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Am J Trop Med Hyg ; 102(6): 1172-1174, 2020 06.
Artículo en Inglés | MEDLINE | ID: mdl-32358952


The first case of novel coronavirus disease (COVID-19) in the Dominican Republic coincided with a period of political crisis. Distrust in governmental institutions shaped the critical phase of early response. Having a weak public health infrastructure and a lack of public trust, the Ministry of Health (MoH) began the fight against COVID-19 with a losing streak. Within 45 days of the first reported case, the political crisis and turmoil caused by "fake news" are limiting the capacity and success of the MoH response to the pandemic.

Antivirales/uso terapéutico , Betacoronavirus/patogenicidad , Infecciones por Coronavirus/epidemiología , Pandemias , Neumonía Viral/epidemiología , Medios de Comunicación Sociales/ética , Anticuerpos Monoclonales Humanizados/uso terapéutico , Antivirales/provisión & distribución , Azitromicina/provisión & distribución , Azitromicina/uso terapéutico , Betacoronavirus/efectos de los fármacos , Desórdenes Civiles , Infecciones por Coronavirus/tratamiento farmacológico , Infecciones por Coronavirus/economía , Disentimientos y Disputas , República Dominicana/epidemiología , Reposicionamiento de Medicamentos , Humanos , Hidroxicloroquina/provisión & distribución , Hidroxicloroquina/uso terapéutico , Ivermectina/provisión & distribución , Ivermectina/uso terapéutico , Pandemias/economía , Neumonía Viral/tratamiento farmacológico , Neumonía Viral/economía , Política , Salud Pública/economía , Salud Pública/tendencias , Confianza/psicología
Int Nurs Rev ; 67(1): 84-91, 2020 Mar.
Artículo en Inglés | MEDLINE | ID: mdl-31663606


AIM: This study aimed to evaluate nurses' ability to evaluate ethical violations to hypothetical case studies involving social media use. BACKGROUND: Inappropriate use of social media necessitates health institutes, academic institutes, nurses and educators to consider occupational ethical principles while creating a  policy and guide on the usage of social media. METHOD: The data were collected confidentially from the nurses working at a university hospital in Turkey, using the Personal Information Form and the Ethic Case Form. The study was carried out using descriptive and inferential analysis. FINDINGS: Analysis of the data showed that the majority of the nurses had received training in ethics, used WhatsApp social media application most often, spent less than an hour a day on social media platforms and used social media to follow daily posts. Analyses of the ethical case evaluations showed that nurses' level of education and ethics training status was influential on their Case 1 evaluations and the length of time they had worked was effective in Case 2 evaluations. When Case 3 evaluations of nurses were analysed according to ethics training, statistically significant differences were found. The analyses of the Case 4 and Case 5 evaluations showed that no statistically significant differences were found according to nurses' descriptive characteristics. CONCLUSION: The study determined that education level, ethical training status, the source of ethics training and the duration of their work in the profession were effective regarding the case evaluation of the nurses. IMPLICATIONS FOR NURSING AND HEALTH POLICY: Nursing policymakers, educators, administrators and clinicians need to cooperate in the development of ethical awareness and creation of solutions to violations, the preparation of guidelines for social media use.

Ética en Enfermería , Principios Morales , Medios de Comunicación Sociales , Actitud del Personal de Salud , Humanos , Medios de Comunicación Sociales/ética , Encuestas y Cuestionarios , Turquia
Pediatrics ; 144(5)2019 11.
Artículo en Inglés | MEDLINE | ID: mdl-31597691


Social media pervades all aspects of our lives. In medicine, it has changed the ways that patients and parents get health information, advocate for particular treatments for themselves and their children, and raise money for expensive treatments. In this Ethics Rounds, we present a case in which the use of social media seemed to cross the boundaries of acceptable professionalism. What should the ground rules be for doctors who are tempted to give medical opinions online about patients whom they have never seen?

Ética Médica , Médicos/ética , Profesionalismo/ética , Derivación y Consulta/ética , Medios de Comunicación Sociales/ética , Adolescente , Humanos , Relaciones Interprofesionales/ética , Masculino
Rev. bioét. derecho ; (46): 85-100, jul. 2019.
Artículo en Español | IBECS | ID: ibc-184853


La dependencia de la sociedad a la tecnología es cada vez mayor, donde el monitoreo de las ciudades se ha vuelto común. En este sentido, se expone en el presente artículo el riesgo a nivel de seguridad de la información sobre Internet de las Cosas, debido a potenciales ataques de denegación de servicio distribuida. Bajo este mismo esquema, se presentan otros tipos de vulnerabilidades relacionados, tales como: el criptohackeo, blockchain, amenazas persistentes avanzadas, ransonware e inteligencia artificial, exponiendo de manera general el riesgo potencial frente a la ciberseguridad en cuanto al uso y manipulación de la información

The dependence of society on technology is growing, where the monitoring of cities has become common, either through camera systems arranged everywhere, to devices and sensors that record a number of variables that literally measure the pulse from the same. In this sense, this article exposes the risk at the level of security of information on the Internet of Things (IoT), whose level of application grows day by day and with it, vulnerabilities in terms of connectivity and navigability, due to potential distributed denial of service (DoS) attacks. Under this same scheme, other types of vulnerabilities directly and indirectly related to IoT and DoS are presented, such as cryptohack, blockchain, advanced persistent threats (APT), ransomware and artificial intelligence, generally explaining the potential risk in the face of cybersecurity regarding the use and manipulation of information

La dependència de la societat a la tecnologia és cada vegada major. A les ciutats el monitoratge s'ha tornat comú, sigui a través de sistemes de càmeres disposats per onsevulla, o a través de dispositius i sensors que registren un sens fi de variables que literalment mesuren el pols d'aquestes. En aquest article s'exposa el risc a nivell de la seguretat de la informació sobre Internet de les Coses (IoT), el nivell de les quals d'aplicació creix dia a dia i amb això, les vulnerabilitats quant a connectivitat i navegabilitat, a causa de potencials atacs de denegació de servei distribuïda (DOS). Sota aquest mateix esquema, es presenten altres tipus de vulnerabilitats relacionades directa i indirectament amb el IoT i el DDoS, tals com el criptohackeo, el blockchain, les amenaces persistents avançades (APT), el ransomware i la intel·ligència artificial, exposant de manera general el risc potencial enfront de la ciberseguretat quant a l'ús i manipulació de la información

Humanos , Internet/legislación & jurisprudencia , Acceso a Internet/ética , Acceso a la Información/ética , Medios de Comunicación Sociales/ética , Seguridad Computacional , Internet/ética , Nube Computacional/legislación & jurisprudencia , Acceso a la Información/legislación & jurisprudencia , Medición de Riesgo
Plast Reconstr Surg ; 144(1): 118e-125e, 2019 07.
Artículo en Inglés | MEDLINE | ID: mdl-31246836


BACKGROUND: Social media are powerful tools that allow users to communicate directly with an online community. Plastic surgeons were early adopters of social media, recognizing their educational and marketing potential. With the use of social media comes ethical and legal concerns. The lack of professional society policies on social media use has led to calls for the American Society of Plastic Surgeons to establish guidelines regarding the use of social media in medical practice. The authors propose a framework for the creation of ethical and professional social media content. METHODS: The authors reviewed the updated American Society of Plastic Surgeons Code of Ethics, current professional organization codes of ethics and social media guidelines, recently published articles, and legal documents pertaining to social media use in medical practice. RESULTS: The updated American Society of Plastic Surgeons Code of Ethics provides adequate guidance for the professional use of social media in plastic surgery practice. The authors drew on the American Society of Plastic Surgeons Code of Ethics along with existing professional society guidelines to develop a framework for the professional and ethical creation of social media content. The authors also propose a sample informed consent form for social media use. CONCLUSIONS: Social media are powerful tools that will continue to transform the practice of plastic surgery and medicine at large. Plastic surgeons must uphold values of professionalism and ethics when using social media to protect patients and maintain the high professional standards of the specialty.

Relaciones Interprofesionales , Competencia Profesional/normas , Medios de Comunicación Sociales/ética , Cirujanos/ética , Cirugía Plástica , Humanos
Am J Bioeth ; 19(6): 47-61, 2019 Jun.
Artículo en Inglés | MEDLINE | ID: mdl-31135323


As social media becomes increasingly popular, human subjects researchers are able to use these platforms to locate, track, and communicate with study participants, thereby increasing participant retention and the generalizability and validity of research. The use of social media; however, raises novel ethical and regulatory issues that have received limited attention in the literature and federal regulations. We review research ethics and regulations and outline the implications for maintaining participant privacy, respecting participant autonomy, and promoting researcher transparency when using social media to locate and track participants. We offer a rubric that can be used in future studies to determine ethical and regulation-consistent use of social media platforms and illustrate the rubric using our study team's experience with Facebook. We also offer recommendations for both researchers and institutional review boards that emphasize the importance of well-described procedures for social media use as part of informed consent.

Ética en Investigación , Registros de Salud Personal , Consentimiento Informado/normas , Privacidad/legislación & jurisprudencia , Sujetos de Investigación , Medios de Comunicación Sociales/ética , Medios de Comunicación Sociales/legislación & jurisprudencia , Comunicación , Humanos , Redes Sociales en Línea , Proyectos de Investigación/normas , Proyectos de Investigación/tendencias , Medios de Comunicación Sociales/tendencias
Pediatrics ; 143(5)2019 05.
Artículo en Inglés | MEDLINE | ID: mdl-30948683


We present a case in which a fetal diagnosis of complex congenital heart disease and trisomy 18 led to a series of decisions for an infant who was critically ill. The parents wanted everything done. The surgeons believed that surgery would be futile. The parents publicized the case on social media, which led to publicity and pressure on the hospital. The case reveals the intersection of parental values, clinical judgments, ethics consultation, insurance company decisions about reimbursement, and social media publicity. Together, these factors complicate the already delicate ethical deliberations and decisions.

Toma de Decisiones Clínicas/ética , Consultoría Ética/ética , Síndrome del Corazón Izquierdo Hipoplásico/cirugía , Padres/psicología , Medios de Comunicación Sociales/ética , Síndrome de la Trisomía 18/cirugía , Toma de Decisiones Clínicas/métodos , Resultado Fatal , Humanos , Síndrome del Corazón Izquierdo Hipoplásico/complicaciones , Síndrome del Corazón Izquierdo Hipoplásico/diagnóstico , Lactante , Masculino , Síndrome de la Trisomía 18/complicaciones , Síndrome de la Trisomía 18/diagnóstico
J Pak Med Assoc ; 69(4): 541-544, 2019 Apr.
Artículo en Inglés | MEDLINE | ID: mdl-31000860


Social media is an undeniable reality in our lives. The professional use of social media is increasing with every passing day. It has provided new avenues of service delivery in individual and hospital practices. But the operational structure of most social media platforms can create problems for its professional use in healthcare, as the controls that exists in physical environment under regulatory frameworks, aren't available there. Indeed, it's a daunting task to maintain, for example, confidentiality and ownership of health data, which once shared staysforever in cyberspace. Healthcare providers especially Physicians and all other stakeholders should focus on this changing face of healthcare and try to develop guidelines which can lessen fears, promote optimal use, and can help maintain ethos of practice of medicine on social media.

Confidencialidad/ética , Relaciones Médico-Paciente/ética , Médicos/ética , Medios de Comunicación Sociales/ética , Conflicto de Intereses , Minería de Datos , Humanos
Plast Reconstr Surg ; 143(5): 1533-1539, 2019 05.
Artículo en Inglés | MEDLINE | ID: mdl-31033838


Similar to the outcry over the ethics of website marketing by physicians in the 1990s, the resistance to plastic surgeons' use of social media has been loud and vehement. Many physicians, although receptive to website marketing, view social media as too radical or unprofessional. Despite the controversy, the value of social media as a communication tool for interacting with and educating patients is supported by studies showing that 65 percent of Americans and 90 percent of young adults use social media. Many plastic surgeons have been early adopters, as reflected by the articles written to help board-certified plastic surgeons use social media in academic medicine and for their practice. However, there is little guidance for young plastic surgeons who wish to use social media for professional purposes. In this study, the authors discuss the ethics and current literature on social media use by young plastic surgeons and make recommendations for how to use social media during training and after residency graduation.

Comercialización de los Servicios de Salud/ética , Medios de Comunicación Sociales/estadística & datos numéricos , Cirujanos/ética , Cirugía Plástica/ética , Humanos , Comercialización de los Servicios de Salud/legislación & jurisprudencia , Comercialización de los Servicios de Salud/normas , Comercialización de los Servicios de Salud/estadística & datos numéricos , Guías de Práctica Clínica como Asunto , Medios de Comunicación Sociales/ética , Sociedades Médicas/legislación & jurisprudencia , Sociedades Médicas/normas , Cirujanos/estadística & datos numéricos , Cirugía Plástica/legislación & jurisprudencia , Cirugía Plástica/normas , Cirugía Plástica/estadística & datos numéricos , Estados Unidos , United States Federal Trade Commission/legislación & jurisprudencia