Giuliana Fuscaldo

Giuliana Fuscaldo
Monash University (Australia) · Eastern Health Clinical School

PhD, University of Melbourne

About

29
Publications
2,588
Reads
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267
Citations
Additional affiliations
September 2013 - August 2015
Barwon Health
Position
  • Manager, Research Ethics, Governance and Intergity Unit (REGI) Barwon Health,
January 2008 - December 2011
University of Melbourne
Position
  • Lecturer in Health Ethics

Publications

Publications (29)
Article
Full-text available
Like other assisted reproductive technology (ART) procedures, the cost of egg freezing (EF) is significant, presenting a potential barrier to access. Given recent technological advancements and rising demand for EF, it is timely to reassess how EF is funded. An online cross-sectional survey was conducted in Victoria, Australia and was completed by...
Article
Background Since 2014, many companies have followed the lead of Apple and Facebook and now offer financial support to female employees to access egg freezing. Australian companies may soon make similar offers. Employer-sponsored egg freezing (ESEF) has raised concerns and there is academic debate about whether ESEF promotes reproductive autonomy or...
Article
Background On 29 November 2017, the Victorian Parliament passed the Voluntary Assisted Dying (VAD) Act 2017, which came into effect from 19 June 2019. Aim To investigate whether staff from a large regional health service support the legalisation of Voluntary Assisted Dying (VAD) and the implementation of VAD at their workplace. Methods Staff were...
Article
Full-text available
Egg freezing (EF) technology has improved significantly over the last decade, giving women more choice over their reproductive futures. Despite this advance, EF brings forth contentious ethical and regulatory issues. Policies controlling access to EF vary around the world and there is a lack of consensus about who should have access and what criter...
Article
Objective: To investigate the research interest, capacity and culture in individuals, teams and health organisations across south-western Victoria. Design: Cross-sectional survey. Setting: Eight public health services in the south-western region of Victoria. Participants: All staff were invited to participate. Intervention: Hospital staff...
Article
Background: International developments suggest that providing clinical ethics services to help clinicians negotiate ethical issues that arise in clinical practice is beneficial and reflects best practice in promoting high ethical standards and patient-centered care. The aim of this study was to explore the needs and experiences of clinical staff m...
Article
Patient‐centred care (PCC) is an essential component of high‐quality healthcare and shared decision‐making is its cornerstone. Yet, integrating the principles of PCC into healthcare practice is not always straightforward and shared decision‐making can be complicated and ethically demanding. While ethicists and academics routinely debate moral aspec...
Chapter
In paediatrics, clinicians and parents sometimes disagree about the appropriate medical treatment for a child. Parents can prefer an option that differs from the clinician’s recommendation. When should the parents’ decision about their child’s medical treatment be overridden? This book explores ethical decision-making when clinicians and parents d...
Data
Full-text available
While there is ongoing debate about access to adoption, there has been little empirical research on the views of people with firsthand experiences of the adoption process. We interviewed 36 people with experience of the process of applying to adopt in Victoria, Australia. Participants commented on their experiences of different stages. They were cr...
Article
Full-text available
Adoption Report Executive Summary People apply to adopt a child for many different reasons – for some people, adoption is the end of a long process of trying to make a family. For others, adoption is a first choice. Although there is ongoing debate about access to adoption, there has been little empirical research on the views of people with f...
Article
Full-text available
This project aims to improve the relevance and applicability of health ethics education. Health ethics is a compulsory requirement of medical and allied health curriculums for course accreditation, and its application is particularly sensitive to cultural context. To date, little attention has been paid to the complexities of teaching health ethics...
Article
Full-text available
  There is growing awareness that cultural background influences health beliefs and practices and can impact on the patient-practitioner encounter. However, in relation to optometry there is little known about the implications of cultural diversity for clinical decision-making and how optometrists address culturally based understandings of health....
Article
Full-text available
When are medical treatments worthwhile and when are they futile? This is a complex and often divisive question. Even experienced doctors sometimes disagree about whether to treat, or not to treat.
Article
The four principles approach (principlism) is widely implemented in medical curricula. However, there is ongoing debate about the “universality” of this approach. A frequent criticism is that principlism reflects Western ideals such as the importance of individual rights. Some Asian scholars have argued that Asian bioethics is essentially different...
Article
Full-text available
THE public health mantra to address the obesity "epidemic" is "Eat Less. Exercise More". If only it was that simple.
Article
Full-text available
In Victoria, Australia, legislation governing fertility treatment provides that surplus human embryos must not be stored for longer than 5 years. Couples must then choose one of three options: discard, donate to research or donate to another infertile couple. Previous research suggests that many people find these decisions difficult and emotionally...
Article
Full-text available
Motherhood is a fertile breeding ground for myths. Take the myth implicit in Bill Heffernan's recent comments about Julia Gillard: that women who don't give birth are barren. When we put this myth into the myth buster, we find that there are many reasons that women don't have children. Calling these women barren denies the rich and fruitful relatio...
Chapter
Prospective recipients can now select gamete donors from a range of characteristics, including ‘race’ and ethnic features. The importance of these characteristics for choosing a sperm or egg donor varies, and commentators disagree on the role that race should play in reproductive choices. Keywords: ethnic; gamete donation; genetic enhancement; ra...
Article
Does genetic relatedness define who is a mother or father and who incurs obligations towards or entitlements over children? While once the answer to this question may have been obvious, advances in reproductive technologies have complicated our understanding of what makes a parent. In a recent publication Bayne and Kolers argue for a pluralistic ac...
Thesis
Full-text available
What determines parenthood? The advent of IVF and the rapid growth of reproductive technologies have challenged the significance historically associated with biological relationships. It is now possible for a child to have many different people in the role of genetic, gestational, nurturing or legal parent and for the formation of many novel types...
Article
IVF laws in Victoria, Australia provide that human embryos must not remain in storage in excess of 5 years. Studies reviewing the fate of surplus human embryos reveal that close to 90% of couples choose to discard their excess embryos and that hundreds of embryos are disposed of annually. It has been argued that human embryos are a valuable resourc...
Article
Full-text available
The advent of IVF and advances in reproductive technologies largely reflect the importance in our society of biological parenthood and genetic kinship. As illustrated in the controversy piece by Merle Spriggs,1 however, the same technology has confused our understanding of what makes a parent. An embryo mixup in Britain has resulted in a white cou...
Article
How should families be constructed? Does it matter if we choose to ignore 'blood ties' and raise children without their genetic parents? The debate over a recent court ruling allowing single and lesbian women access to assisted reproductive technologies (ART's) illustrates two possible answers to this question. Many of those opposed to the ruling a...
Article
To report the fertilization rate and pregnancy results for intracytoplasmic sperm injection (ICSI) cycles using frozen-thawed epididymal spermatozoa. Retrospective analysis of consecutive ICSI cycles. Tertiary referral center for infertility. Infertile couples in whom 39 patients (59 ICSI cycles) required the use of frozen-thawed epididymal spermat...
Article
The impact of a modification of the intracytoplasmic sperm injection (ICSI) technique on fertilization and pregnancy rates was examined in a retrospective analysis of 171 consecutive ICSI treatment cycles (156 patients). Patients were selected for ICSI on the basis of severe oligoasthenozoospermia (65 patients) or following conventional in vitro fe...
Article
Subzonal sperm microinjection (SUZI) is indicated in severe oligoasthenozoospermia, in which the total count of motile sperm is inadequate for in vitro fertilization (IVF), and in cases with repeated failure of fertilization. Sperm for microinjection are selected following centrifugation on a Percoll gradient and stimulation with pentoxifylline and...

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