Search results for "Informed Consent"
showing 10 items of 109 documents
El consentimiento informado en los pacientes privados de libertad
2013
Fundamento y objetivo: El consentimiento informado (CI) médico constituye hoy el pilar fundamental sobre el que se asienta la asistencia sanitaria a la población. Cualquier persona competente y capaz para tomar decisiones puede dar o negar su permiso para cualquier intervención médica que le afecte, incluso una intervención que vaya a salvar su vida, siempre que esa decisión no amenace intereses de terceros. A pesar de este principio general hay un grupo de personas, que son los presos, que tienen restringida su aplicación y no pueden decidir libremente sobre aceptar o rechazar un tratamiento médico en casos extremos, cuando su salud o su vida corran peligro. El objetivo del trabajo es resp…
Mapping of Research Activity, Dominance and Collaboration Pattern in Pneumonia (2001-2015): Snapshot and Gaps
2019
Background: This article describes a bibliometric review of the scientific production, geographical distribution, collaboration, impact, and subject area focus of pneumonia research indexed on the Web of Science over a 15-year period. Methods: We searched the Web of Science database using the Medical Subject Heading (MeSH) of "Pneumonia" from January 1, 2001 to December 31, 2015. The only document types we studied were original articles and reviews, analyzing descriptive indicators by five-year periods and the scientific production by country, adjusting for population, economic, and research-related parameters. Results: A total of 22,694 references were retrieved. The number of publications…
Remdesivir for the Treatment of Hospitalised Patients with COVID-19 (DisCoVeRy): A Randomised, Controlled, Open-Label Trial
2021
Background: The antiviral efficacy of remdesivir is still controversial. We aimed at evaluating its clinical effectiveness in patients with COVID-19 requiring oxygen and/or ventilator support. Methods: In this European multicentre, open-label, parallel-group, randomised, controlled trial in adults hospitalised with COVID-19 (DisCoVeRy, NCT04315948; EudraCT2020-000936-23), participants were randomly allocated to receive usual standard of care alone or in combination with intravenous remdesivir (200 mg on day 1, then 100 mg once-daily for 9 days or until discharge). Treatment assignation was performed via web-based randomisation stratified on illness severity and administrative European regio…
Civil society participation in international decision making: recent developments and future perspectives in the indigenous rights arena
2012
This article focuses on key issues and recent developments concerning indigenous peoples' involvement in international decision making affecting their rights and interests. Based on a human rights-based approach to participation, it suggests that while a number of positive steps have been taken to allow indigenous peoples the possibility to take part to, and influence, relevant intergovernmental decision-making processes, there's a need to provide their own self-governing institutions and organisations with a more influential status than that granted to civil society organisations (CSOs) generally, whereby they can exercise different levels of participatory rights, depending upon the nature…
Relationship between subjective and objective burden in family caregivers of Alzheimer patients
2017
The aim of this work is to determine the role that social support, coping, optimism, quality of life, resilience and life satisfaction have on the relationship between objective and subjective burden on family caregivers of Alzheimer patients. Method: Participants: 140 caregivers of Alzheimer patients. Instruments: Sociodemographic Data; CBI Caregiver Burden Scale; COPE Coping Styles Scale; DUKE.UNC Social Support Scale; LOT-R, Life Orientation TestRevised; QOLLTI-F, Quality of Life in Life Threatening Illness Scale–Family Carers Version; CD-RISC, Connor-Davidson Resilience Scale; SWLS, Satisfaction with Life Scale. Procedure: Implementation of scales in an individual, voluntary, anonymous …
Vascularized composite allotransplantation - a Council of Europe position paper
2017
After more than 120 hand-upper extremity and 37 face transplant procedures performed worldwide, vascularized composite allotransplantation (VCA) now falls under the scope of organ transplant legislation in Europe and the United States. While in the USA, VCA has been considered as standard care since 2014, VCA in Europe is still performed through clinical research trials, except in United Kingdom. However, after two decades of favourable experience with upper extremity transplantation (UET), professionals in Europe are proposing hand allotransplantation as “controlled standard” care, as opposed to face transplantation (FT), which is still a challenging activity. The European Committee on Org…
Clinical manifestations of head and neck cancer in pediatric patients, an analysis of 253 cases in a single Brazilian center
2021
Pediatric head and neck cancer (PHNC) is rare and its nonspecific clinical manifestations may often lead to delayed diagnosis. We aimed to describe the signs, symptoms, and clinicopathological characteristics of PHNC. Medical records were retrospectively reviewed for all PHNC cases diagnosed from 1986 to 2016 affecting patients aged 19-years and younger from a tertiary referral center in Brazil. Demographic variables, anatomical site of primary tumors, histopathological diagnoses, signs and symptoms, and patterns of misdiagnosis were collected and interpreted by statistical and descriptive analysis. A total of 253 PHNC cases were included. The mean age was 9.3 years and male patients were m…
Confucian Bioethics: Informed Consent in the Context of the Traditional Chinese Worldview
2017
The text refers to bioethics in China, in particular Confucian bioethics, and shows the medicine and bioethical issues in a broader cultural context. Traditional Chinese beliefs and customs affect the conceptualization and implementation of the various bioethical problems. The aim of the article is to analyse the problem of informed consent and cultural differences in its understanding and enforcement. Due to the very difterent perception of the relationship between the individual and the group in China, compared with individualistic cultures (Western Europę, North America, Australia) Chinese bioethicists revaluated the concept of informed consent by introducing a competitive concept of com…
Depression in the nursing home: a cluster-randomized stepped-wedge study to probe the effectiveness of a novel case management approach to improve tr…
2019
Abstract Background Depression is the second most common psychiatric illness in old people. Up to 30% of nursing home residents suffer from minor or major depression. Although depressive disorders in old age can be improved and even cured with adequate therapy, they often go unnoticed in nursing home residents and remain untreated. This highlights a striking deficit in health care and might results not only in lower quality of life among those concerned but also in poor physical functioning, premature mortality and increased hospitalization rates. Methods The aim of the interdisciplinary research project DAVOS is to implement an innovative and stepped structural case management program to i…
Informing MS patients on treatment options: a consensus on the process of consent taking
2020
Abstract\ud In the last years, change in multiple sclerosis (MS) therapeutic scenario has highlighted the need for an improved doctor-patient communication in advance of treatment initiation in order to allow patient’s empowerment in the decision-making process.\ud Aims\ud The aims of our project were to review the strategies used by Italian MS specialists to inform patients about treatment options and to design a multicentre shared document that homogenizes the information about disease-modifying treatment (DMTs) and the procedure of taking informed consent in clinical practice.\ud Results\ud The new resource, obtained by consensus among 31 neurologists from 27 MS Centres in Italy with the…