disease entities with a high rate of survival in the neonatal population. However, ECMO requires clinical teams to engage in many ethical considerations. Even with ongoing improvements in technology and expertise, some patients will not survive a course of ECMO. An unsuccessful course of ECMO can be difficult to accept and cause a great deal of angst. These questions can result in real conflict both within the care team, and between the care team and the family...
March 2018: Seminars in Perinatology
https://read.qxmd.com/read/29257769/the-rise-of-hospitalists-an-opportunity-for-clinical-ethics
#9
Matthew W McCarthy, Diego Real de Asua, Joseph J Fins
Translating ethical theories into clinical practice presents a perennial challenge to educators. While many suggestions have been put forth to bridge the theory-practice gap, none have sufficiently remedied the problem. We believe the ascendance of hospital medicine, as a dominant new force in medical education and patient care, presents a unique opportunity that could redefine the way clinical ethics is taught. The field of hospital medicine in the United States is comprised of more than 50,000 hospitalists-specialists in inpatient medicine-representing the fastest growing subspecialty in the history of medicine, and its members have emerged as a dominant new force around which medical education and patient care pivot...
2017: Journal of Clinical Ethics
https://read.qxmd.com/read/29356830/informed-consent-training-in-pediatrics-are-we-doing-enough
#10
Alan R Tait, Raymond J Hutchinson
No abstract text is available yet for this article.
March 1, 2018: JAMA Pediatrics
https://read.qxmd.com/read/29018178/attitudes-of-paediatric-and-obstetric-specialists-towards-prenatal-surgery-for-lethal-and-non-lethal-conditions
#11
Ryan M Antiel, Farr A Curlin, John D Lantos, Christopher A Collura, Alan W Flake, Mark P Johnson, Natalie E Rintoul, Stephen D Brown, Chris Feudtner
BACKGROUND: While prenatal surgery historically was performed exclusively for lethal conditions, today intrauterine surgery is also performed to decrease postnatal disabilities for non-lethal conditions. We sought to describe physicians' attitudes about prenatal surgery for lethal and non-lethal conditions and to elucidate characteristics associated with these attitudes. METHODS: Survey of 1200 paediatric surgeons, neonatologists and maternal-fetal medicine specialists (MFMs)...
April 2018: Journal of Medical Ethics
https://read.qxmd.com/read/29193301/exposure-to-human-voices-has-beneficial-effects-on-preterm-infants-in-the-neonatal-intensive-care-unit
#12
REVIEW
Sahar Saliba, Rana Esseily, Manuela Filippa, Pierre Kuhn, Maya Gratier
We reviewed the literature up to March 2016 on the effects of nonmaternal voices on preterm infants' clinical outcomes. Of the 11 studies that met the inclusion criteria, 10 focused on short-term outcomes and one looked at long-term effects. The studies mainly showed that vocal stimuli increased preterm infants' stability in terms of heart rate, respiratory rate, oxygen saturation and behavioural measures. Improvements in feeding skills were also reported. The methods and the measures used in the studies were heterogeneous, making it difficult to draw reliable conclusions...
July 2018: Acta Paediatrica
https://read.qxmd.com/read/28603938/should-we-implement-universal-screening-with-late-pregnancy-ultrasound-to-prevent-stillbirth
#13
Gcs Smith
No abstract text is available yet for this article.
January 2018: BJOG: An International Journal of Obstetrics and Gynaecology
https://read.qxmd.com/read/28348162/why-health-services-research-needs-bioethics
#14
EDITORIAL
Lucy Frith
No abstract text is available yet for this article.
March 27, 2017: Journal of Medical Ethics
https://read.qxmd.com/read/28346589/comparison-of-antibiotic-therapy-and-appendectomy-for-acute-uncomplicated-appendicitis-in-children-a-meta-analysis
#15
COMPARATIVE STUDY
Libin Huang, Yuan Yin, Lie Yang, Cun Wang, Yuan Li, Zongguang Zhou
Importance: Antibiotic therapy for acute uncomplicated appendicitis is effective in adult patients, but its application in pediatric patients remains controversial. Objective: To compare the safety and efficacy of antibiotic treatment vs appendectomy as the primary therapy for acute uncomplicated appendicitis in pediatric patients. Data Sources: The PubMed, MEDLINE, EMBASE, and Cochrane Library databases and the Cochrane Controlled Trials Register for randomized clinical trials were searched through April 17, 2016...
May 1, 2017: JAMA Pediatrics
https://read.qxmd.com/read/28369486/redefining-public-health-leadership-in-the-sustainable-development-goal-era
#16
K Srinath Reddy, Manu Raj Mathur, Sagri Negi, Bhargav Krishna
Adoption of the Sustainable Development Goals (SDGs) by member states of the United Nations (UN) has set a new agenda for public health action at national and global levels. The changed context calls for a reframing of what constitutes effective leadership in public health, through a construct that reflects the interdependence of leadership at multiple levels across the health system and its partners in other sectors. This is especially important in the context of Low and Middle Income Countries (LMICs) that are facing complex demographic and epidemiological transitions...
June 1, 2017: Health Policy and Planning
https://read.qxmd.com/read/28182294/is-there-a-right-to-the-death-of-the-foetus
#17
Eric Mathison, Jeremy Davis
At some point in the future - perhaps within the next few decades - it will be possible for foetuses to develop completely outside the womb. Ectogenesis, as this technology is called, raises substantial issues for the abortion debate. One such issue is that it will become possible for a woman to have an abortion, in the sense of having the foetus removed from her body, but for the foetus to be kept alive. We argue that while there is a right to an abortion, there are reasons to doubt that there is a right to the death of the foetus...
May 2017: Bioethics
https://read.qxmd.com/read/27974340/end-of-life-decisions-for-fragile-neonates-navigating-between-opinion-and-evidence-based-medicine
#18
EDITORIAL
Annie Janvier, Barbara Farlow, Eduard Verhagen, Keith Barrington
No abstract text is available yet for this article.
March 2017: Archives of Disease in Childhood. Fetal and Neonatal Edition
https://read.qxmd.com/read/27894120/end-of-life-care-and-survival-without-major-brain-damage-in-newborns-at-the-limit-of-viability
#19
Fermín García-Muñoz Rodrigo, Lourdes Urquía Martí, José Ángel García Hernández, Josep Figueras Aloy, Alfredo García-Alix Pérez
BACKGROUND: The probabilities of survival and survival without major brain damage (MBD) are low in newborns at the limit of viability. Survival without MBD constitutes a major concern for parents and professionals. OBJECTIVES: To know the probabilities of survival without MBD in newborns ≤26 weeks' gestational age (GA) relative to the total number of survivors, whether these probabilities vary with GA, and how end-of-life (EoL) decisions influence these results...
2017: Neonatology
https://read.qxmd.com/read/27780154/maternal-and-neonatal-outcomes-following-expectant-management-of-preterm-prelabour-rupture-of-membranes-before-viability
#20
REVIEW
Winnie Huiyan Sim, Edward Araujo Júnior, Fabricio Da Silva Costa, Penelope Marie Sheehan
AIM: To assess the contemporary maternal and neonatal outcomes following expectant management of preterm premature rupture of membranes (PPROM) prior to 24 weeks' gestation and to identify prognostic indicators of this morbid presentation. METHODS: We performed a systematic review in the Pubmed and EMBASE databases to identify the primary (perinatal mortality, severe neonatal morbidity and serious maternal morbidity) and secondary (neonatal survival and morbidity) outcomes following expectant management of previable PPROM...
January 1, 2017: Journal of Perinatal Medicine
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