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  1. Article ; Online: Stigma respecified: Investigating HIV stigma as an interactional phenomenon.

    Hutchinson, Phil

    Journal of evaluation in clinical practice

    2022  Volume 28, Issue 5, Page(s) 861–866

    Abstract: In this paper, I discuss stigma, understood as a category which includes acknowledged, enacted degradation, discreditation and discrimination. My discussion begins with an analysis of HIV stigma, as discussed in a social media post on Twitter. I then ... ...

    Abstract In this paper, I discuss stigma, understood as a category which includes acknowledged, enacted degradation, discreditation and discrimination. My discussion begins with an analysis of HIV stigma, as discussed in a social media post on Twitter. I then analyse a fictionalized clinical stigma scenario. These two analyses are undertaken to highlight aspects of the conceptual anatomy and interactional dynamics of stigma and by extension shame. Brief social media declarations and short, fictionalized clinical interactions are rich with information which helps us understand how stigma-degradation, discreditation and discrimination-is operationalized in interaction.
    MeSH term(s) HIV Infections ; Humans ; Shame ; Social Stigma
    Language English
    Publishing date 2022-06-16
    Publishing country England
    Document type Journal Article
    ZDB-ID 1327355-3
    ISSN 1365-2753 ; 1356-1294
    ISSN (online) 1365-2753
    ISSN 1356-1294
    DOI 10.1111/jep.13724
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    Zs.A 4464: Show issues Location:
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  2. Article ; Online: Whose models? Which representations? A response to Wagner.

    Hardman, Doug / Hutchinson, Phil

    Journal of medical ethics

    2023  Volume 49, Issue 12, Page(s) 850–851

    Abstract: ... ...

    Abstract In
    MeSH term(s) Humans ; Bioethics ; Morals ; Ethical Theory
    Language English
    Publishing date 2023-11-23
    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/jme-2023-108958
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  3. Article ; Online: Rules, practices and principles: Putting bioethical principles in their place.

    Hardman, Doug / Hutchinson, Phil

    Journal of evaluation in clinical practice

    2023  Volume 29, Issue 7, Page(s) 1095–1099

    Abstract: Bioethics seems preoccupied with establishing, debating, promoting and sometimes debunking principles. While these tasks trade on the status of the word 'principle' in our ordinary language, scant attention is paid to the way principles operate in ... ...

    Abstract Bioethics seems preoccupied with establishing, debating, promoting and sometimes debunking principles. While these tasks trade on the status of the word 'principle' in our ordinary language, scant attention is paid to the way principles operate in language. In this paper, we explore how principles relate to rules and practices so as to better understand their logic. We argue that principles gain their sense and power from the practices which give them sense. While general principles can be, and are, establishable in abstraction from specific practices, as they are in principlist bioethics, such principles are impotent as moral guides to action. We show that the purchase any principle has as a moral guide to action emerges from its indexical properties as a principle which has sense in a specific practice. The meaning of any principle is internal to the practice and context in which it is invoked and, therefore, principles are not kinds of master rule which dictate moral judgement in new contexts but rather chameleon-like rules which change with the contexture in which they are invoked.
    MeSH term(s) Humans ; Ethical Analysis ; Bioethics ; Morals ; Judgment ; Ethical Theory
    Language English
    Publishing date 2023-07-16
    Publishing country England
    Document type Journal Article
    ZDB-ID 1327355-3
    ISSN 1365-2753 ; 1356-1294
    ISSN (online) 1365-2753
    ISSN 1356-1294
    DOI 10.1111/jep.13898
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  4. Article ; Online: Bioethics to the rescue! A response to Emmerich.

    Hardman, Douglas / Hutchinson, Phil

    Journal of medical ethics

    2022  

    Abstract: In our article, ...

    Abstract In our article,
    Language English
    Publishing date 2022-05-11
    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-2022-108304
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  5. Article ; Online: Where the ethical action is.

    Hardman, Doug / Hutchinson, Phil

    Journal of medical ethics

    2021  

    Abstract: It is common to think of medical and ethical modes of thought as different in kind. In such terms, some clinical situations are made more complicated by an additional ethical component. Against this picture, we propose that medical and ethical modes of ... ...

    Abstract It is common to think of medical and ethical modes of thought as different in kind. In such terms, some clinical situations are made more complicated by an additional ethical component. Against this picture, we propose that medical and ethical modes of thought are not different in kind, but merely different aspects of what it means to be human. We further propose that clinicians are uniquely positioned to synthesise these two aspects without prior knowledge of philosophical ethics.
    Language English
    Publishing date 2021-12-24
    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-2021-107925
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  6. Article ; Online: Customised pre-operative cranioplasty to achieve maximal surgical resection of tumours with osseous involvement-a case series.

    Jain, Swati / Helmy, Adel / Santarius, Thomas / Owen, Nicola / Grieve, Kirsty / Hutchinson, Peter / Timofeev, Ivan

    Acta neurochirurgica

    2024  Volume 166, Issue 1, Page(s) 152

    Abstract: Purpose: Surgical resection with bony margins would be the treatment of choice for tumours with osseous involvement such as meningiomas and metastasis. By developing and designing pre-operative customised 3D modelled implants, the patient can undergo ... ...

    Abstract Purpose: Surgical resection with bony margins would be the treatment of choice for tumours with osseous involvement such as meningiomas and metastasis. By developing and designing pre-operative customised 3D modelled implants, the patient can undergo resection of meningioma and repair of bone defect in the same operation. We present a generalisable method for designing pre-operative cranioplasty in patients to repair the bone defect after the resection of tumours.
    Materials and methods: We included six patients who presented with a tumour that was associated with overlying bone involvement. They underwent placement of customised cranioplasty in the same setting. A customised implant using a pre-operative imaging was designed with a 2-cm margin to allow for any intra-operative requirements for extending the craniectomy.
    Results: Six patients were evaluated in this case series. Four patients had meningiomas, 1 patient had metastatic breast cancer on final histology, and 1 patient was found to have an intra-osseous arteriovenous malformation. Craniectomy based on margins provided by a cutting guide was fashioned. After tumour removal and haemostasis, the cranioplasty was then placed. All patients recovered well post-operatively with satisfactory cosmetic results. No wound infection was reported in our series.
    Conclusion: Our series demonstrate the feasibility of utilising pre-designed cranioplasty for meningiomas and other tumours with osseous involvement. Following strict infection protocols, minimal intra-operative handling/modification of the implant, and close follow-up has resulted in good cosmetic outcomes with no implant-related infections.
    MeSH term(s) Humans ; Plastic Surgery Procedures ; Meningioma/surgery ; Decompressive Craniectomy/methods ; Skull/surgery ; Postoperative Complications/surgery ; Meningeal Neoplasms/surgery ; Retrospective Studies
    Language English
    Publishing date 2024-03-27
    Publishing country Austria
    Document type Journal Article
    ZDB-ID 80010-7
    ISSN 0942-0940 ; 0001-6268
    ISSN (online) 0942-0940
    ISSN 0001-6268
    DOI 10.1007/s00701-024-06055-5
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  7. Article ; Online: A Qualitative Assessment of Social Norms Related to Seeking Help for Intimate Partner Violence in Honduras.

    Leyton, Alejandra / Meekers, Dominique / Hutchinson, Paul / Andrinopoulos, Katherine / Chen, Xiaojin

    Journal of interpersonal violence

    2023  Volume 38, Issue 17-18, Page(s) 10234–10258

    Abstract: Intimate partner violence (IPV) is a major public health issue in Honduras and other low- and middle-income countries, with few victims seeking help. While structural factors, such as lack of services and economic barriers, are often cited as reasons for ...

    Abstract Intimate partner violence (IPV) is a major public health issue in Honduras and other low- and middle-income countries, with few victims seeking help. While structural factors, such as lack of services and economic barriers, are often cited as reasons for not seeking help, social and cultural factors may also play a role. This study aims to describe the normative social environment that may hinder women's help-seeking behaviors for IPV. Thematic analysis was conducted on data from four focus group discussions with 30 women at a busy health center in urban Tegucigalpa, Honduras. Data were coded inductively and themes were identified deductively using the theory of normative social behavior and its components (descriptive and injunctive social norms, expected outcomes, and groups of reference). Four themes emerged: social norms and expected outcomes that discourage IPV help-seeking; factors that determine the direction of a social norm, either discouraging or encouraging help-seeking; groups of reference for IPV victims; and society sets women up for failure. Social norms, expected outcomes, and groups of reference hinder women's help-seeking behavior after IPV. These findings have significant implications for designing effective interventions and policies to support women and their families affected by IPV.
    MeSH term(s) Female ; Humans ; Social Norms ; Honduras ; Intimate Partner Violence ; Focus Groups ; Social Behavior
    Language English
    Publishing date 2023-05-16
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2028900-5
    ISSN 1552-6518 ; 0886-2605
    ISSN (online) 1552-6518
    ISSN 0886-2605
    DOI 10.1177/08862605231172485
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  8. Article ; Online: Blood biomarkers for traumatic brain injury: A narrative review of current evidence.

    Hossain, Iftakher / Marklund, Niklas / Czeiter, Endre / Hutchinson, Peter / Buki, Andras

    Brain & spine

    2023  Volume 4, Page(s) 102735

    Abstract: Introduction: A blood-based biomarker (BBBM) test could help to better stratify patients with traumatic brain injury (TBI), reduce unnecessary imaging, to detect and treat secondary insults, predict outcomes, and monitor treatment effects and quality of ...

    Abstract Introduction: A blood-based biomarker (BBBM) test could help to better stratify patients with traumatic brain injury (TBI), reduce unnecessary imaging, to detect and treat secondary insults, predict outcomes, and monitor treatment effects and quality of care.
    Research question: What evidence is available for clinical applications of BBBMs in TBI and how to advance this field?
    Material and methods: This narrative review discusses the potential clinical applications of core BBBMs in TBI. A literature search in PubMed, Scopus, and ISI Web of Knowledge focused on articles in English with the words "traumatic brain injury" together with the words "blood biomarkers", "diagnostics", "outcome prediction", "extracranial injury" and "assay method" alone-, or in combination.
    Results: Glial fibrillary acidic protein (GFAP) combined with Ubiquitin C-terminal hydrolase-L1(UCH-L1) has received FDA clearance to aid computed tomography (CT)-detection of brain lesions in mild (m) TBI. Application of S100B led to reduction of head CT scans. GFAP may also predict magnetic resonance imaging (MRI) abnormalities in CT-negative cases of TBI. Further, UCH-L1, S100B, Neurofilament light (NF-L), and total tau showed value for predicting mortality or unfavourable outcome. Nevertheless, biomarkers have less role in outcome prediction in mTBI. S100B could serve as a tool in the multimodality monitoring of patients in the neurointensive care unit.
    Discussion and conclusion: Largescale systematic studies are required to explore the kinetics of BBBMs and their use in multiple clinical groups. Assay development/cross validation should advance the generalizability of those results which implicated GFAP, S100B and NF-L as most promising biomarkers in the diagnostics of TBI.
    Language English
    Publishing date 2023-12-14
    Publishing country Netherlands
    Document type Journal Article ; Review
    ISSN 2772-5294
    ISSN (online) 2772-5294
    DOI 10.1016/j.bas.2023.102735
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  9. Article ; Online: Strengthening neurosurgical care for patients with severe traumatic brain injury: Authors' reply.

    Clark, David / Joannides, Alexis / Kolias, Angelos / Hutchinson, Peter

    The Lancet. Neurology

    2022  Volume 21, Issue 10, Page(s) 871–872

    MeSH term(s) Brain Injuries, Traumatic/surgery ; Glasgow Coma Scale ; Humans
    Language English
    Publishing date 2022-09-14
    Publishing country England
    Document type Letter ; Comment
    ZDB-ID 2081241-3
    ISSN 1474-4465 ; 1474-4422
    ISSN (online) 1474-4465
    ISSN 1474-4422
    DOI 10.1016/S1474-4422(22)00355-6
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  10. Article ; Online: Cultivating the dispositions to connect: an exploration of therapeutic empathy.

    Hardman, Doug / Hutchinson, Phil

    Medical humanities

    2020  Volume 46, Issue 4, Page(s) 525–531

    Abstract: Empathy is a broad concept that involves the various ways in which we come to know and make connections with one another. As medical practice becomes progressively orientated towards a model of engaged partnership, empathy is increasingly important in ... ...

    Abstract Empathy is a broad concept that involves the various ways in which we come to know and make connections with one another. As medical practice becomes progressively orientated towards a model of engaged partnership, empathy is increasingly important in healthcare. This is often conceived more specifically through the concept of therapeutic empathy, which has two aspects: interpersonal understanding and caring action. The question of how we make connections with one another was also central to the work of the novelist E.M. Forster. In this article we analyse Forster's interpretation of connection-particularly in the novel
    MeSH term(s) Delivery of Health Care ; Empathy ; Humans
    Language English
    Publishing date 2020-05-28
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2018219-3
    ISSN 1473-4265 ; 1468-215X
    ISSN (online) 1473-4265
    ISSN 1468-215X
    DOI 10.1136/medhum-2020-011846
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