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  1 / 2213 MEDLINE  
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[PMID]:29069560
[Au] Autor:Cummings BM; Gee MS; Benavidez OJ; Shank ES; Bojovic B; Raskin KA; Goldstein AM
[Ad] Endereço:From the Departments of Pediatrics (B.M.C., O.J.B.), Radiology (M.S.G.), Anesthesiology (E.S.S.), Surgery (B.B.), Orthopedic Surgery (K.A.R.), and Pediatric Surgery (A.M.G.), Massachusetts General Hospital, and the Departments of Pediatrics (B.M.C., O.J.B.), Radiology (M.S.G.), Anesthesiology (E.S.S
[Ti] Título:Case 33-2017. 22-Month-Old Conjoined Twins.
[So] Source:N Engl J Med;377(17):1667-1677, 2017 Oct 26.
[Is] ISSN:1533-4406
[Cp] País de publicação:United States
[La] Idioma:eng
[Mh] Termos MeSH primário: Temas Bioéticos
Gêmeos Unidos/cirurgia
[Mh] Termos MeSH secundário: Anormalidades Múltiplas/diagnóstico por imagem
Comitês de Ética Clínica
Ética Médica
Evolução Fatal
Feminino
Cardiopatias Congênitas/patologia
Seres Humanos
Lactente
Modelos Anatômicos
[Pt] Tipo de publicação:CASE REPORTS; CLINICAL CONFERENCE; JOURNAL ARTICLE
[Em] Mês de entrada:1711
[Cu] Atualização por classe:171109
[Lr] Data última revisão:
171109
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:171026
[St] Status:MEDLINE
[do] DOI:10.1056/NEJMcpc1706105


  2 / 2213 MEDLINE  
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[PMID]:28219582
[Au] Autor:Suguitan G; Arakama MI; Danguilan R
[Ad] Endereço:Human Organ and Preservation Effort, National Kidney and Transplant Institute, Quezon City, Philippines.
[Ti] Título:A Study on the Directed Living Non-Related Donor Kidney Transplantation Submitted to the Hospital Transplant Ethics Committee at the National Kidney and Transplant Institute.
[So] Source:Transplant Proc;49(2):267-269, 2017 Mar.
[Is] ISSN:1873-2623
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: In the latter part of 2009, the Department of Health of the Philippines prohibited kidney transplantation with non-related kidney donors. Hence, the National Kidney and Transplant Institute created a Hospital Transplant Ethics Committee. This study describes directed non-related kidney donation at the National Kidney and Transplant Institute. METHODS: This retrospective study reviewed the profiles of recipients and directed living non-related kidney transplant donors submitted to the Hospital Transplant Ethics Committee. RESULTS: A total 74 recipients and donors were reviewed by the Hospital Transplant Ethics Committee in 2014. Donors initiated the talks about being a donor (75%) to repay the good deeds that were done by the recipient for them or their families; examples of which are: sometime in their lives they needed financial assistance for hospitalization for their relatives and it was the patient who paid the hospital bill; or because they pitied the recipient, whom they found to be a good person, thus they would want to give one of their kidneys. Seventy-four (100%) said that they were not expecting anything in return for this act but wanted to be of help to the recipient. Of these 74 cases, 70 cases (95%) were approved and the others were disapproved. CONCLUSIONS: With a Hospital Transplant Ethics Committee in place, directed kidney donation is a valuable tool as an additional source of kidney donor without violating any ethical issues.
[Mh] Termos MeSH primário: Seleção do Doador/ética
Comitês de Ética Clínica/ética
Transplante de Rim/ética
Doadores Vivos/ética
[Mh] Termos MeSH secundário: Adolescente
Adulto
Idoso
Criança
Feminino
Seres Humanos
Masculino
Meia-Idade
Filipinas
Estudos Retrospectivos
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1705
[Cu] Atualização por classe:170501
[Lr] Data última revisão:
170501
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170222
[St] Status:MEDLINE


  3 / 2213 MEDLINE  
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[PMID]:27580302
[Au] Autor:Hagedorn Wonder A
[Ad] Endereço:Author Affiliation: Assistant Professor, School of Nursing, Indiana University, Bloomington.
[Ti] Título:Mock Hospital Ethics Committee: An Innovative Simulation to Teach Prelicensure Nursing Students the Complexities of Ethics in Practice.
[So] Source:Nurse Educ;42(2):77-80, 2017 Mar/Apr.
[Is] ISSN:1538-9855
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Limited opportunities exist for prelicensure nursing students to observe the interprofessional process required to resolve complex ethical cases in practice. Therefore, a mock hospital ethics committee (MHEC) was assembled to teach the application of ethics in practice through simulation. The MHEC meeting is an example of how nursing education and practice can partner to create meaningful learning experiences.
[Mh] Termos MeSH primário: Currículo
Bacharelado em Enfermagem/organização & administração
Comitês de Ética Clínica
Ética em Enfermagem/educação
Cuidados de Enfermagem/ética
Simulação de Paciente
[Mh] Termos MeSH secundário: Seres Humanos
Relações Interprofissionais
Pesquisa em Educação de Enfermagem
Inovação Organizacional
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1707
[Cu] Atualização por classe:170703
[Lr] Data última revisão:
170703
[Sb] Subgrupo de revista:N
[Da] Data de entrada para processamento:160901
[St] Status:MEDLINE
[do] DOI:10.1097/NNE.0000000000000320


  4 / 2213 MEDLINE  
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[PMID]:28134411
[Au] Autor:Cembrani F
[Ti] Título:[Deep continuous palliative sedation in the Opinion adopted by the Italian National Bioethics Committee (Deep palliative sedation)].
[Ti] Título:La sedazione palliativa profonda continua nel Parere approvato dal Comitato nazionale per la bioetica italiano il 29 gennaio 2016 (sedazione palliativa profonda)..
[So] Source:G Ital Nefrol;33(6), 2016 Nov-Dec.
[Is] ISSN:1724-5990
[Cp] País de publicação:Italy
[La] Idioma:ita
[Ab] Resumo:The Author examines the recent opinion delivered by the Italian National Committee for Bioethics on deep palliative sedation. In particular, it examines its strengths and ample shade that show its ideology, once again, in contrast with the right of every human being to die with dignity.
[Mh] Termos MeSH primário: Temas Bioéticos
Sedação Profunda/ética
Comitês de Ética Clínica
Cuidados Paliativos/ética
Cuidados Paliativos/métodos
[Mh] Termos MeSH secundário: Seres Humanos
Itália
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171019
[Lr] Data última revisão:
171019
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170131
[St] Status:MEDLINE


  5 / 2213 MEDLINE  
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[PMID]:27981764
[Au] Autor:Denniss DL
[Ad] Endereço:School of Medicine, University of New South Wales, Sydney, New South Wales, Australia.
[Ti] Título:Legal and ethical issues associated with Advance Care Directives in an Australian context.
[So] Source:Intern Med J;46(12):1375-1380, 2016 Dec.
[Is] ISSN:1445-5994
[Cp] País de publicação:Australia
[La] Idioma:eng
[Ab] Resumo:The need for appropriate mechanisms guiding end-of-life care is increasingly vital. This commentary compares the use of Advance Care Directives (ACD) in New South Wales and South Australia in order to highlight the inconsistency in Australian legislation, before exploring common problems, legal concerns and ethical issues associated with their application in an adult population. The benefits and detriments of statutory legislation for ACD are also evaluated.
[Mh] Termos MeSH primário: Diretivas Antecipadas/legislação & jurisprudência
Competência Mental/legislação & jurisprudência
Defesa do Paciente/ética
Assistência Terminal/legislação & jurisprudência
[Mh] Termos MeSH secundário: Diretivas Antecipadas/ética
Comitês de Ética Clínica
Seres Humanos
New South Wales/epidemiologia
Defesa do Paciente/legislação & jurisprudência
Autonomia Pessoal
Formulação de Políticas
Assistência Terminal/ética
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171127
[Lr] Data última revisão:
171127
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:161217
[St] Status:MEDLINE
[do] DOI:10.1111/imj.13288


  6 / 2213 MEDLINE  
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[PMID]:27845480
[Au] Autor:Conti AA
[Ad] Endereço:Dipartimento di Medicina Sperimentale e Clinica, Università degli Studi di Firenze.
[Ti] Título:Bioethics and the Italian National Bioethics Committee: historical highlights.
[So] Source:Clin Ter;167(5):147-149, 2016 Sep-Oct.
[Is] ISSN:1972-6007
[Cp] País de publicação:Italy
[La] Idioma:eng
[Ab] Resumo:Though the term "bioethics" was coined in 1970-1, it was immediately after World War II that there emerged the idea that the voluntary consent of human beings was absolutely mandatory for medical interventions to be ethically acceptable. The 1964 Declaration of Helsinki asserted that only an explicit consent could morally and ethically justify research on human beings. In the 1978 "Encyclopedia of Bioethics", the US author Warren T. Reich defined bioethics as the systematic study of human behaviour in the fields of health care and life sciences, and carefully differentiated the epistemological profile of bioethics from that of traditional medical ethics deriving from the Hippocratic Oath. An institutional milestone in the Italian evolution of bioethical knowledge and competence was the foundation of the Italian National Bioethics Committee (NBC), established in 1990. The NBC, which answers to the Council of Ministers, provides methodological support to the Italian Government in the field of bioethical issues, elaborating legislative acts and also furnishing information and consultation for other bodies and associations and for the general public. The activity of the NBC is clearly discernible in its free and user-friendly website. Today, the Internet is often the first repository where individuals and patients look for bioethical information. Given that the quality of this information is extremely variable and not infrequently unreliable, initiatives such as that of the above mentioned NBC website are particularly useful and precious both for health care operators and the entire community.
[Mh] Termos MeSH primário: Bioética/história
Comitês de Ética Clínica/história
[Mh] Termos MeSH secundário: Temas Bioéticos
Ética Médica
História do Século XX
Seres Humanos
Itália
[Pt] Tipo de publicação:HISTORICAL ARTICLE; JOURNAL ARTICLE
[Em] Mês de entrada:1701
[Cu] Atualização por classe:170117
[Lr] Data última revisão:
170117
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:161116
[St] Status:MEDLINE
[do] DOI:10.7417/CT.2016.1945


  7 / 2213 MEDLINE  
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[PMID]:27658284
[Au] Autor:Pope TM; Kemmerling K
[Ad] Endereço:Mitchell Hamline School of Law, 875 Summit Avenue, Room 320, Saint Paul, Minnesota 55105 USA. thaddeus.pope@mitchellhambline.edu.
[Ti] Título:Legal Briefing: Stopping Nonbeneficial Life-Sustaining Treatment without Consent.
[So] Source:J Clin Ethics;27(3):254-264, 2016.
[Is] ISSN:1046-7890
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:In the United States, authoritative legal guidance remains sparse on whether or when clinicians may stop life-sustaining treatment without consent. Fortunately, several significant legislative and judicial developments over the past two years offer some clarity. We group these legal developments into the following seven categories: 1. Lawsuits for Damages 2. Amendments to the Texas Advance Directives Act 3. Constitutional Attack on TADA 4. Legislation Prohibiting Clinicians 5. Legislation Authorizing Clinicians 6. Cases from Canada 7. Cases from the United Kingdom.
[Mh] Termos MeSH primário: Consentimento Livre e Esclarecido/ética
Consentimento Livre e Esclarecido/legislação & jurisprudência
Futilidade Médica/ética
Futilidade Médica/legislação & jurisprudência
Suspensão de Tratamento/ética
Suspensão de Tratamento/legislação & jurisprudência
[Mh] Termos MeSH secundário: Comitês de Ética Clínica
Seres Humanos
Jurisprudência
Competência Mental/legislação & jurisprudência
Ordens quanto à Conduta (Ética Médica)/ética
Ordens quanto à Conduta (Ética Médica)/legislação & jurisprudência
Consentimento do Representante Legal/legislação & jurisprudência
Estados Unidos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1709
[Cu] Atualização por classe:171006
[Lr] Data última revisão:
171006
[Sb] Subgrupo de revista:E; IM
[Da] Data de entrada para processamento:160923
[St] Status:MEDLINE


  8 / 2213 MEDLINE  
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Texto completo SciELO Brasil
[PMID]:27656855
[Au] Autor:Russo LA; Eliaschewitz FG; Harada V; Trefiglio RP; Picciotti R; Machado PG; Kesselring GL
[Ad] Endereço:PhD - Director of Centro de Pesquisas e Análises Clínicas (CCBR), Rio de Janeiro, RJ, Brazil.
[Ti] Título:Impact of regulatory assessment on clinical studies in Brazil.
[So] Source:Rev Assoc Med Bras (1992);62(5):447-53, 2016 Sep-Oct.
[Is] ISSN:1806-9282
[Cp] País de publicação:Brazil
[La] Idioma:eng
[Ab] Resumo:INTRODUCTION: Despite the recent expansion of clinical studies allocated to Brazil, the delay of local regulatory deadlines directly impacts their completion. OBJECTIVE: This article examines the allocation process of clinical studies to Brazil in comparison with other countries, as well as the financial impact of studies not completed due to interruption caused by the delay in the regulatory process. METHOD: The allocation processes of studies were compared in nine countries with similar stages of economic development and countries in Latin America using the websites http://data.worldbank.org/data-catalog/GDP-rankings-table and http://worldpopulationreview.com and clinicaltrials.gov, comprising 185 countries. The 46 studies sponsored by the pharmaceutical industry underwent an analysis of the regulatory review process. RESULTS: 46 studies sponsored by the industry and submitted in the country between June 2007 and June 2013 were analyzed; 18 (39%) were discontinued due to the delay in obtaining the necessary approvals. For the approved studies, patient recruitment began an average of 11 months after the other countries. It is estimated that 530 Brazilians patients did not have the opportunity to participate in these studies. Financial losses were to the order of 14.6 million dollars for the country, including patient, medication and supplies costs, and expenses. CONCLUSION: Brazil has enormous potential for the realization of clinical studies. Researchers, associations of disabled people and patients with chronic diseases, sponsors and the authorities must work together to develop an approval process that is efficient, predictable and, most of all, transparent. The current regulatory environment must and can be improved and optimized in order to result in tangible benefits for patients, society and the country's scientific development.
[Mh] Termos MeSH primário: Estudos Clínicos como Assunto/legislação & jurisprudência
Comitês de Ética Clínica/legislação & jurisprudência
Regulamentação Governamental
[Mh] Termos MeSH secundário: Pesquisa Biomédica/economia
Pesquisa Biomédica/legislação & jurisprudência
Brasil
Estudos Clínicos como Assunto/economia
Comitês de Ética Clínica/economia
Ética em Pesquisa
Seres Humanos
Apoio à Pesquisa como Assunto
Fatores de Tempo
[Pt] Tipo de publicação:COMPARATIVE STUDY; JOURNAL ARTICLE
[Em] Mês de entrada:1704
[Cu] Atualização por classe:170413
[Lr] Data última revisão:
170413
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160923
[St] Status:MEDLINE


  9 / 2213 MEDLINE  
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[PMID]:27462956
[Au] Autor:Chooljian DM; Hallenbeck J; Ezeji-Okoye SC; Sebesta R; Iqbal H; Kuschner WG
[Ad] Endereço:a Pulmonary Section, Medical Service, Veterans Affairs Loma Linda VA Healthcare System; and Division of Pulmonary and Critical Care Medicine, Department of Medicine , Loma Linda University School of Medicine , Loma Linda , California , USA.
[Ti] Título:Emotional Support for Health Care Professionals: A Therapeutic Role for the Hospital Ethics Committee.
[So] Source:J Soc Work End Life Palliat Care;12(3):277-88, 2016 Jul-Sep.
[Is] ISSN:1552-4264
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Hospital ethics committees (HECs) are typically charged with addressing ethical disputes, conflicts, and dilemmas that arise in the course of patient care. HECs are not widely viewed as having a therapeutic role for health care professionals who experience psychological distress or anticipatory grief in the course of discharging professional duties. A case is presented in which an ethics consultation was requested, chiefly, to secure emotional support for health care professionals who had been asked by a patient to discontinue life-sustaining treatments. As the case demonstrates, HECs may be called upon to provide emotional support and reassurance to health care professionals who willingly carry out psychologically difficult actions, even though these actions may be ethically uncontroversial. In providing this service, the HEC may not necessarily engage in its customary activity of deliberating an ethics issue and resolving a conflict but may still provide valuable assistance, as in the case presented.
[Mh] Termos MeSH primário: Comitês de Ética Clínica/organização & administração
Pesar
Pessoal de Saúde/psicologia
Suspensão de Tratamento
[Mh] Termos MeSH secundário: Seres Humanos
Masculino
Meia-Idade
Quadriplegia/enfermagem
Quadriplegia/psicologia
Respiração Artificial
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Em] Mês de entrada:1706
[Cu] Atualização por classe:170627
[Lr] Data última revisão:
170627
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160728
[St] Status:MEDLINE
[do] DOI:10.1080/15524256.2016.1200519


  10 / 2213 MEDLINE  
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[PMID]:27333061
[Au] Autor:Sabin JE
[Ad] Endereço:Harvard Medical School, Department of Population Medicine, 401 Park Drive, Suite 401, Boston, Massachusetts 02215 USA. Jim_Sabin@HPHC.org.
[Ti] Título:\How Can Clinical Ethics Committees Take on Organizational Ethics? Some Practical Suggestions.
[So] Source:J Clin Ethics;27(2):111-6, 2016.
[Is] ISSN:1046-7890
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Although leaders in the field of ethics have for many years pointed to the crucial role that organizations play in shaping healthcare ethics, organizational ethics remains a relatively undeveloped area of ethics activity. Clinical ethics committees are an important source of potential expertise, but new skills will be required. Clinical ethics committees seeking to extend their purview to organizational issues will have to respond to three challenges-how to gain sanction and support for addressing controversial and sensitive issues, how to develop an acceptable process, and how to make a difference on the ground. The article presents practical suggestions for how clinical ethics committees meet these challenges.
[Mh] Termos MeSH primário: Tomada de Decisões Gerenciais
Comitês de Ética Clínica
Consultoria Ética
Ética Institucional
[Mh] Termos MeSH secundário: Comitês de Ética Clínica/organização & administração
Comitês de Ética Clínica/normas
Comitês de Ética Clínica/tendências
Seres Humanos
Estados Unidos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1612
[Cu] Atualização por classe:161217
[Lr] Data última revisão:
161217
[Sb] Subgrupo de revista:E; IM
[Da] Data de entrada para processamento:160623
[St] Status:MEDLINE



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