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05/17/2017 - 3:30am

Coming up next week at the ATS International Conference in Washington, DC: "Nudges in the ICU: When and How Should Intensivists Guide Surrogates’ Decisions?"

This 2-hour session will address the use of behavioral economics and “nudges” in the ICU to guide surrogate decision-making. In particular, it will explore methods for effectively deploying nudges—tools for clinicians to use in the ICU—and an ethical framework within which to do so that adequately balances autonomy and paternal beneficence.

At the conclusion of this session, the participant will be able to:

  • Discuss principles of behavioral economics (a.k.a. decision psychology) that physicians might employ to ethically and effectively guide end-of-life decision making in the ICU
  • Clarify misconceptions about the meaning and importance of patient autonomy and informed assent among ICU patients lacking decisional capacity
  • Discuss special considerations when deploying behavioral economics with pediatric patients and their parent surrogates

Behavioral Economics, Choice Architecture, and Nudges in the ICU
G.L. Anesi, MD, MBE, Philadelphia, PA

Intensivists’ Use of Informed Assent When Patients Lack Capacity
J.R. Curtis, MD, MPH, Seattle, WA

Default to DNR?
R.D. Stapleton, MD, PhD, Burlington, VT

Integrated ICU Team Communications and the Nursing Perspective
D.K. Costa, PhD, RN, Ann Arbor, MI

The (Ambiguous) Role of Autonomy in Surrogate
D.B. White, MD, Pittsburgh, PA

Helping Parents with Decisions
M.F. Haward, MD, Bronx, NY

05/20/2017 - 11:05pm
Here is another science posting, with lots of amazing news. But nowadays, it is impossible to do this without politics foaming over the rim. And so, to start off—
05/20/2017 - 11:05pm
Cet article fait partie d’un projet de livre sur le transhumanisme. Pour en savoir plus, cliquez ici.
05/20/2017 - 11:05pm

Mass technological unemployment is seen by some as a looming concern, but there are signs we’re already living in an era of mass technological underemployment. It’s not just an intermediate phase: its politics are toxic, it increases inequality, and it’s very difficult to get out of.

Technology isn’t the only culprit — choices in macroeconomic management, fiscal policy, and political philosophy are at least just as important — but it certainly hasn’t helped. Yes, computers make anybody who knows how to use them much more productive, from the trucker who can use satellite measurements and map databases to identify their location and figure out an optimal route to the writer using a global information network to gather news and references for a article. But you see the problem: those are extremely useful things, but “using a GPS” and “googling” are also extremely easy things. Most jobs require some form of technological literacy, but when most people got enough of it to fulfill the requirements — thanks in part to decades of single-minded focus in the computer industry — knowing how to use computers makes you more productive, but doesn’t get you a better salary. Supply and demand....

05/16/2017 - 6:44pm

by Craig Klugman, Ph.D.

In its April 29th issue, The Economist published an article on people’s “hopes and worries for their end-of-life wishes.” The study compares responses to a set of questions from subjects in the Brazil, Italy, Japan, and the US. The data was part of a larger study conducted by the journal and the Kaiser Family Foundation on perceptions of health held by people in the four countries. The results supports other studies conducted in recent years in the U.S.…

05/16/2017 - 5:23pm

Nadia N. Sawicki It is well known that maternal mortality rates in the United States are higher than in other countries in the developed world, and that many of these deaths are preventable. But a report published by NPR last week, … Continue reading →

05/16/2017 - 1:54pm

"I was just totally gobsmacked," says Brendan Saloner, an addiction researcher and faculty at the Johns Hopkins Berman Institute of Bioethics. Saloner says that Price's own Department of Health and Human Services displays information online that contradicts his comments. The HHS website includes a link to the Substance Abuse and Mental Health Services Administration's information page about medication-assisted treatment

05/16/2017 - 10:50am

The Fordham University HIV and Drug Abuse Prevention Research Ethics Training Institute (RETI) is pleased to announce that the following individuals have been selected as 2017 fellows: The Fordham University  HIV and Drug Abuse Prevention Research Ethics Training Institute (RETI), now in its 7th year, is a training grant sponsored by the National Institute on Drug Abuse (NIDA) (R25 DA031608-07), Principal Investigator, … More Welcome 2017 HIV and Drug Abuse Prevention Research Ethics Training Institute Fellows!

05/16/2017 - 10:20am

Governments around the world were slow to get to grips with HIV/AIDS. But a big change came when they started understanding it not just as a health issue but as a security threat too. Alexandra Ossola investigates

05/16/2017 - 10:09am

– but here’s one reason it doesn’t always work. In a meta-analysis covering over 20 studies, a team from Australia found no significant effects of tDCS on memory. It looks like timing is everything