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Ética en Medicina
F. A. ROTAR
Question?
Greater good vs Lesser bad…..
“Sujeto asalta una tienda de verduras y recibe un disparo de mosqueton
en area abdominal superior, queda vivo, al llegar a la prision el medico
del lugar le antiende, en vez de suturarle la herida la explora y concluye
que la pared anterior del estomago esta adjunto a la parad abdominal
anterior y se da cuenta que el paciente tenia una “ulcera” y se queda
estudiandolo por unos dias despues de los cuales le Cierra la herida u se
envia a prisio”.
Question?
"It is not cruel to inflict on a few criminals sufferings which may
benefit multitudes of innocent people through all centuries."
Objectives
• Introduce the freshmen to the basic concepts & law of ethics.
• Present a recapitulation thru time and the evolution of bioethics.
• Explain the 4 principals of ethics and give examples of each.
• Introduce the freshmen to the concepts of research, practice,
investigation taking into account ethical principals.
• Guide the freshmen thru examples from where we get the medical
knowledge and assertions we give patients.
• Discuss why ethics are necessary when conducting research involving
human subjects.
• Describe the major historical events that have influenced how research
involving human subjects is conducted.
• Identify problems with past studies that have violated ethical
standards.
• Describe the Belmont Principles.
• Discuss the ethical standards for research that guide us today.
Siglo I de nuestro señor Jesucristo
IMPERIO ROMANO
EMPERADORES TIBERIO & CALIGULA
Aurelius Celsus
• Doctor?
• Surgeon?
• Barber?
• Apothecary?
“Medical Clerk”
Aureli Cornelii Celsi
"It is not cruel to inflict on a few criminals sufferings which may
benefit multitudes of innocent people through all centuries."
Florin Andrei Rotar Marinescu
(15-Oct-2015)
Problem:
Organ donors do not supply demand.
Solution:
Criminals
Every 40+ years convict obligated to donate, and if donor
compatible transferred to death row and confiscate its
organs…. DEBATE NOW
• Both the ethics
regarding human
subjects research and
regulations for such
research have changed
considerably since
Celsus' time.
Among the first human subject research experiments
to be documented:
1700’s vaccination trials: physicians & their family were the test subjects.
• -Edward Jenner (1779-1586)- smallpox vaccine (son & neigthbors)
• -Johan Jorg (1779-1856) – swallows 17 drugs in difernt doses to record
properties
2000’s newdrug trials.
• -Sebastian Cane (1999-2000) – Hollow man suerum
• -Hiroshi Hatake (2014) – Narvik A, Narvik B, SODRA.
1940

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Introduccion etica en medicina 2do semestre 2015

  • 2. Question? Greater good vs Lesser bad….. “Sujeto asalta una tienda de verduras y recibe un disparo de mosqueton en area abdominal superior, queda vivo, al llegar a la prision el medico del lugar le antiende, en vez de suturarle la herida la explora y concluye que la pared anterior del estomago esta adjunto a la parad abdominal anterior y se da cuenta que el paciente tenia una “ulcera” y se queda estudiandolo por unos dias despues de los cuales le Cierra la herida u se envia a prisio”.
  • 3. Question? "It is not cruel to inflict on a few criminals sufferings which may benefit multitudes of innocent people through all centuries."
  • 4. Objectives • Introduce the freshmen to the basic concepts & law of ethics. • Present a recapitulation thru time and the evolution of bioethics. • Explain the 4 principals of ethics and give examples of each. • Introduce the freshmen to the concepts of research, practice, investigation taking into account ethical principals. • Guide the freshmen thru examples from where we get the medical knowledge and assertions we give patients.
  • 5. • Discuss why ethics are necessary when conducting research involving human subjects. • Describe the major historical events that have influenced how research involving human subjects is conducted. • Identify problems with past studies that have violated ethical standards. • Describe the Belmont Principles. • Discuss the ethical standards for research that guide us today.
  • 6. Siglo I de nuestro señor Jesucristo IMPERIO ROMANO EMPERADORES TIBERIO & CALIGULA
  • 7.
  • 8. Aurelius Celsus • Doctor? • Surgeon? • Barber? • Apothecary? “Medical Clerk”
  • 9. Aureli Cornelii Celsi "It is not cruel to inflict on a few criminals sufferings which may benefit multitudes of innocent people through all centuries."
  • 10. Florin Andrei Rotar Marinescu (15-Oct-2015) Problem: Organ donors do not supply demand. Solution: Criminals Every 40+ years convict obligated to donate, and if donor compatible transferred to death row and confiscate its organs…. DEBATE NOW
  • 11. • Both the ethics regarding human subjects research and regulations for such research have changed considerably since Celsus' time.
  • 12. Among the first human subject research experiments to be documented: 1700’s vaccination trials: physicians & their family were the test subjects. • -Edward Jenner (1779-1586)- smallpox vaccine (son & neigthbors) • -Johan Jorg (1779-1856) – swallows 17 drugs in difernt doses to record properties
  • 13. 2000’s newdrug trials. • -Sebastian Cane (1999-2000) – Hollow man suerum • -Hiroshi Hatake (2014) – Narvik A, Narvik B, SODRA.
  • 14. 1940

Editor's Notes

  1. De artribus, 5 tomos primeros escritos por celso