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Book: Advance directives: rethinking regulation, autonomy & healthcare decision-making

Chan, Hui Yun

(International library of ethics, law, and the new medicine ; volume 76)

2018

Author's details	Hui Yun Chan
Series title	International library of ethics, law, and the new medicine ; volume 76
Collection
Language	English
Size	XI, 173 Seiten, 24 cm
Publisher	Springer
Publishing place	Cham, Switzerland
Publishing country	Switzerland
Document type	Book
HBZ-ID	HT019821117
ISBN	978-3-030-00975-5 ; 3-030-00975-0 ; 9783030009762 ; 3030009769
Database	Catalogue ZB MED Medicine, Health

In stock of ZB MED Cologne/Königswinter

Shelf mark	Loan status	Location
2018 A 1709	available for loan (reading room)	Lesesaal EG

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Article: When Will Death Be? Legal Considerations and Regulatory Safeguards in Predictive Modelling Applications for End-of-Life Care.

Chan, Hui Yun / Richards, Bernadette

Journal of law and medicine

2024 Volume 30, Issue 3, Page(s) 745–760

Abstract: Advance care planning (ACP) is generally considered as valuable in guiding treatments that are aligned with patients' preferences. Despite its benefits, there are some practical and legal difficulties in its implementation. Predictive modelling is ... ...

Abstract	Advance care planning (ACP) is generally considered as valuable in guiding treatments that are aligned with patients' preferences. Despite its benefits, there are some practical and legal difficulties in its implementation. Predictive modelling is increasingly used in clinical decision-making, for example, in predicting patients' life expectancy, thus enabling clinicians to initiate timely ACP conversations. This development could transform the way end-of-life conversations are implemented. In this article we advocate for the use of predictive modelling in assisting clinicians to initiate ACP conversations provided several safeguards are in place to address ethical concerns that arise. Predictive modelling applications resolve several practical and legal difficulties in conducting end-of-life conversations. Ethical concerns such as explicability, accountability, trustworthiness and reliability of these models in clinical settings are important considerations. However, safeguards are needed to address these ethical concerns to ensure the models are appropriately supportive of patient needs and interests.
MeSH term(s)	Humans ; Reproducibility of Results ; Terminal Care ; Advance Care Planning ; Communication ; Death
Language	English
Publishing date	2024-02-08
Publishing country	Australia
Document type	Journal Article
ZDB-ID	1236328-5
ISSN	1320-159X
ISSN	1320-159X
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Book: From Auto- to Allotransplantation

Wei, Fu-Chan / Cheng, Hui-Yun / Lin, Zheng-Hong

3 tables

(Translational research in biomedicine ; 5)

2016

Author's details	vol. ed. Fu-Chan Wei ; Hui-Yun Cheng ; Cheng-Hung Lin
Series title	Translational research in biomedicine ; 5
Collection
Keywords	Vascularized Composite Allotransplantation ; Transplantation, Autologous ; Reconstructive Surgical Procedures / methods ; Microsurgery ; Autogene Transplantation ; Homotransplantation
Subject	Allotransplantation ; Homologe Transplantation ; Allogene Transplantation ; Allogenetische Transplantation ; Homogene Transplantation ; Homoplastische Transplantation ; Homöoplastische Transplantation ; Homospezifische Transplantation ; Fremdtransplantation ; Homo-Transplantation ; Autologe Transplantation
Language	English
Size	IX, 177 S. : Ill., graph. Darst.
Publisher	Karger
Publishing place	Basel u.a.
Publishing country	Switzerland
Document type	Book
Note	Includes bibliographical references and indexes
HBZ-ID	HT019040000
ISBN	978-3-318-05866-6 ; 9783318058673 ; 3-318-05866-1 ; 331805867X
Database	Catalogue ZB MED Medicine, Health

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Shelf mark	Loan status	Location
2016 A 1749	available for loan (reading room)	Lesesaal EG

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Article ; Online: Reciprocal Trust as an Ethical Response to the COVID-19 Pandemic.

Chan, Hui Yun

Asian bioethics review

2021 Volume 13, Issue 3, Page(s) 335–354

Abstract: The COVID-19 pandemic has generated a range of responses from countries across the globe in managing and containing infections. Considerable research has highlighted the importance of trust in ethically and effectively managing infectious diseases in the ...

Abstract	The COVID-19 pandemic has generated a range of responses from countries across the globe in managing and containing infections. Considerable research has highlighted the importance of trust in ethically and effectively managing infectious diseases in the population; however, considerations of reciprocal trust remain limited in debates on pandemic response. This paper aims to broaden the perspective of good ethical practices in managing an infectious disease outbreak by including the role of reciprocal trust. A synthesis of the approaches drawn from South Korea and Taiwan reveals reciprocal trust as an important ethical response to the COVID-19 pandemic. Reciprocal trust offers the opportunity to reconcile the difficulties arising from restrictive measures for protecting population health and individual rights.
Language	English
Publishing date	2021-04-15
Publishing country	England
Document type	Journal Article
ZDB-ID	2602378-7
ISSN	1793-9453 ; 1793-8759
ISSN (online)	1793-9453
ISSN	1793-8759
DOI	10.1007/s41649-021-00174-2
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Article: Hospitals' Liabilities in Times of Pandemic: Recalibrating the Legal Obligation to Provide Personal Protective Equipment to Healthcare Workers.

Chan, Hui Yun

The Liverpool law review

2020 Volume 42, Issue 2, Page(s) 185–205

Abstract: The Covid-19 pandemic has precipitated the global race for essential personal protective equipment in delivering critical patient care. This has created a dearth of personal protective equipment availability in some countries, which posed particular harm ...

Abstract	The Covid-19 pandemic has precipitated the global race for essential personal protective equipment in delivering critical patient care. This has created a dearth of personal protective equipment availability in some countries, which posed particular harm to frontline healthcare workers' health and safety, with undesirable consequences to public health. Substantial discussions have been devoted to the imperative of providing adequate personal protective equipment to frontline healthcare workers. The specific legal obligations of hospitals towards healthcare workers in the pandemic context have so far escaped important scrutiny. This paper endeavours to examine this overlooked aspect in the light of legal actions brought by frontline healthcare workers against their employers arising from a shortage of personal protective equipment. By analysing the potential legal liabilities of hospitals, the paper sheds light on the interlinked attributes and factors in understanding hospitals' obligations towards healthcare workers and how such duty can be justifiably recalibrated in times of pandemic.
Keywords	covid19
Language	English
Publishing date	2020-10-17
Publishing country	England
Document type	Journal Article
ZDB-ID	2017896-7
ISSN	1572-8625 ; 0144-932X
ISSN (online)	1572-8625
ISSN	0144-932X
DOI	10.1007/s10991-020-09270-z
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Article ; Online: The Underappreciated Role of Advance Directives: How the Pandemic Revitalises Advance Care Planning Actions.

Chan, Hui Yun

European journal of health law

2020 Volume 27, Issue 5, Page(s) 451–475

Abstract: Covid-19 continues to alter our way of living and dying. Much attention has focused on how to resolve pressing issues surrounding resource allocation and competing public health ethics. While these are important discussions, the legal and ethical ... ...

Abstract	Covid-19 continues to alter our way of living and dying. Much attention has focused on how to resolve pressing issues surrounding resource allocation and competing public health ethics. While these are important discussions, the legal and ethical dilemmas of treatment decisions remain highly critical. The urgency to ensure that life and death affairs are in order is magnified due to the possibility of becoming infected with Covid-19. However, many people continue to face challenges in organising their future medical care and treatment. This article explores how the pandemic affects advance care planning through the lenses of law and ethics. The range of Covid-19 implications on advance care planning demonstrates a paradigm shift from a primarily elective function to an essential role in healthcare delivery. This renewed appreciation to advance care planning offers the opportunity to support and sustain the important role that it could play during ordinary and extraordinary times.
MeSH term(s)	Advance Care Planning/ethics ; Advance Care Planning/legislation & jurisprudence ; Advance Directives ; COVID-19 ; Decision Making ; Family Conflict ; Health Equity ; Humans ; Pandemics
Language	English
Publishing date	2020-10-08
Publishing country	Netherlands
Document type	Journal Article
ZDB-ID	1195903-4
ISSN	1571-8093 ; 0929-0273
ISSN (online)	1571-8093
ISSN	0929-0273
DOI	10.1163/15718093-BJA10029
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Zs.A 4282: Show issues

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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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Article ; Online: Regulating advance decision-making: potential and challenges for Malaysia.

Chan, Hui Yun

Asian bioethics review

2019 Volume 11, Issue 1, Page(s) 111–122

Abstract: The right to refuse treatment is generally accepted in the legal and bioethics discourses; however, the use of advance directives remains contentious. Some jurisdictions have introduced statutory frameworks to govern the creation and implementation of ... ...

Abstract	The right to refuse treatment is generally accepted in the legal and bioethics discourses; however, the use of advance directives remains contentious. Some jurisdictions have introduced statutory frameworks to govern the creation and implementation of advance directives, underpinned primarily by the recognition of respect for personal autonomy. Although there are no legislation and judicial decisions on advance decision-making in Malaysia, the considered view is that healthcare practitioners perceived its utility in managing patient care. This paper examines the potential and challenges of applying a statutory framework in Malaysia, drawing from relevant regulatory examples. It argues for greater public awareness within the healthcare discourse and knowledge dissemination regarding the availability, usage and clinical guidance on advance decision-making. The main conclusion drawn from this exploratory analysis is that further understanding of and education about advance decision-making within the population and healthcare practitioners should precede the implementation of a statutory regime in Malaysia.
Language	English
Publishing date	2019-03-22
Publishing country	England
Document type	Journal Article
ZDB-ID	2602378-7
ISSN	1793-9453 ; 1793-8759
ISSN (online)	1793-9453
ISSN	1793-8759
DOI	10.1007/s41649-019-00078-2
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article ; Online: Remapping the organ donation ethical climate: a care ethics consideration.

Chan, Hui Yun

Medicine, health care, and philosophy

2019 Volume 23, Issue 2, Page(s) 295–308

Abstract: Organ donation has gained much attention as the need for transplant exceeds the supply of organs. Various proposals have been put forward to address the organ shortage challenge, ranging from offering incentives to donors, addressing family refusals to ... ...

Abstract	Organ donation has gained much attention as the need for transplant exceeds the supply of organs. Various proposals have been put forward to address the organ shortage challenge, ranging from offering incentives to donors, addressing family refusals to donations and instituting presumed consent laws. Presumed consent as the favoured approach has not been universally effective in increasing actual transplants despite its appeal. Few considerations have been given to the broader ethical climate influencing the organ donation debate. This paper examines the ethical climate surrounding organ donation and identifies the challenges existing within such environments. It explores care ethics and its application to the donation system, demonstrating how it can influence the organ donation phases. The conclusion drawn from the analysis is that a caring ethical climate in the pre, during and post-transplant system respects donor autonomy, addresses family reluctance to agree to donation, facilitates the needs of the donee and creates an environment that promotes non-maleficence for all stakeholders.
MeSH term(s)	Humans ; Tissue Donors/ethics ; Tissue and Organ Procurement/ethics
Language	English
Publishing date	2019-12-06
Publishing country	Netherlands
Document type	Journal Article
ZDB-ID	1440052-2
ISSN	1572-8633 ; 1386-7423
ISSN (online)	1572-8633
ISSN	1386-7423
DOI	10.1007/s11019-019-09934-2
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Zs.A 5054: Show issues

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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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Article ; Online: Resolution of severe eosinophilic peritonitis in a patient on continuous ambulatory peritoneal dialysis by changing from Dianeal peritoneal dialysis solution to Stay-Safe Balance solution: a case report.

Chan, Zi / Hui, Yun Ho / Wong, Sunny Sze Ho

BMC nephrology

2022 Volume 23, Issue 1, Page(s) 149

Abstract: Background: Eosinophilic peritonitis is a well-known complication at the initiation of peritoneal dialysis. It is often due to an allergic reaction to peritoneal dialysis solution or sometimes to the peritoneal dialysis catheter itself. Most cases are ... ...

Abstract	Background: Eosinophilic peritonitis is a well-known complication at the initiation of peritoneal dialysis. It is often due to an allergic reaction to peritoneal dialysis solution or sometimes to the peritoneal dialysis catheter itself. Most cases are self-limiting with expected spontaneous resolution within a few weeks. Treatment is necessary for severe or persistent cases. However, the optimal treatment has not yet been defined. There have been only a few case reports on the use of anti-histamines and/or steroids for the treatment of eosinophilic peritonitis. We reported a case of severe eosinophilic peritonitis successfully treated by switching the brand of peritoneal dialysis fluid (same glucose concentration). To the best of our knowledge, this is the first reported case employing such a treatment strategy. Case presentation: An eighty-two-year-old man with end-stage renal failure was started on continuous ambulatory peritoneal dialysis with Dianeal® (Baxter) peritoneal dialysis solution. He developed eosinophilic peritonitis 19 days after initiation of peritoneal dialysis. Infectious causes were ruled out by bacterial, fungal and tuberculosis smears and cultures. In view of the persistent and severe symptoms, we intervened by switching from Dianeal® (Baxter) peritoneal dialysis solution to Stay-Safe Balance® (Fresenius) solution with the same glucose concentration. His eosinophilic peritonitis resolved 5 days after switching the peritoneal dialysis solution. Conclusion: In severe or persistent cases of eosinophilic peritonitis requiring treatment, other than the use of steroids and anti-histamines, switching to a different brand of peritoneal dialysis solution can be considered.
MeSH term(s)	Aged, 80 and over ; Dialysis Solutions ; Female ; Glucose/therapeutic use ; Humans ; Kidney Failure, Chronic/therapy ; Male ; Peritoneal Dialysis, Continuous Ambulatory/adverse effects ; Peritonitis/diagnosis ; Peritonitis/drug therapy ; Peritonitis/etiology
Chemical Substances	Dialysis Solutions ; Glucose (IY9XDZ35W2)
Language	English
Publishing date	2022-04-18
Publishing country	England
Document type	Case Reports ; Journal Article
ZDB-ID	2041348-8
ISSN	1471-2369 ; 1471-2369
ISSN (online)	1471-2369
ISSN	1471-2369
DOI	10.1186/s12882-022-02786-8
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article: Observed Interactions, Challenges, and Opportunities in Student-Led, Web-Based Near-Peer Teaching for Medical Students: Interview Study Among Peer Learners and Peer Teachers.

Chan, Evelyn Hui Yi / Chan, Vernice Hui Yan / Roed, Jannie / Chen, Julie Yun

JMIR medical education

2023 Volume 9, Page(s) e40716

Abstract: Background: Near-peer teaching (NPT) is becoming an increasingly popular pedagogical tool in health professions education. Despite the shift in formal medical education from face-to-face teaching toward encompassing web-based learning activities, NPT ... ...

Abstract	Background: Near-peer teaching (NPT) is becoming an increasingly popular pedagogical tool in health professions education. Despite the shift in formal medical education from face-to-face teaching toward encompassing web-based learning activities, NPT has not experienced a similar transition. Apart from the few reports on NPT programs hastily converted to web-based learning in light of the COVID-19 pandemic, no studies to date have explored web-based learning in the specific context of NPT. Objective: This qualitative study examined the nature of interactions among peer learners (PLs), peer teachers (PTs), and the learning content in a student-led, web-based NPT program for medical students. Methods: A 5-month-long voluntary NPT program to support first- and second-year medical students' biomedical science learning in the undergraduate medical curriculum was designed by 2 senior-year medical students and delivered by 25 PTs with 84 PLs participating. In total, 9 PLs and 3 PTs underwent individual semistructured interviews at the end of the program to explore general NPT experience, reasons for joining NPT, the effectiveness of NPT, the demand and importance of NPT, and the feasibility of incorporating NPT in the formal curriculum. Interview transcripts were analyzed using a thematic analysis approach. Results: The first general theme focused on the nature of student-student, student-teacher, and student-content interactions. Although PLs were engaged in web-based NPT, there was minimal interaction between students, as most PLs preferred to learn passively and remain anonymous. PLs believed the web-based NPT learning process to be a unidirectional transmission of knowledge from teacher to learner, with the teacher responsible for driving the interactions. This was in sharp contrast to PTs' expectation that both parties shared responsibility for learning in a collaborative effort. The second general theme identified the advantages and disadvantages of delivering NPT on a web platform, which were mainly convenience and teaching skills development and poor interactivity, respectively. Conclusions: Student-led, web-based NPT offers a flexible and comfortable means of delivering academic and nonacademic guidance to medical students. However, the web-based mode of delivery presents unique challenges in facilitating meaningful interactions among PLs, PTs, and subject content. A blended learning approach may be best suited for this form of student-led NPT program to optimize its efficacy.
Language	English
Publishing date	2023-05-15
Publishing country	Canada
Document type	Journal Article
ISSN	2369-3762
ISSN	2369-3762
DOI	10.2196/40716
Database	MEDical Literature Analysis and Retrieval System OnLINE

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