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  1.  1
    Gambo Aliyu & Salah M. Mahmud (2016). Postal Recruitment and Consent Obtainment From Index Cases of Narcolepsy. BMC Medical Ethics 17 (1):1-6.
    BackgroundAccess to research volunteers may be hampered by low numbers of cases and few eligible participants for rare diseases in clinical settings.MethodsWe recruited volunteers and obtained informed consent by mail from narcolepsy cases in a case-control study, and here in we report feasibility, response rate, timeliness and cost. We invited index cases into the study by mail through their care-giving physicians then mailed study information and consent forms to cases that indicated interest in the study.ResultsOf the 33 (...)
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  2.  1
    Morenike Oluwatoyin Folayan, Aminu Yakubu, Bridget Haire & Kristin Peterson (2016). Ebola Vaccine Development Plan: Ethics, Concerns and Proposed Measures. BMC Medical Ethics 17 (1):1-8.
    BackgroundThe global interest in developing therapies for Ebola infection management and its prevention is laudable. However the plan to conduct an emergency immunization program specifically for healthcare workers using experimental vaccines raises some ethical concerns. This paper shares perspectives on these concerns and suggests how some of them may best be addressed.DiscussionThe recruitment of healthcare workers for Ebola vaccine research has challenges. It could result in coercion of initially dissenting healthcare workers to assist in the management of EVD infected persons (...)
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  3. Arthur Maciel Nunes Gonçalves, Clarissa de Rosalmeida Dantas & Claudio E. M. Banzato (2016). Values and DSM-5: Looking at the Debate on Attenuated Psychosis Syndrome. BMC Medical Ethics 17 (1):1-8.
    BackgroundAlthough values have increasingly received attention in psychiatric literature over the last three decades, their role has been only partially acknowledged in psychiatric classification endeavors. The review process of the fifth edition of the Diagnostic and Statistical Manual of Mental Disorders received harsh criticism, and was even considered secretive by some authors. Also, it lacked an official discussion of values at play. In this perspective paper we briefly discuss the interplay of some values in the scientific and non-scientific debate around (...)
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  4. Tobias Hainz, Sabine Bossert & Daniel Strech (2016). Collective Agency and the Concept of ‘Public’ in Public Involvement: A Practice-Oriented Analysis. BMC Medical Ethics 17 (1):1-14.
    BackgroundPublic involvement activities are promoted as measures for ensuring good governance in challenging fields, such as biomedical research and innovation. Proponents of public involvement activities include individual researchers as well as non-governmental and governmental organizations. However, the concept of ‘public’ in public involvement deserves more attention by researchers because it is not purely theoretical: it has important practical functions in the guidance, evaluation and translation of public involvement activities.DiscussionThis article focuses on collective agency as one property a public as a (...)
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  5.  4
    Angeliki Kerasidou & Ruth Horn (2016). Making Space for Empathy: Supporting Doctors in the Emotional Labour of Clinical Care. BMC Medical Ethics 17 (1):1-5.
    BackgroundThe academic and medical literature highlights the positive effects of empathy for patient care. Yet, very little attention has been given to the impact of the requirement for empathy on the physicians themselves and on their emotional wellbeing.DiscussionThe medical profession requires doctors to be both clinically competent and empathetic towards the patients. In practice, accommodating both requirements can be difficult for physicians. The image of the technically skilful, rational, and emotionally detached doctor dominates the profession, and inhibits physicians from (...)
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  6.  1
    Inés Morán-Sánchez, Aurelio Luna, Maria Sánchez-Muñoz, Beatriz Aguilera-Alcaraz & Maria D. Pérez-Cárceles (2016). Decision-Making Capacity for Research Participation Among Addicted People: A Cross-Sectional Study. BMC Medical Ethics 17 (1):1-10.
    BackgroundInformed consent is a key element of ethical clinical research. Addicted population may be at risk for impaired consent capacity. However, very little research has focused on their comprehension of consent forms. The aim of this study is to assess the capacity of addicted individuals to provide consent to research.Methods53 subjects with DSM-5 diagnoses of a Substance Use Disorder and 50 non psychiatric comparison subjects participated in the survey from December 2014 to March 2015. This cross-sectional study was carried out (...)
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  7. Susanne Rebers, Neil K. Aaronson, Flora E. Van Leeuwen & Marjanka K. Schmidt (2016). Exceptions to the Rule of Informed Consent for Research with an Intervention. BMC Medical Ethics 17 (1):1-11.
    BackgroundIn specific situations it may be necessary to make an exception to the general rule of informed consent for scientific research with an intervention. Earlier reviews only described subsets of arguments for exceptions to waive consent.MethodsHere, we provide a more extensive literature review of possible exceptions to the rule of informed consent and the accompanying arguments based on literature from 1997 onwards, using both Pubmed and PsycINFO in our search strategy.ResultsWe identified three main categories of arguments for the acceptability of (...)
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  8. Maria Romøren, Reidar Pedersen & Reidun Førde (2016). How Do Nursing Home Doctors Involve Patients and Next of Kin in End-of-Life Decisions? A Qualitative Study From Norway. BMC Medical Ethics 17 (1):1-8.
    BackgroundEthically challenging critical events and decisions are common in nursing homes. This paper presents nursing home doctors’ descriptions of how they include the patient and next of kin in end-of-life decisions.MethodsWe performed ten focus groups with 30 nursing home doctors. Advance care planning; aspects of decisions on life-prolonging treatment, and conflict with next of kin were subject to in-depth analysis and condensation.ResultsThe doctors described large variations in attitudes and practices in all aspects of end-of-life decisions. In conflict situations, many doctors (...)
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  9.  2
    Amanda Sibley, Andrew J. Pollard, Raymond Fitzpatrick & Mark Sheehan (2016). Developing a New Justification for Assent. BMC Medical Ethics 17 (1):1-9.
    BackgroundCurrent guidelines do not clearly outline when assent should be attained from paediatric research participants, nor do they detail the necessary elements of the assent process. This stems from the fact that the fundamental justification behind the concept of assent is misunderstood. In this paper, we critically assess three widespread ethical arguments used for assent: children’s rights, the best interests of the child, and respect for a child’s developing autonomy. We then outline a newly-developed two-fold justification for the assent process: (...)
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  10.  2
    Melvyn W. Zhang, Keith M. Harris & Roger C. Ho (2016). Is Off-Label Repeat Prescription of Ketamine as a Rapid Antidepressant Safe? Controversies, Ethical Concerns, and Legal Implications. BMC Medical Ethics 17 (1):1-8.
    BackgroundDepressive disorders are a common form of psychiatric illness and cause significant disability. Regulation authorities, the medical profession and the public require high safety standards for antidepressants to protect vulnerable psychiatric patients. Ketamine is a dissociative anaesthetic and a derivative of a hallucinogen. Its abuse is a major worldwide public health problem. Ketamine is a scheduled drug and its usage is restricted due to its abuse liability. Recent clinical trials have reported that ketamine use led to rapid antidepressant effects in (...)
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