Niklas Juth is a PhD in Practical Philosophy since 2005 and Associate Professor in Medical Ethics at Karolinska Institute since 2013. His research interests are in ethics and bioethics, genetics and the intersection between political philosophy and medical ethics, e.g. autonomy and justice in health care. He has also published extensively within the areas of experimental ethics, victims of honor related threats within health care, end-of-life care, screening, genetics and health care complaints.
Aim: The aim of the present study is to examine whether physicians’ estimations of medical needs are influenced by the physicians’ own personal values. rnrnDesign & Methods: We used a vignette where a young female requests hymen restoration or virginity certificate due to honor-related threats. We asked whether or not the participating physicians would under certain circumstances be prepared to help the young females. We also asked what would happen to their own trust and what they estimated would happen to the general public’s trust in healthcare if performing such operations or writing such certificates was generally accepted. rnrnResults: The majority of those whose own trust would not be influenced [59.7% (95% CI55.2—64.2)] were found among the respondents who stated that they were prepared to help the young females, as against those [13.5% (95% CI 10—16.5)] stating that they would help under no circumstances. We found an association between those whose own trust would decrease and those stating that they would help under no circumstances [Or 90 (95% CI 12.2—664.3)].rnrnConclusion: The results indicate that factual aspects are influenced by physicians’ own values. If factual aspects such as estimation of the patient’s trustworthiness and medical needs are impregnated by physicians’ personal values, there is a risk of arbitrariness when deciding whether to help young females in distress. In order to avoid arbitrariness in decision-making we suggest that consensus in the area is developed.rnrn
Jhonatan Betancourt Peña is a Physiotherapist, Specialist in Cardiac and Pulmonary Rehabilitation and has an MSc in Business Administration, and is currently conducting MSc studies in Public Health at Universidad del Valle. He belongs to the research group Interdisciplinary Group on Health and Society Research IGHSR ascribed to COLCIENCIAS. He has published at least 5 articles in journals indexed in Colombia and other countries. He has spoken at numerous times in symposia and conferences presenting issues related diseases Cardiopulmonary exercise. Hugo Hurtado Gutiérrez is a Professor at Universidad del Valle. A biologist by profession, he obtained at age 24 an MSc in Public Health as a scholarship holder of the Universidad Nacional de Colombia. Later he obtained a specialization in Demographic and Health at Universidad Javeriana in Bogotá as scholarship holder of PAFCSM (Pan American Federation of Colleges and Schools of Medicine) and subsequently obtained an MSc Biostatistics at Universidad de Chile, Santiago de Chile, as a scholarship holder of the WHO (World Health Organization). He was director of the Masters in Public Health, Epidemiology and Health Administration at the School of Public Health in Universidad del Valle. He has published numerous articles in national and international journals and has won 1 World Award and some national awards. He has written five books related to biostatistics and primary health care.
Diffuse interstitial lung diseases (DILD) are a heterogeneous group of disorders of the lung parenchyma, which are classified into one group to present similar clinical, radiological, pathophysiology and anathopathological features. In patients with DILD exercise has benefits to reduce dyspnea, improve functional capacity and quality of life. The aim of the study was to establish the effects of an exercise program in patients with DILD. It is a quasi-experimental study in a population of patients diagnosed with DILD and those admitted to an exercise program for 8 weeks of continuous exercise on treadmill for 30 minutes starting at 80% of the speed achieved in 6MWT increased at 4 weeks at 90%; upper limb muscle strengthening 4 sets of 12 reps with 1 minute rest at 30% of maximum resistance (MR), increasing to four weeks at 40% of the MR; breathing techniques and mobility of the chest. The data were entered into a template in Excel 2010 and processed in Statistical Package EPIINFO 2000; statistical tests of differences in means ± standard deviation were performed using paired t-test. Previous studies established that patients with DILD to obtain a minimal difference in the walk test six minutes at the end of pulmonary rehabilitation program in the range of 24-34 meters, but was identified that women walked less distance compared with men. Despite the small number of patients involved in the study, there was a significant increase in the distance covered in the walk test of six minutes. Symptomatic patients with DILD, with impaired functional capacity and life quality benefit from an exercise program for 8 weeks, so it is safe and is recommended as an alternative treatment for all symptomatic patients with DILD.