{"title":"The right to health through international cooperation","authors":"William S. Gunn","doi":"10.4081/mem.1989.1302","DOIUrl":"https://doi.org/10.4081/mem.1989.1302","url":null,"abstract":"\u0000 \u0000 \u0000Until only a few decades ago health had mostly been regarded as a personal matter, implying a reciproca! relationship between patient and physician, as codified in the hippocratic oath. Today, however, health is considered a human right, with complex philosophical, ethical, social, economic, political and legal implications. Additionally, a child has his own fundamental rights, such that the problem of children's right to health becomes a concrete issue within humanitarian law. \u0000 \u0000 \u0000","PeriodicalId":36708,"journal":{"name":"Medicina e Morale","volume":"60 10","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141813071","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The problem of the terminally ill in today's society","authors":"Paola Scarcella, Francesco Paolo Calamo-Specchia","doi":"10.4081/mem.1988.1316","DOIUrl":"https://doi.org/10.4081/mem.1988.1316","url":null,"abstract":"Not available.","PeriodicalId":36708,"journal":{"name":"Medicina e Morale","volume":"99 14","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141812217","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Death and clinical parameters","authors":"Corrado Manni, Rodolfo Proietti","doi":"10.4081/mem.1988.1320","DOIUrl":"https://doi.org/10.4081/mem.1988.1320","url":null,"abstract":"Each of us has surely experienced in his or her dream experience the nightmare of being judged dead and thus being buried while still alive. Some famous writings (recall among them Edgar Allan Poe's “Premature burial‘’) have certainly contributed to fears and suspicions regarding the definition of the exact moment of death, so much so that some inventors have patented suitable systems for communicating ‘the untimely burial.’'","PeriodicalId":36708,"journal":{"name":"Medicina e Morale","volume":"21 6","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141813751","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Ethics, rationality and medicine","authors":"E. Sgreccia","doi":"10.4081/mem.1988.1318","DOIUrl":"https://doi.org/10.4081/mem.1988.1318","url":null,"abstract":"Not available.","PeriodicalId":36708,"journal":{"name":"Medicina e Morale","volume":"35 33","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141813894","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"L’istituzionalizzazione dell’Health Technology Assessment (HTA) in Italia e in Europa","authors":"A. Spagnolo","doi":"10.4081/mem.2024.1293","DOIUrl":"https://doi.org/10.4081/mem.2024.1293","url":null,"abstract":"Non disponibile.","PeriodicalId":36708,"journal":{"name":"Medicina e Morale","volume":"28 10","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141815630","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"La condizione umana all’epoca delle ICT e dell’AI","authors":"A. Frigerio","doi":"10.4081/mem.2024.1296","DOIUrl":"https://doi.org/10.4081/mem.2024.1296","url":null,"abstract":"La civiltà tecnologica si distingue per la compenetrazione del fare (techne) e del conoscere (episteme), che conferisce all’essere umano un inedito potere di manipolare la realtà. In questa cornice si collocano le Information and Communications Technologies (ICT), che indicano lo studio di sistemi che ricevono, elaborano e trasmettono dati e informazioni, e l’Artificial Intelligence (AI), che indica lo studio di sistemi informatici computazionali che replicano la condotta umana intelligente, che stanno innovando il tessuto socio-economico, riconfigurando le relazioni e plasmando l’esistenza. È quanto s’intende documentare, indagando il modo in cui la tecnologia condiziona l’esperienza umana e il modo in cui l’essere umano è chiamato ad abitare l’età tecnologica.","PeriodicalId":36708,"journal":{"name":"Medicina e Morale","volume":"30 7","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141813907","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The current scenario of clinical ethics in Italy","authors":"Costanza Raimondi, P. Refolo, A. G. Spagnolo","doi":"10.4081/mem.2024.1295","DOIUrl":"https://doi.org/10.4081/mem.2024.1295","url":null,"abstract":"Background: Italy has seen limited growth and institutionalization of clinical ethics activities in its territory. Only a few observational studies were conducted in Italy to assess the state of the art of clinical ethics services and activities. Aim: We sought to gain a broad and comprehensive understanding of the state of the art as perceived by Italian healthcare institutions and facilities. Methods: We prepared a questionnaire comprising of twelve close-ended and six open-ended questions. We sent it to all Local Healthcare Authorities (Aziende Sanitarie Locali, ASL), all private Scientific Institutes for Research, Hospitalization and Healthcare (Istituti di Ricovero e Cura a Carattere Scientifico, IRCCS), and all hospices throughout Italy. Out of 380 facilities, 90 of them (22.5%) responded to it. Results: All answers revealed interesting data. Among them, the ones that stood are: when asked who they turn to when an ethical dilemma arises, 27.7% of the respondents checked more than two answers, thus showing that there is not one clear and unequivocal body of reference. When asked if there are standard procedures, 55.4% of the respondents declared that there are no standard procedures. Only 4.4% of respondents declared the method of analysis being used. 53.3% responded that their hospital or healthcare facility does not regularly offer training activities and formation to deal with ethical dilemmas Conclusion: The three topics that stand out are a great fragmentation, the need to formalize and establish dedicated services to take care of ethical dilemmas and to offer training and formation to healthcare providers.","PeriodicalId":36708,"journal":{"name":"Medicina e Morale","volume":"47 5","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141814861","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Salvatore Simone Masilla, B. Fionda, E. Placidi, M. Pagliara, Aniello Viscido, M. Blasi, Barbara Corsano, L. Tagliaferri, A. G. Spagnolo
{"title":"Shared Care Planning for a pregnant patient with uveal melanoma treated with interventional radiotherapy (brachytherapy)","authors":"Salvatore Simone Masilla, B. Fionda, E. Placidi, M. Pagliara, Aniello Viscido, M. Blasi, Barbara Corsano, L. Tagliaferri, A. G. Spagnolo","doi":"10.4081/mem.2024.1299","DOIUrl":"https://doi.org/10.4081/mem.2024.1299","url":null,"abstract":"Introduction: Uveal melanoma (UM) is the most prevalent primary intraocular tumor in adulthood, with an important risk of metastasis, notably to the liver, rendering standard chemotherapy ineffective. Cases of UM onset during pregnancy are rare but can exhibit accelerated tumor growth. For these cases the best conservative treatment is interventional radiotherapy (IRT) also known as brachytherapy (BT). It is a form of radiotherapy that demonstrates efficacy comparable to the more common enucleation, while mitigating any risks of intrauterine toxicity. Objective: We reported the case of M., a 39-year-old pregnant patient, diagnosed with UM and undergoing brachytherapy treatment. Our aim is to make pertinent ethical considerations about: a. The ethical and clinical approach favouring a treatment strategy that preserves the affected organ and its functionality, b. The advance care planning process conducted within a multidisciplinary team. Case discussion: With the objective of preserving the mother’s health and ensuring the protection of the foetus, the team unanimously agreed, through a collaborative decision-making process, to proceed with the viable brachytherapy intervention. This approach results in a lower burden and maximizes benefits for both the patient and the unborn child. Conclusions: Considering a holistic evaluation, especially considering the patient’s pregnancy, the multidisciplinary approach proves fundamental. Collaboration between bioethicists and health-care professionals facilitated the development of a shared document for healthcare ethics planning, expressing the team’s ethical-clinical considerations.","PeriodicalId":36708,"journal":{"name":"Medicina e Morale","volume":"10 5","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141816455","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Robert Doričić, T. Buterin, Igor Eterović, Marianna Gensabella Furnari, Maria Laura Giacobello, Josip Guć, Eleni Kalokairinou, Željko Kaluđerović, I. Rinčić, Tijana Trako Poljak, Ivana Tutić Grokša, Miltiadis Vantsos, Ivana Zagorac, A. Muzur
{"title":"Mediterranean Bioethics in the bioethically lessknown Mediterranean: a struggle for identity","authors":"Robert Doričić, T. Buterin, Igor Eterović, Marianna Gensabella Furnari, Maria Laura Giacobello, Josip Guć, Eleni Kalokairinou, Željko Kaluđerović, I. Rinčić, Tijana Trako Poljak, Ivana Tutić Grokša, Miltiadis Vantsos, Ivana Zagorac, A. Muzur","doi":"10.4081/mem.2024.1297","DOIUrl":"https://doi.org/10.4081/mem.2024.1297","url":null,"abstract":"Primarly as a reponse to mainstream bioethics – the one narrowed-down to issues related to medical ethics and research – various kinds of regional bioethics have emerged in an attempt to incoporate values other than those typical for the Anglo-Saxon culture. Among the most promising ones, the Mediterranean Bioethics, reflecting all the colorfulness of the Mediterranean microcosm and an expanded interest to the entire bios (faithful to the original ideas of Fritz Jahr and Van Renssealer Potter), has found its footholds particularly in Spain, Italy, Croatia, and Greece. Leaving aside those four countries with abundant literature and well-known contributions to the general history of bioethics, we wish to direct attention to other cultures and countries of the Mediterranean region, revealing a more complex struggle for identity.","PeriodicalId":36708,"journal":{"name":"Medicina e Morale","volume":"5 20","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141816563","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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