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Intriguing insight into unanswered questions about Mpox: exploring health policy implications and considerations.
Intriguing insight into unanswered questions about Mpox: exploring health policy implications and considerations.
Fuente:Health Research Policy and Systems
Extracto:
Implementing infection prevention
and control measures to stop the virus circulation at the human-animal interface
that includes One Health approach is essential.
Cita:Health Res Policy Syst 2024 Mar 22; 22 (1) : 37.
Autor/es:Manirambona, Emery (a) Khan, Sheharyar Hassan (b)
institución:(a) College of Medicine and Health Sciences, University of Rwanda, Kigali, Rwanda. manemery1@gmail.com. (b) King Edward Medical University, Lahore, Pakistan.
Conflicto:Los autores declaran no tener conflictos de interés con la investigación
South African medical journal = Suid-Afrikaanse tydskrif vir geneeskunde
Selección SIIC: 28 Marzo, 2024
South African medical journal = Suid-Afrikaanse tydskrif vir geneeskunde
Experience on postmortem minimally invasive tissue sampling to ascertain the cause of death determination in South African children: A case for implementing as standard of care.
Experience on postmortem minimally invasive tissue sampling to ascertain the cause of death determination in South African children: A case for implementing as standard of care.
Fuente:South African Medical Journal = Suid-afrikaanse Tydskrif Vir Geneeskunde
Extracto:
Furthermore, based on the
data from CHAMPS, we present three pragmatic algorithmic approaches to the wide
array of testing options for cost-effectiveness and scalability of postmortem
MITS in South African state facilities.
Cita:S Afr Med J 2024 Feb 13; 114 (2) : e1538.
Autor/es:Du Toit, J (a) Storath, K (b)
institución:(a) South African Medical Research Council Vaccines and Infectious Diseases Analytics Unit, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa. jeanie.dutoit@wits-vida.org. (b) South African Medical Research Council Vaccines and Infectious Diseases Analytics Unit, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa. kimberleigh.storath@wits-vida.org.
What are the triggers for palliative care referral in burn intensive care units? Results from a qualitative study based on healthcare professionals' views, clinical experiences and practices.
What are the triggers for palliative care referral in burn intensive care units? Results from a qualitative study based on healthcare professionals' views, clinical experiences and practices.
Fuente:Palliative Medicine
Extracto:
This study identifies triggers
for palliative care in burn intensive care units based on professionals' views,
clinical experiences and practices. The systematisation and use of triggers could
help streamline referral pathways and strengthen the integration of palliative
care in burn intensive care units. Research is needed on the use of these
triggers in clinical practice to enhance decision-making processes, early and
high-quality integrated palliative care and proportionate patient and family
centred care.
Claves:Palliative care, burns, critical care, qualitative research, referral, triggers
Cita:Palliat Med 2024 Mar; 38 (3) : 297-309.
Autor/es:Ribeiro, André Filipe (a) Martins Pereira, Sandra (b)
institución:(a) Faculdade de Medicina da Universidade do Porto, Porto, Portugal. (b) Centro Hospitalar de Entre o Douro e Vouga, Santa Maria da Feira, Portugal.
Conflicto:Declaration of conflicting interestsThe author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.
Reducing sickness absence among public-sector healthcare employees: the difference-making roles of managerial and employee participation.
Reducing sickness absence among public-sector healthcare employees: the difference-making roles of managerial and employee participation.
Fuente:International Archives of Occupational and Environmental Health
Extracto:
This study identified participation as
a difference-maker in the implementation process. Participation from different
stakeholders turned out to be important in different phases. When implementing
organizational-level interventions, high participation from both strategic
management and employees appears to be crucial in terms of the intervention's
effect on sickness absence.
Claves:Absenteeism, Coincidence analysis, Configurational comparative methods, Organization, Organizational-level intervention, Process evaluation, Public sector, Work environment, Workplace interventions
Cita:Int Arch Occup Environ Health 2024 Apr; 97 (3) : 341-351.
Autor/es:Akerstrom, M (a) Severin, J (b)
institución:(a) Region Västra Götaland, Institute of Stress Medicine, Carl Skottbergs Gata 22B, 413 19, Gothenburg, Sweden. magnus.akerstrom@vgregion.se. (b) School of Public Health and Community Medicine, Institute of Medicine, The Sahlgrenska Academy at University of Gothenburg, Gothenburg, Sweden. magnus.akerstrom@vgregion.se.
Conflicto:The authors declare that they have no competing interest.
Vietnamese consumer's perspective on green beauty care products: Exploring the impact of animal welfare concerns and skepticism toward green advertising.
Vietnamese consumer's perspective on green beauty care products: Exploring the impact of animal welfare concerns and skepticism toward green advertising.
Fuente:Acta Psychologica
Extracto:
The study delved into the Vietnam
market and specifically examined beauty care products labeled as "not tested on
animals." Additionally, we addressed a gap in the existing research by
investigating the combined influence of AW concerns and GAS on the formation of
green behavioral intentions (GBI).
Claves:Animal welfare, Behavioral intentions, Green advertisement, Green behavioral intention, Skepticism, Vietnam
Cita:Acta Psychol (Amst) 2024 Apr; 244 : 104210.
Autor/es:Nguyen-Viet, Bang (a) Nguyen, Anh Thi Lan (b)
institución:(a) University of Economics Ho Chi Minh City, Viet Nam. Electronic address: bangnv@ueh.edu.vn. (b) University of Economics Ho Chi Minh City, Viet Nam. Electronic address: anhnguyen.212107007@st.ueh.edu.vn.
Conflicto:Declaration of competing interest We declare that we have no financial or non-financial interests that could potentially influence the objectivity, impartiality, or credibility of the research presented in this article. We have conducted this research with integrity and in adherence to the ethical guidelines and standards set forth by our institution and the relevant research regulatory bodies. Furthermore, this research...
paper is an original work, and it has not been published previously, nor is it currently under consideration for publication elsewhere. We understand the importance of transparently disclosing any potential conflicts of interest to ensure the integrity of the peer-review process. Therefore, we affirm that the information provided in this Declaration of Interest Statement is accurate and complete. If required, we are willing to provide additional information or clarification regarding the research or this declaration.
Low-value MRI of the knee in Norway: a register-based study to identify the proportion of potentially low-value MRIs and estimate the related costs.
Low-value MRI of the knee in Norway: a register-based study to identify the proportion of potentially low-value MRIs and estimate the related costs.
Fuente:Bmj Open
Extracto:
A substantial proportion of MRIs of the knee in Norway have no
relevant examinations or diagnoses before or after the MRI and are potentially of
low value. Reducing low-value MRIs could free resources for high-value imaging,
reduce waiting times, improve the quality of care and increase patient safety and
professional integrity.
Claves:Health Services, Health policy, Knee, Magnetic resonance imaging, Quality in health care, RADIOLOGY & IMAGING
Cita:BMJ Open 2024 Mar 13; 14 (3) : e081860.
Autor/es:Hofmann, Bjørn (a) Håvik, Vegard (b)
institución:(a) Department of Health Sciences in Gjøvik, Norwegian University of Science and Technology, Faculty of Medicine and Health Sciences, Gjøvik, Norway bjoern.hofmann@ntnu.no. (b) Centre of Medical Ethics, University of Oslo, Norway, Oslo, Norway.
Conflicto:Los autores declaran no tener conflictos de interés con la investigación
UK medical students' self-reported knowledge and harm assessment of psychedelics and their application in clinical research: a cross-sectional study.
UK medical students' self-reported knowledge and harm assessment of psychedelics and their application in clinical research: a cross-sectional study.
Fuente:Bmj Open
Extracto:
Our findings reveal a significant interest among UK medical students
to learn more about psychedelic research and a strong support for further
psychedelic research. Future studies are needed to examine how medical education
could be refined to adequately prepare medical students for a changing healthcare
landscape in which psychedelic-assisted therapy could soon be implemented in
clinical practice.
Claves:Cross-Sectional Studies, MEDICAL EDUCATION & TRAINING, PSYCHIATRY
Cita:BMJ Open 2024 Mar 14; 14 (3) : e083595.
Autor/es:Song-Smith, Charlie (a) Jacobs, Edward (b)
institución:(a) UCL Medical School, University College London, London, UK. (b) Department of Psychiatry, University of Oxford, Oxford, UK.
Conflicto:Competing interests: JR has received payments for advisory work from Clerkenwell Health (Past), Beckley PsyTech (Past), Delica Therapeutics (Past), for articles written for Janssen, and financial assistance for attendance at conferences from Compass Pathways (past) and Janssen. JR has received grant funding (received and managed by King’s College London) from Compass Pathfinder, Beckley PsyTech, Multidisciplinary Association for Psychedelic Studies, National...
al Institute for Health Research, Wellcome Trust, Biomedical Research Centre at the South London and Maudsley NHS Foundation Trust. All other authors declare that they have no competing interests.
Trials that turn from retrospectively registered to prospectively registered
Trials that turn from retrospectively registered to prospectively registered
Fuente:Trials
Tipo de trabajo:Estudio de cohortes
Extracto:
Retroactively prospective trial registration happens in
one in 50 trials. While these changes to the start date could be mistakes or
legitimate edits based on the most up-to-date information, they could also
indicate a retrospectively registered trial that has been made to appear as a
prospectively registered trial, which would lead to biases unapparent to
reviewers. Our results point to the need for more transparent reporting of
changes to a trial's details and have implications for the review and conduct of
clinical trials, with our fully automated and freely available tools allowing
reviewers or editors to detect these changes. TRIAL REGISTRATION: The
preregistered protocol of our study is available via https://osf.io/rvq53 . The
most recent version of the protocol lists all deviations from the original study
plan, including the rationale behind the changes, and additional analyses that
were conducted.
Autor/es:Holst, Martin (a) Carlisle, Benjamin Gregory (b)
institución:(a) Berlin Institute of Health at Charité - Universitätsmedizin Berlin, QUEST Center for Responsible Research, Anna-Louisa-Karsch-Str. 2, 10178, Berlin, Germany. martin.holst@bih-charite.de. (b) Medizinische Hochschule Hannover, Institute for Ethics, History and Philosophy of Medicine, Carl-Neuberg-Str. 1, 30625, Hannover, Germany. martin.holst@bih-charite.de.
Conflicto:Los autores declaran no tener conflictos de interés con la investigación
Recurrent Intensive Care Episodes and Mortality Among Children With Severe Neurologic Impairment.
Recurrent Intensive Care Episodes and Mortality Among Children With Severe Neurologic Impairment.
Fuente:Jama Network Open
Tipo de trabajo:Estudio de cohortes
Extracto:
AND RELEVANCE: This cohort study of children with SNI
demonstrated a modest dose-dependent association between PICU-CIEs and short-term
mortality. These data did not support the conventional wisdom that recurrent PICU
admissions are associated with subsequent high mortality risk.
Cita:JAMA Netw Open 2024 Mar 4; 7 (3) : e241852.
Autor/es:Nelson, Katherine E (a) Zhu, Jingqin (b)
institución:(a) Pediatric Advanced Care Team, Hospital for Sick Children, Toronto, Ontario, Canada. (b) Division of Paediatric Medicine, Department of Paediatrics, Hospital for Sick Children, Toronto, Ontario, Canada.
Conflicto:Conflict of Interest Disclosures: Dr Thomson reported receiving grants from the Agency for Healthcare Research and Quality and the Patient-Centered Outcomes Research Institute outside the submitted work. Dr Cohen reported being a member of the Committee to Evaluate Drugs, which provides advice to Ontario’s Ministry of Health on public drug policy. Dr Feinstein reported receiving grants from the Agency for...
or Healthcare Research and Quality outside the submitted work. No other disclosures were reported.
Priority-setting for hospital funding of high-cost innovative drugs and therapeutics: A qualitative institutional case study.
Priority-setting for hospital funding of high-cost innovative drugs and therapeutics: A qualitative institutional case study.
Fuente:Plos One
Extracto:
This study identifies values and processes to aid in the development
and implementation of institutional resource allocation frameworks for high-cost
innovative D&Ts.
Cita:PLoS One 2024; 19 (3) : e0300519.
Autor/es:Razvi, Yasmeen (a) Horwitz, Simonne L (b)
institución:(a) Temerty Faculty of Medicine, University of Toronto, Toronto, ON, Canada. (b) SickKids Research Institute, Child Health Evaluative Sciences, Toronto, ON, Canada.
Conflicto:Los autores declaran no tener conflictos de interés con la investigación
Understanding, being, and doing of bioethics; a state-level cross-sectional study of knowledge, attitude, and practice among healthcare professionals.
Understanding, being, and doing of bioethics; a state-level cross-sectional study of knowledge, attitude, and practice among healthcare professionals.
Fuente:Bmc Medical Ethics
Extracto:
Most HCPs had adequate knowledge of bioethics, which is
encouraging and would favor the laying foundation for forming a good bioethics
framework. Only 3/5 HCPs demonstrated a favorable attitude, and the observed
unethical practice is alarmingly common. A serious consideration to evaluate the
compliance level of bioethics practice periodically and measures to educate,
sensitize, and train bioethics among HCPs in Maharashtra is warranted.
Claves:Attitude, Bioethics, Healthcare professionals, India, Knowledge, Maharashtra, Practice
institución:(a) Center of Bioethics, Faculty of Medicine, University of Porto, Porto, Portugal. vishnudevi25research@gmail.com. (b) Krishna College of Physiotherapy, Krishna Vishwa Vidyapeeth (Deemed to be University), Karad, Maharashtra, 415539, India. vishnudevi25research@gmail.com.
Conflicto:Los autores declaran no tener conflictos de interés con la investigación
What are the views of Quebec and Ontario citizens on the tiebreaker criteria for prioritizing access to adult critical care in the extreme context of a COVID-19 pandemic?
What are the views of Quebec and Ontario citizens on the tiebreaker criteria for prioritizing access to adult critical care in the extreme context of a COVID-19 pandemic?
Fuente:Bmc Medical Ethics
Extracto:
Life
cycle was the preferred tiebreaker as this criterion respects intergenerational
equity, which was considered relevant when allocating scarce resources to adult
patients in a context of extreme pandemic. Priority to young patients is in line
with other consultations conducted around the world. Additional studies are
needed to further investigate the public acceptability of tiebreaker criteria.
Claves:COVID-19 prioritization, Clinical ethics, Critical care, Democratic deliberation, Tiebreakers
institución:(a) Biomedical Sciences Program, Clinical Ethics, Faculty of Medicine, Université de Montréal, Pavillon Roger-Gaudry 2900 Bd Édouard-Montpetit, Montréal, Québec, H3T 1J4, Canada. (b) Department of Social and Public Communication, Faculty of Communication, succursale Centre-Ville, Université du Québec à Montréal, Montréal, Québec, C.P 8888, H3C 3P8, Canada.
Evaluating the use of casuistry during moral case deliberation in the ICU: A multiple qualitative case study.
Evaluating the use of casuistry during moral case deliberation in the ICU: A multiple qualitative case study.
Fuente:Social Science & Medicine (1982)
Extracto:
Within education, we should strive to train
clinicians and ethics facilitators so that they can recognize and evaluate
casuistic arguments.
Claves:Casuistry, Clinical decision-making, Discourse analysis, Evidence-based medicine, Intensive care, Moral case deliberation, The Netherlands
Cita:Soc Sci Med 2024 Mar; 345 : 116662.
Autor/es:Kok, Niek (a) Hoedemaekers, Cornelia (b)
institución:(a) Radboud University Medical Center, Department of IQ Health, Kapittelweg 54, 6525, EP, Nijmegen, Netherlands. Electronic address: niek.kok@radboudumc.nl. (b) Radboud University Medical Center, Department of Intensive Care, Geert Grooteplein Zuid 10, 6525, GA, Nijmegen, Netherlands.
Conflicto:Los autores declaran no tener conflictos de interés con la investigación
Opening Pandora's box by generating ICU diaries through artificial intelligence: A hypothetical study protocol.
Opening Pandora's box by generating ICU diaries through artificial intelligence: A hypothetical study protocol.
Fuente:Intensive & Critical Care Nursing
Extracto:
Generating AI-based entries for ICU diaries is feasible, but raises serious
questions about nursing ethics, empathy, data protection, and values of
professional nurses. Researchers and developers shall discuss these questions in
detail, before starting such projects and opening Pandora's box, that can never
be closed afterwards.
Claves:Artificial Intelligence, Coping, Ethics, Intensive care diary, Protocol
Cita:Intensive Crit Care Nurs 2024 Jun; 82 : 103661.
Autor/es:Peschel, Ella (a) Krotsetis, Susanne (b)
institución:(a) University Hospital of Schleswig-Holstein, Kiel, Germany. (b) University Hospital of Schleswig-Holstein, Lübeck, Germany.
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.
Assessing the commensurability of theories of consciousness: On the usefulness of common denominators in differentiating, integrating and testing hypotheses.
Assessing the commensurability of theories of consciousness: On the usefulness of common denominators in differentiating, integrating and testing hypotheses.
Fuente:Consciousness and Cognition
Extracto:
Despite very different
background definitions of consciousness, we conclude that, if attention is paid
to the search for a common methological approach to brain-consciousness
relationships, it should be possible in principle to overcome the current
Babylonian confusion of tongues and eventually integrate and merge different
theories.
institución:(a) Centre for Research Ethics and Bioethics, Uppsala University, Uppsala, Sweden. Electronic address: kathinka.evers@crb.uu.se. (b) Centre for Research Ethics and Bioethics, Uppsala University, Uppsala, Sweden; Bioethics Unit, Biogem, Molecular Biology and Molecular Genetics Research Institute, Ariano Irpino (AV), Italy.
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.
Mass drug administration for neglected tropical disease control and elimination
Mass drug administration for neglected tropical disease control and elimination
Fuente:Bmj Global Health
Tipo de trabajo:Revisión sistemática
Extracto:
This is the first systematic review
of ethical reasons pertaining to mass drug administration for NTD control and
elimination. Due to the diversity of included studies, no general recommendations
can be made. Instead, context-specific strategies seem necessary. Alternative
approaches tackling socioecological determinants of ill health are needed for
long-term sustainability. Future research could benefit from contributions of
non-Western philosophies and perspectives by local researchers.
Claves:parasitology, public health, qualitative study, systematic review
institución:(a) Institute for Ethics, History and Philosophy of Medicine, Hannover Medical School, Hannover, Germany juliette.hoefle@gmail.com. (b) Institute for Ethics, History and Philosophy of Medicine, Hannover Medical School, Hannover, Germany.
Conflicto:Los autores declaran no tener conflictos de interés con la investigación
Generative AI in healthcare: an implementation science informed translational path on application, integration and governance.
Generative AI in healthcare: an implementation science informed translational path on application, integration and governance.
Fuente:Implementation Science Is
Extracto:
It is strongly argued in this article that generative AI
can usher in tremendous healthcare progress, if introduced responsibly. Strategic
adoption based on implementation science, incremental deployment and balanced
messaging around opportunities versus limitations helps promote safe, ethical
generative AI integration. Extensive real-world piloting and iteration aligned to
clinical priorities should drive development. With conscientious governance
centred on human wellbeing over technological novelty, generative AI can enhance
accessibility, affordability and quality of care. As these models continue
advancing rapidly, ongoing reassessment and transparent communication around
their strengths and weaknesses remain vital to restoring trust, realizing
positive potential and, most importantly, improving patient outcomes.
Unpacking the perceptions and experiences of student facilitators in interprofessional education: a qualitative study.
Unpacking the perceptions and experiences of student facilitators in interprofessional education: a qualitative study.
Fuente:Medical Education Online
Extracto:
These findings can inform the
development of peer teaching training in IPE and stimulate further research in
identifying relevant facilitator competencies for optimal delivery of IPE.
Claves:Interprofessional education, cognitive congruence, health professions students, peer teaching, social congruence, student facilitator
Cita:Med Educ Online 2024 Dec 31; 29 (1) : 2330257.
Autor/es:He, Qing (a) Lei, Junru (b)
institución:(a) Bau Institute of Medical and Health Sciences Education, Li Ka Shing Faculty of Medicine, The University of Hong Kong, Hong Kong, China. (b) Bau Institute of Medical and Health Sciences Education, Li Ka Shing Faculty of Medicine, The University of Hong Kong, Hong Kong, China.
Conflicto:No potential conflict of interest was reported by the author(s).
Philosophy, ethics, and humanities in medicine PEHM
Selección SIIC: 22 Marzo, 2024
Philosophy, ethics, and humanities in medicine PEHM
Gender-sensitive considerations of prehospital teamwork in critical situations.
Gender-sensitive considerations of prehospital teamwork in critical situations.
Fuente:Philosophy, Ethics, and Humanities in Medicine Pehm
Extracto:
Team communication problems and teamwork
in rescue services are independent of gender. Women seem to have more difficulty
with open communication about mistakes because they seem to be subject to higher
expectations. Work organization should be adapted to women's needs to enable more
effective error management. We conclude that it is necessary to promote a
positive error and communication culture to increase patient safety.
institución:(a) Department of Internal Medicine I, Ketteler Hospital, Hesse, Germany. zimmer.m@ketteler-krankenhaus.de. (b) Dr. Senckenberg Institute for History and Ethics of Medicine, Goethe-University Frankfurt, Frankfurt, Hesse, Germany.
Conflicto:Los autores declaran no tener conflictos de interés con la investigación