Understanding gender, sex, and sexuality is required in order to be a competent, patient-centered physician, and, therefore, inclusion of these topics in undergraduate medical education is essential. Current medical education is not producing physicians equipped to manage the complaints and issues that face their patients in these areas. LGBTQ populations are most affected by the inadequacy of training related to these topics. LGBTQ patients face unique issues in healthcare in terms of their normal development, pathology, social determinants of health, and healthcare system practices. Additionally, LGBTQ people and those who engage in behaviors that parallel these identities are prevalent in the general population. The addition of a gender, sex, and sexuality curriculum would simultaneously address LGBTQ disparities as well as the need for improved sexual health education that would benefit all patients. Currently, undergraduate medical curricula have limited, non-standardized education on gender, sex, and sexuality. A few American institutions have published both qualitative and quantitative studies that indicate medical students’ attitudes are malleable and their clinical skills can be improved in these areas. Further, numerous national medical societies have created curriculum guidelines and recommendations in order to aid medical schools looking to bolster their gender, sex, and sexuality related curricula. This paper will synthesize research and these guidelines to propose a robust gender, sex, and sexuality curriculum that is tailored to the environment found at the Lewis Katz School of Medicine at Temple University. / Urban Bioethics

The field of bioethics relies on the voices of nonexperts when finding solutions for bioethical issues. However, there are many factors that influence an individual’s capacity to participate in bioethics. These include one’s understanding of bioethics or the relevant jargon, one’s awareness of an issue, one’s ability to relate to an issue, and one’s desire to participate with an issue. Therefore, it is imperative that bioethicists communicate directly with nonexperts to minimize these barriers. After all, if discussions surrounding bioethical issues only include people with high ethical literacy, our solutions will be tainted by sampling bias.There are currently few strategies aimed at communicating bioethics directly to nonexperts. I propose that musical narratives might serve as a useful communication tool. Narratives are relatable, inspiring, and easier to understand than logical-scientific language. By adding music, it is possible that these narratives will evoke deeper emotions, and improve retention of the topic being discussed. Musical narratives could be a powerful tool for presenting bioethical issues in plain language, in a way that increases awareness, inspires reflection, and encourages productive discussions. / Urban Bioethics / Accompanied by two .mp3 audio files: 1) Compassionate Care Release.mp3 2) Harm Reduction.mp3

This essay discusses, departing from Kant’s deontological ethics, and deals with the ques- tion of which types of pre-birth genetic modification are acceptable from the perspective of Kant’s ethics theory? The conclusion is that Kant’s ethics can be in line with certain thera- peutic interventions. Yet the same ethics disapproves with any sort of pre-birth modifica- tion based on personal design, preferences and commodification of the process.

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The purpose of this dissertation is to identify how can a focus on the ethical notion of dignity and respect for autonomy help to improve health care for elderly people in Islamic countries. An ethic for aging relies on the principle that the losses of age do not detract from a person’s essential autonomy. Thus, care should be provided without assuming that older people are different from those of other ages. It is possible to determine that ethical values are similar in Islamic cultures as well as, Western countries. But these values are often neglected when people face the need to provide health care to the elderly people. This dissertation provides a critical evaluation of the current view and application of the ethical concepts of dignity and respect for autonomy in Islamic countries including the ethical challenges that elderly people encounter in health care. The study focuses on three parts; first it will provide a general introduction to the bioethics in Islamic countries and its relation to Islamic law (Sharia). The argument is that human dignity does exist in the Islamic religion; however, the application and the functions of the concept in elderly health care are disregarded, due to the cultural understanding and interpretations of the concept. This have led health care providers and societies in Islamic countries to miss the momentum of implementing a strong old-age health and social support system that can maintain elderly people dignity and respect for autonomy, and meet their health care needs. The outcomes mandate further examination towards building greater consciousness of treatment and healing, towards the intellectual and cultural adjustment of health practices. The second part presents the applications of both concepts in Western countries, including their functions and meaning. The arguments characterize the notions of dignity regardless of age. It will identify how dignity is associated with respect for autonomy; thus, dignity and respect for autonomy should be a core value in health care practice. The third part analyses the differences and the deficiencies of the application of both ethical concepts to elderly health care in Islamic countries versus Western countries. The arguments will demonstrate how the application of the ethical principle of respect for autonomy in Islamic countries fails to acknowledge Beauchamp and Childress's principle of respect for autonomy. The analysis will help on understanding the major opportunities for and barriers to successful shift in the Islamic countries in regards to elderly health care and the overall process of aging. The challenge is to make sure that all health care providers have the capabilities to convey appropriate care and treatment with respect and appreciation to the elderly individuals’ dignity. It will suggest adopting several advantageous approaches that arose in the West and worldwide, and modifying it according to Islamic culture to improve elderly health care. The results justifies that the notions of dignity and respect for autonomy can help to improve elderly health care in Islamic countries. Concluding that in Islamic countries, a considerable measure of research, education, and preparation are all needed in the sphere of geriatrics to meet today’s health challenges associated with the increasing of elderly population. A need for adopting a fresh perception on an analytical gerontology and a respected devoted approach that aims to comprehend ageing process and requirements to change for the better. / McAnulty College and Graduate School of Liberal Arts; / Health Care Ethics / PhD; / Dissertation;

Charles University in Prague Faculty of Pharmacy in Hradec Kralove Department of biological and medical sciences Drahoslava Machová Supervisor: PhDr. Zdeňka Kudláčková, Ph.D. Title of diploma tehesis: Bioethics V - Surrogate motherhood - the specifics of individual areas Background: Creating a basic overview of bioethics and its principles. Handle the issue of surrogate motherhood Institute. Main findings: In this thesis we dealt with issues of bioethics, bioethical principles and in particular the issue of surrogacy. Above all, we focused on fundamentals of bioethics, its principles and interconnection with the law. Furthermore, we describe surrogacy institute, its history and progress. Another part is devoted to the current legislation, Surrogacy in the Czech Republic and comparison with the legislation in selected countries around the world. The thesis also includes recommendations of medical ethics in the process of surrogacy. In conclusion, we have focused on the risks that may occur. Conclusions: Use of surrogate motherhood is one of the few ways infertile couple may obtain offspring. Undoubtedly it is a problem that needs to be continued to explore and modify. It is also necessary to pay great attention to the ethical, legal and psychological aspects that are associated with this institute....

Although the public understands that participation in clinical research is necessary to advance the knowledge and skills of medical science, the rates of participation have been demonstrated to be trending downwards. Inadequate participation rates can have dramatic scientific and economic effects that ultimately affect the advancement of science. The attitudes and reasons for participation and non-participation in clinical research have been examined by a multitude of researchers. However, willingness to participate research is typically focused on a narrow range of populations, that is those diagnosed with an illness or disease and minority populations. The purpose of this study is to examine the demographic and knowledge factors which influence community-dwelling young adults' attitudes, as the future generation of clinical research volunteers, towards willingness to participate in clinical research. Knowing which factors are associated with young adults' attitudes and intention of willingness to participate will be of benefit to those who conduct research by identifying and rectifying barriers to participation. Quantitative data, in the form of a one-time questionnaire administered by a paper and pencil instrument, were collected from a purposive sample of Grade 12 (seniors) students recruited from Iowa public high schools. My findings suggest that knowledge, acquired both by formal education and informal education, was associated with behavioral beliefs and attitudes about clinical research in this sample of students as a precursor to being willing to participate in clinical research. Fewer demographic factors, such as gender, race/ethnicity, or socioeconomic status, were associated with the behavioral beliefs and attitudes measures. This is excellent news to those who conduct research as informational factors may be changed. Aiming interventions at informing young adults about clinical research process and procedures may be of benefit to attitude formation with hopes to impact future enrollment in clinical research. Media, as a method of informal education, may be of use as a way to provide information.

Revelations of kickbacks from surgical device manufacturers to surgeons raise the question whether surgeons can continue to collaborate with industry and maintain public trust. Using qualitative and quantitative methodology, this thesis explores surgical patients’ views on financial relationships between surgeons and manufacturers and patients’ recommendations for managing these conflicts of interest. A majority of patients approve of surgeon’s relationships with manufacturers that can benefit patients but disapprove of those that primarily benefit the surgeon and the manufacturer. The majority of patients do not endorse disclosure as a sole method of managing these relationships. The majority of patients trust the surgical profession to self-regulate and favour professional oversight rather than by government to ensure financial relationships between surgeons and manufacturers are appropriate. My data supports my argument that there should be professional oversight of financial relationships between surgeons and manufacturers, which may allow continued collaboration with manufacturers while maintaining public trust.

Revelations of kickbacks from surgical device manufacturers to surgeons raise the question whether surgeons can continue to collaborate with industry and maintain public trust. Using qualitative and quantitative methodology, this thesis explores surgical patients’ views on financial relationships between surgeons and manufacturers and patients’ recommendations for managing these conflicts of interest. A majority of patients approve of surgeon’s relationships with manufacturers that can benefit patients but disapprove of those that primarily benefit the surgeon and the manufacturer. The majority of patients do not endorse disclosure as a sole method of managing these relationships. The majority of patients trust the surgical profession to self-regulate and favour professional oversight rather than by government to ensure financial relationships between surgeons and manufacturers are appropriate. My data supports my argument that there should be professional oversight of financial relationships between surgeons and manufacturers, which may allow continued collaboration with manufacturers while maintaining public trust.

Thesis (M.A.)--Trinity Evangelical Divinity School, 1999. / Abstract. Includes bibliographical references (leaves 167-173).