Neuroprognostication after severe brain injury in children: Science fiction or plausible reality?

2017 ◽  
Author(s):  
Sarah S. Welsh ◽  
Geneviève Dupont-Thibodeau ◽  
Matthew P. Kirschen
Keyword(s):  
Brain Injury ◽  
Science Fiction ◽  
Ethical Decision ◽  
Outcome Prediction ◽  
Ethical Decision Making ◽  
Severe Brain Injury ◽  
Neurologic Recovery ◽  
Complex Process ◽  
Novel Applications ◽  
Over Time

Neuroprognostication is a complex process that spans the resuscitative, acute, and subacute phases of brain injury and recovery. Improvements over time have transitioned the task of outcome prediction after severe brain injury from estimating survival to providing a qualitative prognosis of functional neurologic recovery. This chapter follows the case of an 8-year-old boy who remained comatose following a cardiac arrest due to drowning. We describe and analyze novel applications of current technologies that could be used in the future to improve the accuracy, reliability, and confidence in the neuroprognostication process for physicians and families that are at the heart of ethical decision-making in medicine.

Stand Where You Stand on Omelas

2019 ◽  
Vol 19 (1) ◽  
pp. 63-70
Author(s):  
Olivia Burgess ◽  
Keyword(s):  
Science Fiction ◽  
Short Story ◽  
Ethical Decision ◽  
Ethical Decision Making ◽  
Lesson Plan ◽  
First Year ◽  
Colorado School ◽  
First Year Composition ◽  
Ethics Course ◽  
Academic Recognition

Science fiction is gaining academic recognition as a tool for teaching ethics and engaging potentially resistant students in communication and critical thinking, but there are not many lesson plans available for how to implement science fiction in the classroom. I hope to address that gap by sharing a successful lesson plan I developed while teaching a first-year composition and ethics course at the Colorado School of Mines. “Stand Where You Stand on Omelas” combines writing, communication, and ethical decision making by asking students to defend what they would do as a citizen in Ursula K. Le Guin’s short story, “The Ones Who Walk Away from Omelas,” where a young child’s torment ensures the prosperity and happiness of society as a whole.

scholarly journals Factors Influencing Ethical Decision-Making of Professional Accountants in Malaysia.

2018 ◽  
pp. 894-903
Author(s):  
Mohd Hafizuddin Shah Ismail ◽  
Hilwani Hariri ◽  
Razinah Hassan
Keyword(s):  
Decision Making ◽  
Ethical Decision ◽  
Ethical Decision Making ◽  
Ethical Issues ◽  
Positive Influence ◽  
Accounting Profession ◽  
Professional Qualification ◽  
Complex Process ◽  
Two Factors ◽  
Accounting Practitioners

Numerous incidences of unethical behaviours of accountant has been reported globally in the recent years have left significant impact to the accounting profession. These incidences raised concern of accountants’ ethical decision making. In the accounting profession, ethical decision making is a complex process partly due to accountants’ fiduciary obligatios to their clients, as well as protecting public interests.The objective of this study is to examine the effect of demographic factors (gender, age, professional qualification) and ethical ideology, on ethical decision making of accounting practitioners. A survey questionnaire comprises of Ethical Position Questionnaire and two ethical dilemma vignettes was distributed and 125 responds were analysed.Statistical analyses found that age and professional qualifications have significant positive influence on ethical decision making of practitioner accountants, suggesting that these two factors influence accountants to be stricter when confronting with ethical issues. Furthermore, this study also found that idealism as significantly influence ethical decision making of practitioner accountant in Malaysia. As a conclusion, age, professional qualification and idealism have influence on an accountant’s ethical decision-making in Malaysia.

Evaluation of changes in motor and visual functional activation over time following moderate-to-severe brain injury

Brain Injury ◽  
2007 ◽  
Vol 21 (11) ◽  
pp. 1155-1163 ◽  
Author(s):  
Tanja M. Mani ◽  
L. Stephen Miller ◽  
Nathan Yanasak ◽  
Stephen Macciocchi
Keyword(s):  
Brain Injury ◽  
Severe Brain Injury ◽  
Over Time

scholarly journals Characterization of Death in Neonatal Encephalopathy in the Hypothermia Era

2016 ◽  
Vol 32 (4) ◽  
pp. 360-365 ◽  
Author(s):  
Monica E. Lemmon ◽  
Renee D. Boss ◽  
Sonia L. Bonifacio ◽  
Audrey Foster-Barber ◽  
A. James Barkovich ◽  
...  
Keyword(s):  
Brain Injury ◽  
Therapeutic Hypothermia ◽  
Magnetic Resonance Images ◽  
Time Of Death ◽  
Severe Brain Injury ◽  
Neonatal Encephalopathy ◽  
Total Brain ◽  
Over Time

This study aimed to characterize the circumstances of death in encephalopathic neonates treated with therapeutic hypothermia. Patients who died after or during treatment with therapeutic hypothermia between 2007-2014 were identified. Patient circumstance of death was characterized using an established paradigm. Thirty-one of 229 patients died (14%) at a median of 3 days of life. Most who died were severely encephalopathic on examination (90%) and had severely abnormal electroencephalographic (EEG) findings (87%). All those who had magnetic resonance images (n = 13) had evidence of moderate-severe brain injury; 6 had near-total brain injury. Cooling was discontinued prematurely in 61% of patients. Most patients (90%) were physiologically stable at the time of death; 81% died following elective extubation for quality of life considerations. Three patients (10%) died following withholding or removal of artificial hydration and nutrition. Characterization of death in additional cohorts is needed to identify differences in decision making practices over time and between centers.

scholarly journals Factors Influencing Ethical Decision-Making of Professional Accountants in Malaysia

2019 ◽  
pp. 27-36
Author(s):  
Mohd Hafizuddin Shah Ismail ◽  
Hilwani Hariri ◽  
Razinah Hassan
Keyword(s):  
Decision Making ◽  
Ethical Decision ◽  
Ethical Decision Making ◽  
Ethical Issues ◽  
Positive Influence ◽  
Accounting Profession ◽  
Professional Qualification ◽  
Complex Process ◽  
Two Factors ◽  
Accounting Practitioners

Numerous incidences of unethical behaviours of accountant has been reported globally in the recent years have left significant impact to the accounting profession. These incidences raised concern of accountants’ ethical decision making. In the accounting profession, ethical decision making is a complex process partly due to accountants’ fiduciary obligatios to their clients, as well as protecting public interests.The objective of this study is to examine the effect of demographic factors (gender, age, professional qualification) and ethical ideology, on ethical decision making of accounting practitioners. A survey questionnaire comprises of Ethical Position Questionnaire and two ethical dilemma vignettes was distributed and 125 responds were analysed.Statistical analyses found that age and professional qualifications have significant positive influence on ethical decision making of practitioner accountants, suggesting that these two factors influence accountants to be stricter when confronting with ethical issues. Furthermore, this study also found that idealism as significantly influence ethical decision making of practitioner accountant in Malaysia. As a conclusion, age, professional qualification and idealism have influence on an accountant’s ethical decision-making in Malaysia.

Confronting the grey zone after severe brain injury

2019 ◽  
Vol 3 (6) ◽  
pp. 707-711 ◽  
Author(s):  
Andrew Peterson ◽  
Adrian M. Owen
Keyword(s):  
Brain Injury ◽  
Ethical Issues ◽  
Vegetative State ◽  
Clinical Care ◽  
Grey Zone ◽  
Severe Brain Injury ◽  
New Methods ◽  
Legal Decision Making ◽  
Technological Developments ◽  
The Brain

In recent years, rapid technological developments in the field of neuroimaging have provided several new methods for revealing thoughts, actions and intentions based solely on the pattern of activity that is observed in the brain. In specialized centres, these methods are now being employed routinely to assess residual cognition, detect consciousness and even communicate with some behaviorally non-responsive patients who clinically appear to be comatose or in a vegetative state. In this article, we consider some of the ethical issues raised by these developments and the profound implications they have for clinical care, diagnosis, prognosis and medical-legal decision-making after severe brain injury.

The psychologist’s role in ethical decision making: Adolescent bariatric surgery.

2015 ◽  
Vol 3 (4) ◽  
pp. 359-364 ◽  
Author(s):  
Karin L. Price ◽  
Margaret E. Lee ◽  
Gia A. Washington ◽  
Mary L. Brandt
Keyword(s):  
Bariatric Surgery ◽  
Decision Making ◽  
Ethical Decision ◽  
Ethical Decision Making ◽  
Adolescent Bariatric Surgery

The Challenge of Ethical Decision-Making

1992 ◽  
Author(s):  
Michael C. Gottlieb ◽  
◽  
Jack R. Sibley
Keyword(s):  
Decision Making ◽  
Ethical Decision ◽  
Ethical Decision Making
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