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Patients in a minimally conscious state (MCS) demonstrate behaviors suggestive of consciousness episodically and intermittently, and because these behavioral signs are not reproducible, diagnostic errors can be quite high, says Joseph J. Fins, MD, MACP, the E. William Davis, Jr., MD, Professor of Medical Ethics and chief of the Division of Medical Ethics at Weill Cornell Medical College.
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Can functional neuroimaging, which is currently used largely in the research setting, be used as a clinically actionable tool for disorders of consciousness? This is an important and a loaded topic, says Judy Illes, PhD, FRSC, FCAHS, Canada Research Chair in Neuroethics and professor of neurology at the University of British Columbia in Vancouver, Canada.
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The longstanding ethical framework for protecting human volunteers in medical research needs to be replaced because it is outdated and can impede efforts to improve health care quality, according to a Hastings Center Report special report, Ethical Oversight of Learning Health Care Systems.1
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Balancing the therapeutic needs of very sick patients with the demands of rigorous scientific research is a major ethical challenge in stem cell research, according to Mary Devereaux, PhD, director of the biomedical ethics seminars and assistant director of the Research Ethics Program at the University of California, San Diego (UCSD).
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