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  1.  22
    Ethical Obligations in the Face of Dilemmas Concerning Patient Privacy and Public Interests: The Sasebo Schoolgirl Murder Case.Yasuhiro Kadooka, Taketoshi Okita & Atsushi Asai - 2016 - Bioethics 30 (7):520-527.
    A murder case that had some features in common with the Tarasoff case occurred in Sasebo City, Japan, in 2014. A 15-year-old high school girl was murdered and her 16-year-old classmate was arrested on suspicion of homicide. One and a half months before the murder, a psychiatrist who had been examining the girl called a prefectural child consultation centre to warn that she might commit murder, but he did not reveal her name, considering it his professional duty to keep it (...)
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  2.  12
    Matters to Address Prior to Introducing New Life Support Technology in Japan: Three Serious Ethical Concerns Related to the Use of Left Ventricular Assist Devices as Destination Therapy and Suggested Policies to Deal with Them.Atsushi Asai, Sakiko Masaki, Taketoshi Okita, Aya Enzo & Yasuhiro Kadooka - 2018 - BMC Medical Ethics 19 (1):1-8.
    Background Destination therapy is the permanent implantation of a left ventricular assist device in patients with end-stage, severe heart failure who are ineligible for heart transplantation. DT improves both the quality of life and prognosis of patients with end-stage heart failure. However, there are also downsides to DT such as life-threatening complications and the potential for the patient to live beyond their desired length of life following such major complications. Because of deeply ingrained cultural and religious beliefs regarding death and (...)
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  3.  17
    What Deserves Our Respect? Reexamination of Respect for Autonomy in the Context of the Management of Chronic Conditions.Aya Enzo, Taketoshi Okita & Atsushi Asai - 2019 - Medicine, Health Care and Philosophy 22 (1):85-94.
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  4.  13
    A Critical Discussion of Arguments Against the Introduction of a Two-Tier Healthcare System in Japan.Atsushi Asai, Taketoshi Okita, Masashi Tanaka & Yasuhiro Kadooka - 2017 - Asian Bioethics Review 9 (3):171-181.
    In medical ethics, an appropriate national healthcare system that meets the requirements of justice in healthcare resource allocation is a major concern. Japan is no exception to this trend, and the pros and cons of introducing a two-tier healthcare system, which permits insured medical care services to be provided along with services not covered by social health insurance, have been the subject of debate for many years. The Supreme Court ruled in 2011 that it was valid for the government to (...)
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  5.  10
    Matters to address prior to introducing new life support technology in Japan: three serious ethical concerns related to the use of left ventricular assist devices as destination therapy and suggested policies to deal with them.Atsushi Asai, Sakiko Masaki, Taketoshi Okita, Aya Enzo & Yasuhiro Kadooka - 2018 - BMC Medical Ethics 19 (1):12.
    Destination therapy is the permanent implantation of a left ventricular assist device in patients with end-stage, severe heart failure who are ineligible for heart transplantation. DT improves both the quality of life and prognosis of patients with end-stage heart failure. However, there are also downsides to DT such as life-threatening complications and the potential for the patient to live beyond their desired length of life following such major complications. Because of deeply ingrained cultural and religious beliefs regarding death and the (...)
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  6.  14
    Conflicting Messages Concerning Current Strategies Against Research Misconduct in Japan: A Call for Ethical Spontaneity.Atsushi Asai, Taketoshi Okita & Aya Enzo - 2016 - Journal of Medical Ethics 42 (8):524-527.
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  7.  10
    Reexamination of the Concept of ‘Health Promotion’ Through a Critique of the Japanese Health Promotion Policy.Taketoshi Okita, Aya Enzo & Atsushi Asai - 2017 - Public Health Ethics 10 (3):267-275.
    This article presents a critique of the health promotion policy of Japan, which is based on an examination of the social importance of and justification for health promotion. This is done to suggest the proper direction that the future Japanese policy could take, and to question the adequacy of the term of ‘health promotion’. We find the ‘social progress’ characterization of the ‘Second Term of National Health Promotion Movement in the Twenty-First Century - Health Japan 21 ’ to be problematic. (...)
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