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  • About
  • The Global ETD Search service is a free service for researchers to find electronic theses and dissertations. This service is provided by the Networked Digital Library of Theses and Dissertations.
    Our metadata is collected from universities around the world. If you manage a university/consortium/country archive and want to be added, details can be found on the NDLTD website.

Bioethics in human biology: proposed strategies for Quebec secondary III level curriculum

Beat, Kirta January 1986 (has links)
No description available.

Ethical and Clinical Concerns for Incarcerated Pregnant Women and their Children

Grimes, Andrew January 2020 (has links)
In 1976, the legal ruling of the case Estelle v Gamble established the precedence of evaluating unjust healthcare practices and violation of Eight Amendment rights to prisoners with application of a test of deliberate indifference. Since this ruling, many more cases have emerged which present the complexity in application of the deliberate indifference test involving incarcerated pregnant women specifically. The practice of mass incarceration within this country has contributed greatly to the number of women and pregnant women incarcerated, without the necessary advancements or even establishment of healthcare standards within prisons to provide necessary care. Shackling of pregnant incarcerated in the course of their pregnancy and the practice of separating mother and child immediately at birth evidence the continuation of unacceptable practices occurring in the United States of America. To understand this topic and the issues involved, an understanding must be gained of the history, legal course, and healthcare practices faced by pregnant women and mothers who are incarcerated. / Urban Bioethics

Disparities in Kidney Donation and Transplantation in African Americans and the Role of Mistrust

Gunn, Megan January 2019 (has links)
Organ transplantation has the potential to improve and prolong the lives of many chronically ill people. However, organs are a scarce resource and a commodity to which not everyone has equal access. Equity issues are particularly evident amongst African Americans concerning kidney donation and transplantation. In this paper, I discuss the history of kidney transplantation and the disparities that exist in the African American community for both organ donation and transplantation. I explain how the organ allocation system has structural barriers that do not account for the social determinants of health. Then I explore the significant barrier of African Americans’ mistrust of the health care system and its role in kidney donation and transplantation. I use the principles of urban bioethics to discuss possible solutions to mistrust including community engagement, diversifying the physician work force, and concepts that move beyond cultural competency to cultural humility and structural competency. / Urban Bioethics

Autonomy and Distributive Justice at the End of Life

Fukushima, Corinna 01 January 2016 (has links)
Discussions of autonomy at the end of life in health care contexts is no new phenomenon. However, what seems to have changed in issues of autonomy is cases where patients want to refuse a treatment to cases where patients are demanding more treatment when medical professionals may not agree or be able to provide them with the medical treatment. Some key competing interests impacting patient autonomy include beneficence-doing what is in the best interests of the health or well-being of the patient- and resource limitations. Here, I will explore distributive justice theories that impact the end of life and how they constrain autonomy.


Najac, Tyler James January 2023 (has links)
The Temple University Hospital System Ophthalmology Department implemented a telemedicine screening program for diabetic retinopathy to improve patient care and community engagement. The program screened over 1900 patients in the Philadelphia area from March 2016 to March 2020 and identified a significant number of patients who required further in-person examination and treatment. The implementation of a telemedicine screening program for diabetic retinopathy raises important ethical issues and merits discussion of the impact of social determinants of health on healthcare outcomes. In these community initiatives, the principles of agency, beneficence, non-maleficence, social justice, and solidarity in bioethics should be considered as they pertain to the specific needs of the community in which they are implemented. Overall, the COVID-19 pandemic has highlighted the importance of considering the ethical implications of healthcare practices, including diabetic retinopathy screenings. The risks and barriers to access must be taken into account, especially for vulnerable populations in urban areas. As such, promoting primary care engagement, providing accurate and culturally appropriate education and outreach, and addressing social determinants of health can help ensure that all patients have access to comprehensive and equitable care. By considering these factors, diabetic retinopathy screenings can be conducted in an ethical and effective manner. / Urban Bioethics

The Ethical Consequences of Medical Objectivity

Sevareid, Colin, 0000-0003-2305-8128 January 2021 (has links)
Objectivity is a valued principle in western allopathic medicine, and for good reason: it has been very effective in saving lives and improving quality of life since the nineteenth century. In recent years, however, there have been many visible accounts in social and mass media describing the consequences of disbelief by physicians, particularly from women and people from marginalized communities. This paper uses an urban bioethics perspective to examine how overreliance on the principle of objectivity can lead to violations of bioethical principles that it should be in balance with.First, media and personal accounts of physician disbelief and misdiagnosis of patients are discussed. This is followed by a brief discussion of the historical roots of objectivity in medicine, an examination of the particular difficulty western medicine seems to have with medically-unexplained symptoms, and a closer look at specific diseases that encounter stigma in the clinical setting. From there, specific bioethical principles are analyzed. Nomaleficence is violated when clinicians traumatize their patients through disbelief of symptoms that cannot be confirmed through confirmatory testing and when they prematurely assume a psychogenic cause of symptoms simply because the cause cannot be found with a physical examination, laboratory test, or imaging study. Solidarity, autonomy, and agency are violated through the denial of the patient’s expertise in their own experience and the disempowerment of the patient in the doctor-patient relationship. Distributive and social justice are violated when the efficiency demanded of a medical system built upon reliance on objective findings disadvantages patients with difficult-to-diagnose conditions along with women and marginalized groups. Potential solutions to the unethical overreliance on objectivity include changes to medical education and culture to be more allowing of fallibility and humility, as well as better integration of mental and behavioral health into the primary care setting, so patients’ medical and psychosocial needs may be treated more holistically. Structural changes to the healthcare system allowing better physician reimbursement for clinical counseling will also mitigate dependency on objective findings for diagnosis and treatment. / Urban Bioethics

Proposal for a Gender, Sex, and Sexuality Curriculum in Undergraduate Medical Education at the Lewis Katz School of Medicine at Temple University

MacFarlane, Matthew Phillip January 2018 (has links)
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 Choice of Pre-Birth Genetic Modification : Through Kant´s Ethics in the 21st Century

Dumisic, Sanjin January 2016 (has links)
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.

Ethical schemes for the use of transgenic laboratory animals

Delpire, Veronique Charline January 2000 (has links)
No description available.

How Can a Focus on the Ethical Notions of Dignity and Respect for Autonomy Help to Improve Healthcare for Elderly People in Islamic Countries?

Alamri, Abeer 04 May 2017 (has links)
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;

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