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  • 1.
    Asplund, Kjell
    Umeå universitet, Medicinska fakulteten, Institutionen för folkhälsa och klinisk medicin.
    Use of in vitro fertilization-ethical issues2019Inngår i: Upsala Journal of Medical Sciences, ISSN 0300-9734, E-ISSN 2000-1967Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    This report is an ethical analysis based on both facts and values. In in vitro fertilization (IVF), there is an intricate interaction between rapid scientific development and changing societal values. In most countries, the ethical discussion is no longer on whether or not IVF in itself is ethically justifiable. Therefore, in this review, I discuss other ethical aspects that have emerged since IVF was first introduced, such as upper age limits, 'ownership' of gametes and embryos, IVF in single women and same-sex couples, preimplantatory genetic testing, social egg freezing, commercialization, public funding, and prioritization of IVF. Despite secularization, since religion still plays an important role in regulation and practices of IVF in many countries, positions on IVF among the world religions are summarized. Decision-making concerning IVF cannot be based only on clinical and economic considerations; these cannot be disentangled from ethical principles. Many concerns regarding the costs, effects, and safety of IVF subtly transcend into more complex questions about what it means to society to bear and give birth to children.

  • 2.
    Axelsson, Per
    Umeå universitet, Humanistiska fakulteten, Centrum för samisk forskning (CeSam).
    Preconceived opinions: Iñupiat and Swedish Sami populations in polio research2012Inngår i: Rivers to cross: Sami land use and the human dimension / [ed] Peter Sköld & Krister Stoor, Umeå: Vaartoe, Centrum för samisk forskning, Umeå universitet , 2012, s. 169-177Kapittel i bok, del av antologi (Annet vitenskapelig)
  • 3. Benatar, Michael
    et al.
    Stanislaw, Christine
    Reyes, Eliana
    Hussain, Sumaira
    Cooley, Anne
    Fernandez, Maria Catalina
    Dauphin, Danielle D.
    Michon, Sara-Claude
    Andersen, Peter M.
    Umeå universitet, Medicinska fakulteten, Institutionen för farmakologi och klinisk neurovetenskap, Klinisk neurovetenskap.
    Wuu, Joanne
    Presymptomatic ALS genetic counseling and testing: Experience and recommendations2016Inngår i: Neurology, ISSN 0028-3878, E-ISSN 1526-632X, Vol. 86, nr 24, s. 2295-2302Artikkel, forskningsoversikt (Fagfellevurdert)
    Abstract [en]

    Remarkable advances in our understanding of the genetic contributions to amyotrophic lateral sclerosis (ALS) have sparked discussion and debate about whether clinical genetic testing should routinely be offered to patients with ALS. A related, but distinct, question is whether presymptomatic genetic testing should be offered to family members who may be at risk for developing ALS. Existing guidelines for presymptomatic counseling and testing are mostly based on small number of individuals, clinical judgment, and experience from other neurodegenerative disorders. Over the course of the last 8 years, we have provided testing and 317 genetic counseling sessions (including predecision, pretest, posttest, and ad hoc counseling) to 161 first-degree family members participating in the Pre-Symptomatic Familial ALS Study (Pre-fALS), as well as testing and 75 posttest counseling sessions to 63 individuals with familial ALS. Based on this experience, and the real-world challenges we have had to overcome in the process, we recommend an updated set of guidelines for providing presymptomatic genetic counseling and testing to people at high genetic risk for developing ALS. These recommendations are especially timely and relevant given the growing interest in studying presymptomatic ALS.

  • 4.
    Campano, Erik
    Umeå universitet, Samhällsvetenskapliga fakulteten, Institutionen för psykologi.
    Artificially Intelligent Black Boxes in Emergency Medicine: An Ethical Analysis2019Independent thesis Advanced level (degree of Master (Two Years)), 20 poäng / 30 hpOppgave
    Abstract [sv]

    Det blir allt vanligare att föreslå att icke-transparant artificiell intelligens, s.k. black boxes, används inom akutmedicinen. I denna uppsats används etisk analys för att härleda sju riktlinjer för utveckling och användning av black boxes i akutmedicin. Analysen är grundad på sju variationer av ett tankeexperiment som involverar en läkare, en black box och en patient med bröstsmärta på en akutavdelning. Grundläggande begrepp, inklusive artificiell intelligens, black boxes, metoder för transparens, akutmedicin och etisk analys behandlas detaljerat. Tre viktiga områden av etisk vikt identifieras: samtycke; kultur, agentskap och privatliv; och skyldigheter. Dessa områden ger upphov till de sju variationerna. För varje variation urskiljs en viktig etisk fråga som identifieras och analyseras. En riktlinje formuleras och dess etiska rimlighet testas utifrån konsekventialistiska och deontologiska metoder. Tillämpningen av riktlinjerna på medicin i allmänhet, och angelägenheten av fortsatt etiska analys av black boxes och artificiell intelligens inom akutmedicin klargörs.

  • 5.
    Cutas, Daniela
    Umeå universitet, Humanistiska fakulteten, Institutionen för idé- och samhällsstudier.
    Ai cui sunt embrionii?2015Inngår i: Think Outside the BoxArtikkel i tidsskrift (Annet (populærvitenskap, debatt, mm))
  • 6.
    Cutas, Daniela
    Umeå universitet, Humanistiska fakulteten, Institutionen för idé- och samhällsstudier.
    Casatoria intre persoane de acelasi sex, perpetuarea speciei umane si cresterea de copii2013Inngår i: Think Outside the BoxArtikkel i tidsskrift (Annet (populærvitenskap, debatt, mm))
  • 7.
    Cutas, Daniela
    Umeå universitet, Humanistiska fakulteten, Institutionen för idé- och samhällsstudier. Göteborgs universitet, Göteborg.
    Ce se intampla cu ovulele?: Cand parintii care si-au pierdut fiica ar putea deveni bunici2015Inngår i: Think Outside the BoxArtikkel i tidsskrift (Annet (populærvitenskap, debatt, mm))
  • 8.
    Cutas, Daniela
    University of Gothenburg.
    Children with Gender Identity Disorder: a Clinical, Ethical, and Legal Analysis. Author: Simona Giordano, 2013, Published by Routledge2015Inngår i: Analize – Journal of Gender and Feminist Studies, Vol. 4, nr 18, s. 117-125Artikkel, omtale (Annet vitenskapelig)
  • 9.
    Cutas, Daniela
    Umeå universitet, Humanistiska fakulteten, Institutionen för idé- och samhällsstudier.
    Cum a devenit un barbat tatal fratelui sau: aspecte etice si legale2015Inngår i: Think Outside the BoxArtikkel i tidsskrift (Annet (populærvitenskap, debatt, mm))
  • 10.
    Cutas, Daniela
    Umeå universitet, Humanistiska fakulteten, Institutionen för idé- och samhällsstudier.
    Framtidens familjer: definitioner, etik och politik2015Inngår i: Filosofisk Tidskrift, ISSN 0348-7482, Vol. 36, nr 3, s. 12-19Artikkel i tidsskrift (Annet vitenskapelig)
  • 11.
    Cutas, Daniela
    Umeå universitet, Humanistiska fakulteten, Institutionen för idé- och samhällsstudier.
    Primul copil nascut in urma unui transplant de uter. Cateva implicatii etice2014Inngår i: Think Outside the BoxArtikkel i tidsskrift (Annet (populærvitenskap, debatt, mm))
  • 12.
    Cutas, Daniela
    Umeå universitet, Humanistiska fakulteten, Institutionen för idé- och samhällsstudier.
    Undervisning i forskningsetik kräver praktisk relevans och moralfilosofisk teori2016Annet (Annet (populærvitenskap, debatt, mm))
  • 13.
    Cutas, Daniela
    et al.
    Umeå universitet, Humanistiska fakulteten, Institutionen för idé- och samhällsstudier. Department of Health, Ethics and Society, Maastricht University, Maastricht, The Netherlands .
    Dondorp, Wybo
    Department of Health, Ethics and Society, Maastricht University, Maastricht, The Netherlands .
    Swierstra, Tsjalling
    Department of Philosophy, Maastricht University, Maastricht, The Netherlands .
    Repping, Sjoerd
    Centre for Reproductive Medicine, University of Amsterdam, Amsterdam, The Netherlands.
    de Wert, Guido
    Department of Health, Ethics and Society, Maastricht University, Maastricht, The Netherlands.
    Artificial gametes: perspectives of geneticists, ethicists and representatives of potential users2014Inngår i: Medicine, Health care and Philosophy, ISSN 1386-7423, E-ISSN 1572-8633, Vol. 7, nr 3, s. 339-345Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Several threads of research towards developing artificial gametes are ongoing in a number of research labs worldwide. The development of a technology that could generate gametes in vitro has significant potential for human reproduction, and raises a lot of interest, as evidenced by the frequent and extensive media coverage of research in this area. We have asked researchers involved in work with artificial gametes, ethicists, and representatives of potential user groups, how they envisioned the use of artificial gametes in human reproduction. In the course of three focus groups, the participants commented on the various aspects involved. The two recurring themes were the strength of the claim of becoming a parent genetically, and the importance of responsible communication of science. The participants concurred that (a) the desire or need to have genetic offspring of one’s own does not warrant the investment of research resources into these technologies, and that (b) given the minefield in terms of moral controversy and sensitivity that characterises the issues involved, how information is communicated and handled is of great importance.

  • 14.
    Cutas, Daniela
    et al.
    Umeå universitet, Humanistiska fakulteten, Institutionen för idé- och samhällsstudier. Department of Philosophy, Linguistics and Theory of Science, University of Gothenburg, Gothenburg, Sweden.
    Hens, Kristien
    Department of Health, Ethics and Society, Faculty of Health, Medicine and Life Sciences, Maastricht University, Maastricht, The Netherlands.
    Preserving children's fertility: two tales about children's right to an open future and the margins of parental obligations2015Inngår i: Medicine, Health care and Philosophy, ISSN 1386-7423, E-ISSN 1572-8633, Vol. 18, nr 2, s. 253-260Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    The sources, extent and margins of parental obligations in taking decisions regarding their children’s medical care are subjects of ongoing debates. Balancing children’s immediate welfare with keeping their future open is a delicate task. In this paper, we briefly present two examples of situations in which parents may be confronted with the choice of whether to authorise or demand non-therapeutic interventions on their children for the purpose of fertility preservation. The first example is that of children facing cancer treatment, and the second of children with Klinefelter syndrome. We argue that, whereas decisions of whether to preserve fertility may be prima facie within the limits of parental discretion, the right to an open future does not straightforwardly put parents under an obligation to take actions that would detect or relieve future infertility in their children—and indeed in some cases taking such actions is problematic.

  • 15.
    Cutas, Daniela
    et al.
    Umeå universitet, Humanistiska fakulteten, Institutionen för idé- och samhällsstudier.
    Munthe, Christian
    University of Gothenburg, Department of Philosophy, Linguistics and Theory of Science.
    Legal imperialism in the regulation of stem cell research and therapy: the problem of extraterritorial jurisdiction2010Inngår i: Contested Cells: Global Perspectives on the Stem Cell Debates / [ed] B. Capps and A. Campbell, Singapore and London: World Scientific and Imperial College Press , 2010Kapittel i bok, del av antologi (Fagfellevurdert)
  • 16.
    Cutas, Daniela
    et al.
    Umeå universitet, Humanistiska fakulteten, Institutionen för idé- och samhällsstudier. Department of Philosophy, Linguistics and Theory of Science, Göteborgs Universitet, Göteborg, Sweden.
    Shaw, David
    Basel, Switzerland; Maastricht University, Maastricht, The Netherlands.
    Writers blocked: on the wrongs of research co-authorship and some possible strategies for improvement2015Inngår i: Science and Engineering Ethics, ISSN 1353-3452, E-ISSN 1471-5546, Vol. 21, nr 5, s. 1315-1329Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    The various problems associated with co-authorship of research articles have attracted much attention in recent years. We believe that this (hopefully) growing awareness is a very welcome development. However, we will argue that the particular and increasing importance of authorship and the harmful implications of current practices of research authorship for junior researchers have not been emphasised enough. We will use the case of our own research area (bioethics) to illustrate some of the pitfalls of current publishing practices – in particular, the impact on the evaluation of one’s work in the area of employment or funding. Even where there are explicit guidelines, they are often disregarded. This disregard, which is often exemplified through the inflation of co-authorship in some research areas, may seem benign to some of us; but it is not. Attribution of co-authorship for reasons other than merit in relation to the publication misrepresents the work towards that publication, and generates unfair competition. We make a case for increasing awareness, for transparency and for more explicit guidelines and regulation of research co-authorship within and across research areas. We examine some of the most sensitive areas of concern and their implications for researchers, particularly junior ones, and we suggest several strategies for future action.

  • 17.
    Cutas, Daniela
    et al.
    Umeå universitet, Humanistiska fakulteten, Institutionen för idé- och samhällsstudier. Department of Philosophy, Linguistics and Theory of Science, University of Gothenburg, Gothenburg, Sweden .
    Smajdor, Anna
    Norwich School of Medicine, University of East Anglia, Norwich, UK .
    "I am your mother and your father!": in vitro derived gametes and the ethics of solo reproduction2017Inngår i: Health Care Analysis, ISSN 1065-3058, E-ISSN 1573-3394, Vol. 25, nr 4, s. 354-369Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    In this paper, we will discuss the prospect of human reproduction achieved with gametes originating from only one person. According to statements by a minority of scientists working on the generation of gametes in vitro, it may become possible to create eggs from men’s non-reproductive cells and sperm from women’s. This would enable, at least in principle, the creation of an embryo from cells obtained from only one individual: ‘solo reproduction’. We will consider what might motivate people to reproduce in this way, and the implications that solo reproduction might have for ethics and policy. We suggest that such an innovation is unlikely to revolutionise reproduction and parenting. Indeed, in some respects it is less revolutionary than in vitro fertilisation as a whole. Furthermore, we show that solo reproduction with in vitro created gametes is not necessarily any more ethically problematic than gamete donation - and probably less so. Where appropriate, we draw parallels with the debate surrounding reproductive cloning. We note that solo reproduction may serve to perpetuate reductive geneticised accounts of reproduction, and that this may indeed be ethically questionable. However, in this it is not unique among other technologies of assisted reproduction, many of which focus on genetic transmission. It is for this reason that a ban on solo reproduction might be inconsistent with continuing to permit other kinds of reproduction that also bear the potential to strengthen attachment to a geneticised account of reproduction. Our claim is that there are at least as good reasons to pursue research towards enabling solo reproduction, and eventually to introduce solo reproduction as an option for fertility treatment, as there are to do so for other infertility related purposes.

  • 18.
    Cutas, Daniela
    et al.
    Umeå universitet, Humanistiska fakulteten, Institutionen för idé- och samhällsstudier.
    Smajdor, Anna
    Postmenopausal Motherhood Reloaded: Advanced Age and In Vitro Derived Gametes2015Inngår i: Hypatia, ISSN 0887-5367, E-ISSN 1527-2001, Vol. 30, nr 2, s. 386-402Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    In this paper we look at the implications of a prospective emerging technology for the case in favor of, or against, postmenopausal motherhood. Technologies such as in vitro derived gametes (sperm and eggs derived from non-reproductive cells) have the potential to influence the ways in which reproductive medicine is practiced, and will bring new dimensions to debates in this area. We explain what in vitro derived gametes are and how their development may impact on the case of postmenopausal motherhood. We briefly review some of the concerns that postmenopausal motherhood has raised – and the implications that the successful development, and use in reproduction, of artificial gametes might have for such concerns. The concerns addressed include arguments from nature, risks and efficacy, reduced energy of the mother, and maternal life expectancy. We also consider whether the use of in vitro derived gametes to facilitate postmenopausal motherhood would contribute to reinforcing a narrow geneticized account of reproduction and a pro-reproductive culture that encourages women to produce genetically related offspring at all costs. 

  • 19.
    Cutas, Daniela
    et al.
    Umeå universitet, Humanistiska fakulteten, Institutionen för idé- och samhällsstudier.
    Smajdor, Anna
    Reproductive technologies and the family in the twenty-first century2018Inngår i: The freedom of scientific research: Bridging the gap between science and society / [ed] Simona Giordano, Manchester University Press, 2018Kapittel i bok, del av antologi (Fagfellevurdert)
  • 20.
    Cutas, Daniela
    et al.
    Umeå universitet, Humanistiska fakulteten, Institutionen för idé- och samhällsstudier. Department of Philosophy, Linguistics and Theory of Science, University of Gothenburg, Gothenburg, Sweden.
    Smajdor, Anna
    Hens, Kristien
    Procreative procrastination: the ethics of postponed parenthood2017Inngår i: Preventing age related fertility loss / [ed] Dominic Stoop, Springer Publishing Company, 2017, s. 141-156Kapittel i bok, del av antologi (Fagfellevurdert)
    Abstract [en]

    In recent years, there has been growing concern over the perceived tendency of women to postpone childbearing. In this chapter, we show that some of the responses to the phenomenon of postponed reproduction are deeply problematic. The question of whether it is accurate to construe later motherhood as postponement at all is far from clear. Moreover, public health messages tend to recommend earlier motherhood as a way of avoiding risks, but this is a crude oversimplification: reproduction involves risks whenever it is undertaken. The focus on risk calls into question some of the strategies intended to remedy postponement of parenthood. There is also the question of where men feature in these decisions: they are all but absent in the public health material and media debates. We consider whether technology could offer a solution to postponement of parenthood, whether there are any benefits to postponement, and finally, whether postponed parenthood could itself be seen as part of a broader trend towards neoteny (the delaying of maturity) in human evolution.

  • 21.
    Dahlquist, Gisela
    Department of Pediatrics, Sachs' Children Hospital, Stockholm.
    Bredda expertkretsen, ta med fler lekmän: Kräv etisk skolning och ge den meritvärde1988Inngår i: Läkartidningen, ISSN 0023-7205, E-ISSN 1652-7518, Vol. 85, nr 50, s. 4449-4450Artikkel i tidsskrift (Fagfellevurdert)
  • 22.
    Dahlquist, Gisela
    Department of Paediatrics, Sachs' Children's Hospital, Stockholm.
    Epidemiological and ethical consiluations on trials with immunotherapy in pre-type 1 (insulin-dependent) diabetes mellitus1991Inngår i: Diabetologia, ISSN 0012-186X, E-ISSN 1432-0428, Vol. 34, nr 7, s. 536-Artikkel i tidsskrift (Fagfellevurdert)
  • 23.
    Dahlquist, Gisela
    Department of Pediatrics, Sachs' Children Hospital, Stockholm.
    Medicinsk etik i barnläkarens vardag - kränks patientens integritet utan starka skäl?1989Inngår i: Läkartidningen, ISSN 0023-7205, E-ISSN 1652-7518, Vol. 86, nr 49, s. 4348-4350Artikkel i tidsskrift (Fagfellevurdert)
  • 24.
    Dahlquist, Gisela
    et al.
    Department of Pediatrics, Sachs' Children Hospital, Stockholm.
    Persson, B
    Wallensten, M
    Vem ska betala diabetesungdomars undervisning i egenvård?1989Inngår i: Läkartidningen, ISSN 0023-7205, E-ISSN 1652-7518, Vol. 86, nr 45, s. 3884-Artikkel i tidsskrift (Annet (populærvitenskap, debatt, mm))
  • 25.
    Dahlqvist, Rune
    Umeå universitet, Medicinska fakulteten, Institutionen för farmakologi och klinisk neurovetenskap, Klinisk farmakologi.
    [Knowledge on feet of clay]2008Inngår i: Läkartidningen, ISSN 0023-7205, E-ISSN 1652-7518, Vol. 105, nr 19, s. 1405-1406Artikkel i tidsskrift (Annet vitenskapelig)
  • 26. Hens, Kristien
    et al.
    Cutas, DanielaUmeå universitet, Humanistiska fakulteten, Institutionen för idé- och samhällsstudier. Department of Philosopy, Linguistics and Theory of Science University of Gothenburg Gothenburg, Sweden.Horstkötter, Dorothee
    Parental responsibility in the context of neuroscience and genetics2017Collection/Antologi (Fagfellevurdert)
    Abstract [en]

    Should parents aim to make their children as normal as possible to increase their chances to "fit in"? Are neurological and mental health conditions a part of children's identity and if so, should parents aim to remove or treat these? Should they aim to instill self-control in their children? Should prospective parents take steps to insure that, of all the children they could have, they choose the ones with the best likely start in life?

    This volume explores all of these questions and more. Against the background of recent findings and expected advances in neuroscience and genetics, the extent and limits of parental responsibility are increasingly unclear. Awareness of the effects of parental choices on children's wellbeing, as well as evolving norms about the moral status of children, have further increased expectations from (prospective) parents to take up and act on their changing responsibilities. The contributors discuss conceptual issues such as the meaning and sources of moral responsibility, normality, treatment, and identity. They also explore more practical issues such as how responsibility for children is practiced in Yoruba culture in Nigeria or how parents and health professionals in Belgium perceive the dilemmas generated by prenatal diagnosis.

  • 27.
    Jeppsson, Sofia
    Umeå universitet, Medicinska fakulteten.
    Obesity and Obligation2015Inngår i: Kennedy Institute of Ethics journal (Print), ISSN 1054-6863, E-ISSN 1086-3249, Vol. 25, nr 1, s. 89-110Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    The belief that obese people ought to lose weight and keep it off is widespread, and has a profound negative impact on the lives of the obese. I argue in this paper that most obese people have no such obligation, even if obesity is bad, and caused by calorie input exceeding output. Obese people do not have an obligation to achieve long-term weight loss if this is impossible for them, is worse than the alternative, or requires such an enormous effort in relation to what stands to be gained that this option is supererogatory rather than obligatory. It is highly plausible that most obese people fall into one of these three groups. Politicians may still have obligations to fight obesity, but they ought to do so through progressive politics rather than blaming and shaming.

  • 28.
    Johansson, Eva
    et al.
    Umeå universitet, Medicinska fakulteten, Institutionen för folkhälsa och klinisk medicin, Allmänmedicin.
    Hovelius, Birgitta
    Kapitel 1. Begrepp och teorier.2004Inngår i: Kropp och genus i medicinen, Lund: Studentlitteratur , 2004, 1, s. 35-45Kapittel i bok, del av antologi (Annet vitenskapelig)
  • 29. Krupic, Ferid
    et al.
    Sayed-Noor, Arkan S.
    Umeå universitet, Medicinska fakulteten, Institutionen för kirurgisk och perioperativ vetenskap.
    Fatahi, Nabi
    The impact of knowledge and religion on organ donation as seen by immigrants in Sweden2017Inngår i: Scandinavian Journal of Caring Sciences, ISSN 0283-9318, E-ISSN 1471-6712, Vol. 31, nr 4, s. 687-694Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Background: Transplantation of organs is one of the most successful medical advances of the past 60 years and transplantation is the treatment of choice for severe organ failure worldwide. Despite this situation, and the general acknowledgement of organ donation as a global priority, demand for organs outstrips supply in virtually every country in the world. Aim: The aim of the study was to elucidate factors that influence immigrant's decisions regarding organ donation. Methods: Data were collected through three group interviews using open-ended questions and qualitative content analysis. 32 participants, 16 men and 16 women from Bosnia and Herzegovina, Somalia, Lebanon and Kosovo participated in focus group interviews (FGI). Results: Analysis of the collected data resulted in two main categories: Information about organ donation' and Religious aspects of organ donation and a number of subcategories'. Some of the influencing factors concerning organ donation were mainly related to limited information from society as well as limited information from healthcare professionals. Religious aspects, fear and prejudices about organ donation were other factors that mentioned by participants as hamper regarding organ donation. Conclusion: In order to improve immigrants' attitude towards organ donation, information about this issue and identification of the hampering factors, particularly culturally related factors such as the religious aspect, is essential. In this context, different intervention studies are needed to increase monitories groups' attitude towards organ donations.

  • 30.
    Lundälv, Jörgen
    Umeå universitet, Medicinska fakulteten, Institutionen för kirurgisk och perioperativ vetenskap, Kirurgi.
    Blogga tryggt: nya medier i tjänsten2014Bok (Annet (populærvitenskap, debatt, mm))
    Abstract [sv]

    Kommunikation och relation är två väsentliga begrepp som alla människor måsteförhålla sig till. Den goda kommunikationen mellan två människor handlar blandannat om ansvar och om vad vi är skyldiga varandra. Professionella yrkesutövareinom människovårdande yrken har ofta ett behov av att berätta om möten och upplevelser.Men att använda nya medier i tjänsten för att uttrycka åsikter och ventileraattityder kräver eftertanke eftersom det finns risk för att det som publiceras inte äretiskt genomtänkt. Utgången kan bli tragisk för de inblandade i flera avseenden. Attanvända sociala medier på nätet kräver kunskap och insikt. Medvetenhet, respekt ochett etiskt förhållningssätt är därför viktigt hos den som twittrar eller bloggar på nätet.Boken innehåller robusta råd och många exempel från verkligheten som handlarom att använda nya medier i tjänsten. Den är tänkt att ha i beredskap när du bästbehöver råd i etiska, juridiska och praktiska situationer.Blogga tryggt vänder sig till alla universitets- och högskolestudenter vid såväl grundsomspecialistutbildningar inom en rad yrkeskategorierinom hälso- och sjukvårdenmen även till utbildningar för sociala och psykologiska professioner i Sverige. Bokenär i hög grad intressant också för såväl personal som för förtroendevalda inom flerahälso- och samhällsområden.

  • 31. Lynøe, Niels
    et al.
    Eriksson, Anders
    Umeå universitet, Medicinska fakulteten, Institutionen för samhällsmedicin och rehabilitering, Rättsmedicin.
    Skakvåld mot spädbarn: läkarens rollmåste särskiljas från rättsväsendetsroll2019Inngår i: Tidsskrift for Den norske lægeforening, ISSN 0029-2001, E-ISSN 0807-7096, Vol. 139, nr 3, s. 226-227Artikkel i tidsskrift (Annet vitenskapelig)
  • 32. Lövtrup, Michael
    et al.
    Engström, Ingemar
    Wennlund, Elisabet
    Asplund, Kjell
    Umeå universitet, Medicinska fakulteten, Institutionen för folkhälsa och klinisk medicin.
    Dödshjälp: En kunskapssammanställning2017Rapport (Annet vitenskapelig)
    Abstract [sv]

    Smer ger i denna rapport en bred översyn av kunskapsläget kring dödshjälp, med fokus på forskning och statistik från länder och delstater som legaliserat dödshjälp i någon form. Utifrån de uppgifter som framkommer i kunskapsgenomgången analyseras stödet för några av de vanligast förekommande argumenten i den svenska debatten för och mot dödshjälp. Syftet med rapporten är att bidra till en mer faktabaserad debatt kring dödshjälp.

  • 33. Munck, Johan
    et al.
    Dahlquist, Gisela
    Umeå universitet, Medicinska fakulteten, Institutionen för klinisk vetenskap, Pediatrik.
    Grönlund, Eva
    [The possibility to perform research on severely ill elderly. We hope there will be a change of the law soon]2011Inngår i: Läkartidningen, ISSN 0023-7205, E-ISSN 1652-7518, Vol. 108, nr 44, s. 2201-Artikkel i tidsskrift (Fagfellevurdert)
  • 34. Munthe, Christian
    et al.
    Sandman, Lars
    Cutas, Daniela
    Umeå universitet, Humanistiska fakulteten, Institutionen för idé- och samhällsstudier.
    Person centred care and shared decision making: implications for ethics, public health and research2012Inngår i: Health Care Analysis, ISSN 1065-3058, E-ISSN 1573-3394, Vol. 20, nr 3, s. 231-249Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    This paper presents a systematic account of ethical issues actualised in different areas, as well as at different levels and stages of health care, by introducing organisational and other procedures that embody a shift towards person centred care and shared decision-making (PCC/SDM). The analysis builds on general ethical theory and earlier work on aspects of PCC/SDM relevant from an ethics perspective.This account leads up to a number of theoretical as well as empirical and practice oriented issues that, in view of broad advancements towards PCC/SDM, need to be considered by health care ethics researchers. Given a PCC/SDM-based reorientation of health care practice, such ethics research is essential from a quality assurance perspective.

  • 35. Nilsson, Peter M
    et al.
    Pedersen, Nancy
    Lind, Lars
    Björkelund, Cecilia
    Hallmans, Göran
    Umeå universitet, Medicinska fakulteten, Institutionen för folkhälsa och klinisk medicin, Näringsforskning.
    Söderkvist, Peter
    [Population studies are needed: also LifeGene!]2012Inngår i: Läkartidningen, ISSN 0023-7205, E-ISSN 1652-7518, Vol. 109, nr 9-10, s. 484-Artikkel i tidsskrift (Annet vitenskapelig)
  • 36.
    Njozing, Barnabas N
    et al.
    Umeå universitet, Medicinska fakulteten, Institutionen för folkhälsa och klinisk medicin, Epidemiologi och global hälsa. St. Mary Soledad Catholic Hospital, Mankon, Bamenda, P.O.Box 157, Cameroon.
    Edin, Kerstin E
    Umeå universitet, Medicinska fakulteten, Institutionen för folkhälsa och klinisk medicin, Epidemiologi och global hälsa. Umeå universitet, Samhällsvetenskapliga fakulteten, Umeå centrum för genusstudier (UCGS).
    San Sebástian, Miguel
    Umeå universitet, Medicinska fakulteten, Institutionen för folkhälsa och klinisk medicin, Epidemiologi och global hälsa.
    Hurtig, Anna-Karin
    Umeå universitet, Medicinska fakulteten, Institutionen för folkhälsa och klinisk medicin, Epidemiologi och global hälsa.
    “If the patients decide not to tell what can we do?”: TB/HIV counsellors’ dilemma on partner notification for HIV2011Inngår i: BMC International Health and Human Rights, ISSN 1472-698X, E-ISSN 1472-698X, Vol. 11, artikkel-id 6Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Background: There is a global consensus towards universal access to human immunodeficiency virus (HIV) services consequent to the increasing availability of antiretroviral therapy. However, to benefit from these services, knowledge of one's HIV status is critical. Partner notification for HIV is an important component of HIV counselling because it is an effective strategy to prevent secondary transmission, and promote early diagnosis and prompt treatment of HIV patients' sexual partners. However, counsellors are often frustrated by the reluctance of HIV-positive patients to voluntarily notify their sexual partners. This study aimed to explore tuberculosis (TB)/HIV counsellors' perspectives regarding confidentiality and partner notification. Methods: Qualitative research interviews were conducted in the Northwest Region of Cameroon with 30 TB/HIV counsellors in 4 treatment centres, and 2 legal professionals between September and December 2009. Situational Analysis (positional map) was used for data analysis. Results: Confidentiality issues were perceived to be handled properly despite concerns about patients' reluctance to report cases of violation due to apprehension of reprisals from health care staffs. All the respondents encouraged voluntary partner notification, and held four varying positions when confronted with patients who refused to voluntarily notify their partners. Position one focused on absolute respect of patients' autonomy; position two balanced between the respect of patients' autonomy and their partners' safety; position three wished for protection of sexual partners at risk of HIV infection and legal protection for counsellors; and position four requested making HIV testing and partner notification routine processes. Conclusion: Counsellors regularly encounter ethical, legal and moral dilemmas between respecting patients' confidentiality and autonomy, and protecting patients' sexual partners at risk of HIV infection. This reflects the complexity of partner notification and demonstrates that no single approach is optimal, but instead certain contextual factors and a combination of different approaches should be considered. Meanwhile, adopting a human rights perspective in HIV programmes will balance the interests of both patients and their partners, and ultimately enhance universal access to HIV services.

  • 37.
    Nordlund, Christer
    Umeå universitet, Humanistiska fakulteten, Institutionen för idé- och samhällsstudier.
    The moral economy of a miracle drug: on exchange relationships between medical science and the pharmaceutical industry in the 1940s2015Inngår i: Value practices in the life sciences and medicine / [ed] Isabelle Dussauge, Claes-Fredrik Helgesson & Francis Lee, Oxford: Oxford University Press, 2015, 1, s. 49-70Kapittel i bok, del av antologi (Fagfellevurdert)
  • 38.
    Rydvall, Anders
    Umeå universitet, Medicinska fakulteten, Institutionen för kirurgisk och perioperativ vetenskap, Anestesiologi och intensivvård.
    Withhold  or  withdraw  futile  treatment in  intensive  care: arguments supported by physicians and the general public2016Doktoravhandling, med artikler (Annet vitenskapelig)
    Abstract [en]

    Background: Since the 60s and with increasing intensity a discussion have continued about balance between useful and useless/harmful treatment. Different attempts have been done to create sustainable criteria and recommendations to manage the situations of futile treatment near the end of life. Obviously, to be able to withhold (WH) or withdraw (WD) treatment which is no longer appropriate or even harmful and burdensome for the patient, other processes than strict medical (or physiological) assessments are necessary.

    Aim. To shed light on the arguments regarding to WH or WD futile treatment we performed two studies of physicians’ and the general populations’ choice and prioritized arguments in the treatment of a 72-year-old woman suffering from a large intra-cerebral bleeding with bad prognosis (Papers I and II) and a new born boy with postpartum anoxic brain damage (Papers III and IV).

    Methods. Postal questionnaires based on two cases presented above involving severely ill patients were used. Arguments for and against to WH or WD treatment, and providing treatment that might hasten death were presented. The respondents evaluated and prioritized arguments for and against withholding neurosurgery, withdrawing life-sustaining treatment and providing drugs to alleviate pain and distress. We also asked what would happen to physicians’ own trust if they took the action described, and what the physician estimated would happen to the general publics’ trust in health services (Paper IV).

    Results. Approximately 70% of the physicians and 46% of the general public responded in both surveys. The 72-year-old woman: A majority of doctors (82.3%) stated that they would withhold treatment, whereas a minority of the general public (40.2%) would do so; the arguments forwarded and considerations regarding quality of life differed significantly between the two groups. Quality-of-life aspects were stressed as an important argument by the majority of both neurosurgeons and ICU-physicians (76.8% vs. 54.0%); however, significantly more neurosurgeons regarded this argument as the most important. A minority in both groups, although more ICU-physicians, supported a patient’s previously expressed wish of not ending in a persistent vegetative state as the most important argument. As the case clinically progressed, a consensus evolved regarding the arguments for decision making.

    The new born child: A majority of both physicians [56 % (CI 50–62)] and the general population [53 % (CI 49–58)] supported arguments for withdrawing ventilator treatment. A large majority in both groups supported arguments for alleviating the patient’s symptoms even if the treatment hastened death, but the two groups display significantly different views on whether or not to provide drugs with the additional intention of hastening death, although the difference disappeared when we compared subgroups of those who were for or against euthanasia-like actions.

    Conclusions. There are indeed considerable differences in how physicians and the general public assess and reason in critical care situations, but the more hopelessly ill the patient became the more the groups' assessments tended to converge, although they prioritized different arguments. In order to avoid unnecessary dispute and miscommunication, it is important that health care providers are aware of the public's views, expectations, and preferences. Our hypothesis—physicians’ estimations of others’ opinions are influenced by their own opinions—was corroborated. This might have implications in research as well as in clinical decision-making.

  • 39.
    Rydvall, Anders
    et al.
    Umeå universitet, Medicinska fakulteten, Institutionen för kirurgisk och perioperativ vetenskap, Anestesiologi och intensivvård.
    Bergenheim, Tommy
    Umeå universitet, Medicinska fakulteten, Institutionen för farmakologi och klinisk neurovetenskap, Neurokirurgi.
    Lynöe, Niels
    Learning, Informatics, Management and Ethics, Karolinska Institutet, Stockholm, Sweden.
    Decision making in a life-threatening cerebral condition: a comparative study of the ethical reasoning of intensive care unit physicians and neurosurgeons2007Inngår i: Acta Anaesthesiologica Scandinavica, ISSN 0001-5172, E-ISSN 1399-6576, Vol. 51, nr 10, s. 1338-1343Artikkel i tidsskrift (Annet vitenskapelig)
    Abstract [en]

    Severe traumatic brain injury (TBI) is one of the major causes of death in younger age groups. In Umea, Sweden, an intracranial pressure (ICP) targeted therapy protocol, the Lund concept, has been used in treatment of severe TBI since 1994. Decompressive craniectomy is used as a protocol-guided treatment step. The primary aim of the investigation was to study the effect of craniectomy on ICP changes over time in patients with severe TBI treated by an ICP-targeted protocol. In this retrospective study, all patients treated for severe TBI during 1998-2001 who fulfilled the following inclusion criteria were studied: GCS <or= 8 at intubation and sedation, first recorded cerebral perfusion pressure (CPP) of >10 mm Hg, arrival within 24 h of trauma, and need of intensive care for >72 h. Craniectomy was performed when the ICP could not be controlled by evacuation of hematomas, sedation, ventriculostomy, or low-dose pentothal infusion. Ninety-three patients met the inclusion criteria. Mean age was 37.6 years. Twenty-one patients underwent craniectomy as a treatment step. We found a significant reduction of the ICP directly after craniectomy, from 36.4 mm Hg (range, 18-80 mm Hg) to 12.6 mm Hg (range, 2-51 mm Hg). During the following 72 h, we observed an increase in ICP during the first 8-12 h after craniectomy, reaching approximately 20 mm Hg, and later levelling out at approximately 25 mm Hg. The reduction of ICP was statistically significant during the 72 h. The outcome as measured by Glasgow Outcome Scale (GOS) did not significantly differ between the craniectomized group (DC) and the non-craniectomized group (NDC). The outcome was favorable (GOS 5-4) in 71% in the craniectomized group, and in 61% in the non-craniectomized group. Craniectomy is a useful tool in achieving a significant reduction of ICP overtime in TBI patients with progressive intracranial hypertension refractory to medical therapy. The procedure seems to have a satisfactory effect on the outcome, as demonstrated by a high rate of favorable outcome and low mortality in the craniectomized group, which did not significantly differ compared with the non-craniectomized group.

  • 40.
    Rydvall, Anders
    et al.
    Umeå universitet, Medicinska fakulteten, Institutionen för kirurgisk och perioperativ vetenskap, Anestesiologi och intensivvård.
    Juth, Niklas
    Inst för lärande, informatik, management och etik /Centrum för Hälso- och sjukvårdsetik.
    Sandlund, Mikael
    Umeå universitet, Medicinska fakulteten, Institutionen för klinisk vetenskap, Psykiatri.
    Domellöf, Magnus
    Umeå universitet, Medicinska fakulteten, Institutionen för klinisk vetenskap, Pediatrik.
    Lynöe, Niels
    Inst för lärande, informatik, management och etik /Centrum för Hälso- och sjukvårdsetik.
    To treat or not to treat a newborn child with severe brain damage?: A cross-sectional study of physicians' and the general population's perceptions of intentions2014Inngår i: Medicine, Health care and Philosophy, ISSN 1386-7423, E-ISSN 1572-8633, Vol. 17, nr 1, s. 81-88Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Ethical dilemmas are common in the neonatal intensive care setting. The aim of the present study was to investigate the opinions of Swedish physicians and the general public on treatment decisions regarding a newborn with severe brain damage. We used a vignette-based questionnaire which was sent to a random sample of physicians (n = 628) and the general population (n = 585). Respondents were asked to provide answers as to whether it is acceptable to discontinue ventilator treatment, and when it actually is discontinued whether or not it was acceptable to use drugs which hasten death unintentionally or intentionally. The response rate was 67 % of physicians and 46 % of the general population. A majority of both physicians [56 % (CI 50-62)] and the general population [53 % (CI 49-58)] supported arguments for withdrawing ventilator treatment. A large majority in both groups supported arguments for alleviating the patient's symptoms even if the treatment hastened death, but the two groups display significantly different views on whether or not to provide drugs with the additional intention of hastening death, although the difference disappeared when we compared subgroups of those who were for or against euthanasia-like actions. The study indicated that physicians and the general population have similar opinions regarding discontinuing life-sustaining treatment and providing effective drugs which might unintentionally hasten death but seem to have different views on intentions. The results might be helpful to physicians wanting to examine their own intentions when providing adequate treatment at the end of life.

  • 41.
    Rydvall, Anders
    et al.
    Umeå universitet, Medicinska fakulteten, Institutionen för kirurgisk och perioperativ vetenskap, Anestesiologi och intensivvård.
    Juth, Niklas
    Inst för lärande, informatik, management och etik /Centrum för Hälso- och sjukvårdsetik.
    Sandlund, Mikael
    Umeå universitet, Medicinska fakulteten, Institutionen för klinisk vetenskap, Psykiatri.
    Lynøe, Nils
    Inst för lärande, informatik, management och etik /Centrum för Hälso- och sjukvårdsetik.
    Are physicians' estimations of future events value-impregnated?: Cross-sectional study of double intentions when providing treatment that shortens a dying patient's life2014Inngår i: Medicine, Health care and Philosophy, ISSN 1386-7423, E-ISSN 1572-8633, Vol. 17, nr 3, s. 397-402Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    The aim of the present study was to corroborate or undermine a previously presented conjecture that physicians' estimations of others' opinions are influenced by their own opinions. We used questionnaire based cross-sectional design and described a situation where an imminently dying patient was provided with alleviating drugs which also shortened life and, additionally, were intended to do so. We asked what would happen to physicians' own trust if they took the action described, and also what the physician estimated would happen to the general publics' trust in health services. Decrease of trust was used as surrogate for an undesirable action. The results are presented as proportions with a 95 % Confidence Interval (CI). Statistical analysis was based on inter-rater agreement (Weighted Kappa)-test as well as chi (2) test and Odds Ratio with 95 % CI. We found a moderate inter-rater agreement (Kappa = 0.552) between what would happen with the physicians' own trust in healthcare and their estimations of what would happen with the general population's trust. We identified a significant difference between being pro et contra the treatment with double intentions and the estimation of the general population's trust (chi(2) = 72, df = 2 and p < 0.001). Focusing on either decreasing or increasing own trust and being pro or contra the action we identified a strong association [OR 79 (CI 25-253)]. Although the inter-rater agreement in the present study was somewhat weaker compared to a study about the explicit use of the term 'physicians assisted suicide' we found that our hypothesis-physicians' estimations of others' opinions are influenced by their own opinions-was corroborated. This might have implications in research as well as in clinical decision-making. We suggest that Merton's ideal of disinterestedness should be highlighted.

  • 42.
    Rydvall, Anders
    et al.
    Department of Surgical and Perioperative Sciences, Anaesthesiology, University Hospital of Northern Sweden, Lasarettsbacken SE-90185 Umeå, Sweden.
    Lynöe, Niels
    Department of Learning, Informatics, Management and Ethics, Karolinska Institutet, Berzelius vaeg 3 SE-17177 Stockholm, Sweden.
    Withholding and withdrawing life-sustaining treatment: a comparative study of the ethical reasoning of physicians and the general public2008Inngår i: Critical Care, ISSN 1364-8535, E-ISSN 1466-609X, Vol. 12, nr 1, artikkel-id R13Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    BACKGROUND: Our objective was to investigate whether a consensus exists between the general public and health care providers regarding the reasoning and values at stake on the subject of life-sustaining treatment. METHODS: A postal questionnaire was sent to a random sample of members of the adult population (n = 989) and to a random sample of intensive care doctors and neurosurgeons (n = 410) practicing in Sweden in 2004. The questionnaire was based on a case involving a severely ill patient and presented arguments for and against withholding and withdrawing treatment, and providing treatment that might hasten death. RESULTS: Approximately 70% of the physicians and 51% of the general public responded. A majority of doctors (82.3%) stated that they would withhold treatment, whereas a minority of the general public (40.2%) would do so; the arguments forwarded (for instance, belief that the first task of health care is to save life) and considerations regarding quality of life differed significantly between the two groups. Most physicians (94.1%) and members of the general public (77.7%) were prepared to withdraw treatment, and most (95.1% of physicians and 82% of members of the general public) agreed that sedation should be provided. CONCLUSION: There are indeed considerable differences in how physicians and the general public assess and reason in critical care situations, but the more hopelessly ill the patient became the more the groups' assessments tended to converge, although they prioritized different arguments. In order to avoid unnecessary dispute and miscommunication, it is important that health care providers be aware of the public's views, expectations, and preferences.

  • 43. Sjöberg, R L
    et al.
    Lindholm, T
    Decision-making and euthanasia.2003Inngår i: British Journal of Psychiatry, ISSN 0007-1250, E-ISSN 1472-1465, Vol. 182Artikkel i tidsskrift (Fagfellevurdert)
  • 44. Sjöberg, Rickard L
    ["The tilting plane" and the consequences of introducing euthanasia].2010Inngår i: Läkartidningen, ISSN 0023-7205, E-ISSN 1652-7518, Vol. 107, nr 13-14Artikkel i tidsskrift (Fagfellevurdert)
  • 45. Sjöberg, Rickard L
    et al.
    Lindholm, Torun
    Gender biases in decisions on euthanasia among Swedish jurors.2003Inngår i: Nordic Journal of Psychiatry, ISSN 0803-9488, E-ISSN 1502-4725, Vol. 57, nr 6Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    The present study set out to investigate whether group-based biases may influence decisions regarding euthanasia in Swedish jurors (nämndemän). Thirty-eight Swedish jurors were presented with a case description of euthanasia in a severely brain-damaged patient. Age and gender of the patient were systematically varied. The jurors were asked to what extent they believed that euthanasia was ethical in the case presented to them and whether they thought that it should be legal. Jurors tended to be supportive of euthanasia and were more so when it was used on patients who belonged to the opposite gender. These results suggest that group-based biases may influence decisions regarding euthanasia in Swedish jurors. The finding has implication for the Swedish debate regarding a possible legalization of such procedures.

  • 46.
    Smajdor, Anna
    et al.
    University of East Anglia.
    Cutas, Daniela
    Umeå universitet, Humanistiska fakulteten, Institutionen för idé- och samhällsstudier.
    Artificial Gametes2016Rapport (Annet vitenskapelig)
  • 47.
    Smajdor, Anna
    et al.
    Norwich School of Medicine, University of East Anglia.
    Cutas, Daniela
    Göteborgs universitet.
    Artificial gametes and the ethics of unwitting parenthood2014Inngår i: Journal of Medical Ethics, ISSN 0306-6800, E-ISSN 1473-4257, Vol. 40, nr 11, s. 748-751Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    In this paper, we explore the ethical and legal implications of a hypothetical use of artificial gametes (AGs): that of taking a person’s cells, converting them to artificial gametes and using them in reproduction – without that person’s knowledge or consent. We note the common reliance on genetic understandings of parenthood in the law, and suggest that injustices may arise if unwitting genetic parents are sued for child support. We draw parallels between the hypothetical use of AGs to facilitate unwitting parenthood, and real examples of unwitting parenthood following cases of sperm theft. We also look at the harm that might be caused by becoming a genetic parent, independently of financial obligations, and ask whether such harm should be understood in terms of theft of property. These examples help to highlight some of the current and prospective  difficulties for the regulation of genetic and legal parenthood, and show how existing regulatory assumptions are likely to be further challenged by the development of AGs. We conclude by suggesting that the reliance on genetic connections to generate parental responsibility (financial or otherwise) for offspring is flawed, and that alternative ways of establishing parental responsibility should be considered.

  • 48.
    Smajdor, Anna
    et al.
    University of Oslo.
    Cutas, Daniela
    Umeå universitet, Humanistiska fakulteten, Institutionen för idé- och samhällsstudier. Department of Philosophy, Linguistics and Theory of Science, University of Gothenburg, Gothenburg, Sweden.
    Takala, Tuija
    University of Helsinki.
    Artificial gametes, the unnatural and the artefactual2018Inngår i: Journal of Medical Ethics, ISSN 0306-6800, E-ISSN 1473-4257, Vol. 44, nr 6, s. 404-408Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    In debates on the ethics of artificial gametes, concepts of naturalness have been used in a number of different ways. Some have argued that the unnaturalness of artificial gametes means that it is unacceptable to use them in fertility treatments. Others have suggested that artificial gametes are no less natural than many other tissues or processes in common medical use. We suggest that establishing the naturalness or unnaturalness of artificial gametes is unlikely to provide easy answers as to the acceptability of using them in fertility medicine. However, we also suggest that we should be cautious about repudiating any relationship between nature and moral evaluation. The property of being natural or man-made may not per se tell us anything about an entity’s moral status, but it has an important impact on the moral relationship between the creator and the created organism.

  • 49. Smajdor, Anna
    et al.
    Cutas, Daniela
    Umeå universitet, Humanistiska fakulteten, Institutionen för idé- och samhällsstudier.
    Takala, Tuija
    Transgressing nature?: Ethics and artificial gametes2018Annet (Annet (populærvitenskap, debatt, mm))
  • 50.
    Wall, Stig
    et al.
    Umeå universitet, Medicinska fakulteten, Institutionen för folkhälsa och klinisk medicin, Epidemiologi och global hälsa.
    Byass, Peter
    Umeå universitet, Medicinska fakulteten, Institutionen för folkhälsa och klinisk medicin, Epidemiologi och global hälsa.
    Bindslev, Anne
    Sutton, Caroline
    Supplements used to advantage2010Inngår i: Global Health Action, ISSN 1654-9716, E-ISSN 1654-9880, Global health action, ISSN 1654-9880, Vol. 3, s. Article nr 5166-Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    A recent (January 2010) editorial in The Lancet addressing the “perils of journal and supplement publishing” states in no unclear terms that the publishing of commercially sponsored supplements is “firmly off the agenda” for The Lancet. The editorial notes that although supplements and custom publications are an established element in journal publishing, supplemental material “is usually much inferior to that of any parent title” and is generally problematic for editors and reviewers. On this note, The Lancet goes on to identify examples of commercial supplement publications that support this view, including a recent example that had fallen into their own hands.

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