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Safety: A collective and embedded competency. An ethnographic study of safety practices at an industrial workplace in the Netherlands.
Safety: A collective and embedded competency. An ethnographic study of safety practices at an industrial workplace in the Netherlands.
Fuente:Journal of Safety Research
Extracto:
Overall, the
results indicate that social interactions among employees, leaders, and
management within the organization play an important role in workplace safety.
The analysis highlights the value of vulnerability and trust in relationships at
work to be able to learn and develop safety procedures that align with local
demands. PRACTICAL APPLICATIONS: This study emphasizes the need for participatory
approaches in creating safer and healthier workplaces. The cocreation of
occupational health and safety (OHS) rules and procedures, however, can only
function if they are combined with a responsive leadership style.
Claves:Accountability, Collectivity, Ethnography, Organizational learning, Safety management, Situated work practices, Tacit knowledge, Workplace health
institución:(a) Department of Health, Ethics and Society, Faculty of Health, Medicine and Life Sciences, Care and Public Health Research Institute (CAPHRI), Maastricht University, the Netherlands. (b) Department of Health, Ethics and Society, Faculty of Health, Medicine and Life Sciences, Care and Public Health Research Institute (CAPHRI), Maastricht University, the Netherlands.
Conflicto:Declaration of Competing Interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper.
The association of resilience and positive mental health in systemic sclerosis: A Scleroderma Patient-centered Intervention Network (SPIN) cohort cross-sectional study.
The association of resilience and positive mental health in systemic sclerosis: A Scleroderma Patient-centered Intervention Network (SPIN) cohort cross-sectional study.
Fuente:Journal of Psychosomatic Research
Extracto:
People with worse disease severity and patient-reported
outcomes reported substantially lower resilience, except a class of people with
high disease severity, fatigue, pain, and sleep disturbance but positive mental
health and high resilience.
Autor/es:Neyer, Marieke A (a) Henry, Richard S (b)
institución:(a) Lady Davis Institute for Medical Research, Jewish General Hospital, Montreal, Quebec, Canada; Department of Psychiatry, McGill University, Montreal, Quebec, Canada. Electronic address: marieke.neyer@mail.mcgill.ca. (b) Lady Davis Institute for Medical Research, Jewish General Hospital, Montreal, Quebec, Canada; Department of Psychiatry, McGill University, Montreal, Quebec, Canada. Electronic address: richard.henry@mail.mcgill.ca.
Conflicto:Declaration of competing interest The authors have no competing interests to report.
Palliative psychiatry for a patient with treatment-refractory schizophrenia and severe chronic malignant catatonia
Palliative psychiatry for a patient with treatment-refractory schizophrenia and severe chronic malignant catatonia
Fuente:Annals of Palliative Medicine
Tipo de trabajo:Caso clínico
Extracto:
This case permits discussion of palliative
interventions in patients with SPMI such as treatment-refractory psychotic
disorders who likely cannot achieve a quality of life that is acceptable to them.
Here, it can be justified to prioritize relief of suffering and prevention of
further burdensome interventions over treatment of the SPMI symptoms such as
catatonia and even over keeping the patient alive.
Claves:Palliative psychiatry, case report, end-of-life care, severe and persistent mental illness (SPMI), treatment-refractory schizophrenia
Cita:Ann Palliat Med 2024 Mar; 13 (2) : 433-439.
Autor/es:Elgudin, Junona (a) Johnsen, Clark (b)
institución:(a) Department of Psychiatry, New York-Presbyterian/Weill Cornell Medicine, New York, NY, USA. (b) Department of Psychiatry, Weill Cornell Medicine, New York, NY, USA.
Planting the Seed for Blood Pressure Control: The Role of Plant-Based Nutrition in the Management of Hypertension.
Planting the Seed for Blood Pressure Control: The Role of Plant-Based Nutrition in the Management of Hypertension.
Fuente:Current Cardiology Reports
Extracto:
Future work to promote
infrastructural change that supports incorporating evidence-based nutrition into
medical education, clinical care, and society at large can support these efforts.
Autor/es:Charles, Justin A (a) Habibullah, Nilofer Khan (b)
institución:(a) Department of Family Medicine and Public Health, UC San Diego Health, San Diego, CA, USA. justin.a.charles92@gmail.com. (b) American International Medical University, Gros Islet, Saint Lucia.
Conflicto:J.A.C. and N.K.H. hold voluntary positions on the American College of Lifestyle Medicine (ACLM) Trainees Executive Board and received support for attending national conferences. JC has also received a grant from ACLM and serves as a voluntary medical consultant for ActualFood. Both ACLM and ActualFood promote the use of whole-food, plant-based nutrition but did not provide support for the present...
manuscript. B.D. has received a grant from the Karuna Foundation, book royalties from The Book Publishing Company Book, Healthy Living Publications, and HCI Books, consulting fees from Food Revolution Network and ACLM, honoraria for lectures from Physician’s Committee for Responsible Medicine (PCRM) and Plantrician Project, and leadership roles in Physicians Association for Nutrition, ACLM and PCRM, and owns shares in Virchew Dog Food. Her grant, books, consulting work, lectures, and leadership roles for these entities promote the use of whole-food plant-based nutrition, but none of these entities provided support for the present manuscript. The other authors confirm that there is no conflict of interest between them.
Jump-starting life: balancing transposable element co-option and genome integrity in the developing mammalian embryo.
Jump-starting life: balancing transposable element co-option and genome integrity in the developing mammalian embryo.
Fuente:Embo Reports
Extracto:
In this review, we discuss several examples
of TEs expressed during embryo development, their potential for co-option in
genome regulation and the evolutionary pressures on TEs and on our genomes.
Claves:Genome Evolution, Genome Regulation, Preimplantation Development, Transposable Elements
Cita:EMBO Rep 2024 Apr; 25 (4) : 1721-1733.
Autor/es:Oomen, Marlies E (a) Torres-Padilla, Maria-Elena (b)
institución:(a) Institute of Epigenetics and Stem Cells, Helmholtz Zentrum München, München, Germany. (b) Institute of Epigenetics and Stem Cells, Helmholtz Zentrum München, München, Germany. torres-padilla@helmholtz-muenchen.de.
Conflicto:METP is member of the ethics advisory panel of MERCK. The other authors declare no conflict of interest. METP is a member of the Advisory Editorial Board of EMBO reports. This has no bearing on the editorial consideration of this article for publication.
Assessment of transparency indicators in space medicine.
Assessment of transparency indicators in space medicine.
Fuente:Plos One
Extracto:
Enhancing
transparency in space medicine research is imperative for safeguarding its
scientific rigor and reproducibility.
Cita:PLoS One 2024; 19 (4) : e0300701.
Autor/es:Bellomo, Rosa Katia (a) Zavalis, Emmanuel A (b)
institución:(a) Meta-Research Innovation Center at Stanford (METRICS), Stanford University, Stanford, CA, United States of America. (b) Department of Public Health and Infectious Diseases, Sapienza University of Rome, Rome, Italy.
Conflicto:Los autores declaran no tener conflictos de interés con la investigación
Autor/es:Barros-Sevillano, Shamir (a) Cabanillas-Lazo, Miguel (b)
institución:(a) Facultad de Ciencias de la Salud, Escuela de Medicina, Universidad César Vallejo, Trujillo, Peru Shamir.bs17@gmail.com. (b) Sociedad Científica de Estudiantes de Medicina de la Universidad César Vallejo, Trujillo, Peru.
Conflicto:Los autores declaran no tener conflictos de interés con la investigación
Autor/es:Krutsinger, Dustin C (a) Yadav, Kuldeep N (b)
institución:(a) Division of Pulmonary Critical Care and Sleep Medicine, Department of Medicine, University of Nebraska Medical Center, Omaha, Nebraska, USA. (b) Leonard Davis Institute of Health Economics, University of Pennsylvania, Philadelphia, Pennsylvania, USA.
Autor/es:van Stuijvenberg, Odile C (a) Broekman, Marike L D (b)
institución:(a) Department of Bioethics and Health Humanities, Julius Center, University Medical Center Utrecht, Utrecht University, 3508 GA, Utrecht, The Netherlands. o.c.vanstuijvenberg-2@umcutrecht.nl. (b) Department of Neurosurgery, Haaglanden Medical Center, 2512 VA, The Hague, The Netherlands.
Conflicto:Los autores declaran no tener conflictos de interés con la investigación
"It is very hard to just accept this" - a qualitative study of palliative care teams' ethical reasoning when patients do not want information.
"It is very hard to just accept this" - a qualitative study of palliative care teams' ethical reasoning when patients do not want information.
Fuente:Bmc Palliative Care
Extracto:
In
their work with dying patients, palliative care staff meet many autonomy
challenges. When faced with a choice to withhold information as per a patient's
wishes, or to provide information with the patient's best interest in mind, staff
find it hard to balance competing values. Staff also find it hard to balance
their own interests against a purely professional stance. The overall strategy
seems to be to look for caring ways to impart the information.
Claves:Autonomy, Beneficence, Health care staff, Informed consent, Palliative care, Qualitative research
Cita:BMC Palliat Care 2024 Apr 5; 23 (1) : 91.
Autor/es:Autonomy, Beneficence, Health care staff, Informed consent, Palliative care, Qualitative research
institución:(a) Centre for Research Ethics and Bioethics (CRB), Department of Public Health and Caring Sciences, Uppsala University, Uppsala, Sweden. joar.bjork@crb.uu.se. (b) Department of Research and Development, Region Kronoberg, Växjö, Sweden. joar.bjork@crb.uu.se.
Conflicto:The author declares no competing interests.
Ethical use of artificial intelligence to prevent sudden cardiac death: an interview study of patient perspectives.
Ethical use of artificial intelligence to prevent sudden cardiac death: an interview study of patient perspectives.
Fuente:Bmc Medical Ethics
Tipo de trabajo:Guía
Extracto:
The
'human touch' patients exclusively ascribe to human medical practitioners extends
beyond sympathy and kindness, and has clinical relevance in medical
decision-making. Because this cannot be replaced by AI, we suggest that normative
research into the 'right to a human doctor' is needed. Furthermore, policies on
patient-centered AI integration in clinical practice should encompass the ethics
of everyday practice rather than only principle-based ethics. We suggest that an
empirical ethics approach grounded in ethnographic research is exceptionally
well-suited to pave the way forward.
institución:(a) Department of Ethics, Law and Humanities, Amsterdam UMC, University of Amsterdam, Amsterdam, The Netherlands. m.t.maris@amsterdamumc.nl. (b) Institute for Healthcare Management and Health Sciences, University of Bayreuth, Bayreuth, Germany.
Conflicto:Los autores declaran no tener conflictos de interés con la investigación
institución:(a) Department of Thoracic Surgery, Institute of Development, Aging and Cancer, Tohoku University, Sendai, Miyagi, Japan. takashi.hirama.b5@tohoku.ac.jp. (b) Division of Organ Transplantation, Tohoku University Hospital, Sendai, Miyagi, Japan. takashi.hirama.b5@tohoku.ac.jp.
Conflicto:Los autores declaran no tener conflictos de interés con la investigación
What are the bottlenecks to health data sharing in Switzerland? An interview study.
What are the bottlenecks to health data sharing in Switzerland? An interview study.
Fuente:Swiss Medical Weekly
Tipo de trabajo:Estudio clínico
Extracto:
Facilitating a data access culture in
Switzerland may require legal clarifications, further education about the process
and resources to support data sharing, and further investment in sustainable
infrastructureby funders and institutions.
Cita:Swiss Med Wkly 2024 Jan 22; 154 : 3538.
Autor/es:Ormond, Kelly E (a) Bavamian, Sabine (b)
institución:(a) D-HEST, Health Ethics and Policy Lab, ETH-Zurich, Zurich, Switzerland. (b) Swiss Biobanking Platform, Epalinges, Switzerland.
Developing a questionnaire to evaluate an automated audit & feedback intervention: a Rand-modified Delphi method.
Developing a questionnaire to evaluate an automated audit & feedback intervention: a Rand-modified Delphi method.
Fuente:Bmc Health Services Research
Tipo de trabajo:Consenso
Extracto:
A questionnaire consisting of 30 questions was drawn up for the
assessment and improvement of automated A&F systems, based on CP-FIT and
REFLECT-52 theory and approved by experts. Next steps will be piloting and
implementation of the questionnaire.
Claves:Audit and feedback, Delphi method, Medical audit, Process evaluation, Quality of health care, Questionnaire
Cita:BMC Health Serv Res 2024 Apr 5; 24 (1) : 433.
Autor/es:Van den Wyngaert, Ine (a) Van Pottelbergh, Gijs (b)
institución:(a) Academic Centre for General Practice, Department of Public Health and Primary Care, University of Leuven, Leuven, Belgium. ine.vandenwyngaert@kuleuven.be. (b) Academic Centre for General Practice, Department of Public Health and Primary Care, University of Leuven, Leuven, Belgium.
Conflicto:Los autores declaran no tener conflictos de interés con la investigación
Advancing kidney xenotransplantation with anesthesia and surgery - bridging preclinical and clinical frontiers challenges and prospects.
Advancing kidney xenotransplantation with anesthesia and surgery - bridging preclinical and clinical frontiers challenges and prospects.
Fuente:Frontiers in Immunology
Extracto:
Addressing these challenges through rigorous research
and collective collaboration will be the key, not only to navigate the ethical,
medical, and logistical complexities of introducing kidney xenotransplantation
into mainstream clinical practice, but also itself marks a new era in organ
transplantation.
institución:(a) Central of Reproductive Medicine, Department of Obstetrics and Gynecology, Sichuan Academy of Medical Science and Sichuan Provincial People's Hospital, University of Electronic Science and Technology of China, Chengdu, China. (b) Clinical Immunology Translational Medicine Key Laboratory of Sichuan Province, Sichuan Provincial People's Hospital, University of Electronic Science and Technology of China, Chengdu, China.
Conflicto:The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.
Physical therapy interventions for people experiencing homelessness to improve pain and self-perceived health status.
Physical therapy interventions for people experiencing homelessness to improve pain and self-perceived health status.
Fuente:Bmc Public Health
Extracto:
This
study demonstrates the potentially negative impact of untreated pain on the
self-perceived health of homeless individuals with musculoskeletal disorders that
should be targeted for consideration. The findings suggest that a paradigm shift
in pain management, including a physical therapy service in shelters, is needed
to address the rehabilitation demands of these individuals in a real-life
context. This study was approved by the Aragon Ethics Committee (PI19/438) and
performed according to the Transparent Reporting of Evaluations with
Nonrandomized Designs (TREND) statement.
Claves:Homelessness, Musculoskeletal disorders, Pain, People experiencing homelessness, Physical therapy, Self-perceived health, Self-rated health
Cita:BMC Public Health 2024 Apr 9; 24 (1) : 993.
Autor/es:Jiménez-Sánchez, Carolina (a) la Cruz, Natalia Brandín-de (b)
institución:(a) Department of Physical Therapy, Faculty of Health Sciences, Universidad San Jorge, Villanueva de Gállego, Zaragoza, Spain. (b) IIS Aragón, Zaragoza, Spain.
Conflicto:Los autores declaran no tener conflictos de interés con la investigación
Embracing ChatGPT for Medical Education: Exploring Its Impact on Doctors and Medical Students.
Embracing ChatGPT for Medical Education: Exploring Its Impact on Doctors and Medical Students.
Fuente:Jmir Medical Education
Extracto:
By emphasizing ethical considerations and human-centric
approaches, ChatGPT's potential can be fully harnessed in medical education,
benefiting both students and patients alike.
Claves:AI, ChatGPT, artificial intelligence, doctors, medical education, medical students
Cita:JMIR Med Educ 2024 Apr 10; 10 : e52483.
Autor/es:Wu, Yijun (a) Zheng, Yue (b)
institución:(a) Cancer Center, West China Hospital, Sichuan University, Chengdu, China. (b) Laboratory of Clinical Cell Therapy, West China Hospital, Sichuan University, Chengdu, China.
A systematic scoping review of group reflection in medical education.
A systematic scoping review of group reflection in medical education.
Fuente:Bmc Medical Education
Tipo de trabajo:Revisión
Extracto:
Scaffolded by current approaches to individual reflections and
theories and inculcated with nuanced adaptations from other medical practices,
this SSR in SEBA suggests that structured group reflections may fill current gaps
in training. However, design and assessment of the evidence-based structuring of
group reflections proposed here must be the focus of future study.
Claves:Group reflections, Medical education, Postgraduate medical education, Professional identity formation, Reflection, Undergraduate medical education
Cita:BMC Med Educ 2024 Apr 10; 24 (1) : 398.
Autor/es:Phua, Gillian Li Gek (a) Owyong, Jasmine Lerk Juan (b)
institución:(a) Yong Loo Lin School of Medicine, National University of Singapore, NUHS Tower Block, Level 11, Singapore, Singapore. (b) Division of Supportive and Palliative Care, National Cancer Centre Singapore, Singapore, Singapore.
Conflicto:Los autores declaran no tener conflictos de interés con la investigación
User Information Sharing and Hospital Website Privacy Policies.
User Information Sharing and Hospital Website Privacy Policies.
Fuente:Jama Network Open
Extracto:
AND RELEVANCE: In
this cross-sectional study of hospital website privacy policies, a substantial
number of hospital websites did not present users with adequate information about
the privacy implications of website use, either because they lacked a privacy
policy or had a privacy policy that contained limited content about third-party
recipients of user information.
Cita:JAMA Netw Open 2024 Apr 1; 7 (4) : e245861.
Autor/es:McCoy, Matthew S (a) Wu, Angela (b)
institución:(a) Department of Medical Ethics and Health Policy, University of Pennsylvania, Philadelphia. (b) Leonard Davis Institute of Health Economics, University of Pennsylvania, Philadelphia.
Conflicto:Conflict of Interest Disclosures: Dr McCoy reported being an unpaid member of the University of Pennsylvania’s Data Ethics Working Group, which was funded, in part, by a gift from Deloitte to the University of Pennsylvania. Dr Friedman reported receiving grants from the National Institute on Aging outside the submitted work. No other disclosures were reported.
Conflicts of Interest Among Cardiology Clinical Practice Guideline Authors in Japan.
Conflicts of Interest Among Cardiology Clinical Practice Guideline Authors in Japan.
Fuente:Journal of The American Heart Association
Tipo de trabajo:Guía de práctica clínica
Extracto:
The study elucidated that there
were considerable financial relationships between pharmaceutical companies and
cardiology CPG authors in Japan. This finding deviates from international
conflict of interest management policies, suggesting the need for more stringent
conflict of interest management strategies by the Japanese Circulation Society to
ensure the development of trustworthy and evidence-based CPGs.
Claves:cardiology, clinical practice guideline, conflict of interest, health policy, medical ethics
institución:(a) Tohoku University School of Medicine Sendai Miyagi Japan. (b) Department of Population Health Science and Policy Icahn School of Medicine at Mount Sinai New York NY USA.