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Refusing to refer: thus conscience doth make cowards of us all

Refusing to refer: thus conscience doth make cowards of us all

In the Australian state of Victoria next week a proposal to make abortion legal in certain
circumstances is due to be voted on by the upper house. Some doctors,
as well as the Catholic church, have attacked one clause in that
legislation, as it is said to deny doctors the right to conscientiously
object to abortion. But what is the proper role of the doctor’s
conscience in medical care, and how should it be taken into account
when it conflicts with the conscience of the patient?

Read More »Refusing to refer: thus conscience doth make cowards of us all

Knowledge may be power, but is it healing?

The
explosion of medical information on the internet is a good thing,
right?  Patients worried that their condition
is not being taken seriously, those who want a second opinion but are worried
about upsetting their GP by asking for it, and those with symptoms too trifling
or embarrassing to take to a doctor—all these people who, fifteen years ago, may
have felt at a dead end with the medical profession can now use
the internet to research their conditions from the comfort of their own homes.

Read More »Knowledge may be power, but is it healing?

The price of ignorance: the Durham study and research ethics

Ben Goldacre (who seems to be one of this blog’s favorite
sources) tears into the Durham fish oil trial. A while ago Durham County together with the company Equazen decided
to test whether giving omega-3 supplements would improve the GCSE scores of
children. Unfortunately there were clear problems with the trial design. In the
face of criticism the organisations involved refused to give out information on
the experimental setup and even claimed not to be running it as a trial (despite numerous statements to the
press). GCSE scores did not generally increase. Despite this, now positive results are claimed – largely because what is measured has been changed to suit
the data
. The most vexing thing about the whole affair is that the
trial could have been done in a proper manner for the same amount of money.

Read More »The price of ignorance: the Durham study and research ethics

Publishing Negative Research Results

Ben Goldacre, in the Guardian this weekend, noticed the range of headlines on health and health risks that are to be found in the media. He mentions, among others, the rise of ‘manorexia’, the failure of water to induce weight loss and the dangers of antibiotics to prevent premature birth. I found a couple more: It turns out that dark chocolate can reduce the risk of heart attacks, vegetable rich diets and in particular vegetables like broccoli reduce the chance of heart disease and stroke and turmeric, the spice that makes curries yellow, can reduce the size of hemorrhagic stroke.

It’s quite striking what research is done!

Read More »Publishing Negative Research Results

DON’T PANIC

It has been an extraordinary week in the financial markets of the
world. With the collapse of major international financial institutions,
and governments forced to intervene by propping up ailing insurers or
authorising the merger of banks, newspaper headlines have competed to
convey the scale and significance of the crisis. But there is a
difficult line for newspaper editors and sub-editors to tread
between
accurately reflecting the enormity of the market upheavals, and
contributing to the crisis. Should newspapers be censored, or censor
themselves at times of great market sensitivity or do they have a duty
to their readers to speak the truth?

Read More »DON’T PANIC

Cognitive Science Advice for Republicans and Democrats?

The upcoming US elections have revived the culture wars but so far controversy about science and biotechnology has not taken centre stage, as both candidates support stem cell research. But science is still playing a minor role in the discussion. Writing in the New York Times, the influential conservative pundit David Brooks recently gave advice to his fellow Republicans. In recent years, he argues, they have come to endorse a rampant libertarian individualism and forgotten about the importance of social connections and bonds, once a core conservative value. This form of criticism is old and familiar. What is new is the form it now takes. What is wrong is wrong about the individualist outlook, Brooks argues, is that it is false to human nature, a fact apparently revealed by recent research in cognitive science, neuroscience, genetics, and behavioural economics, which has rediscovered the ‘old truth’—“that we are intensely social creatures, deeply interconnected with one another and the idea of the lone individual rationally and willfully steering his own life course is often an illusion.”

Read More »Cognitive Science Advice for Republicans and Democrats?

I suggest it was Professor Plum, in the library, with the arsenic: the unreliability of brain experience detection

A woman has been convicted in Mumbai for murder, based on a new brain-based experience detection technology. As can be predicted, many regard this as Orwellian while others hope technologies like this could transform the courtroom "as much as DNA evidence has". But there are big problems. The most obvious one is the question of whether the technology actually works, let alone works well enough to be suitable for convicting somebody. The analogy with DNA evidence points at the second big problem: the legal institutions need to learn how to use it well. There are very good reasons for experts in psychology, neuroscience and forensics are troubled by this case.

Read More »I suggest it was Professor Plum, in the library, with the arsenic: the unreliability of brain experience detection

Testing choices: weighing up risks of death and Down syndrome for fetuses

In the Observer yesterday, researchers from a major disability charity
have claimed that the risks of screening for Down syndrome during
pregnancy have been underestimated. The researchers suggest that for
every 3 fetuses with Down syndrome that are detected by screening 2
unaffected fetuses miscarry as a complication of the testing process.
Should screening be stopped? If screening continues how should
prospective parents weigh up this risk?

Read More »Testing choices: weighing up risks of death and Down syndrome for fetuses