 | | Medical Ethics: Marketing from Health Professionals Part 1 | Medical Ethics: Marketing from Health Professionals Part 1
Medical Ethics: Marketing from Health Professionals Part 1
Overview
Q: What is the difference between a squirrel and a rat A: Marketing
Marketing involves understanding and meeting the needs of target markets through research, analysis, and delivering high-quality messaging. It aims to attract an audience, demonstrate service value, strengthen brand loyalty, and increase patient numbers and sales. Ultimately, marketing manages and moulds perceptions to achieve organizational goals effectively. Marketing is the process of getting people interested in your practice’s product or service. This happens through market research, analysis, and understanding your ideal customer's interests. Marketing pertains to all aspects of a business, including product development, distribution methods, sales, and advertising. In practical terms, and within the context of ‘marketing’, the achievement of organizational goals is dependent on understanding needs and wants of target markets and delivering the desired satisfactions – more effectively than competitors ‘
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| | Medical Ethics: Universal Ethics: The Principles | Medical Ethics: Universal Ethics: The Principles
Medical Ethics: Universal Ethics: The Principles
Overview
Moral Universalism is the belief that there is a universal ethic applicable to all people, transcending cultural and personal differences. Ancient philosophers like Plato and Aristotle, as well as religions such as Christianity and Islam, support the idea of a universal system of morality. The 1948 Universal Declaration of Human Rights and the Sustainable Development Goals are modern examples of efforts to apply universal ethics globally. Universal Ethics influences initiatives like National Health Insurance and drives interventions by organizations like the World Health Organization.
Author Harry Rosen
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| | Medical Ethics: Ethical Considerations for Older Adults | Medical Ethics: Ethical Considerations for Older Adults
Medical Ethics: Ethical Considerations for Older Adults
Overview
This article conjointly presents an outline of ethical considerations among older adults by addressing policy choices, quick and prospects to adapt to population aging, and provides the list of schemes and programs that support to older adults and their families. It concludes with the necessity to require care for the older population which will be very helpful for future research in this area. It also helps to know the timely action required from the part of government, non-public corporations, researchers and the general population. The objectives of this paper are to review ethical considerations among older adults through detailing elderly care and ethical issues on health care services for the elderly and to examine the adequacy of the existing health care services and policies provided to the elderly people.
A review of relevant literature was performed to elaborate the ethical considerations among older population. According to the law and medical ethics in older people, there were several considerations that need to carry out in the service of the elderly care, those are ethical principles and emotional difficulties associated with living with chronic conditions. The requirement to extend older adults’ access to psychological state support is well acknowledged in recent reports, notably within the case of older adults with chronic conditions.
Journal Nusantara Journal of Behavioral and Social Science.
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| | Medical Ethics: Charge it Right: The Ethics of Billing | Medical Ethics: Charge it Right: The Ethics of Billing
Medical Ethics: Charge it Right: The Ethics of Billing
Overview
In the realm of economics and finance, the act of charging fees is often seen as a straightforward transactional necessity. However, when viewed through the lens of ethics, it becomes a complex subject that intertwines with the moral fabric of society. The concept of a moral compass in this context refers to the guiding principles and values that govern the fairness and justification of levies and fees. It's not merely about the cost, but the value, transparency, and impact these charges have on individuals and the broader community. The following are principles to consider: This article places emphasis on the basic principles of the competition laws as well as balance billing vis a vis split billing. The moral compass of charging fees is not fixed; it is dynamic and varies across industries, cultures, and individual perspectives. It requires a careful balance of ethical considerations, market demands, and regulatory frameworks. As society evolves, so too does the dialogue around the ethics of levies and fees, making it a perpetual topic of discussion for consumers, businesses, and regulators alike. The following are basic principles to be noted, related to both the charging of fees and use of codes.
Author Harry Rosen
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| | Medical Ethics: Ethical Dilemmas Experienced by School Psychologists in South Africa | Medical Ethics: Ethical Dilemmas Experienced by School Psychologists in South Africa
Medical Ethics: Ethical Dilemmas Experienced by School Psychologists in South Africa
Overview
School psychologists often face complex ethical and legal issues in their work, which become more challenging as the needs of students and school systems evolve. When faced with ethical dilemmas, it can be difficult for school psychologists to determine the best course of action, particularly when there is no clear solution.
Psychologists perform many roles within the school system, but their primary responsibility is to protect the rights and welfare of the children they serve (Boccio, 2015). The profession’s ethical and legal mandates must be upheld when determining how best to meet clients’ needs. Ethical codes are informed by philosophical frameworks that guide appropriate professional behaviour and decision-making in an ideal world. They apply broad ethical principles and specific rules to the problems that arise in professional practice in “doing the right thing.” Furthermore, ethical codes play a crucial role in the psychology profession. They not only lend credibility to the profession but also help psychologists understand their expected behaviours (McCleary & Dawes, 2023). By following these codes, psychologists can ensure that the parties involved, such as children, parents, schools, and psychologists, are protected and that their well-being is prioritized (Lasseret al., 2013). The codes thus act as a compass, guiding appropriate professional behaviour, informing ethical decision-making, and safeguarding the clients
This study explored the ethical dilemmas experienced by psychologists working in South African schools in the Western Cape. The aim was to understand the ethical landscape in which they operate. The study highlights the complex context in which school psychologists navigate ethical issues and their impact on the types of dilemmas they face. Finally, suggestions are provided for training and practical application.
Journal International Journal of School and Educational Psychology
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| | Medical Ethics: Ethical Issues in Schizophrenia | Medical Ethics: Ethical Issues in Schizophrenia
Medical Ethics: Ethical Issues in Schizophrenia
Overview
The schizophrenia spectrum disorders are defined by abnormalities in one or more of the following domains: delusions, hallucinations, disorganized thinking (speech), grossly disorganized or abnormal motor behaviour (including catatonia), and negative symptoms (1). Associated with significant social and occupational dysfunction, schizophrenia is arguably one of the most debilitating diagnoses an individual can have. Schizophrenia can be a devastating illness, not only through its effects on the individual patient’s functioning and quality of life but also through its effect on the individual’s core personality and unique characteristics. In addition, because patients with schizophrenia commonly lack insight into their disorder and/or their need for treatment, patients and their families may struggle to obtain appropriate, comprehensive, and ongoing care.
Journal: Focus Volume 18 Issue 4
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| | Medical Ethics: Ethical and Legal Issues in Psychotherapy | Medical Ethics: Ethical and Legal Issues in Psychotherapy
Medical Ethics: Ethical and Legal Issues in Psychotherapy
Overview Psychotherapeutic interventions are part and parcel of the management of various psychiatric disorders. Pharmacotherapy for most psychiatric disorders is often combined with psychotherapy to improve the overall outcome. Over the years, different types (Psychoanalytic, Cognitive Behaviour, Family, Interpersonal, Supportive, Eclectic, and Brief therapies) and different schools of psychotherapy have emerged and the modality of carrying out psychotherapy has also changed from in person psychotherapy to e therapy. E therapies are being carried out by using synchronous and asynchronous methods. Despite all this, it is evident that there are certain common ingredients for all kinds of psychotherapies.
Multiple efforts have been made to define psychotherapy. However, till today the definition of psychotherapy given by Wolberg is comprehensive, which defines it as “a treatment, by psychological means, of problems of an emotional nature in which a trained person deliberately establishes a professional relationship with the patient with the objective of removing, modifying or retarding existing symptoms; mediating disturbed patterns of behaviour and promoting positive personality growth and development.”
The basic aim of these guidelines is to establish minimum ethical standards for practice of psychotherapy by the psychiatrists
Journal
Indian Journal of Psychiatry
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| | Medical Ethics: The Delinquent Patient | Medical Ethics: The Delinquent Patient
Medical Ethics: The Delinquent Patient
Patients are the lifeblood of a practice, considering that no practice can survive without patients. If you have a service that no patient is willing to pay for, you will never have a stable practice. Patients pay the bills and provide opportunities for your practice to grow.
However, sometimes patients are encountered in practice, who make the lives of the practitioner and staff miserable. Difficult patients can leave you and your staff angry, empty, and frustrated. The way difficult patients are handled will define the quality of the patient experience. Not knowing how to deal with difficult patients may lead to low staff morale, low patient volume and a damaged practice reputation.
At times, managing difficult patients can hinder your ability to get your work done. But if handling difficult patients is seen as an opportunity rather than trouble, you may find that you can strengthen your patient service skills while retaining their business.
Practicing medicine in your own private practice requires a fine balance between caring for patients and running a business. Harry Rosen | 3 | | R480.00 | |
| | Medical Ethics: Embelishment and Exaggeration in Practice | Medical Ethics: Embelishment and Exaggeration in Practice
Medical Ethics: Embelishment and Exaggeration in Practice
Overview
“I am so hungry I could eat a horse.” “This ice cream is out of this world.”
Exaggeration is common in everyday language, and phrases such as those stated above are well known. Embellishing stories about one's accomplishments or qualifications, whether by exaggeration or misstatement, is part of human nature, experts say, and almost everyone is guilty of it at one time or another. Left unchecked, however, exaggerations that seemed innocuous at first can result in serious, potentially career-ending consequences.
Thanks to the Internet, it is easier than ever to get caught in an exaggeration, experts and others note. But the temptation to embellish has also never been greater, as recession-weary workers feel pressured to justify their worth and a 24-hour news cycle demands that leaders have an immediate, sound-bite-ready answer for everything. If you are prone to exaggeration, however, this could mean that you habitually overstate the truth.
This article examines exaggeration in all its guises but with a particular reference to the risks and responsibilities of a health care provider.
Harry Rosen
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| | Medical Ethics: Ethical Challenges: Beyond Covid | Medical Ethics: Ethical Challenges: Beyond Covid
Medical Ethics: Ethical Challenges: Beyond Covid
Overview
“Ethical challenges will intensify as the pandemic wanes”.
The disruptions caused by COVID-19 have heightened the risk of unethical behaviour in different sectors, including in healthcare, where trust is our lifeblood. We’ve seen an outbreak of misinformation during the pandemic, ranging from fake cures, false claims, and harmful health advice. We’ve seen bad-acting opportunists take advantage to trade illegitimate or non-compliant products.
For the past two and a half years, the world has been duly tested by the challenges resulting primarily from the COVID-19 pandemic. In response, health care providers have shown tremendous resilience. However, as jurisdictions around the world progressed toward a more hopeful future, the ethical challenges health care providers face are far from over.
In fact, they might intensify.
As the pandemic fades, but taking cognisance of continued threats such as the ‘5th and 6th wave’ in South Africa, many entities as well as individuals will be eager to demonstrate their potential by posting quick wins and an accelerating recovery. Others will continue to navigate the intricacies of government support schemes, and, as those taper, some entities will find themselves on the brink of insolvency. Just as the economic impacts of this crisis unfolded in an uneven and unpredictable manner around the world, so too will recovery efforts. Health care providers must anticipate a continued period of heightened uncertainty and prioritize their ethical responsibilities all the more.
Harry Rosen | 3 | | R425.00 | |
| | Medical Ethics: The Rule of Law in Turbulent Times | Medical Ethics: The Rule of Law in Turbulent Times
Medical Ethics: The Rule of Law in Turbulent Times
Overview
Primarily, as a result of the advent of Covid, planet Earth has been thrown off its axis. South Africa is no exception, with the added aggravation and devastation due to looting, floods, etc.
The consequences to practitioners, practice staff, families and patients have been immeasurable.
Within this turmoil, there have been an avalanche of diverse factors and forces introduced into the healthcare arena, that, in way or another, impact or have the potential to impact on practices.
These factors are discussed in this study.
Harry Rosen
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| | Medical Ethics: Ethical Pitfalls in Practice | Medical Ethics: Ethical Pitfalls in Practice
Medical Ethics: Ethical Pitfalls in Practice
Overview
We live in a world where we face challenges daily. In technical terms, Ethical Pitfalls relate to that field of research, within the ambit of behavioural ethics , which focuses on how people behave when they're confronted with dilemmas and respond in ways that contradict their values, without even knowing they're doing it. In essence, the conduct of practitioners or staff may knowingly or unknowingly transgress existing ethical boundaries.
In practical terms, when an activity in a practice environment conflicts with moral human principles and affects individuals involved working within the practice, it becomes an ethical issue. While regulator-enforced rules can hold employees and employers accountable for lawbreaking conduct, they can't entirely prevent individuals from acting unethically. Thus, it is the responsibility of the practice owner to address ethical concerns and establish clear guidelines. This coursed discusses this ethical issue.
Harry Rosen
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| | Medical Ethics - Ethics in Practice | Medical Ethics - Ethics in Practice
Medical Ethics - Ethics in Practice
Overview Ethical issues in a practice environment can be a difficult challenge to navigate for any practice owner. Though there are laws and statutes that exist to hold workers and employers accountable, these alone do not entirely deter employees from behaving unethically. Avoiding ethical issues in the practice always starts with top management. Providing clearly written policies and processes that ensure those policies are both acknowledged and adhered to, can ensure transparency and ethical practices are applied.
To effectively detect and, most importantly, deter ethical issues in practice from surfacing in your organization, there are several everyday efforts you can take. Be sure to communicate and enforce a robust code of ethics when making decisions and ask the same of your employees. Remain aware of the discrimination laws that exist in your region. Stay informed on the rules that impact your industry, and ensure your organization is acting in compliance with those regulations. Collaborate with accountants, maintaining transparency and honesty in your financial reports. Be present in your company, making sure your organization and employees alike are always doing the right and ethical thing.
Authors Harry Rosen | 3 | | R460.00 | |
| | Medical Ethics: Professional Practice: A Moral Enterprise | Medical Ethics: Professional Practice: A Moral Enterprise
Medical Ethics: Professional Practice: A Moral Enterprise
Overview Practice as a health care professional is based upon a relationship of mutual trust between patients and health care practitioners. From the perspective of the Health Professions Council of South Africa (HPCSA), to be a good health care practitioner, requires a life-long commitment to sound professional and ethical practices and an overriding dedication to the interests of one’s fellow human beings and society. In essence, the practice of health care professions is considered a moral enterprise. In this spirit the HPCSA presents ethical guidelines to guide and direct the practice of health care practitioners, primarily to protect the public. These guidelines form an integral part of the standards of professional conduct against which a complaint of professional misconduct is evaluated. Conducting business ethically is critical to a company’s success in the marketplace. Customers, suppliers and employees will not support a company that is involved in fraudulent, dishonest or unethical practices. Setting high standards of integrity in business relations and promoting their adherence by employees will enable the company to merit the confidence and support of its customers and the public at large.
Author Harry Rosen
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| | Medical Ethics: Ethical frameworks for complex medical decision making in older patients: A narrative review | Medical Ethics: Ethical frameworks for complex medical decision making in older patients: A narrative review
Medical Ethics: Ethical frameworks for complex medical decision making in older patients: A narrative review
Overview With an ageing population, physicians are more and more faced with complex medical and moral situations. Medical professional guidelines are often of limited use in these cases. To assist the decision-making process, several ethical frameworks have been proposed. Ethical frameworks are analytical tools that are designed to assist physicians and other involved healthcare workers in complex moral decision-making situations. Most frameworks are step-by-step plans that can be followed chronologically during moral case deliberations. Some of these step-by-step plans provide specific moral guidance as to what would constitute a morally acceptable conclusion, while others do not. In this narrative review we will present and discuss the ethical frameworks used for medically complex situations in older people that have been proposed in literature. Twenty-three studies were included in the review, containing seventeen different frameworks. Twenty studies described step-by-step-frameworks, with the number of steps varying from three to twelve. In four studies suggestions were made as how to balance conflicting moral values.
Ethical frameworks are meant to assist healthcare professionals who are faced with morally complex decisions in older patients. In our view, these frameworks should contain a step-by-step plan, moral values and an approach to balancing moral values.
Acknowledgements:
Authors Rozemarijn Lidewij van Bruchem-Visser, Gert van Dijk, Inez de Beaufort, Francesco Mattace-Raso
Journal Archives of Gerontology and Geriatrics | 3 | | R465.00 | |
| | Medical Ethics: Ethics in Practice -The Obligations that Define a Profession | Medical Ethics: Ethics in Practice -The Obligations that Define a Profession
Medical Ethics: Ethics in Practice -The Obligations that Define a Profession
Overview The use of the word ‘profession’ has expanded so far beyond its original meaning that a clear definition has become obscured and marred by colloquial usage. It is not uncommon to find the term ‘professional’ misused to describe sportsmen, tradesmen and even politicians. Yet, when we speak about a ‘professional’ there is a tacit understanding that only individuals engaged in certain occupations belong to that category: doctors, lawyers, teachers. A fundamental distinction between a profession and any other occupation, is that individuals engaged in a profession have an ethical obligation to whomever they provide their services. In other words, a profession is required to have a Code of Ethics. Unlike laws and regulations, which are prescriptive and rigid, the principles of ethics are flexible and how they are applied depends on the individual practitioner.
It is these responsibilities and expectations that are the hallmarks of a profession.
Author Harry Rosen
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| | Medical Ethics: Social Media Violations | Medical Ethics: Social Media Violations
Medical Ethics: Social Media Violations
“I remember when Blackberry and Apple were just fruits.”
Overview
In practical terms, social media increase connectivity and is one of the fastest growing industries in the world.
Social media are forms of electronic communication (such as websites for social networking and microblogging) through which users create online communities to share information, ideas, personal messages, and other content (such as videos)
Businesses large and small are turning to social media as an outreach to potential customers worldwide, to advertise their products and services, and to engage with customers. In recent times we have seen how social signals are becoming an important part of search engine optimization.
There is no doubt that a well- planned social media strategy has the potential to make or take down a brand. For example, Lady Gaga (personal branding) quickly became a smash hit, and social media played a major role in her rise to stardom. Facebook, Twitter, Instagram and all other social media websites are great communication tools. After all, they help us be connected to people from all over the world. However, if poorly managed they can cause huge damage.
Author Harry Rosen
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| | Medical Ethics: Ethical Guidelines to Social Media | Medical Ethics: Ethical Guidelines to Social Media
Medical Ethics: Ethical Guidelines to Social Media
Overview
This guideline was developed to help health practitioners understand their obligations when using Social Media. The guideline applies to all health practitioners registered with the Health Professions Council of South Africa Social Media describes the online tools and electronic platforms that people use to share content such as opinions, information, photos, videos, and audio. The use of Social Media is expanding rapidly as individuals and organisations are embracing user-generated content through social networks, internet forums and personal blogs. Health professionals need to be aware that there are potential risks involved in the sharing of information via Social Media, even if the consequences are unintended.
A key objective of the HPCSA and its Professional Boards is to guide the profession and protect the public. Some health practitioners may find Social Media beneficial as it allows them to keep updated on the latest healthcare developments through reputable user generated content.
Acknowledgement
Journal: Ethical and Professional Rules of the Health Professions Council of South Africa
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| | Medical Ethics: Ethical Guidelines for the Withholding and Withdrawing of Treatment | Medical Ethics: Ethical Guidelines for the Withholding and Withdrawing of Treatment
Medical Ethics: Ethical Guidelines for the Withholding and Withdrawing of Treatment
Overview
Health care practitioners have a responsibility to make the care of their patients their first concern. The guidance in these guidelines is intended to provide an ethical framework of good practice for health care practitioners in circumstances where they are faced with making a decision on whether to withhold or withdraw life-prolonging treatment. It takes account of existing law in this area, that allowing for withholding and withdrawing of life sustaining treatments and that which prohibits killing, active euthanasia, and assisted suicide.
The health care professional may alleviate the suffering of a terminally ill patient by withholding treatment i.e. allowing the natural process of death to follow its course, provided there is consultation with another health care practitioner who is an expert in the field, and where available, discussions with the closest relatives. The HPCSA also expects health care practitioners to observe the provisions of the World Medical Association Declaration on Terminal Illness.
Acknowledgement
Journal: Ethical and Professional Rules of the Health Professions Council of South Africa
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| | Viral Pneumonia Part 3 | Viral Pneumonia Part 3
Overview The reported incidence of viral pneumonia (see the image below) has increased during the past decade. In part, this apparent increase simply reflects improved diagnostic techniques, but an actual increase appears to have also occurred. Depending on the virulence of the organism, as well as the age and comorbidities of the patient, viral pneumonia can vary from a mild, self-limited illness to a life-threatening disease. This course is divided into 3 parts covering the aspects of Pneumonia leading into the much dreaded COVID 19 The influenza viruses are the most common viral cause of pneumonia. Primary influenza pneumonia manifests with persistent symptoms of cough, sore throat, headache, myalgia, and malaise for more than three to five days. Respiratory syncytial virus (RSV) is the most frequent cause of lower respiratory tract infection in infants and children and the second most common viral cause of pneumonia in adults.
Parainfluenza virus (PIV) is second in importance only to RSV as a cause of lower respiratory tract disease in children and pneumonia and bronchiolitis in infants younger than 6 months. PIV pneumonia and bronchiolitis are caused primarily by the PIV-3 strain. The signs and symptoms include fever, cough, coryza, dyspnea with rales, and wheezing.
Acknowledgements Authors:
Zab Mosenifar and Richard Brawerman | 3 | | R420.00 | |
| | Viral Pneumonia Part 1 | Viral Pneumonia Part 1
Overview The reported incidence of viral pneumonia (see the image below) has increased during the past decade. In part, this apparent increase simply reflects improved diagnostic techniques, but an actual increase appears to have also occurred. Depending on the virulence of the organism, as well as the age and comorbidities of the patient, viral pneumonia can vary from a mild, self-limited illness to a life-threatening disease.
This course is divided into 3 parts covering the aspects of Pneumonia leading into the much dreaded COVID 19. The influenza viruses are the most common viral cause of pneumonia. Primary influenza pneumonia manifests with persistent symptoms of cough, sore throat, headache, myalgia, and malaise for more than three to five days. Respiratory syncytial virus (RSV) is the most frequent cause of lower respiratory tract infection in infants and children and the second most common viral cause of pneumonia in adults.
Parainfluenza virus (PIV) is second in importance only to RSV as a cause of lower respiratory tract disease in children and pneumonia and bronchiolitis in infants younger than 6 months. PIV pneumonia and bronchiolitis are caused primarily by the PIV-3 strain. The signs and symptoms include fever, cough, coryza, dyspnea with rales, and wheezing.
Acknowledgements
Authors:
Zab Mosenifar and Richard Brawerman | 3 | | R420.00 | |
| | Medical Ethics: Artificial Intelligence Ethics – Too Principled to Fail? | Medical Ethics: Artificial Intelligence Ethics – Too Principled to Fail?
Medical Ethics: Artificial Intelligence Ethics – Too Principled to Fail?
Overview
AI Ethics is now a global topic of discussion in academic and policy circles. At least 63 public-private initiatives have produced statements describing high-level principles, values, and other tenets to guide the ethical development, deployment, and governance of AI. According to recent meta-analyses, AI Ethics has seemingly converged on a set of principles that closely resemble the four classic principles of medical ethics. Despite the initial credibility granted to a principled approach to AI Ethics by the connection to principles in medical ethics, there are reasons to be concerned about its future impact on AI development and governance. Significant differences exist between medicine and AI development that suggest a principled approach in the latter may not enjoy success comparable to the former. Compared to medicine, AI development lacks (1) common aims and fiduciary duties, (2) professional history and norms, (3) proven methods to translate principles into practice, and (4) robust legal and professional accountability mechanisms. These differences suggest we should not yet celebrate consensus around high-level principles that hide deep political and normative disagreement.
Acknowledgment Author Brent Mittelstadti
Journal Nature Machine Intelligence November 2019
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