Rationing of Antibiotics in the Critically Ill: Not if, but How?

Guest Post: Simon Oczkowski Paper: Antimicrobial stewardship programmes: bedside rationing by another name?  The threat posed by antimicrobial resistant organisms (AROs) has long been recognized by the medical community as an emerging problem in public health. Though slow and insidious changes in the ability of bacteria, fungi, parasites, and viruses have real and profound effects on patients around […]

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Response to ‘A Matter of Life and Death: Controversy at the Interface Between Clinical and Legal Decision-Making in Prolonged Disorders of Consciousness’

Guest Post: Julian Sheather, British Medical Association Response to: A matter of life and death: controversy at the interface between clinical and legal decision-making in prolonged disorders of consciousness (also available as a blog summary) The law has to work in generalities. The prohibitions it imposes and the liberties it describes are set for all of […]

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How to Keep HIV Cure-Related Trials Ethical: The Benefit/Risk Ratio Challenge

Guest Post by Nir Eyal Re: Special Issue of the Journal of Medical Ethics on the ethics and challenges of an HIV cure For most patients with HIV who have access to antiretroviral treatment and use it properly, that treatment works well. But the holy grail of HIV research remains finding a cure. Sometimes that […]

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Harm: Could It Sometimes Be a Good Thing?

Guest Post: Patrick Sullivan Response: Hanna Pickard and Steve Pearce, Balancing costs and benefits: a clinical perspective does not support a harm minimization approach for self-injury outside of community settings BBC news recently reported on the approval of plans for facilities to support self-injection rooms to allow drug users to inject safely under supervision in Glasgow. […]

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Balancing Costs and Benefits: A Clinical Perspective Does not Support a Harm Minimization Approach for Self-injury Outside of Community Settings

Guest Post: Hanna Pickard and Steve Pearce Responding to: Harm may sometimes be a good thing? Patrick Sullivan Sullivan’s emphasis on the importance of supporting autonomy and independence among vulnerable people who self-injure is fundamental to good clinical practice. This is why some forms of harm minimization, such as encouraging reflection, responsibility, safe cutting and where appropriate […]

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Combating Doping in Sports: More of the Same or What?

Guest Post: Bengt Kayser and Jan Tolleneer Paper: Ethics of a relaxed antidoping rule accompanied by harm-reduction measures Doping in sports continues to be prominently present in the media. Regularly ’scandals’ surface that then trigger flurries of articles, documentaries and reactions in the media. The general tone is one of moral opprobrium, dopers are considered deviant […]

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HIV Cure Research and The Dual Aims of the Informed Consent Process

Guest Post: Danielle Bromwich and Joseph Millum Paper: Informed Consent to HIV Research  Special Issue: The benefit/risk ratio challenge in clinical research, and the case of HIV cure A cure for HIV would be tremendously valuable. Approximately 37 million people worldwide are HIV-positive and 15 million are currently on antiretroviral therapy. Until recently it was assumed […]

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Politicians, Delusional Managers and the Future of the NHS: Have NHS Leaders Failed to “Speak Truth unto Power”?

Guest Post by David Lock QC [NB: This is a slightly longer version of a post that appeared on the BMJ blog earlier today.] Politicians, delusional managers and the future of the NHS:  have NHS leaders failed to “speak truth unto power”? This blog is not a rant – well not too much of a […]

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