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Enviado por Biblio on 1/9/2015 11:55:31 (3 Lecturas)

Moreno: “How Bioethics Has Pushed America Left”
Posted on 30 July 2015 by Remy Servis

In a fascinating Huffington Post article by Jonathan Moreno, Ph.D., an advisory board member for Global Bioethics Initiative, the interaction between the American conservative “right” and liberal “left” and their representations of the bioethics field in the modern day is explored. Moreno begins his article with the belief that most highly publicized bioethics issues have generally benefited the conservative right. However, he quickly dispels this thought, suggesting that in fact the opposite is true.

Enviado por Biblio on 31/7/2015 8:14:19 (122 Lecturas)

Capacity, Consent, and Progress: Recommendations from the Bioethics Commission
Written by Nicolle Strand on July 29, 2015

Earlier this year, the Presidential Commission for the Study of Bioethical Issues (Bioethics Commission) released the second part of its report on neuroscience and ethics—Gray Matters: Topics at the Intersection of Neuroscience, Ethics, and Society (Gray Matters, Vol. 2). The report examines in depth several controversial topics that bring ethical issues to the fore, including cognitive enhancement, neuroscience and the law, and the ethical conduct of research with participants with impaired capacity for informed consent.

The challenge of impaired consent capacity has been a perennial issue in research ethics for decades yet it is nonetheless well-placed in a report about contemporary neuroscience. Neuroscientists commonly study the very diseases that can cause impairments in decision-making capacity, making informed consent difficult or impossible. These include head trauma, stroke, dementia, schizophrenia, and major depression, among others. Neuroscience research can promote progress towards understanding and alleviating these conditions, but that progress requires the participation of persons affected. Informed consent is a central tenet of research ethics and, in its absence—when working with participants whose capacity is impaired—researchers and IRBs need clear guidelines for whether and how to proceed ethically.

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Enviado por cesierra48 on 30/7/2015 8:21:01 (135 Lecturas)


Carlos Eduardo de Jesús Sierra Cuartas
Profesor Asociado, Universidad Nacional de Colombia
Ex Miembro del Comité de Ética de la Investigación, Universidad Nacional de Colombia, Sede Medellín

Si bien el género de la ciencia ficción no cuenta en el mundo hispano con una producción comparable a la mostrada por mundos como el anglosajón, el galo, el tudesco y el ruso, esto no significa que los países hispanos no estén en posición de mostrar algo en lo atinente a la dimensión ética que no suele faltar en la buena ciencia ficción. De facto, en países como Argentina, Colombia, Cuba, México y España, por mencionar unos cuantos, contamos por fortuna con muestras harto interesantes a este respecto.

En lo que a Colombia concierne, René Rebetez Cortés (1933-1999), filósofo, escritor y cineasta, nos brinda una muestra excelente a propósito de la dimensión ética en la ciencia ficción, máxime que él y Jorge Luis Borges son los únicos latinoamericanos incluidos años atrás en la selección contenida en The World Treasury of Science Fiction, obra en la que figuran los relatos La nueva prehistoria, de Rebetez, y Tlön, Uqbar, Orbis Tertius, de Borges.

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Enviado por Biblio on 29/7/2015 9:30:50 (146 Lecturas)

Leer más en Conoce la labor de los comités hospitalarios de bioética, Escrito por Plenilunia Salud Mujer, Copyright © por Plenilunia® S.C.

Enviado por Biblio on 28/7/2015 9:33:20 (121 Lecturas)

The recently publicized news that the American Psychological Association (APA) “colluded” with US governmental agencies to create ethical guidelines permitting psychologists to participate in “harsh interrogations” of military detainees is appalling. According to the APA’s own press release, the guidelines were “based at least as much on the desires of the US Department of Defense as on the needs of the psychology profession and the APA’s commitment to human rights.” While appropriate kudos are due to the APA for having the courage to both commission the recent investigation of its ethical practices, and to publicize the results, the sad circumstances that led to those ethical lapses point to a clear need for robust understandings of professionalism and ethics.

Enviado por Biblio on 27/7/2015 9:04:55 (123 Lecturas)

AMA Journal of Ethics. March 2015, Volume 17, Number 3: 243-247.

Ethical Tenets of Perioperative Care: “Finding My Surgical Way Home”
Jason D. Hall, JD, Lee A. Goeddel, MD, MPH, and Thomas R. Vetter, MD, MPH

In the course of their daily practice, anesthesiologists are confronted with a number of conventional ethical issues connected to situations ranging from informed consent to end-of-life decision making [1]. The specialty of anesthesiology has recently evolved to include not only critical care and pain medicine but also perioperative medicine. The full spectrum of perioperative expertise is manifest in the perioperative surgical home (PSH), a new and innovative care model initially developed and now being widely advocated by the American Society of Anesthesiologists (ASA) in close collaboration with vital surgical, nursing, health care administrative, and payer stakeholders [2]. The PSH is a patient-centered, institution-led, interdisciplinary, team-based, coordinated, and—where possible—standardized care model that guides the patient from presurgical decision making to postdischarge care [3, 4]. The PSH seeks to improve the surgery experience and outcomes and to add measurable value to the highest-cost segment of health care.

Enviado por Biblio on 24/7/2015 8:13:33 (159 Lecturas)
Enfermería y Bioética

Who's responsible when a nurse dies on the way home from work? More specifically, can a hospital be held responsible for working a nurse to the point of a fatal car crash? That's what the family of Elizabeth Jasper, RN, a 38-year-old Ohio nurse, is claiming. Jasper was killed while driving home after working a 12-hour night shift, and her family says that her death was a direct result of overwork necessitated by a staffing shortage that the facility was well aware of. The wrongful death lawsuit was filed by her husband, Jim Jasper, who publicly stated that his wife was “worked to death” and that the hospital was aware of the situation. Eric Deters, the attorney representing Jasper, also publicly speculated that Jasper might have dozed off while driving, which could have caused her car to veer off the road, jump an embankment, and hit a tree.

Enviado por Biblio on 23/7/2015 11:13:38 (180 Lecturas)

Bioethics Commission Recommends Engaging Stakeholders to Address Stigma Associated with Impaired Consent Capacity

Bioethics Commission Recommends Engaging Stakeholders to Address Stigma Associated with Impaired Consent Capacity

Written by Tenny Zhang on May 5, 2015 — Leave a Comment

In Gray Matters: Topics at the Intersection of Neuroscience, Ethics, and Society (Gray Matters, Vol. 2), the Presidential Commission for the Study of Bioethical Issues (Bioethics Commission) explored capacity and the consent process as one of three topics that illustrate some of the ethical and societal tensions that surround rapidly advancing neuroscience research and its applications. When considering and addressing ethical concerns about consent capacity, it is crucial to avoid policies and practices that perpetuate or exacerbate stigma. Equating certain conditions with impaired consent capacity or making unfounded assumptions about individual abilities based on diagnoses can subject individuals to stigmatizing or discriminatory practices, undermining the respect due to those individuals. The Bioethics Commission recognized that one important approach to help neuroscience researchers alleviate stigma is stakeholder engagement, and recommended engaging stakeholders to address stigma associated with impaired consent capacity:

Funders and researchers should engage stakeholders, including members of affected communities, to build understanding of consent capacity and associated diagnoses to mitigate the potential for stigma and discrimination.

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Enviado por Biblio on 22/7/2015 8:54:22 (184 Lecturas)

¿Qué tipo de comunicación entre profesionales y pacientes facilita un buen diagnóstico, una buena atención y una correcta relación?

Cuando una persona acude a consultar una duda o problema de salud con un profesional sanitario es fundamental entenderse. No siempre se consigue. Para que se dé una correcta comunicación tienen que darse varias circunstancias. Hay variables de la persona que consulta, del consultor, del lenguaje usado, el lugar dónde se produzca el encuentro y de la organización del sistema sanitario. La lista es larga. La comunicación no será igual si el paciente está tranquilo ó muy preocupado, receloso ó fuera de sí. Tampoco si ese día la médica de familia que nos atiende tiene citados 60 en lugar de 30 pacientes, ó si a la enfermera que tenemos delante le acaban de dar un disgusto.

Enviado por Biblio on 21/7/2015 8:09:47 (192 Lecturas)

From the inauguration of Abraham Lincoln to the Watergate Scandal, Washington, D.C. has seen its fair share of historical events over the years.

Last week, another was added to its annals. For the first time, international groups of children and young people who advise researchers about how best to communicate with other children, and anticipate their needs during the course of clinical research, came together to talk to, learn from, and get to know one another at the launch of the International Children’s Advisory Network (‘iCAN’).

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