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1.
AMA J Ethics ; 22(12): E1055-1061, 2020 12 01.
Artículo en Inglés | MEDLINE | ID: mdl-33419507

RESUMEN

Death's legal definition must be responsive to advances in technology, and it must delineate between life and death. But where to draw the line is difficult to determine. Death's current legal definition requires irreversible cessation of cardiorespiratory function or irreversible cessation of all brain function. But technology can often restore some brain functions without restoring consciousness, so brain death is often diagnosed without the irreversibility requirement being met. This article argues that the law should be updated to require permanent cessation, not irreversible cessation and that medicine should be transparent about what permanent means.


Asunto(s)
Muerte , Medicina , Muerte Encefálica , Humanos
2.
J Assist Reprod Genet ; 36(9): 1771-1777, 2019 Sep.
Artículo en Inglés | MEDLINE | ID: mdl-31313011

RESUMEN

In the ongoing discussion about the risks of reproductive human germline modification, scant attention has been paid to whether it could be reconciled with theories of psychological well-being. Even if safety and feasibility challenges could be overcome and germline engineering technology could be implemented in ways that avoid exacerbating social inequality, we would still have to question whether germline modification would promote circumstances that lead to better psychological experiences for parents, society, and the genetically edited person. This paper posits that germline engineering would produce expectations of being able to control the manifestation of an individual's characteristics, which will inevitably be upset by our limited understanding of how genes interact with each other and with the environment. Drawing on self-discrepancy and relative deprivation theories, it is suggested that both editing and being edited could lead to unmet expectations and thus negative emotional states that would offset benefits of successful intended genetic changes.


Asunto(s)
Investigaciones con Embriones/ética , Ingeniería Genética/ética , Relaciones Padres-Hijo , Repeticiones Palindrómicas Cortas Agrupadas y Regularmente Espaciadas , Edición Génica , Humanos , Mutación , Relaciones Médico-Paciente , Factores de Riesgo
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