Western bioethics on the Navajo reservation: benefit or harm?

Article Abstract:

Traditional Navajo Indian patients may consider the discussion of advance care planning, treatment risks, and complications of disease as detrimental to their health. A physician who had practiced on a Navajo Indian reservation for several years interviewed 34 Navajo healers, patients, and health care providers. He found that Western bioethics, which emphasizes patient autonomy and self-determination, is generally considered negative and dangerous by Navajos. The Navajo way of thinking embraces positive thinking, beauty, harmony, and goodness. If a physician discusses the complications of a disease such as diabetes, the Navajo patient may believe that he or she will become afflicted with those complications. Health care providers should consider the Navajo ethical perspective when offering treatment.

Health aspects, Social aspects, United States, Navajos, Indians in the United States, Indians (Asian people), Bioethics, Health attitudes, Ethnic attitudes

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Venus Orbits Closer to Pain Than Mars, Rx for One Sex May Not Benefit the Other

Article Abstract:

Pain appears to affect men and women differently and most research on pain excludes women. Part of the gender difference may result from the cyclic rise and fall of the female sex hormones during the menstrual cycle. Women and men may also differ in the way they react to and deal with pain. Research on gender and pain comes from studies of men and women with heart disease, cancer, arthritis and migraine.

Pain, Sex factors in disease, Disease sex factors

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Durable HIV Treatment Benefit Despite Low-Level Viremia: Reassessing Definitions of Success or Failure

Article Abstract:

It may not be necessary to completely suppress HIV when treating HIV patients with AIDS drugs. Two studies published in 2001 both found that even when the virus was still active at low levels, it did not develop gene mutations for drug resistance.

Editorial, HIV infection, HIV infections, Viremia

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