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  1. Article ; Online: Ethical Considerations for "Reopening" Health Care Organizations Amid COVID-19.

    Harter, Thomas D

    The American journal of bioethics : AJOB

    2020  Volume 20, Issue 7, Page(s) 95–97

    MeSH term(s) Betacoronavirus ; Bioethics ; COVID-19 ; Coronavirus Infections ; Humans ; Pandemics ; Pneumonia, Viral ; SARS-CoV-2
    Keywords covid19
    Language English
    Publishing date 2020-07-27
    Publishing country United States
    Document type Journal Article ; Comment
    ZDB-ID 2060433-6
    ISSN 1536-0075 ; 1526-5161
    ISSN (online) 1536-0075
    ISSN 1526-5161
    DOI 10.1080/15265161.2020.1779851
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    In stock of ZB MED Cologne/Königswinter

    Zs.A 6814: Show issues Location:
    Je nach Verfügbarkeit (siehe Angabe bei Bestand)
    bis Jg. 2021: Bestellungen von Artikeln über das Online-Bestellformular
    ab Jg. 2022: Lesesaal (EG)

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  2. Article ; Online: Why Tolerate Conscientious Objections in Medicine.

    Harter, Thomas D

    HEC forum : an interdisciplinary journal on hospitals' ethical and legal issues

    2019  Volume 33, Issue 3, Page(s) 175–188

    Abstract: Most arguments about conscientious objections in medicine fail to capture the full scope and complexity of the concept before drawing conclusions about their permissibility in practice. Arguments favoring and disfavoring the accommodation of ... ...

    Abstract Most arguments about conscientious objections in medicine fail to capture the full scope and complexity of the concept before drawing conclusions about their permissibility in practice. Arguments favoring and disfavoring the accommodation of conscientious objections in practice tend to focus too narrowly on prima facie morally contentious treatments and religious claims of conscience, while further failing to address the possibility of moral perspectives changing over time. In this paper, I argue that standard reasons against permitting conscientious objections in practice-that their permission may result in harm to patients, the idea that medical providers willingly enter into the medical field, and that conscientious objections stand contrary to medical professionalism-do not apply in all cases and that the medical field and health systems in which many physicians now practice should continue to tolerate conscientious objections in practice.
    MeSH term(s) Conscience ; Ethics, Medical ; Health Personnel/legislation & jurisprudence ; Health Personnel/psychology ; Humans ; Professionalism/standards ; Professionalism/trends ; Withholding Treatment/legislation & jurisprudence ; Withholding Treatment/trends
    Language English
    Publishing date 2019-07-26
    Publishing country Netherlands
    Document type Journal Article
    ZDB-ID 1042368-0
    ISSN 1572-8498 ; 0956-2737
    ISSN (online) 1572-8498
    ISSN 0956-2737
    DOI 10.1007/s10730-019-09381-9
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    In stock of ZB MED Cologne/Königswinter

    Zs.A 2996: Show issues Location:
    Je nach Verfügbarkeit (siehe Angabe bei Bestand)
    bis Jg. 1994: Bestellungen von Artikeln über das Online-Bestellformular
    Jg. 1995 - 2021: Lesesall (2.OG)
    ab Jg. 2022: Lesesaal (EG)

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  4. Article ; Online: Ethical Considerations for “Reopening” Health Care Organizations Amid COVID-19

    Harter, Thomas D.

    The American Journal of Bioethics

    2020  Volume 20, Issue 7, Page(s) 95–97

    Keywords Health Policy ; Issues, ethics and legal aspects ; covid19
    Language English
    Publisher Informa UK Limited
    Publishing country uk
    Document type Article ; Online
    ZDB-ID 2060433-6
    ISSN 1526-5161
    ISSN 1526-5161
    DOI 10.1080/15265161.2020.1779851
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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    In stock of ZB MED Cologne/Königswinter

    Zs.A 6814: Show issues Location:
    Je nach Verfügbarkeit (siehe Angabe bei Bestand)
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    ab Jg. 2022: Lesesaal (EG)

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  5. Article ; Online: You Can't Legislate Death.

    Harter, Thomas D

    Narrative inquiry in bioethics

    2016  Volume 6, Issue 1, Page(s) 20–23

    MeSH term(s) Adult ; Death ; Female ; Hospice Care/ethics ; Humans ; Intubation, Intratracheal/ethics ; Proxy/legislation & jurisprudence ; Terminal Care/ethics ; Terminal Care/legislation & jurisprudence ; Treatment Refusal/ethics ; Treatment Refusal/legislation & jurisprudence ; Wisconsin
    Language English
    Publishing date 2016
    Publishing country United States
    Document type Journal Article ; Personal Narratives
    ZDB-ID 2632728-4
    ISSN 2157-1740 ; 2157-1732
    ISSN (online) 2157-1740
    ISSN 2157-1732
    DOI 10.1353/nib.2016.0019
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article ; Online: Capsule Commentary on Luu et al., Provider-to-Provider Communication During Transitions of Care From Outpatient to Acute Care: A Systematic Review.

    Harter, Thomas D

    Journal of general internal medicine

    2016  Volume 31, Issue 4, Page(s) 414

    MeSH term(s) Communication ; Critical Care ; Humans ; Outpatients
    Language English
    Publishing date 2016-04
    Publishing country United States
    Document type Comment ; Journal Article
    ZDB-ID 639008-0
    ISSN 1525-1497 ; 0884-8734
    ISSN (online) 1525-1497
    ISSN 0884-8734
    DOI 10.1007/s11606-016-3585-6
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    In stock of ZB MED Cologne/Königswinter

    Zs.A 2205: Show issues Location:
    Je nach Verfügbarkeit (siehe Angabe bei Bestand)
    bis Jg. 1994: Bestellungen von Artikeln über das Online-Bestellformular
    Jg. 1995 - 2021: Lesesall (1.OG)
    ab Jg. 2022: Lesesaal (EG)

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  7. Book ; Online: Seasonal prediction of end-of-dry-season watershed behavior in a highly interconnected alluvial watershed in northern California

    Kouba, Claire / Harter, Thomas

    eISSN: 1607-7938

    2024  

    Abstract: ... seasonal adaptive management. The first metric is the minimum 30 d dry season baseflow volume, V min ...

    Abstract In undammed watersheds in Mediterranean climates, the timing and abruptness of the transition from the dry season to the wet season have major implications for aquatic ecosystems. Of particular concern in many coastal areas is whether this transition can provide sufficient flows at the right time to allow passage for spawning anadromous fish, which is determined by dry season baseflow rates and the timing of the onset of the rainy season. In (semi-) ephemeral watershed systems, these functional flows also dictate the timing of full reconnection of the stream system. In this study, we propose methods to predict, approximately 5 months in advance, two key hydrologic metrics in the undammed rural Scott River watershed in northern California. The two metrics are intended to characterize (1) the severity of a dry year and (2) the relative timing of the transition from the dry to the wet season. The ability to predict these metrics in advance could support seasonal adaptive management. The first metric is the minimum 30 d dry season baseflow volume, V min , which occurs at the end of the dry season (September–October) in this Mediterranean climate. The second metric is the cumulative precipitation, starting 1 September, necessary to bring the watershed to a “full” or “spilling” condition (i.e., initiate the onset of wet season storm- or baseflows) after the end of the dry season, referred to here as P spill . As potential predictors of these two metrics, we assess maximum snowpack, cumulative precipitation, the timing of the snowpack and precipitation, spring groundwater levels, spring river flows, reference evapotranspiration, and a subset of these metrics from the previous water year. Though many of these predictors are correlated with the two metrics of interest, we find that the best prediction for both metrics is a linear combination of the maximum snowpack water content and total October–April precipitation. These two linear models could reproduce historical values of V min and P spill with an average model ...
    Subject code 333
    Language English
    Publishing date 2024-02-16
    Publishing country de
    Document type Book ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  8. Article ; Online: Toward accommodating physicians' conscientious objections: an argument for public disclosure.

    Harter, Thomas D

    Journal of medical ethics

    2015  Volume 41, Issue 3, Page(s) 224–228

    Abstract: This paper aims to demonstrate how public disclosure can be used to balance physicians' conscientious objections with their professional obligations to patients--specifically respect for patient autonomy and informed consent. It is argued here that ... ...

    Abstract This paper aims to demonstrate how public disclosure can be used to balance physicians' conscientious objections with their professional obligations to patients--specifically respect for patient autonomy and informed consent. It is argued here that physicians should be permitted to exercise conscientious objections, but that they have a professional obligation to provide advance notification to patients about those objections. It is further argued here that public disclosure is an appropriate and ethically justifiable limit to the principle of advance notification. The argument for publicly disclosing physicians' conscientious objections is made in this paper by discussing three practical benefits of public disclosure in medicine, and then addressing how publicly disclosing physicians' conscientious objections is not an undue invasion of privacy. Three additional concerns with public disclosure of physicians' conscientious objections are briefly addressed--potential harassment of physicians, workplace discrimination, and mischaracterising physicians' professional aptitude--concluding that each of these concerns requires further deliberation in the realm of business ethics.
    MeSH term(s) Decision Making/ethics ; Disclosure ; Dissent and Disputes ; Ethics, Medical ; Humans ; Informed Consent ; Moral Obligations ; Physicians/ethics ; Physicians/legislation & jurisprudence ; Physicians/standards ; Privacy ; Refusal to Treat/ethics ; Religion and Medicine ; Social Discrimination ; United States ; Workplace
    Language English
    Publishing date 2015-03
    Publishing country England
    Document type Journal Article
    ZDB-ID 194927-5
    ISSN 1473-4257 ; 0306-6800
    ISSN (online) 1473-4257
    ISSN 0306-6800
    DOI 10.1136/medethics-2013-101731
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    In stock of ZB MED Cologne/Königswinter

    Zs.A 1163: Show issues Location:
    Je nach Verfügbarkeit (siehe Angabe bei Bestand)
    bis Jg. 1994: Bestellungen von Artikeln über das Online-Bestellformular
    Jg. 1995 - 2021: Lesesall (1.OG)
    ab Jg. 2022: Lesesaal (EG)

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  9. Article ; Online: What my children taught me about information sharing in medicine.

    Harter, Thomas D

    Narrative inquiry in bioethics

    2013  Volume 3, Issue 1, Page(s) 12–14

    MeSH term(s) Communication ; Comprehension ; Ethics, Medical ; Humans ; Information Dissemination ; Informed Consent ; Professional-Patient Relations/ethics
    Language English
    Publishing date 2013
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2632728-4
    ISSN 2157-1740 ; 2157-1732
    ISSN (online) 2157-1740
    ISSN 2157-1732
    DOI 10.1353/nib.2013.0007
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  10. Article ; Online: Telephone Health Coaching and Remote Exercise Monitoring (TeGeCoach) in Peripheral Arterial Occlusive Disease—a Randomized Controlled Trial.

    Rezvani, Farhad / Heider, Dirk / König, Hans-Helmut / Herbarth, Lutz / Steinisch, Patrick / Schuhmann, Franziska / Böbinger, Hannes / Krack, Gundula / Korth, Thomas / Thomsen, Lara / Chase, Daniela Patricia / Schreiber, Robert / Alscher, Mark-Dominik / Finger, Benjamin / Härter, Martin / Dirmaier, Jörg

    Deutsches Arzteblatt international

    2024  , Issue Forthcoming

    Abstract: ... at 12 months (Bonferroni-corrected 95% CI [4.02; 8.59], Cohen's d = 0.26) and 4.55 points higher at 24 ... months ([2.20; 6.91], d = 0.19). They also fared better in some of the secondary outcomes at 12 months ... d > 0.20). The average daily step count was no higher in the TeGeCoach group.: Conclusion ...

    Abstract Background: Supervised exercise programs are commonly used to treat intermittent claudication (IC). Home-based exercise programs have been developed to lower barriers to participation. We studied the effects of one such program (TeGeCoach) on self-reported walking ability in patients with IC.
    Methods: In a pragmatic, multicenter, randomized and controlled trial (registration number NCT03496948), 1982 patients with symptomatic IC, insured by one of three German statutory health-insurance carriers, received either telephone health coaching with remote exercise monitoring (TeGeCoach; n = 994) or routine care (n = 988). The primary outcome was the change in Walking Impairment Questionnaire (WIQ) scores 12 and 24 months after the start of the intervention (intention-to-treat analysis). The secondary outcomes were health-related quality of life, symptoms of depression or anxiety, health competence, patient activation, alcohol use, and nicotine dependence.
    Results: There was a significant difference between arms in favor of TeGeCoach in the WIQ (p<0.0001). Patients in the TeGeCoach arm had WIQ scores that were 6.30 points higher at 12 months (Bonferroni-corrected 95% CI [4.02; 8.59], Cohen's d = 0.26) and 4.55 points higher at 24 months ([2.20; 6.91], d = 0.19). They also fared better in some of the secondary outcomes at 12 months, including physical health-related quality of life and patient activation, with at least small effect sizes (d > 0.20). The average daily step count was no higher in the TeGeCoach group.
    Conclusion: The observed reductions of symptom burden indicate the benefit of home-based exercise programs in the treatment of intermittent claudication. Such programs expand the opportunities for the guideline-oriented treatment of IC. Future studies should address the effect of home-based exercise programs on clinical variables, e.g., the 6-minute walk test.
    Language English
    Publishing date 2024-04-19
    Publishing country Germany
    Document type Randomized Controlled Trial
    ZDB-ID 2406159-1
    ISSN 1866-0452 ; 1866-0452
    ISSN (online) 1866-0452
    ISSN 1866-0452
    DOI 10.3238/arztebl.m2024.0008
    Database MEDical Literature Analysis and Retrieval System OnLINE

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