Ethical Issues in Neonatal Intensive Care

Author(s):  
Alan R. Fleischman

This chapter begins with a brief history of how healthcare decisions have been made for critically ill newborns since the 1960s. Through case examples, it describes the ethical concerns and examines analytic approaches that help clinicians and parents make hard choices for their critically ill and dying newborns. The principle of “best interests” is examined and its utility and limitations described. The use of infant bioethics committees and consultants is described with examples of how they work. The chapter also covers the important role of government neonatal decision making including the President’s Commission for the Study of Ethical Problems in Medicine and Biomedical and Behavioral Research, the Child Abuse Prevention and Treatment Act Amendments of 1984, and the Baby Doe Rules.

1987 ◽  
Vol 9 (3) ◽  
pp. 89-94
Author(s):  
William B. Weil

Some of the difficulties of obtaining surrogate decisions that are in the children's best interests, the extension of this problem to the newborn period, and the political and social derivatives of these difficulties have been reviewed. The 1984 child abuse and neglect amendments have been summarized and their impact on the care of newborns has been discussed. The outcomes of this entire process have been described and the potential extension of these issues to the prenatal period has been mentioned. Although not everything that has transpired or will transpire as the result of the Baby Doe issue is salutary, it seems likely that the care of newborn infants has changed and will continue to change, and these changes will ultimately impact on medical care for everyone.


2011 ◽  
Vol 1 ◽  
pp. 9-34 ◽  
Author(s):  
Marta Kurkowska-Budzan

The article presents main trends that have been present in oral history of Anglo-Saxon, German and Polish cultures since the 1960s till today. The thesis of the article is comprised in the text’s structure: an account of the history and methodological variety of oral history in terms of definitions given – now or in the past – to a person being interviewed. According to the author, these definitions reflect epistemological horizons of researchers’ expectations, the ethical aspects of their research subject choices and ethical status of oral history in contemporary culture.“Informer” is a term taken from sociology. It is typical for the days when oral history tried to become part of the modernist paradigm dominant in the 1960s and 70s. A crisis in epistemology in 1980s shifted the scientific interest to linguistic aspect of cognition, introducing the term “narrator” to oral history. The author discusses two trends in which this word appears along with a category of “experience”: a German biographical method which was popular also in Poland, and a method of research formulated under the influence of Alessandro Portelli, in which the main role is played by relations between a narrator/speaker and a historian. On the other hand, the concept of “a witness to history”, predominant in Polish oral history, represents specific epistemological and ethical paradoxes which have their origins in circumstances, in which this domain of “civic historiography” was born. Finally, the author focuses on ethical issues of conducting an interview, and a problem of transcribing and editing an oral narrative.


Author(s):  
Jeffrey R. Botkin

Many new parents have little awareness of the battery of screening tests that are routinely conducted on newborns in the United States and the developed world. Newborn screening, one of the most significant achievements in public health over the past 50 years, invites ongoing debate over a number of ethical and legal issues that have been part of the newborn screening landscape since the inception of the programs in the 1960s. This chapter reviews the history of newborn screening, outlines some of the key ethical and legal issues raised by these programs, and offers a prediction about how new technology may change these systems over the next few decades.


2000 ◽  
Vol 27 (2) ◽  
pp. 261-268
Author(s):  
R. J. CLEEVELY

A note dealing with the history of the Hawkins Papers, including the material relating to John Hawkins (1761–1841) presented to the West Sussex Record Office in the 1960s, recently transferred to the Cornwall County Record Office, Truro, in order to be consolidated with the major part of the Hawkins archive held there. Reference lists to the correspondence of Sibthorp-Hawkins, Hawkins-Sibthorp, and Hawkins to his mother mentioned in The Flora Graeca story (Lack, 1999) are provided.


1998 ◽  
Vol 25 (2) ◽  
pp. 283-291
Author(s):  
P.S.M. PHIRI ◽  
D.M. MOORE

Central Africa remained botanically unknown to the outside world up to the end of the eighteenth century. This paper provides a historical account of plant explorations in the Luangwa Valley. The first plant specimens were collected in 1897 and the last serious botanical explorations were made in 1993. During this period there have been 58 plant collectors in the Luangwa Valley with peak activity recorded in the 1960s. In 1989 1,348 species of vascular plants were described in the Luangwa Valley. More botanical collecting is needed with a view to finding new plant taxa, and also to provide a satisfactory basis for applied disciplines such as ecology, phytogeography, conservation and environmental impact assessment.


2014 ◽  
Vol 5 (1) ◽  
Author(s):  
Andrew Pickering

"Instead of considering »being with« in terms of non-problematic, machine-like places, where reliable entities assemble in stable relationships, STS conjures up a world where the achievement of chancy stabilisations and synchronisations is local.We have to analyse how and where a certain regularity and predictability in the intersection of scientists and their instruments, say, or of human individuals and groups, is produced.The paper reviews models of emergence drawn from the history of cybernetics—the canonical »black box,« homeostats, and cellular automata—to enrich our imagination of the stabilisation process, and discusses the concept of »variety« as a way of clarifying its difficulty, with the antiuniversities of the 1960s and the Occupy movement as examples. Failures of »being with« are expectable. In conclusion, the paper reviews approaches to collective decision-making that reduce variety without imposing a neoliberal hierarchy. "


Author(s):  
Timur Gimadeev

The article deals with the history of celebrating the Liberation Day in Czechoslovakia organised by the state. Various aspects of the history of the holiday have been considered with the extensive use of audiovisual documents (materials from Czechoslovak newsreels and TV archives), which allowed for a detailed analysis of the propaganda representation of the holiday. As a result, it has been possible to identify the main stages of the historical evolution of the celebrations of Liberation Day, to discover the close interdependence between these stages and the country’s political development. The establishment of the holiday itself — its concept and the military parade as the main ritual — took place in the first post-war years, simultaneously with the consolidation of the Communist regime in Czechoslovakia. Later, until the end of the 1960s, the celebrations gradually evolved along the political regime, acquiring new ritual forms (ceremonial meetings, and “guards of memory”). In 1968, at the same time as there was an attempt to rethink the entire socialist regime and the historical experience connected with it, an attempt was made to reconstruct Liberation Day. However, political “normalisation” led to the normalisation of the celebration itself, which played an important role in legitimising the Soviet presence in the country. At this stage, the role of ceremonial meetings and “guards of memory” increased, while inventions released in time for 9 May appeared and “May TV” was specially produced. The fall of the Communist regime in 1989 led to the fall of the concept of Liberation Day on 9 May, resulting in changes of the title, date and paradigm of the holiday, which became Victory Day and has been since celebrated on 8 May.


Transfers ◽  
2013 ◽  
Vol 3 (2) ◽  
pp. 24-46 ◽  
Author(s):  
Franziska Torma

This article deals with the history of underwater film and the role that increased mobility plays in the exploration of nature. Drawing on research on the exploration of the ocean, it analyzes the production of popular images of the sea. The entry of humans into the depths of the oceans in the twentieth century did not revitalize myths of mermaids but rather retold oceanic myths in a modern fashion. Three stages stand out in this evolution of diving mobility. In the 1920s and 1930s, scenes of divers walking under water were the dominant motif. From the 1940s to the 1960s, use of autonomous diving equipment led to a modern incarnation of the “mermen“ myth. From the 1950s to the 1970s, cinematic technology was able to create visions of entire oceanic ecosystems. Underwater films contributed to the period of machine-age exploration in a very particular way: they made virtual voyages of the ocean possible and thus helped to shape the current understanding of the oceans as part of Planet Earth.


2003 ◽  
Vol 1 (1) ◽  
pp. 39-76 ◽  
Author(s):  
Graham Connah ◽  
S.G.H. Daniels

New archaeological research in Borno by the Johann-Wolfgang-Goethe-Universität, Frankfurt am Main, Germany, has included the analysis of pottery excavated from several sites during the 1990s. This important investigation made us search through our old files for a statistical analysis of pottery from the same region, which although completed in 1981 was never published. The material came from approximately one hundred surface collections and seven excavated sites, spread over a wide area, and resulted from fieldwork in the 1960s and 1970s. Although old, the analysis remains relevant because it provides a broad geographical context for the more recent work, as well as a large body of independent data with which the new findings can be compared. It also indicates variations in both time and space that have implications for the human history of the area, hinting at the ongoing potential of broadscale pottery analysis in this part of West Africa and having wider implications of relevance to the study of archaeological pottery elsewhere.


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