A5071124716- Neuroethics, Human Enhancement, Biomedical Innovations
- Ethics in medical practice
- Mental Health and Psychiatry
- Ethics in Clinical Research
- Health Systems, Economic Evaluations, Quality of Life
- Psychology of Moral and Emotional Judgment
- Dementia and Cognitive Impairment Research
- Palliative Care and End-of-Life Issues
- Patient Dignity and Privacy
- Neurological disorders and treatments
- Healthcare cost, quality, practices
- Biomedical Ethics and Regulation
- Patient-Provider Communication in Healthcare
- BRCA gene mutations in cancer
- Ethics and Legal Issues in Pediatric Healthcare
- Empathy and Medical Education
- Reproductive Health and Technologies
- Obesity and Health Practices
- Pragmatism in Philosophy and Education
- Space Science and Extraterrestrial Life
- Health Promotion and Cardiovascular Prevention
- Autism Spectrum Disorder Research
- Alzheimer's disease research and treatments
- Healthcare innovation and challenges
- Science, Research, and Medicine
Erasmus University Rotterdam
2016-2025
Erasmus MC
2015-2024
Amsterdam UMC Location Vrije Universiteit Amsterdam
2021
Rotterdam University of Applied Sciences
2007
Praxis
2006
University of Amsterdam
2002-2004
Wageningen University & Research
2004
University of Twente
2004
Deep brain stimulation (DBS) is currently used to treat neurological disorders like Parkinson's disease (PD), essential tremor and dystonia, explored as an experimental treatment for psychiatric Major Depression (MD) Obsessive Compulsive Disorder (OCD). This mini review discusses ethical issues in DBS research, they have been discussed the medical literature. With regard treatment, most important are balancing risks benefits ensuring respect autonomous wish of patient. implies special...
Background: The practice of euthanasia and physician-assisted suicide (PAS) in the Netherlands has been regulated since 2002 by Euthanasia Act. In ongoing debate about interpretation this Act, comparative information opinions different stakeholders is needed. Aim: To evaluate Dutch physicians, nurses general public on legal requirements for PAS. Design: A cross-sectional survey among physicians primary secondary care members public, followed qualitative interviews selected respondents....
In recent years, developments in genomics technologies have led to the rise of commercial personal genome testing (PGT): broad genome-wide for multiple diseases simultaneously. While some providers require physicians order a test, others can be accessed directly. All advertise directly consumers and offer genetic risk information about dozens one single purchase. The quantity complexity pose challenges adequate pre-test post-test provision informed consent. There are currently no guidelines...
In ethical and regulatory discussions on new applications of genomic testing technologies, the notion 'personal utility' has been mentioned repeatedly. It used to justify direct access commercially offered or feedback individual research results biobank participants. Sometimes participants consumers claim a right information with an appeal personal utility. As yet, no systematic account umbrella utility given. This paper offers definition that places it in middle spectrum between clinical...
The concept of digital twins has great potential for transforming the existing health care system by making it more personalized. As a convergence care, artificial intelligence, and information communication technologies, personalized services that are developed under raise myriad ethical issues. Although some issues known to researchers working on medicine, currently, there is no comprehensive review maps major risks services.This study aims fill research gap identifying services. We first...
Neither traditional philosophy nor current applied ethics seem able to cope adequately with the highly dynamic character of our modern technological culture. This is because they have insufficient insight into moral significance artifacts and systems. Here, much can be learned from recent science technology studies (STS). They opened up black box developments revealed intimate intertwinement society in minute detail. However, while characterized by a certain "technology blindness," most...
The hopes and fears expressed in the debate on human enhancement are not always based a realistic assessment of expected possibilities. Discussions about extreme scenarios may at times obscure ethical policy issues that relevant today. This paper aims to contribute an adequate ethically sound societal response actual current developments. After brief outline concerning neuro-enhancement, it describes state art psychopharmacological science uses enhancement, as well prospects for near future....
One frequently used argument in the discussion on human enhancement is that a form of cheating. This well-known relation to doping sports, but recently it has also been with regard cognitive context education and exams. paper analyses enhancement-is-cheating by comparing sports education, evaluating how can be interpreted both contexts. If cheating understood as breaking rules order gain an unfair advantage over others, argued some enhancements are problem is, however, relatively easy remedy...
Abstract In the hope of future treatments to prevent or slow down disease, there is a strong movement towards an ever‐earlier detection Alzheimer’s disease (AD). conjunction with scientific developments, this has prompted reconceptualization AD, as slowly progressive pathological process long asymptomatic phase. New concepts such ‘preclinical’ and ‘prodromal’ AD have been introduced, raising number conceptual ethical questions. We evaluate whether these new are theoretically defensible, in...
Background: Patients with cancer often have to make complex decisions about treatment, the options varying in risk profiles and effects on survival quality of life. Moreover, inefficient care paths it hard for patients participate shared decision-making. Data-driven decision-support tools potential empower patients, support personalized care, improve health outcomes promote equity. However, currently seldom consider life or individual preferences, their use clinical practice remains limited,...
In The Netherlands, physicians have to be convinced that the patient suffers unbearably and hopelessly before granting a request for euthanasia. extent which general practitioners (GPs), consulted members of euthanasia review committees judge this criterion similarly was evaluated.300 GPs, 150 consultants 27 were sent questionnaire with descriptions. Besides "standard case" physical suffering limited life expectancy, descriptions included cases in mainly rooted psychosocial or existential...
Abstract Alzheimer’s Disease (AD) provides an excellent case study to investigate emerging conceptions of health, disease, pre-disease, and risk. Two scientific working groups have recently reconceptualized AD created a new category asymptomatic biomarker positive persons, who are either said preclinical AD, or be at risk for AD. This article examines how prominent theories health disease would classify this condition: healthy diseased? Next, the notion being “at risk”—a state somewhere...
ABSTRACT Lies and deception are often used in the care for demented elderly with best intentions. However, there is a strong moral presumption against all forms of lying deceiving. The goal this article to examine evaluate concrete examples lies dementia care, while addressing some fundamental issues process. It argued that because slowly diminishes capacities one needs distinguish between truths falsehoods, ability be lied also disappears. When reasons reject explored, it becomes clear most...
Brain-machine interfaces are a growing field of research and application. The increasing possibilities to connect the human brain electronic devices computer software can be put use in medicine, military, entertainment. Concrete technologies include cochlear implants, Deep Brain Stimulation, neurofeedback neuroprosthesis. expectations for near further future high, though it is difficult separate hope from hype. focus this paper on effects that these new may have our 'symbolic order'—on ways...
Telecare, the provision of care through remote interaction enabled by information and communication technology, is quickly developing. Integration with other technological developments to be expected will create systems that enable more intense, continuous unobtrusive monitoring health, personalised feedback instructions. One goals telecare enhancing independence self-management patients. In this article three degrees are described a distinction made between compliant concordant forms...
Abstract At the height of COVID-19 crisis in Netherlands a shortness intensive care beds was looming. Dutch professional medical organizations asked group ethicists for assistance drafting guidelines and criteria selection patients (IC) treatment case absolute scarcity, when would no longer suffice. This article describes context, process advice reflects on role lessons learned. We argue that timely interaction between clinical ethical expertise is necessary since distinction non-medical...
Deep Brain Stimulation (DBS) is a treatment involving the implantation of electrodes into brain. Presently, it used for neurological disorders like Parkinson’s disease, but indications are expanding to psychiatric such as depression, addiction and Obsessive Compulsive Disorder (OCD). Theoretically, may be possible use DBS enhancement various mental functions. This article discusses case an OCD patient who felt very happy with treatment, even though her symptoms were not reduced. First,...