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Evolution of informed consent in research: From the Hippocratic Oath to the tailored consent.
Open Res Eur
April 2024
Vaccine Research Area, Foundation for the Promotion of Health and Biomedical Research of Valencia Region, FISABIO, Valencia, Spain.
Background: Informed consent (IC) is essential in defending the autonomy of potential participants in clinical research. Despite the advances in research ethics, particularly in IC, the different guidelines and codes have not been fully implemented. Several studies have presented consent deficiencies that have resulted in unethical practices or poor understanding of the IC.
View Article and Find Full Text PDFAn ordinary malaria? Intermittent fever in Denmark, 1826-1886.
Med Hist
January 2023
PandemiX Center, Department of Science and Environment, Roskilde University, Universitetsvej 1, Postbox 260, 4000 Roskilde, Denmark.
Intermittent fever is a historical diagnosis with a contested meaning. Historians have associated it with both benign malaria and severe epidemics during the Early Modern Era and early nineteenth century. Where other older medical diagnoses perished under changing medical paradigms, intermittent fever 'survived' into the twentieth century.
View Article and Find Full Text PDF[The impact of COVID-19 pandemic on doctor-patient relationship].
Rev Med Chil
July 2021
Departamento de Ciencia y Tecnologías del Comportamiento, Universidad Simón Bolívar, Caracas, Venezuela.
Doctor-patient relationship (DPR) is the cornerstone of clinical medicine, mobilizing powerful human resources. This article analyzes the impact of COVID-19 pandemia on DPR. Due to fear of contagion, the use of telephone or digital consultation was preferred, in which only the results of laboratory and imaging tests can be reviewed, and the patient receives a diagnostic conclusion.
View Article and Find Full Text PDFA plea to merge clinical and public health practices: reasons and consequences.
BMC Health Serv Res
December 2020
Département de Médecine Générale, Université Libre de Bruxelles, Route de Lennik, 808, BP 612/1, B-1070, Brussels, Belgium.
Background: Revisiting professionalism, both as a medical ideal and educational topic, this paper asks whether, in the rise of artificial intelligence, healthcare commoditisation and environmental challenges, a rationale exists for merging clinical and public health practices. To optimize doctors' impact on community health, clinicians should introduce public health thinking and action into clinical practice, above and beyond controlling nosocomial infections and iatrogenesis. However, in the interest of effectiveness they should do everything possible to personalise care delivery.
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