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Acta Bioethica最新文献

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Autoexperimentación y bioética 自我体验与生物伦理学
IF 0.4 4区 哲学 Q4 ETHICS Pub Date : 2020-11-12 DOI: 10.4067/s1726-569x2020000200257
F. L. Stepke
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引用次数: 0
De la intención al comportamiento: modelo analítico del comportamiento de riesgo moral del médico basado en la teoría del comportamiento planificado 从意图到行为:基于计划行为理论的医生道德风险行为分析模型
IF 0.4 4区 哲学 Q4 ETHICS Pub Date : 2020-11-12 DOI: 10.4067/s1726-569x2020000200247
Yaohui Wang, H. Lina, Liu Quanlong, Li Xinchun
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引用次数: 2
Originales 原始
IF 0.4 4区 哲学 Q4 ETHICS Pub Date : 2020-10-01 DOI: 10.4067/s1726-569x2020000200179
Felipe Arturo Rilova Salazar
En el asma crónico se observan diferentes formas de evolución de la obstrucción bronquial durante el día (Turner Warwick). El más conocido es el «morning dipper» (matinal), que es el patrón que ha servido para analizar el ritmo circadiano de la obstrucción de las vías aéreas, así como para el estudio del asma nocturno (Reinberg et al, Clark y Hetzel, Hetzel y Clark y Barnesetal). Los clínicos interesados en el asma bronquial y familiarizados con los asmáticos crónicos observan, no raramente, a pacientes con un patrón «brittie» (frágil) convertirse en «morning dipper» tras un ataque severo de asma bronquial, y al mismo tiempo se ven sujetos con un patrón «morning dipper» convertirse en «brittie» en el inicio de la descompensación de la obstrucción hasta el momento «controlada». Hemos tratado de definir mediante métodos estadísticos los tres patrones más frecuentemente hallados en el asma crónico, considerando la posibilidad de que sean la expresión de diferentes situaciones clínicas.
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引用次数: 4
Covid-19 y responsabilidad civil médica: desafíos de una enfermedad desconocida que devino en pandemia 新冠病毒-19与医疗民事责任:一种未知疾病在大流行中的挑战
IF 0.4 4区 哲学 Q4 ETHICS Pub Date : 2020-10-01 DOI: 10.4067/s1726-569x2020000200155
Hugo A. Cárdenas Villarreal, Manuel Antonio Pérez Saavedra
Resumen La emergencia sanitaria provocada por el coronavirus evidencia que los regimenes de responsabilidad deben ser capaces de diferenciar los instrumentos conceptuales disponibles para lidiar con una enfermedad nueva que, ademas, devino en pandemia. Este trabajo postula que, tratandose de enfermedades nuevas, los principios de la responsabilidad por culpa evitaran que los prestadores medicos sean condenados por hechos o circunstancias que no se hubieran podido prever o evitar segun el estado de los conocimientos de la ciencia. Ademas, en cuanto al problema de salud publica, todo juicio de responsabilidad debera tomar en cuenta los cambios que se produciran en la lex artis medica, y diferenciar la eventual responsabilidad de los prestadores de salud de aquella que corresponda a la autoridad encargada de controlar los efectos de la pandemia.
摘要冠状病毒引起的健康紧急情况表明,责任制度必须能够区分可用于应对新疾病的概念工具,这种疾病也成为一种流行病。这项工作的假设是,对于新的疾病,过错责任原则将防止医疗提供者因根据科学知识状况无法预见或避免的事件或情况而被定罪。此外,关于公共卫生问题,任何责任审判都必须考虑到《医疗法》的变化,并将卫生提供者的任何责任与负责控制疫情影响的当局的责任区分开来。
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引用次数: 1
Antropología y bioética
IF 0.4 4区 哲学 Q4 ETHICS Pub Date : 2020-10-01 DOI: 10.4067/s1726-569x2020000200259
F. L. Stepke
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引用次数: 0
Ética y coronavirus 伦理与冠状病毒
IF 0.4 4区 哲学 Q4 ETHICS Pub Date : 2020-10-01 DOI: 10.4067/s1726-569x2020000200264
Cristian Timmermann
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引用次数: 1
Toma de decisiones centradas en la familia en la enfermedad renal crónica avanzada. De la autonomía individual a la autonomía familiar o comunitaria 以家庭为中心的晚期慢性肾脏疾病决策。从个人自治到家庭或社区自治
IF 0.4 4区 哲学 Q4 ETHICS Pub Date : 2020-10-01 DOI: 10.4067/s1726-569x2020000200215
Laura Margarita Forero, Martha Patricia Rodríguez Sánchez, Efraín Méndez Castillo, Ana María Medina Ch.
The increase in the incidence and prevalence rate of Chronic Kidney Disease poses challenges and ethical dilemmas that patients, family members and health professionals must face daily. The objective of this article is to present a reflection on the way in which patients make recourse to third parties as participants in their decision-making, which would require an approach based on solidarity autonomy. The analysis of twelve semi-structured interviews conducted with patients 60 years of age and older, from different programs of the Nephrology Unit of the Hospital Universitario San Ignacio in the period 20172018 Colombia, is presented. This article proposes the need for family-centered decision making of patients with chronic diseases, before their state is advanced and states of unconsciousness prevent their self-determination, considering the social determination of autonomy.
慢性肾脏疾病的发病率和流行率的增加给患者、家属和卫生专业人员带来了每天必须面对的挑战和道德困境。这篇文章的目的是提出了一种反思的方式,其中患者追索第三方作为参与者在他们的决策,这将需要一个基于团结自治的方法。本文分析了2017 - 2018年期间哥伦比亚圣伊格纳西奥医院肾病科不同项目对60岁及以上患者进行的12次半结构化访谈。本文提出在慢性病患者处于晚期状态和无意识状态阻止其自决之前,考虑到自主性的社会决定,需要以家庭为中心的决策。
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引用次数: 1
En los veinte años de Acta Bioethica 在《生物伦理学学报》的二十年里
IF 0.4 4区 哲学 Q4 ETHICS Pub Date : 2020-10-01 DOI: 10.4067/s1726-569x2020000200131
F. L. Stepke
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引用次数: 0
La obligación de informar y el consentimiento informado en Odontología: una mirada crítica más allá de la regulación normativa 牙科报告和知情同意义务:监管监管之外的批判性视角
IF 0.4 4区 哲学 Q4 ETHICS Pub Date : 2020-10-01 DOI: 10.4067/s1726-569x2020000200195
Estefanía Esparza-Reyes, Víctor Javier Beltrán Varas, Pamela Beltrán Varas
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引用次数: 0
La psicoética de lo sindémico: lo pático y la patológico 综合症的心理伦理学:病态的和病态的
IF 0.4 4区 哲学 Q4 ETHICS Pub Date : 2020-10-01 DOI: 10.4067/s1726-569x2020000200147
F. L. Stepke
After discussing the scope and implications of the expression "mental health" at both the individual and social levels, this paper emphasizes that suffering (a pathic condition) is not always pathological in medical terms, and should be taken into consideration when evaluating the responses to the syndemic (the synergistic outcome of many alterations of the social milieu) caused by Covid19 Against the background of the historical-anthropological dimensions of experience and expectation of societies, the dialogical underpinning of bioethical thinking is rephrased as a psychoethics that incorporates an evaluation of the responses affecting the public, the communicators, and authorities This reinforces the need for an empirical situationism in moral deliberation and the demand for empirical axiology in which judgments are made after continuous contrasting values, principles, and norms with the actual behavior of people
在个人和社会层面讨论了“心理健康”一词的范围和含义之后,本文强调,从医学角度来看,痛苦(一种病态状态)并不总是病态的。并应在评估对covid - 19引起的综合征(社会环境许多变化的协同结果)的反应时予以考虑。在经验和社会期望的历史人类学层面的背景下,生物伦理思维的对话基础被重新表述为心理伦理,其中包括对影响公众、传播者、这加强了在道德审议中对经验情境主义的需求,以及对经验价值论的需求,在这种价值论中,判断是在与人们的实际行为不断对比的价值、原则和规范之后做出的
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引用次数: 0
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Acta Bioethica
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