• We are available for your help 24/7
  • Email: info@isindexing.com, submission@isindexing.com


Revista Bioética

Journal Papers (24) Details Call for Paper Manuscript submission Publication Ethics Contact Authors' Guide Line
1 Revista Bioética , Sumário   Editorial: Medicina e sociedade Tatiana Bragança de Azevedo Della Giustina   Importancia, definición y conflictos de la autoría en publicaciones científicas María Luz Gunturiz, Claudia Marcela Castro, Pablo Enrique Chaparro   Princípio da não discriminação e não estigmatização: reflexões sobre hanseníase Magda Levantezi, Helena Eri Shimizu, Volnei Garrafa   Sintagma identidade-metamorfose-emancipação na trajetória da pessoa com deficiência Valdilene Wagner, Lucas França Garcia, Tiago Franklin Rodrigues Lucena, Leonardo Pestillo de Oliveira   Reflexões humanísticas em serviço de atendimento especializado em HIV Bianca Barros Branco, Amanda Chagas Barreto, Rafael de Azevedo Silva, Lorena Fecury Tavares, Herbert Paulino Cordeiro   Comunicando más notícias sobre malformações congênitas: reflexões bioéticas e jurídicas Luciana de Paula Lima Gazzola, Henrique Vitor Leite, Gláucio Maciel Gonçalves   Caminho do diálogo II: ampliando a experiência bioética para o ensino médio Marta Luciane Fischer, Thiago Rocha da Cunha, Thierry Betazzi Lummertz, Gerson Zafalon Martins   Percepção de estudantes e médicos sobre autonomia na doação de órgãos Lúcio Jary Almeida de Moraes, Gabrielle Trevisan, Diego de Carvalho, Jovani Antônio Steffani, Elcio Luiz Bonamigo   Doação de órgãos e tecidos em hospital público de Pernambuco Emillena Tabosa Monteiro, Sara Pessoa de Albuquerque, Renato de Souza Melo   Equipe de enfermagem na doação de órgãos: revisão integrativa de literatura Clesyane Alves Figueiredo, Aline Maino Pergola, Maria Giovana Borges Saidel   Investigating moral distress over a shortage of organs for transplantation João Paulo Victorino, Donna M Wilson   Proibição de doação sanguínea por pessoas homoafetivas: estudo bioético Edison Vitório de Souza Júnior, Diego Pires Cruz, Uanderson Silva Pirôpo, Giovanna Maria Nascimento Caricchio, Cristiane dos Santos Silva, Bráulio José Ferreira Neto, Átila Rodrigues Souza, Franciele Soares Balbinote, Fernanda Luz Barros, Gabriele da Silva Santos   Avaliação do conhecimento de estudantes de medicina sobre sigilo médico Sylvia Márcia Fernandes dos Santos Lima, Sandy Mayra Motta da Silva, Nedy Maria Branco Cerqueira Neves, Lucíola Maria Lopes Crisostomo   Percepção de profissionais da saúde sobre eutanásia Amanda Aparecida Alves Silva, Fernanda Kelly Mendes Pestana, Fernanda Cardoso Rocha, Bruna Roberta Meira Rios, Artur Almeida Aquino, João Fabio Gonçalves Sobrinho, Joyce Micaelle Alves, Álvaro Parrela Piris   Morte digna: percepção de médicos de hospital de ensino Fernanda Naspolini Zanatta, Ana Maria Nunes de Faria Stamm, Lara Patricia Kretzer, Saskia Pereira Teixeira, Fernanda Wolff da Silva Arruda   Conflitos bioéticos nos cuidados de fim de vida Maria Olivia Sobral Fraga de Medeiros, Mariana do Valle Meira, Fernanda Moreira Ribeiro Fraga, Carlito Lopes Nascimento Sobrinho, Darci de Oliveira Santa Rosa, Rudval Souza da Silva   Discussão bioética sobre o paciente em cuidados de fim de vida Paula Muller Maingué, Anor Sganzerla, Úrsula Bueno do Prado Guirro, Carla Corradi Perini   Discursos sobre bioética nos periódicos da área médica do Paraná (1970-2005) Valquiria Renk, Liane Maria Bertucci   Aspectos epidemiológicos e deontológicos da mortalidade no trânsito em Roraima Antonio Alberto de Medeiros Ferreira, Luciane Zanin de Souza, Flávia Martão Flório   Processos judiciais para obter medicamentos em Ribeirão Preto Lauro César da Silva Maduro, Leonardo Regis Leira Pereira   Edentulismo total em idosos: envelhecimento ou desigualdade social? Luciana Colares Maia, Simone de Melo Costa, Daniella Reis Barbosa Martelli, Antônio Caldeira Prates
2 Revista Bioética , Sumário   Editorial: Medicina e sociedade Tatiana Bragança de Azevedo Della Giustina   Importancia, definición y conflictos de la autoría en publicaciones científicasSumário Artigos Editorial: Medicina e sociedade Tatiana Bragança de Azevedo Della Giustina Importancia, definición y conflictos de la autoría en publicaciones científicas María Luz Gunturiz, Claudia Marcela Castro, Pablo Enrique Chaparro Princípio da não discriminação e não estigmatização: reflexões sobre hanseníase Magda Levantezi, Helena Eri Shimizu, Volnei Garrafa Sintagma identidade-metamorfose-emancipação na trajetória da pessoa com deficiência Valdilene Wagner, Lucas França Garcia, Tiago Franklin Rodrigues Lucena, Leonardo Pestillo de Oliveira Reflexões humanísticas em serviço de atendimento especializado em HIV Bianca Barros Branco, Amanda Chagas Barreto, Rafael de Azevedo Silva, Lorena Fecury Tavares, Herbert Paulino Cordeiro Comunicando más notícias sobre malformações congênitas: reflexões bioéticas e jurídicas Luciana de Paula Lima Gazzola, Henrique Vitor Leite, Gláucio Maciel Gonçalves Caminho do diálogo II: ampliando a experiência bioética para o ensino médio Marta Luciane Fischer, Thiago Rocha da Cunha, Thierry Betazzi Lummertz, Gerson Zafalon Martins Percepção de estudantes e médicos sobre autonomia na doação de órgãos Lúcio Jary Almeida de Moraes, Gabrielle Trevisan, Diego de Carvalho, Jovani Antônio Steffani, Elcio Luiz Bonamigo Doação de órgãos e tecidos em hospital público de Pernambuco Emillena Tabosa Monteiro, Sara Pessoa de Albuquerque, Renato de Souza Melo Equipe de enfermagem na doação de órgãos: revisão integrativa de literatura Clesyane Alves Figueiredo, Aline Maino Pergola, Maria Giovana Borges Saidel Investigating moral distress over a shortage of organs for transplantation João Paulo Victorino, Donna M Wilson Proibição de doação sanguínea por pessoas homoafetivas: estudo bioético Edison Vitório de Souza Júnior, Diego Pires Cruz, Uanderson Silva Pirôpo, Giovanna Maria Nascimento Caricchio, Cristiane dos Santos Silva, Bráulio José Ferreira Neto, Átila Rodrigues Souza, Franciele Soares Balbinote, Fernanda Luz Barros, Gabriele da Silva Santos Avaliação do conhecimento de estudantes de medicina sobre sigilo médico Sylvia Márcia Fernandes dos Santos Lima, Sandy Mayra Motta da Silva, Nedy Maria Branco Cerqueira Neves, Lucíola Maria Lopes Crisostomo Percepção de profissionais da saúde sobre eutanásia Amanda Aparecida Alves Silva, Fernanda Kelly Mendes Pestana, Fernanda Cardoso Rocha, Bruna Roberta Meira Rios, Artur Almeida Aquino, João Fabio Gonçalves Sobrinho, Joyce Micaelle Alves, Álvaro Parrela Piris Morte digna: percepção de médicos de hospital de ensino Fernanda Naspolini Zanatta, Ana Maria Nunes de Faria Stamm, Lara Patricia Kretzer, Saskia Pereira Teixeira, Fernanda Wolff da Silva Arruda Conflitos bioéticos nos cuidados de fim de vida Maria Olivia Sobral Fraga de Medeiros, Mariana do Valle Meira, Fernanda Moreira Ribeiro Fraga, Carlito Lopes Nascimento Sobrinho, Darci de Oliveira Santa Rosa, Rudval Souza da Silva Discussão bioética sobre o paciente em cuidados de fim de vida Paula Muller Maingué, Anor Sganzerla, Úrsula Bueno do Prado Guirro, Carla Corradi Perini Discursos sobre bioética nos periódicos da área médica do Paraná (1970-2005) Valquiria Renk, Liane Maria Bertucci Aspectos epidemiológicos e deontológicos da mortalidade no trânsito em Roraima Antonio Alberto de Medeiros Ferreira, Luciane Zanin de Souza, Flávia Martão Flório Processos judiciais para obter medicamentos em Ribeirão Preto Lauro César da Silva Maduro, Leonardo Regis Leira Pereira Edentulismo total em idosos: envelhecimento ou desigualdade social? Luciana Colares Maia, Simone de Melo Costa, Daniella Reis Barbosa Martelli, Antônio Caldeira Prates María Luz Gunturiz, Claudia Marcela Castro, Pablo Enrique Chaparro   Princípio da não discriminação e não estigmatização: reflexões sobre hanseníase Magda Levantezi, Helena Eri Shimizu, Volnei Garrafa   Sintagma identidade-metamorfose-emancipação na trajetória da pessoa com deficiência Valdilene Wagner, Lucas França Garcia, Tiago Franklin Rodrigues Lucena, Leonardo Pestillo de Oliveira   Reflexões humanísticas em serviço de atendimento especializado em HIV Bianca Barros Branco, Amanda Chagas Barreto, Rafael de Azevedo Silva, Lorena Fecury Tavares, Herbert Paulino Cordeiro   Comunicando más notícias sobre malformações congênitas: reflexões bioéticas e jurídicas Luciana de Paula Lima Gazzola, Henrique Vitor Leite, Gláucio Maciel Gonçalves   Caminho do diálogo II: ampliando a experiência bioética para o ensino médio Marta Luciane Fischer, Thiago Rocha da Cunha, Thierry Betazzi Lummertz, Gerson Zafalon Martins   Percepção de estudantes e médicos sobre autonomia na doação de órgãos Lúcio Jary Almeida de Moraes, Gabrielle Trevisan, Diego de Carvalho, Jovani Antônio Steffani, Elcio Luiz Bonamigo   Doação de órgãos e tecidos em hospital público de Pernambuco Emillena Tabosa Monteiro, Sara Pessoa de Albuquerque, Renato de Souza Melo   Equipe de enfermagem na doação de órgãos: revisão integrativa de literatura Clesyane Alves Figueiredo, Aline Maino Pergola, Maria Giovana Borges Saidel   Investigating moral distress over a shortage of organs for transplantation João Paulo Victorino, Donna M Wilson   Proibição de doação sanguínea por pessoas homoafetivas: estudo bioético Edison Vitório de Souza Júnior, Diego Pires Cruz, Uanderson Silva Pirôpo, Giovanna Maria Nascimento Caricchio, Cristiane dos Santos Silva, Bráulio José Ferreira Neto, Átila Rodrigues Souza, Franciele Soares Balbinote, Fernanda Luz Barros, Gabriele da Silva Santos   Avaliação do conhecimento de estudantes de medicina sobre sigilo médico Sylvia Márcia Fernandes dos Santos Lima, Sandy Mayra Motta da Silva, Nedy Maria Branco Cerqueira Neves, Lucíola Maria Lopes Crisostomo   Percepção de profissionais da saúde sobre eutanásia Amanda Aparecida Alves Silva, Fernanda Kelly Mendes Pestana, Fernanda Cardoso Rocha, Bruna Roberta Meira Rios, Artur Almeida Aquino, João Fabio Gonçalves Sobrinho, Joyce Micaelle Alves, Álvaro Parrela Piris   Morte digna: percepção de médicos de hospital de ensino Fernanda Naspolini Zanatta, Ana Maria Nunes de Faria Stamm, Lara Patricia Kretzer, Saskia Pereira Teixeira, Fernanda Wolff da Silva Arruda   Conflitos bioéticos nos cuidados de fim de vida Maria Olivia Sobral Fraga de Medeiros, Mariana do Valle Meira, Fernanda Moreira Ribeiro Fraga, Carlito Lopes Nascimento Sobrinho, Darci de Oliveira Santa Rosa, Rudval Souza da Silva   Discussão bioética sobre o paciente em cuidados de fim de vida Paula Muller Maingué, Anor Sganzerla, Úrsula Bueno do Prado Guirro, Carla Corradi Perini   Discursos sobre bioética nos periódicos da área médica do Paraná (1970-2005) Valquiria Renk, Liane Maria Bertucci   Aspectos epidemiológicos e deontológicos da mortalidade no trânsito em Roraima Antonio Alberto de Medeiros Ferreira, Luciane Zanin de Souza, Flávia Martão Flório   Processos judiciais para obter medicamentos em Ribeirão Preto Lauro César da Silva Maduro, Leonardo Regis Leira Pereira   Edentulismo total em idosos: envelhecimento ou desigualdade social? Luciana Colares Maia, Simone de Melo Costa, Daniella Reis Barbosa Martelli, Antônio Caldeira Prates
3 Editorial: Medicina e sociedade   , Tatiana Bragança de Azevedo Della Giustina
Although the first concerns about bioethics took place after the Great Wars, especially after World War II, this field of research only took its current shape in the 1970s. In times of social change, bioethical principlism has a lot to contribute to science and the humanities 1. Bioethics arises from the technicalization of medicine, with its scientific advances and the power over life and death, health and disease, quality of life and suffering, in addition to the socio-cultural changes experienced in the 20th century. American researcher Van Rensselaer Potter proposed the creation of some kind of bridge between the area of science and that of the humanities, reflecting, from the perspective of ethics, on human civilization, individual rights and human dignity 1,2. These circumstances have drastically changed the dynamics of the physician-patient relationship, which is currently based on the principle of the patient’s autonomy over their body and therapeutic decisions. From this, self-determination and the importance of the informed consent form are prioritized in medical procedures, both governed by Resolution CNS 466/2012 3.
4 Importancia, definición y conflictos de la autoría en publicaciones científicas   , María Luz Gunturiz, Claudia Marcela Castro, Pablo Enrique Chaparro
Abstract Defining authorship in scientific articles and documents is an essential and complex process that involves subjectivity and depends on largely informal agreements, which may cause conflict among researchers. Although some guidelines have been published to improve this practice, there are few quantitative procedures in the literature to specify authorship and co-authorship of a scientific paper, and there is no consensus on the definition of authors and the order in which they should be listed. With this article we try to review a few criteria and considerations for determining author lists in scientific articles. Keywords: Authorship. Research Personnel. Authorship-Ethics. Journal article.
5 The principle of non-discrimination and non-stigmatization: reflections on leprosy   , Magda Levantezi, Helena Eri Shimizu, Volnei Garrafa
Abstract This article is based on Article 11 of the Universal Declaration on Bioethics and Human Rights, which addresses the principle of non-discrimination and non-stigmatization. The paper discusses the concepts of discrimination, stigma and structural violence, analyzing the specific case of leprosy from the viewpoint of bioethics and human rights. The research also considers the fact that Brazil is the second country most affected by the disease. The conclusion stresses the importance of this declaration as a theoretical and practical instrument to address the social exclusion of people in this situation. Keywords: Bioethics. Human rights. Social stigma. Social discrimination. Leprosy.
6 The identity-metamorphosis-emancipation syntagm in people with disabilities   , Valdilene Wagner, Lucas França Garcia, Tiago Franklin Rodrigues Lucena, Leonardo Pestillo de Oliveira
Abstract Worldwide, one in seven people have disabilities. In order for them to achieve emancipation, it is essential that their identity is recognized. This was a qualitative, descriptive study based on the analysis of oral reports regarding the life trajectory of a physically disabled person. Affected by post-poliomyelitis syndrome and relying on a wheelchair, this person is understood here as an emblematic subject. Our goal was to use this narrative as a means of understanding how one’s environment builds an identity and produces emancipatory metamorphoses. The identity-metamorphosis-emancipation syntagm was chosen as a theoretical apparatus. Our results revealed several aspects of the individual’s life, discussed separately and structured in a timeline to facilitate data visualization and analysis. Although the subject has assumed several personas during her life trajectory, she is unable to emancipate herself due to the maintenance of certain stigma-reproducing structures that make it difficult – or even impossible – for her to recognize her identity. Keywords: Disabled persons. Personal autonomy. Social stigma.
7 Humanistic reflections on specialized HIV care service   , Bianca Barros Branco, Amanda Chagas Barreto, Rafael de Azevedo Silva, Lorena Fecury Tavares, Herbert Paulino Cordeiro
Abstract The physicians’s attitude towards diagnosis and clarifications to the patient infected by the human immunodeficiency virus is based mainly on personal perception and humanistic experience. The objective of this study was to report the experience of medical students from the sixth period of the Centro Universitário Metropolitano da Amazônia, in Belém, Pará, Brazil, during classes of the Clinical Skills module (Infectious Axis) at the Center for Attention on Acquired Infectious Diseases. After providing outpatient care and discussing clinical cases for five months and considering biopsychosocial issues, the students realized a need for humanization in this area. The experience expanded the knowledge acquired in class and allowed the delivery of comprehensive care to the patient, in addition to encouraging more humanistic and critical training of these health professionals. Keywords: Education, medical. Aids serodiagnosis. HIV antigens. Infectious disease medicine. Humanization of assistance.
8 Communicating bad news about congenital abnormalities: bioethical and legal considerations   , Luciana de Paula Lima Gazzola, Henrique Vitor Leite, Gláucio Maciel Gonçalves
Abstract The communication to the pregnant woman that her fetus has congenital abnormality is framed by what is meant by bad news, surrounded by ethical conflicts experienced in fetal medicine and neonatology. The couple’s breach of expectations about their idealized child arouses antagonistic feelings; The manner of elaboration of the news and even the eventual decision to terminate the pregnancy will be directly influenced as the fact was communicated by the team. For cases in which the child is born alive, the decision to adopt Palliative Care should also be shared, providing the exercise of responsible parenting. It is common, however, the request by the family of practices that configure dysthanasia and therapeutic obstinacy, when not adequately clarified about the prognosis of the disease. Aspects related to proper communication in the physician-patient relationship are discussed, fundamental to the exercise of autonomy and the duty to inform, whose violation leads to liability in the civil and ethical-professional spheres. Keywords: Congenital abnormalities. Prenatal diagnosis. Neonatology. Personal autonomy. Communication. Physician-patient relations. Palliative care.
9 Path of dialogue II: expanding the bioethics experience for high school   , Marta Luciane Fischer, Thiago Rocha da Cunha, Thierry Betazzi Lummertz, Gerson Zafalon Martins
Abstract The insertion of bioethics in basic education and the environmental bioethics are two growing aspects of bioethics. At the confluence of these two areas, the action promoted by the United Nations Organization called “Sustainable Development Goals” emerges. Its agenda proposes 17 goals to be fulfilled by 2030, aiming at the balance between the economic, social and environmental dimensions of development. In this scope, the activity “Path of dialogue II” was conducted, which presented high school students with reflections on bioethics and the sustainable development goals. This article reports the experience of this intervention and discusses bioethics from the perspective of education, without the intention of formally teaching concepts of bioethics, but of inserting the perspective of bioethics through interdisciplinary discussions so as to identify vulnerabilities and discuss solutions for the environment, development and sustainability. Keywords: Sustainable development indicators. Environmental health education. Education, primary and secondary. Education. Bioethics.
10 Path of dialogue II: expanding the bioethics experience for high school   , Marta Luciane Fischer, Thiago Rocha da Cunha, Thierry Betazzi Lummertz, Gerson Zafalon Martins
Abstract The insertion of bioethics in basic education and the environmental bioethics are two growing aspects of bioethics. At the confluence of these two areas, the action promoted by the United Nations Organization called “Sustainable Development Goals” emerges. Its agenda proposes 17 goals to be fulfilled by 2030, aiming at the balance between the economic, social and environmental dimensions of development. In this scope, the activity “Path of dialogue II” was conducted, which presented high school students with reflections on bioethics and the sustainable development goals. This article reports the experience of this intervention and discusses bioethics from the perspective of education, without the intention of formally teaching concepts of bioethics, but of inserting the perspective of bioethics through interdisciplinary discussions so as to identify vulnerabilities and discuss solutions for the environment, development and sustainability. Keywords: Sustainable development indicators. Environmental health education. Education, primary and secondary. Education. Bioethics.
11 Perceptions of medical students and doctors of the autonomy in organ donation   , Lúcio Jary Almeida de Moraes, Gabrielle Trevisan, Diego de Carvalho, Jovani Antônio Steffani, Elcio Luiz Bonamigo
Abstract Brazilian law adopts the family decision as a criterion for organ and tissue donation. The objective of this work was to assess the knowledge and opinion of medical professors, residents, and medical students on the subject. This was a descriptive cross-sectional study using a questionnaire. The survey was answered by 304 scholars split into 3 study cycles, 19 residents, and 30 professors totaling 353 participants. Of all participants, 99,1%% of women and 94,9% of men were in favor of organ and tissue donation. They agreed that the main criterion should be the person’s will, 104 (81.2% n=128) students of the basic cycle, 62 (82.7% n=75) of the clinicians, 82 (81.2% n=101) from the internship, 15 (78,9%) of the residents, and 25 (83.3%) of the professors. It was concluded that the person’s previous manifestation is a relevant criterion for donating their organs and tissues, which can promote respect for their autonomy, family acceptance, and the increase in the number of donors. Keywords: Tissue and organ procurement. Legislation as topic. Personal autonomy. Advance directives.
12 Organ and tissue donation in a public hospital of Pernambuco   , Emillena Tabosa Monteiro, Sara Pessoa de Albuquerque, Renato de Souza Melo
Abstract The goal of this study was to carry out a survey of the frequency of organ or tissue donation in Hospital Regional do Agreste, Caruaru, Pernambuco, Brazil. This is a descriptive, retrospective study, based on data from 439 medical records which documented donations made in the hospital between January 2011 and December 2014. Donations varied over the period in question and decreased in the last year of the series, remaining always well below the number of potential donors. In addition, tissue donation was far superior to organ donation. The results show that it is essential to create permanent public measures to raise awareness of the importance of this subject among the population. Keywords: Brain death. Tissue and organ procurement. Public health policy. Public awareness. Craniocerebral trauma.
13 Nursing team and organ donation: an integrative literature review   , Clesyane Alves Figueiredo, Aline Maino Pergola-Marconato, Maria Giovana Borges Saidel
Abstract The nursing team takes the lead in decision making related to organ donation process and family care as both are part of its work. This study aimed at identifying nursing team’s actions and activities directed to the families of potential organ donors in brain death from an integrative literature review. The final sample consisted of 10 articles whose analysis pointed to the central role played by nursing in creating bonds with the potential donor’s family, especially considering the difficulty of family members in understanding the death process. The sample also indicated urgent need to implement training programs for nursing teams in order to help reduce their suffering while in contact with families experiencing this situation. As a conclusion, family care requires several complex activities, including rigorous preparation and humanization to deal with family members and professionals. Keywords: Family. Nursing. Brain death. Transplants. Tissue donors.
14 Investigando sofrimento moral por falta de órgãos para transplante   , João Paulo Victorino, Donna M. Wilson
Abstract Investigating moral distress over a shortage of organs for transplantation We verified moral distress related to organ shortage for transplantation in nursing students. This quantitative pilot study analyzed data from 104 nursing undergraduate students. Data were collected through a survey composed of four questions and two sociodemographic items. The chi-squared test was used to examine categorical variables, whereas continuous variable data were analyzed using ANOVA and the Pearson Product Moment correlational test for determining the existence of moral distress regarding the availability of one heart for four individuals susceptible to heart transplantation. A high level of moral distress was identified with regard to the hypothetical decision-making process, which justifies the need for further studies on the subject. Given the hypothetical scenario, moral distress was observed among the students, reaching severe distress in some cases. Keywords: Transplantation. Tissue and organ procurement. Nurses. Decision making. Ethics.
15 Ban on blood donation from homoaffective people: a bioethical study   , Edison Vitório de Souza Júnior, Diego Pires Cruz, Uanderson Silva Pirôpo, Giovanna Maria Nascimento Caricchio, Cristiane dos Santos Silva, Bráulio José Ferreira Neto, Átila Rodrigues Souza, Franciele Soares Balbinote, Fernanda Luz Barros, Gabriele da Silva Santos
Abstract This study aimed to identify and discuss bioethical aspects that involve the ban on blood donation from homoaffective people. This is an integrative review of the literature, with a critical-reflexive approach to articles available in the Virtual Health Library and published between 2013 and 2018. Seven studies were selected that covered the theme, from which four categories emerged: “unfit for blood donation”; “are homosexuals the only ones who practice anal sex?”; “public health or heterosexism in health?”; and “considerations of principlist bioethics for blood donation from homo-affective people”, referring to the four pillars of the principlist theory. Bioethics promotes social reflections, directs lines of thought or questioning and creates new avenues for discussing the subject. The dilemmas involved in this approach are related to the denial of the four bioethical pillars to homoaffective subjects, inducing maleficence to this vulnerable group and to blood tissue recipients. Keywords: Public health. Homosexuality. Blood donors. Health equity. Human rights.
16 Assessment of medical students’ knowledge about medical confidentiality   , Sylvia Márcia Fernandes dos Santos Lima, Sandy Mayra Motta da Silva, Nedy Maria Branco Cerqueira Neves, Lucíola Maria Lopes Crisostomo
Abstract Medical confidentiality is one of the basic principles of medicine, and it is expected that the professional in the field will always protect what is reported or discovered. This study aims to evaluate the knowledge of medical students at a private university in Salvador, Bahia, Brazil, about confidentiality in the doctor-patient relationship. This is a cross-sectional, descriptive and observational study carried out between August and November 2017 with 305 medical students from the first to the eleventh semester, through a structured questionnaire with problem situations on professional secrecy, based on the Code of Medical Ethics, Chapter IX. A sufficient and insufficient degree of knowledge was randomly established for students. Most of the students showed sufficient knowledge, and the eleventh semester obtained more correct answers in the problem cases proposed in the questionnaire. Therefore, it is necessary to continuously deepen the study of the theme in a transversal way, due to its importance in the doctor-patient relationship. Keywords: Confidentiality. Ethics, professional. Codes of ethics. Hippocratic oath. Education, medical. Students, medical.
17 Health workers’ feelings and perceptions about euthanasia   , Amanda Aparecida Alves Silva, Fernanda Kelly Mendes Pestana, Fernanda Cardoso Rocha, Bruna Roberta Meira Rios, Artur Almeida Aquino, João Fabio Gonçalves Sobrinho, Joyce Micaelle Alves, Álvaro Parrela Piris
Abstract Euthanasia, which originally means “good death” or “painless death”, is a practice aimed at relieving suffering and ending the pain of the terminally ill patient. This study was designed to understand Intensive Care Unit health workers’ feelings and perceptions about euthanasia. This is a retrospective, descriptive and qualitative analysis research conducted with 23 workers at the University Hospital of Montes Claros/MG, Brazil, through structured interviews interpreted from content analysis. The interviewees demonstrated prior knowledge of euthanasia, and their discourses evidenced perceptions of social, moral, ethical and technical aspects. Euthanasia is a matter of great complexity, much discussed worldwide. It is necessary to explore the legalization issue, as well as the impacts of implementing such practice on the life of the sick patient, as well as for society as a whole. Keywords: Euthanasia. Death. Palliative care. Health personnel.
18 Dignified death: the perception of doctors in a teaching hospital   , Fernanda Naspolini Zanatta, Ana Maria Nunes de Faria Stamm, Lara Patrícia Kretzer, Saskia Pereira Teixeira, Fernanda Wolff da Silva Arruda
Abstract In order to identify the perception of good death by physicians who work at a teaching hospital, a cross sectional study with a convenience sample (100 physicians) is proposed, using the reduced version of the perceived dignified death scale (Brazilian reduced version of Good Death Inventory). All factors of the instrument were considered as highly needed, emphasizing good relationship with the family (98.9%), maintenance of hope and pleasure (97.8%) and not being a burden to others (92.3%). Women prioritized good relationships with family and team; doctors over 45 years old, not being a burden to others; and those without religion, not being a burden to others and having control over the future. The perception of good death presented by physicians valued social aspects such as affectivity and acquaintanceship, by prioritizing these three factors, in addition to showing that age, sex and religiosity influence this perception. Keywords: Death. Right to die. Personhood. Palliative care.
19 Bioethical conflicts in end of life care   , Maria Olivia Sobral Fraga de Medeiros, Mariana do Valle Meira, Fernanda Moreira Ribeiro Fraga, Carlito Lopes Nascimento Sobrinho, Darci de Oliveira Santa Rosa, Rudval Souza da Silva
Abstract This integrative review of the literature aims to identify the main conflicts between patients in palliative care, family and healthcare team from the point of view of the principialist ethics. A search was performed on databases, generating a final sample of 12 publications that, after being evaluated by the content analysis technique, enabled the emergence of three thematic categories: professional conduct – respect for the patient’s autonomy and the principle of beneficence; bioethical principles in the context of end of life care; and bioethical dilemmas in this context. We concluded that autonomy and beneficence stand out in the palliative care, ratifying the idea that the patient is the main actor and needs a humanized and comprehensive health care. In addition, we found some weaknesses in the process of education and communication in the healthcare team, patient and family relationship. Keyword: Ethics. Patient care team. Professional-family relations. Patient participation. Hospice Care.
20 Bioethical discussion on end of life patient care   , Paula Christina Pires Muller Maingué, Anor Sganzerla, Úrsula Bueno do Prado Guirro, Carla Corradi Perini
Abstract This study aimed at identifying factors that influence the decision-making of health professionals regarding patients in intensive care units. We carried out a quantitative research in two hospitals in Paraná, between March and May 2018. We defined a sample of 45 members of a multidisciplinary team. As results, we identified the interviewees’ concern in respecting autonomy, protecting dignity and preserving the quality of life of patients and family members by making shared decision. However, we also observed a tendency of therapeutic obstinacy to fulfill the professional duty, which indicated the need for more discussions and training on palliative care to minimize ethical conflicts. Keywords: Decision making. Intensive care units. Palliative care.
21 Discussions on bioethics in medical journals of Paraná, Brazil (1970-2005)   , Valquíria Elita Renk, Liane Maria Bertucci
Abstract This article analyzes the discourses that enunciate bioethics in the medical field of Paraná between 1970 and 2005, identifying authors and meanings attributed to the term. This is a historiographical research on Arquivos journal, published by the Paraná Regional Medical Council since 1983, and Revista Médica do Paraná, published by the Medical Association of Paraná since 1931. The documentary corpus was analyzed from the perspective of cultural history. Bioethics was first mentioned in the journal Arquivos in 1988, in an article on brain death, and later in Revista Médica do Paraná, in 1996, in an article on the principles of bioethics, in an article on the principles of bioethics, both written by physicians and professors. Journals are educational devices, as they disseminate ethical and bioethical ideas of the medical class that have the potential to reverberate within the society and change behaviors. The bioethics listed in the sources is closely aligned with principlism and medical ethics. Keywords: Bioethics. Periodical. Address.
22 Epidemiological and deontological aspects of traffic mortality in Roraima   , Antonio Alberto de Medeiros Ferreira, Luciane Zanin de Souza, Flávia Martão Flório
Abstract This is a longitudinal and descriptive study evaluating epidemiological and deontological aspects of traffic mortality in Roraima by comparing data from the Legal Medical Institute of Roraima, the Violence and Accident Surveillance System and the Mortality Information System. Most of the victims were men (85.2%), brown-skinned (81.5%), living in an urban area (81.5%), single (66.7%), between 15 and 34 years old (54.9%). The most common injuries were contusion (96.2%) and fracture (75.5%). The body parts most affected were the head (69.8%), lower limbs (66%) and face (54.7%). The main cause of death was head trauma (43.4%). The comparison of data evidenced underreporting of traffic mortality in Roraima. Constant reflection is essential to establish ethical parameters for the professionals involved, and the integration between health agencies and the Legal Medical Institute is recommended to create a database to support policies adapted to the local reality. Keywords: Traffic accidents. Epidemiology. Ethic.
23 Legal proceedings to obtain medicines in Ribeirão Preto   , Lauro César da Silva Maduro, Leonardo Régis Leira Pereira
Abstract This study aims to characterize lawsuits pleading for medicines in Ribeirão Preto, São Paulo, Brazil. A descriptive and cross-sectional study was carried out, which included all such judicial processes in the municipality between January 1999 and June 2014. Most of the time, public agents were responsible for legal representation (81.8% of cases), most of the prescriptions came from the private system (50.10%), and only 3% of prescribers concentrated nearly 30% of the cases. Diabetes and attention deficit hyperactivity disorder were the most prevalent diseases; with analogous insulins and methylphenidate being the most required drugs. It is concluded that, on average, 30% of the city’s budget for the purchase of medicines is spent on medicines obtained through the courts. Keywords: Health’s judicialization. Health policy. Pharmaceutical services.
24 Total edentulism in older adults: aging or social inequality?   , Luciana Colares Maia, Simone de Melo Costa, Daniella Reis Barbosa Martelli, Antônio Prates Caldeira
Abstract This study estimated the self-reported prevalence of total edentulism in older adults aged 60 years or older in a municipality of Minas Gerais, Brazil, enrolled in the Family Health Strategy and identified associated socioeconomic factors. Data collection took place in the participants’ domiciles through a questionnaire including sociodemographic, economic, and general and oral health data. The statistical analysis used “total edentulism” as the dependent variable, with significance level of 5%. A total of 1,750 older adults participated, 63.4% of whom were female, 11.5% were illiterate and 27.8% had a family income below one minimum wage. Total edentulism was 46.4%, with a higher prevalence in women, in participants who were aged ≥80 years, single/widowed/divorced, illiterate and in those who did not seek dental service in the last six months (p<0.05). Family income was lower for the edentulous older adults (p=0.001), and a high prevalence was found for edentulism associated with socioeconomic factors, showing iniquity in oral health and, therefore, the need for State protection. Keywords: Aged. Tooth loss. Socioeconomic factors. Health status disparities. Oral health. Primary health care.