The Medication Event Monitoring System (MEMS) is a relatively new device designed to overcome some of the disadvantages of traditional adherence-measuring techniques. MEMS has also been found useful in tracking adherence behaviour without the need to visit patients frequently. In this study each patient was given a pre-filled, labelled MEMS bottle and cap. Patients were monitored for 24 weeks. For patients specifically studied, there were periods when drug levels may have been low and some exhibited erratic medication-taking behaviour. It is (...) concluded that MEMS can measure adherence behaviour objectively, and so might be used to improve prescribing decisions, identify drug wastage and improve carer support. Further research is needed before the routine use of electronic medication monitoring can be recommended. (shrink)
The ageing society poses significant challenges to Europe’s economy and society. In coming to grips with these issues, we must be aware of their ethical dimensions. Values are the heart of the European Union, as Article 1a of the Lisbon Treaty makes clear: “The Union is founded on the values of respect for human dignity…”. The notion of Europe as a community of values has various important implications, including the development of inclusion policies. A special case of exclusion concerns the (...) gap between those people with effective access to digital and information technology and those without access to it, the “digital divide”, which in Europe is chiefly age-related. Policies to overcome the digital divide and, more generally speaking, e-inclusion policies addressing the ageing population raise some ethical problems. Among younger senior citizens, say those between 65 and 80 years old, the main issues are likely to be universal access to ICT and e-participation. Among the older senior citizens, say those more than 80 years old, the main issues are mental and physical deterioration and assistive technology. An approach geared towards the protection of human rights could match the different needs of senior citizens and provide concrete guidance to evaluate information technologies for them. (shrink)
E-inclusion is getting a lot of attention in Europe these days. The European Commission and EU Member States have initiated e-inclusion strategies aimed at reaching out to the e-excluded and bringing them into the mainstream of society and the economy. The benefits of mainstreaming the excluded are numerous. Good practices play an important role in the strategies, and examples can be found in e-health, e-learning, e-government, e-inclusion and other e-domains. So laudable seems the rationale for e-inclusion, few have questioned the (...) benefits. In fact, e-inclusion does raise ethical issues, and this paper discusses a few of the key ones. The paper draws several conclusions, principally regarding the need for some empirical research on what happens to the e-excluded once they have access to information and communications technologies, notably the Internet. (shrink)
Author list: H. Frey; A. Willwoll; Georg Wunderle; E. Raitz V. Frentz; Q. Wihstutz; G. Wihstutz; R. Walter; A. Bolley; E. Steinwand; R.H. Thouleß; B. Vasady; A. Bolley.
The ageing society poses significant challenges to Europe’s economy and society. In coming to grips with these issues, we must be aware of their ethical dimensions. Values are the heart of the European Union, as Article 1a of the Lisbon Treaty makes clear: “The Union is founded on the values of respect for human dignity…”. The notion of Europe as a community of values has various important implications, including the development of inclusion policies. A special case of exclusion concerns the (...) gap between those people with effective access to digital and information technology and those without access to it, the “digital divide”, which in Europe is chiefly age-related. Policies to overcome the digital divide and, more generally speaking, e-inclusion policies addressing the ageing population raise some ethical problems. Among younger senior citizens, say those between 65 and 80 years old, the main issues are likely to be universal access to ICT and e-participation. Among the older senior citizens, say those more than 80 years old, the main issues are mental and physical deterioration and assistive technology. An approach geared towards the protection of human rights could match the different needs of senior citizens and provide concrete guidance to evaluate information technologies for them. (shrink)
G. E. Moore’s early essay, “The Nature of Judgment,” makes common cause with F. H. Bradley’s Principles of Logic against British empiricism’s characteristic view of judgment. But primarily it attacks positions Bradley and the empiricists share. I develop a fuller analysis of both aspects of “The Nature of Judgment” than has appeared. Bradley’s rejection of empiricist nominalism, I argue, enables him to develop what Moore considers a superior account of judgment to empiricism’s. But positions carried over from empiricism require Bradley (...) to seek all judgments’ truth conditions in existing circumstances, a result intolerable to Moore, who views mathematical and ethical judgments as being true independently of the world. Moore abandons Bradley’s vestigal empiricism, arguing that it leads invariably to self-contradiction. I reconstruct this argument, and draw out of it an unrecognized tension between the anti-empiricist and the anti-idealist themes of Moore’s early writings. (shrink)
Ethical questions about information and communications technologies have been debated since World War II. Western democracies have had more than 50 years of experience in addressing and organising the ethical, social and legal aspects of scientific and technological developments. However, this expertise, tradition and experience are not enough to manage the most urgent ethical and social issues and contemporary challenges involving ICT. A systematic and institutional organisation of social values in the context of modern ICT tools is needed.This paper focuses (...) on four major areas: developing a specific approach to ethical issues raised by ICT; describing in more detail the age-related digital divide in Europe; identifying technology trends and emerging challenges; and defining the legal framework for inclusion of senior citizens in the digital society. The paper then concludes with a summary of its key points on the basis of which it makes three proposals as a contribution to efforts aimed at overcoming the exclusion of senior citizens from today's Information Society. (shrink)
