Josimário João da Silva

Ética na decisão terapêutica em condições de prematuridade extrema

Ethics related to therapeutic decision in cases of extreme prematurity Limits of viability for premature infants and survival with minimal consequences are current themes of great importance for ethics and bioethics. Extreme prematurity may result in many consequences and chronic inju- ries that limit the infant functionality. When prolongation of a very immature newborns life is opted, there is a greater exposure of premature infants and their family to pain, distress and physiological stress situations. The present review approaches ethical aspects related to this decision-making, considering the limit of via- bility and neuromotor sequelae derived from extreme prematurity. At present, it is considered not only the survival of extreme premature infants, but also the maintenance of their quality of life, since they are more likely to have sequelae at short, median and long time.

Análise bioética nas indicações de cirurgia bariátrica em crianças e adolescentes

Bariatric surgery is becoming more and more established as an effective form of weight loss and method of treating comorbidities related to this condition. The short and long-term risks and benefits for adults have been well documented in literature, but no accurate data exists for children and adolescents. Given the significant changes in lifestyle habits and diet involved, the decision to undergo surgical treatment is a delicate one, requiring the participation of the entire medical team and the patient’s family. For this reason the doctor in charge must be aware of the major bioethical aspects involved, and th steps required to effectively manage cases were bariatric surgery is the preferred option.Bioethical analysis of indicating bariatric surgery for children and adolescents Bariatric surgery is becoming more and more established as an effective form of weight loss and method of treating comorbidities related to this condition. The short and long-term risks and benefits for adults have been well documented in literature, but no accurate data exists for children and adolescents. Given the significant changes in lifestyle habits and diet involved, the decision to undergo surgical treatment is a delicate one, requiring the participation of the entire medical team and the patient’s family. For this reason the doctor in charge must be aware of the major bioethical aspects involved, and th steps required to effectively manage cases were bariatric surgery is the preferred option.

Estigma social no comportamento suicida: reflexões bioéticas

Foi realizada uma revisao integrativa sobre o tema do estigma social imposto aos individuos que tentaram suicidio, trazendo a tona reflexoes a partir da perspectiva bioetica. A pesquisa foi conduzida em bases de dados eletronicas. Foram incluidos apenas artigos de revistas cientificas revisadas por pares com resumos disponiveis. Nao houve limites quanto ao ano de publicacao e idioma. Na primeira fase de busca, 272 manuscritos foram encontrados. Apos a leitura dos textos completos, apenas 22 foram incluidos no estudo. Diante das limitacoes da pesquisa, acredita-se que o estudo aprofundado do estigma no comportamento suicida pode contribuir significativamente para o tratamento de pacientes que se submeteram a tentativa. Conclui-se que o estudo desse assunto apresenta ampla gama de discussoes bioeticas, por ser um fenomeno que afeta aspectos relacionados a autonomia e a protecao da pessoa.An integrative review on the theme of the social stigma imposed on individuals who have attempted suicide was conducted bringing to the fore reflections from a perspective of bioethics. The research was conducted in electronic databases. Only scientific articles by peer reviewed scientific journals with available abstracts were included. There were no limits to the year and language of publication. Two hundred and twenty-seven manuscripts were found in the first phase of the search. Only 22 complete texts were included in the study after the complete texts had been read. Despite the limitations of the research, it is believed that deeply studying the stigma of suicide can contribute significantly to patients who have attempted suicide. It is concluded that the study of this topic represents a range of bioethical discussions, forming, as it does, part of a phenomenon that affects aspects related to the autonomy and protection of the person.

Social stigma in suicidal behavior: bioethical reflections

Foi realizada uma revisao integrativa sobre o tema do estigma social imposto aos individuos que tentaram suicidio, trazendo a tona reflexoes a partir da perspectiva bioetica. A pesquisa foi conduzida em bases de dados eletronicas. Foram incluidos apenas artigos de revistas cientificas revisadas por pares com resumos disponiveis. Nao houve limites quanto ao ano de publicacao e idioma. Na primeira fase de busca, 272 manuscritos foram encontrados. Apos a leitura dos textos completos, apenas 22 foram incluidos no estudo. Diante das limitacoes da pesquisa, acredita-se que o estudo aprofundado do estigma no comportamento suicida pode contribuir significativamente para o tratamento de pacientes que se submeteram a tentativa. Conclui-se que o estudo desse assunto apresenta ampla gama de discussoes bioeticas, por ser um fenomeno que afeta aspectos relacionados a autonomia e a protecao da pessoa.An integrative review on the theme of the social stigma imposed on individuals who have attempted suicide was conducted bringing to the fore reflections from a perspective of bioethics. The research was conducted in electronic databases. Only scientific articles by peer reviewed scientific journals with available abstracts were included. There were no limits to the year and language of publication. Two hundred and twenty-seven manuscripts were found in the first phase of the search. Only 22 complete texts were included in the study after the complete texts had been read. Despite the limitations of the research, it is believed that deeply studying the stigma of suicide can contribute significantly to patients who have attempted suicide. It is concluded that the study of this topic represents a range of bioethical discussions, forming, as it does, part of a phenomenon that affects aspects related to the autonomy and protection of the person.

Estigma social en el comportamiento suicida: reflexiones bioéticas

Foi realizada uma revisao integrativa sobre o tema do estigma social imposto aos individuos que tentaram suicidio, trazendo a tona reflexoes a partir da perspectiva bioetica. A pesquisa foi conduzida em bases de dados eletronicas. Foram incluidos apenas artigos de revistas cientificas revisadas por pares com resumos disponiveis. Nao houve limites quanto ao ano de publicacao e idioma. Na primeira fase de busca, 272 manuscritos foram encontrados. Apos a leitura dos textos completos, apenas 22 foram incluidos no estudo. Diante das limitacoes da pesquisa, acredita-se que o estudo aprofundado do estigma no comportamento suicida pode contribuir significativamente para o tratamento de pacientes que se submeteram a tentativa. Conclui-se que o estudo desse assunto apresenta ampla gama de discussoes bioeticas, por ser um fenomeno que afeta aspectos relacionados a autonomia e a protecao da pessoa.An integrative review on the theme of the social stigma imposed on individuals who have attempted suicide was conducted bringing to the fore reflections from a perspective of bioethics. The research was conducted in electronic databases. Only scientific articles by peer reviewed scientific journals with available abstracts were included. There were no limits to the year and language of publication. Two hundred and twenty-seven manuscripts were found in the first phase of the search. Only 22 complete texts were included in the study after the complete texts had been read. Despite the limitations of the research, it is believed that deeply studying the stigma of suicide can contribute significantly to patients who have attempted suicide. It is concluded that the study of this topic represents a range of bioethical discussions, forming, as it does, part of a phenomenon that affects aspects related to the autonomy and protection of the person.

Bioethical analysis of indicating bariatric surgery for children and adolescents

Bariatric surgery is becoming more and more established as an effective form of weight loss and method of treating comorbidities related to this condition. The short and long-term risks and benefits for adults have been well documented in literature, but no accurate data exists for children and adolescents. Given the significant changes in lifestyle habits and diet involved, the decision to undergo surgical treatment is a delicate one, requiring the participation of the entire medical team and the patient’s family. For this reason the doctor in charge must be aware of the major bioethical aspects involved, and th steps required to effectively manage cases were bariatric surgery is the preferred option.Bioethical analysis of indicating bariatric surgery for children and adolescents Bariatric surgery is becoming more and more established as an effective form of weight loss and method of treating comorbidities related to this condition. The short and long-term risks and benefits for adults have been well documented in literature, but no accurate data exists for children and adolescents. Given the significant changes in lifestyle habits and diet involved, the decision to undergo surgical treatment is a delicate one, requiring the participation of the entire medical team and the patient’s family. For this reason the doctor in charge must be aware of the major bioethical aspects involved, and th steps required to effectively manage cases were bariatric surgery is the preferred option.

Análisis de la bioética para las indicaciones de cirugía bariátrica en niños y adolescentes

Bariatric surgery is becoming more and more established as an effective form of weight loss and method of treating comorbidities related to this condition. The short and long-term risks and benefits for adults have been well documented in literature, but no accurate data exists for children and adolescents. Given the significant changes in lifestyle habits and diet involved, the decision to undergo surgical treatment is a delicate one, requiring the participation of the entire medical team and the patient’s family. For this reason the doctor in charge must be aware of the major bioethical aspects involved, and th steps required to effectively manage cases were bariatric surgery is the preferred option.Bioethical analysis of indicating bariatric surgery for children and adolescents Bariatric surgery is becoming more and more established as an effective form of weight loss and method of treating comorbidities related to this condition. The short and long-term risks and benefits for adults have been well documented in literature, but no accurate data exists for children and adolescents. Given the significant changes in lifestyle habits and diet involved, the decision to undergo surgical treatment is a delicate one, requiring the participation of the entire medical team and the patient’s family. For this reason the doctor in charge must be aware of the major bioethical aspects involved, and th steps required to effectively manage cases were bariatric surgery is the preferred option.

Ética en las decisiones de tratamiento en condiciones de prematuridad extrema

Ethics related to therapeutic decision in cases of extreme prematurity Limits of viability for premature infants and survival with minimal consequences are current themes of great importance for ethics and bioethics. Extreme prematurity may result in many consequences and chronic inju- ries that limit the infant functionality. When prolongation of a very immature newborns life is opted, there is a greater exposure of premature infants and their family to pain, distress and physiological stress situations. The present review approaches ethical aspects related to this decision-making, considering the limit of via- bility and neuromotor sequelae derived from extreme prematurity. At present, it is considered not only the survival of extreme premature infants, but also the maintenance of their quality of life, since they are more likely to have sequelae at short, median and long time.

Éthics related to therapeutic decision in cases of extreme prematurity

Ethics related to therapeutic decision in cases of extreme prematurity Limits of viability for premature infants and survival with minimal consequences are current themes of great importance for ethics and bioethics. Extreme prematurity may result in many consequences and chronic inju- ries that limit the infant functionality. When prolongation of a very immature newborns life is opted, there is a greater exposure of premature infants and their family to pain, distress and physiological stress situations. The present review approaches ethical aspects related to this decision-making, considering the limit of via- bility and neuromotor sequelae derived from extreme prematurity. At present, it is considered not only the survival of extreme premature infants, but also the maintenance of their quality of life, since they are more likely to have sequelae at short, median and long time.