1,721,075 research outputs found
Il consenso informato: tre casi italiani
No full textIl contributo presenta tre casi italiani di particolare rilievo rispetto al problema del consenso/dissenso alle cure mediche. Il caso san Raffaele (Trib. Milano, 14.5.1998) viene analizzato con particolare riferimento alle diverse possibili opzioni ermeneutiche sul rapporto tra salute ed autodeterminazione nell'ambito della relazione di cura tra paziente e professionisti sanitari. Il caso Welby (del quale si analizza il provvedimento d'ugenza emesso in sede civile del 16.12.2006) è occasione di riflessione rispetto al problema del rifiuto di cure che si sostanzi in ua richiesta di sospensione di trattamenti di sostegno vitale in relazione al conflitto che si può porre tra autonomia del paziente ed autonomia professionale del curante. Infine, il caso Englaro (del quale viene brevemente ripercorsa l'articolata vicenda giudiziaria) permette di evidenziare le diverse posizioni emerse sul problema delle cure nell'interesse della persona non più in grado di esprimere la propria volontà
La scelta della scuola
No full textIl contributo si occupa della scelta della scuola per il figlio quando vi sia conflittualità genitoriale. Il problema è collocato nell'ambito del contrasto sulle scelte educative e viene esaminato nella prospettiva dell'interesse del figlio minore, con particolare riguardo a finalità, strumenti e critieri per valorizzare, anche in questo contesto le “capacità, inclinazioni naturali e aspirazioni” del figlio. Si propone, dunque, un'interpretazione coerente della l.n. 281/1986 e delle disposizioni codicistiche con particolare riferimento al rapporto tra art. 316 e 337-ter c.c
COVID-19 pandemic in ICU. Limited resources for many patients: approaches and criteria for triaging
No full textThe COVID-19 pandemic has shattered the illusion that healthcare resource shortages that require rationing are problems restricted to low- and middle-income countries. During the pandemic surges, many high-income countries have been confronted with unprecedented demands for healthcare systems that dramatically exceeded available resources. Hospitals capacities were overwhelmed, and physicians working in intensive care units (ICUs) were often forced to deny admissions to patients in desperate need of intensive care. To support these difficult decisions, many scientific societies and governmental bodies have developed guidelines on the triage of patients in need of mechanical ventilation and other life-support treatments. The ethical approaches underlying these guidelines were grounded on egalitarian or utilitarian principles. Thus far, however, consensus on the approaches used, and, above all, on the solutions adopted have been limited, giving rise to a clash of opinions that has further complicated health professionals’ ability to respond optimally to their patients’ needs. As the COVID-19 crisis moves toward a phase of what some have called “pandemic normalcy,” the need to debate the merits and demerits of the individual decisions made in the allocation of ICU resources seems less pressing. Instead, the aims of the authors are: 1) to critically review the approaches and criteria used for triaging patients to be admitted in ICU; 2) to clarify how macro- and micro-allocation choices, in their interdependance, can condition decision-making processes regarding the care of individual patients; 3) to reflect on the need for decision-makers and professionals working in ICUs to maintain a proper degree of “honesty” towards citizens and patients regarding the causes of the resource shortages and the decision-making processes, which, in different ways routinely and in crisis times, involve the need to make “tragic choices” at both levels
Small divides, big challenges? Nanotechnology and human health
No full textThis collection of articles is a collaborative effort to discuss the impact of nanotechnology-based innovation on biomedical products development, on public health infrastructure, and on healthcare service delivery. The goal of this special issue of Studies in Ethics, Law, and Technology is to assess the effects of these transformations on the equity of access to healthcare, on the potential and actual disparities, especially at the international level, as well as to examine the possible strategies to make nanotechnology help attain the highest standard of health for all
Resting eggs from the bottom muds of the Mar Piccolo (Taranto - Italy)
No full textthe presence of resting stages from plankton organisms has been ascertained in the mud sediments of mar Piccolo.
the first cm of sediment was richer than the other one
Solvation of Na+ in Methanol + N,N-Dimethylformamide solutions. A Nuclear Magnetic Relaxation study using dynamic solvent isotope effects
No full text
Going Beyond Counting First Authors in Author Co-citation Analysis
Full text linkThe present study examines one of the fundamental aspects of author co-citation analysis (ACA) - the way co-citation
counts are defined. Co-citation counting provides the data on which all subsequent statistical analyses and mappings
are based, and we compare ACA results based on two different types of co-citation counting - the traditional type that
only counts the first one among a cited work's authors on the one hand and a non-traditional type that takes into
account the first 5 authors of a cited work on the other hand. Results indicate that the picture produced through this non-traditional author co-citation counting contains more coherent author groups and is therefore considerably clearer. However, this picture represents fewer specialties in the research field being studied than that produced through the traditional first-author co-citation counting when the same number of top-ranked authors is selected and analyzed. Reasons for these effects are discussed
Variations on the Author
Full text link“Variations on the Author” discusses two of Eduardo Coutinho’s recent films (Um Dia na Vida, from 2010, and Últimas Conversas, posthumously released in 2015) and their contribution to the general question of documentary authorship. The director’s filmography is characterized by a consistent yet self-effacing form of authorial self-inscription: Coutinho often features as an interviewer that rather than express opinions propels discourses; an interviewer that is good at listening. This mode of self-inscription characterizes him as an author who is not expressive but who is nonetheless markedly present on the screen. In Um Dia na Vida, however, Coutinho is completely absent form the image, while Últimas Conversas, on the contrary, includes a confessional prologue that moves the director from the margins to the center of his films. This article examines the ways in which these works stand out in the filmography of a director who offers new insights into the notion of cinematic authorship
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