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Medical Ethics in Clinical Practice

https://libcat.nshealth.ca/en/permalink/provcat44049
Matjaž Zwitter. --Cham: Springer , 2019.
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This book discusses medicine from an ethical perspective, whereas books on medical ethics more commonly present ethics from a bio-medical standpoint. The book is divided into 23 chapters. The introductory chapters present some basic concepts of medical ethics, such as the relation between the legal system and ethics, ethical documents, ethical theories, and ethical analysis. The following chapters address issues of importance in all fields of medicine: respecting autonomy, communication, relati…
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Author
Zwitter, Matjaž
Responsibility
Matjaž Zwitter
Place of Publication
Cham
Publisher
Springer
Date of Publication
2019
Physical Description
1 online resource (xiii, 211 p.) : 22 illus. in color
ISBN
9783030007195
9783030007188 (Print ed.)
9783030007201 (Print ed.)
Subjects (MeSH)
Ethics, Clinical
Ethics, Medical
Physician-Patient Relations - ethics
Specialty
Ethics
Abstract
This book discusses medicine from an ethical perspective, whereas books on medical ethics more commonly present ethics from a bio-medical standpoint. The book is divided into 23 chapters. The introductory chapters present some basic concepts of medical ethics, such as the relation between the legal system and ethics, ethical documents, ethical theories, and ethical analysis. The following chapters address issues of importance in all fields of medicine: respecting autonomy, communication, relations within a healthcare team, professional malpractice, limited resources, and the portrait of a physician. In turn, the third part of the book focuses on ethical aspects in a broad range of medical activities – preventive medicine, human reproduction, genetics, pediatrics, intensive care, palliative medicine, clinical research, unproven methods in diagnostics and treatment, and the role of physicians who aren’t directly responsible for patient care. The last part presents students’ seminars with case stories. The book offers a valuable resource for physicians of all specialties, students of medicine, professionals, and students from other fields devoted to human health, journalists, and general readers with an interest in medicine.
Contents
Ethics and law -- Ethical codes and declarations -- Ethical theories -- Moral status -- Ethical analysis -- Autonomy and its limitations -- Communication -- Relations in health care teams -- Professional malpractice -- Limited resources, priorities, and corruption -- Image of a physician -- Preventive medicine -- Ethics at the beginning of life -- Pediatrics -- Genetics -- Emergency medicine and transplantation -- The elderly and the mentally-ill -- Dying and death -- Research -- Unproven methods of diagnostics and treatment -- Physicians beyond patient care -- Students’ seminars.
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e-Book
Location
Online
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Moral Distress in the Health Professions

https://libcat.nshealth.ca/en/permalink/provcat43317
Connie M. Ulrich, Christine Grady, editors. --Cham: Springer , c2018.
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This is the first book on the market or within academia dedicated solely to moral distress among health professionals. It aims to bring conceptual clarity about moral distress and distinguish it from related concepts. Explicit attention is given to the voices and experiences of health care professionals from multiple disciplines and many parts of the world. Contributors explain the evolution of the concept of moral distress, sources of moral distress including those that arise at the unit/team …
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Other Authors
Ulrich, Connie M.
Grady, Christine
Responsibility
Connie M. Ulrich, Christine Grady, editors
Place of Publication
Cham
Publisher
Springer
Date of Publication
c2018
Physical Description
1 online resource (xi, 171 p.) : 5 illus., 1 illus. in color
ISBN
9783319646268
9783319646251 (print ed.)
9783319646275 (print ed.)
9783319878393 (print ed.)
Subjects (MeSH)
Ethics, Medical
Ethics, Nursing
Morals
Specialty
Ethics
Abstract
This is the first book on the market or within academia dedicated solely to moral distress among health professionals. It aims to bring conceptual clarity about moral distress and distinguish it from related concepts. Explicit attention is given to the voices and experiences of health care professionals from multiple disciplines and many parts of the world. Contributors explain the evolution of the concept of moral distress, sources of moral distress including those that arise at the unit/team and organization/system level, and possible solutions to address moral distress at every level. A liberal use of case studies will make the phenomenon palpable to readers. This volume provides information not only for academia and educational initiatives, but also for practitioners and the research community, and will serve as a professional resource for courses in health professional schools, bioethics, and business, as well as in the hospital wards, intensive care units, long-term care facilities, hospice, and ambulatory practice sites in which moral distress originates.
Contents
1. Introduction -- 2. What We Know about Moral Distress -- 3. Health Care Professional Narratives on Moral Distress: Disciplinary Perspectives -- 4. A Broader Understanding of Moral Distress -- 5. Sources of Moral Distress -- 6. Building Compassionate Environments: the Concept of and Measurement of Ethical Climate -- 7. Moral Distress Research Agenda -- 8. International Perspectives on Moral Distress -- 9. Reflections on Moral Distress and Moral Success.
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e-Book
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Online
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Reproductive Ethics : New Challenges and Conversations

https://libcat.nshealth.ca/en/permalink/provcat41700
Lisa Campo-Engelstein, Paul Burcher, editors. --Cham: Springer , 2017.
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This book summarizes the contributions at an April 2016 conference held at Albany Medical College, Reproductive Ethics: New Challenges and Conversations. Reproductive ethics does not suffer from a lack of challenging issues, yet a few "hot button" issues such as abortion and surrogacy seem to attract most of the attention, while other issues and dilemmas remain relatively underdeveloped in bioethics literature. The goal of this book is to explore and expand the range of topics addressed in repr…
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Other Authors
Campo-Engelstein, Lisa
Burcher, Paul
Responsibility
Lisa Campo-Engelstein, Paul Burcher, editors
Place of Publication
Cham
Publisher
Springer
Date of Publication
2017
Physical Description
1 online resource (xi, 176 pages) : 3 illus. in color
ISBN
9783319526300
9783319526294 (print ed.)
Subjects (MeSH)
Abortion, Induced - ethics
Bioethical Issues
Ethics, Medical
Fertility Preservation - ethics
Genetic Counseling
Prenatal Diagnosis - ethics
Reproductive Health
Abstract
This book summarizes the contributions at an April 2016 conference held at Albany Medical College, Reproductive Ethics: New Challenges and Conversations. Reproductive ethics does not suffer from a lack of challenging issues, yet a few "hot button" issues such as abortion and surrogacy seem to attract most of the attention, while other issues and dilemmas remain relatively underdeveloped in bioethics literature. The goal of this book is to explore and expand the range of topics addressed in reproductive ethics. This is a multi-disciplinary book bringing together philosophers, clinicians, sociologists, anthropologists, and other scholars whose research or clinical interests touch reproductive issues. The results of this compilation are a comprehensive and unique discussion of the evolving issues in the rapidly changing field. The majority of the popular reproductive ethics anthologies were published at least 10 years ago. The field of reproductive ethics would benefit from a new anthology that addresses some of the perennial dilemmas in reproductive ethics (e.g. abortion, sex selection) from updated perspectives and that also covers new technologies that have emerged only in the last few years, such as social egg freezing.
Contents
Reproductive Ethics: New Challenges and Conversations Introduction -- Part I. Genetic Testing and Enhancement -- Zooming Out: Solidarity in the Moral Imagination of Genetic Counseling -- Enhancing Future Children: How It Might Happen, Whether It Should -- The Decision to Know: Pregnancy and Epistemic Harm -- Part II. Fertility Preservation -- Egg Freezing and the Feminist Quest for Equality in the Workplace -- Fertility Preservation in Transgender and Gender-Nonconforming Youth and Adolescents -- Part III. Childbirth -- Rights and Realities in U.S. Maternity Care -- The Periviable Cesarean Section: Can a Case Be Made for Expanding Beneficence in Decision-Making? -- Part IV. Abortion, Surrogacy, and Circumcision -- “Teaching Morality by Teaching Science:” Religiosity and Abortion Regret -- My Child, Your Womb, Our Contract: The Failure of Contract Law to Protect Parties in Gestational Surrogacy -- Vulvar Nick and Metzitzah b’peh: Punishment or Harm Reduction?
Format
e-Book
Location
Online
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Clinical Medical Ethics : Landmark Works of Mark Siegler, MD

https://libcat.nshealth.ca/en/permalink/provcat41735
Laura Weiss Roberts, Mark Siegler, editors. --Cham: Springer , 2017.
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This instant gold standard title is a major contribution to the field of clinical medical ethics and will be used widely for reference and teaching purposes for years to come. Throughout his career, Mark Siegler, MD, has written on topics ranging from the teaching of clinical medical ethics to end-of-life decision-making and the ethics of advances in technology. With more than 200 journal publications and 60 book chapters published in this area over the course of his illustrious career, Dr. Sie…
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Other Authors
Roberts, Laura Weiss
Siegler, Mark
Responsibility
Laura Weiss Roberts, Mark Siegler, editors
Place of Publication
Cham
Publisher
Springer
Date of Publication
2017
Physical Description
1 online resource (xvii, 419 pages) : 17 illus., 8 illus. in color
ISBN
9783319538754
9783319538730 (print ed.)
Subjects (MeSH)
Ethics, Medical
Ethics, Clinical
Abstract
This instant gold standard title is a major contribution to the field of clinical medical ethics and will be used widely for reference and teaching purposes for years to come. Throughout his career, Mark Siegler, MD, has written on topics ranging from the teaching of clinical medical ethics to end-of-life decision-making and the ethics of advances in technology. With more than 200 journal publications and 60 book chapters published in this area over the course of his illustrious career, Dr. Siegler has become the pre-eminent scholar and teacher in the field. Indeed his work has had a profound impact on a range of therapeutic areas, especially internal medicine, pediatrics, surgery, oncology, and medical education. Having grown steadily in importance the last 30 years, clinical ethics examines the practical, everyday ethical issues that arise in encounters among patients, doctors, nurses, allied health workers, and health care institutions. The goal of clinical ethics is to improve patient care and patient outcomes, and almost every large hospital now has an ethics committee or ethics consultation service to help resolve clinical ethical problems; and almost every medical organization now has an ethics committee and code of ethics. Most significantly, clinical ethics discussions have become a part of the routine clinical discourse that occurs in outpatient and inpatient clinical settings across the country. This seminal collection of 46 landmark works written by Dr. Siegler with colleagues throughout his career was edited by Dr. Laura Weiss Roberts and by Dr. Siegler. Dr. Roberts is a prominent psychiatric ethicist and physician-scientist as well as a mentee and longtime collaborator of Dr. Siegler. The text is organized around five themes of foundational scholarship: restoring and transforming the ethical basis of modern clinical medicine, the doctor-patient relationship, education and professionalism, end-of-life care, and clinical innovation.With introductory perspectives by a group of renowned scholars in medicine, Clinical Medical Ethics: Landmark Works of Mark Siegler, MD explains the field authoritatively and comprehensively and will be of invaluable assistance to all clinicians and scholars concerned with clinical ethics. .
Contents
Part I -- Restoring and Transforming the Ethical Basis of Modern Clinical Medicine -- 1. An Introduction from Laura Weiss Roberts, M.D., M.A. -- 2. A Perspective from Mark Siegler, M.D. -- 3. A Perspective from Daniel P. Sulmasy, M.D., Ph.D. -- 4. A Perspective from Dana Levinson, M.P.H., Holly J. Humphrey, M.D., and Kenneth S. Polonsky, M.D. -- 5. A Perspective from Jordan J. Cohen, M.D. -- 6. A Perspective from Peter A. Singer, M.D. -- Part II Landmark Works on Clinical Medical Ethics by Mark Siegler, M.D. -- 7. Foundational Scholarship -- 7.1 Clinical ethics and clinical medicine (1979) -- 7.2 Decision-making strategy for clinical ethical problems in medicine (1982) -- 7.3 An ethics consultation service in a teaching hospital. Utilization and evaluation (1988) -- 7.4 Clinical medical ethics (1990) -- 7.5 Ethics committees and consultants (1990) -- 7.6 Future directions in clinical ethics (1991) -- 7.7 Clinical ethics (1991) -- 7.8 Clinical ethics in the practice of medicine (1996) -- 7.9 Five major themes in bioethics (1997) -- 7.10 The contributions of clinical ethics to patient care (1997) -- 8. The Doctor-Patient Relationship -- 8.1 Searching for moral certainty in medicine: a proposal for a new model of the doctor-patient encounter 1981) -- 8.2 Clinical intuition: a procedure for balancing the rights of patients and the responsibilities of physicians (1981) -- 8.3 The doctor-patient encounter and its relationship to theories of health and disease (1981) -- 8.4 The physician-patient accommodation: a central event in clinical medicine (1982) -- 8.5 Confidentiality in medicine: a decrepit concept (1982) -- 8.6 Medical consultations in the context of the physician-patient relationship (1982) -- 8.7 Metaphors and models of doctor-patient relationships: their implications for autonomy (1984) -- 8.8 The progression of medicine: from physician paternalism to patient autonomy to bureaucratic parsimony (1985) -- 8.9 Learning from our patients: one participants impact on clinical trial research and informed consent (1997) -- 8.10 The physician-surrogate relationship (2007) -- 9. Education and Professionalism -- 9.1 A legacy of Osler: teaching clinical ethics at the bedside (1978) -- 9.2 Basic curricular goals in medical ethics: the DeCamp conference on the teaching of medical ethics (1985) -- 9.3 Fellowship training programs in clinical ethics (1988) -- 9.4 Development of a teaching program in clinical medical ethics at the University of Chicago (1989) -- 9.5 Internal medicine residents' preferences regarding medical ethics education (1989) -- 9.6 Caring for medical students as patients (1990) -- 9.7 Teaching clinical ethics (1990) -- 9.8 Medical students as patients: a pilot study of their health care needs, practices, and concerns (1996) -- 9.9 What and how psychiatry residents at ten training programs wish to learn about ethics (1996) -- 9.10 Clinical ethics teaching in psychiatric supervision (1996) -- 9.11 Training doctors for professionalism: some lessons from teaching clinical medical ethics (2002) -- 10. End-of-Life Care -- 10.1 Pascal's wager and the hanging of crepe (1975) -- 10.2 Critical illness: the limits of autonomy (1977) -- 10.3 Brain death and live birth (1982) -- 10.4 Against the emerging stream: should fluids and nutritional support be discontinued? (1985) -- 10.5 Euthanasia: a critique (1990) -- 10.6 Elective use of life-sustaining treatments in internal medicine (1991) -- 10.7 Intimacy and caring: the legacy of Karen Ann Quinlan (1993) -- 10.8 The rise and fall of the futility movement (2000) -- 11. Clinical Innovation 11.1 Ethical issues in growth hormone therapy (1989) -- 11.2 Orthopedic surgeons' attitudes and practices concerning the treatment of patients with human immunosuppressive virus infection (1989) -- 11.3 Ethics of liver transplantation with living donors (1989) -- 11.4 Bone marrow transplantation for sickle cell disease; a study of parentsÇÖ decisions (1991) -- 11.5 Ethical justification for living liver donation (1992) -- 11.6 Transplantation of liver grafts from living donors into adults: too much, too soon (2001) -- 11.7 Elective surgical patients as living organ donors: a clinical and ethical innovation (2009) -- Appendix.
Format
e-Book
Location
Online
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Integrative Health Services : Ethics, Law, and Policy for the New Public Health Workforce

https://libcat.nshealth.ca/en/permalink/provcat40142
Heather Mullins-Owens. --Cham: Springer , c2016.
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This readable overview offers a public health framework for integrating medical and alternative care to improve health outcomes in patients with chronic illnesses. It details the promise, potential, and challenges of holistic services as patients seek diverse treatment options and health care systems address the demand for more affordable, accessible, and effective care. The book's integrative model describes the process in theory and practice, from cost and reimbursement issues and turf wars b…
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Author
Mullins-Owens, Heather
Responsibility
Heather Mullins-Owens
Place of Publication
Cham
Publisher
Springer
Date of Publication
c2016
Physical Description
1 online resource (vii, 63 p. : 6 illus., 2 illus. in color)
Series Title
SpringerBriefs in public health
ISBN
9783319298573
9783319298559 (print ed.)
ISSN
2192-3698
Subjects (MeSH)
Ethics, Medical
Health Policy
Holistic Health
Integrative Medicine
Public health practice
Other Subjects
United States
Abstract
This readable overview offers a public health framework for integrating medical and alternative care to improve health outcomes in patients with chronic illnesses. It details the promise, potential, and challenges of holistic services as patients seek diverse treatment options and health care systems address the demand for more affordable, accessible, and effective care. The book's integrative model describes the process in theory and practice, from cost and reimbursement issues and turf wars between providers to expanding on traditional concepts of illness and wellness. Learning objectives, case studies, discussion questions, and other helpful features make this a vital student text. The book's concentrated coverage: Introduces concepts of integrative health services. Applies integrative health concepts to public health areas, e.g., prevention. Contrasts integrative models of health with the traditional biomedical model. Describes health care systems, use, and disparities in integrative health services. Outlines the scope of integrative health practice. Reviews implications for the public health workforce. Integrative Health Services benefits public health students, pre-med students, and those with an interest in health policy and health trends. Additionally, public health educators, practitioners, and scholars who may not be familiar with integrative health services and conflicts related to their increased use in health care will find it a helpful tool to quickly bring them up to date.
Contents
1. Introduction to Concepts of Integrative Health Services -- 2. Application to Public Health -- 3. Models of Health and Health Theory: Focus on Integrative Models -- 4. Health Care System Use and Disparities in Integrative Health Services -- 5. Scope of Integrative Health Practice -- 6. Public Health Workforce Implications.
Format
e-Book
Location
Online
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Professionalism and ethics in medicine : a study guide for physicians and physicians-in-training

https://libcat.nshealth.ca/en/permalink/provcat33633
Laura Weiss Roberts, Daryn Reicherter, editors. --New York: Springer , c2015.
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Online
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Other Authors
Roberts, Laura Weiss
Reicherter, Daryn
Responsibility
Laura Weiss Roberts, Daryn Reicherter, editors
Place of Publication
New York
Publisher
Springer
Date of Publication
c2015
Physical Description
1 online resource (xviii, 159 pages)
ISBN
9781493916863 (electronic bk.)
9781493916856
Subjects (MeSH)
Ethics, Medical
Ethics, Medical - Examination Questions
Subjects (LCSH)
Medical ethics
Contents
Part I. Foundations -- 1. Introduction to Ethics in Clinical Medicine -- 2. The Legal Framework of Medical Ethics in the United States -- 3. Multicultural and Ethical Considerations in American Medicine -- 4. Ethical Issues in Biomedical Research and Clinical Training -- 5. Professionalism in Medicine as a Transnational and Transcultural Ethical Concept -- Part II. Questions and Answers -- 6. Questions with Narrative Answers -- 7. Questions on Core Concepts -- 8. Questions on Clinical Issues -- 9. Questions on Research and Education.
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e-Book
Location
Online
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Clinical inertia : a critique of medical reason

https://libcat.nshealth.ca/en/permalink/provcat33935
Gérard Reach ; translation by Claudia Ratti. --Cham, Switzerland: Springer , c2015.
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Online
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Author
Reach, Gérard
Other Authors
Ratti, Claudia
Responsibility
Gérard Reach ; translation by Claudia Ratti
Place of Publication
Cham, Switzerland
Publisher
Springer
Date of Publication
c2015
Physical Description
1 online resource (xxii, 142 pages)
ISBN
9783319098821 (electronic bk.)
9783319098814
Subjects (MeSH)
Clinical Competence
Ethics, Medical
Evidence-Based Medicine
Guideline Adherence
Professional Practice
Subjects (LCSH)
Medical logic
Medicine - Philosophy
Medical ethics
Contents
1. Introduction -- 2. Definitions -- 3. The Evidence: The Gap Between Guidelines and Clinical Reality -- 4. Determinants and Explanatory Models of Clinical Inertia -- 5. The Physician and Evidence-Based Medicine -- 6. To Do or Not to Do: A Critique of Medical Reason -- 7. Overcoming True Clinical Inertia -- 8. Conclusion: Time for Medical Reason.
Format
e-Book
Location
Online
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On the Shoulders of Medicine's Giants : What Today's Clinicians Can Learn from Yesterday's Wisdom

https://libcat.nshealth.ca/en/permalink/provcat38944
Robert B. Taylor. --New York, NY: Springer , c2015.
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Medical history offers us many wise thoughts, a few misguided notions, and a host of intriguing back-stories. On the Shoulders of Medicine's Giants presents a selection of these, and tells how the words of medicine's "giants"--such as Hippocrates, Sir William Osler, Francis Weld Peabody, and Elizabeth Kubler-Ross--are relevant to medical science and practice in the 21st century. Which physician was the inspiration for the fictional character Sherlock Holmes, and what did he identify as the real…
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Author
Taylor, Robert B
Responsibility
Robert B. Taylor
Place of Publication
New York, NY
Publisher
Springer
Date of Publication
c2015
Physical Description
1 online resource (xiv, 251 p. : 100 illus., 48 illus. in color)
ISBN
9781493913350
9781493913343 (print ed.)
Subjects (MeSH)
Ethics, Medical
History of Medicine
Philosophy, Medical - history
Physicians - history
Abstract
Medical history offers us many wise thoughts, a few misguided notions, and a host of intriguing back-stories. On the Shoulders of Medicine's Giants presents a selection of these, and tells how the words of medicine's "giants"--such as Hippocrates, Sir William Osler, Francis Weld Peabody, and Elizabeth Kubler-Ross--are relevant to medical science and practice in the 21st century. Which physician was the inspiration for the fictional character Sherlock Holmes, and what did he identify as the real essential factor in all successful medical diagnoses? What did Sigmund Freud describe as his "tyrant" and what might this mean for doctors today? Do you know the attributed source of the well-known aphorism about horses and zebras, and what we believe this physician actually said? This book answers these questions and more, while also providing fascinating tales about each individual quoted. On the Shoulders of Medicine's Giants is recommended for practicing physicians, students, and residents, as well as nurse practitioners, physician assistants, and anyone involved in patient care who wants to understand the historical and epistemological foundations of what we do each day in practice. Robert B. Taylor, MD is the author and editor of more than 30 medical books and several hundred published articles, as well as a veteran of rural private practice and chairmanship of a major medical school department.
Contents
The Profession and Professionalism -- Being a Physician -- The Art and Science of Doctoring -- Health, Disease, Illness, and Death -- Disease Detection and Diagnosis -- Therapy and Healing -- Learning and Teaching Medicine -- Medical Experience, Knowledge, and Wisdom -- Errors, Uncertainty, and Ethical Issues -- Current Issues and Future Practice.
Format
e-Book
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Online
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Critical Care for Anorexia Nervosa : The MARSIPAN Guidelines in Practice

https://libcat.nshealth.ca/en/permalink/provcat39078
Paul H. Robinson, Dasha Nicholls, editors. --Cham: Springer , c2015.
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Anorexia and bulimia nervosa are serious disorders affecting pre-adolescents, adolescents and adults with high levels of co-morbidity, disability and mortality. The medical manifestations of these disorders are intrinsic to the illness and its treatment; some are secondary to malnutrition whereas others are the result of purging or other weight-controlling behaviours and a further group is due to poor management of nutritional problems. This book focuses on the role of the psychiatric, medical,…
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Robinson, Paul H
Nicholls, Dasha
Other Authors
MARSIPAN Group
Responsibility
Paul H. Robinson, Dasha Nicholls, editors
Place of Publication
Cham
Publisher
Springer
Date of Publication
c2015
Physical Description
1 online resource (vii, 168 p. : 10 illus., 3 illus. in color)
ISBN
9783319081748
9783319081731 (print ed.)
Subjects (MeSH)
Anorexia Nervosa - therapy
Critical Care - ethics
Ethics, Medical
Mentally Ill Persons - legislation & jurisprudence
Treatment Outcome
Abstract
Anorexia and bulimia nervosa are serious disorders affecting pre-adolescents, adolescents and adults with high levels of co-morbidity, disability and mortality. The medical manifestations of these disorders are intrinsic to the illness and its treatment; some are secondary to malnutrition whereas others are the result of purging or other weight-controlling behaviours and a further group is due to poor management of nutritional problems. This book focuses on the role of the psychiatric, medical, nutritional and psychiatric assessment and management of severely ill patients with anorexia nervosa. Leading clinicians and researchers address the essentials of risk assessment, the identification of complications and the monitoring of treatment progress. Location of care and the role of the team are fully addressed, with due consideration of legal and ethical issues. Practical guidelines are included on risk assessment, management of acute and chronic physical problems, feeding during treatment and consent, as outlined in the MARSIPAN (2010) and Junior MARSIPAN (2012) documents. Critical Care for Anorexia Nervosa will be of value for medical and paediatric teams, GPs, psychiatristsáand all health-care professionals involved in the treatment of acutely ill patients with anorexia nervosa.
Contents
1. Introduction: Problems Occurring in the Assessment and Treatment of Patients with Severe Anorexia Nervosa -- 2. Management of the Really Sick Child or Adolescent with Anorexia Nervosa in Hospital: The Role of Child and Adolescent Mental Health -- 3. The Role of the Paediatric Team in the Management of Young People with Severe AN -- 4. How Can the Adult Psychiatric Team and Adult Medical Team Work Optimally to Help the MARSIPAN Patient? -- 5. How Can the Adult Medical Team Work Optimally with the Adult Psychiatric Team to Help the MARSIPAN Patient? -- 6. Legal and Ethical Issues in the Treatment of Really Sick Patients with Anorexia Nervosa -- 7. Putting It All Together. What We Have Learnt, What We Need to Learn.
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e-Book
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Online
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Ethical Issues in Anesthesiology and Surgery

https://libcat.nshealth.ca/en/permalink/provcat39235
Barbara G. Jericho, editor. (1st ed.) --Cham: Springer , c2015.
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Each chapter includes an ethical challenge presented as a clinical case scenario that readers may relate to in their daily practice of anesthesiology and surgery. The ethical issues surrounding each chapter's content are examined in an easily understandable manner for the specific target audience to improve the understanding and management of ethical dilemmas in patient care. Informed consent issues for the adult and pediatric patient, perioperative considerations of do-not-resuscitate orders, …
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Other Authors
Jericho, Barbara G.
Responsibility
Barbara G. Jericho, editor
Edition
1st ed.
Place of Publication
Cham
Publisher
Springer
Date of Publication
c2015
Physical Description
1 online resource (xiii, 238 p. : 5 illus., 1 illus. in color)
ISBN
9783319159492
9783319159485 (print ed.)
Subjects (MeSH)
Anesthesiology - ethics
Ethics, Medical
General Surgery - ethics
Abstract
Each chapter includes an ethical challenge presented as a clinical case scenario that readers may relate to in their daily practice of anesthesiology and surgery. The ethical issues surrounding each chapter's content are examined in an easily understandable manner for the specific target audience to improve the understanding and management of ethical dilemmas in patient care. Informed consent issues for the adult and pediatric patient, perioperative considerations of do-not-resuscitate orders, ethical issues of drug shortages, transplantation ethics, surgical care of patients and futility, conscientious objection, informed consent and disclosure of surgeon experience, and research and publication ethics are included and based on the experience of the Editor and the roster of contributors.
Contents
1. Informed Consent: Pediatric Patients, Adolescents, and Emancipated Minors -- 2. Preoperative Testing: Ethical Challenges, Evidence-Based Medicine and Informed Consent -- 3. Informed Consent and the Disclosure of Surgeon Experience -- 4. Perioperative Considerations of Do Not Resuscitate and Do Not Intubate Orders in Adult Patients -- 5. Pediatric Patients: Do Not Resuscitate Decisions -- 6. Ethical Care of the Children of Jehovah's Witnesses -- 7. Fatigue and the Care of Patients -- 8. Conscientious Objection -- 9. Ethical Implications of Drug Shortages -- 10. Ethical Challenges in High-Risk Innovative Surgery -- 11. Professionalism in the Operating Room -- 12. Honesty in the Perioperative Setting: Error and Communication -- 13. Futility and the Care of the Perioperative Patient -- 14. End-of-Life Issues: Management of Cardiac Implantable Electronic Devices -- 15. End-of-Life Issues: Spirituality -- 16. Ethics in Research and Publication -- 17. Ethics and Evidence Regarding Animal Subjects Research: Splitting Hares--or Swallowing Camels?
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e-Book
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Online
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Toward scientific medicine

https://libcat.nshealth.ca/en/permalink/provcat33294
O.S. Miettinen. --Cham, Switzerland: Springer , c2014.
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Scientific medicine in Miettinen's conception of it is very different from the two ideas about it that came to eminence in the 20th century. To him, medicine is scientific to the extent that it has a rational theoretical framework and a knowledge-base from medical science. He delineates the nature of that theoretical framework and of the research to develop the requisite knowledge for application in such a framework. The knowledge ultimately needed is about diagnostic, etiognostic, and prognost…
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Author
Miettinen, Olli S
Responsibility
O.S. Miettinen
Place of Publication
Cham, Switzerland
Publisher
Springer
Date of Publication
c2014
Physical Description
1 online resource (xvii, 183 pages)
ISBN
9783319016719 (electronic bk.)
9783319016702
Subjects (MeSH)
Medicine
Philosophy, Medical
Biomedical Research
Ethics, Medical
Subjects (LCSH)
Medicine
Philosophy, Medical
Biomedical Research
Ethics, Medical
Medicine - Philosophy
Medicine - Research
Medical ethics
Theory of Medicine
Bioethics
Medical Education
Science Education
Abstract
Scientific medicine in Miettinen's conception of it is very different from the two ideas about it that came to eminence in the 20th century. To him, medicine is scientific to the extent that it has a rational theoretical framework and a knowledge-base from medical science. He delineates the nature of that theoretical framework and of the research to develop the requisite knowledge for application in such a framework. The knowledge ultimately needed is about diagnostic, etiognostic, and prognostic probabilities, and it necessarily is to be codified in the form of probability functions, embedded in practice-guiding expert systems.
Contents
Part I. The Knowledge-Base of Medicine at Present -- 1. The daunting needs for knowledge -- 2. The necessary forms of the knowledge -- 3. The knowledge according to its source -- Part II. Whither From Here? -- 4. Needed innovations of the knowledge culture -- Part III. Medical Science for Scientific Medicine -- 5. Original research for scientific diagnosis -- 6. Original research for scientific etiognosis -- 7. Original research for scientific prognosis -- 8. Derivative research for scientific gnosis -- 9. From gnostic research to gnostic knowledge -- Epilogue -- Glossary.
Format
e-Book
Location
Online
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Neurosurgical ethics in practice : value-based medicine

https://libcat.nshealth.ca/en/permalink/provcat33355
Ahmed Ammar, Mark Bernstein, editors. --Heidelberg: Springer , c2014.
Available Online
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Location
Online
Good neurosurgical practice is based not only on evidence, skills, and modern equipment, but also on good values. Young surgeons often learn about ethical behavior by observing the behavior of their teachers in different situations, but for several reasons, this is not enough. This book discusses the ethical issues that arise during the daily practice of neurosurgery. It will be especially informative for neurosurgeons, other surgeons, physicians, residents, medical students, and allied health …
Available Online
View e-Book
Other Authors
Ammar, Ahmed
Bernstein, Mark
Responsibility
Ahmed Ammar, Mark Bernstein, editors
Place of Publication
Heidelberg
Publisher
Springer
Date of Publication
c2014
Physical Description
1 online resource (xii, 286 pages)
ISBN
9783642549809 (electronic bk.)
9783642549793
Subjects (MeSH)
Neurosurgery - ethics
Neurosurgical Procedures - ethics
Ethics, Medical
Subjects (LCSH)
Nervous system - Surgery - Moral and ethical aspects
Neurosurgery
Ethics
Abstract
Good neurosurgical practice is based not only on evidence, skills, and modern equipment, but also on good values. Young surgeons often learn about ethical behavior by observing the behavior of their teachers in different situations, but for several reasons, this is not enough. This book discusses the ethical issues that arise during the daily practice of neurosurgery. It will be especially informative for neurosurgeons, other surgeons, physicians, residents, medical students, and allied health care providers. The book is not a philosophical expose but an easily readable and highly practical road map on how to navigate ethically challenging situations in neurosurgical and other practice. The book is divided into five parts addressing general issues, patients' rights, end of life issues, neurosurgeons' duties, and neurosurgeons and society. The contributing authors are well-established neurosurgeons and other doctors with long experience and from different backgrounds. They discuss ethical problems encountered in everyday practice, introduced by cases, and in all, there are more than 50 neurosurgical cases drawn from real life. The editors introduce in the title and throughout the book the term 'value-based medicine' which reinforces that while modern medicine and surgery have come very far in technical aspects, the core of what we do must be based on the values embodied in bioethics.
Contents
Part I. Introduction to Ethics -- 1. Brief History of Bioethics -- 2. Ethics Principles and Theories -- 3. Cross-Cultural Ethics -- Part II. Patients’ Rights -- 4. Patients' Rights -- 5. Informed Consent -- 6. Privacy and Confidentiality -- 7. Severe Neurosurgical Conditions in Children -- Part III. End of Life Issues -- 8. End-of-Life Care -- 9. Dying with Dignity -- 10. Brain Death -- Part IV. Neurosurgeons’ Duties -- 11. Neurosurgeons' Duties -- 12. Ethical Decision-Making -- 13. Errors -- 14. Workplace Ethics and Professionalism -- 15. Neurosurgical Innovation -- 16. Research Ethics -- 17. Consent in Emergency Clinical Research -- 18. Neuroethics -- 19. Training of Neurosurgeons -- Part V. Neurosurgeons and Society -- 20. Conflict of Interest -- 21. Priority Setting -- 22. Medicolegal Issues -- 23. Neurosurgeons and the Media -- 24. International Neurosurgery Collaborations.
Format
e-Book
Location
Online
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Human subjects research after the Holocaust

https://libcat.nshealth.ca/en/permalink/provcat33862
Sheldon Rubenfeld, Susan Benedict, editors ; foreword by Arthur L. Caplan. --Cham, Switzerland: Springer , c2014.
Available Online
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Location
Online
'An engaging, compelling and disturbing confrontation with evil...abook that will be transformative in its call for individual and collective moral responsibility." - Michael A. Grodin, M.D., Professor and Director, Project on Medicine and the Holocaust, Elie Wiesel Center for Judaic Studies, Boston University. Human Subjects Research after the Holocaust challenges you to confront the misguided medical ethics of the Third Reich personally, and to apply the lessons learned to contemporary human …
Available Online
View e-Book
Other Authors
Rubenfeld, Sheldon
Benedict, Susan
Responsibility
Sheldon Rubenfeld, Susan Benedict, editors ; foreword by Arthur L. Caplan
Place of Publication
Cham, Switzerland
Publisher
Springer
Date of Publication
c2014
Physical Description
1 online resource (xvi, 308 pages)
ISBN
9783319057026 (electronic bk.)
9783319057019
Subjects (MeSH)
Bioethics
Ethics, Medical
Ethical Review
Human Experimentation - ethics
National Socialism - history
Nontherapeutic Human Experimentation - history
Research Subjects
Subjects (LCSH)
Human experimentation in medicine - Moral and ethical aspects
Human experimentation in medicine - Germany - History - 20th century
Theory of Medicine/Bioethics
History of Science
History of Medicine
Human Rights
Abstract
'An engaging, compelling and disturbing confrontation with evil...abook that will be transformative in its call for individual and collective moral responsibility." - Michael A. Grodin, M.D., Professor and Director, Project on Medicine and the Holocaust, Elie Wiesel Center for Judaic Studies, Boston University. Human Subjects Research after the Holocaust challenges you to confront the misguided medical ethics of the Third Reich personally, and to apply the lessons learned to contemporary human subjects research. While it is comforting to believe that Nazi physicians, nurses, and bioscientists were either incompetent, mad, or few in number, they were, in fact, the best in the world at the time, and the vast majority participated in the government program of 'applied biology.' They were not coerced to behave as they did-they enthusiastically exploited widely accepted eugenic theories to design horrendous medical experiments, gas chambers and euthanasia programs, which ultimately led to mass murder in the concentration camps. Americans provided financial support for their research, modeled their medical education and research after the Germans, and continued to perform unethical human subjects research even after the Nuremberg Doctors' Trial. The German Medical Association apologized in 2012 for the behavior of its physicians during the Third Reich. By examining the medical crimes of human subjects researchers during the Third Reich, you will naturally examine your own behavior and that of your colleagues, and perhaps ask yourself "If the best physicians and bioscientists of the early 20th century could do evil while believing they were doing good, can I be certain that I will never do the same?" Presents relatively unknown aspects of human subjects research during the Third Reich Reveals surprising relationships between German and American human subjects research Dispels myths about Nazi human subjects research Compels introspection and self-examination by today's medical and research practitioners Addresses contemporary bioethical issues affecting vulnerable populations Brings together experts in the history of medicine during the Third Reich and thoughtful new voices.
Contents
Introduction: How Did It Go So Wrong? -- Twin Experiments at Auschwitz: A First-Person Account -- Eugenics and Racial Hygiene: Applied Research Strategies before, during, and after National Socialism -- Medical Ethics and Medical Research on Human Beings in National Socialism -- Sulfonamide Experiments on Prisoners in Nazi Concentration Camps: Coherent Scientific Rationality Combined with Complete Disregard of Humanity -- Stages of Transgression: Anatomical Research in National Socialism -- Nurses and Human Subjects Research during the Third Reich and Now -- Involuntary Abortion and Coercive Research on Pregnant Forced Laborers in National Socialism -- Abusive Medical Practices on "Euthanasia" Victims in Austria during and after World War II -- Medical Research and National Socialist Euthanasia: Carl Schneider and the Heidelberg Research Children from 1942 until 1945 -- Victims of Human Experiments and Coercive Research under National Socialism: Gender and Racial Aspects -- The White Rose: Resisting National Socialism, with an Introduction by Susan Benedict -- The Origins and Impact of the Nuremberg Doctors' Trial -- In the Shadow of Nuremberg: Unlearned Lessons from the Medical Trial -- The Ethics of Medical Experiments: Have We Learned the Lessons of Tuskegee and the Holocaust? -- Human Subjects Research during and after the Holocaust: Typhus Vaccine Development and the Legacy of Gerhard Rose -- Ethics in Space Medicine: Holocaust Beginnings, the Present, and the Future -- Reproduction Then and Now: Learning from the Past -- Promoting Clinical Research and Avoiding Bad Medicine: A Clinical Research Curriculum -- The Psychophysiology of Attribution: Why Appreciative Respect Can Keep Us Safe -- Confronting Medicine during the Nazi Period: Autobiographical Reflections -- Teaching the Holocaust to Medical Students: A Reflection on Pedagogy and Medical Ethics -- No Exceptions, No Excuses: A Testimonial.
Format
e-Book
Location
Online
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From Justice to Protection : A Proposal for Public Health Bioethics

https://libcat.nshealth.ca/en/permalink/provcat30951
Miguel Kottow. --New York, NY: Springer , c2012.
Available Online
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Location
Online
Available Online
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Author
Kottow, Miguel
Responsibility
Miguel Kottow
Place of Publication
New York, NY
Publisher
Springer
Date of Publication
c2012
Physical Description
1 online resource (vii, 108 p.)
Series Vol.
v. 1
Series Title
SpringerBriefs in public health
ISBN
9781461420262
Subjects (MeSH)
Bioethical Issues
Ethics, Medical
Public Health - ethics
Social Justice
Subjects (LCSH)
Medical ethics
Public health
Contents
1. On Justice and Health Inequities -- 2. Rights and Duties, Needs, and Merits -- 3. Public Health Transitions and the "New Public Health" -- 4. Bioethics in Public Health -- 5. Ethics of Protection I: Theoretical Fundaments -- 6. Ethics of Protection II: Basic Outline -- 7. Protective Bioethics -- 8. Health Care Strategies -- 9. Public Health and Medical Care -- 10. Ethics and Epidemiology -- 11. Integrating Bioethics in Public Health.
Format
e-Book
Location
Online
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Practical ethics for psychologists : a positive approach

https://libcat.nshealth.ca/en/permalink/provcat25472
Knapp, Samuel J. --Washington, DC: American Psychological Association , 2012.
Call Number
BF 76.4 K67p 2012
Location
Nova Scotia Hospital
Call Number
BF 76.4 K67p 2012
Author
Knapp, Samuel J
Other Authors
VandeCreek, Leon D.
Place of Publication
Washington, DC
Publisher
American Psychological Association
Date of Publication
2012
Physical Description
319 p.
ISBN
9781433811746
Subjects (MeSH)
Psychology - ethics
Ethics, Medical
Psychology - standards
Format
Book
Location
Nova Scotia Hospital
Loan Period
3 weeks
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Institutional review board : member handbook

https://libcat.nshealth.ca/en/permalink/provcat40914
Robert Amdur, Elizabeth A. Bankert. (Third edition) --Sudbury, MA: Jones and Bartlett Publishers , c2011.
Call Number
W 20.5 A4971 2011
Location
Dickson Building
Designed to give Institutional Review Board (IRB) members the information they need to protect the rights and welfare of research subjects in a way that is both effective and efficient, the chapters of the Institutional Review Board Member Handbook are short and to the point. Topic-specific chapters list the criteria IRB members should use to determine how to vote on specific kinds of studies and offer practical advice on what IRB members should do before and during full-committee meetings. Thi…
Call Number
W 20.5 A4971 2011
Author
Amdur, Robert J
Other Authors
Bankert, Elizabeth A
Responsibility
Robert Amdur, Elizabeth A. Bankert
Edition
Third edition
Place of Publication
Sudbury, MA
Publisher
Jones and Bartlett Publishers
Date of Publication
c2011
Physical Description
xii, 215 pages
ISBN
9781449647445
9780763780005
Subjects (MeSH)
Biomedical Research - ethics
Ethical Review - standards
Ethics Committees, Research - organization & administration
Ethics, Medical
Human Experimentation - ethics
Abstract
Designed to give Institutional Review Board (IRB) members the information they need to protect the rights and welfare of research subjects in a way that is both effective and efficient, the chapters of the Institutional Review Board Member Handbook are short and to the point. Topic-specific chapters list the criteria IRB members should use to determine how to vote on specific kinds of studies and offer practical advice on what IRB members should do before and during full-committee meetings. This handbook is an excellent accompaniment to Institutional Review Board: Management and Function, Second Edition and the Study Guide that IRB members can access and refer to quickly and easily.
Format
Book
Publication Type
Handbook
Location
Dickson Building
Loan Period
3 weeks
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Ethics in health administration

https://libcat.nshealth.ca/en/permalink/provcat25260
Morrison, Eileen E. (2nd ed.) --Sudbury, MA: Jones and Bartlett Publishers , c2011.
Call Number
W 50 M878e 2011
Location
Halifax Infirmary
Call Number
W 50 M878e 2011
Author
Morrison, Eileen E
Edition
2nd ed.
Place of Publication
Sudbury, MA
Publisher
Jones and Bartlett Publishers
Date of Publication
c2011
Physical Description
363 p.
ISBN
9780763773274
Subjects (MeSH)
Health Services Administration - ethics
Decision Making - ethics
Ethics, Medical
Format
Book
Location
Halifax Infirmary
Loan Period
3 weeks
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Professionalism in medicine : a case-based guide for medical students

https://libcat.nshealth.ca/en/permalink/provcat27741
Spandorfer, John. --Cambridge: Cambridge University Press , 2010.
Available Online
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Location
Online
Available Online
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Author
Spandorfer, John
Place of Publication
Cambridge
Publisher
Cambridge University Press
Date of Publication
2010
Physical Description
464 p.
Series Title
Cambridge medicine
ISBN
9780511642067 (ebook)
9780521879323 (hardback)
Subjects (MeSH)
Clinical Competence
Physician's Role
Professional Autonomy
Ethics, Medical
Contents
Defining medical professionalism -- Cases about medical students -- Principle of primacy of patient welfare -- Principle of patient autonomy -- Principle of social justice -- Commitment to honesty with patients -- Commitment to patient confidentiality -- Commitment to improving quality of care -- Commitment to maintaining trust by managing conflicts of interest -- Commitment to professional responsibilities.
Format
e-Book
Location
Online
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Michael Ryan's Writings on Medical Ethics

https://libcat.nshealth.ca/en/permalink/provcat28715
edited by Howard Brody, Zahra Meghani, Kimberley Greenwald. --Dordrecht ; New York: Springer Science+Business Media , c2010.
Available Online
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Location
Online
Available Online
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Author
Brody, Howard
Other Authors
Meghani, Zahra
Greenwald, Kimberley
Responsibility
edited by Howard Brody, Zahra Meghani, Kimberley Greenwald
Place of Publication
Dordrecht ; New York
Publisher
Springer Science+Business Media
Date of Publication
c2010
Series Vol.
105
Series Title
Philosophy and medicine
ISBN
9789048130498
Subjects (MeSH)
Ethics, Medical
Subjects (LCSH)
Medical ethics
Format
e-Book
Location
Online
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Ethical issues of human genetic databases : a challenge to classical health research ethics?

https://libcat.nshealth.ca/en/permalink/provcat50681
Elger, Bernice. --[New York, NY]: Routledge , 2010.
Available Online
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Location
Online
Available Online
View e-Book
Author
Elger, Bernice
Other Authors
McLean, Sheila
Place of Publication
[New York, NY]
Publisher
Routledge
Date of Publication
2010
Series Title
Medical law and ethics
ISBN
9781409404996
Subjects (MeSH)
Genetic Diseases, Inborn
Ethics, Medical
Medical Records Systems, Computerized - ethics
Notes
Access to this online resource is restricted to IWK Health Centre employees working from inside the hospital network.
Format
e-Book
Location
Online
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