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Ethics and Bioethics01:22

Ethics and Bioethics

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Ethics is a philosophical study of moral actions. Ethics attempts to determine what is valuable for individuals and society. It examines the rational justification of moral judgments and analyzes what is morally just, fair, and right. Bioethics is a sub-discipline of applied ethics that analyzes the philosophical, social, and legal issues in life sciences and medicine. Ethical theories serve as a foundation for decision-making and represent the viewpoints from which people seek direction. They...
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Combining two or more treatment methods increases the life span of cancer patients while reducing damage to vital organs or tissue from the overuse of a single treatment. Combination therapy also targets different cancer-inducing pathways, thus reducing the chances of developing resistance to treatment.
The combination of the drug acetazolamide and sulforaphane is a good example of combination therapy to treat cancer. The cells in the interior of a large tumor often die due to the hypoxic and...
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Ethical principles are essential in guiding nurses to fulfill their responsibilities, focusing on the quality of nursing care and decision-making. These principles, including autonomy, beneficence, non-maleficence, justice, and fidelity, shape the ethical framework within healthcare settings.
Consider the following scenario, which illustrates how these principles are applied in the care of Mr. John, a fifty-year-old teacher diagnosed with metastatic liver cancer.
Initially, Mr. John's...
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Ethical Issues01:27

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Nurses are essential in patient care, upholding the ethical principles of their profession and effectively navigating ethical dilemmas. Neglecting ethical issues can lead to inadequate patient care, compromised therapeutic relationships, and moral distress among healthcare workers.
Ethical Concerns in Healthcare:
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Pharmacogenetics and Pharmacogenomics: Overview01:29

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Pharmacogenetics and pharmacogenomics examine how genetic factors influence an individual's response to drugs. While pharmacogenetics focuses on the impact of specific genetic variants on drug effects, pharmacogenomics takes a broader approach, studying how genetic variation across populations contributes to differences in drug responses. These fields aim to explain why individuals may experience varying levels of efficacy or adverse reactions to the same medication.Variability in drug...
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Pharmacogenetic Phenotypes: Alterations in Pharmacokinetics, Drug Targets and Biologic Milieu01:29

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Genetic variations significantly influence drug response through pharmacokinetics, receptor interactions, and biologic milieu modifications. Pharmacokinetic alterations impact drug metabolism and clearance, affecting efficacy and toxicity. Variants in drug-metabolizing enzymes, such as CYP2C9 and CYP2C19, alter drug activation and elimination. For example, CYP2C9 loss-of-function variants require lower warfarin doses to prevent excessive bleeding, while CYP2C19 variants reduce clopidogrel...
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Personalized Medicine: Ethical Aspects.

G Terry Sharrer1

  • 1Retired Surator of Health Sciences - Smithsonian Institution, Washington, DC, USA. sharrert@gmail.com.

Methods in Molecular Biology (Clifton, N.J.)
|May 15, 2017
PubMed
Summary
This summary is machine-generated.

Personalized medicine advances rapidly due to technology, but social acceptance and ethical considerations are crucial for its success. The physician-patient relationship forms the ethical foundation for this evolving field.

Keywords:
Belmont ReportClinical trialsEugenicsInformed consentInstitutional review boardsJesse GelsingerMedical ethicsNuremberg CodePhysician-patient relationshipTuskegee syphilis study

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Area of Science:

  • Biomedical Ethics
  • Medical Informatics
  • Genomics

Background:

  • The rapid advancement of personalized medicine is driven by technological innovations like DNA sequencing and big data analysis.
  • While technology accelerates medical progress, social acceptability and ethical frameworks are essential for equitable healthcare.
  • Historical medical ethics often evolved in response to past ethical failures.

Purpose of the Study:

  • To explore the ethical considerations and social acceptability required for personalized medicine.
  • To highlight the critical role of the physician-patient relationship in the ethical practice of personalized medicine.
  • To discuss the need for evolving ethical feedback mechanisms in healthcare.

Main Methods:

  • Literature review of medical ethics and personalized medicine advancements.
  • Analysis of the impact of technological progress on healthcare.
  • Discussion of socio-scientific calamities and their influence on medical ethics.

Main Results:

  • Technological progress in medicine, akin to Moore's Law, necessitates parallel advancements in social and ethical acceptance.
  • Personalized medicine's capacity to address individual illness requires a strong ethical foundation.
  • The physician-patient relationship is identified as the most crucial element for the ethical implementation of personalized medicine.

Conclusions:

  • Personalized medicine requires more than technological prowess; it demands social acceptance and robust ethical guidelines.
  • An evolving feedback mechanism, centered on the physician-patient relationship, is vital for navigating the ethical landscape of personalized medicine.
  • Ethical progress in medicine is often reactive, underscoring the need for proactive ethical consideration in the era of personalized medicine.