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Pesquisa : K01.752.566.479.830.500 [Categoria DeCS]
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[PMID]:29243472
[Au] Autor:Siipi H
[Ti] Título:Preliminary ethical appraisal of a trial - what's it all about?
[So] Source:Duodecim;133(6):582-6, 2017.
[Is] ISSN:0012-7183
[Cp] País de publicação:Finland
[La] Idioma:eng
[Ab] Resumo:Preliminary ethical appraisal of medical trials is often based on the following four principles: respect for autonomy, beneficence, non-maleficence, and justice. Preliminary ethical appraisal should, however, not be understood solely as application of these four principles to practice. Ethical committees will inevitably interpret the principles and make decisions about their reciprocal importance in connection with each trial. Reasoning does not always proceed from above towards practical recommendations of action, but can instead also be based on a moral rule or practice relating to a certain action. A good preliminary ethical appraisal will also take into account everyday standards of morality, law and shared moral values of the society.
[Mh] Termos MeSH primário: Ensaios Clínicos como Assunto/ética
Ética em Pesquisa
[Mh] Termos MeSH secundário: Beneficência
Comissão de Ética
Seres Humanos
Princípios Morais
Autonomia Pessoal
Justiça Social
[Pt] Tipo de publicação:JOURNAL ARTICLE; REVIEW
[Em] Mês de entrada:1801
[Cu] Atualização por classe:180115
[Lr] Data última revisão:
180115
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171216
[St] Status:MEDLINE


  2 / 2878 MEDLINE  
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[PMID]:28323606
[Au] Autor:Thom RP; Farrell HM
[Ad] Endereço:Second-year resident in the Harvard Longwood Psychiatry Residency Training Program in Boston.
[Ti] Título:When and How Should Clinicians Share Details from a Health Record with Patients with Mental Illness?
[So] Source:AMA J Ethics;19(3):253-259, 2017 Mar 01.
[Is] ISSN:2376-6980
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Stigma associated with mental illness-a public health crisis-is perpetuated by the language used to describe and document it. Psychiatric pathology and how it can be perceived among clinicians contribute to the marginalization of patients, which exacerbates their vulnerability. Clinical documentation of mental illness has long been mired in pejorative language that perpetuates negative assumptions about those with mental illness. Although patients have the legal right to view their health record, sharing mental health notes with patients remains a sensitive issue, largely due to clinicians' fears that review of this content might cause harm, specifically psychiatric destabilization. However, the ethical principles of justice, beneficence, and autonomy as well as nonmaleficence must be considered by clinicians in determining when and how to share psychiatric details from a health record with their patients.
[Mh] Termos MeSH primário: Revelação
Ética Médica
Registros de Saúde Pessoal/ética
Linguagem
Transtornos Mentais
Direitos do Paciente
Relações Médico-Paciente/ética
[Mh] Termos MeSH secundário: Beneficência
Seres Humanos
Autonomia Pessoal
Justiça Social
Estigma Social
Estereotipagem
Populações Vulneráveis
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170901
[Lr] Data última revisão:
170901
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170322
[St] Status:MEDLINE


  3 / 2878 MEDLINE  
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[PMID]:28220732
[Au] Autor:McQuoid-Mason DJ
[Ad] Endereço:Centre for Socio-Legal Studies, University of KwaZulu-Natal, Durban, South Africa. mcquoidm@ukzn.ac.za.
[Ti] Título:Should doctors provide futile medical treatment if patients or their proxies are prepared to pay for it?
[So] Source:S Afr Med J;107(2):108-109, 2017 Jan 30.
[Is] ISSN:0256-9574
[Cp] País de publicação:South Africa
[La] Idioma:eng
[Ab] Resumo:Ethically and legally doctors are not obliged to provide futile treatment to patients, even if the patient or their proxies are prepared to pay for it. However, it may be justified where such treatment is harmless and has a placebo effect. In deciding about a request for futile treatment, doctors should be guided by the ethical principles of patient autonomy, beneficence, non-maleficence and justice. Guidelines are provided to assist doctors in making such decisions. Where futile treatment is withdrawn or refused, palliative care must always be offered. If it isdecided to withdraw or refuse treatment, the patient or their proxy should be given the opportunity to contact another practitioner or institution that may be prepared to offer such treatment.
[Mh] Termos MeSH primário: Beneficência
Futilidade Médica/ética
Autonomia Pessoal
Médicos
Suspensão de Tratamento/ética
[Mh] Termos MeSH secundário: Seres Humanos
Futilidade Médica/legislação & jurisprudência
Obrigações Morais
Cuidados Paliativos
Procurador
Mecanismo de Reembolso
Justiça Social
Suspensão de Tratamento/legislação & jurisprudência
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1706
[Cu] Atualização por classe:170601
[Lr] Data última revisão:
170601
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170222
[St] Status:MEDLINE
[do] DOI:10.7196/SAMJ.2017.v107i2.12191


  4 / 2878 MEDLINE  
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[PMID]:28107163
[Au] Autor:Rothman EF
[Ad] Endereço:Associate professor at the Boston University School of Public Health and a visiting scientist at the Harvard Injury Control Research Center.
[Ti] Título:Should US Physicians Support the Decriminalization of Commercial Sex?
[So] Source:AMA J Ethics;19(1):110-121, 2017 Jan 01.
[Is] ISSN:2376-6980
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:According to the World Health Organization, "commercial sex" is the exchange of money or goods for sexual services, and this term can be applied to both consensual and nonconsensual exchanges. Some nonconsensual exchanges qualify as human trafficking. Whether the form of commercial sex that is also known as prostitution should be decriminalized is being debated contentiously around the world, in part because the percentage of commercial sex exchanges that are consensual as opposed to nonconsensual, or trafficked, is unknown. This paper explores the question of decriminalization of commercial sex with reference to the bioethical principles of beneficence, nonmaleficence, and respect for autonomy. It concludes that though there is no perfect policy solution to the various ethical problems associated with commercial sex that can arise under either criminalized or decriminalized conditions, the Nordic model offers several potential advantages. This model criminalizes the buying of sex and third-party brokering of sex (i.e., pimping) but exempts sex sellers (i.e., prostitutes, sex workers) from criminal penalties. However, ongoing support for this type of policy should be contingent upon positive results over time.
[Mh] Termos MeSH primário: Atitude do Pessoal de Saúde
Temas Bioéticos
Crime
Dissidências e Disputas
Médicos
Trabalho Sexual/legislação & jurisprudência
Profissionais do Sexo/legislação & jurisprudência
[Mh] Termos MeSH secundário: Beneficência
Comércio/ética
Comércio/legislação & jurisprudência
Vítimas de Crime
Tráfico de Pessoas
Seres Humanos
Autonomia Pessoal
Política Pública
Países Escandinavos e Nórdicos
Estados Unidos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1703
[Cu] Atualização por classe:170817
[Lr] Data última revisão:
170817
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170121
[St] Status:MEDLINE


  5 / 2878 MEDLINE  
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[PMID]:28107161
[Au] Autor:Davis T
[Ad] Endereço:Physician assistant at West Virginia University (WVU) School of Medicine in Morgantown.
[Ti] Título:Art Therapy Exhibitions: Exploitation or Advocacy?
[So] Source:AMA J Ethics;19(1):98-106, 2017 Jan 01.
[Is] ISSN:2376-6980
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Promoting awareness of human trafficking by sharing trauma survivors' art and summaries of their life stories suggests ethical complexities that have been typically neglected by bioethicists. Although these survivors voluntarily share the objects they created during art therapy sessions, they are still at risk of harm, including further exploitation, due to their vulnerability, high rates of victim sensitivity, and the mental health consequences of their traumatic experiences. While some argue that the benefits of sublimation and art therapy for human trafficking survivors make sharing their art worth the risk, anti-trafficking organizations and supporters of such art exhibitions have responsibilities to be trauma informed.
[Mh] Termos MeSH primário: Terapia pela Arte/ética
Arte
Vítimas de Crime
Tráfico de Pessoas
Organizações/ética
Trauma Psicológico
Sobreviventes
[Mh] Termos MeSH secundário: Beneficência
Bioética
Vítimas de Crime/psicologia
Tráfico de Pessoas/psicologia
Seres Humanos
Saúde Mental
Defesa do Paciente
Risco
Responsabilidade Social
Sobreviventes/psicologia
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1703
[Cu] Atualização por classe:170817
[Lr] Data última revisão:
170817
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170121
[St] Status:MEDLINE


  6 / 2878 MEDLINE  
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[PMID]:28107159
[Au] Autor:Macias-Konstantopoulos WL
[Ad] Endereço:Board-certified emergency physician at Massachusetts General Hospital (MGH) in Boston, and a faculty member in the MGH Department of Emergency Medicine's Division of Global Health & Human Rights, and co-founding director of the Human Trafficking Initiative, and founding medical and executive director of the MGH Freedom Clinic, an innovative primary care clinic that provides comprehensive health care for human trafficking survivors, and an assistant professor of emergency medicine at Harvard Medical School.
[Ti] Título:Caring for the Trafficked Patient: Ethical Challenges and Recommendations for Health Care Professionals.
[So] Source:AMA J Ethics;19(1):80-90, 2017 Jan 01.
[Is] ISSN:2376-6980
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Human trafficking is an egregious human rights violation with profound negative physical and psychological consequences, including communicable diseases, substance use disorders, and mental illnesses. The health needs of this population are multiple, complex, and influenced by past and present experiences of abuse, neglect, and exploitation. Effective health care services for trafficked patients require clinicians to consider individual patients' needs, wishes, goals, priorities, risks, and vulnerabilities as well as public health implications and even resource allocation. Applying the bioethical principles of respect for autonomy, nonmaleficence, beneficence, and justice, this article considers the ethics of care model as a trauma-informed framework for providing health care to human trafficking victims and survivors.
[Mh] Termos MeSH primário: Vítimas de Crime
Assistência à Saúde/ética
Ética Clínica
Tráfico de Pessoas
[Mh] Termos MeSH secundário: Beneficência
Bioética
Pessoal de Saúde
Serviços de Saúde
Seres Humanos
Autonomia Pessoal
Trauma Psicológico
Saúde Pública
Alocação de Recursos
Justiça Social
Sobreviventes
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1703
[Cu] Atualização por classe:170817
[Lr] Data última revisão:
170817
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170121
[St] Status:MEDLINE


  7 / 2878 MEDLINE  
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[PMID]:28104271
[Au] Autor:Di-Stefano A; Ruel Z; Vidalo M
[Ad] Endereço:Hôpital d'Enfants Margency, 18 rue Roger-Salengro, 95580 Margency, France.
[Ti] Título:[Compassionate care in a paediatric follow-up and rehabilitation unit].
[Ti] Título:La bientraitance en service de soins de suite et réadaptation pédiatriques..
[So] Source:Soins Pediatr Pueric;38(294):40-42, 2017 Jan - Feb.
[Is] ISSN:1259-4792
[Cp] País de publicação:France
[La] Idioma:fre
[Ab] Resumo:Compassionate care is a concept which is conveyed through a pro-active approach to ensuring the wellbeing of hospitalised children. It must be inscribed in the hospital's charter. In a paediatric follow-up care and rehabilitation unit, it is implemented in the daily practice of the multi-disciplinary team.
[Mh] Termos MeSH primário: Beneficência
Pediatria
[Mh] Termos MeSH secundário: Criança
Seres Humanos
[Pt] Tipo de publicação:JOURNAL ARTICLE; REVIEW
[Em] Mês de entrada:1706
[Cu] Atualização por classe:170601
[Lr] Data última revisão:
170601
[Sb] Subgrupo de revista:N
[Da] Data de entrada para processamento:170121
[St] Status:MEDLINE


  8 / 2878 MEDLINE  
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[PMID]:27986147
[Au] Autor:Grant-Kels JM; Stoff B
[Ad] Endereço:Dermatology Department, University of Connecticut Health Center, Farmington, Connecticut. Electronic address: grant@uchc.edu.
[Ti] Título:Total body skin exams (TBSEs): Saving lives or wasting time?
[So] Source:J Am Acad Dermatol;76(1):183-185, 2017 Jan.
[Is] ISSN:1097-6787
[Cp] País de publicação:United States
[La] Idioma:eng
[Mh] Termos MeSH primário: Dermatologia/ética
Dermatologia/métodos
Detecção Precoce de Câncer/métodos
Neoplasias Cutâneas/diagnóstico
[Mh] Termos MeSH secundário: Beneficência
Temas Bioéticos
Dermatologia/organização & administração
Teoria Ética
Seres Humanos
Prática Associada/ética
Preferência do Paciente
Exame Físico/ética
Exame Físico/métodos
Fatores de Tempo
Carga de Trabalho
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1704
[Cu] Atualização por classe:170817
[Lr] Data última revisão:
170817
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:161218
[St] Status:MEDLINE


  9 / 2878 MEDLINE  
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[PMID]:27879541
[Au] Autor:Runco DV; Taylor JF; Helft PR
[Ad] Endereço:*Department of Pediatrics, Indiana University School of Medicine †Riley Hospital for Children at IU Health ∥Charles Warren Fairbanks Center for Medical Ethics §Department of Medicine, Indiana University School of Medicine, Indianapolis, IN ‡Department of Pediatrics, University of Virginia School of Medicine, Charlottesville, VA.
[Ti] Título:Ethical Barriers in Adolescent Oncofertility Counseling.
[So] Source:J Pediatr Hematol Oncol;39(1):56-61, 2017 Jan.
[Is] ISSN:1536-3678
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Adult survivors of pediatric cancers are at substantial risk for infertility. Oncofertility is an emerging field in medicine that has focused on the fertility preservation of these patients. As the field continues to develop, there are several areas in which our practice has improved. However, several ethical concerns still exist involving beneficence, nonmaleficence, informed consent, adolescent assent, and posthumous use of reproductive tissues. Because the field is still developing, great disparities exist in available options depending on age, ability to pay, and geographic location. Such discrepancies in access may lead to health disparities in the adolescent patient population. As the science continues to make future fertility more feasible, the ethical questions will continue to be more complex. The purpose of this article is to review some of the developments regarding oncoferility and address future directions for research and inquiry in specific areas.
[Mh] Termos MeSH primário: Beneficência
Aconselhamento
Preservação da Fertilidade/ética
Infertilidade Feminina/etiologia
Infertilidade Masculina/etiologia
Neoplasias/complicações
Psicologia do Adolescente
Sobreviventes/psicologia
[Mh] Termos MeSH secundário: Adolescente
Tomada de Decisões
Relações Familiares
Feminino
Preservação da Fertilidade/psicologia
Acesso aos Serviços de Saúde
Seres Humanos
Infertilidade Feminina/psicologia
Infertilidade Masculina/psicologia
Consentimento Livre e Esclarecido
Masculino
Relações Médico-Paciente
Concepção Póstuma/ética
Apoio Social
Consentimento do Representante Legal
[Pt] Tipo de publicação:JOURNAL ARTICLE; REVIEW
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170904
[Lr] Data última revisão:
170904
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:161124
[St] Status:MEDLINE


  10 / 2878 MEDLINE  
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[PMID]:27809197
[Au] Autor:Aacharya RP; Tiwari S; Shrestha TM
[Ad] Endereço:Department of Emergency and General Practice, Tribhuvan University Teaching Hospital Institute of Medicine, Kathmandu, Nepal,. raacharya@yahoo.com.
[Ti] Título:Ethics in humanitarian services: report on the earthquake in Nepal.
[So] Source:Indian J Med Ethics;2(1):25-29, 2017 Jan-Mar.
[Is] ISSN:0975-5691
[Cp] País de publicação:India
[La] Idioma:eng
[Ab] Resumo:The Nepal earthquake was one of the biggest natural calamities of the year 2015. This paper attempts to explore the ethical issues involved in the humanitarian services rendered during the crisis and thereafter. The four principles of biomedical ethics - autonomy, beneficence, non-maleficence, and justice - are discussed in relation to the relief activities immediately following the disaster and the subsequent long-term activities, such as rehabilitation, wherever applicable. The discussion touches upon public health components such as vulnerable populations, environmental ethics and justice for the future. Incorporating ethical principles into the response to disasters is of vital importance to ensure that healthcare complies with professional norms and ethical standards, and is in tune with the medical needs of the local culture. Beneficence is prioritised, while non-maleficence and autonomy tend to be ignored. Justice, particularly distributive justice, deserves due attention in the context of limited resources, not only during the emergency phase but also during the phases of rehabilitation and planning for the future.
[Mh] Termos MeSH primário: Altruísmo
Temas Bioéticos
Bioética
Assistência à Saúde/ética
Desastres
Terremotos
Prática de Saúde Pública/ética
[Mh] Termos MeSH secundário: Beneficência
Planejamento em Desastres
Meio Ambiente
Análise Ética
Ética Médica
Seres Humanos
Obrigações Morais
Nepal
Autonomia Pessoal
Socorro em Desastres
Justiça Social
Populações Vulneráveis
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170902
[Lr] Data última revisão:
170902
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:161104
[St] Status:MEDLINE



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