• full

You are viewing all posts

How to Develop New Antibiotics

THE bacteria are winning. Every year, according to the Centers for Disease Control and Prevention, at least two million people are infected with bacteria that can’t be wiped out with antibiotics, and as a result, 23,000 people die. Direct health care costs from these illnesses are estimated to be as…

The risk of knowing: Alzheimer's research volunteers

Jason Karlawish, a Penn physician who is leading the psychological study, said people often join trials like this because they have seen what Alzheimer's does up close and want to help, even if they may not benefit. His pitch: "Do you want to be a partner with me to achieve the…

Wearable Devices as Facilitators, Not Drivers, of Health Behavior Change

Several large technology companies including Apple, Google, and Samsung are entering the expanding market of population health with the introduction of wearable devices. This technology, worn in clothing or accessories, is part of a larger movement often referred to as the “quantified self.” The notion is that by recording and reporting…

Many Breast Cancer Patients Receive Unnecessarily Long Courses of Radiation

A study published in JAMA authored by researchers Justin Bekelman and Zeke Emanuel found that two-thirds of women treated for early-stage breast cancer in the U.S. receive longer radiation therapy than necessary. The vast majority of women who undergo lumpectomies receive six to seven weeks of radiation therapy, despite multiple randomized…

Dr. Connie Ulrich Awarded Grant from the National Cancer Institute

Dr. Connie Ulrich received a 5 year, $2,038,959 grant from the National Cancer Institute for her 1R01CA196131 award entitled:  " Retention in Cancer Clinical Trials: Modeling Patients' Risk Benefit Assessments”.  Dr. Ulrich’s study will use an innovative mixed methods approach and mathematical 3-D perceptual mapping (multidimensional scaling) to examine how patient-participants conceptualize…

How old is too old? Two ethicists debate quality of life as we age

How is this for a headline sure to catch your attention: "Why I hope to Die at 75." It was the title of an opinion piece written earlier this year for The Atlantic by Zeke Emanuel, chair of the Department of Medical Ethics and Health Policy at the University…

Ebola quarantines: nurses' perspective

American nurses and physicians have a long history of volunteering their time and talent during times of natural disasters, epidemics or other world calamities. International relief plays a significant role in providing first aid on the ground, making sure that those in need receive immediate medical care, education, or other resources.…

Genetic counseling model for informed consent in the era of multiplex testing for cancer susceptibility

Multiplex genetic testing, including both moderate- and high-penetrance genes for cancer susceptibility, is associated with greater uncertainty than traditional testing, presenting challenges to informed consent and genetic counseling. We sought to develop a new model for informed consent and genetic counseling for four ongoing studies.Read Article

The U.S. Military Mission Against Ebola

Military health-care forces under Africom, the United States Africa Command, have been deployed to assist Guinea, Liberia and Sierra Leone in setting up preventive health services and treatment centers for the Ebola epidemic. The mission of the U.S. military, charged with defending our country’s national security, sometimes includes responding to epidemics…

Issues continue to dog the testing of Ebola drugs and vaccines

At a U.S. congressional hearing today that examined the country’s public health response to Ebola, an official from the Food and Drug Administration (FDA) said it’s working to develop “a flexible and innovative protocol” to evaluate experimental treatments for the disease. The fact that no such common protocol already exists speaks…

Connie Ulrich: Listen to nurses who blow the whistle on shoddy Ebola care

Nurses often know the ethically correct course of action but cannot carry it out because of administrative fear of retaliation or other constraints. This is called moral distress, and nurses want to leave their jobs because of it.Read Letter

Mark Attiah: The New Diversity in Medical Education

During my pediatrics rotation, the mother of a patient waited until the attending physician had left the room before she lowered her voice, smiled, and asked, “Are you wearing your hoodie for Trayvon?” She didn't know what city I was from, what faith I belonged to, or what tax bracket I…

Internet-Based Learning Module and Small-Group Debriefing on Trainees' Skills with Patients with Substance Use Disorders

Purpose: To examine whether an Internet-based learning module and small-group debriefing can improve medical trainees' attitudes and communication skills toward patients with substance use disorders (SUDs). Method: In 2011-2012, 129 internal and family medicine residents and 370 medical students at two medical schools participated in a cluster randomized controlled trial, which…

The First Couples Therapy, Starring Joan Crawford

Put the Queen of Hollywood together with the King of New York and what do you get? An intensely troubled marriage.  Add an innovative psychiatrist and the result is what seems to be the first recorded case of couples therapy. That was the challenge my dad, the psychodrama founder J.L. Moreno,…

Ezekiel Emanuel and why he wants to die at 75, Radio Times WHYY

In a provocative article in The Atlantic, bioethicist EZEKIEL EMANUEL writes that it’s okay with him if he dies at age 75. He says that after 75, the quality of life begins to diminish and by then he will have lived a complete life – he will have loved, been loved,…

Applied Ethics in Mental Health Care: An Interdisciplinary Reader

This book discusses some of the most critical ethical issues in mental health care today, including the moral dimensions of addiction, patient autonomy and compulsory treatment, privacy and confidentiality, and the definition of mental illness itself. Although debates over these issues are ongoing, there are few comprehensive resources for addressing such…

Karlawish: Too Young to Die, Too Old to Worry

THIS weekend, the singer and songwriter Leonard Cohen is celebrating his 80th birthday — with a cigarette. Last year he announced that he would resume smoking when he turned 80. “It’s the right age to recommence,” he explained. At any age, taking up smoking is not sensible. Both the smoker and…

Why I Hope to Die at 75

Seventy-five. That’s how long I want to live: 75 years. This preference drives my daughters crazy. It drives my brothers crazy. My loving friends think I am crazy. They think that I can’t mean what I say; that I haven’t thought clearly about this, because there is so much in the…

Evaluating Novel Therapies During the Ebola Epidemic

The Ebola hemorrhagic fever outbreak in West Africa poses acute and novel challenges for health policy and research ethics. Faced with an exceptionally virulent infectious agent, limited resources, and danger to health workers, local and international authorities struggle to deploy proven public health techniques that can limit the spread of the…

Ethical considerations of experimental interventions in the Ebola outbreak

The outbreak of Ebola virus raging in west Africa is special in two respects. First, with more than 2100 infections and 1100 deaths, it has already become the most severe and largest documented Ebola outbreak. It is also occurring in some of the world's least developed countries, and is therefore extremely…