Ethique & sante最新文献

{"title":"Revisiter la gestion du risque : mettre de la vie dans les systèmes","authors":"M. Grassin","doi":"10.1016/j.etiqe.2023.11.001","DOIUrl":"https://doi.org/10.1016/j.etiqe.2023.11.001","url":null,"abstract":"","PeriodicalId":72955,"journal":{"name":"Ethique & sante","volume":"21 1","pages":"Pages 15-18"},"PeriodicalIF":0.0,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140296001","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":"Un risque peut en cacher un autre","authors":"E. Delassus","doi":"10.1016/j.etiqe.2023.11.002","DOIUrl":"https://doi.org/10.1016/j.etiqe.2023.11.002","url":null,"abstract":"","PeriodicalId":72955,"journal":{"name":"Ethique & sante","volume":"21 1","pages":"Pages 19-22"},"PeriodicalIF":0.0,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140296002","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":"Consentement « libre et éclairé ». Une exigence éthique pour réduire les risques. À propos de l’avis 136 du CCNE","authors":"R. Aubry","doi":"10.1016/j.etiqe.2023.11.012","DOIUrl":"https://doi.org/10.1016/j.etiqe.2023.11.012","url":null,"abstract":"","PeriodicalId":72955,"journal":{"name":"Ethique & sante","volume":"21 1","pages":"Pages 75-77"},"PeriodicalIF":0.0,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140296607","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":"Prendre le risque du hors les murs","authors":"Ugo Pace ,&nbsp;Mélanie Guyot","doi":"10.1016/j.etiqe.2023.11.008","DOIUrl":"https://doi.org/10.1016/j.etiqe.2023.11.008","url":null,"abstract":"<div><p>Prendre le risque du hors les murs, c’est déjà essayer de comprendre et de réussir à délimiter ce que sont les murs que nous devrions franchir et quels sont les risques de ce franchissement. Y trouverions-nous quelques bénéfices de sortir hors les murs ? On entend d’ailleurs souvent parler de la balance bénéfice-risque comme ce juste équilibre, cette voie du milieu à trouver et qui permettrait de manière éclairée de déterminer une décision thérapeutique, médicamenteuse, qui viendrait activer la voie de guérison pour certains ou amener vers un nouvel équilibre pour d’autres.</p><p>Il s’agit bien là de fait de murs tantôt physiques, architecturaux qui viennent contenir des troubles définis, caractérisés, catégorisés ; pour les plus graves, les plus marqués, empêchant de fonctionner de manière adéquate dans notre société, l’hospitalisation serait nécessaire.</p></div><div><p>Taking the risk of going off-site in psychiatric hospitalisation for adolescent is important to investigate and promote therapeutic process. In this article, we review hospitalisation in the french history.</p><p>Then we show some aspect of an unit of hospitalisation and how is important to think beyond the wall to promote new coping ressources for the adolescents and their families.</p></div>","PeriodicalId":72955,"journal":{"name":"Ethique & sante","volume":"21 1","pages":"Pages 48-52"},"PeriodicalIF":0.0,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140296008","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":"Le risque vasculaire : variations autour de « J’ai du cholestérol »","authors":"J.-D. Lalau","doi":"10.1016/j.etiqe.2023.10.003","DOIUrl":"https://doi.org/10.1016/j.etiqe.2023.10.003","url":null,"abstract":"<div><p>« <em>J’ai du cholestérol</em> », rapportent certains patients. Comment comprendre une telle phrase ? Sans doute comme le témoin d’une ontologisation, notamment à l’aune de l’anthropologie classique de la maladie (en Occident). Reste maintenant à savoir comment répondre à une telle représentation, comment établir un dialogue dans la relation de soin relative au risque vasculaire ; comment, au niveau politique cette fois, mener une prévention digne de ce nom.</p></div><div><p>“<em>I have cholesterol</em>”: what does this phrase heard in medical consultation actually mean? It needs to be understood as the hallmarks of ontology, given the classical medical anthropology that prevails in the West. What remains to be seen now is how to answer such representation; how to establish a dialogue about vascular risk in a caring situation; and how, ultimately, to lead a coherent and efficient prevention policy.</p></div>","PeriodicalId":72955,"journal":{"name":"Ethique & sante","volume":"21 1","pages":"Pages 28-32"},"PeriodicalIF":0.0,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140296683","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":"Les bandes dessinées centrées sur l’expérience des patients sont une ressource pour le soin","authors":"N. Herbreteau ,&nbsp;M.-C. Reboul ,&nbsp;M. Minet ,&nbsp;S. Pavageau","doi":"10.1016/j.etiqe.2023.09.003","DOIUrl":"10.1016/j.etiqe.2023.09.003","url":null,"abstract":"<div><p>La bande dessinée est un médium mixte où le texte et le graphisme se complètent pour soutenir un récit ou relayer une information. Il existe des BD rédigées par des malades concernant leur parcours de soin, témoignant de leur expérience vécue de la maladie : les autopathographies dessinées. Ces supports peuvent être une ressource dans le soin.</p></div><div><h3>Objectif</h3><p>Comprendre la maladie à partir de l’analyse de l’expérience vécue des patients inscrite dans les autopathographies dessinées francophones.</p></div><div><h3>Méthode</h3><p>Revue exhaustive des BD francophones consacrées au témoignage personnel de malades. Analyse qualitative phénoménologique du texte et analyse sémiotique des graphismes.</p></div><div><h3>Résultats</h3><p>Au total, 22 ouvrages autobiographiques ont été répertoriés. Ils représentent la maladie comme un combat, une fatalité, voire une rencontre. Ils racontent les émotions et symptômes qui lui sont liés, et les ancrent dans la vie quotidienne, que la maladie altère toujours. Ils soulignent le rôle crucial de l’acceptation du statut de malade dans le parcours vers une amélioration ou une guérison. La place de la famille et des aidants est prépondérante. L’hospitalisation et la relation avec les soignants sont critiquées et perçues comme décalées des attentes du patient. Le vécu de la sortie de la maladie, quand elle est possible, est aussi complexe que le parcours de malade lui-même.</p></div><div><h3>Discussion</h3><p>Notre approche s’ancre dans le courant de la médecine narrative et de l’approche centrée-patient. Nous espérons, par ce travail préliminaire, étendre l’utilisation de ces supports, utiles en pédagogie et dans le soin, pour les étudiants, les médecins, les aidants, et les patients.</p></div><div><p>Comics are a mixed medium, in which words and images are combined to support a narrative or to transmit an information. Specific comics exist, written and drawn by sick persons about their care pathway, bearing witness of their experience of illness. These books can be of help in healthcare.</p></div><div><h3>Objectif</h3><p>Understand sickness through the analysis of patients’ experience in French speaking autobiographic drawn pathographies.</p></div><div><h3>Method</h3><p>Exhaustive overview of French speaking comics about sick people's personal testimony. Phenomenologic qualitative of text and semiotic analysis of drawings.</p></div><div><h3>Results</h3><p>22 autobiographic comics have been included. They depict illness as a fight, a fatality or as an encounter. The authors tell their emotions and symptoms bound to illness, and anchor them in their everyday life that illness always affect. They highlight the important role of acceptance of sickness in the path of healing. Family and caregivers have a great part to play. Hospitalization and relationship with the medical staff are criticized and perceived as different as the patient's expectations. Healing seems as complex path.</p></div><div><","PeriodicalId":72955,"journal":{"name":"Ethique & sante","volume":"21 2","pages":"Pages 143-156"},"PeriodicalIF":0.0,"publicationDate":"2024-02-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140470435","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":"Est-ce qu’il souffre ? Enjeux éthiques de l’introduction d’un dispositif d’hétéroévaluation du confort en fin de vie","authors":"C. Prod’homme","doi":"10.1016/j.etiqe.2023.12.006","DOIUrl":"10.1016/j.etiqe.2023.12.006","url":null,"abstract":"<div><p>Éviter à un patient en fin de vie toute souffrance est un objectif central dans la démarche palliative qui engage les soignants au quotidien au chevet des patients et de leurs proches. Néanmoins, un tel objectif se confronte à de nombreuses limites, liées à la fois à la définition même de la souffrance, à la difficulté d’évaluer la souffrance de l’autre, et enfin aux solutions de prise en charge envisageables. Pour essayer d’en déplier quelques aspects, nous abordons les enjeux de l’évaluation de la souffrance en soins palliatifs, à travers l’autoévaluation, l’hétéroévaluation et les mesures physiologiques. Nous présentons un outil technique construit à des fins de monitoring de la douleur dans le cadre de l’anesthésie réanimation. Les questions éthiques que soulève l’extension de son usage au sein de la clinique des soins palliatifs se rapportent aussi bien à sa validation, qu’à ce que donne à voir ou non l’outil, et à la question de la fixation de son seuil. Il s’agit de repenser la place laissée à la technique dans le travail du <em>care</em> en soin palliatifs et à la manière dont on construit avec elle l’accompagnement. Nous ouvrirons des perspectives en esquissant la place que peut prendre la recherche en soins palliatifs pour explorer ces enjeux.</p></div><div><p>Avoiding suffering for patients at the end-of-life is a central objective of the palliative care, which engages caregivers on a daily basis at the bedside of patients and their families. However, there are many limits to this objective, linked to the definition of suffering, to the difficulty of assessing the suffering of others, and finally to the solutions available for its management. In an attempt to unravel some of these issues, we address the challenges of assessing suffering in palliative care, through self-evaluation, hetero-evaluation and physiological measurements. We present a technical tool designed for pain monitoring in intensive care anesthesia. The ethical issues raised by the extension of its use to the palliative care relate to its validation, to what the tool does or does not show, and to the question of setting its threshold. It is a question of rethinking the place left to technique in the work of <em>care</em> in palliative care, and the way in which we construct support with it. We will open up perspectives by outlining the role that palliative care research can play in exploring these issues.</p></div>","PeriodicalId":72955,"journal":{"name":"Ethique & sante","volume":"21 2","pages":"Pages 113-121"},"PeriodicalIF":0.0,"publicationDate":"2024-02-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140470503","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":"Enjeux éthiques liés à la prise en charge médicamenteuse de la dysfonction érectile chez les patients détenus","authors":"T. de Bonneval ,&nbsp;A. Lagarrigue","doi":"10.1016/j.etiqe.2023.10.002","DOIUrl":"10.1016/j.etiqe.2023.10.002","url":null,"abstract":"<div><p>In France, one man out of five suffers from erectile dysfunction. Yet it is still a taboo subject, because erectile dysfunction undermines the symbol of virility in our phallocentric society. In the collective imagination, erectile dysfunction is commonly associated with impotence and weakness.This pathology seems even more taboo in prison environment. Perhaps because it's a closed environment governed by the law of the strongest.The fact remains, however, that this dysfunction can lead to profound somatic and/or psychological uneasiness, so that therapeutic treatment appears legitimate or necessary. However this legitimacy is limited by the patient's status as a prisoner.This work has neither the vocation nor the pretention to provide specialized content on any particular discipline. On the contrary, it promotes a multidisciplinary approach based on philosophy, medicine, history and law. The main aim of this article is therefore to lay the foundations for an ethical reflection on the therapeutic management of convicts suffering from erectile dysfunction.</p></div>","PeriodicalId":72955,"journal":{"name":"Ethique & sante","volume":"21 2","pages":"Pages 164-169"},"PeriodicalIF":0.0,"publicationDate":"2024-02-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140463687","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":"Éthique et intégrité dans la production scientifique: une analyse approfondie de l’autoplagiat","authors":"C.G. Fernandes","doi":"10.1016/j.etiqe.2023.10.001","DOIUrl":"10.1016/j.etiqe.2023.10.001","url":null,"abstract":"<div><p>Cet article entreprend une analyse méticuleuse du phénomène de l’autoplagiat dans le contexte universitaire, intégrant une investigation étymologique et abordant le sujet à travers une approche systémique qui prend en compte des normes éthiques, des pratiques académiques et des considérations juridiques. En utilisant une méthodologie qualitative, l’étude implique une analyse documentaire rigoureuse ainsi qu’une revue bibliographique, distinguant essentiellement l’autoplagiat du plagiat. De plus, il explore plusieurs facettes de l’autoplagiat, y compris la publication en double, la publication redondante et le « <em>saucissonnage</em> » (<em>salami-slicing</em>), et évalue les points de vue d’experts concernant l’intersection de l’autoplagiat avec les droits d’auteur. Adoptant une approche analytique rigoureuse, l’étude examine également l’autoplagiat au sein de l’écosystème plus large des pratiques de recherche et de publication, soulignant l’importance de reconnaître que l’autoplagiat peut être symptomatique de la pression du « <em>publier ou périr</em> ». Grâce à cette approche intégrée, l’article met l’accent sur la primauté de l’intégrité intellectuelle et la nécessité de traiter la question de l’autoplagiat avec une responsabilité éthique. Dans l’ensemble, l’étude contribue à une compréhension plus complète de l’autoplagiat, de ses caractéristiques distinctives par rapport au plagiat, et de ses implications pour l’intégrité académique et les droits d’auteur.</p></div><div><p>This article undertakes a meticulous analysis of the phenomenon of self-plagiarism in the academic context, incorporating an etymological investigation and addressing the subject through a systemic approach that takes into account ethical standards, academic practices, and legal considerations. Utilizing a qualitative methodology, the study involves a rigorous documentary analysis as well as a literature review, essentially distinguishing self-plagiarism from plagiarism. Furthermore, it explores various facets of self-plagiarism, including duplicate publication, redundant publication, and “<em>salami-slicing</em>”, and assesses expert viewpoints regarding the intersection of self-plagiarism with copyright. Adopting a rigorous analytical approach, the study also examines self-plagiarism within the broader ecosystem of research and publication practices, highlighting the importance of recognizing that self-plagiarism can be symptomatic of the “<em>publish or perish</em>” pressure. Through this integrated approach, the article emphasizes the primacy of intellectual integrity and the necessity to address the issue of self-plagiarism with ethical responsibility. Overall, the study contributes to a more comprehensive understanding of self-plagiarism, its distinctive features compared to plagiarism, and its implications for academic integrity and copyright.</p></div>","PeriodicalId":72955,"journal":{"name":"Ethique & sante","volume":"21 2","pages":"Pages 157-163"},"PeriodicalIF":0.0,"publicationDate":"2024-02-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1765462923000995/pdfft?md5=eabe75895dacd99c78f4cc30240c2a72&pid=1-s2.0-S1765462923000995-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139966575","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"","authors":"Alain de Broca","doi":"10.1016/j.etiqe.2023.12.004","DOIUrl":"10.1016/j.etiqe.2023.12.004","url":null,"abstract":"","PeriodicalId":72955,"journal":{"name":"Ethique & sante","volume":"21 2","pages":"Page 170"},"PeriodicalIF":0.0,"publicationDate":"2024-02-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139685638","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}