José Antônio Cordero da Silva

A intenção de doar órgãos é influenciada pelo conhecimento populacional sobre morte encefálica

OBJECTIVE: To evaluate the influence of the understanding of brain death in relation to organ donation in patients from the Marco School Health Center, which is linked to the Universidade do Estado do Para. METHODS: A total of 136 patients were interviewed based on a research protocol. The interview results were subsequently analyzed with regard to the understanding of brain death and organ donation in addition to the collection of sociodemographic data. RESULTS: The majority of patients were female and were in favor of organ donation, with a mean age of 39 years being observed. Only 19.9% of the patients understood the meaning of brain death, and 85.3% believed that physicians may be mistaken in confirming the status of brain death of a patient, while 18.4% trusted the diagnosis of brain death. A statistically significant (p < 0.01) correlation was observed between the degree of confidence in the diagnosis of brain death and the persons agreement to donate his/her organs after death. CONCLUSION: The majority of the population under study did not understand the meaning of brain death and had a low degree of confidence in the diagnosis of brain death. This lack of understanding and confidence negatively influences the desire to donate organs.

Sigilo e confidencialidade na relação médico-paciente: conhecimento e opinião ética do estudante de medicina

Given that the medical secrecy is a moral characteristic of medicine and basis of the doctor-patient relationship, and the physician’s ethical thought reflect their academic background, it was necessary to research the ethical knowledge of medical students at the University of Para State. The study is characterized by a questionnaire with situations where the student should judge situations in which confidentiality could be broken. It was also asked whether they had read the Code of Medical Ethics and the Hippocratic Oath. 207 medical students were interviewed, from 1 st to 4 th year of University of the State of Para. It was observed that 25 students showed high-knowledge about medical confidentiality, with 135 as regular-knowledge and 27 showed low-knowledge about the issue. The ethical orientation to medical students becomes extremely important seeking to have graduates capable of practicing and respecting the patient confidentiality.Considerando que el secreto medico es una caracteristica moral obligatoria de la medicina y el pilar de la relacion medico-paciente y el pensamiento etico del medico, el reflejo de su formacion academica, se vio la necesidad de investigar el conocimiento etico de los estudiantes de medicina de la Universidad del Estado de Para. El estudio se caracteriza por un cuestionario con situaciones en las que el alumno debe juzgar en cuales la confidencialidad puede ser rota. Tambien se pregunto si estos hubieran leido el Codigo de Etica Medica y el juramento de Hipocrates. Fueron entrevistados 207 estudiantes de medicina, del 1er a 4o ano de la Universidad del Estado de Para, Brasil. Se observo que 25 estudiantes mostraron el dominio de la confidencialidad medica, 135 poseian pobre conocimiento y 27 mostraron desconocimiento del tema. Es de fundamental importancia la formacion y la orientacion etica de los estudiantes de medicina, para formar graduados capaces de rendir culto, practicar y respetar el sigilo del paciente.

Knowledge of medical students regarding living wills

The end of a person’s life raises many ethical dilemmas. Recently, the Brazil’s Federal Council of Medicine approved and regulated the concept of “living will”; as a result, it is of considerable importance that doctors understand the issues that surround this matter. The aim of the present study was to evaluate the knowledge of medical students from the Para State University, Brazil, of “living wills” and decisions involving the end of life. A cross-sectional study was performed with 238 students who answered a questionnaire of 10 questions. Only 8% of students demonstrated a clear understanding of the term “living will”. Nevertheless, when the definition of “living will” was explained to the participants of the study by the researchers, 92% of students declared that they would respect its provisions. Therefore it appears that while most respondents had a low level of understanding of the concept of “living will”, the vast majority positioned themselves in favor of accepting such a document.

Conhecimento de estudantes de medicina sobre o testamento vital

The end of a person’s life raises many ethical dilemmas. Recently, the Brazil’s Federal Council of Medicine approved and regulated the concept of “living will”; as a result, it is of considerable importance that doctors understand the issues that surround this matter. The aim of the present study was to evaluate the knowledge of medical students from the Para State University, Brazil, of “living wills” and decisions involving the end of life. A cross-sectional study was performed with 238 students who answered a questionnaire of 10 questions. Only 8% of students demonstrated a clear understanding of the term “living will”. Nevertheless, when the definition of “living will” was explained to the participants of the study by the researchers, 92% of students declared that they would respect its provisions. Therefore it appears that while most respondents had a low level of understanding of the concept of “living will”, the vast majority positioned themselves in favor of accepting such a document.

A cirurgia experimental e sua relação com a universidade: relato de experiência

The laboratory of experimental surgery represents one of the key points for the university, especially in the biomedical area. This focuses on the universitys tripod of primary structure that are teaching, research and extension, which are essential for formation of humanistic and practice of a good doctor that is based, first of all, on scientific evidence and critical knowledge. The importance of a laboratory of experimental surgery centers for medical education was regulated from the new curriculum guidelines of the Ministério da Educação e Cultura, establishing a mandatory laboratory within college centers. Therefore, it is of great importance to the contribution of the laboratories of experimental surgery in the curriculum, both in the discipline of surgical technics and experimental surgery, and an incentive for basic research. Thus, the study presents the experience of 15 years of the Laboratory of Experimental Surgery from Universidade do Estado do Pará, with the goal show the importance of this to medical graduation and the university.

El conocimiento de los estudiantes de medicina sobre testamento vital

The end of a person’s life raises many ethical dilemmas. Recently, the Brazil’s Federal Council of Medicine approved and regulated the concept of “living will”; as a result, it is of considerable importance that doctors understand the issues that surround this matter. The aim of the present study was to evaluate the knowledge of medical students from the Para State University, Brazil, of “living wills” and decisions involving the end of life. A cross-sectional study was performed with 238 students who answered a questionnaire of 10 questions. Only 8% of students demonstrated a clear understanding of the term “living will”. Nevertheless, when the definition of “living will” was explained to the participants of the study by the researchers, 92% of students declared that they would respect its provisions. Therefore it appears that while most respondents had a low level of understanding of the concept of “living will”, the vast majority positioned themselves in favor of accepting such a document.

Secrecy and cconfidentiality in the doctor-patient relationship: ethical knowledge and opinion of medical students

Given that the medical secrecy is a moral characteristic of medicine and basis of the doctor-patient relationship, and the physician’s ethical thought reflect their academic background, it was necessary to research the ethical knowledge of medical students at the University of Para State. The study is characterized by a questionnaire with situations where the student should judge situations in which confidentiality could be broken. It was also asked whether they had read the Code of Medical Ethics and the Hippocratic Oath. 207 medical students were interviewed, from 1 st to 4 th year of University of the State of Para. It was observed that 25 students showed high-knowledge about medical confidentiality, with 135 as regular-knowledge and 27 showed low-knowledge about the issue. The ethical orientation to medical students becomes extremely important seeking to have graduates capable of practicing and respecting the patient confidentiality.Considerando que el secreto medico es una caracteristica moral obligatoria de la medicina y el pilar de la relacion medico-paciente y el pensamiento etico del medico, el reflejo de su formacion academica, se vio la necesidad de investigar el conocimiento etico de los estudiantes de medicina de la Universidad del Estado de Para. El estudio se caracteriza por un cuestionario con situaciones en las que el alumno debe juzgar en cuales la confidencialidad puede ser rota. Tambien se pregunto si estos hubieran leido el Codigo de Etica Medica y el juramento de Hipocrates. Fueron entrevistados 207 estudiantes de medicina, del 1er a 4o ano de la Universidad del Estado de Para, Brasil. Se observo que 25 estudiantes mostraron el dominio de la confidencialidad medica, 135 poseian pobre conocimiento y 27 mostraron desconocimiento del tema. Es de fundamental importancia la formacion y la orientacion etica de los estudiantes de medicina, para formar graduados capaces de rendir culto, practicar y respetar el sigilo del paciente.

El secreto y la confidencialidad de la relación médico-paciente: el conocimiento y la opinión ética del estudiante de medicina

Given that the medical secrecy is a moral characteristic of medicine and basis of the doctor-patient relationship, and the physician’s ethical thought reflect their academic background, it was necessary to research the ethical knowledge of medical students at the University of Para State. The study is characterized by a questionnaire with situations where the student should judge situations in which confidentiality could be broken. It was also asked whether they had read the Code of Medical Ethics and the Hippocratic Oath. 207 medical students were interviewed, from 1 st to 4 th year of University of the State of Para. It was observed that 25 students showed high-knowledge about medical confidentiality, with 135 as regular-knowledge and 27 showed low-knowledge about the issue. The ethical orientation to medical students becomes extremely important seeking to have graduates capable of practicing and respecting the patient confidentiality.Considerando que el secreto medico es una caracteristica moral obligatoria de la medicina y el pilar de la relacion medico-paciente y el pensamiento etico del medico, el reflejo de su formacion academica, se vio la necesidad de investigar el conocimiento etico de los estudiantes de medicina de la Universidad del Estado de Para. El estudio se caracteriza por un cuestionario con situaciones en las que el alumno debe juzgar en cuales la confidencialidad puede ser rota. Tambien se pregunto si estos hubieran leido el Codigo de Etica Medica y el juramento de Hipocrates. Fueron entrevistados 207 estudiantes de medicina, del 1er a 4o ano de la Universidad del Estado de Para, Brasil. Se observo que 25 estudiantes mostraron el dominio de la confidencialidad medica, 135 poseian pobre conocimiento y 27 mostraron desconocimiento del tema. Es de fundamental importancia la formacion y la orientacion etica de los estudiantes de medicina, para formar graduados capaces de rendir culto, practicar y respetar el sigilo del paciente.

Distanásia e ortotanásia: práticas médicas sob a visão de um hospital particular

Futility and orthotanasia are among the concepts related to the terminality life. Futility means therapeutic obstinacy to delay imminent death. Orthothanasia means death in its natural process, not prolonging treatment. The aim of this study was to analyze the perception of patients` family members in private general hospital on orthotanasia and futility, assessing which the most widely accepted alternative is. This was a cross-sectional, observational study, in which 190 families were interviewed using a standardized questionnaire containing questions about social aspects and knowledge on the subject. Most respondents (64.2 %) opted for the realization of futility as a conduct for their relative. Of the 122 participants who did not know the meaning of “terminal condition”, 85.9% would choose futility. However, among those who knew what they meant, 70,9% would choose orthotanasia. The study indicates that this topic needs to be discussed by society, encouraging them to understand the individual and collective implications of life prolongations when suffering.

Distanasia y ortotanasia: prácticas médicas bajo la visión de un hospital privado

Futility and orthotanasia are among the concepts related to the terminality life. Futility means therapeutic obstinacy to delay imminent death. Orthothanasia means death in its natural process, not prolonging treatment. The aim of this study was to analyze the perception of patients` family members in private general hospital on orthotanasia and futility, assessing which the most widely accepted alternative is. This was a cross-sectional, observational study, in which 190 families were interviewed using a standardized questionnaire containing questions about social aspects and knowledge on the subject. Most respondents (64.2 %) opted for the realization of futility as a conduct for their relative. Of the 122 participants who did not know the meaning of “terminal condition”, 85.9% would choose futility. However, among those who knew what they meant, 70,9% would choose orthotanasia. The study indicates that this topic needs to be discussed by society, encouraging them to understand the individual and collective implications of life prolongations when suffering.