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Schiltenwolf, M. & Herzog,W. (Eds.). Die Schmerzen Schiltenwolf,M.和Herzog,W。(编辑)疼痛
IF 0.4 4区 哲学 Q4 Medicine Pub Date : 2022-06-01 DOI: 10.4067/s1726-569x2022000100165
Fernando Lolas Stepke
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引用次数: 0
Are we ready for pig-to-human clinical xenotransplantation trials? 我们准备好进行猪到人的临床异种移植试验了吗?
IF 0.4 4区 哲学 Q4 Medicine Pub Date : 2022-06-01 DOI: 10.4067/s1726-569x2022000100149
Laichun Zhang, L. Ling
: The invention and widely use of organ allotransplantation provides effective treatment of some originally fetal diseases such as liver/kidney failure and has saved million of lives around the globe. However, the scarcity of human organs has caused many patients, who could have been treated, to die while waiting for suitable organs around the world. Pig-to hu- man xenotransplantation provides a potential solution to solve this tough problem. Pig organs have been considered as major sources of xenotransplantation because of the sufficient number of donors, the sizes of organs, and physiologically structural similarities. However, xenotransplantation also has some problems, such as the possibility of spreading animal diseases to human, the interspecies immunological barrier, organs of animal origin challenging human nature, and potential informed consent issues. This article will discuss these potential issues and to see whether it is the suitable time to conduct clinical xenotransplantation trials in humans.
异体器官移植的发明和广泛应用为一些原胎儿疾病如肝/肾功能衰竭提供了有效的治疗,并在全球挽救了数百万人的生命。然而,人体器官的稀缺导致世界各地许多本可以接受治疗的患者在等待合适器官的过程中死亡。猪到人的异种移植为解决这一棘手问题提供了一个潜在的解决方案。猪器官被认为是异种器官移植的主要来源,因为供体数量充足,器官大小,生理结构相似。然而,异种器官移植也存在一些问题,如动物疾病传播给人类的可能性、种间免疫屏障、动物来源的器官挑战人性以及潜在的知情同意问题。本文将讨论这些潜在的问题,并看看现在是否适合在人类中进行临床异种移植试验。
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引用次数: 0
La interculturalidad vacía: derecho a la salud intercultural de los pueblos indígenas y personas migrantes en Chile 空的文化间性:智利土著人民和移民的文化间健康权
IF 0.4 4区 哲学 Q4 Medicine Pub Date : 2022-06-01 DOI: 10.4067/s1726-569x2022000100025
Liliana Andrea Galdamez Zelada, Salvador Andrés Millaleo Hernández
: This work analyzes the development of the intercultural perspective in the protection and guarantee of the right to health in indigenous peoples and migrant population in Chile from the legal point of view. It reviews the prevalent practices and experiences in the field of public health in Chile, to establish the shape and scope of interculturality in the protection of the right to health, and the way in which it contributes to interculturality. The intercultural perspective on access to justice in Chile is weak, formal, these are incipient initiatives in the case of indigenous peoples while in the case of migrants, they hardly address language barriers
:本工作从法律角度分析了智利土著人民和移徙人口在保护和保障健康权方面跨文化视角的发展。它审查了智利公共卫生领域的普遍做法和经验,以确定在保护健康权方面跨文化的形式和范围,以及它如何促进跨文化。智利对诉诸司法的跨文化视角是薄弱和正式的,这些是土著人民的初步举措,而在移民的情况下,他们几乎没有解决语言障碍
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引用次数: 2
Marcel Proust y en busca del tiempo perdido: ética de la existencia humana y el mundo de la medicina recuperado 马塞尔·普鲁斯特与《寻找失落的时光:人类存在的伦理与恢复的医学世界》
IF 0.4 4区 哲学 Q4 Medicine Pub Date : 2022-06-01 DOI: 10.4067/s1726-569x2022000100009
G. Figueroa
in of lost ethics existence the Abstract : 1. Marcel Proust´s In Search of Lost Time recounts the fiction of the “author’s” project-of-existence to become an artist. 2. The world of medicine is the area in which the fragility of man is expressed as being-referred-to-death. 3. The deceptive feeling of the power of good health intoxicates medicine, physicians, patients, relatives, treatments — irreverent depreciation toward the perishable. 4. The medical treatment of the agony of the “author’s” grandmother shows the central elements of the doctor-patient relationship in medicine at the beginning of the 20th century: cognitive, affective, operational, ethical, and social. 5. The “author” of the novel is not Marcel Proust and, although it is a fiction, it encourages today´s medical world to reflect on its fundamental bioethical foundations.
摘要:1.道德缺失的存在。马塞尔·普鲁斯特(Marcel Proust)的《追忆似水年华》(In Search of Lost Time)讲述了“作者”为了成为一名艺术家而存在的计划。2. 在医学的世界里,人的脆弱表现为与死亡有关。3.对健康力量的欺骗性感觉使药物、医生、病人、亲属和治疗者陶醉——对易逝之物不敬的贬低。4. 对“作者”祖母痛苦的医学治疗显示了20世纪初医患关系的核心要素:认知、情感、操作、伦理和社会。5. 小说的“作者”不是马塞尔·普鲁斯特,尽管这是一部小说,但它鼓励当今医学界反思其基本的生物伦理基础。
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引用次数: 0
¿Es posible obligar a las personas a vacunarse? Nudge contra el coronavirus 有可能强迫人们接种疫苗吗?Nudge对抗冠状病毒
IF 0.4 4区 哲学 Q4 Medicine Pub Date : 2022-06-01 DOI: 10.4067/s1726-569x2022000100095
Ronald Cárdenas Krenz
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引用次数: 0
Xenophobia and medicine (profession of a doctor): can the two coexist in the 21st century? 仇外心理和医学(医生的职业):这两者在21世纪能共存吗?
IF 0.4 4区 哲学 Q4 Medicine Pub Date : 2022-06-01 DOI: 10.4067/s1726-569x2022000100035
Cem Hakan Basaran, Omur Sayligil
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引用次数: 1
Testamentum tempore pestis. El derecho civil y la bioética frente al testamento en casos de epidemia 鼠疫临时遗嘱。民法和生物伦理学与流行病中的遗嘱
IF 0.4 4区 哲学 Q4 Medicine Pub Date : 2022-06-01 DOI: 10.4067/s1726-569x2022000100081
Enrique Varsi Rospigliosi
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引用次数: 0
Conocimiento y aplicación de los principios bioéticos en alumnos de posgrado de Odontología 牙科研究生对生物伦理原则的认识和应用
IF 0.4 4区 哲学 Q4 Medicine Pub Date : 2021-10-01 DOI: 10.4067/s1726-569x2021000200285
Gabriel Morales, Ramiro Ramadán, Susana Alvear D, Galo Sánchez-del-Hierro
Resumen : La bioética ha sido agregada formalmente, desde 2008, a la malla curricular de la carrera de Odontología en el Ecuador. También se han creado documentos que rigen el accionar ético del odontólogo frente a distintos dilemas que se pueden presentar durante su actividad clínica. Esta investigación busca describir el nivel del conocimiento y la aplicación de los principios bioéticos en los profesionales de salud oral. Se utilizó un método de investigación cuantitativo, descriptivo y transversal, mediante una encuesta estructurada, aplicada a estudiantes de posgrado en el área odontológica. Los datos fueron procesados y analizados de forma descriptiva y correlacional. Los resultados obtenidos, resaltaron la presencia de cinco niveles de conocimiento sobre principios bioéticos. Entre estos, en los grupos de mayor porcentaje de conocimiento sobre los principios bioéticos se destacó la aplicación del principio de no maleficencia en su práctica clínica. Se reveló desconocimiento sobre la teoría: muchos desconocen los principios bioéticos básicos del correcto accionar del profesional de salud oral. Sin embargo, se ha demostrado un creciente cambio con respecto a la aplicación de estos principios. Palabras clave: bioética, odontología, principios bioéticos, conocimiento, Abstract : Bioethics has been formally added, since 2008, to the curricula of dentistry courses in Ecuador. Documents have also been created that govern the ethical actions of the dentist in the face of different dilemmas that may arise during their clinical activity. This research seeks to describe the level of knowledge and application of bioethical principles in oral health professionals. A quantitative, descriptive and cross-sectional research method was used, by means of a structured survey, applied to postgraduate students in the dental area. The data were processed and analyzed in a descriptive and correlational manner. The results obtained highlighted the presence of five levels of knowledge of bioethical principles. Among these, in the groups with the highest percentage of knowledge about bioethical principles, the application of the principle of non-maleficence in their clinical practice was highlighted. Lack of knowledge about the theory was revealed: many are unaware of the basic bioethical principles of the correct action of the oral health professional. However, a growing change has been demonstrated with regard to the application of these principles.
摘要:自2008年以来,生物伦理学已正式加入厄瓜多尔牙科职业课程。此外,还制定了规范牙医在临床活动中可能出现的各种困境的道德行为的文件。本研究旨在描述生物伦理原则在口腔健康专业人员中的知识水平和应用。本研究采用定量、描述性和横断面研究方法,通过结构化调查,应用于牙科领域的研究生。本研究采用描述性和相关性的方法对数据进行处理和分析。本研究的目的是评估生物伦理原则的知识水平。在这些群体中,生物伦理原则知识比例最高的是无伤害原则在临床实践中的应用。对理论的无知被揭示:许多人不知道口腔健康专业人员正确行动的基本生物伦理原则。然而,在执行这些原则方面已显示出越来越多的变化。关键词:生命伦理学,牙科,生命伦理学原则,知识,摘要:自2008年以来,生物伦理学已正式加入厄瓜多尔的牙科课程。此外,还制定了规范牙医在临床活动中可能出现的各种困境中的道德行为的文件。This research叙述seeks to the level of knowledge and application of口头bioethical原则in health professionals。采用定量、描述性和横断面研究方法,采用结构化调查的方法,对牙科领域的研究生进行研究。该数据以描述性和相关性的方式处理和分析。所取得的成果突出表明存在生物伦理原则的五个层次的知识。在这些群体中,生物伦理原则知识比例最高的群体强调了无害原则在其临床实践中的应用。缺乏关于这一理论的知识:许多人不了解口腔保健专业人员正确行动的基本生物伦理原则。然而,在应用这些原则方面,已经出现了日益增长的变化。
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引用次数: 2
Estrategias para empoderar a las mujeres en relación con los derechos reproductivos y la planificación familiar. Revisión sistemática desde las corrientes bioéticas 在生殖权利和计划生育方面增强妇女权能的战略。生物伦理潮流的系统回顾
IF 0.4 4区 哲学 Q4 Medicine Pub Date : 2021-10-01 DOI: 10.4067/s1726-569x2021000200247
Manuel José Peón-Ponce, N. Mendez-Dominguez, Jorge Carlos Guillermo Herrera
Resumen : El presente artículo informa de una investigación cuyo objetivo fue definir las estrategias para empoderar a las mujeres mexicanas en sus decisiones de planificación familiar y de establecer compromisos y responsabilidades con sus parejas. Se realizó una revisión sistemática, incluyendo PubMed, Redalyc y Scopus, y se incluyeron diez artículos originales de dos continentes y diversas poblaciones. De los estudios realizados en México y Latinoamérica ninguno proporcionó una propuesta para implementar mejoras en la adopción de un método de planificación familiar entre las mujeres que viven violencia de pareja. Se concluye que la capacitación y formación bioética del personal de salud puede abonar a lograr que el de información y decisión por parte de la mujer o de la pareja sean llevados a cabo con apego a la bioética, buscando el beneficio individual y protección del bienestar de la mujer y, por ende, de su familia. planificación violencia violencia doméstica, conducta anticonceptiva Strategies to empower women in relation to reproductive rights and family planning. A systematic review bioethical Abstract : This article reports on research aimed at defining strategies to empower Mexican women in their family planning decisions and to establish commitments and responsibilities with their partners. A systematic review was conducted, including PubMed, Redalyc and Scopus, and ten original articles from two continents and diverse populations were included. Of the studies conducted in Mexico and Latin America, none provided a proposal to implement improvements in the adoption of a family planning method among women who experience intimate partner violence. It is concluded that bioethical training and education of health personnel can contribute to ensure that the information and decision-making process by the woman or the couple is carried out in accordance with bioethics, seeking individual benefit and protection of the wellbeing of the woman and, therefore, of her family.
摘要:本研究的目的是确定墨西哥妇女在计划生育决策中赋予权力的策略,并确定对其伴侣的承诺和责任。本研究的目的是评估来自不同大陆和不同人群的10篇原始文章。在墨西哥和拉丁美洲进行的研究中,没有一项建议改进对遭受伴侣暴力的妇女采用计划生育方法。总结说,卫生人员的培训及伦理学可以支付信息和实现妇女或夫妇决定应坚持进行生物伦理学,来寻求个人利益和保护妇女的福利,因此,他的家人。计划暴力家庭暴力、避孕行为增强妇女生殖权利和计划生育能力的战略。系统回顾生物伦理摘要:本文报告了关于制定战略以增强墨西哥妇女在计划生育决策中的权能以及与她们的伙伴建立承诺和责任的研究。was A systematic review建都,包括PubMed、Redalyc和Scopus和原始articles from two continents流离不同所列有关。在墨西哥和拉丁美洲进行的研究中,没有一项建议建议在经历亲密伴侣暴力的妇女中实施计划生育方法。It is concluded that bioethical培训和教育卫生人员可以有助于更好地确保信息和决策进程by the woman, or the couple is对依法与个人,一份好处and protection of the福利of the woman and,因此,of her family。
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引用次数: 0
Midwife and Nurse Students’ Perceptions of Body Privacy and Self Esteem. The Case of Turkey 助产士和护生对身体隐私和自尊的认知。土耳其案例
IF 0.4 4区 哲学 Q4 Medicine Pub Date : 2021-10-01 DOI: 10.4067/s1726-569x2021000200259
Gün Mukadder, Aslantekin Özçoban Filiz
Abstrac t: The article reports the results of a study conducted to examine midwifery and nursing students’ perceptions of body intimacy and the factors affecting their perceptions. This was a cross-sectional study, with 389 midwifery and nursing students at a public university volunteering to participate in the study. Data were collected using a “Personal Information Form”, the “Body Confidentiality Scale for Obstetrics and Gynecology” and the “Rosenberg Self-Esteem Scale”. The participants had a mean age of 20.89 ± 1.86 years. The mean score they gave to the question whether they paid attention to privacy was 8.21 ±1.88. The mean Rosenberg self-esteem score was 29.44 ± 4.83 (minimum = 10, maximum = 40). The mean overall privacy score was 36.10 ± 6.84 (min = 9, max = 45), rights and privacy was 20.80 ± 3.71 (min = 5, max = 25), ethics and privacy was 20.45 ± 3.67 (min = 5, max = 25), and clinical privacy was 75.22 ± 12.33 (min = 18, max = 90). According to the results, obstetrics and nursing students, who would later intervene in women’s health, had higher than average self-esteem and perception of privacy. Nevertheless, the establishment of the concept of “privacy” is an issue that should be addressed and reinforced in the training of obstetrics and nursing students who will provide services in such a sensitive field as gynecology and obstetrics.
摘要/ abstract摘要:本研究旨在调查助产与护理专业学生对身体亲密关系的认知及其影响因素。这是一项横断面研究,一所公立大学的389名助产学和护理学学生自愿参加了这项研究。数据采用“个人信息表”、“妇产科身体保密量表”和“Rosenberg自尊量表”收集。参与者的平均年龄为20.89±1.86岁。在“是否注意隐私”一题中,平均得分为8.21±1.88分。平均Rosenberg自尊得分为29.44±4.83(最小值为10,最大值为40)。平均总体隐私得分为36.10±6.84分(min = 9, max = 45),权利与隐私得分为20.80±3.71分(min = 5, max = 25),道德与隐私得分为20.45±3.67分(min = 5, max = 25),临床隐私得分为75.22±12.33分(min = 18, max = 90)。结果显示,产科和护理专业的学生,后来会干预妇女的健康,有高于平均水平的自尊和对隐私的感知。然而,“隐私”概念的确立是产科和护理专业学生在妇产科等敏感领域提供服务的培训中应该解决和加强的问题。
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Acta Bioethica
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