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Biopreservation Beyond the Biosphere: Exploring the Ethical, Legal & Social Implications of Suspended Animation in Space. 超越生物圈的生物保存:探索太空悬浮动物的伦理、法律和社会影响。
IF 1.6 4区 哲学 Q2 ETHICS Pub Date : 2024-01-01 Epub Date: 2024-12-16 DOI: 10.1017/jme.2024.148
Roel Feys, Korkut Uygun, Irina Filz von Reiterdank, Susan M Wolf, Rosario Isasi

In the evolving field of advanced biopreservation technologies, the development of suspended animation (SA) is inspired by real-world challenges. In the context of space exploration, SA is seen as a solution to enable humans to undertake missions far beyond low Earth orbit, including routine travel to other planets in our solar system and beyond. While work on the socio-ethical and legal implications (ELSI) of space exploration continues to evolve, NASA has committed to make ethics a priority issue, making this a fruitful field for further examination.

在不断发展的先进生物保存技术领域,假死技术的发展受到现实挑战的启发。在空间探索的背景下,SA被视为一种解决方案,使人类能够承担远超低地球轨道的任务,包括常规旅行到我们太阳系和更远的其他行星。虽然关于空间探索的社会伦理和法律影响(ELSI)的工作继续发展,但美国宇航局已承诺将伦理作为优先问题,使其成为进一步研究的富有成果的领域。
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引用次数: 0
Anticipating Biopreservation Technologies that Pause Biological Time: Building Governance & Coordination Across Applications. 预测暂停生物时间的生物保留技术:跨应用程序构建治理和协调。
IF 1.6 4区 哲学 Q2 ETHICS Pub Date : 2024-01-01 Epub Date: 2024-12-16 DOI: 10.1017/jme.2024.129
Susan M Wolf, Timothy L Pruett, Claire Colby McVan, Evelyn Brister, Shawneequa L Callier, Alexander M Capron, James F Childress, Michele Bratcher Goodwin, Insoo Hyun, Rosario Isasi, Andrew D Maynard, Kenneth A Oye, Paul B Thompson, Terrence R Tiersch

Advanced biopreservation technologies using subzero approaches such as supercooling, partial freezing, and vitrification with reanimating techniques including nanoparticle infusion and laser rewarming are rapidly emerging as technologies with potential to radically disrupt biomedicine, research, aquaculture, and conservation. These technologies could pause biological time and facilitate large-scale banking of biomedical products including organs, tissues, and cell therapies.

先进的生物保存技术使用零度以下的方法,如过冷、部分冷冻和玻璃化,以及包括纳米颗粒输注和激光复温在内的复活技术,这些技术正在迅速兴起,有可能从根本上颠覆生物医学、研究、水产养殖和保护。这些技术可以暂停生物时间,促进包括器官、组织和细胞疗法在内的生物医学产品的大规模储存。
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引用次数: 0
Industry Funding by Itself is Not a Reason for Rating Down Studies for Risk of Bias. 行业资助本身并不是降低研究偏倚风险的理由。
IF 1.6 4区 哲学 Q2 ETHICS Pub Date : 2024-01-01 Epub Date: 2024-12-16 DOI: 10.1017/jme.2024.144
João Pedro Lima, Arnav Agarwal, Gordon H Guyatt

To evaluate how study characteristics and methodological aspects compare based on presence or absence of industry funding, Hughes et al. conducted a systematic survey of randomized controlled trials (RCTs) published in three major medical journals. The authors found industry-funded RCTs were more likely to be blinded, post results on a clinical trials registration database (ClinicalTrials.gov), and accrue high citation counts.1 Conversely, industry-funded trials had smaller sample sizes and more frequently used placebo as the comparator, used a surrogate as their primary outcome, and had positive results.

为了评估在有无行业资助的基础上研究特征和方法学方面的比较,Hughes等人对发表在三个主要医学期刊上的随机对照试验(RCTs)进行了系统调查。作者发现,行业资助的随机对照试验更有可能是盲法的,将结果发布在临床试验注册数据库(ClinicalTrials.gov)上,并获得高引用数相反,行业资助的试验样本量较小,更频繁地使用安慰剂作为比较物,使用替代物作为主要结果,并取得了积极的结果。
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引用次数: 0
The European Union as a Global Health Actor: Challenges and Opportunities. 欧盟作为全球卫生行动者:挑战与机遇。
IF 1.6 4区 哲学 Q2 ETHICS Pub Date : 2024-01-01 Epub Date: 2024-12-16 DOI: 10.1017/jme.2024.146
Stefania Negri

The COVID-19 pandemic served as a catalyst to build a stronger European Health Union to protect the health of Europeans and to develop a new Global Health Strategy to contribute to global health security. In positioning itself as a key player in global health governance, the EU seeks to assert its responsibility as a global health actor and deepen its leadership in global health law.

2019冠状病毒病大流行促进了建立更强大的欧洲卫生联盟,以保护欧洲人的健康,并制定了一项新的全球卫生战略,以促进全球卫生安全。欧盟将自己定位为全球卫生治理的关键参与者,力求坚持其作为全球卫生行动者的责任,并深化其在全球卫生法方面的领导地位。
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引用次数: 0
How Did Human Rights Fare in Amendments to the International Health Regulations?
IF 1.6 4区 哲学 Q2 ETHICS Pub Date : 2024-01-01 Epub Date: 2025-01-31 DOI: 10.1017/jme.2024.172
Lisa Forman, Judith Bueno de Mesquita, Luciano Bottini Filho, Benjamin Mason Meier, Matiangai Sirleaf

In this article, we examine the relationship between the World Health Organization International Health Regulations (IHR) and human rights and its implications for IHR reform, considering the evolution of human rights in the 2005 IHR, the role of human rights in IHR reforms and the implications of these reforms in key domains including equity and solidarity, medical countermeasures, core capacities, travel restrictions, vaccine certificates, social measures, accountability, and financing.

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引用次数: 0
Letter From The Editor. 编辑来信
IF 2.1 4区 哲学 Q2 ETHICS Pub Date : 2024-01-01 Epub Date: 2024-05-31 DOI: 10.1017/jme.2024.78
Ted Hutchinson
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引用次数: 0
Teaching Grassroots Health Law, Policy and Advocacy: Service and Collaborative Learning. 基层卫生法律、政策和宣传教学:服务与协作学习。
IF 1.6 4区 哲学 Q2 ETHICS Pub Date : 2024-01-01 Epub Date: 2024-10-22 DOI: 10.1017/jme.2024.102
Sidney D Watson

This column describes the history, mission, and work of Saint Louis University School of Law's service-learning course Health Law, Policy and Advocacy: Grassroots Advocacy. Grassroots Advocacy allows law students to work with advocacy organizations on state and federal health policy initiatives, engaging in legislative and administrative advocacy and public education. The course uses community collaboration, community-led advocacy, and collaborative learning to train the next generation of health policy advocates for Missouri and the nation.

本专栏介绍了圣路易斯大学法学院的服务学习课程《卫生法律、政策和宣传》的历史、使命和工作:基层宣传。草根宣传 "课程让法学院学生与宣传机构合作,参与州和联邦卫生政策倡议,参与立法、行政宣传和公共教育。该课程利用社区合作、社区主导的宣传和协作学习,为密苏里州和全国培养下一代健康政策倡导者。
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引用次数: 0
Teaching Structural Competency in Law School: Interdisciplinary Inspiration from Medical Legal Partnerships and Health-Related Disciplines to Meet ABA Standard 303(c). 法学院的结构能力教学:从医学法律伙伴关系和健康相关学科获得跨学科启发,以达到美国律师协会标准 303(c)。
IF 1.6 4区 哲学 Q2 ETHICS Pub Date : 2024-01-01 Epub Date: 2024-10-22 DOI: 10.1017/jme.2024.87
Sarah Davis

Law Schools are now required to provide education to law students on bias, cross-cultural competency, and racism under ABA Standard 303(c). Law clinics, with their social justice orientation, have long taught about structural causes of bias and oppression and ways to intervene at system levels to prevent problems. Medical legal partnership (MLP) clinics have done so by employing concepts from social work and health science programs on structural competency. This article examines MLP and related curriculum to meet the ABA mandate.

根据美国律师协会标准 303(c),法学院现在必须为法律专业学生提供有关偏见、跨文化能力和种族主义的教育。长期以来,以社会正义为导向的法律诊所一直在讲授偏见和压迫的结构性原因,以及在系统层面进行干预以防止问题发生的方法。医疗法律伙伴关系(MLP)诊所通过采用社会工作和健康科学课程中关于结构性能力的概念来实现这一目标。本文探讨了 MLP 及相关课程,以满足美国律师协会的要求。
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引用次数: 0
Challenges of Uncertainty in Prenatal Decision-Making: Skeletal Dysplasias. 产前决策中不确定性的挑战:骨骼发育不良。
IF 1.6 4区 哲学 Q2 ETHICS Pub Date : 2024-01-01 Epub Date: 2024-10-22 DOI: 10.1017/jme.2024.100
Naila Ramji, Marie-Eve Robinson, Gregory P Moore

When skeletal dysplasias are suspected in the prenatal period, investigation, counseling, and management become especially challenging. By better understanding the complex forces at play and parental values, prenatal health care providers may improve the ways in which they counsel patients to improve the decision-making process under conditions of significant uncertainty, including in cases of prenatally suspected skeletal dysplasia.

当产前怀疑有骨骼发育不良时,调查、咨询和管理就变得特别具有挑战性。通过更好地了解复杂的作用力和父母的价值观,产前医疗保健提供者可以改进他们为患者提供咨询的方式,以改善在重大不确定性条件下的决策过程,包括产前疑似骨骼发育不良的病例。
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引用次数: 0
Medical-Legal Partnership Education Impacts Resident Physician Competencies Relating to Social Drivers of Health. 医学-法律合作教育影响住院医生与健康的社会驱动因素有关的能力。
IF 1.6 4区 哲学 Q2 ETHICS Pub Date : 2024-01-01 Epub Date: 2024-10-22 DOI: 10.1017/jme.2024.86
Madisen A Swallow, Shashwat Kala, Shannon O'Malley, Alice Rosenthal, Ada M Fenick

Medical-legal partnerships (MLPs) support patients and clinicians by streamlining legal and medical care and helping identify and address a subset of social drivers of health (SDOH). Less is known on the effect of MLPs on the competency of residents regarding SDOH. The aim of this study was to identify how integration of an MLP into a pediatric residency training program affected residents' experience understanding and addressing SDOH.

医疗-法律伙伴关系(MLP)通过简化法律和医疗护理以及帮助识别和解决健康的社会驱动因素(SDOH)子集,为患者和临床医生提供支持。关于 MLP 对住院医师在 SDOH 方面能力的影响,目前所知甚少。本研究旨在确定将 MLP 纳入儿科住院医师培训项目对住院医师理解和解决 SDOH 问题的影响。
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引用次数: 0
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Journal of Law Medicine & Ethics
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