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  1. ‘We Dont Have a Crystal Ball …’: Neonatologists’ Views on Prognosis, Magnetic Resonance Imaging and Treatment Withdrawal for Infants with Birth Asphyxia.Dominic Wilkinson - 2010 - Monash Bioethics Review 29 (1):19-37.
    Birth asphyxia is the most common single cause of death in term newborn infants. The majority of deaths in developed countries follow decisions to withdraw intensive care. Recent technological advances, particularly the use of magnetic resonance imaging (MRI) of the brain, may affect the process of prognostication and decision-making. There is little existing evidence about how prognosis is determined in newborn infants and how this relates to treatment withdrawal decisions.An exploratory qualitative study was performed using in-depth semi-structured interviews with a (...)
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  • A life worth giving? The threshold for permissible withdrawal of life support from disabled newborn infants.Dominic James Wilkinson - 2011 - American Journal of Bioethics 11 (2):20 - 32.
    When is it permissible to allow a newborn infant to die on the basis of their future quality of life? The prevailing official view is that treatment may be withdrawn only if the burdens in an infant's future life outweigh the benefits. In this paper I outline and defend an alternative view. On the Threshold View, treatment may be withdrawn from infants if their future well-being is below a threshold that is close to, but above the zero-point of well-being. I (...)
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  • Ethical decision making in neonatal units — The normative significance of vitality.Berit Støre Brinchmann & Per Nortvedt - 2001 - Medicine, Health Care and Philosophy 4 (2):193-200.
    This article will be concerned with the phenomenon of vitality, which emerged as one of the main findings in a larger grounded theory study about life and death decisions in hospitals' neonatal units. Definite signs showing the new-born infant's energy and vigour contributed to the clinician's judgements about life expectancy and the continuation or termination of medical treatment. In this paper we will discuss the normative importance of vitality as a diagnostic cue and will argue that vitality, as a sign (...)
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  • Is it in the best interests of an intellectually disabled infant to die?D. Wilkinson - 2006 - Journal of Medical Ethics 32 (8):454-459.
    One of the most contentious ethical issues in the neonatal intensive care unit is the withdrawal of life-sustaining treatment from infants who may otherwise survive. In practice, one of the most important factors influencing this decision is the prediction that the infant will be severely intellectually disabled. Most professional guidelines suggest that decisions should be made on the basis of the best interests of the infant. It is, however, not clear how intellectual disability affects those interests. Why should intellectual disability (...)
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  • Fifty years of medical ethics: from the London Medical Group to the Institute of Medical Ethics.Edward Shotter, Margaret Lloyd, Roger Higgs & Kenneth Boyd - 2013 - Journal of Medical Ethics 39 (11):662-666.
    The history of the Institute of Medical Ethics has been well recorded. Accounts of its origins in the London Medical Group were published in an academic paper of 2003,1 in the transcript of a Wellcome Witnesses to Twentieth Century Medicine Seminar in 20072 and in a chapter of the 2009 Cambridge World History of Medical Ethics.3 In 2013, 50 years since the inauguration of its first series of lectures and symposia, the LMG as an organisation no longer exists, but its (...)
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  • Ethics of refusing parental requests to withhold or withdraw treatment from their premature baby.R. J. Boyle - 2004 - Journal of Medical Ethics 30 (4):402-405.
    In the United Kingdom women have access to termination of pregnancy for maternal reasons until 24 weeks’ completed gestation, but it is accepted practice for children born at or beyond 25 weeks’ gestation to be treated according to the child’s perceived best interests even if this is not in accordance with parental wishes. The authors present a case drawn from clinical practice which highlights the discomfort that parents may feel about such an abrupt change in their rights over their child, (...)
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  • Conjoined twins and catholic moral analysis: Extraordinary means and casuistical consistency.M. Cathleen Kaveny - 2002 - Kennedy Institute of Ethics Journal 12 (2):115-140.
    : This article draws upon the Roman Catholic distinction between "ordinary" and "extraordinary" means of medical treatment to analyze the case of "Jodie" and "Mary," the Maltese conjoined twins whose surgical separation was ordered by the English courts over the objection of their Roman Catholic parents and Cormac Murphy-O'Connor, the Roman Catholic Cardinal Archbishop of Westminster. It attempts to shed light on the use of that distinction by surrogate decision makers with respect to incompetent patients. In addition, it critically analyzes (...)
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  • A Scottish researcher's response.H. McHaffie - 2004 - Journal of Medical Ethics 30 (4):406-407.
    In ethical debate the questions often matter more than the answers. By raising questions about the anomalies in clinical practice concerning the moral status of the fetus, Boyle et al are contributing to the debate.There can be no starker reminder of the legal anomaly around fetal/infant rights than the hospital which deals simultaneously with abortions and intensive care of neonates. In the course of my own clinical practice I have recoiled from the horror of late abortions being whisked to the (...)
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  • Helping doctors become better doctors: Mary Lobjoit—an unsung heroine of medical ethics in the UK.Margaret R. Brazier, Raanan Gillon & John Harris - 2012 - Journal of Medical Ethics 38 (6):383-385.
    Medical Ethics has many unsung heros and heroines. Here we celebrate one of these and on telling part of her story hope to place modern medical ethics and bioethics in the UK more centrally within its historical and human contex.
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