Revista BioéticaPub Date : 2023-01-01DOI: 10.1590/1983-803420233564en
André Luís Bezerra Tavares, Luis Lopes Sombra Neto, Eugênio de Moura Campos
{"title":"Bioethics and psychiatry: paucity of recent literature in Brazil","authors":"André Luís Bezerra Tavares, Luis Lopes Sombra Neto, Eugênio de Moura Campos","doi":"10.1590/1983-803420233564en","DOIUrl":"https://doi.org/10.1590/1983-803420233564en","url":null,"abstract":"Abstract Our integrative literature review sought to analyze the scientific production on bioethics and psychiatry published in Brazil in the last ten years. Bibliographic search used descriptors and search operators to relates the terms “ ética or bioética or ética médica and psiquiatria, ” resulting in thirteen articles selected, of which only two were eligible for review according to the inclusion criteria. Results show that only spirituality and pedophilia were themes addressed by the analyzed studies, both literature reviews. Despite the contemporary relevancy of bioethics and psychiatry, research on these themes is little explored and encouraged in Brazil.","PeriodicalId":500094,"journal":{"name":"Revista Bioética","volume":"8 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135213382","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}
Revista BioéticaPub Date : 2023-01-01DOI: 10.1590/1983-803420233588en
Palloma Porto Almeida
{"title":"Bioethics and concierge medicine in aging: exploring complexities","authors":"Palloma Porto Almeida","doi":"10.1590/1983-803420233588en","DOIUrl":"https://doi.org/10.1590/1983-803420233588en","url":null,"abstract":"Abstract Concierge medicine emerged as a promising approach to offer exclusive and personalized treatments using genomic tools. In aging studies, concierge medicine has the potential to transform the treatment and prevention of age-associated and related diseases through pharmacogenetics and nutrigenomics; however, its use of genomic data raises important bioethical concerns, including privacy, consent, equity issues and potential misuse of these data for discriminatory purposes. Hence, careful consideration should be given to the biomedical, social, and ethical aspects of concierge medicine in aging contexts. Our review explores the main aspects of age-related pharmacogenetics and nutrigenomics data in concierge medicine, discussing the bioethical concerns involved in its use.","PeriodicalId":500094,"journal":{"name":"Revista Bioética","volume":"65 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135213677","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}
Revista BioéticaPub Date : 2023-01-01DOI: 10.1590/1983-803420233588pt
Palloma Porto Almeida
{"title":"Bioética e medicina personalizada no envelhecimento: explorando complexidades","authors":"Palloma Porto Almeida","doi":"10.1590/1983-803420233588pt","DOIUrl":"https://doi.org/10.1590/1983-803420233588pt","url":null,"abstract":"Resumo A medicina personalizada surgiu como uma abordagem promissora para fornecer tratamentos exclusivos e personalizados para doenças usando ferramentas genômicas. No campo dos estudos do envelhecimento, a medicina personalizada tem grande potencial para transformar o tratamento e a prevenção de doenças associadas à idade e relacionadas à nutrigenômica e à farmacogenômica. No entanto, o uso de dados genômicos na medicina personalizada levanta preocupações bioéticas significativas, incluindo questões como privacidade, consentimento, equidade e potencial uso indevido de dados genômicos para fins discriminatórios. Portanto, é crucial considerar cuidadosamente os aspectos biomédicos, sociais e éticos da medicina personalizada no contexto de condições relacionadas à idade. Esta revisão tem o objetivo de explorar os principais aspectos da medicina personalizada concernentes a doenças relacionadas à idade nos dados farmacogenômicos e nutrigenômicos, abordando as preocupações bioéticas envolvidas no uso desses dados.","PeriodicalId":500094,"journal":{"name":"Revista Bioética","volume":"27 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135213952","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}
Revista BioéticaPub Date : 2023-01-01DOI: 10.1590/1983-803420233363es
Úrsula Bueno do Prado Guirro, Carla Corradi Perini, Luís Otávio Zatorre Fileno, Gustavo Belam Fioravanti, José Eduardo de Siqueira
{"title":"Competencias en cuidados paliativos entre los estudiantes de medicina","authors":"Úrsula Bueno do Prado Guirro, Carla Corradi Perini, Luís Otávio Zatorre Fileno, Gustavo Belam Fioravanti, José Eduardo de Siqueira","doi":"10.1590/1983-803420233363es","DOIUrl":"https://doi.org/10.1590/1983-803420233363es","url":null,"abstract":"Resumen Las competencias son un conjunto de conocimientos, habilidades y actitudes que debe adquirir el profesional para desempeñar una actividad laboral. Este estudio pretende evaluar las competencias en cuidados paliativos entre los estudiantes de medicina matriculados en el grado de medicina en Brasil. Todos los inscritos recibieron invitación a participar y completaron la Palliative Competence Tool. Los datos obtenidos se calcularon en puntuaciones entre 0 y 100 y se compararon entre las diez competencias y los ciclos académicos. Los resultados mostraron cuatro patrones; el más frecuente fue la reducción de la puntuación entre los estudiantes de ciclos básico e intermedio, con recuperación parcial en las prácticas. Solo la competencia ética y la toma de decisiones presentaron una alta puntuación en las prácticas. Sigue siendo débil la adquisición de competencias en cuidados paliativos en medicina. La adopción de nuevas estrategias de enseñanza puede mejorar la adquisición de las competencias en el futuro.","PeriodicalId":500094,"journal":{"name":"Revista Bioética","volume":"6 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135212884","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}
Revista BioéticaPub Date : 2023-01-01DOI: 10.1590/1983-803420233363en
Úrsula Bueno do Prado Guirro, Carla Corradi Perini, Luís Otávio Zatorre Fileno, Gustavo Belam Fioravanti, José Eduardo de Siqueira
{"title":"Palliative care competence among medical students","authors":"Úrsula Bueno do Prado Guirro, Carla Corradi Perini, Luís Otávio Zatorre Fileno, Gustavo Belam Fioravanti, José Eduardo de Siqueira","doi":"10.1590/1983-803420233363en","DOIUrl":"https://doi.org/10.1590/1983-803420233363en","url":null,"abstract":"Abstract Competencies have been defined as the set of knowledge, skills and attitudes that a professional should acquire to perform a certain work activity. This study aimed to assess competencies in palliative care among students enrolled in a Brazilian medical course. All enrolled students were invited to participate and answer the Palliative Competence Tool. The data obtained were calculated in scores between zero and 100 and compared between the ten competencies and academic cycles. The results showed four patterns, the most frequent being a reduction in scores among students in the basic and intermediate cycles, with partial recovery in the internship. Only ethical competence and decision-making increased in the internship. It was concluded that the acquisition of palliative care competencies in undergraduate medical education remains fragile. New teaching strategies could be adopted to improve their acquisition in the future.","PeriodicalId":500094,"journal":{"name":"Revista Bioética","volume":"62 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135214464","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}
Revista BioéticaPub Date : 2023-01-01DOI: 10.1590/1983-803420233262en
Samantha Brandes, Ana Carolline Taborda Kemczenski, Ana Paula Niespodzinski, Anne Izabelly de Aguiar Cabral Martins Souza, Gabriela Barbier, Jean Carl Silva, Helbert do Nascimento Lima
{"title":"Spirituality and pain in patients with metastatic breast cancer","authors":"Samantha Brandes, Ana Carolline Taborda Kemczenski, Ana Paula Niespodzinski, Anne Izabelly de Aguiar Cabral Martins Souza, Gabriela Barbier, Jean Carl Silva, Helbert do Nascimento Lima","doi":"10.1590/1983-803420233262en","DOIUrl":"https://doi.org/10.1590/1983-803420233262en","url":null,"abstract":"Abstract This observational, cross-sectional and quantitative study, by means of the assessment instruments Brief Pain Inventory, Functional Assessment of Chronic Illness Therapy Spiritual Well-Being and Beck Depression Inventory – Short Form, evaluated the influence of spirituality and depression in the pain perception of patients with metastatic breast cancer. Mean age was 57.3 years. Of the 30 participants, 24 (80%) were treated in a public service, 17 (57%) had been diagnosed with breast cancer for more than 5 years, and 27 (90%) were religious or spiritual. Patients with spiritual well-being scores above the median had lower depressive symptom scores (3 vs. 6; p =0.021). The median total score of spiritual well-being showed no significant difference when stratified by median pain perception (31.5% vs. 28.5%; p =0.405). Greater spiritual well-being may be related to lower rates of depression.","PeriodicalId":500094,"journal":{"name":"Revista Bioética","volume":"3 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135214730","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}
Revista BioéticaPub Date : 2023-01-01DOI: 10.1590/1983-803420233444es
Luana Lima Santos Cardoso, Wanderson Flor do Nascimento
{"title":"Producciones bioéticas brasileñas sobre el suicidio: revisión sistemática","authors":"Luana Lima Santos Cardoso, Wanderson Flor do Nascimento","doi":"10.1590/1983-803420233444es","DOIUrl":"https://doi.org/10.1590/1983-803420233444es","url":null,"abstract":"Resumen Esta revisión sistemática de la literatura rastreó las producciones brasileñas con enfoques bioéticos sobre el suicidio, para tejer contribuciones al debate sobre los conflictos éticos involucrados en el fenómeno del suicidio y contribuir a su prevención. Se realizaron búsquedas en las bases de datos SciELO y Google Scholar, y en repositorios institucionales de programas de posgrado en bioética, utilizando los descriptores “suicidio”, “suicidio y bioética” y “suicidio y ética”. Veinte publicaciones cumplieron con los criterios de inclusión y se agruparon para análisis en tres ejes: reflexiones generales sobre el estigma del acto suicida; dilemas morales sobre el suicidio y los principios bioéticos; y análisis ético-políticos del fenómeno suicida. Se concluye que la producción sobre este tema es escasa, con pocas personas en la mayor parte de los estudios, lo cual es sorprendente dada la relevancia del fenómeno para la salud pública y las reflexiones morales sobre el final de la vida.","PeriodicalId":500094,"journal":{"name":"Revista Bioética","volume":"148 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135214735","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}
Revista BioéticaPub Date : 2023-01-01DOI: 10.1590/1983-803420233564es
André Luís Bezerra Tavares, Luis Lopes Sombra Neto, Eugênio de Moura Campos
{"title":"Bioética y psiquiatría: escasez de literatura reciente en Brasil","authors":"André Luís Bezerra Tavares, Luis Lopes Sombra Neto, Eugênio de Moura Campos","doi":"10.1590/1983-803420233564es","DOIUrl":"https://doi.org/10.1590/1983-803420233564es","url":null,"abstract":"Resumen Con el fin de analizar la producción científica sobre bioética y psiquiatría en Brasil publicada en los últimos diez años, se realizó una revisión integradora de la literatura disponible en bases de datos, utilizando descriptores y operadores de investigación para relacionar los términos “ética or bioética or ética médica and psiquiatría”. La búsqueda culminó con la selección de trece artículos, de los cuales solo dos fueron elegibles para la revisión integradora según los criterios de inclusión. Los resultados mostraron que solo se abordaron los temas de espiritualidad y pedofilia en los estudios analizados, ambos siguieron la metodología de revisión de literatura. Aunque la bioética y la psiquiatría tienen gran relevancia en la contemporaneidad, los estudios científicos en Brasil sobre el tema son escasos, poco explorados y fomentados.","PeriodicalId":500094,"journal":{"name":"Revista Bioética","volume":"22 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134884821","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}
Revista BioéticaPub Date : 2023-01-01DOI: 10.1590/1983-803420233262pt
Samantha Brandes, Ana Carolline Taborda Kemczenski, Ana Paula Niespodzinski, Anne Izabelly de Aguiar Cabral Martins Souza, Gabriela Barbier, Jean Carl Silva, Helbert do Nascimento Lima
{"title":"Espiritualidade e dor em pacientes com câncer de mama metastático","authors":"Samantha Brandes, Ana Carolline Taborda Kemczenski, Ana Paula Niespodzinski, Anne Izabelly de Aguiar Cabral Martins Souza, Gabriela Barbier, Jean Carl Silva, Helbert do Nascimento Lima","doi":"10.1590/1983-803420233262pt","DOIUrl":"https://doi.org/10.1590/1983-803420233262pt","url":null,"abstract":"Resumo Mediante estudo observacional, transversal e quantitativo que utilizou os instrumentos de avaliação Brief Pain Inventory (dor), Functional Assessment of Chronic Illness Therapy Spiritual Well-Being (bem-estar espiritual) e Beck Depression Inventory – Short Form (depressão), busca-se avaliar a influência da espiritualidade e da depressão na percepção de dor de pacientes acometidas por neoplasia de mama metastática. A idade média foi 57,3 anos e, das 30 participantes, 24 (80%) tratavam-se em serviço público; 17 (57%) tinham diagnóstico de câncer de mama há mais de cinco anos; e 27 (90%) realizavam alguma prática religiosa/espiritual. Pacientes com escore de bem-estar espiritual acima da mediana apresentaram menor escore dos sintomas depressivos (3 vs . 6; p =0,021). Não houve diferença significativa em relação à mediana do escore total do bem-estar espiritual quando estratificado pela mediana da percepção de dor (31,5% vs . 28,5%; p =0,405). Maior manifestação de bem-estar espiritual pode estar relacionada a menores índices de depressão.","PeriodicalId":500094,"journal":{"name":"Revista Bioética","volume":"124 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135213099","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}
Revista BioéticaPub Date : 2023-01-01DOI: 10.1590/1983-803420233274es
Marta Capelo, Nuno Lopes, Bárbara Santa Rosa, Margarida Silvestre
{"title":"Reflexión ética sobre la teleconsulta","authors":"Marta Capelo, Nuno Lopes, Bárbara Santa Rosa, Margarida Silvestre","doi":"10.1590/1983-803420233274es","DOIUrl":"https://doi.org/10.1590/1983-803420233274es","url":null,"abstract":"Resumen Las tecnologías de la información y la comunicación tienen una influencia cada vez mayor en el área de la salud, y esto lleva a un aumento significativo en el uso de la teleconsulta. Muchos son los beneficios de esta modalidad de prestación de servicios sanitarios, comenzando por el hecho de que ayudan a abordar los desafíos contemporáneos que afectan a los sistemas de salud en todo el mundo. Sin embargo, su uso creciente destaca la importancia de salvaguardar las cuestiones éticas relacionadas con la autonomía, la equidad, la privacidad y la calidad de la relación entre el paciente y el profesional de la salud. Este artículo pretende incitar a una reflexión sobre los desafíos éticos que surgen antes, durante y después del uso de la teleconsulta, con el fin de optimizarlo y modelarlo.","PeriodicalId":500094,"journal":{"name":"Revista Bioética","volume":"61 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135213673","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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