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Marta Sánchez Jacob, María Tasso Cereceda, Carmen Martínez González, Federico de Montalvo Jááskeläinem, Isolina Riaño Galán
The conflicts that arise when minors or their legal representatives refuse to receive medical treatment considered necessary by the paediatrician pose a serious ethical dilemma and also have a considerable emotional impact. In order to adequately tackle this rejection of medical treatment, there is to identify and attempt to understand the arguments of the people involved, to consider the context in each individual case and be conversant with the procedure to follow in life-threatening scenarios, taking into account bioethical considerations and the legal framework...
January 11, 2017: Anales de Pediatría: Publicación Oficial de la Asociación Española de Pediatría (A.E.P.)
Rodrigo Siqueira-Batista, Camila Ribeiro Souza, Polyana Mendes Maia, Sávio Lana Siqueira
Introduction: The use of robots in surgery has been increasingly common today, allowing the emergence of numerous bioethical issues in this area. Objective: To present review of the ethical aspects of robot use in surgery. Method: Search in Pubmed, SciELO and Lilacs crossing the headings "bioethics", "surgery", "ethics", "laparoscopy" and "robotic". Results: Of the citations obtained, were selected 17 articles, which were used for the preparation of the article...
November 2016: Arquivos Brasileiros de Cirurgia Digestiva: ABCD, Brazilian Archives of Digestive Surgery
Bjørn Hofmann
RATIONALE, AIMS, AND OBJECTIVES: Colorectal cancer (CRC) screening is widely recommended and implemented. However, sometimes CRC screening is not implemented despite good evidence, and some types of CRC screening are implemented despite lack of evidence. The objective of this article is to expose and elucidate relevant ethical issues in the literature on CRC screening that are important for open and transparent deliberation on CRC screening. METHODS: An axiological question-based method is used for exposing and elucidating ethical issues relevant in HTA...
December 27, 2016: Journal of Evaluation in Clinical Practice
David Novillo-Ortiz, Marcelo D'Agostino, Francisco Becerra-Posada
Political will and adoption of measures toward the use of eHealth have been steadily increasing, facilitating mobilization of resources necessary to adopt and implement digital services that will make it possible to improve access, expand coverage, and increase financial efficiency of health care systems. Adoption of the Strategy and Plan of Action on eHealth of the Pan American Health Organization (PAHO) in 2011 by all Member States in the Region of the Americas has led the Region to major progress in this regard, including the following: creation of knowledge networks and development of information sources, establishment of eHealth sustainability models, support for development of electronic health records, promotion of standards on health data and related technologies that ensure exchange of information, use of mobile devices to improve health, and improvement in quality of care through telemedicine...
August 2016: Revista Panamericana de Salud Pública, Pan American Journal of Public Health
Carmen Martínez González, María Tasso Cereceda, Marta Sánchez Jacob, Isolina Riaño Galán
Professionalism is rarely taught formally. It is learned by osmosis through the hidden curriculum: a set of attitudes that each one of us transmits unconsciously to students, medical residents, and colleagues. All of us are a model or counter-model of professionalism through a series of values that have been the pillars of our profession since Hippocrates. Values that do not seem to be strong enough to pass our time. There are specific factors of the 21st century such as the financial crisis, the highly technical nature of medicine, bureaucratisation or trivialisation of the medical process that could explain, but not justify, the decline in the values of our profession: Empathy, integrity, solidarity, the altruism, or confidentiality...
November 30, 2016: Anales de Pediatría: Publicación Oficial de la Asociación Española de Pediatría (A.E.P.)
A Estella, M C Martín, A Hernández, O Rubio, J L Monzón, L Cabré
No abstract text is available yet for this article.
October 2016: Medicina Intensiva
Modesto Ferrer Colomer, Ana Aranda García, Luis Miguel Pastor García
In this article a brief history of the journal ″Cuadernos de Bioética″ is made, a general analysis of the published works in the diverse journal sections is realized. The last changes in it over recent years are also indicated. The article ends with some considerations on the recent history of the magazine and stating some of the lines of improvement that has raised the current editorial board for the next years.
September 2015: Cuadernos de Bioética: Revista Oficial de la Asociación Española de Bioética y Ética Médica
Daniela Tarquini, Eugenio Pucci, Maddalena Gasparini, Silvia Zullo, Pietro Tiraboschi, Virginio Bonito, Carlo Alberto Defanti
In 2011, the so-called Dubois criteria introduced the use of biomarkers in research (in particular, brain amyloid positron emission tomography imaging and the cerebrospinal fluid levels of tau/fosfo-tau and beta-amyloid 1-42) for the early or preclinical diagnosis of Alzheimer's disease. Even so, we are looking at an increased use of these markers in clinical practice. In the 1960s, Alzheimer's disease was considered a rare form of presenile dementia, but gradually it has been recognized as the prevalent form of old-age dementia...
July 2014: Recenti Progressi in Medicina
(no author information available yet)
No abstract text is available yet for this article.
January 2013: Cuadernos de Bioética: Revista Oficial de la Asociación Española de Bioética y Ética Médica
Fernando Lolas Stepke
ResumenEste artículo explora el origen y la conceptualización de la bioética en tanto ética biocéntrica, definida por el pionero Fritz Jahr como un imperativo hipotético que llama a respetar la vida en todas sus formas. Tras describirla como proceso social, procedimiento técnico y producto académico, se enumeran y comentan algunas competencias que debieran presidir el empleo del discurso bioético en cualquier punto del complejo social "investigación médica": miembros de comités de ética de investigación, investigadores, empresarios, administradores...
July 2012: La Revista Médica del Uruguay
I Riaño Galán, C Martínez González, M Sánchez Jacob
Vaccinating children is the most effective primary prevention activity and many lives have been saved due to vaccines. Anti-vaccine movements have spread doubts about the safety and effectiveness of childhood vaccines, leading to some parents refusing to vaccinate their children. This refusal raises a conflict of values between the right of parents to the upbringing of their children according to their beliefs and justice, putting the immunity of the group at risk. In Spain, the law protects this ability for parents to decide not to comply with the official vaccine program...
July 2013: Anales de Pediatría: Publicación Oficial de la Asociación Española de Pediatría (A.E.P.)
Liliana Mondragón Barrios
El propósito de este trabajo es presentar el impacto y la integración que los conocimientos adquiridos en el Programa Internacional de Formación en Ética de la Investigación Biomédica y Psicosocial de la Universidad de Chile han tenido en mi experiencia profesional, en el ámbito de la investigación psicosocial en un Instituto de Salud de México. Para este objetivo, expondré tres áreas en las cuales se ha podido evidenciar tal impacto: trabajo en los comités de ética, desarrollo de programas de académicos en bioética e investigación y publicación sobre ética y bioética...
2012: Acta Bioethica
Fernando Lolas Stepke
No abstract text is available yet for this article.
March 1, 2010: Acta Bioethica
Eduardo Rodríguez Yunta
No abstract text is available yet for this article.
August 1, 2009: Acta Bioethica
Eduardo Rodríguez Yunta
El presente artículo reflexiona desde los 4 principios de la bioética el uso comercial de organismos genéticamente modificados. Se cuestiona fundamentalmente la falta de transferencia de tecnología entre el mundo desarrollado y en desarrollo y el que el presente sistema de patentamiento de organismos vivos modificados fomenta intereses comerciales y no da debida importancia al desarrollo sostenible de la agricultura y ganadería en los países en desarrollo, donde más se necesita. Se reflexiona sobre la importancia que tiene evaluar los riesgos antes de introducirse en el mercado organismos genéticamente modificados y la necesidad de regulación en los países...
January 1, 2010: Bioethikos
Sergio Litewka, Kenneth Goodman, Y Paul Braunschweiger
El Programa CITI (Collaborative Institutional Training Initiative) es un curso basado en Internet y desarrollado por voluntarios, que brinda material educacional sobre protección de sujetos humanos en investigaciones biomédicas y de conducta, buenas prácticas clínicas, conducta responsable de la investigación y trato humanitario a animales de laboratorio. Es un esfuerzo conjunto del Fred Hutchinson Cancer Research Center y la Universidad de Miami.Con la colaboración de expertos locales, gran parte del contenido se ha adaptado para América Latina, se ha traducido al español y portugués y se han establecido acuerdos de colaboración con instituciones especializadas en bioética en Chile, Brasil, Costa Rica y Perú...
2008: Acta Bioethica
Sergio G Litewka
Argentina ha sido un campo fértil para los intentos de reforma del sector salud, en la búsqueda por mejorar la calidad de sus servicios y, consecuentemente, la accesibilidad y la equidad del mismo. Los resultados obtenidos no han sido proporcionales a los esfuerzos desarrollados. Aunque la bioética debería, como forma de reflexión interdisciplinaria, participar en la fundamentación de nuevas políticas sanitarias y sus efectos sobre los usuarios, parece haber permanecido ajena, en general, a los graves problemas derivados de la corrupción, prefiriendo enfocarse en cuestiones vinculadas a planteos abstractos de justicia y solidaridad, atribuyendo los fracasos a la imposición de modelos económicos foráneos...
November 2010: Acta Bioethica
Elizabeth C Zwareva Mashiri
Este artículo reporta un estudio realizado en las ciudades de La Paz, Cochabamba, y Santa Cruz en Bolivia. Interesaba saber cuál era la situación de la bioética en Bolivia y cómo se estaba protegiendo a los sujetos de investigación.Luego de revisar algunos conceptos bioéticos, la legislación boliviana y los métodos del estudio, se dan a conocer los resultados del mismo, los cuales revelan gran desconocimiento respecto de cómo proteger los derechos de los sujetos, por la casi ausencia o el inadecuado funcionamiento de los comités de ética de la investigación...
June 1, 2010: Acta Bioethica
J L Monzón, I Saralegui, R Molina, R Abizanda, M Cruz Martín, L Cabré, K Martínez, J J Arias, V López, R M Gràcia, A Rodríguez, N Masnou
Cardiopulmonary Resuscitation (CPR) must be attempted if indicated, not done if it is not indicated or if the patient does not accept or has previously rejected it and withdrawn it if it is ineffective. If CPR is considered futile, a Do-Not-Resuscitate Order (DNR) will be recorded. This should be made known to all physicians and nurses involved in patient care. It may be appropriate to limit life-sustaining-treatments for patients with severe anoxic encephalopathy, if the possibility of clinical evolution to brain death is ruled out...
November 2010: Medicina Intensiva
Paulo Antônio de Carvalho Fortes
OBJECTIVE: To understand the meaning assigned to ethical thought that should guide Brazilian bioethicists regarding the equity of a Health System. METHODS: Between July 2007 and July 2008, 20 bioethicists, directors and former directors of the 'Sociedade Brasileira de Bioética' (Bioethics Brazilian Society) and their regional administrations were interviewed. RESULTS: Discourse analysis led to definition of these main points: To treat the unequals unequally according to their needs; Compensate equity and inequalities; Distributive justice and maximization of benefits; Justice and social merit and Justice and rights...
January 2010: Revista da Associação Médica Brasileira
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