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1.
J Med Ethics ; 50(3): 209-211, 2024 Feb 20.
Artigo em Inglês | MEDLINE | ID: mdl-37979974

RESUMO

I have recently offered a defence of human equality, and consequently an argument against abortion. This has been objected to by Bozzo, on the grounds that my account of human equality is unclear and could be grounded in utilitarian or Kantian ethics, that my account struggles to ground the permissibility of therapeutic abortions, and that my proposed foundation for human equality itself is parasitic on a scalar property which generates the same difficulties I am attempting to solve. I provide an account of human equality which cannot easily be grounded in utilitarianism or Kantianism, offer a variety of defences of therapeutic abortion consistent with treating the mother and child equally, and show that even if the value of humanness is ultimately grounded in a scalar quality, my argument succeeds.


Assuntos
Aborto Induzido , Gravidez , Feminino , Criança , Humanos , Dissidências e Disputas , Valor da Vida
2.
Sensors (Basel) ; 24(14)2024 Jul 10.
Artigo em Inglês | MEDLINE | ID: mdl-39065859

RESUMO

Incident flow measurement is key in the tidal industry for conducting power performance assessments. This paper explores the use of a horizontally mounted Nortek Signature 500 Acoustic Doppler Current Profiler (ADCP) as a means for incident flow measurement onboard a utility-scale tidal turbine. This study shows that the measurement range of an ADCP mounted horizontally in highly dynamic tidal flow (up to 4 m/s) is less than the maximum range stated by the manufacturer. The ability for the horizontal ADCP to accurately resolve velocities in a multi-beam configuration is also analysed. Effects from both vertical shear and beam selection result in incident flow velocities that differ from a single horizontal beam recording. The maximum measurement range of the instrument is found to depend on current speed and on the proportion of data loss that is acceptable to the user. The ability of the ADCP to record data from the free-stream velocity two equivalent diameters upstream of the O2, as set out by IEC TS 62600-200, is considered. It is found that at this distance, there is 90% data loss. Accepting only 10% data loss across all flow speeds resulted in a maximum range of 31 m for a Nortek Signature 500 in this study. While some limitations of an ADCP deployed horizontally in highly energetic tidal flow are identified, the benefits of mounting the sensor close to the rotor facing horizontally into the incoming flow mean that valuable data are still produced for tidal turbine operators.

3.
Issues Law Med ; 39(1): 32-49, 2024.
Artigo em Inglês | MEDLINE | ID: mdl-38771713

RESUMO

The U.S. FDA has permanently removed the in-person prescribing requirements that previously safeguarded the use of mifepristone/misoprostol medical abortions, allowing prescribing through telemedicine or on-line ordering and distribution through the mail and pharmacies, without standard pre-abortion testing. This will increase the risk of complications due to failure to adequately determine the gestational age or rule out ectopic pregnancy by ultrasound or physical exam, failure to perform labs to document whether RhoGAM is indicated, and failure to obtain appropriate informed consent to prevent unwanted abortions, among other concerns. The FDA justified this action by referencing flawed studies with significantly undercounted complications. The details of these study deficiencies are examined in this paper.


Assuntos
Aborto Induzido , Misoprostol , United States Food and Drug Administration , Estados Unidos , Humanos , Gravidez , Aborto Induzido/legislação & jurisprudência , Feminino , Misoprostol/administração & dosagem , Mifepristona/administração & dosagem
4.
J Med Ethics ; 49(8): 569-572, 2023 08.
Artigo em Inglês | MEDLINE | ID: mdl-36384892

RESUMO

In this paper, I argue that a commitment to a very modest form of egalitarianism-equality between non-disabled human adults-implies fetal personhood. Since the most plausible bases for human value are in being human, or in a gradated property, and since the latter of which implies an inequality between non-disabled adult humans, I conclude that the most plausible basis for human equality is in being human-an attribute which fetuses have.


Assuntos
Aborto Induzido , Início da Vida Humana , Gravidez , Feminino , Adulto , Humanos , Valor da Vida , Pessoalidade , Feto , Obrigações Morais
5.
J Med Ethics ; 2023 Aug 22.
Artigo em Inglês | MEDLINE | ID: mdl-37607806

RESUMO

In a recent article, I argued that all humans are morally equal, and that this generates an argument against abortion. Here, I defend my argument against two objections from Räsänen: that it is possible to ground equal human value in the ability to flourish in a particular kind of way, and that being human is not, in fact, a binary property in the way needed for the argument to work. I show that this proposed criterion for grounding human value falls prey to my original argument, and that Räsänen's attempt to conceive of subhuman entities fails.

6.
J Med Philos ; 48(3): 225-242, 2023 05 16.
Artigo em Inglês | MEDLINE | ID: mdl-37061804

RESUMO

Several recent papers have suggested that the pro-life view entails a radical, implausible thesis: that miscarriage is the biggest public health crisis in the history of our species and requires radical diversion of funds to combat. In this paper, I clarify the extent of the problem, showing that the number of miscarriages about which we can do anything morally significant is plausibly much lower than previously thought, then describing some of the work already being done on this topic. I then briefly survey a range of reasons why abortion might be thought more serious and more worthy of prevention than miscarriage. Finally, I lay out my central argument: that reflection on the wrongness of killing reveals that the norms for ending life and failing to save life are different, in such a way that could justify the prioritization of anti-abortion advocacy over anti-miscarriage efforts. Such an account can also respond to similar problems posed to the pro-lifer, such as the question of whom to save in a "burning lab" type scenario.


Assuntos
Aborto Induzido , Aborto Espontâneo , Gravidez , Feminino , Humanos , Valor da Vida
7.
Issues Law Med ; 38(1): 3-26, 2023.
Artigo em Inglês | MEDLINE | ID: mdl-37642451

RESUMO

Self-managed abortion has been particularly prominent in recent discussions of abortion, with the rise of telemedicine abortion during the COVID-19 pandemic and the reality of self-managed illegal abortion in pro-life states following the overturning of Roe v. Wade. There has likewise been much political concern about misinformation and fake news circulated in the media. This article highlights how misinformation and poor quality studies have been used to make implausible claims regarding the safety of telemedicine and the number of deaths from unsafe abortion where abortion is illegal. This puts women's health and lives at risk by authorizing unsafe medical practice and poorly evidenced policy decisions regarding abortion and emergency obstetric care.


Assuntos
Aborto Induzido , COVID-19 , Autogestão , Gravidez , Feminino , Humanos , Pandemias , COVID-19/epidemiologia , Aborto Induzido/efeitos adversos , Aborto Criminoso
8.
Bioethics ; 31(7): 534-542, 2017 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-28786173

RESUMO

Eugene Mills has recently argued that human organisms cannot begin to exist at fertilization because the evidence suggests that egg cells persist through fertilization and simply turn into zygotes. He offers two main arguments for this conclusion: that 'fertilized egg' commits no conceptual fallacy, and that on the face of it, it looks as though egg cells survive fertilization when the process is watched through a microscope. We refute these arguments and offer several reasons of our own to think that egg cells do not survive fertilization, appealing to various forms of essentialism regarding persons, fission cases, and a detailed discussion of the biological facts relevant to fertilization and genetics. We conclude that it is plausible, therefore, that human organisms begin to exist at fertilization - or, at the very least, that there are grounds for thinking that they existed as zygotes which do not apply to the prior egg cells. While this does not entail that human persons begin to exist at this point, it nevertheless has considerable significance for this latter question.


Assuntos
Fertilização , Óvulo , Zigoto , Humanos , Masculino
9.
Artigo em Inglês | MEDLINE | ID: mdl-34639806

RESUMO

It is commonly claimed that thousands of women die every year from unsafe abortion in Malawi. This commentary critically assesses those claims, demonstrating that these estimates are not supported by the evidence. On the contrary, the latest evidence-itself from 15 to 20 years ago-suggests that 6-7% of maternal deaths in Malawi are attributable to induced and spontaneous abortion combined, totalling approximately 70-150 deaths per year. I then offer some evidence suggesting that a substantial proportion of these are attributable to spontaneous abortion. To reduce maternal mortality by large margins, emergency obstetric care should be prioritised, which will also save women from complications of induced and spontaneous abortion.


Assuntos
Aborto Induzido , Aborto Espontâneo , Aborto Induzido/efeitos adversos , Aborto Espontâneo/epidemiologia , Feminino , Humanos , Malaui/epidemiologia , Mortalidade Materna , Gravidez
10.
New Bioeth ; 24(2): 106-121, 2018 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-29464993

RESUMO

It is commonly argued that a serious right to life is grounded only in actual, relatively advanced psychological capacities a being has acquired. The moral permissibility of abortion is frequently argued for on these grounds. Increasingly it is being argued that such accounts also entail the permissibility of infanticide, with several proponents of these theories accepting this consequence. We show, however, that these accounts imply the permissibility of even more unpalatable acts than infanticide performed on infants: organ harvesting, live experimentation, sexual interference, and discriminatory killing. The stronger intuitions against the permissibility of these 'pre-personal acts' allow us to re-establish a comprehensive and persuasive reductio against psychological accounts of persons.


Assuntos
Aborto Induzido/ética , Início da Vida Humana , Dissidências e Disputas , Infanticídio/ética , Psicologia , Direitos Sexuais e Reprodutivos , Valor da Vida , Aborto Induzido/legislação & jurisprudência , Feminino , Feto , Humanos , Lactente , Recém-Nascido , Obrigações Morais , Pessoalidade , Gravidez , Ética Baseada em Princípios
11.
New Bioeth ; 24(2): 190-193, 2018 07.
Artigo em Inglês | MEDLINE | ID: mdl-29693506
12.
Philos Ethics Humanit Med ; 8: 1, 2013 Feb 21.
Artigo em Inglês | MEDLINE | ID: mdl-23433035

RESUMO

The 2012 Varsity Medical Debate between Oxford University and Cambridge University provided a stage for representatives from these famous institutions to debate the motion "This house believes that trainee doctors should be able to use the developing world to gain clinical experience." This article brings together many of the arguments put forward during the debate, centring around three major points of contention: the potential intrinsic wrong of 'using' patients in developing countries; the effects on the elective participant; and the effects on the host community. The article goes on to critically appraise overseas elective programmes, offering a number of solutions that would help optimise their effectiveness in the developing world.


Assuntos
Estágio Clínico , Países em Desenvolvimento , Estágio Clínico/ética , Dissidências e Disputas , Humanos , Internato e Residência/ética , Estudantes de Medicina
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