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PubMed2006

Public health genetics and social justice.

This article deals with societal challenges of Public Health Genetics and reflects on social justice as its fundamental norm. Accordingly, the first emphasis is put on the difference between the idea of the good and the right. Then the capabilities approach is introduced as the adequate concept of justice in Public Health Genetics. Considering the conflict between respect for autonomy and common welfare in this field of discussion, the author finally presents an ethical grading.

Genetics, Medical↗
PubMedDate not supplied

Mediation in the medical field. Is neutral intervention possible?

Neutrality is held to be the touchstone of good mediation. True neutrality is elusive, however, and probably not even desirable, at least when applied to patient-provider disputes over medical care. In this context, mediators should not posture as "neutrals"; they should strive instead to protect their clients' autonomy.

Attitude of Health Personnel↗
PubMed2006

[When can the treatment of isolated systolic hypertension be avoided?].

The treatment of isolated systolic hypertension (ISH) in the elderly reduces the cardiovascular (CV) risk, in particular in patients with diabetes or previous CV events. However, in the very old (> 80-85 years) the treatment of ISH may increase global mortality, although it still decreases the risk of stroke. The benefits of treatment on the risk of dementia remain uncertain. To verify the indication for therapy, the diagnosis of ISH should be confirmed by ambulatory blood pressure monitoring. Since the absolute benefit of treatment is related to its duration, a limited life expectancy may restrict the real impact of treatment. The advantages and limitations of anti-hypertensive therapy in the elderly should be discussed individually, respecting the patient's autonomy.

Age Factors↗