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  1. Article ; Online: The ethics of crowdfunding in paediatric neurology.

    Livingstone, Angus / Servais, Laurent / Wilkinson, Dominic J C

    Developmental medicine and child neurology

    2022  Volume 65, Issue 4, Page(s) 450–455

    Abstract: In the last decade, there has been a dramatic increase in the number of families resorting to internet-based public appeals to fund access to novel, highly expensive, or experimental therapies for rare disorders. Medical crowdfunding may provide a means ... ...

    Abstract In the last decade, there has been a dramatic increase in the number of families resorting to internet-based public appeals to fund access to novel, highly expensive, or experimental therapies for rare disorders. Medical crowdfunding may provide a means to fund treatments or interventions, but it raises individual and societal ethical questions. In this review, we consider the ethical challenges crowdfunding poses in paediatric neurology, drawing on the example of gene therapy for spinal muscular atrophy. We discuss physician responsibilities, and how neurologists should respond to crowdfunding that they encounter in clinical practice. We also briefly consider actions that can be taken by clinicians, charities, and crowdfunding websites to reduce harms. The best way to mitigate these harms may be to target the high costs and restrictive criteria that limit access to many novel treatments, and to optimize treatment utility, for instance by newborn screening. WHAT THIS PAPER ADDS: Crowdfunding is a social phenomenon arising from families' inability to access desired treatment. Treatments sought by crowdfunding range from those that are clearly beneficial (but unaffordable) to those that would be ineffective and potentially harmful. Crowdfunding carries a range of harms and risks to families and children and has wider social impact.
    MeSH term(s) Child ; Infant, Newborn ; Humans ; Fund Raising ; Crowdsourcing ; Healthcare Financing ; Genetic Therapy ; Neurology
    Language English
    Publishing date 2022-10-21
    Publishing country England
    Document type Journal Article ; Review ; Research Support, Non-U.S. Gov't
    ZDB-ID 80369-8
    ISSN 1469-8749 ; 0012-1622
    ISSN (online) 1469-8749
    ISSN 0012-1622
    DOI 10.1111/dmcn.15442
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Crowdfunding for neuromuscular disease treatment: the ethical implications.

    Livingstone, Angus / Servais, Laurent / Wilkinson, Dominic J C

    The Lancet. Neurology

    2021  Volume 20, Issue 10, Page(s) 788–789

    Language English
    Publishing date 2021-09-16
    Publishing country England
    Document type Letter ; Research Support, Non-U.S. Gov't
    ZDB-ID 2081241-3
    ISSN 1474-4465 ; 1474-4422
    ISSN (online) 1474-4465
    ISSN 1474-4422
    DOI 10.1016/S1474-4422(21)00266-0
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article: Differential occupational risks to healthcare workers from SARS-CoV-2 observed during a prospective observational study

    Eyre, David W / Lumley, Sheila F / O039, / Donnell, Denise / Campbell, Mark / Sims, Elizabeth / Lawson, Elaine / Warren, Fiona / James, Tim / Cox, Stuart / Howarth, Alison / Doherty, George / Hatch, Stephanie B / Kavanagh, James / Chau, Kevin K / Fowler, Philip W / Swann, Jeremy / Volk, Denis / Yang-Turner, Fan /
    Stoesser, Nicole / Matthews, Philippa C / Dudareva, Maria / Davies, Timothy / Shaw, Robert H / Peto, Leon / Downs, Louise O / Vogt, Alexander / Amini, Ali / Young, Bernadette C / Drennan, Philip George / Mentzer, Alexander J / Skelly, Donal T / Karpe, Fredrik / Neville, Matt J / Andersson, Monique / Brent, Andrew J / Jones, Nicola / Martins Ferreira, Lucas / Christott, Thomas / Marsden, Brian D / Hoosdally, Sarah / Cornall, Richard / Crook, Derrick W / Stuart, David I / Screaton, Gavin / Watson, Adam Jr / Taylor, Adan / Chetwynd, Alan / Grassam-Rowe, Alexander / Mighiu, Alexandra S / Livingstone, Angus

    eLife (Cambridge)

    Abstract: We conducted voluntary Covid-19 testing programmes for symptomatic and asymptomatic staff at a UK teaching hospital using naso-/oro-pharyngeal PCR testing and immunoassays for IgG antibodies. 1128/10,034 (11.2%) staff had evidence of Covid-19 at some ... ...

    Abstract We conducted voluntary Covid-19 testing programmes for symptomatic and asymptomatic staff at a UK teaching hospital using naso-/oro-pharyngeal PCR testing and immunoassays for IgG antibodies. 1128/10,034 (11.2%) staff had evidence of Covid-19 at some time. Using questionnaire data provided on potential risk-factors, staff with a confirmed household contact were at greatest risk (adjusted odds ratio [aOR] 4.82 [95%CI 3.45-6.72]). Higher rates of Covid-19 were seen in staff working in Covid-19-facing areas (22.6% vs. 8.6% elsewhere) (aOR 2.47 [1.99-3.08]). Controlling for Covid-19-facing status, risks were heterogenous across the hospital, with higher rates in acute medicine (1.52 [1.07-2.16]) and sporadic outbreaks in areas with few or no Covid-19 patients. Covid-19 intensive care unit staff were relatively protected (0.44 [0.28-0.69]), likely by a bundle of PPE-related measures. Positive results were more likely in Black (1.66 [1.25-2.21]) and Asian (1.51 [1.28-1.77]) staff, independent of role or working location, and in porters and cleaners (2.06 [1.34-3.15]).
    Keywords covid19
    Publisher WHO
    Document type Article
    Note WHO #Covidence: #727516
    Database COVID19

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  4. Article ; Online: Differential occupational risks to healthcare workers from SARS-CoV-2 observed during a prospective observational study

    Eyre, David W / Lumley, Sheila F / O'Donnell, Denise / Campbell, Mark / Sims, Elizabeth / Lawson, Elaine / Warren, Fiona / James, Tim / Cox, Stuart / Howarth, Alison / Doherty, George / Hatch, Stephanie B / Kavanagh, James / Chau, Kevin K / Fowler, Philip W / Swann, Jeremy / Volk, Denis / Yang-Turner, Fan / Stoesser, Nicole /
    Matthews, Philippa C / Dudareva, Maria / Davies, Timothy / Shaw, Robert H / Peto, Leon / Downs, Louise O / Vogt, Alexander / Amini, Ali / Young, Bernadette C / Drennan, Philip George / Mentzer, Alexander J / Skelly, Donal T / Karpe, Fredrik / Neville, Matt J / Andersson, Monique / Brent, Andrew J / Jones, Nicola / Martins Ferreira, Lucas / Christott, Thomas / Marsden, Brian D / Hoosdally, Sarah / Cornall, Richard / Crook, Derrick W / Stuart, David I / Screaton, Gavin / Watson, Adam JR / Taylor, Adan / Chetwynd, Alan / Grassam-Rowe, Alexander / Mighiu, Alexandra S / Livingstone, Angus / Killen, Annabel / Rigler, Caitlin / Harries, Callum / East, Cameron / Lee, Charlotte / Mason, Chris JB / Holland, Christian / Thompson, Connor / Hennesey, Conor / Savva, Constantinos / Kim, David S / Harris, Edward WA / McGivern, Euan J / Qian, Evelyn / Rothwell, Evie / Back, Francesca / Kelly, Gabriella / Watson, Gareth / Howgego, Gregory / Chase, Hannah / Danbury, Hannah / Laurenson-Schafer, Hannah / Ward, Harry L / Hendron, Holly / Vorley, Imogen C / Tol, Isabel / Gunnell, James / Ward, Jocelyn LF / Drake, Jonathan / Wilson, Joseph D / Morton, Joshua / Dequaire, Julie / O'Byrne, Katherine / Motohashi, Kenzo / Harper, Kirsty / Ravi, Krupa / Millar, Lancelot J / Peck, Liam J / Oliver, Madeleine / English, Marcus Rex / Kumarendran, Mary / Wedlich, Matthew / Ambler, Olivia / Deal, Oscar T / Sweeney, Owen / Cowie, Philip / Naudé, Rebecca te Water / Young, Rebecca / Freer, Rosie / Scott, Samuel / Sussmes, Samuel / Peters, Sarah / Pattenden, Saxon / Waite, Seren / Johnson, Síle Ann / Kourdov, Stefan / Santos-Paulo, Stephanie / Dimitrov, Stoyan / Kerneis, Sven / Ahmed-Firani, Tariq / King, Thomas B / Ritter, Thomas G / Foord, Thomas H / De Toledo, Zoe / Christie, Thomas / Gergely, Bernadett / Axten, David / Simons, Emma-Jane / Nevard, Heather / Philips, Jane / Szczurkowska, Justyna / Patel, Kaisha / Smit, Kyla / Warren, Laura / Morgan, Lisa / Smith, Lucianne / Robles, Maria / McKnight, Mary / Luciw, Michael / Gates, Michelle / Sande, Nellia / Turford, Rachel / Ray, Roshni / Rughani, Sonam / Mitchell, Tracey / Bellinger, Trisha / Wharton, Vicki / Justice, Anita / Jesuthasan, Gerald / Wareing, Susan / Huda Mohamad Fadzillah, Nurul / Cann, Kathryn / Kirton, Richard / Sutton, Claire / Salvagno, Claudia / DAmato, Gabriella / Pill, Gemma / Butcher, Lisa / Rylance-Knight, Lydia / Tabirao, Merline / Moroney, Ruth / Wright, Sarah / Peto, Timothy EA / Holthof, Bruno / O'Donnell, Anne-Marie / Ebner, Daniel / Conlon, Christopher P / Jeffery, Katie / Walker, Timothy M

    eLife

    2020  Volume 9

    Abstract: We conducted voluntary Covid-19 testing programmes for symptomatic and asymptomatic staff at a UK teaching hospital using naso-/oro-pharyngeal PCR testing and immunoassays for IgG antibodies. 1128/10,034 (11.2%) staff had evidence of Covid-19 at some ... ...

    Abstract We conducted voluntary Covid-19 testing programmes for symptomatic and asymptomatic staff at a UK teaching hospital using naso-/oro-pharyngeal PCR testing and immunoassays for IgG antibodies. 1128/10,034 (11.2%) staff had evidence of Covid-19 at some time. Using questionnaire data provided on potential risk-factors, staff with a confirmed household contact were at greatest risk (adjusted odds ratio [aOR] 4.82 [95%CI 3.45–6.72]). Higher rates of Covid-19 were seen in staff working in Covid-19-facing areas (22.6% vs. 8.6% elsewhere) (aOR 2.47 [1.99–3.08]). Controlling for Covid-19-facing status, risks were heterogenous across the hospital, with higher rates in acute medicine (1.52 [1.07–2.16]) and sporadic outbreaks in areas with few or no Covid-19 patients. Covid-19 intensive care unit staff were relatively protected (0.44 [0.28–0.69]), likely by a bundle of PPE-related measures. Positive results were more likely in Black (1.66 [1.25–2.21]) and Asian (1.51 [1.28–1.77]) staff, independent of role or working location, and in porters and cleaners (2.06 [1.34–3.15]).
    Keywords General Biochemistry, Genetics and Molecular Biology ; General Immunology and Microbiology ; General Neuroscience ; General Medicine ; covid19
    Language English
    Publisher eLife Sciences Publications, Ltd
    Publishing country uk
    Document type Article ; Online
    ZDB-ID 2687154-3
    ISSN 2050-084X
    ISSN 2050-084X
    DOI 10.7554/elife.60675
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  5. Book ; Online: Author response

    Eyre, David W / Lumley, Sheila F / O'Donnell, Denise / Campbell, Mark / Sims, Elizabeth / Lawson, Elaine / Warren, Fiona / James, Tim / Cox, Stuart / Howarth, Alison / Doherty, George / Hatch, Stephanie B / Kavanagh, James / Chau, Kevin K / Fowler, Philip W / Swann, Jeremy / Volk, Denis / Yang-Turner, Fan / Stoesser, Nicole /
    Matthews, Philippa C / Dudareva, Maria / Davies, Timothy / Shaw, Robert H / Peto, Leon / Downs, Louise O / Vogt, Alexander / Amini, Ali / Young, Bernadette C / Drennan, Philip George / Mentzer, Alexander J / Skelly, Donal T / Karpe, Fredrik / Neville, Matt J / Andersson, Monique / Brent, Andrew J / Jones, Nicola / Martins Ferreira, Lucas / Christott, Thomas / Marsden, Brian D / Hoosdally, Sarah / Cornall, Richard / Crook, Derrick W / Stuart, David I / Screaton, Gavin / Watson, Adam JR / Taylor, Adan / Chetwynd, Alan / Grassam-Rowe, Alexander / Mighiu, Alexandra S / Livingstone, Angus / Killen, Annabel / Rigler, Caitlin / Harries, Callum / East, Cameron / Lee, Charlotte / Mason, Chris JB / Holland, Christian / Thompson, Connor / Hennesey, Conor / Savva, Constantinos / Kim, David S / Harris, Edward WA / McGivern, Euan J / Qian, Evelyn / Rothwell, Evie / Back, Francesca / Kelly, Gabriella / Watson, Gareth / Howgego, Gregory / Chase, Hannah / Danbury, Hannah / Laurenson-Schafer, Hannah / Ward, Harry L / Hendron, Holly / Vorley, Imogen C / Tol, Isabel / Gunnell, James / Ward, Jocelyn LF / Drake, Jonathan / Wilson, Joseph D / Morton, Joshua / Dequaire, Julie / O'Byrne, Katherine / Motohashi, Kenzo / Harper, Kirsty / Ravi, Krupa / Millar, Lancelot J / Peck, Liam J / Oliver, Madeleine / English, Marcus Rex / Kumarendran, Mary / Wedlich, Matthew / Ambler, Olivia / Deal, Oscar T / Sweeney, Owen / Cowie, Philip / Naudé, Rebecca te Water / Young, Rebecca / Freer, Rosie / Scott, Samuel / Sussmes, Samuel / Peters, Sarah / Pattenden, Saxon / Waite, Seren / Johnson, Síle Ann / Kourdov, Stefan / Santos-Paulo, Stephanie / Dimitrov, Stoyan / Kerneis, Sven / Ahmed-Firani, Tariq / King, Thomas B / Ritter, Thomas G / Foord, Thomas H / De Toledo, Zoe / Christie, Thomas / Gergely, Bernadett / Axten, David / Simons, Emma-Jane / Nevard, Heather / Philips, Jane / Szczurkowska, Justyna / Patel, Kaisha / Smit, Kyla / Warren, Laura / Morgan, Lisa / Smith, Lucianne / Robles, Maria / McKnight, Mary / Luciw, Michael / Gates, Michelle / Sande, Nellia / Turford, Rachel / Ray, Roshni / Rughani, Sonam / Mitchell, Tracey / Bellinger, Trisha / Wharton, Vicki / Justice, Anita / Jesuthasan, Gerald / Wareing, Susan / Huda Mohamad Fadzillah, Nurul / Cann, Kathryn / Kirton, Richard / Sutton, Claire / Salvagno, Claudia / DAmato, Gabriella / Pill, Gemma / Butcher, Lisa / Rylance-Knight, Lydia / Tabirao, Merline / Moroney, Ruth / Wright, Sarah / Peto, Timothy EA / Holthof, Bruno / O'Donnell, Anne-Marie / Ebner, Daniel / Conlon, Christopher P / Jeffery, Katie / Walker, Timothy M

    Differential occupational risks to healthcare workers from SARS-CoV-2 observed during a prospective observational study

    2020  

    Keywords covid19
    Publisher eLife Sciences Publications, Ltd
    Publishing country uk
    Document type Book ; Online
    DOI 10.7554/elife.60675.sa2
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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