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Acta Bioeth 2018 Jun;24(1):105-115

Dokuz Eylul University, Faculty of Medicine, Department of History of Medicine and Ethics, Izmir, Turkey.

Aim: We aimed to receive the opinions of the preclinical medical students on medical ethics education, and to present some suggestions for the education program.

Methods: Focus group discussions were held with third-grade medical students. The analyses were implemented using Creswell's six-step qualitative data analysis. Read More

Acta Bioeth 2017 Jul;23(2):327-339

Division of Developmental Medicine, Boston Children's Hospital, Harvard Medical School, Boston, Massachusetts, USA.

The arguments set forth by religious authority are important since they play a crucial role in shaping the social values of the public and influence the decision of individuals in practice pertaining to bioethical issues. The Religious Affairs Administration (RAA) was established at the inception of the Republic of Turkey in 1924 to guide religious considerations moving out of the Ottoman caliphate to a secular bioethical framework. In this article, the bioethical views of the RAA under Islamic tradition is examined and contrasted with those influenced by the Roman Catholic and Orthodox Judaic traditions. Read More

Acta Bioeth 2016 Jun;22(1):111-118

Acibadem University School of Medicine, Department of History of Medicine and Ethics, Acibadem University School of Medicine, Kayisdagi, Atasehir-Istanbul, Turkey.

Work-related diseases, injuries, risks and deaths are the issues that have been recently gaining importance especially in developing countries. The ethical dimensions of occupational health and safety have remained as relatively understudied areas. Concepts such as responsibility, consent, autonomy, paternalism, choice, and certain values or justifications that are used in medical ethics and bioethics are also applicable to occupational health and safety. Read More

Acta Bioeth 2015 Nov;21(2):227-236

Ankara University Medical Faculty History of Medicine and Ethics, Turkey.

The vast improvements in medical technology reviled the crucial role of social determinants of health for the etiology, prevalence and prognosis of diseases. This changed the content of the right to health concept from a demand of health services, to a claim of having access to all social determinants of health. Thus, the just allocation of scarce resources of health and social determinants of health became an issue of ethical theories. Read More

Acta Bioeth 2012 Jun;18(1):63-68

Centro Nacional de Control de Calidad, Instituto Nacional de Salud, Perú. Fogarty NIH Research Grant #D43 TW 06056. Año de egreso: 2004.

This article presents the experience acquired by participating in the international ethics of biomedical and psychosocial research training program of the Interdisciplinary Center for Studies on Bioethics of the University of Chile (2003-2004) and some reflections about the integration of knowledge acquired in my posterior work at scientific ethical review committees and ethics of research academic programs. Furthermore, in the elaboration of regulations for improving scientific and ethical review. Read More

Acta Bioeth 2012 ;18(1):57-62

Coordinador del Programa de Ética de Investigación Biomédica y Psicosocial, Centro Interdisciplinario de Estudios en Bioética, Universidad de Chile, Chile.

This article reflects on the ten years experience of group learning processes and skills acquisition by trainees of the ethics of biomedical and psychosocial research international training program from the Interdisciplinary Center for Studies on Bioethics of the University of Chile, Fogarty Grant R25TW6056. It takes into consideration the role of bioethics in training in its transdisciplinary character. Read More

Acta Bioeth 2012 ;18(1):69-76

Instituto Nacional de Psiquiatría Ramón de la Fuente Muñiz, México.

El propósito de este trabajo es presentar el impacto y la integración que los conocimientos adquiridos en el Programa Internacional de Formación en Ética de la Investigación Biomédica y Psicosocial de la Universidad de Chile han tenido en mi experiencia profesional, en el ámbito de la investigación psicosocial en un Instituto de Salud de México. Para este objetivo, expondré tres áreas en las cuales se ha podido evidenciar tal impacto: trabajo en los comités de ética, desarrollo de programas de académicos en bioética e investigación y publicación sobre ética y bioética. El motivo que me llevó a incursionar en el Programa fue que su enseñanza vincula la investigación psicosocial con la ética y la bioética, lo cual me permitió dirigir este tipo de reflexión hacia problemas como violencia, suicidio, adicciones, depresión y salud mental, y a nuevos campos como los estudios comunitarios, con poblaciones en riesgo o vulnerables, en los cuales las diversas implicaciones son difíciles de indagar. Read More

Acta Bioeth 2012 ;18(1):9-56

Director , Interdisciplinary Center for Studies in Bioethics. Professor , Dept. of Psychiatry, Faculty of Medicine, University of Chile, Chile. Principal Investigator , Grant NIH-Fogarty R25 TW6056.

This paper reviews the experience in training Latin American professionals and scientists in the ethics of biomedical and psychosocial research at the Interdisciplinary Center for Studies in Bioethics (CIEB) of the University of Chile, aided by a grant from Fogarty International Center (FIC) - National Institutes of Health from 2002 to 2011. In these 10 years of experience, 50 trainees have completed a 12-month training combining on-line and in-person teaching and learning activities, with further support for maintaining contact via webmail and personal meetings. The network formed by faculty and former trainees has published extensively on issues relevant in the continent and has been instrumental in promoting new master level courses at different universities, drafting regulations and norms, and promoting the use of bioethical discourse in health care and research. Read More

Acta Bioeth 2012 Jun;18(1):77-81

Cirujano-Dentista UNFV, Perú. Diplomado Internacional Ética en Investigación Biomédica y Psicosocial, Egresada 2008.

This article has the purpose to describe achievements and impact of the ethics of research training at the Interdisciplinary Center for Studies on Bioethics of the University of Chile, which has served as incentive, motivation and guide for professionals which require knowledge, regulations application and dialogue skills to reflect on problems of this discipline. Furthermore, it describes how this knowledge generates a multiplying effect in aspects such as participation in scientific ethical review committees, course organization and the creation and development of research lines, which generate publications by post degree students. It also narrates didactic contents and strategies which could be applied in ethics and bioethics courses for oral health students and concludes mentioning practical applications of this training for teaching, research and institutional development. Read More

Acta Bioeth 2010 Nov;5:13-28

Centro Interdisciplinario de Estudios en Bioética, Universidad de Chile.

Acta Bioeth 2010 Nov;5:189-196

Centro Interdisciplinario de Estudios en Bioética, Universidad de Chile.

Acta Bioeth 2010 Nov;5:197-206

Centro Interdisciplinario de Estudios en Bioética, Universidad de Chile.

Acta Bioeth 2010 Nov;16(2):148-154

Profesor Investigador Asistente, Programas de Ética de la Universidad de Miami, Estados Unidos.

Argentina ha sido un campo fértil para los intentos de reforma del sector salud, en la búsqueda por mejorar la calidad de sus servicios y, consecuentemente, la accesibilidad y la equidad del mismo. Los resultados obtenidos no han sido proporcionales a los esfuerzos desarrollados. Aunque la bioética debería, como forma de reflexión interdisciplinaria, participar en la fundamentación de nuevas políticas sanitarias y sus efectos sobre los usuarios, parece haber permanecido ajena, en general, a los graves problemas derivados de la corrupción, prefiriendo enfocarse en cuestiones vinculadas a planteos abstractos de justicia y solidaridad, atribuyendo los fracasos a la imposición de modelos económicos foráneos. Read More

Acta Bioeth 2010 Jun;16(1):77-86

Instituto Nacional de Psiquiatría Ramón de la Fuente, México.

El objetivo del trabajo es conocer las disyuntivas entre los principios de beneficencia y autonomía, que se presentan en la relación médico-paciente, durante la terapéutica del intento de suicidio.La investigación se realizó en dos hospitales psiquiátricos de la Ciudad de México. La muestra incluyó a tres sujetos con intento de suicidio, mayores de 18 años, que eran atendidos en consulta externa a causa de una lesión autoinfligida en el último año, y a tres psiquiatras que trataban a estos pacientes. Read More

Acta Bioeth 2010 Jun;16(1):87-97

Maryknoll Sisters of Saint Dominic, Bolivia.

Este artículo reporta un estudio realizado en las ciudades de La Paz, Cochabamba, y Santa Cruz en Bolivia. Interesaba saber cuál era la situación de la bioética en Bolivia y cómo se estaba protegiendo a los sujetos de investigación.Luego de revisar algunos conceptos bioéticos, la legislación boliviana y los métodos del estudio, se dan a conocer los resultados del mismo, los cuales revelan gran desconocimiento respecto de cómo proteger los derechos de los sujetos, por la casi ausencia o el inadecuado funcionamiento de los comités de ética de la investigación. Read More

Acta Bioeth 2010 Jan;16(1):46-50

This study evaluates up to which degree physicians of Hospital Dr. Dario Contreras of Dominican Republic know, respect, inform and apply the General Health Law in relation to the right of Jehovah witness patients to refuse being blood transfused (respect to their autonomy). It also evaluates whether Jehovah witnesses know General Health Law and in which degree they have been benefited by putting it into practice. Read More

Acta Bioeth 2009 Nov;15(2):202-211

Professor do Curso de Medicina. Escola Superior em Ciências da Saúde/ESCS/FEPECS, Brasil. Becada Fogarty Internacional Center, Grant R25 TW006056.

OBJECTIVE: To establish a diagnosis of the insertion of bioethics, ethics and humanistic values and attitudes to the program of the Medical School of ESCS - Escola Superior em Ciências da Saúde, public school of medicine, Distrito Federal, Brazil, in order to contribute to the process of curricular management. METHODOLOGY: The study is cohorte and documental. Thirty-two indicators to the thematic on ethics and twenty-four related to humanization were utilized. Read More

Acta Bioeth 2010 ;4:159-164

Profesor titular de la Universidad de Chile, Director Centro Interdisciplinario de Estudios en Bioética. Grant Fogarty R25 TW006056-07.

Acta Bioeth 2009 ;3:29-41

Acta Bioeth 2009 ;3:403-411

Acta Bioeth 2009 Jan;15(1):35-41

Doctor en Teología Moral. Catedrático del Departamento de Humanidades, Universidad de Puerto Rico en, Mayagüez, Puerto Rico. Grant 1R25TWO6056-06 Research Bioethics Training in Latin America. Fogarty, International Center.

This article examines the epistemological statute of bioethics as an academic discipline. The author claims that the epistemological statute of a dialogue determines the fundamental question that is raised and the answer that is sought, essential points of discourse. In the case of bioethics, the fundamental question is of a moral nature. Read More

Acta Bioeth 2009 Jan;15(2):216-221

Médico. Oficina de Información Médica de la Dirección de Regulación Sanitaria, Ministerio de Salud. Nicaragua. Becada Fogarty Internacional Center, Grant R25 TW006056.

Existen prejuicios en relación con la vejez, incluso entre los profesionales que se dedican a la gerontología. Uno común y peligroso es considerar que los viejos son todos enfermos o discapacitados.La relación médico-paciente es la piedra angular de la práctica y ética médicas. Read More

Acta Bioeth 2009 ;15(1):87-93

Centro Interdisciplinario de Estudios en Bioética, Universidad de Chile.

El presente trabajo reflexiona sobre el fundamento filosófico de la bioética como disciplina, método y movimiento desde su contexto histórico y en relación con el contexto social y cultural de la vivencia latinoamericana. Read More

Acta Bioeth 2008 ;14(1):54-60

Profesor del Programa de Bioética de la Universidad de Miami. Coordinador del Programa CITI para América Latina, Estados Unidos.

El Programa CITI (Collaborative Institutional Training Initiative) es un curso basado en Internet y desarrollado por voluntarios, que brinda material educacional sobre protección de sujetos humanos en investigaciones biomédicas y de conducta, buenas prácticas clínicas, conducta responsable de la investigación y trato humanitario a animales de laboratorio. Es un esfuerzo conjunto del Fred Hutchinson Cancer Research Center y la Universidad de Miami.Con la colaboración de expertos locales, gran parte del contenido se ha adaptado para América Latina, se ha traducido al español y portugués y se han establecido acuerdos de colaboración con instituciones especializadas en bioética en Chile, Brasil, Costa Rica y Perú. Read More

Acta Bioeth 2008 Jan;14(2):200-205

Doctor en Medicina y Cirugía. Vicedecano de la Facultad de Medicina, Universidad Nacional Autónoma de Nicaragua, Managua, Nicaragua.

This work describes the bioethics situation in Nicaragua, with information on the circumstances and the context of activities in medical education and health care providers.The development of a new model of comprehensive health care-the implementation of health care policies that guarantee Nicaraguans better access to care and services free of charge, and the changes that have occurred in medical care, due in part to the growing recognition of greater patient autonomy and the increase in the use of new medical technologies-all have contributed in some part to current obstacles and dilemmas in medical clinics and between health care personnel.Bioethics in Nicaragua is in the initial stage of development. Read More

Acta Bioeth 2008 Jan;14(1):74-77

Cirujano-Dentista, Magíster en Estomatología, Universidad Peruana Cayetano Heredia, Perú

This article focuses on the need to examine the graduate and postgraduate studies of the surgeon-dentist in Peru. The presence of an ethic normative in scientific investigation generated by the University is analysed from the training of the professor's point of view. The paper also focuses on the knowledge and attitudes entailed with ethics and bioethics in the odontologist's shaping. Read More

Acta Bioeth 2008 Jan;14(2):185-192

Coordenadora do Comitê de Etica em Pesquisa, Secretaria de Saúde do Distrito Federal, Brasil.

The objective of this article is to relate the experience of the Research Ethics Committee of the Secretary of Health, Federal District, Brazil (CEP/SES/DF) during 10 years (1997-2007) from its creation. It deals with a descriptive and documentary evaluation, in the form of case studies, utilizing all projects subject to protocol in CEP/SES/DF (Number 052/08) during that period.The most frequent conflicts were: terms of free and informed consent (30%), identification page (25%), methodology (20%), curriculum vitae (12%), budget (9%), others (4%). Read More

Acta Bioeth 2005 ;11(2):127-132

University of Miami Ethics Programs.

La telemedicina es una tendencia creciente en la prestación de los servicios médicos. Aunque la eficacia de esta práctica no ha estado bien establecida, es probable que los países en desarrollo compartirán este nuevo paradigma con los desarrollados. Los defensores de la telemedicina en América Latina sostienen que será una herramienta útil para reducir las disparidades y mejorar la accesibilidad de atención de salud. Read More