Category: Selected Summary
Allocating scarce life support in a public health…
India, like many developing countries, is vast with differing geographic and socioeconomic situations. We see public health emergencies on an almost continual basis. These include famines, floods, earthquakes and other natural disasters including the recent tsunami, and the recent pandemic of the...
How does a nation decide what healthcare to…
The US healthcare debate is an old one and has long defied easy solutions. But it continues to entertain, and to stimulate. President Obama's ongoing attempts to persuade the nation to give up a degree of perceived freedom of choice in healthcare, so that basic healthcare could become available t...
HPV vaccines: separating real hope from drug company…
In 2008, Harald Zur Hausen received the Nobel Prize in physiology and medicine for showing that two human papilloma viruses, HPV16 and HPV18, were associated with the bulk of cervical cancers, and that some of the genes contained within the viruses were incorporated into the infected host tissue,...
Referral for abortion
Referral of patients for termination of a pregnancy by those physicians who are against abortion always raises ethical issues. The authors in this paper refer to the Committee on Ethics Opinion from the American College of Obstetricians and Gynecologists (ACOG), "The limits of conscientious refus...
Paying physicians for conducting clinical trials: motivation or…
Clinical trials contribute to the growth of medical science and the dissemination of medical knowledge. They straddle a wide range of subjects and issues and have been instrumental in helping physicians achieve much of the success that they have achieved in their fight with diseases and disorders...
Beyond the age of consent: clinical research in…
The Nuremberg trials of Nazi war criminals were conducted over 60 years ago. The first of these 12 trials was the "Doctors Trial". Of the 23 defendants, 20 were German physicians arraigned for major roles in the human experiments carried out at Auschwitz and other concentration camps. As part of ...
Death, dying and deciding: surrogate decision making in…
Most of us, if we were to imagine or wish our manner of dying, would take our cues from the way it has been portrayed in films. Death either occurs suddenly as part of a climax or as a more prolonged scene with a supporting cast of family and "significant others". In reality most deaths occur aft...
Should trial subjects be unionised?
As recently as 1991, 80 per cent of industry-sponsored drug trials in the United States were conducted in university hospitals. Today, with pressures to bring drugs to market quickly, more than 70 per cent of the trials are conducted in private "contract research organisations" (CROs) to accelera...
Medical myths
There is no evidence supporting this recommendation. "This common advice may be traced back to a 1945 recommendation: A suitable allowance of water for adults is 2.5 litres daily in most instances. An ordinary standard for diverse persons is 1 millilitre for each calorie of food. Most of this qua...
When a doctor makes a mistake
Patients expect to be informed promptly when they are harmed by medical care. However, when such injury is a result of an error, patients are rarely informed. Hospital regulators, accrediting agencies and governments in the US, England and Australia are developing standards, training programmes a...
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