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  Subjects -> HUMANITIES (Total: 997 journals)
    - ASIAN STUDIES (171 journals)
    - CLASSICAL STUDIES (142 journals)
    - ETHNIC INTERESTS (165 journals)
    - GENEALOGY AND HERALDRY (9 journals)
    - HUMANITIES (317 journals)
    - NATIVE AMERICAN STUDIES (28 journals)

HUMANITIES (317 journals)                  1 2     

Showing 1 - 71 of 71 Journals sorted alphabetically
Aboriginal and Islander Health Worker Journal     Full-text available via subscription   (Followers: 16)
Aboriginal Child at School     Full-text available via subscription   (Followers: 6)
About Performance     Full-text available via subscription   (Followers: 13)
Access     Full-text available via subscription   (Followers: 26)
ACCESS: Critical Perspectives on Communication, Cultural & Policy Studies     Full-text available via subscription   (Followers: 13)
Acta Academica     Full-text available via subscription   (Followers: 6)
Acta Universitaria     Open Access   (Followers: 7)
Adeptus     Open Access   (Followers: 1)
Advocate: Newsletter of the National Tertiary Education Union     Full-text available via subscription   (Followers: 1)
Afghanistan     Hybrid Journal   (Followers: 1)
African and Black Diaspora: An International Journal     Hybrid Journal   (Followers: 19)
African Historical Review     Hybrid Journal   (Followers: 17)
AFRREV IJAH : An International Journal of Arts and Humanities     Open Access   (Followers: 6)
Agriculture and Human Values     Open Access   (Followers: 15)
Akademika : Journal of Southeast Asia Social Sciences and Humanities     Open Access   (Followers: 6)
Alterstice : Revue internationale de la recherche interculturelle     Open Access  
Altre Modernità     Open Access   (Followers: 4)
Amaltea. Revista de mitocrítica     Open Access   (Followers: 1)
American Imago     Full-text available via subscription   (Followers: 3)
American Journal of Humanities and Social Sciences     Open Access   (Followers: 13)
American Review of Canadian Studies     Hybrid Journal   (Followers: 6)
Anabases     Open Access   (Followers: 2)
Analyse & Kritik. Zeitschrift für Sozialtheorie     Hybrid Journal   (Followers: 2)
Angelaki: Journal of Theoretical Humanities     Hybrid Journal   (Followers: 19)
Anglo-Saxon England     Hybrid Journal   (Followers: 37)
Antik Tanulmányok     Full-text available via subscription  
Antipode     Hybrid Journal   (Followers: 57)
Anuario Americanista Europeo     Open Access  
Arbutus Review     Open Access   (Followers: 1)
Argumentation et analyse du discours     Open Access   (Followers: 8)
Ars & Humanitas     Open Access   (Followers: 14)
Artefact : Techniques, histoire et sciences humaines     Open Access  
Artes Humanae     Open Access  
Arts and Humanities in Higher Education     Hybrid Journal   (Followers: 42)
Asia Europe Journal     Hybrid Journal   (Followers: 4)
Australasian Journal of Popular Culture, The     Hybrid Journal   (Followers: 2)
Behaviour & Information Technology     Hybrid Journal   (Followers: 52)
Behemoth     Open Access   (Followers: 3)
Belin Lecture Series     Open Access   (Followers: 1)
Bereavement Care     Hybrid Journal   (Followers: 12)
Bulletin of the School of Oriental and African Studies     Hybrid Journal   (Followers: 21)
Cahiers de praxématique     Open Access   (Followers: 1)
Cankiri Karatekin University Journal of Faculty of Letters     Open Access  
Child Care     Full-text available via subscription   (Followers: 6)
Chinese Studies Journal     Open Access  
Chronicle of Philanthropy     Full-text available via subscription   (Followers: 3)
Ciencias Sociales y Humanidades     Open Access   (Followers: 4)
Claroscuro     Open Access   (Followers: 1)
Coaching: An International Journal of Theory, Research and Practice     Hybrid Journal   (Followers: 11)
Cogent Arts & Humanities     Open Access   (Followers: 3)
Colloquia Humanistica     Open Access  
Communication and Critical/Cultural Studies     Hybrid Journal   (Followers: 29)
Comprehensive Therapy     Hybrid Journal   (Followers: 3)
Con Texte     Open Access  
Congenital Anomalies     Hybrid Journal   (Followers: 1)
Conjunctions. Transdisciplinary Journal of Cultural Participation     Open Access   (Followers: 4)
Conservation Science in Cultural Heritage     Open Access   (Followers: 10)
Creative Industries Journal     Hybrid Journal   (Followers: 8)
Critical Arts : South-North Cultural and Media Studies     Hybrid Journal   (Followers: 12)
Crossing the Border : International Journal of Interdisciplinary Studies     Open Access   (Followers: 6)
Cuadernos de historia de España     Open Access   (Followers: 4)
Cuadernos de la Facultad de Humanidades y Ciencias Sociales. Universidad Nacional de Jujuy     Open Access  
Cultural History     Hybrid Journal   (Followers: 27)
Cultural Studies     Hybrid Journal   (Followers: 58)
Culturas : Debates y Perspectivas de un Mundo en Cambio     Open Access   (Followers: 1)
Culture, Theory and Critique     Hybrid Journal   (Followers: 29)
Daedalus     Hybrid Journal   (Followers: 24)
Dandelion : Postgraduate Arts Journal & Research Network     Open Access   (Followers: 4)
Death Studies     Hybrid Journal   (Followers: 20)
Digital Humanities Quarterly     Open Access   (Followers: 57)
Digital Studies / Le champ numerique     Open Access  
Digitális Bölcsészet / Digital Humanities     Open Access  
Diogenes     Hybrid Journal   (Followers: 8)
Doct-Us Journal     Open Access  
Dokuz Eylül Üniversitesi Edebiyat Fakültesi Dergisi / Dokuz Eylül University Journal of Humanities     Open Access  
Dorsal : Revista de Estudios Foucaultianos     Open Access  
E+E : Estudios de Extensión en Humanidades     Open Access  
e-Hum : Revista das Áreas de Humanidade do Centro Universitário de Belo Horizonte     Open Access   (Followers: 2)
Early Modern Culture Online     Open Access   (Followers: 37)
EAU Heritage Journal Social Science and Humanities     Open Access  
Égypte - Monde arabe     Open Access   (Followers: 6)
Eighteenth-Century Fiction     Full-text available via subscription   (Followers: 19)
Éire-Ireland     Full-text available via subscription   (Followers: 9)
En-Claves del pensamiento     Open Access   (Followers: 1)
Enfoques     Open Access  
Ethiopian Journal of the Social Sciences and Humanities     Full-text available via subscription   (Followers: 8)
Études arméniennes contemporaines     Open Access   (Followers: 3)
Études canadiennes / Canadian Studies     Open Access   (Followers: 2)
Études de lettres     Open Access   (Followers: 3)
European Journal of Cultural Studies     Hybrid Journal   (Followers: 30)
European Journal of Social Theory     Hybrid Journal   (Followers: 22)
Expositions     Full-text available via subscription  
Fa Nuea Journal     Open Access  
Fields: Journal of Huddersfield Student Research     Open Access  
Fronteras : Revista de Ciencias Sociales y Humanidades     Open Access   (Followers: 2)
Frontiers in Digital Humanities     Open Access   (Followers: 5)
Fudan Journal of the Humanities and Social Sciences     Hybrid Journal  
GAIA - Ecological Perspectives for Science and Society     Full-text available via subscription   (Followers: 2)
German Research     Hybrid Journal   (Followers: 1)
German Studies Review     Full-text available via subscription   (Followers: 29)
Germanic Review, The     Hybrid Journal   (Followers: 6)
Globalizations     Hybrid Journal   (Followers: 9)
Gruppendynamik und Organisationsberatung     Hybrid Journal   (Followers: 2)
Habitat International     Hybrid Journal   (Followers: 7)
Hacettepe Üniversitesi Edebiyat Fakültesi Dergisi     Open Access   (Followers: 2)
Harvard Journal of Asiatic Studies     Full-text available via subscription   (Followers: 14)
Heritage & Society     Hybrid Journal   (Followers: 17)
History of Humanities     Full-text available via subscription   (Followers: 8)
Hopscotch: A Cultural Review     Full-text available via subscription   (Followers: 1)
Human Affairs     Hybrid Journal   (Followers: 1)
Human and Ecological Risk Assessment: An International Journal     Hybrid Journal   (Followers: 4)
Human Nature     Hybrid Journal   (Followers: 22)
Human Performance     Hybrid Journal   (Followers: 9)
Human Remains and Violence : An Interdisciplinary Journal     Full-text available via subscription  
Human Studies     Hybrid Journal   (Followers: 9)
humanidades     Open Access  
Humanitaire     Open Access   (Followers: 2)
Humanities     Open Access   (Followers: 15)
Humanities and Social Science Research     Open Access  
Humanities and Social Sciences     Open Access  
Humanities and Social Sciences Journal of Graduate School, Pibulsongkram Rajabhat University     Open Access  
Humanities and Social Sciences Journal, Ubon Ratchathani Rajabhat University     Open Access  
Humanities Diliman : A Philippine Journal of Humanities     Open Access  
Humanities, Arts and Social Sciences Studies (HASSS)     Open Access  
Hungarian Cultural Studies     Open Access   (Followers: 1)
Hungarian Studies     Full-text available via subscription  
Ibadan Journal of Humanistic Studies     Full-text available via subscription  
Inkanyiso : Journal of Humanities and Social Sciences     Open Access   (Followers: 1)
Insaniyat : Journal of Islam and Humanities     Open Access   (Followers: 1)
Inter Faculty     Open Access  
Interim : Interdisciplinary Journal     Open Access   (Followers: 4)
International Journal for History, Culture and Modernity     Open Access   (Followers: 10)
International Journal of Arab Culture, Management and Sustainable Development     Hybrid Journal   (Followers: 7)
International Journal of Cultural Studies     Hybrid Journal   (Followers: 31)
International Journal of Heritage Studies     Hybrid Journal   (Followers: 17)
International Journal of Humanities and Arts Computing     Hybrid Journal   (Followers: 13)
International Journal of Humanities and Cultural Studies     Open Access   (Followers: 14)
International Journal of Humanities of the Islamic Republic of Iran     Open Access   (Followers: 10)
International Journal of Humanity Studies     Open Access  
International Journal of Listening     Hybrid Journal   (Followers: 3)
International Journal of the Classical Tradition     Hybrid Journal   (Followers: 13)
Interventions : International Journal of Postcolonial Studies     Hybrid Journal   (Followers: 19)
ÍSTMICA. Revista de la Facultad de Filosofía y Letras     Open Access   (Followers: 1)
Jangwa Pana     Open Access  
Jednak Książki : Gdańskie Czasopismo Humanistyczne     Open Access  
Jewish Culture and History     Hybrid Journal   (Followers: 19)
Journal de la Société des Américanistes     Open Access  
Journal des africanistes     Open Access   (Followers: 1)
Journal des Economistes et des Etudes Humaines     Hybrid Journal  
Journal for Cultural Research     Hybrid Journal   (Followers: 12)
Journal for General Philosophy of Science     Hybrid Journal   (Followers: 7)
Journal for Learning Through the Arts     Open Access   (Followers: 7)
Journal for New Generation Sciences     Open Access   (Followers: 4)
Journal for Research into Freemasonry and Fraternalism     Hybrid Journal  
Journal for Semitics     Full-text available via subscription   (Followers: 8)
Journal Of Advances In Humanities     Open Access   (Followers: 3)
Journal of Aesthetics & Culture     Open Access   (Followers: 23)
Journal of African American Studies     Hybrid Journal   (Followers: 11)
Journal of African Cultural Studies     Hybrid Journal   (Followers: 5)
Journal of African Elections     Full-text available via subscription   (Followers: 1)
Journal of Arts & Communities     Hybrid Journal   (Followers: 6)
Journal of Arts and Humanities     Open Access   (Followers: 24)
Journal of Arts and Social Sciences     Open Access  
Journal of Bioethical Inquiry     Hybrid Journal   (Followers: 3)
Journal of Burirum Rajabhat University     Open Access  
Journal of Cultural Economy     Hybrid Journal   (Followers: 10)
Journal of Cultural Geography     Hybrid Journal   (Followers: 21)
Journal of Data Mining and Digital Humanities     Open Access   (Followers: 41)
Journal of Developing Societies     Hybrid Journal   (Followers: 1)
Journal of Family Theory & Review     Hybrid Journal   (Followers: 4)
Journal of Franco-Irish Studies     Open Access   (Followers: 1)
Journal of Happiness Studies     Hybrid Journal   (Followers: 27)
Journal of Humanities and Social Sciences     Open Access  
Journal of Humanities and Social Sciences Surin Rajabhat University     Open Access  
Journal of Humanities and Social Sciences, Rajapruk University     Open Access  
Journal of Interactive Humanities     Open Access   (Followers: 3)
Journal of Intercultural Communication Research     Hybrid Journal   (Followers: 15)
Journal of Intercultural Studies     Hybrid Journal   (Followers: 12)
Journal of Interdisciplinary History     Hybrid Journal   (Followers: 22)
Journal of Labor Research     Hybrid Journal   (Followers: 20)
Journal of Medical Humanities     Hybrid Journal   (Followers: 21)
Journal of Medieval and Early Modern Studies     Full-text available via subscription   (Followers: 41)
Journal of Modern Greek Studies     Full-text available via subscription   (Followers: 3)
Journal of Modern Jewish Studies     Hybrid Journal   (Followers: 14)
Journal of Open Humanities Data     Open Access   (Followers: 2)
Journal of Semantics     Hybrid Journal   (Followers: 15)
Journal of the Musical Arts in Africa     Hybrid Journal   (Followers: 1)
Journal of University of Babylon for Humanities     Open Access  
Journal of Visual Culture     Hybrid Journal   (Followers: 33)
Journal Sampurasun : Interdisciplinary Studies for Cultural Heritage     Open Access   (Followers: 1)
Jurisprudence     Hybrid Journal   (Followers: 18)
Jurnal Ilmu Sosial dan Humaniora     Open Access  
Jurnal Pendidikan Humaniora : Journal of Humanities Education     Open Access   (Followers: 1)
Jurnal Sosial Humaniora     Open Access   (Followers: 2)
L'Orientation scolaire et professionnelle     Open Access   (Followers: 1)
La lettre du Collège de France     Open Access   (Followers: 1)
Lagos Notes and Records     Full-text available via subscription  
Language and Intercultural Communication     Hybrid Journal   (Followers: 23)
Language Resources and Evaluation     Hybrid Journal   (Followers: 5)
Law and Humanities     Hybrid Journal   (Followers: 7)

        1 2     

Similar Journals
Journal Cover
Journal of Bioethical Inquiry
Journal Prestige (SJR): 0.278
Citation Impact (citeScore): 1
Number of Followers: 3  
  Hybrid Journal Hybrid journal (It can contain Open Access articles)
ISSN (Print) 1872-4353 - ISSN (Online) 1176-7529
Published by Springer-Verlag Homepage  [2570 journals]
  • Correction to: A Morally Permissible Moral Mistake' Reinterpreting a
           Thought Experiment as Proof of Concept
    • Abstract: There was a spelling error in the second author’s last name in the original publication. The name is correct in this erratum.
      PubDate: 2019-03-18
  • Gene Editing, the Mystic Threat to Human Dignity
    • Abstract: Abstract Many arguments have been made against gene editing. This paper addresses the commonly invoked argument that gene editing violates human dignity and is ultimately a subversion of human nature. There are several drawbacks to this argument. Above all, the concept of what human dignity means is unclear. It is not possible to condemn a practice that violates human dignity if we do not know exactly what is being violated. The argument’s entire reasoning is thus undermined. Analyses of the arguments involved in this discussion have often led to the conclusion that gene editing contravenes the principle of genetic identity (genetic immutability) thereby subverting a requisite of human dignity and ultimately threatening human nature. This paper refutes these arguments and shows that any opposition to gene editing cannot rely on the human dignity argument.
      PubDate: 2019-03-18
  • Misconceiving “Neutrality” in Bioethics: Rejoinder to “Bioethics and
           the Myth of Neutrality”
    • PubDate: 2019-03-18
  • Stakeholders’ Views on Early Diagnosis for Alzheimer’s Disease,
           Clinical Trial Participation and Amyloid PET Disclosure: A Focus Group
    • Abstract: Abstract Detection of Alzheimer’s disease (AD) in an early stage is receiving increasing attention for a number of reasons, such as the failure of drug trials in more advanced disease stages, the demographic evolution, the financial impact of AD, and the approval of amyloid tracers for clinical use. Five focus group interviews with stakeholders (healthy elderly, informal caregivers, nursing staff, researchers, and clinicians) were conducted.. The verbatim transcripts were analysed via the Nvivo 11 software. Most stakeholder groups wanted to know their own amyloid PET scan result. However, differences occurred between FGs: two groups (informal caregivers and researchers) wanted to know, whilst in the three other groups (healthy elderly, nursing staff, and clinicians) FG members opted not to know or were still in doubt about their decision. Stakeholders provided insight into their reasons for wanting to know their amyloid PET scan result (e.g., the need for clarity, to inform relatives, to make arrangements), for not wanting to know their result, or why they were in doubt about their decision (e.g., fear of AD, not wanting to burden their social environment). Several advantages (e.g., to know what is going on with their health, to plan for the future) and disadvantages (e.g., absence of a disease modifying treatment, risks when undergoing tests) were mentioned as part of knowing their amyloid PET scan result. Certain considerations were clustered in a grey zone, in between advantage and disadvantage, such as the emotional consequences. Clinicians, researchers, and policymakers ought to be aware of the diversity of reasons for (not) wanting to know their result and how possible benefits and risks can be viewed differently. The current findings are of importance for future early diagnosis and disclosure of results in the research setting.
      PubDate: 2019-03-13
  • Withholding Treatment From the Dying Patient: The Influence of Medical
           School on Students’ Attitudes
    • Abstract: Abstract Purpose: To determine motives and attitudes towards life-sustaining treatments (LSTs) by clinical and preclinical medical students. Methods: This was a scenario-based questionnaire that presented patients with a limited life expectancy. The survey was distributed among 455 medical students in preclinical and clinical years. Students were asked to rate their willingness to perform LSTs and rank the motives for doing so. The effect of medical education was then investigated after adjustment for age, gender, religion, religiosity, country of origin, and marital status. Results: Preclinical students had a significantly higher willingness to perform LSTs in all cases. This was observed in all treatments offered in cases of a metastatic oncologic patient and an otherwise healthy man after a traumatic brain injury (TBI). In the case of an elderly woman on long-term care, preclinical students had higher willingness to supply vasopressors but not perform an intubation, feed with a nasogastric tube, or treat with a continuous positive air-pressure ventilator. Both preclinical and clinical students had high willingness to perform resuscitation on a twelve-year-old boy with a TBI. Differences in motivation factors were also seen. Discussion: Preclinical students had a greater willingness to treat compared to clinical students in all cases and with most medical treatments offered. This is attributed mainly to changes along the medical curriculum. Changes in reasons for supplying LSTs were also documented.
      PubDate: 2019-03-08
  • Mapping Bioethics in Latin America: History, Theoretical Models, and
           Scientific Output
    • Abstract: Abstract Objective: To present a narrative review of the history of bioethics in Latin America and of scientific output in this interdisciplinary field. Methods: This was a mixed-methods study. Results: A total of 1458 records were retrieved, of which 1167 met the inclusion criteria. According to the Web of Science classification, the predominant topics of study were medical ethics (n= 488), social sciences and medicine (n= 354), and environmental and public health topics (n= 279). Four themes of bioethics output in the Latin American literature have emerged: (a) issues involving the beginning and end of life, (b) ethics in human research, (c) patient–provider relationships, and (d) ethics training for health professionals. Conclusion: Although bioethics is a growing interdisciplinary field in Latin America, its academic impact is still very low, and programmes are highly concentrated in large urban centres in a few countries. Challenges includes the regional and international impact of local scientific output.
      PubDate: 2019-02-18
  • The Right to Accessible and Acceptable Healthcare Services. Negotiating
           Rules and Solutions With Members of Ethnocultural Minorities
    • Abstract: Abstract The right to health implies, among other things, that individuals and communities must be allowed to have a voice in decisions concerning the definition of their well-being. The article argues for a more active participation of ethnocultural minorities in healthcare decisions and highlights the relevance of strategies aimed at creating a bottom-up engagement of people and groups, as well as of measures aimed at a broader organizational flexibility, in order to meet migrants’ and minorities’ needs. Finally, the article clarifies that these strategies are not simply the outcome of a welcoming attitude of the Western healthcare system but may be interpreted as a specific duty resulting from the notion of “particularly vulnerable groups,” as formulated by the ECtHR in its case law: when vulnerable groups are at stake, every decision about state actions and rules regarding healthcare should start from an a consideration of the specific conditions and needs of people belonging to vulnerable minority groups.
      PubDate: 2019-02-14
  • The “Violent Resident”: A Critical Exploration of the Ethics of
           Resident-to-Resident Aggression
    • Abstract: Abstract Resident-to-resident aggression is quite prevalent in long-term care settings. Within popular and empirical accounts, this form of aggression is most commonly attributed to the actions of an aberrant individual living with dementia characterized as the “violent resident.” It is often a medical diagnosis of dementia that is highlighted as the ultimate cause of aggression. This neglects the fact that acts of aggression are influenced by broader structural conditions. This has ethical implications in that the emphasis on individual aberration informs public policy strategies for prevention with a focus on restricting the freedom of individuals using behavioural modification, drugs, or other restraints with the intent to protect others from harm. A more ethical approach requires attention to the structural conditions of long-term care that both foster aggression and constrain prevention efforts. To this end, we turn to a model of relational citizenship that offers a theory of embodied selfhood and relationality as essential to human dignity, thus entailing human rights protections. The application of an ethic based on this model offers a more holistic prevention strategy for resident-to-resident aggression by drawing attention to the critical need and obligation to promote human flourishing through system level efforts.
      PubDate: 2019-02-11
  • Dementia Beyond Pathology: What People Diagnosed Can Teach Us About Our
           Shared Humanity
    • Abstract: Abstract In this article, I explore how methods of investigation can allow us either to appreciate the intact cognitive and social abilities of people with Alzheimer’s disease or unwittingly obscure those same abilities. Specifically, I shall assert that (1) the biomedical- quantitative approach, while being generally appropriate for drug efficacy studies, does not allow us to appreciate the many significant strengths possessed by people diagnosed with dementia, (2) qualitative/narrative approaches do so admirably, and (3) understanding the cognitive and social strengths of people diagnosed is of paramount importance for developing optimal care giving approaches and reveals strikingly the shared humanity of those diagnosed with dementia and those deemed healthy.
      PubDate: 2019-02-11
  • Exploring Ethical Issues Related to Patient Engagement in Healthcare:
           Patient, Clinician and Researcher’s Perspectives
    • Abstract: Abstract Patient engagement in healthcare is increasingly discussed in the literature, and initiatives engaging patients in quality improvement activities, organizational design, governance, and research are becoming more and more common and have even become mandatory for certain health institutions. Here we discuss a number of ethical challenges raised by this engagement from patients from the perspectives of research, organizational/quality improvement practices, and patient experiences, while offering preliminary recommendations as to how to address them. We identified three broad categories of ethical issues that intersect between the different types of patient engagement: (1) establishing a shared vision about goals of patient engagement and respective roles; (2) the process and method of engaging with patients; and (3) practical aspects of patient engagement. To explain these issues, we build from our personal, professional, and academic experiences, as well as traditions such as pragmatism and hermeneutics that stress the importance of participation, empowerment, and engagement.  Patient engagement can be highly valuable at numerous levels, but particular attention should be paid to the process of engaging with patients and related ethical issues. Some lessons from the literature on the ethics of participatory research can be translated to organizational and quality improvement practices.
      PubDate: 2019-02-11
  • Maqasid al-Shariah Based Islamic Bioethics: A Comprehensive Approach
    • Abstract: Abstract Maqasid al-Shariah based Islamic bioethics is an Islamic bioethics concept which uses the objectives of the Shariah (maqasid al-Shariah) as its approach in analysing and assessing bioethical issues. Analysis based on maqasid al-Shariah based Islamic bioethics will examine any bioethical issues from three main aspects namely intention, method, and output or final goal of the studied issues. Then, the evaluation will be analysed from human interest hierarchy, inclusivity, and degree of certainty. The Islamic bioethics concept is a manifestation of dynamic Islamic jurisprudence which can overcome new complex and complicated bioethical issues such as tri-parent baby technology issues. Therefore, this article will introduce and explain the concept of maqasid al-Shariah based Islamic bioethics and outline a general guidance of maqasid al-Shariah based Islamic bioethics to determine a maqṣad (objective) based on standards of human good or well-being (maslahah) and harm (mafsadah).
      PubDate: 2019-02-04
  • Pub Philosophy
    • PubDate: 2019-01-24
  • Two-Hourly Repositioning for Prevention of Pressure Ulcers in the Elderly:
           Patient Safety or Elder Abuse'
    • Abstract: Abstract For decades, aged care facility residents at risk of pressure ulcers (PUs) have been repositioned at two-hour intervals, twenty-four-hours-a-day, seven-days-a-week (24/7). Yet, PUs still develop. We used a cross-sectional survey of eighty randomly selected medical records of residents aged ≥ 65 years from eight Australian Residential Aged Care Facilities (RACFs) to determine the number of residents at risk of PUs, the use of two-hourly repositioning, and the presence of PUs in the last week of life. Despite 91 per cent (73/80) of residents identified as being at risk of PUs and repositioned two-hourly 24/7, 34 per cent (25/73) died with one or more PUs. Behaviours of concern were noted in 72 per cent (58/80) of residents of whom 38 per cent (22/58) were restrained. Dementia was diagnosed in 70 per cent (56/80) of residents. The prevalence of behaviours of concern displayed by residents with dementia was significantly greater than by residents without dementia (82 per cent v 50 per cent, p = 0.028). The rate of restraining residents with dementia was similar to the rate in residents without dementia. Two-hourly repositioning failed to prevent PUs in a third of at-risk residents and may breach the rights of all residents who were repositioned two-hourly. Repositioning and restraining may be unlawful. Rather than only repositioning residents two-hourly, we recommend every resident be provided with an alternating pressure air mattress.
      PubDate: 2019-01-22
  • The Boundaries of Embryo Research: Extending the Fourteen-Day Rule
    • Abstract: Abstract The disciplines of ethics, science, and the law often conflict when it comes to determining the limits and boundaries of embryo research. Under current Australian law and regulations, and in various other jurisdictions, research conducted on the embryo in vitro is permitted up until day fourteen, after which, the embryo must be destroyed. Reproductive technology and associated research is rapidly advancing at a rate that contests current societal and ethical limits surrounding the treatment of the embryo. This has brought about the question of the adequacy of the fourteen-day rule and whether it is necessary for it be reconsidered and reformed. This paper will highlight some of the tensions that exist in ethics, science, and the law in relation to the extension of the rule. It will be concluded that any move to extend the rule must be accompanied by close consultation with the public as the ultimate stakeholders in how the future of reproductive technology is created, constructed, and contested.
      PubDate: 2019-01-11
  • New Zealand District Health Boards’ Open Disclosure Policies: A
           Qualitative Review
    • Abstract: Abstract Background: New Zealand health and disability providers are expected to have local open disclosure policies in place, however, empirical analysis of these policies has not been undertaken. Aim: This study aims to (1) examine the scope and content of open disclosure policies in New Zealand (2) compare open disclosure policies in New Zealand, and (3) provide baseline results for future research. Methods: Open disclosure policies were requested from all twenty New Zealand District Health Boards in June 2016. A total of twenty-one policies were received, with nineteen policies included in the review. The data were analysed using conventional content analysis. Areas of identified guidance were categorised categorized under the headings: 1) identification of an adverse event, 2) actions before disclosure, 3) disclosure of harm, and 4) actions after disclosure. Results: A total of forty-six distinct areas of guidance could be categorized under the different phases of the open disclosure life-cycle. Conclusion: This review has identified significant unwarranted heterogeneity and important gaps in open disclosure documents in New Zealand which urgently needs to be addressed. Open disclosure policies which are both flexible and specific should enhance the likelihood that injured patients’ needs will be met.
      PubDate: 2019-01-07
  • Accounting for the Moral Significance of Technology: Revisiting the Case
           of Non-Medical Sex Selection
    • Abstract: Abstract This article explores the moral significance of technology, reviewing a microfluidic chip for sperm sorting and its use for non-medical sex selection. I explore how a specific material setting of this new iteration of pre-pregnancy sex selection technology—with a promised low cost, non-invasive nature and possibility to use at home—fosters new and exacerbates existing ethical concerns. I compare this new technology with the existing sex selection methods of sperm sorting and Prenatal Genetic Diagnosis. Current ethical and political debates on emerging technologies predominantly focus on the quantifiable risk-and-benefit logic that invites an unequivocal “either-or” decision on their future and misses the contextual ethical impact of technology. The article aims to deepen the discussion on sex selection and supplement it with the analysis of the new technology’s ethical potential to alter human practices, perceptions and the evaluative concepts with which we approach it. I suggest that the technological mediation approach (Verbeek, 2005, 2011) can be useful to ethically contextualize technologies and highlight the value of such considerations for the informed deliberation regarding their use, design and governance.
      PubDate: 2018-12-27
  • Medicine is Patriarchal, But Alternative Medicine is Not the Answer
    • Abstract: Abstract Women are over-represented within alternative medicine, both as consumers and as service providers. In this paper, I show that the appeal of alternative medicine to women relates to the neglect of women’s health needs within scientific medicine. This is concerning because alternative medicine is severely limited in its therapeutic effects; therefore, those who choose alternative therapies are liable to experience inadequate healthcare. I argue that while many patients seek greater autonomy in alternative medicine, the absence of an evidence base and plausible mechanisms of action leaves patients unable to realize meaningful autonomy. This seems morally troubling, especially given that the neglect of women’s needs within scientific medicine seems to contribute to preferences for alternative medicine. I conclude that the liberatory credentials of alternative medicine should be questioned and make recommendations to render scientific medicine better able to meet the needs of typical alternative medicine consumers.
      PubDate: 2018-12-20
  • The Looping Effects of Enhancement Technologies
    • Abstract: Abstract Libertarians often portray the decision to use enhancement technologies purely as a matter of individual choice, affecting the person who uses them but no one else. Yet individual choices often add up to large social changes that profoundly affect the lives of other people, effectively pushing individual choices in a particular direction. It seems plausible that self-reinforcing loops such as those that have driven the adoption of technologies like cars and air-conditioners might also play a role in the adoption of enhancement technologies, effectively exerting pressure on people to use a technology that they might otherwise resist.
      PubDate: 2018-12-19
  • On Replacement Body Parts
    • Abstract: Abstract Technological advances are making devices that functionally replace body parts—artificial organs and limbs—more widely used, and more capable of providing patients with lives that are close to “normal.” Some of the ethical issues this is likely to raise relate to how such prostheses are conceptualized. Prostheses are ambiguous between being inanimate objects and sharing in the status of human bodies—which already have an ambiguous status, as both objects and subjects. At the same time, the possibility of replacing body parts with artificial objects puts pressure on the normative status typically accorded to human bodies, seemingly confirming that body parts are replaceable objects. The paper argues that bodies’ normative status relies on the relation of a body to a person and shows that persons could have similar relations to prostheses. This suggests that in approaching ethical issues surrounding prostheses, it is appropriate to regard them as more like body parts than like objects.
      PubDate: 2018-12-18
  • Human Enhancement: Enhancing Health or Harnessing Happiness'
    • Abstract: Abstract Human enhancement (HE) is ontologically, epistemologically, and ethically challenging and has stirred a wide range of scholarly and public debates. This article focuses on some conceptual issues with HE that have important ethical implications. In particular it scrutinizes how the concept of human enhancement relates to and challenges the concept of health. In order to do so, it addresses three specific questions: Q1. What do conceptions of HE say about health' Q2. Does HE challenge traditional conceptions of health' Q3. Do concepts of health set limits to or direct HE' Addressing Q1 reveals that HE tends to frame and form our conception of health. Thereby it challenges traditional conceptions of health (Q2). Accordingly, health does not provide strong sources for setting limits to HE (Q3). On the contrary HE seems to define and expand the concept of health. Common to the concepts of HE and health is that both depend on vague value concepts, such as happiness, well-being, or goodness. There seems to be a tendency in the HE literature to define the goal of human life in terms of what is bigger, stronger, faster, more intelligent, and more resilient. However, this is confusing “goodness” with “more” and quality with quantity. Until HE more appropriately defines happiness, HE will fail to provide a relevant compass for improving the life of human beings. On the contrary, if we let simplified conceptions of “enhancement” come to define goodness or health, we may do more harm than good. Until doing so, we may well learn from Tithonus, listen to Douglas Adams’ Wowbagger, and pay attention to Virginia Woolf’s Orlando. Enhanced life may not be better. The same goes for health.
      PubDate: 2018-12-17
School of Mathematical and Computer Sciences
Heriot-Watt University
Edinburgh, EH14 4AS, UK
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Fax: +00 44 (0)131 4513327
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